Surgical Glossary
Glossary
Aortopexy
—procedure in which the aorta is approximated to the anterior thoracic wall; for the treatment of tracheomalacia.
Bishop-Koop procedure
—resection of a dilated loop of bowel proximal to meconium obstruction, with end-to-side anastomosis between the proximal bowel and obstructed loop, combined with end ileostomy; for the treatment of meconium ileus.
bladder augmentation
—procedure in which a portion of the intraabdominal gastrointestinal tract is used to increase the volume of the bladder.
Blalock-Taussig shunt
—procedure in which the subclavian artery is anastomosed to the pulmonary artery; for the temporary treatment of tetralogy of Fallot.
Boix-Ochoa procedure
—restoration of the intraabdominal esophageal length, repair of the esophageal hiatus, fixation of the esophagus to the hiatus, and restoration of the angle of His; for the treatment of incompetent lower esophageal sphincter.
chordee correction
—procedure in which the corpus spongiosum is moved ventrally and the corpus cavernosa are approximated dorsally; for the treatment of chordee (abnormal penile curvature associated with epispadias or hypospadias).
Clatworthy mesocaval shunt
—division of the common iliac veins and side-toend anastomosis of the inferior mesenteric vein to the left renal vein; for the treatment of portal hypertension.
Cohen procedure
—trigonal reimplantation of the ureter; for the treatment of vesicoureteral reflux.
colonic conduit diversion
—procedure involving two stages: (1) a loop diversion using a colonic segment and (2) an end-to-side anastomosis of the colonic segment to the gastrointestinal tract.
colonic interposition
—replacement of the esophagus with a colonic segment; for the treatment of esophageal atresia or stricture when gastric mobilization is not feasible.
diaphragmatic plication
—surgical shortening of the diaphragm (abdominal, transthoracic, or bilateral); for the treatment of diaphragmatic eventration.
distal splenorenal shunt
—see Warren shunt.
Drapanas mesocaval shunt
—prosthetic graft implantation from the inferior mesenteric vein to the inferior vena cava; for the treatment of portal hypertension.
Duckett transverse preputial island flap
—technique in which a flap of foreskin is used to elongate the urethra; for the treatment of hypospadias.
Duhamel procedure
—resection of the aganglionic colon above the dentate line with stable anastomosis to the rectal stump; normally performed in children 6 to 12 months of age for the treatment of Hirschsprung disease (see Martin modification).
end-to-side portacaval shunt
—procedure in which the portal vein is divided and anastomosed to the inferior vena cava; for the treatment of portal hypertension.
esophagectomy
—resection of the esophagus, with gastric pull-up and anastomosis with the cervical esophagus; for the treatment of esophageal atresia or stricture.
Fontan procedure
—procedure in which a graft is created to connect the pulmonary artery to the right atrium; for the treatment of hyperplastic right heart syndrome.
Glenn shunt
—shunt from the superior vena cava to the pulmonary artery; for the treatment of tricuspid atresia or stenosis.
gridiron incision
—see McBurney incision.
Hegman procedure
—surgical release of the tarsal, metatarsal, and intertarsal ligaments; for the treatment of metatarsus adductus.
Heller myotomy
—myotomy of the anterior lower esophagus (always accompanied by a Thal fundoplication); for the treatment of achalasia.
ileal loop diversion
—resection and implantation of ureters into an isolated ileal segment, with an ileal stoma and primary anastomosis of ileum to cecum.
ileal ureter
—ileal interposition between the renal pelvis and bladder when the ureteral length is insufficient for anastomosis; for the treatment of urinary obstruction.
ileocecal conduit diversion
—bilateral ureteral diversion and anastomosis to an isolated ileocecal segment and cecostomy with primary anastomosis of ileum to the right colon.
Jatene procedure
—arterial retransposition; for the treatment of transposition of the great vessels.
J-pouch
—creation of an ileal reservoir in the distal ileum using a J-shaped configuration; used following colectomy.
Kasai procedure
—resection of atretic extrahepatic bile ducts and gallbladder with Roux-en-Y anastomosis of the jejunum to the remaining common hepatic duct; for the treatment of biliary atresia or other extrahepatic obstruction.
Kimura procedure (parasitized cecal patch)
—a multistep operation in which (1) a side-to-side anastomosis is made with a portion of the distal ileum and the right colon and (2) an ileoanal pull-through is performed; for the treatment of Hirschsprung disease.