Based on the internationally renowned, long-running Cambridge Anastomosis Workshop this unique and comprehensive intermediate-to-advanced course is presented across four DVDs and contains an accompanying manual. The course covers basic techniques of knotting, instrument handling and stapling, and performing a wide range of bowel, vascular and urological anastomoses by hand, using sutures. The procedures are thoroughly explained and demonstrated on animal material. Common errors are illustrated with methods of correction. There is emphasis on best technique and patient safety throughout. The course is suitable for surgeons at any stage of training, especially those actually performing anastomoses. Anastomoses covered include: Small bowel: end-to-end and side-to-side Hand closure of bowel end Colon: end-to-end and side-to-end Low colorectal, hand-sewn and stapled Gastric: pyloroplasty, gastro-jejunostomy and partial gastrectomy Oesophago-gastric anastomosis Vascular surgery for trauma Reconstructive vascular surgery Abdominal aortic aneurysm grafting Basic urological anastomoses.

Multimedia pack covering techniques essential to all trainee surgeons
Extensive video demonstrating techniques, plus manual with explanatory line drawings
Based on successful course run in Cambridge and elsewhere

able of Contents

Part I. Introduction and Basic Principles:
1. Knotting: i. Types of knots
ii. Hand ties
iii. Instrument ties
2. Use of needle holder
3. Suturing
Part II. Basic Bowel Anastomoses:
4. Principles of suturing bowel
5. Single layer interrupted extra-mucosal anastomosis
6. End-to-end anastomosis (small or large bowel): i. With rotation
ii. Without rotation
7. Side-to-side anastomosis
8. Side-to-end anastomosis: i. Examples
ii. Bowel end closure
iii. Side-to-end ileum to colon anastomosis
Part III. Stomach Anastomoses:
9. Pyloroplasty
10. Gastro-jejunostomy
11. Polya type gastrectomy
Part IV. Oesophageal Anastomoses:
12. Examples
13. Anastomosis to stomach or small bowel
Part V. Colorectal Anastomoses:
14. Essential colorectal anatomy and mobilisation
15. Anterior resection (colorectal anastomosis) hand sewn
16. Anterior resection (low colorectal anastomosis) hand sewn
17. Double staple technique for low anterior resection
18. Double linear staple technique for right hemicolectomy
Part VI. Arterial Anastomoses:
19. Principles of arterial anastomosis and eversion suturing
20. Arteriotomy closure
21. Common faults at arteriotomy closure
22. Patch grafting
23. End-to-end anastomosis using Dacron prosthesis
24. End-to-side anastomosis using Dacron prosthesis
25. End-to-side anastomoses for femoropopliteal bypass
26. Abdominal aortic aneurysm inlay grafting using parachute technique
Part VII. Urological Anastomoses:
27. General principles and dangers
28. End-to-end ureteric anastomosis
29. Protective use of omentum
30. Reimplantation of ureter into bladder
31. Bladder flap for ureteric substitution
32. Bladder closure
Index.