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Open small bowel resection is performed for ischemia, tumors, trauma, stricture, or obstruction. This chapter lists the indications, essential steps, common technical variations, and complications of open small bowel resection. It provides a detailed template for operative note dictation.

The Hartmann’s procedure consists of a left colon resection with end colostomy and closure of the distal rectosigmoid as a blind pouch. It is performed in the setting of a diseased descending or sigmoid colon where a primary anastomosis is not possible. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Laparoscopic Hartmann’s reversal is more commonly performed in an open fashion. However, there are selected patients who are excellent candidates for a laparoscopic approach. Surgeon preference usually dictates their comfort level for whether or not this procedure is performed laparoscopically. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Pharmacological and mechanical lytic therapy is performed to treat occluded dialysis access. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Laparoscopic Roux-en-Y gastric bypass surgery is typically reserved for patients with obesity refractory to dietary changes and medical treatment. Current NIH guidelines suggest these qualifications for surgical weight loss procedures: BMI >35 kg/m2 with obesity-related comorbidities or BMI >40 kg/m2 without any medical conditions. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Partial pancreaticoduodenectomy, the Whipple procedure, is the gold standard operation for resection of the head of the pancreas. It is most commonly performed for pancreatic head tumor. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The endovascular management of aneurysmal disease affecting the distal common iliac artery and its bifurcation traditionally involved embolization of the internal iliac artery with extension of the stent graft into the external iliac artery. The development of iliac branch endoprosthesis allows for extension of the endograft into the external iliac artery with preservation of flow into the internal iliac artery. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Mesh repair of inguinal hernia (sometimes termed Lichtenstein repair or “tension-free” repair) is used when autologous repair is not possible due to poor quality or excessive tension. It has a lower hernia recurrence rate as compared to autologous repair. This chapter lists the indications, essential steps, technical variations, and complications of this procedure. It provides a detailed template operative note for dictation.

Lateral internal sphincterotomy is performed for patients with chronic anal fissure. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis and diverting loop ileostomy is performed for ulcerative colitis refractory to medical management and patients with familial polyposis syndromes. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Laparoscopic distal gastrectomy is performed for selected cases of distal gastric mass for which more radical resection is not indicated in chronic peptic ulcer disease and in other cases of gastric outlet obstruction. This chapter lists the indications, essential steps, common technical variations, and complications of the procedure. A detailed operative note dictation template is included.

The indications for single incision laparoscopic cholecystectomy are similar to those for four-port laparoscopic cholecystectomy. Aside from superior cosmetic satisfaction, the outcome between the two techniques is similar. Surgeon preference usually dictates whether or not this procedure is performed as opposed to the conventional four-port laparoscopic cholecystectomy. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The HeRO graft is useful in end-stage renal disease patients on hemodialysis who have exhausted all other permanent access options, who are catheter dependent, or who have a stenosis of the central venous system that compromises its outflow. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Superior mesenteric artery thrombectomy with retrograde aortomesenteric bypass is performed for treatment of mesenteric ischemia due to superior mesenteric artery thrombosis. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Ultrasound-guided procedures for core biopsy or cyst aspiration are commonly performed. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for both procedures.

Open common bile duct (CBD) exploration was historically a commonly performed operation. However, the development of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy has dramatically reduced the need for open CBD exploration. While many surgical residents training today are performing laparoscopic CBD explorations, many have never performed an open CBD exploration. This chapter provides the indications, essential steps, variations in techniques, and potential complications of this operation. The chapter concludes with a complete operative note dictation template.

Thoracoabdominal aneurysms are complex and require extensive pre-surgical planning for optimal results. Open repair is the gold standard in patients who can tolerate the surgery. This chapter describes indications, essential steps, variations, and complications of this procedure. and provides a detailed template operative note.

Ablation of the great saphenous vein can be performed using endovascular technology and has replaced stripping as the procedure of choice to treat truncal varicosities. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The open retro-muscular is one of the mesh repair options for ventral hernias. This technique allows the placement of mesh in the retro-rectus space, excluding it from the abdominal viscera. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The indication for laparoscopic total proctocolectomy with end ileostomy is similar as that for the open version. It is performed for ulcerative or Crohn’s colitis refractory to medical management or for familial polyposis syndromes, when sphincter preservation is not desired or not feasible. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Axillary sentinel lymph node biopsy is performed in cases of breast cancer with clinically negative nodes, where there is a desire to avoid lymphadenectomy. This chapter details the indications, essential steps, common variations in technique, and complications of this common procedure. It includes a template operative note.

These operations are performed in cases of infected fascial dehiscence or abdominal wall infections not responsive to antibiotics. The chapter lists the indications, essential steps, common technical variations, and complications of the procedures. A detailed template operative note dictation is included.

Proximalization of the arterial inflow is performed to address ischemic steal syndrome secondary to a functioning hemodialysis arteriovenous fistula. This procedure allows for preservation of the fistula without having to ligate the native artery at the fistula side as done in the DRIL procedure. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Laparoscopic component separation is utilized in selected patients with ventral hernias too large to achieve primary fascial closure without undue tension, hence the lateral fascial release. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Endovenous recanalization of chronic occlusion or stenosis in the iliofemoral venous segment can be performed. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Ligation of intersphincteric tract, also known as the LIFT procedure, is a surgical option for anal fistulas that have been refractory to prior surgical management. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Innominate/common carotid artery angioplasty stenting using hybrid open technique is performed for combined innominate or common carotid artery disease in the presence of a hostile arch and limited peripheral access. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Carcinoma of the hepatic duct bifurcation is also known as Klatskin tumor. Although cholangiocarcinoma can be found anywhere along the biliary tract, more than 50 % of cases are found at the hepatic duct bifurcation. The tumor is surgically resected with a left/right trisegmentectomy and hepatoduodenal lymphadenectomy. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Laparoscopic subtotal cholecystectomy is a feasible alternative to conversion to open when safe identification of ductal anatomy/critical angle of safety is unable to be achieved. It is typically a decision made intraoperatively while performing laparoscopic cholecystectomy. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Celiac and SMA stenting is performed for occlusive disease of the celiac and superior mesenteric arteries in the treatment of chronic mesenteric ischemia. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The McVay repair may be used for both inguinal and femoral hernias. This chapter lists the indications, essential steps, common technical variations, and complications of the procedure. A detailed operative note dictation template is included.

Marsupialization of pilonidal sinus tract is performed for recurrent infected pilonidal cyst or pilonidal sinus with secondary tracts. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Right hepatic lobectomy is indicated for either a primary hepatic tumor or well selected metastatic cancer localized to the right lobe of the liver. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Thromboembolectomy of aortic saddle embolus is performed in patients with acute bilateral lower limb ischemia due to a saddle embolus to the aortic bifurcation. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The deep inferior epigastric artery perforator (DIEP) flap method is the preferred method for autologous breast reconstruction. The primary advantage is that no donor muscle tissue is transferred. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Excision and primary closure for pilonidal cyst/sinus is performed when there is no sign of infection or secondary tracts. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Minimally invasive esophagectomy is performed for surgically resectable esophageal cancer, cases where there are high-grade dysplasia of the esophagus and massive esophageal dilatation due to benign disease (e.g., end-stage achalasia, Chagas’ disease). This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Bypasses to infrapopliteal vessels with prosthetic grafts are rarely used. When no other alternative is available and in the absence of an autogenous conduit, such bypasses may be performed as a last resort for limb salvage. Adjunctive procedures have been designed to address poor patency of infrapopliteal prosthetic bypasses, such as the construction of a venous cuff or the creation of an arteriovenous fistula at the distal anastomosis. One procedure combines both a vein cuff and an arteriovenous fistula at the distal anastomosis. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

This procedure is offered as operative management of medically refractory ulcerative colitis or familial polyposis syndromes. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Transmetatarsal foot amputation is performed to treat forefoot infections or gangrene in patients with blood supply adequate for healing the foot. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The transverse rectus abdominis muscle (TRAM) trap has recently fallen out of favor in lieu of the deep inferior epigastric artery perforator (DIEAP) flap as described in Chap. 153, because the DIEAP flap does not require transfer of any muscle tissue. However, the TRAM flap is still used in situation where there is no plastic microsurgical expertise available. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Retrograde pedal access is performed for difficult to cross arterial lesions. In conjunction with traditional brachial/femoral antegrade access, it can be used for the “body floss” technique. This chapter describes indications, essential steps, and complications of these procedures. It provides a detailed template operative note for the procedure.

The modified Bassini repair involves high ligation of the hernia sac and reconstruction of the inguinal floor. It is performed for direct and indirect inguinal hernias, but has a higher rate of recurrence as compared to the Lichtenstein/mesh repair of inguinal hernia. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

The open gastrostomy is performed when percutaneous or laparoscopic gastrostomy is not an option. It is also performed as an adjunct procedure if prolonged enteral feeding or decompression is needed. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Feeding jejunostomy is performed for prolonged enteral support when a gastrostomy or feeding tube not feasible. It is frequently done as adjunct to complex upper abdominal procedures. This chapter lists the indications, essential steps, variations in technique, and complications of this operation. It gives a complete operative note dictation template.

Ligation of popliteal aneurysm along with femoropopliteal/tibial reversed vein bypass is performed to treat popliteal aneurysms greater than 1.5–2.0 cm in diameter. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Endovascular abdominal aortic aneurysm repair (EVAR) with the AFX Endovascular AAA system is performed for symptomatic or asymptomatic aortic aneurysm greater than 5.5 cm in men and 5 cm in women with suitable anatomy. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Granulating wound following forefoot amputation or other leg wounds can be covered by split-thickness skin graft once an adequate granulation bed is available. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Total proctocolectomy with end ileostomy is performed in cases of ulcerative or Crohn’s colitis refractory to medical management or for familial polyposis syndromes, when sphincter preservation is not desired or not feasible. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

Transversus abdominis release is one of the hernia repair techniques used to achieve additional tissue release for the aim of primary fascial closure. It is often utilized in the setting of a large ventral hernia, loss of abdominal wall domain, and off-midline hernia defects. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.