Tricks of the Senior Surgeon

■ Identify the foramen of Winslow. The Kocher maneuver should be limited.

■ Cut a window in the inferior vena cava.

■ Begin each anastomosis with a horizontal mattress suture.

■ Check the graft-inferior vena cava anastomosis before proceeding with the portal vein-graft anastomosis.

■ If there is significant bleeding when a portion of the caudate lobe is removed, apply pressure and most of the bleeding will drop within minutes.

■ Bleeding from either anastomosis is generally best managed by using a figure-of-eight technique.

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How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

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