10 demographic trends that are shaping the U.S. and the world. By DâVera Cohn and Andrea Caumont25 comments. At its core, demography is the act of counting people. But itâs also important to study the forces that are driving population change, and measure how these changes have an impact on peopleâs lives. For example, how does immigration affect U.S. population growth?
Type of Incisions. TYPE OF INCISIONS Upper Midline The upper midline incision provides access to the esophagus, hiatus, stomach and. duodenum, pancreas, and hepatobiliary system. If extended, it allows major hepatic resection, adrenalectomy, and splenectomy.
How is it performed. Usually the Whipple procedure is performed as open surgery. The surgeon will begin my making a midline incision in the abdomen. The surgeon will then examine the abdomen to ensure that the tumor or cancer has not spread beyond the pancreas.