Plavix
highest risk for adverse cardiac events when stopping plavix: first 90 days for patients with Acute Coronary Syndrome.
Parathyroidectomy
Lateral approach minimally invasive parathyroidectomy:
Superior adenoma: 2 cm incision 1 cm superior to the neck crease line and lateral to the medial margin of the SCM.
Inferior adenoma: 2 cm incision 1 cm inferior to the neck crease line and MEDIAL to the medial margin of the SCM.
SCM retracted laterally and strap muscles retracted medially.
Space of dissection: medial to CCA and posterior to the thyroid gland - pretracheal fascia to prevertebral fascia.
Source paper: JACS 2006, Australia
Superior adenoma: 2 cm incision 1 cm superior to the neck crease line and lateral to the medial margin of the SCM.
Inferior adenoma: 2 cm incision 1 cm inferior to the neck crease line and MEDIAL to the medial margin of the SCM.
SCM retracted laterally and strap muscles retracted medially.
Space of dissection: medial to CCA and posterior to the thyroid gland - pretracheal fascia to prevertebral fascia.
Source paper: JACS 2006, Australia
Obstruction after laparoscopic gastric bypass
Source: UC Irvine, 2004, paper on obstruction after laparoscopic gastric bypass
Figure 1. Three potential spaces that could lead to internal
herniation (1 - Petersen hernia defect, 2 - jejunojejunostomy
mesenteric defect, and 3 - transverse mesocolon
defect).
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