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Dissecting and Suturing

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Chassin's Operative Strategy in General Surgery

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Abstract

This chapter describes the fundamental skills used to develop anatomic planes and thereby improve exposure and expedite surgery. Various types of suture material are discussed. The basic technique for constructing a two-layer gastrointestinal anastomosis is then described in detail.

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Further Reading

  • Ceydelli A, Rucinski J, Wise L. Finding the best abdominal closure: an evidence-based review of the literature. Curr Surg. 2005;62:220.

    Article  Google Scholar 

  • Ellis H, Bucknall TE, Cox PJ. Abdominal incisions and their closure. Curr Probl Surg. 1985;22(4):1.

    Article  CAS  Google Scholar 

  • Harlaar JJ, Deerenberg EB, van Ramshorst GH, Lont HE, van der Borst EC, et al. A multicenter randomized controlled trial evaluating the effect of small stitches on the incidence of incisional hernia in midline incisions. BMC Surg. 2011;11:20.

    Article  Google Scholar 

  • Jacobs HB. Skin knife-deep knife: the ritual and practice of skin incisions. Ann Surg. 1974;179:102.

    Article  CAS  Google Scholar 

  • Lumsden AB, Colborn GL, Sreeram S, Skandalakis LJ. The surgical anatomy and technique of the thoracoabdominal incision. Surg Clin North Am. 1993;73:633.

    Article  CAS  Google Scholar 

  • Masterson BJ. Selection of incisions for gynecologic procedures. Surg Clin North Am. 1991;71:1041.

    Article  CAS  Google Scholar 

  • Millbourn D, Cengiz Y, Israelsson LA. Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial. Arch Surg. 2009;144:1056.

    Article  Google Scholar 

  • Rahbari NN, Knebel P, Diener MK, Seidlmayer C, Ridwelski K, Stoltzing H, Seiler CM, et al. Current practice of abdominal wall closure in elective surgery – is there any consensus? BMC Surg. 2009;9:8.

    Article  Google Scholar 

  • Seller CM, Bruckner T, Diener MK, Papyan A, Golcher H, Seidlmayer C, Franck A, Kieser M, et al. Interrupted or continuous slowly absorbable sutures for closure of primary elective midline abdominal incisions: a multicenter randomized trial. Ann Surg. 2009;249:576.

    Article  Google Scholar 

  • Wind GG, Rich NM. Laparotomy. In: Principles of surgical technique. Baltimore: Urban & Schwarzenberg; 1987. p. 177–200.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Aristotelian University School of Medicine, Thessaloniki, Greece

    Constantine P. Spanos

  2. Department of Surgery, Division of Colorectal Surgery, City of Hope National Medical Center/Comprehensive Cancer Center, Duarte, CA, USA

    Andreas M. Kaiser

  3. Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA

    Carol E. H. Scott-Conner

Authors
  1. Constantine P. Spanos
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  2. Andreas M. Kaiser
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  3. Carol E. H. Scott-Conner
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Corresponding author

Correspondence to Carol E. H. Scott-Conner .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA

    Carol E. H. Scott-Conner

  2. Department of Surgery, Division of Colorectal Surgery, City of Hope National Medical Center/Comprehensive Cancer Center, Duarte, CA, USA

    Andreas M. Kaiser

  3. Department of Surgery, University of California, Irvine, Orange, CA, USA

    Ninh T. Nguyen

  4. Division of Surgical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Umut Sarpel

  5. Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA

    Sonia L. Sugg

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Spanos, C.P., Kaiser, A.M., Scott-Conner, C.E.H. (2022). Dissecting and Suturing. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_4

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  • DOI: https://doi.org/10.1007/978-3-030-81415-1_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81414-4

  • Online ISBN: 978-3-030-81415-1

  • eBook Packages: MedicineMedicine (R0)

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