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This book is an essential guide for practicing surgeons, equipping them with the necessary skills and expertise to lead medical practices and healthcare organizations. Acting as a roadmap, it engages surgeons in leadership development, enabling them to acquire the knowledge needed to advance within healthcare leadership. Specifically designed for surgeons interested in healthcare leadership, the book addresses a critical gap in the development of surgical professionals into influential and effective surgical leaders. This manual will prepare the surgeon for all aspects of surgical leadership; it prepares surgeons to excel in areas such as practice development, national reputation building, organizational leadership, and fostering a culture of positive change within institutions. In a field where relevant resources are scarce, this book provides a clear path for practicing surgeons to acquire the necessary skills and expertise for effective leadership. The text begins by focusing on self-leadership, covering topics such as defining one's practice type, navigating promotions across systems, and determining the scope of practice. The subsequent section delves into leading others, addressing critical areas like managing work environments, policy formulation, administration, and consensus-building. Finally, the book explores leading systems, emphasizing the importance of understanding local contexts, building efficient organizational structures, and optimizing healthcare delivery processes.

Focusing on must-know information in the broad spectrum of general surgery, The Washington Manual® of Surgery, 9th Edition, provides concise, high-yield content essential for surgical residents, attendings, medical students, and others who provide care for patients with surgical disease. Edited by Drs. Paul E. Wise and Jeffrey A. Blatnik, and written by teams of Washington University residents and faculty, this bestselling manual presents state-of-the-art, comprehensive information in a brief, outline format, along with numerous figures, tables, algorithms, and images throughout. In one convenient, portable resource, you'll find practical coverage of all surgical subspecialties (thoracic, GI, colorectal, cardiac, vascular, breast, trauma, critical care, and more)—all at your fingertips for quick review and reference.

This book will offer for the first time a step-by-step description of the posterior retroperitoneoscopic adrenalectomy, a minimally invasive technique, moving the gold standard of laparoscopic adrenalectomy towards the retroperitoneoscopic approach. Detailed information about the technique, the advantages over other approaches, the technical steps, the potential complications and how to solve them, outcomes, and robotics, will be offered to readers. This practical guide will be of great interest for all general surgeons and urologists already performing adrenal surgery, and for those that wish to start performing adrenalectomy.

This practical, engaging book provides concise, real life-tested guidance to healthcare teams concerned with widely reported and incentivized hospital quality and safety metrics, offering both a conceptual approach and specific advice and frameworks for reviewing quality and safety numerator events, from the perspective and experience of clinicians and administrators working within the Ochsner Health System.The text opens with the rationale for closely managing widely (including publicly) reported hospital patient quality and safety measures. Attention is given to the financial implications of quality performance, with respect to both penalties and payment incentives used by payer organizations. It then reviews the major public ratings and their relevant methodologies, including CMS, AHRQ and NSHN. In addition, it addresses ratings by proprietary organizations that have a large member clientele, such as Vizient, USNews, Leapfrog, Healthgrades, CareChex and others. Each metric - for example, the AHRQ Patient Safety Indicators (PSIs), and other metrics such as readmission rate, risk adjusted complications, hospital-acquired conditions and mortality - is addressed in a stand-alone chapter. For each, the importance, approach to review, opportunity for optimization, and engagement of healthcare staff are reviewed and discussed. Overall, this book forefronts the benefits of a collaborative approach within a health system. The concurrent review process, multidisciplinary collaboration among quality improvement, clinical documentation, coding and medical staff personnel are all emphasized. Also described in detail is the approach to and specific opportunities for medical staff education and engagement. Additional key topics include Engagement of the Medical Staff and House Staff (i.e., residents and other trainees), Futile Care, Surgical Quality Improvement (NSQIP), Nursing Provider Partnership, and Translation of Data Review to Successful Performance Improvement. Specialty chapters on pediatric, neurologic and transplant quality metrics are also included.

The book is an update on contentious or unsettled issues concerning invasive diagnostic and therapeutic challenges in cancer and related disorders, focusing on the surgical approach. Topics include recommendations for the best practice in using the surgery safety checklist, surgical strategies in a variety of thoracic cancers, renal cell carcinoma, tumors of parathyroid glands, mesothelioma, and bariatric surgeries. The focus is on the diagnostic and therapeutic challenges of aggressive cancerous entities, choosing the most beneficial modes for optimal outcomes and patient survival. Chapters also address radioimaging and therapy outcomes in different intracranial lesions leading to severe neurological disabilities. The areas of medical practice addressed are still veiled in uncertainty, yet-unresolved pathogenetic background, and have a substantial component of empirical rather than evidence-based clinical approach. Pursuing and sharing new ideas and innovations is essential for improving the management and outcome. The book endeavors to disseminate and deliberate on the latest medical knowledge, studies, and advancements in surgical and diagnostic dealing with cancer. The book is addressed to physicians and surgeons, and all allied health care professionals engaged in patient care and therapy.

This book serves as a valuable resource for surgeons and health care providers at all stages of their career caring for patients with colorectal disease. This edition provides all newly written chapters, organized around the “pillars” of colorectal disease: perioperative (including endoscopy); anorectal disease; benign disease (including inflammatory bowel disease); malignancy; pelvic floor disorders; and a “miscellaneous” section that covers aspects both inside and beyond the operating room. Chapters are formatted to follow that of a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind a proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides operative technical details and perioperative “tips and tricks” that are utilized in the management of these complex surgical challenges. Chapters also include the assessment of risk and methods utilized to minimize perioperative complications. In addition, the book incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Written by experts in the field from around the world, The ASCRS Textbook of Colon and Rectal Surgery 4th Edition exposes the many critical gaps in our knowledge base and inspires the next generation to answer them through thoughtful and high level scientific inquiry.

This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient's condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

Similar to the 1st edition, the 2nd edition of Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract provides different approaches for various organs of the gastrointestinal tract. This book provides an updated resource of advanced minimally invasive surgical techniques for patients with GI cancers. It is primarily designed to provide a step-by-step approach of surgical techniques, highlighting key learning points and potential operative pitfalls. The text is largely focused on minimally invasive surgical techniques (laparoscopic and robotic), with new chapters on innovations in gastric cancer surgery including middle gastrectomy, pylorus preserving gastrectomy, and sentinel lymph node dissection. In addition, the text also includes new chapters on single incision surgery for cancers of the GI tract, on advanced instrumentation for trans-anal procedures, and on refined robotic approaches to total mesorectal excision. Chapters are written by experts with extensive experience in new techniques, and are accompanied by companion videos in almost every chapter. The 2nd edition of Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract proves to be a valuable resource for surgeons at all levels of training that are interested in learning new techniques to improve patient satisfaction and cancer outcomes.

This volume provides an overview of the current evidence-based medical and surgical practice in emergency conditions in colorectal cancer patients. It offers a multidisciplinary perspective, taking into account the specific characteristics of colorectal cancer patients, the necessary pre-operative assessment, the endoscopic and radiological management, and the surgical treatments. Each chapter is supplemented with tables, figures, key-point boxes, schematic representations, and decision-making trees that serve as easy-to-use tools to apply in the different scenarios requiring acute care. Recommendations for best practice and the main reference articles are included for each topic, as well as numerous illustrated clinical cases with cilnical and empirical evidence regarding the surgical management of colorectal cancer. Specific technical aspects of the different surgical interventions and approaches (e.g., open surgery, laparoscopy, and robotics) are also detailed. This book is intended for residents and emergency surgeons, as well as all practictioners who treat colorectal cancer patients, such as gastroenterologists, oncologists, and radiologists.

As the field of general surgery continues to expand, the diagnostic and therapeutic pathways are becoming more complex. The diagnostic modalities available to the clinician can be both very helpful but also overwhelming considering the findings can often determine the scope of treatment for a patient. This text will take the major pathologies of the systems commonly studied in general surgery and present them in a unique format based upon algorithms. The algorithms will begin with the clinical presentation of the patient, work its way through the various diagnostic modalities available to the surgeon, and finally allow the physician to make a decision regarding treatment options based upon various patterns in the algorithms. This text will become a very useful resources for surgeons as it allows complex clinical pathways to be conveniently organized in logical algorithms. It will become a concise yetcomprehensive manual to assist in clinical decision making. All algorithms will be reviewed by experts in their field and include the most up-to-date clinical and evidence-based information.Clinical Algorithms in General Surgery provides a useful resource for surgeons in clinical practice as well as surgical residents, and surgical attendings who are preparing for board examinations. See sample algorithm in Attachments.

The most comprehensive and authoritative reference available today on colorectal surgeryThis revised fourth edition of Gordon and Nivatvongs'Principles and Practice of Surgery for the Colon, Rectum, and Anus edited by David Beck, Steven Wexner, and Janice Rafferty strikes a perfect balance between evidence-based medicine, in-depth details, and clinical pearls. The result is a highly engaging and authoritative tome in the grand tradition of Philip Gordon and Santhat Nivatvongs. Building on the widely acclaimed previous editions'reputation for superb quality and reader-friendliness, the fourth edition includes contributions from an expanded cadre of internationally known experts.Significant advances have been made in this field since the third edition was published. The latest diagnostic modalities are highlighted such as MRI, CT angiography, and enterography. The first section covers essentials such as anatomy, physiology, diagnosis, colonoscopy, and patient management. Sections two through four discuss a full spectrum of anorectal diseases, colorectal disorders, trauma, unexpected challenges, and complications. Among the additions are expanded sections on transanal total mesorectal excision, genetics, personalized medicine,'wait and watch'principles, outpatient management of anorectal surgery, and large bowel obstruction.Key HighlightsThirty-seven chapters cover a wide array of gastrointestinal disorders such as fecal incontinence, ulcerative colitis, Crohn's disease, diverticulitis, carcinomas, and other malignant lesionsA multidisciplinary team approach to rectal cancer encompasses rectal cancer protocol MRI, synoptic reporting, and various neoadjuvant therapy protocolsThe use of cutting-edge approaches including laparoscopy, robotics, hyperbaric oxygen, and radiofrequency tissue remodelingSuperb full-color plates, illustrations, photographs, diagrams, detailed tables, graphics, and surgical videos elucidate underlying disease and managementAs the most comprehensive resource on colorectal surgery available on the market today, this is a must-have for every colon and rectal surgeon – from residents to veteran practitioners.

Rectal Cancer: Modern Approaches to Treatment provides a useful overview of the multidisciplinary treatment of rectal cancer with a deeper dive into clinical challenges faced by treating physicians. Written by the leading experts in the field, it provides a practical management guide with an emphasis on the state-of-the-art that will be of value to both novices and experts engaged in rectal cancer treatment.

The goal of this text is to expand one's practice of minimally invasive colorectal surgery by implementation of various advanced reduced port and single techniques. The authors present a comprehensive operative technique text to teach and implement single incision and reduced port laparoscopic colorectal surgery best practices into clinical practice. The text is divided into three main sections: perioperative considerations; focused operative techniques, tips and tricks; and step-by-step details of common colorectal procedures. Each case is paired with intraoperative photos and video accompaniment to facilitate understanding the technique, reproducing the steps, and implementing single incision laparoscopic colorectal surgery. The extensive illustrations and links to video make this a truly interactive text. With the aid of this text, surgeon experienced in laparoscopy, as well as those looking to expand their minimally invasive arsenal will be able to successfully incorporate single incision laparoscopic techniques into practice

This title encompass all current minimally invasive rectal procedures for a variety of benign and malignant indications and provides a compendium of the available data supporting each technique. Procedures are represented both photographically as well as through selected video clips. The video clips are hosted online and provide a valuable addition to the utility of the text. The text has a substantial pathologic emphasis delineating the conditions for which each technique is most suited. It includes established procedures such as laparoscopic proctectomy, but also describes novel approaches that are gaining the attention of professionals throughout the world, such as transanal endoscopic approaches that are being viewed as a bridge toward the natural orifice surgical interventions of the future. The first and only volume dedicated exclusively to advanced minimally invasive rectal surgery and will serve as a precious guide for professionals throughout the world.

This volume offers a comprehensive and up-to-date overview of the major surgical procedures performed on elderly patients. With advancing age the conditions that require surgery normally increase in incidence, and today all surgeons around the globe can be considered “geriatric surgeons”. The latest anesthesiological procedures, the technical improvements and an increased medical knowledge of the comorbities impact have brought extraordinary advances in this field, but this should not allow us to forget that a careful assessment of elderly patients is necessary before undertaking surgery, since also the simplest surgical procedures could alter the delicate psychophysical equilibrium of these “frail” patients. Introduced by a demographic panorama and analysis, the book describes the anesthesiological management, the preoperative assessment and preparation, the perioperative care, and hemostasis control connected with the main surgical pathologies: gastrointestinal, endocrine, neoplastic, vascular and hepato-biliary, as well with traumatic and non-traumatic emergencies. It will be an invaluable, easy-to-use resource for clinicians, researchers and trainees alike.

Quality measures and outcomes are receiving greater attention by the lay and medical communities. The occurrence or mismanagement of complications often results in poor outcomes, increased cost, and significant morbidity. Answering the call for transparency and improvement requires action by all involved in the care of patients. The collection of objective data and quality measures enables the provision of optimal care and desired outcomes while identifying areas for improvement. This text presents the current knowledge of outcomes, as well as the techniques for minimizing and managing complications from the common diseases and procedures within colorectal surgery.

This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm.The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability.Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.

Lung Transplantation: Principles and Practice covers the current practice in donor and recipient management as well as current treatment strategies and outcomes. With 39 chapters from international experts in the field, the book is divided into four broad sections: General Topics, Donor Management, Recipient Management and Outcome, and the Future of Lung Transplantation. The book discusses significant advances achieved in the past decade in areas such as donor allocation, organ preservation and management, recipient selection, management and support, surgical and critical care techniques, immune suppression, and infection prophylaxis. Specific instances of pulmonary disease that commonly necessitate lung transplantation are also covered. Generously illustrated in full color, this valuable resource is relevant to both specialists and other providers who may refer or care for patients before and after transplantation.

Lung Transplantation: Principles and Practice covers the current practice in donor and recipient management as well as current treatment strategies and outcomes. With 39 chapters from international experts in the field, this book covers the current practice in donor and recipient management as well as current treatment strategies and outcomes. It discusses significant advances achieved in the past decade in areas such as donor allocation, organ preservation and management, recipient selection, management and support, surgical and critical care techniques, immune suppression, and infection prophylaxis. Specific instances of pulmonary disease that commonly necessitate lung transplantation are also covered.

Management of benign anorectal disorders is challenging for the treating surgeons as the patients are highly distressed, the symptoms are always alarming, and surgical intervention may be associated with lifelong disabilities such as loss of sphincter control. Written by highly experienced colorectal surgeons, this book provides detailed notes on optimal management of these disorders including pre- and post-operative management. Chapters cover the entire range of benign disorders such as hemorrhoids, fissure, fistula-in-ano, anorectal injuries, anal incontinence, rectal prolapse, pelvic floor disorders, benign tumors and ulcers, and strictures. Chapters on surgical anatomy and physiology equip the surgeons with the information necessary to understand the complex anatomy and functioning of this region which makes surgery all the more difficult. Benign Anorectal Disorders is an essential reading for colorectal surgeons, general surgeons, fellows-in-training and the post-graduate students.

This book teaches the theories and concepts behind surgical quality improvement and explains the skills and traits needed to become a high quality provider. The editors aim to teach and inspire the reader to achieve high quality outcomes and strive for continuous improvement.

This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.

The first edition of Robotic Surgery was written only a decade after the introduction of robotic technology. It was the first comprehensive robotic surgery reference and represented the early pioneering look ahead to the future of surgery. Building upon its success, this successor edition serves as a complete multi-specialty sourcebook for robotic surgery. It seeks to explore an in-depth look into surgical robotics and remote technologies leading to the goal of achieving the benefits of traditional surgery with the least disruption to the normal functions of the human body. Written by experts in the field, chapters cover the fundamental principles of robotic surgery and provide clear instruction on their clinical application and long term results. Most notably, one chapter on “The Blueprint for the Establishment of a Successful Robotic Surgery Program: Lessons from Admiral Hymen R. Rickover and the Nuclear Navy” outlines the many valuable lessons from the transformative change which was brought about by the introduction of nuclear technology into the conventional navy with Safety as the singular goal of the change process. Robotics represents a monumental triumph of surgical technology. Undoubtedly, the safety of the patient will be the ultimate determinant of its success.The second edition of Robotic Surgery aims to erase the artificial boundaries of specialization based on regional anatomy and serves as a comprehensive multispecialty reference for all robot surgeons. It allows them to contemplate crossing boundaries which are historically defined by traditional open surgery.

Established for over 25 years and now in its 6th Edition, Corman's Colon and Rectal Surgery has been thoroughly updated and abundantly illustrated to provide comprehensive coverage of all diseases and conditions affecting the colon, rectum, and anus. Step-by-step instructions on current operative procedures used to treat these disorders are underscored by the authoritative knowledge and expertise of leaders in the field. Three co-editors of international repute have participated in the creation of this updated volume, but the hand of Dr. Corman can be recognized throughout. The biographic sketches have been considerably expanded. This gold standard reference, often referred to as the ‘bible'of the specialty, includes thorough reviews of anatomy, physiology, and related medical topics, as well as an extensive section on diagnostic studies, with a focus on the latest imaging modalities. New to this edition: · A full-color interior design that includes unique, detailed art depicting the steps in today's operative procedures · Comprehensive coverage of the latest laparoscopic diagnostic and surgical management techniques in all areas of the specialty · A companion website that includes the fully searchable text

To help advance global surgery as a public health intervention, providers and students require a practical, hands-on manual to train them to provide safe and effective surgery and anesthesia in resource-limited settings. This guide provides in-depth instruction on epidemiology and ethics surrounding surgical services, and on anesthesia, non-trauma surgery, and trauma surgery. With contributions from a group of culturally and academically diverse clinicians, each chapter is enriched by at least one commentary from a surgeon or anesthetist in a low- or middle-income country (LMIC) who shares first-hand perspectives on the realities and complexities of providing surgical care in these settings with limited resources.

Edited and authored by some of the most respected figures in the field, Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of Female Pelvic Medicine and Reconstructive Surgery (FPMRS), equipping you to make the best clinical decisions and optimize outcomes. It's easily accessible format is uniquely organized to reflect a physician's decision-making process -- from basic concepts through to clinical and urodynamic evaluation, management, and treatment. This practical, clinically oriented text is an ideal resource for OB/GYNs and Urologists as well as subspecialists in FPMRS, providing the latest information on procedures and available research regarding the evaluation and treatment of the growing number of patients presenting with these types of conditions. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Glean all essential, up-to-date, need-to-know information with a new section on surgical complications and their management; important new discussions on the psychosocial issues associated with treating patients with female pelvic floor disorders; and a new focus on female sexual function and dysfunction. Prevent and plan for complications prior to a procedure thanks to a step-by-step approach to each procedure, complete with personal techniques and tips from leading experts. Put concepts into practice. Case presentations from leading experts in FPMRS allow the reader to apply the information presented to everyday clinical situations. Effectively detect, prevent and treat common female pelvic floor disorders including stress incontinence, overactive bladder, pelvic organ prolapse, defecation disorders, painful bladder and irritative voiding disorders, and urinary tract infection. Get a true-to-life view of each procedure through full-color, crisp illustrations that illuminate every detail and nuance. Stay current the latest advancements and developments with sweeping updates and 9 NEW chapters: Congenital Anomalies of the Female Genital and Urinary Tracts l Physiology of the Pelvic Muscles, Vagina and Ano-Rectum l Female Sexual Function and Dysfunction l Multichannel-Urodynamics: Indications, Techniques and Interpretation with Case Studies l Video and Ambulatory Urodynamics: Indications, Techniques and Interpretation with Case Studies l Hysteropexy l Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery l Managing Mesh and other Vaginal Complications after Surgeries for Incontinence and Prolapse l and Surgical Management of Detrusor Compliance Abnormalities. Master urodynamic testing with step-by-step instructions on basic evaluation as well as the evaluation of complex cases with videourodynamics. Know what to do and expect with algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and clear full-color surgical illustrations as well as evidence-based assessments of appropriate therapies.

Pelvic Cancer Surgery: Modern Breakthroughs and Future Advances brings together the three main pelvic specialties (Urology, Gynecological Oncology and Colorectal Surgery) into one volume. Patients have been shown to benefit from a multidisciplinary approach since it allows surgeons of different specialties to learn from one another therefore enhancing the treatment for the patient. Pelvic cancer outcomes are poor in low volume centres. These centres account for 80% of the global centres dealing with these cancers. Pelvic Cancer Surgery: Modern Breakthroughs and Future Advances is a much needed book that can focus training and assist health professionals in their care of patients with pelvic dysfunction.Pelvic Cancer Surgery: Modern Breakthroughs and Future Advance is complete with full color illustrations and schematic diagrams and makes use of key points and stepwise figures for an enhanced learning experience.

Don't miss this latest edition of the “go to” reference for surgeons at every stage of training. Mastery of Endoscopic and Laparoscopic Surgery, 4e, now a “classic” in the canon of surgical literature, offers extensive coverage of minimally invasive procedures in every area of surgery. Edited and written by the acknowledged masters in the field, this edition provides clear, concise step-by-step details on all procedures, along with Advances in NOTES procedures and valuable author commentary.

Complexities in Colorectal Surgery: Decision-Making and Management provides a unique, modern, practical guide that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert Colorectal Surgeons caring for patients with complex problems—whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The text is formatted as both a “how-to” manual as well as an algorithm-based guide allowing the reader to understand the thought process behind the proposed treatment strategies. By making use of evidence-based recommendations, each chapter will include not only diagnostic and therapeutic guidelines, but also a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. This test includes chapters on the assessment of risk and nutritional intervention methods utilized to minimize perioperative complications. In addition, sections on medical and surgical therapies for abdominal, pelvic and anorectal disease are incorporated. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is to provide pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. The text also goes beyond the technical aspects of Colorectal Surgery and includes special sections highlighting the essence of a surgeon. These include chapters describing the importance of the first encounter, building patient rapport, and demonstrating confidence and competence while showing humility and avoiding arrogance. Additionally, aspects involving the medical-legal, ethical, and economic challenges confronting surgeons are covered.

Reduced port laparoscopic surgery is a fast-developing topic for the laparoscopic surgeon, with the emergence of a number of new techniques as well as new instruments.Edited by surgeons who have pioneered the single-incision approach, this volume provides extensive information for the beginning surgeon, examining different operation techniques and covering the advantages and pitfalls of reduced port laparoscopic surgery. In addition, the text provides the foundation for new ideas to further develop skills for the advanced laparoscopic surgeon.

Current Therapy in Vascular and Endovascular Surgery is an ideal medical reference book to consult for information in this ever-changing field! Thoroughly revised to reflect the most recent innovations in vascular and endovascular surgery, it features more than 150 chapters on topics new to this edition, and equips residents and practitioners alike with the latest procedures and techniques in this rapidly growing area. Internationally recognized experts present expanded coverage of a wide array of topics, keeping you abreast of all of today's developments!Consult this title on your favorite device, conduct rapid searches, and adjust font sizes for optimal readability. Quickly locate key information with concise, to-the-point chapters. Prepare for boards or certification exams through coverage that spans the entire spectrum of vascular surgery.Explore brand-new coverage of endovascular procedures and techniques.Learn from leaders in the field, including internationally recognized editors and numerous global experts in specialized disciplines.Access in-depth, detailed coverage of various vascular diseases, each sub-divided into discrete topics for a more focused approach.View procedures more clearly than ever before with the help of more than 800 full-color illustrations throughout.

This volume provides a comprehensive perspective on surgical oncologic diseases that are relevant to those who have an interest in surgical oncology. Its purpose is to distill a voluminous amount of information to readers so they will have the opportunity to apply relevant information and knowledge to their particular needs. Each chapter is written by experts in their field who provide concise and in-depth information on their topic and supply references to key articles. Illustrations, diagrams and photographs are included to assist the visual learners. Each chapter begins with bulleted key points to focus the readers on the material that will be covered and concludes with an appendix that summarizes the salient points. This unique set-up can be used as a tool to quickly review the topic at hand. The text also includes a set of short questions and answers at the end of each chapter to reinforce the salient points.Surgical Oncology: A Practical and Comprehensive Approach is a valuable resource for Medical students, surgical oncology fellows, general surgeons and educators.

Single Incision Laparoscopic and Transanal Colorectal Surgery provide a comprehensive and state-of-the art review of single incision laparoscopic and transanal colorectal surgery. The text concentrates on surgical techniques and tricks in single incision laparoscopic and transanal surgery with detailed descriptions of the techniques, as well as indications and limitations of the procedures. The newly available evidence on these procedures is emphasized and all procedures are richly illustrated with diagrams and photos.Written by experts in their fields, Single Incision Laparoscopic and Transanal Colorectal Surgery is valuable resource for general surgeons, colon and rectal surgeons, laparoscopic GI surgeons, surgical residents and fellows in training interested in these two rapidly developing fields in colorectal surgery.

Single-access laparoscopic surgery (SALS), performed using a single transumbilical access, has recently proved to bring advantages over other forms of laparoscopic surgery due to the reduction in the number of incisions and the consequent decrease in morbidity, less blood loss and postoperative pain. Furthermore, cosmesis may be improved because incision within the umbilicus renders surgery virtually scarless. Nevertheless, as with all new surgical concepts, questions may be raised regarding safety, usefulness and appropriateness. This book analyzes the use of SALS for different indications and abdominal surgical procedures based on a careful literature review of the experience of the most important surgical teams employing this approach and also the authors'personal observations. The coverage is broad, encompassing, for example, the role of SALS in appendectomy, repair of abdominal wall defects, cholecystectomy, gastric surgery, nephrectomy, splenectomy, hemicolectomy and pancreatic, liver and gynecological surgery.

Laparoscopic colectomy has been introduced in the early 90ies as a new technique with proven improvement in short and long term outcome. Despite significant patient benefits the overall adoption rate remains low. On the other hand significant more advanced techniques such as single incision laparoscopy, robotics and transanal access surgery have been introduced in the last several years and are rapidly evolving. Therefore a significant gap between the practicing community surgeon and innovator seems to exist. Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery bridges that gap and provides a foundation summarizing and organizing all classic and new techniques in minimally invasive colorectal surgery available in literature and from masters within the field.It provides tips and tricks that allow the user to move up the learning curve, manage difficult scenarios, overcome challenges, increase the utilization of minimal invasive techniques and decrease the conversionto open surgery. By enhancing the surgical tool box the surgeon will be able to progress from the novice to the master. Rather than describing operative procedures which may be very biased by an individual author, the guide provides alternative building blocks of various difficulty for different procedures which can be then tailored to the patient and surgeon`s own comfort level and experience. Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery will serve as a inspirational guide for the innovator of the future. It will allow surgeons of all levels to better adapt to inevitable changes in future techniques and will be of great value to general surgeons, colon and rectal surgeons, minimally invasive surgeons as well as residents and fellows.

In general, surgeons strive to achieve excellent results and ideal patient outcomes, however, this noble task is frequently failed. For patients, surgical complications are analogous to “friendly fire” in wartime. Both scenarios imply that harm is unintentionally done by somebody whose aim was to help. Interestingly, adverse events resulting from surgical interventions are more frequently related to system errors and a communication breakdown among providers, rather than to the imminent threat of the surgical blade “gone wrong”. Patient Safety in Surgery aims to increase the safety and quality of care for patients undergoing surgical procedures in all fields of surgery. Patient Safety in Surgery, covers all aspects related to patient safety in surgery, including pertinent issues of interest to surgeons, medical trainees (students, residents, and fellows), nurses, anaesthesiologists, patients, patient families, advocacy groups, and medicolegal experts.​ ​​

This volume provides a concise and up to date resource that directly addresses the needs of general surgeons who perform vascular surgery by focusing on the diagnosis and clinical management of common vascular conditions. The volume is divided into sections on arterial disease, venous disease, vascular trauma, and vascular access. Chapters on arterial disease outline the management and surgical techniques for the treatment of acute limb ischemia, compartment syndrome, and diabetic foot infections. Chronic arterial disease is addressed in chapters devoted to the management of claudication, critical limb ischemia, and lower extremity amputation. The section on vascular trauma emphasizes surgical intervention for blood vessel injuries that occur in the neck, abdomen, and extremity. Vascular access chapters deal with the technical aspects and potential complications of temporary venous access catheters and permanent arteriovenous access for hemodialysis. More complex vascular topics are also covered with chapters that are shorter in length and focused on the diagnosis and a broad understanding of treatment options.Essentials of Vascular Surgery for the General Surgeon is the first of its kind to accurately mirror the SCORE curriculum for vascular disease as a patient care topic in general surgery training, acting as a “one stop” information source that general surgery trainees can turn to as a clinical reference and as a study guide for general surgery in service exams and board.

General Surgery Risk Reduction is part of the series: Surgery: Complications, Risks and Consequences edited by Brendon Coventry.

Netter's Surgical Anatomy and Approaches is your quick reference to the key anatomical landmarks and operative techniques needed to best perform general surgical operative procedures! This one-of-a-kind resource combines the unmatched surgical anatomy illustrations of Frank H. Netter, MD with endoscopic, laparoscopic, and radiologic images - integrated with expert descriptions of each operative procedure - to provide a clear overview of the exposures, incision sites, surgically relevant landmarks, structures, fascial planes, and common anatomical variants and operative methods that are critical to your success in the operating room. - Vividly visualize the surgical anatomy you need to know through the uniquely detailed, memorable artwork of Dr. Netter, Carlos Machado, MD, and other anatomy illustrators working in the Netter tradition. - View surgical anatomy from a clinical perspective through photographs and endoscopic, laparoscopic, and radiologic images that capture important landmarks and anatomy and are integrated into an expert description of each operative procedure. - Access the complete contents online for quick look-ups, including videos of relevant surgical dissections to help you review approaches to common operations.

This atlas presents an extensive collection of single-incision laparoscopic operations in general surgery performed from 2008 to 2013 in Shengjing Hospital of China Medical University. 2000 operations are reported in it. All the figures in it were collected using real time recordings of the operations which will be particularly interesting to the readers. In each specific surgery, authors provide its key surgical steps, complications and management and contraindication. This atlas is intended for clinical surgeons who can evolve these operations soon after reading about them. Patients will also benefit from this book because of the combination of minimal invasiveness and cosmetic effect of single-incision laparoscopic surgery.

Minimize the risks and maximize your surgical success with Current Surgical Therapy! Hundreds of preeminent general surgeons present you with today's best treatment and management advice for a number of diseases and associated surgeries, discussing which approach to take, how to avoid or minimize complications, and what outcomes to expect. Current Surgical Therapy is indispensable for quick, efficient review prior to surgery, as well as when preparing for surgical boards and ABSITEs!Find the answers you need quickly inside the user-friendly book.Obtain dependable advice on patient selection, contraindications, techniques, pitfalls, and more from this best-selling surgical resource, trusted by generations of surgeons for decades as the definitive source on the most current surgical approaches.

Reconstructive Surgery of the Rectum, Anus and Perineum provides the reader with a didactic discussion of complex problems which require re-operative surgery; including details of preoperative investigation, postoperative follow-up and a detailed operative approach. This comprehensive and detailed text uses a formulated algorithm approach to these complicated cases using operative photographs and composite explanatory line drawings which complement ‘how-to'guides in describing the operative technical tips and pitfalls from experienced commentators. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature of dealing with difficult colorectal complications dealt with in this unique textbook. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature of dealing with difficult colorectal complications dealt with in this unique textbook. This comprehensive and detailed text uses a formulated algorithm approach to these complicated cases using operative photographs and composite explanatory line drawings which complement ‘how-to'guides in describing the operative technical tips and pitfalls from experienced commentators. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature ofdealing with difficult colorectal complications dealt with in this unique textbook. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature of dealing with difficult colorectal complications dealt with in this unique textbook.

Colorectal Surgery equips you to overcome the clinical challenges you face in this area of surgery. Written for the general surgeon who is called upon to manage diseases and disorders of the large bowel, rectum, and anus, this reference provides advanced, expert guidance on how to avoid complications and achieve the most successful results.Visualize relevant anatomy and techniques more easily with high-quality, full-color line drawings and clinical photos throughout.Zero in on the information you need with key points boxes in every chapter that provide a quick overview of the topic at hand.Get practical, hands-on advice on managing the diseases and disorders you're most likely to encounter.Learn from acknowledged leaders in the field who excel in both academic and clinical areas.

This e-book is an overview of recent advances in the realm of kidney transplantation. The volume discusses developments in surgical procedures while presenting a perspective on possibilities for kidney transplant research in the future. The e-book is a collection of contributions from experts in kidney transplant surgery and is intended as a reference work for clinicians seeking updated information on both operative and post operative kidney transplant management strategies.

Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient.Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.

Developed in conjunction with the American Society of Colon and Rectal Surgeons, this comprehensive textbook provides readers with the full scope of surgical practice for patients with diseases of the colon and rectum. Expert surgeons, all active both as educators and with busy clinical practices, have written concise and practical chapters on the most commonly done procedures while providing much-needed insight on less frequently presentations, as well.The ASCRS Textbook is designed to meet the needs not only of colorectal specialists, but also the general surgeon in practice whose caseload includes patients with disorders and diseases of the colon, rectum and anus. Residents and fellows will also find a wealth of hands-on guidance and practical tips and tricks. The ASCRS Practice Parameters are incorporated in the book along with an appendix providing the most up-to-the minute access to best practice guidelines. Patient care and safety are addressed in each chapter.'[The ASCRS Textbook of Colon and Rectal Surgery] is a long awaited textbook for those in the field and it does not disappoint. It is brief and to the point, but does not lack the necessary detail expected from a society-produced publication. [It has an] easy-to-read quality that enhances comprehension for the trainee. It is by no means just a student textbook. The inclusion of'hot'current topics, like the anal fistula plug, makes it fresh and useful for experienced surgeons. This is an excellent addition to the colorectal library.'(Doody's Review)

This issue of the Surgical Clinics of North America covers a broad spectrum of anorectal disease such as basic anatomy, physiology, and testing of the anorectal region, as well as the most current diagnostic and management strategies for many of the common anorectal conditions encountered by surgeons including hemorrhoids, anal fissures, abscess and fistula. Also presented are new techniques in the management of pilonidal disease, perianal infections including HIV and condyloma, pruritis ani, and anal stenosis--difficult conditions that often are frustrating for patient and surgeon alike. Two articles are dedicated to the current management of anorectal Crohn's disease and rectovaginal fistulas, including the evolving multidisciplinary approach. In addition, advances in the evaluation and current management of retrorectal tumors and anal neoplasms including the role of local excision and transanal endoscopic microsurgery for selected rectal tumors are covered. Rounding out this issue are approaches to the difficult situation of anorectal trauma including foreign body management, as well as two articles dedicated to the evaluation of pelvic floor disorders and fecal incontinence.

The impetus for this book came from the recent appearance of single specialty books pertaining to reoperative surgery on various organs in the pelvis, as well as from the recognition that several different disciplines are involved with the challenges of reoperative pelvic surgery. Surgeons often encounter challenging dilemmas involving organ systems that have historically been attended to by surgeonsrepresentingcloselyrelatedbut distinctspecialtyareas. Withincreasing sophisticationand knowledge about management of anatomically adjacent organs by the specialties of gynecologic oncology, gynecology, urology, and colon and rectal surgery, as well as the emergence of specialty training programs in urogynecology and pelvic floor disorders, we thought it appropriate and timely to create a textbook acknowledging this increasing knowledge and interspecialty collaboration. To this end,where appropriate, we haveincluded collaborative authors fromeach of the specialties, any ofwhommaybecalledupontoaddressaparticularanatomicarea. Itseemsinevitablethatsituations willariseinwhichthecollaborativeexpertiseofseveralseparatespecialtiesmayconvergetoprovide surgeons the benefit of the combined thought processes that would prove invaluable when such difficult problems are encountered. With this in mind, the editors, from the fields of gynecologic oncology, urology, and colon and rectal surgery, identified experts in theirown fields who could bestcontribute to the management of specific problem areas. For example, since reoperations for endometriosis may involve uterus, adnexae, ovaries, or the colorectum, the chapter concerning this condition has been coauthored by specialists in colorectal surgery and gynecologic oncology. We have been fortunate to find experts who have collaborated to bring available evidence-based medicine, best demonstrated practices, and personal experience to their contributions.

Updated to reflect today's practice guidelines, the new edition of this comprehensive text remains the definitive resource on all aspects of renal transplantation, including immunological, pathological, psychological and ethical considerations. It examines evaluation, management, and procurement of living and deceased donor kidneys, the selection of suitable recipients, interpretation of graft dysfunction, and expected survival based upon a large database of information. There are comprehensive chapters on pediatric renal transplantation and on renal transplantation in the developing world. Extensive tables and figures and comprehensive lists of references with each chapter enhance its value to the transplant team. A multidisciplinary approach from internationally renowned contributors from around the world-many new to this edition-offers practice-applicable guidance for all members of the transplant team, with coverage encompassing applied science, clinical information, and surgical procedures. This 6th edition remains the balanced reference you need to stay apprised of issues important to successful kidney transplantation.Provides a comprehensive description of surgical techniques, immunosuppressive methods, outcomes, risks, and medical considerations related to kidney transplantation, both in adults and children, in one convenient reference.Presents more than 335 superb illustrations-50 in full color-that demonstrate key concepts and nuances of techniques.Features a multidisciplinary approach from contributors from around the world-many new to this edition-offers practice-applicable guidance for all members of the transplant team, with coverage encompassing applied science, clinical information, and surgical procedures. Offers evidence-based decision making advice in renal transplantation-supported by a wealth of data in chapters written by internationally recognized experts-to help you make the most informed clinical decisions.Offers new tables and figures as well as revised and updated chapters that report new data and present current practice guidelines. Features a new chapter on transplantation in the sensitized patient to assist you with transplant cases that present unique challenges.Describes the latest preclinical and clinical immunosuppressive strategies, to help you see the link between clinical issues and the basic sciences. Offers tissue typing methodology updates, equipping you with the newest methods of assessing immune responses to the kidney.Features a new chapter on chronic allograft nephropathy.

Colorectal cancer is the second-leading cause of cancer-related death in the Western World. This Second Edition analyzes the genetics, mechanisms, and development of colorectal carcinoma and supplies the latest research and recommendations on the detection, treatment, and prevention of malignancies of the colon, rectum, and anus.