Farquharson's Textbook of Operative General Surgery

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The vessel should be held without a mass of surrounding tissue, which can make secure ligation more difficult.

a) The suture is only pulled through sufficiently to allow it to be grasped by the second needle holder close to the needle and pulled to form a loop. A reef knot: this must be be kept ‘square’ by tightening in the correct directions kept ‘square’ by tightening in the correct directions and and withwith equal equal tension the(C) ends.We accept personal cheques in British Pounds as well as direct bank payments without any commission or additional charges. Meticulous haemostasis is also important, as not only does blood obscure the tissue planes, but blood is poor at reflecting light and significant volumes of blood within the operating cavity result in low light levels and poor views. upper arm, the arm is exsanguinated by elevating it and wrapping a rubber bandage around it, starting distally.

For the ‘tying off ’ or ligation of vessels close cooperation between surgeon and assistant is required. The book does not purport to be a subspecialist text, nor does it try to reference the evidence base for all that it describes. Tourniquets or vascular clamps can give the surgeon an almost bloodless operative field in some circumstances, and even temporary finger pressure on an artery proximal to an injury can be a useful manoeuvre in an emergency.There are many to whom we owe a debt of gratitude for this book and our sincere thanks are offered to everyone who has made this edition possible. During the 1960s and 70s the book became a standard text for the old Surgical Fellowship examinations when a candidate was expected to describe a wide range of operations. The peritoneal, pleural and joint cavities are ideal delineated potential spaces to inflate for video-assisted minimal-access surgery. Most recently published works on operative surgery are the product of multiple authorship – the work of a number of eminent authorities, each writing on the specialty he has made his own.