Atlas of Gastrointestinal Surgery, Vol. 1
This is the first of a two-volume atlas that represents the 2nd edition of our work published fourteen years ago. The distinguishing characteristic of the second edition is the same as for the first edition – the artist Corinne Sandone. She has established herself as one of the outstanding surgical illustrators of her era in this country. Her combining of accurate anatomical renderings, with unique angles and perspectives, via her magnificent watercolor technique, make her work unique. Because of her superb contribution, she is not only listed as the illustrator, but also as a coeditor of the atlas.
The first chief of surgery at the Johns Hopkins Hospital, Dr. William Stewart Halsted, was one of the pioneers of gastrointestinal surgery in this country. In the 1880s, when the great surgeons of Europe were attempting to anastomose intestine, with a high failure rate, Halsted was the first to demonstrate that intestinal sutures should include the sub-mucosal layer, and not just the muscular layer of the intestine. This contribution led to the development of the field of gastrointestinal surgery.
Halsted also made unique contributions to the area of biliary tract and gall bladder surgery, and was the first surgeon in the world to successfully resect a periampullary tumor. After Halsted’s death, the next great era at Hopkins involved the emergence of cardiac surgery. Dr. Alfred Blalock and his brilliant trainees were important players in the development and emergence of this field.
In the 1970s and 1980s, with new leadership at Hopkins, gastrointestinal surgery again emerged as an important focus for the department. Beginning in the 1970s and extending up until the present, a school of gastrointestinal surgery emerged at Hopkins, which has produced many young surgeons who currently hold important chairs of surgery throughout the country.
This atlas includes the techniques, operations, and procedures favored and performed, and in some instances initiated, by these gastrointestinal surgeons. Thus, the operations included in this atlas are not all inclusive in scope. In many instances there are other operations and procedures that are used by others, with equally good results. Successful gastrointestinal surgical outcomes depend upon the surgeon, however, favorable outcomes depend upon having outstanding and supportive gastroenterologists, radiological interventionists, anesthesiologists, intensivists, nurses, house staff, and another group that is becoming more and more important to the care of patients with gastrointestinal diseases — nurse practitioners and physicians’ assistants.
John L. Cameron
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