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Article
February 14, 1977

Abdominal Surgery: An Atlas of Operative Techniques

JAMA. 1977;237(7):692. doi:10.1001/jama.1977.03270340078032

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Abstract

"Though it may be true that success crowns the efforts of a surgeon for a variety of reasons... the perfect technical execution of an operative maneuver is by far the most important."

With these words that dedicate his atlas to the fine points of anatomy and surgical techniques, Dr Valdoni takes the reader through various abdominal procedures from esophagus to rectum. Spectacular color illustrations, perhaps the most realistic that I have ever seen, almost seem to rise from the page as they guide us step-by-step along the way.

Even seasoned surgeons will study Valdoni's techniques for preserving (skeletonizing) the inferior mesenteric artery in anterior sigmoid resections. Evidence that the middle hemorrhoidal arteries never form in 20% of patients and arise unilaterally in another 50% has prompted the author to carefully protect the terminal, superior hemorrhoidal vessels even when operating for cancer. Any surgeon who has agonized over a leaking pelvic

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