procedure - a series of steps by which a desired result is accomplished. See also under maneuver, method, operation, surgery, and technique.

Anderson procedure, reconstruction of the hypopharynx and cervical esophagus by the use of bilateral rectangular flaps.

arterial switch procedure, a one-stage method for anatomical correction of transposition of great arteries, in which both coronary arteries are transposed to the posterior artery, and the aorta and pulmonary arteries are transected, contraposed, and anastomosed.

Bianchi procedure, longitudinal division of the bowel and its mesenteric blood supply followed by end-to-end approximation of the bowel segments, used for the treatment of short bowel syndrome.

Bricker procedure, surgical creation of an ileal conduit with a flat stoma for the collection of urine; the flat contour is achieved by suturing the ileal mucosa to the skin.

Burch procedure, a type of bladder neck suspension that is a modification of the Marshall-Marchetti-Krantz operation for stress incontinence, consisting of fixation of the lateral vaginal fornices to the iliopectineal ligaments. Called also Burch colposuspension.

Camey procedure, see under neobladder.

David procedure, an operative technique for repair of aneurysms of the aortic root with preservation of the aortic valve.

endocardial resection procedure, surgical removal of a portion of left ventricular endocardium and underlying myocardium containing an arrhythmogenic area (as determined by intraoperative cardiac mapping) from the base of an aneurysm or infarction; done to relieve ventricular tachycardia in patients with ischemic heart disease.

endorectal pull-through procedure, ileoanal pull-through anastomosis.

Ertl procedure, transtibial or transfemoral amputation and myoplasty, with creation of an osteoperiosteal cap to close the medullary canal and, in the transtibial operation, to create a bony bridge between the distal ends of the tibia and fibula, thus increasing stability and weight-bearing ability.

extended endocardial resection procedure, surgical removal of all visible endocardial fibrosis around the base of a left ventricular aneurysm; done to relieve ventricular tachycardia in patients with ischemic heart disease in whom intraoperative cardiac mapping is not possible.

Fick procedure, see under method.

Fontan procedure, functional correction of tricuspid atresia by anastomosis of, or insertion of a nonvalved prosthesis between, the right atrium and the pulmonary artery with closure of the interatrial communication; it is also used in other selected congenital conditions.

Fulkerson procedure, a modification of the Maquet procedure, in which the tibial tubercle pedicle is shifted medially as well as elevated and held in place with a screw.

Goldman procedure, a plastic repair technique for modifying the tip of the nose.

Gomori-Takamatsu procedure, a method for localizing the alkaline phosphatase enzyme: a tissue secretion is incubated in a buffered solution containing the substrate, glycerophosphate, and calcium ions; hydrolysis of the substrate releases phosphoric acid, and it combines with calcium and precipitates as calcium phosphate. This colorless precipitate is converted to brown cobalt sulfide, which is readily visualized with the microscope.

Hartmann procedure, resection of a diseased portion of the colon, with the proximal end of the colon brought out as a colostomy and the distal stump or rectum being closed by suture. Colon continuity can later be restored. Called also Hartmann colostomy or operation.

ileoanal pull-through procedure, see under anastomosis.

Jannetta procedure, microvascular decompression.

Kock procedure, see under ileostomy.

Ladd procedure, surgical cutting of Ladd bands to correct intestinal malrotation and obstruction.

MAGPI procedure, surgical correction of hypospadias with chordee by meatoplasty and glanuloplasty, creating a neourethra by advancement of the urethral meatus distally.

Maquet procedure, anterior displacement of the tibial tubercle by creation of a long pedicle of tibial tubercle, which is elevated and held in place by a bone graft taken from the iliac crest; done for relief of severe patellofemoral pain.

Mathieu procedure, surgical correction of hypospadias of the distal urethra by using perimeatal tissue, making an incision in the glans and suturing the glans together over the defect.

maze procedure, the surgical division of the normal conduction pathways between the sinoatrial node and the atrioventricular node by a series of incisions in the left atrium to create a maze of conduction pathways; its purpose is to allow a normal impulse to activate the atrium while eliminating macroreentrant circuits; done for the relief of atrial fibrillation.

Mitrofanoff procedure, appendicovesicostomy.

Nuss procedure, a minimally invasive technique for correcting pectus excavatum: a convex steel bar is inserted under the sternum through small bilateral thoracic incisions, correcting the deformity and resulting in remodeling of the affected cartilages; the bar is removed once remodeling is complete.

Palomo procedure, a type of retroperitoneal varicocelectomy done especially in children.

Partington-Rochelle procedure, a modification of the Puestow procedure, consisting of side-to-side anastomosis between the pancreatic duct and the jejunum, without resection of the tail of the pancreas, done for relief of pain in chronic pancreatitis.

Peña procedure, posterior sagittal anorectoplasty.

Pereyra procedure, a type of bladder neck suspension similar to the Burch procedure; a loop of suture or other material is inserted through the paraurethral tissue near the bladder neck and attached to the abdominal fascia.

Puestow procedure, distal pancreatectomy with side-to-side pancreaticojejunostomy for relief of pain in chronic pancreatitis.

push-back procedure, see under technique.

Rovsing procedure, surgical unroofing of renal cysts followed by aspiration of their fluid.

Snodgrass procedure, surgical correction of hypospadias of the distal urethra by creating a tubular neourethra with a flap of deepithelialized dartos and tunica vaginalis.

Stamey procedure, a type of bladder neck suspension similar to the Burch procedure, aided by visualization through a cystoscope. Called also Stamey colposuspension.

Sugiura procedure, esophageal transection with paraesophageal devascularization and devascularization of the abdominal esophagus and proximal stomach; performed for the treatment of bleeding esophageal varices.

Thal procedure, see under fundoplication.

V-Y procedure, a method of repairing a skin defect in which a V-shaped flap is made proximal to the defect; the flap is transferred to the defect, and the secondary defect thus created is closed to produce a Y-shaped scar.

Whipple procedure, radical pancreatoduodenectomy with removal of the distal third of the stomach, the entire duodenum, and the head of the pancreas, with gastrojejunostomy, choledochojejunostomy, and pancreaticojejunostomy; done for cancers or certain other severe disorcers of these structures. Called also Whipple operation.

Womack procedure, splenectomy with resection of the superior half of the greater curvature of the stomach, devascularization, and transgastric suturing of the varices; performed for variceal bleeding resulting from portal hypertension.

Young-Dees-Leadbetter procedure, repositioning of the ureters to a more superior position on the bladder and construction of a new bladder neck sphincter using the trigonal muscle; done for the treatment of urinary incontinence.