Download e-book for iPad: American Board of Surgery In-Training Examination - The by Steven M. Fiser

By Steven M. Fiser

ISBN-10: 1451186908

ISBN-13: 9781451186901

This 4th variation of The ABSITE evaluation is the suitable research consultant for surgical procedure citizens getting ready for the yankee Board of surgical procedure In-Training exam (ABSITE). in contrast to traditional textbooks that strength the reader to battle through paragraph after paragraph of extraneous fabric, this overview guide makes use of a streamlined define and checklist structure. via making it more uncomplicated to discover the basic issues on each one subject, this examine consultant permits the reader to spend extra time learning the $64000 evidence and no more time trying to find them. even supposing the knowledge is gifted in an easy demeanour, it nonetheless contains all themes stumbled on at the examination — from easy technology to medical wisdom normally surgical procedure in addition to surgical subspecialties. every year, millions of basic surgical procedure citizens exhibit nervousness over guidance for the ABSITE. With this booklet as their consultant, they could believe much more confident.

FEATURES:
• Tables and algorithms are condensed to proper outlines, enhancing potency of interpreting time
• most up-to-date ABSITE examination material
• Covers all subject matters on ABSITE and will be used independently of different examine materials
• daring kind that highlights very important information

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Extra resources for American Board of Surgery In-Training Examination - The ABSITE Review (4th Edition)

Example text

Subclinical) tumor extensions, to indicate the precise location of residual tumor on his tissue map, and to perform successive targeted excisions until the tumor was cleared. By 1941, he had published the results of his seminal series of 414 patients treated by the technique, 48 of whom had eyelid cancers [45]. Although the fixed tissue technique achieved excellent cure rates, the zinc chloride fixative caused patients significant pain and edema and prevented immediate reconstruction of most wounds, necessitating second intention healing or delayed reconstruction.

The debulking procedure removes most or all of the tumor (“pie filling”). The Mohs excision cuts a thin surgical margin, analogous to a pie-crust, around the defect from the debulking procedure. The excised Mohs specimen (pie-crust) is grossly sectioned so that its outer edges (which correspond to the true cut surgical margin) lie in a single plane. After proper embedding technique, the Mohs histotechnician uses a microtome to section the tissue along the cut surgical margin (outer edge of the pie-crust) of the entire specimen.

Since the Mohs surgeon excises only those areas where tumor remains (versus around the entire defect), subsequent excisions can spare critical anatomic structures and help simplify reconstruction. Although excision with intraoperative frozen-section control increases confidence that the tumor has been completely removed and can obtain excellent cure rates for periocular tumors [22], it may result in greater loss of healthy tissue and higher recurrence rates compared with Mohs surgery [28, 54]. Without meticulous mapping of the excised tissue relative to the patient, 21 22 2 Update on Mohs Micrographic Surgery Techniques conventional frozen sections rely on random tissue samples that do not allow the surgeon to pinpoint the precise location of a positive surgical margin [54].

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American Board of Surgery In-Training Examination - The ABSITE Review (4th Edition) by Steven M. Fiser


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