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This is the third, fully revised edition of a well received book that provides clear practical guidance on all aspects of the penetrating trauma surgical treatment. It aims at fostering the type of strategic thinking that can save patients'lives. The coverage encompasses prehospital care and operative management in penetrating injuries to various body regions and specific organs. Tips, tricks and technical pearls are highlighted by experienced doctors and each chapter includes a list of the most important points to observe. This third edition of Penetrating Trauma has been extensively revised and updated – with inclusion of some entirely new chapters – to take into account the most recent trends in resuscitation, diagnostics, and treatment. It will be an ideal resource for all physicians managing penetrating trauma.

The 2nd edition of the successful book also summarises the factual knowledge of visceral surgery in a condensed, keyword-like form. It is suitable for preparation for the specialist examination as well as for quick reference in everyday clinical practice.All articles have been written by renowned experts. The focus is on detailed recommendations on the diagnostic procedure, the indication and the implementation of therapy; for the most important interventions, the steps of the surgical procedure are also presented. Brief overviews facilitate the targeted memorisation of the most important facts.

This is the second and fully updated edition of the successful volume on intestinal failure in adults and children. The book provides a comprehensive coverage of all aspects of intestinal failure: from acute and chronic intestinal failure management and treatment, to outcomes, consequences and problems of treatment. In addition, 20 new chapters have been added, covering acute and chronic pancreatitis, critical care and abdominal pain among other topics. Each of the chapters contains a section with top tips on the topic, summarizing the essential take-home messages. Highly educational, this book is a must have for gastroenterologists but is of use for all members of a hospital nutrition support team including nurses, dietitians and pharmacists, whom it will serve as a practical guide for management of intestinal failure both in the hospital and in an outpatient setting. Written by a multidisciplinary author team, this book brings this important subject to a wide readership. With extensive referencing the book provides a detailed overview of the topic, discussing the latest research in the subject and how this relates to current clinical practice and potential future treatments.

The atlas focuses on the surgical steps of the latest hernia surgeries elucidated by labeled pictures. It aims to explain the technical aspects of hernia procedures. It includes images that are both graphic and intraoperative clinical photographs for better understanding. The book is written by international experts who have invented and pioneered the newer hernia procedures. Hernia surgery has evolved at a tremendous pace in the last decade. In the last decade, there has been a proliferation of more than 20 procedures in hernia repair, and they offer advantages compared to the older procedures in various clinical situations. Presently, the resources, including images of the newer procedures, are limited to the published journals. This book aims to fill this gap by providing technique based knowledge in an illustrated manner for learning newer hernia procedures. It is written in a succinct style. The book serves as a ready reference for practicing surgeons, minimal access surgeons and, resident surgeons, fellows.

This book covers all the protocols of pediatric solid organ transplantation in a practical format. It includes detailed protocols of managing a child during pre and post-transplant namely liver, kidney, heart, intestine and pancreas. Chapters include algorithms, figures and protocols in tabulated format. It also provides essential information on anatomy and physiology of relevant topics. The editors and authors are leading experts in the field from across the world. This practical book serves as a useful and step-by-step guide for pediatricians, nephrologists, intensivists and transplant physicians and surgeons.

This book offers a complete focus on the radiographic analysis of the abdominal wall and hernias. An estimated 20 million hernias are repaired annually throughout the world. As the technology utilized to complete hernia repairs becomes more complex, surgeons are required to have a more thorough understanding of the radiographic anatomy and diagnostic modalities used to evaluate hernias. Furthermore, the amount that now goes into the preoperative planning of hernias for complex repairs (such robotic and open transversus abdominis muscle release procedures) requires an understanding of radiology and the ability to identify nuances of anatomy offered by the imaging. The use of mesh and extent of re-do hernia repairs has also complicated radiographic evaluation of hernias. The text is a comprehensive review of abdominal wall imaging broken down into individual types of hernia. Each hernia type is discussed with consideration to the best type of imaging evaluation, unique radiographic findings and considerations prior to repair. Representative images, diagrams and videos are used to point out anatomy and features of the hernia. This text offers the first-of-its-kind standardized approach to evaluating hernias radiographically. Most importantly, each hernia and chapter is approached with the surgeon in mind, meaning, authors explain the radiology based on anatomy and with a plan for surgical repair on the horizon. Select chapters include illuminating videos to give context to the text. This is an ideal guide for practicing surgeons and trainees treating patients with hernias.

This book meets the need for a detailed resource that focuses on the unique challenges encountered in pediatric trauma and its clinical management. Short practically oriented chapters describe how to successfully treat a range of injuries across a variety of anatomical areas. Emphasis is placed on accounting for the injury mechanism providing recommendations on rapid assessment, initial stabilization and management strategies. Pediatric Trauma Care - A Practical Guide, comprehensively covers how to approach treating pediatric trauma patients suffering with a variety of injuries. Therefore, it is an ideal resource for all medical professionals who encounter these patients in their day-to-day practice.

The new edition of this outstanding reference textbook, in two volumes, offers comprehensive and authoritative coverage of the contemporary specialty of oral and maxillofacial surgery. The aim is to provide an all-encompassing, user-friendly source of information that will meet the needs of residents and experienced surgeons in clinical practice and will also serve as an ideal companion during preparation for board certification or recertification examinations. All of the authors, numbering some 100, are distinguished experts in the areas that they address. The new edition takes full account of the significant changes in clinical practice and guidelines that have occurred during recent years. Readers will find clear explanations of the practical application of surgical principles, with a wealth of supporting illustrative material, including atlas-type illustrations to complement the descriptions of specific procedures. The fourth edition of Peterson's Principles of Oral and Maxillofacial Surgery is a truly exceptional resource for clinicians and students alike.

This unique book is the first to focus on diagnostic and therapeutic endoscopy in gastrointestinal and pancreatico-biliary diseases. It provides an in-depth overview of the state of the art in diagnostic and therapeutic endoscopy of both the digestive tract and the pancreatico-biliary ductal system, and documents the latest innovations in the field.The first part of the book addresses advanced diagnostic and therapeutic endoscopy of the digestive tract, discussing bariatric endoscopic surgery, and the treatment of neoplasia and precancerous lesions of the upper and lower GI tract, motor disorders, GERD, strictures, fistulae and bleeding. The second part of the book is explores ERCP and EUS procedures, covering the diagnosis and therapy of biliary ductal system and pancreatic diseases. Each chapter includes an abundance of color images that document in detail the devices, operative techniques and outcomes. Written by leading internationally renowned experts, the book isa valuable resource for both specialists and residents in gastroenterology and surgery.

This fifth edition of Chassin's Operative Strategy in General Surgery is a major revision that strives to remain faithful to the purpose and tone of Dr. Chassin's original text. This unique textbook provides an emphasis on surgical strategy that is unmatched by other textbooks of surgical technique. The text explains the conceptual basis of each operation, outlines strategies to avoid common pitfalls, and carefully describes and beautifully illustrates the technical steps of each operation. The fifth edition preserves the unique qualities of its previous edition while providing a comprehensive update. This updated volume also features a vast amount of richly detailed artwork and operative photographs, which help depict operative techniques step-by-step. No other text so successfully combines operative technique with the concept of strategy – that is, key governing principles that dictate safe surgery and avoidance of complications. There are books of technique, there are books about complications, and there are books about the rationale involved in the treatment of various kinds of surgical pathology. Chassin's combines all three.Chassin's Operative Strategy in General Surgery: An Expositive Atlas Fifth Edition comprehensively covers all non-vascular operations commonly performed by general surgeons. This edition expands this comprehensive general surgery reference while remaining true to the special character of the work. The revision expands upon procedures not covered in the previous edition and incorporates new techniques into many other chapters.

Although most clinicians are aware of the problem of antimicrobial resistance, most also underestimate its significance in their own hospital. The incorrect and inappropriate use of antibiotics and other antimicrobials, as well as poor prevention and poor control of infections, are contributing to the development of such resistance. Appropriate use of antibiotics and compliance with infection prevention and control measures should be integral aspects of good clinical practice and standards of care. However, these activities are often inadequate among clinicians, and there is a considerable gap between the best evidence and actual clinical practice. In hospitals, cultural determinants influence clinical practice, and improving behaviour in terms of infection prevention and antibiotics-prescribing practice remains a challenge. Despite evidence supporting the effectiveness of best practices, many clinicians fail to implement them, and evidence-based processes and practices that are known to optimize both the prevention and the treatment of infections tend to be underused. Addressing precisely this problem, this volume offers an essential toolkit for all surgeons and intensivists interested in improving their clinical practices.

Breast cancer is a disease requiring multidisciplinary management including surgery, medical and radiation oncology, radiology, pathology, nuclear medicine, genetic counseling, and psychological support. Each member of the team needs to be updated continuously on breast cancer treatment because of its rapidly changing nature. From the diagnostic procedures to operations and even in metastatic stages of breast cancer, surgeons play an essential part in multidisciplinary teams. After standard surgical options, oncoplastic breast surgery is rapidly becoming one of the most important surgical topics that should be learned by attending surgeons. The idea of writing this book stemmed from a collaboration between the European Academy of Senology (EAoS), European Institute of Oncology (IEO), Euro-Asian Society of Mastology (ESOMA), and SENATURK (Turkish Academy of Senology), which have been working together to promote better training in breast care for professionals. The book offers invaluable support for breast surgeons by covering critical and essential information in senology. It will also greatly benefit the other members of multidisciplinary teams, surgery residents, gynecologists, and plastic and reconstructive surgeons.

This book offers a comprehensive overview of the surgical techniques available in reconstruction of the paralyzed face. It is divided into six parts. The first part introduces the topic of facial palsy, and the following parts provide detailed information on facial nerve reconstruction techniques, management of eye closure and smile reanimation. The book highlights symmetrization techniques and synkinesis and presents innovations and new frontiers in facial palsy.Written by an international group of experts who are committed to maintaining high standards and service in treating this condition and improving outcomes, it is a valuable source of information for clinicians and practitioners in plastic and reconstructive surgery, neurosurgeons and oral-and-maxillofacial surgeons, but also useful for researchers in this field.

Pediatric Surgery provides an authoritative, up-to-date and comprehensive analysis of current practice in the field. It is divided into three topical volumes, with a total of seven sections focusing on general principles, newborn surgery, general pediatric surgery, tumor surgery, trauma, transplantation, and pediatric urology surgery. Detailed descriptions of surgical techniques and pre- and postoperative management are provided by experts from various parts of the world.The result is an international reference on the surgical management of both common and rare diseases of infants and children that will be an ideal source of information and guidance for pediatric surgeons, pediatric urologists, neonatologists, pediatricians, and all those seeking more detailed information on surgical conditions in children.The three topical volumes are as follows: General Principles and Newborn Surgery General Pediatric Surgery, Tumors, Traumaand Transplantation Pediatric Urology

This book acts as a portable and easy-to-understand reference for surgical trainees or young faculty members that are interested in reviewing procedures on the way to the operating room. This second edition aims to provide a practical hands-on approach to operative trauma management. Following the success of the first edition, chapters were revised, updated, and added due to substantial changes in trauma care over the past few years. Several new experts contributed their knowledge and techniques inside this new edition. For example, chapters on fasciotomy and resuscitative endovascular balloon occlusion of the aorta (REBOA) have been added.The second edition of The Shock Trauma Manual of Operative Techniques is a valuable reference for practicing surgeons in the community and serves to aid trauma practitioners as they attempt to deal with operative challenges.

This book provides a comprehensive state-of-the-art overview on the established knowledge in the field of gastroesophageal reflux disease (GERD) as well as a current insight into new algorithms involving new diagnostic tools and new endoscopic and surgical techniques. The integration of these new findings in updated therapeutic decision making is demonstrated. The book reviews the latest literature on new diagnostic findings to better discriminate between different benign disorders of the esophagus and stomach. It describes the decision making to establish indications for the variety of established and new therapeutic options in the management of the disease. It also describes in detail new therapeutic techniques, which provides excellent back-up information for every clinician in daily practice.Management of Gastroesophageal Reflux Disease is a valuable resource for clinicians, surgeons, nurses, technicians, students and researchers with an interest in esophageal and upper GI- disease.

This contributed book covers all aspects concerning the clinical scenario of breast cancer in young women, providing physicians with the latest information on the topic. Young women are a special subset of patients whose care requires dedicated expertise. The book, written and edited by internationally recognized experts who have been directly involved in the international consensus guidelines for breast cancer in young women, pays particular attention to how the disease and its planned treatment can be effectively communicated to young patients. Highly informative and carefully structured, it provides both theoretical and practice-oriented insight for practitioners and professionals involved in the different phases of treatment, from diagnosis to intervention, to follow-up – without neglecting the important role played by prevention.

This atlas is the collaborative work of surgeons from Latin America and North America and describes techniques that can aid in the treatment of trauma patients. Trauma surgeons need to perform procedures efficiently and expeditiously for patients that are crashing. The surgeries and exposures are narrated by experts in the field, and include pitfalls and complications, as well as ways to avoid and treat them. Detailed illustrations add clarity to each procedure and help surgeons improve their technique when treating trauma patients. Atlas of Trauma provides a visual aid to the trauma surgeon and acts as a great asset for the training of these specialists.

This updated volume provides a practical guide to decision making within thoracic surgery. Focussed chapters contain pithy analyses and recommendations that allow useful information to be identified at a glance. All new chapters bring insight into the challenges faced operating on the lung, esophagus, diaphragm, airway, pleaura, mediastinum, and chest wall. Difficult Decisions in Thoracic Surgery aims to help the reader navigate the complexities of thoracic surgery through clearly formatted and evidence-based chapters. The book is relevant to practicing and trainee surgeons, as well as medical professionals working within thoracic surgery.

This book provides a comprehensive review on the surgical care of patients requiring removal of an eye, as well as consequent functional and cosmetic rehabilitation. In addition to covering the crafting of ocular prosthetics, Anophthalmia: The Expert's Guide to Medical and Surgical Management also addresses the psychological and physical adjustments to losing an eye, and adapting to that loss.Divided into five parts, Anophthalmia functions as a go-to reference for ophthalmologists and oculoplastic surgeons. The book begins by laying out the clinical foundations and history of anophthalmia. Part II and III discuss surgical removal techniques, prosthesis fitting and maintenance, congenital anophthalmia, infections and inflammations, and newer surgical techniques such as osseointegration after orbital exenteration. Finally, the book concludes with chapters on prosthetic options including scleral shells, keratopigmentation procedures, and cosmetic contact lenses.Unique in content, Anophthalmia is a vital resource for practicing ophthalmologists, oculoplastic surgeons, and all medical professionals who care for patients with surgical and traumatic loss of the eye and orbital tissues. Additionally, sufficient detail and explanation make this work accessible to those in training, such as medical students, ophthalmology residents, and fellows.

This book covers an up-to-date review of advances in the management strategies for patients with breast cancer and their co-morbidities. Oncoplasty has become the standard of care for breast conservation surgery and can lead to improving aesthetic outcomes of breast cancer surgery, without compromising oncological outcomes. The goal of the text is to increase the competencies and performance of healthcare professionals involved in treating this patient population, which will ultimately improve the aesthetic outcomes, quality of life and overall survival of patients with breast disease and breast cancer. Written by experts in the field, chapters address a wide range of breast surgery techniques that help the general surgeon provide improved oncologic and aesthetic results for patients. The authors have detailed not only best practice for conventional procedures but also new and evolving techniques. Oncoplastic Breast Surgery Techniques for the General Surgeon serves asa valuable resource not only for medical students but also for the general surgeon seeking to improve results in private practice and for professors learning and teaching new breast surgery techniques.

This book highlights the differences, in terms of neoplastic dissemination pathways, between various types of thoracic cancers. It presents and discusses a comprehensive schematic overview of tumors of the lung parenchyma, of the mediastinum, of the pleura, and of the chest wall. For each tumor, it details the local spread and the lymphatic and vascular dissemination, and it describes the challenging staging of lung tumors with mutations. Illustrations and artwork enrich the content and help readers to understand and visualize tumor spread. The book is of great interest to professionals involved in the study, diagnosis and treatment of thoracic pathologies, as well as to residents in radiology, oncology and pulmonology.

This book, now in a revised and updated second edition, offers detailed guidance on the diagnosis, surgical planning, and interdisciplinary treatment of craniofacial trauma. The first part of the book addresses epidemiology, anatomy, radiological diagnosis and innovations, fracture classification, fracture mechanisms, and symptoms. The second part then focuses on treatment, explaining operative principles and providing step-by-step descriptions of a variety of hard and soft tissue reconstructive procedures. Here, individual chapters are devoted to neurosurgical management, surgical repair of fractures, methods of dural and skull base treatment, osteosynthesis, intraoperative navigation techniques and systems, reconstruction with bone grafts and alloplastic materials, and complications and late sequelae. The book concludes by discussing surgical strategy in complex craniofacial trauma care and presenting a treatment algorithm that takes into account new developments. CraniofacialTrauma will be an indispensable reference for residents in maxillofacial training and for maxillofacial/neurosurgeons in the specialized field of craniofacial traumatology.

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.

Now in its fully revised and expanded second edition, this volume is the definitive resource on long-distance air transport of injured patients in both peacetime and wartime. It discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in- flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail in the second half of the book, including general surgical casualties such as abdominal wounds and soft tissue injuries, vascular injuries, maxillofacial injuries, head and spinal cord injuries, ophthalmologic casualties, orthopedic casualties, burns, pediatric casualties, obstetric-gynecologic casualties, and more. For each medical condition, important topics are addressed such as conditions needed to be met before transportation, special concerns, supplies and needs of the specific patients and possible in-flight emergencies and their appropriated treatment. Containing several new chapters and featuring extensively updated contributions from experts in the field, Aeromedical Evacuation: Management of the Acute and Stabilized Patient, Second Edition is a must-have reference for a whole new generation of military flight surgeons and flight nurses responsible for aeromedical evacuation of casualties as well as civilian physicians and nurses involved in air transport of ill and post-operative patients.

The field of hernia repair, in general, has evolved over the last 25 years. The changes that have followed the introduction of this technique have continued and have even increased in the last few years. There is a need to inform the practicing general surgeon about these advances. This text will seek to present the most up to date and important considerations to date. The book will open with a brief history and evolution of the technology surrounding the repair of incisional and ventral hernias laparoscopically and include the introduction of the robotic technology. Prosthetic biomaterials are an integral part of the successful repair of hernias and a comprehensive presentation of these products will be presented. Preoperative preparation of the patient has now been recognized as a method to improve outcomes in these patients and will be addressed.Technical aspects of the repair of these hernias will then follow in an orderly fashion to include the general considerations of the methodology. The “best practices” of these methods will be presented with appropriate figures and illustrations. The management of difficult situations as well as expected outcomes will be discussed. It is the intent of this text that any surgeon interested in the use of the minimally invasive techniques to repair the incisional and ventral hernias of the abdominal wall will have this resource presenting current opinions and methods. The “thought leaders” in these methods will be the authors of these chapters.This title differs from the Springer related title Novitsky, Hernia Surgery. The Novinsky is more comprehensive at 530 pages. It contains many more illustrations and video. The LeBlanc focuses on Laparoscopic and Robotic Hernia surgery with an estimated page count of 300-350. The LeBlanc presents current opinions of the thought leaders. Therefore, the subtitle: Current Considerations.

In recent years the approach towards rib fractures has evolved. Abandoned in the past, due to inadequate instrumentation and lack of evidence, rib fixation has recently re-emerged as a treatment option for trauma patients. There have been a number of advances over the last 25 years that now allow surgeons to internally fix rib fractures that otherwise may have not had other options. However, as a result there has been a rapid increase in literature and many institutions interested in initiating rib fixation programs. Due to a variety of practitioners involved namely, trauma surgeons, orthopedic surgeons, and thoracic surgeons there has been no comprehensive guide to patient selection, technique, and post-operative care. The purpose of this text is to fill the educational gap for those trauma, orthopedic, and thoracic surgeons interested in learning the cutting edge evidence-based approaches to treatment of rib fractures. This topichas caught the interest of many and has been a recurrent theme at surgical meetings over the last two years. Although there has been ever increasing levels of interest and experience nationally there are many questions which remain.This text will provide not only the theoretical background for improving outcomes in those with rib fractures but also serve as a practical guide to those interested in starting new programs. The text will include tips and tricks that can be used in the OR or at the bedside to improve patient care. Therefore, the focus will be on a comprehensive review but also including tips and tricks from the most experienced surgeons around the country who are performing internal fixation for rib fractures.

This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.

The fifth edition of this well-received book contains all the latest information on surgical techniques in abdominal hernia surgery and has been updated to reflect progress in robotic hernia surgery and minimally invasive approaches, as well as new materials used such as fully resorbable synthetic meshes. With chapters on management of complications and laparoscopic repair, among others, the book also contains newly-added accounts of the Milos technique, laparoscopic primary closure of defects and mesh.For each of the surgical techniques described the reader will find information on pre- and post-operative management, instructions on theatre set-up and patient positioning, an account of the incision and access, as well as detailed operative steps and closure, and finally tips and pitfalls. From financial aspects to operative techniques and materials, this book provides a very comprehensive account of abdominal hernia management. Richly illustrated to demonstratethe surgical procedures in detail this book is written by a team of world leaders in herniology. This is an indispensable guide to herniologists and hernia surgeons, worldwide.

This is the second edition of a well-received book that reflects the state of the art in diagnosis and treatment of acute abdominal disorders in the pregnant patient. It addresses a wide range of conditions - whether associated with or incidental to pregnancy - ranging from very rare to more common ones, such as acute appendicitis and acute cholecystitis. It offers an update on recommendations, guidelines and scenarios to provide fundamental support for all clinicians who might encounter such cases. The book highlights the importance of a rapid diagnosis to avoid serious consequences for both the mother and the fetus. Furthermore, it sheds light on the different imaging modalities of rare pathologies that can occur during pregnancy, helping clinicians and radiologists to better define underlying cases. This new edition has been almost completely rewritten, and includes an additional section focusing on urologic emergencies, preterm labor and intra-abdominal pressure, as well as new figures and tables. It is equally valuable for general and abdominal surgeons, gynecologists and obstetricians, as well as emergency physicians, who may be the first specialists to have clinical contact with this group of patients.

This volume provides a concise yet comprehensive review of techniques for stopping ongoing hemorrhage in all areas of the body. The text discusses open surgical techniques and minimally invasive (percutaneous, endoscopic, radiologic, laparoscopic) approaches, as well as techniques appropriate to pre-hospital settings, such as “on the scene”, ambulance, and the battlefield. The techniques and tips are delivered in a detailed, yet simple and straight-forward manner so that readers are more readily able to replicate these concepts in the face of ongoing, life-threatening hemorrhage. Written by experts in the field, Treatment of Ongoing Hemorrhage: A Practical Guide is a valuable resource for surgeons, trainees, and any physician who works within the emergency department or upon critically ill patients.

This book provides a comprehensive guide to the surgical skills required during general surgery. General Concepts are covered with descriptions of basic terminology, the logic behind specific approaches, limitations of specific skills, technical and practical considerations, and safety of using specific approaches and skills. More advanced topics including gastro-intestinal anastomosis, exploring a patient after a major trauma, and managing crisis situations are also discussed, as well as current controversies and future directions within general surgery.Fundamentals of General Surgery is relevant to trainees in general surgery and its subspecialties, and aims to give them an easy to access resource that contains real life examples, iconography, and recommended further reading.

This book is a comprehensive guide to the surgical repair of inguinal and abdominal wall hernias that not only describes all potential approaches, but also places them in the context of the anatomy of the region, the pathology, and the advances in scientific knowledge over the past decade. It documents in detail the individual techniques applicable in each region (inguinal, femoral, and ventral), highlighting tips and tricks and focusing on indications, potential complications, and outcomes. In addition, it presents cases of incisional hernia and examines less frequent and rare cases and complex situations. Written for surgeons from around the globe, it includes procedures used in wealthy, developed countries and those without mesh more commonly employed in developing countries. With a format designed to facilitate use in daily practice, it is invaluable for residents seeking step-by-step guidance on procedures ranging from repair of simple inguinal hernias to complex reconstruction; for general surgeons who frequently perform hernia repairs; and for hernia specialists aiming to achieve optimal results. It also appeals to researchers with an interest in the scientific background to hernia surgery.

This book represents the definitive robotic thoracic surgery atlas, containing didactic material necessary to facilitate effective practice in thoracic surgery and to provide learning tools in these methods both to practicing surgeons and to those in training. It defines the complete operative pathway for each procedure for surgeons who wish to be a complete robotic cardiothoracic surgeon and includes hints and procedural pitfalls derived from the experiences of chapter contributors. The Atlas of Robotic Thoracic Surgery is illustrated with high quality illustrations and color photographs from surgical operations and contains expert analysis from leading surgeons who provide the key visual features of their chosen topics. Anesthetic and cardiopulmonary support preparation for each operation are included and selected references are provided to emphasize evidence-based outcomes.This book has been designed to augment Atlas of Robotic Cardiac Surgery edited by Ranny Chitwood, both being developed from these same concepts of simplicity and practical instruction. It will therefore be an important resource for all involved in thoracic robotic surgery or interested in learning more about the techniques involved.

This book aims to deepen collaboration between gastroenterologists and surgeons by providing endoscopists and gastroenterologists with a clear understanding of the anatomic alterations likely to be observed after bariatric surgery and acquainting bariatric surgeons with the possibilities offered by endoscopic treatment of obesity itself and of the complications associated with bariatric surgery. The treatment approach in patients with obesity and morbid obesity is usually stepwise, starting with dietary measures, exercise, and behavioral therapy, followed by pharmaceutical therapies, endoscopic bariatric therapy, and, finally, bariatric surgery. Endoscopists and gastroenterologists are involved first because the gastrointestinal tract is affected by obesity-related co-morbidity and second because it provides access for a range of treatment modalities involving endoscopy. Bariatric surgeons may need the assistance of endoscopists and gastroenterologists in the preoperative work-up of patients, in the perioperative period, when acute complications may require an endoscopic intervention, or in the late follow-up period, when complications or insufficient weight loss may be present. This book will be of value for both groups of specialists, enabling them to optimize their cooperation to the benefit of patients.

The second edition of Front Line Surgery expands upon the success of the first edition, providing updated discussion of practical management of commonly encountered combat injuries. This edition reflects the cutting edge of combat casualty care, refined principles of surgical management of specific injury patterns, and incorporation of the spectrum of recent research advancements in trauma care. Each chapter continues to follow the same organization as the first edition. The “BLUF”, or bottom line up front, headlines each topic, providing the critical pearls for the reader, followed by a focused and straight forward discussion of management, pitfalls, and recommendations. In addition, select chapters conclude with a section discussing the application of this topic in civilian practice, as potentially encountered by the rural or humanitarian relief surgeon. Additional new topics include: REBOA and endovascular techniques for hemorrhage control, updates in transfusion and resuscitation practice, active shooter situations, rural trauma management in developed nations, advancements in prehospital care and the Tactical Combat Casualty Care (TC3) course, and discussion of the newest generations of topical hemostatic agents and tourniquets. These additions serve to both enhance the breadth and depth of the material relevant to military surgeons, but should also further expand the applicability and interest in this work to all civilian trauma surgeons.

As with the first edition, the second edition of this book covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or entero-atmospheric fistulae, and indications for and surgical techniques used to reconstruct the abdominal wall from the practical stand point. In addition, through a number of illustrations, the placement of mesh in the abdominal wall reconstruction as well as manipulations of patient's tissue including lateral compartment release techniques and other tissue transfer techniques are described in detail. The text also covers reconstruction of complex contaminated abdominal wall defects in patients with complex enteric fistulae, stomas, defects created after the excision of previously placed infected prosthetic mesh, and defects associated with acute tissue loss after severe trauma or necrosis of abdominal wall such as necrotizing soft tissue infections. Complex abdominal wall defects in the pediatric population and long-term outcomes and durability of these repairs are also addressed. The second edition of Surgery of Complex Abdominal Wall Defects is written by experts in their respective areas from around the world and has been updated thoroughly. As with the first edition, it will continue to serve as a guide for current practice for surgeons, including general, trauma, acute care, plastic and reconstructive surgeons.

This book provides the reader with up-to-date information on important advances in the understanding of breast cancer and innovative approaches to its management. Current and emerging perspectives on genetics, biology, and prevention are first discussed in depth, and individual sections are then devoted to pathology, imaging, oncological surgery, plastic and reconstructive surgery, medical oncology, and radiotherapy. In each case the focus is on the most recent progress and/or state of the art therapies and techniques. Further topics to receive detailed consideration include particular conditions requiring multidisciplinary approaches, the investigation of new drugs and immunological agents, lifestyle and psychological aspects, and biostatistics and informatics. The book will be an excellent reference for practitioners, interns and residents in medical oncology, oncologic surgery, radiotherapy, pathology, and human genetics, researchers, and advanced medical students.

This book is an unparalleled source of cutting-edge information on every aspect of rescue, trauma management, and fracture care in the polytrauma/multiple injured patient. Damage control surgery is approached logically and systematically by dividing treatment into phases. The common goal of treating life-threatening conditions first, then treating major pelvic and extremity fractures, requires cooperation among all major disciplines and subspecialties involved in the care of polytrauma patients, and the book is accordingly multidisciplinary in nature. It is edited by pioneers in the field and the authors are all acclaimed experts. This second, revised and updated edition of Damage Control Management in the Polytrauma Patient will be invaluable for all clinicians who must weigh life-saving operations against limb-threatening conditions, including emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists.

This text is a fully updated and revised third edition of a highly successful text. The format of this text is unique and has been very successful. A total of 286 short chapters organized into 24 Sections provide operative dictation templates for all of the common and the vast majority of the uncommon and even rare operations performed by general and vascular surgeons. Each chapter also provides a succinct synopsis of the operation through bullet-ed lists which include Indications, Essential Steps, Note these Variations, and Complications. The book thus serves two purposes: these operative dictation templates can be used verbatim when dictating the operative note for a procedure; and the book provides ready reference to the trainee going into the operating room to do the procedure for the first time, or to someone preparing for their Board examinations. Space for notes allows surgeons to personalize the book and turn it into a resource unique to their situation. Fully updated and expanded, Operative Dictations in General and Vascular Surgery, Third Edition includes significant additions that include flexible endoscopic procedures (now recognized as a core part of general surgery training and practice), single incision laparoscopic cholecystectomy, and robotic approaches to the rectum. The endovascular procedures have been significantly expanded, as have the approaches to venous disease and to A-V fistula creation. Operative Dictations in General and Vascular Surgery, Third Edition is intended for practicing surgeons, who may modify each template to reflect their own individual practice. It also serves as a concise reminder of essential steps in those operations that may be only rarely performed.

In this book, leading experts provide step-by-step, illustrated descriptions of their standard surgical techniques (open and laparoscopic) for diverse gastrointestinal indications and their preferred modifications when confronted by challenging circumstances associated with an increased risk of intra- or postoperative complications. The provision of several points of view for each surgical indication ensures that approaches from the conservative to the more radical are conveyed. It is clearly explained in which situations use of the described technical variations may be indicated, and practical tips are provided on the avoidance of complications. In addition, important medicolegal issues are discussed and guidance is offered on risk assessment and decision analysis within the surgical setting. The book will be an invaluable aid to decision making and practice for every gastrointestinal surgeon.

This textbook provides a comprehensive, state-of-the art review of the field of hernia surgery, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in both inguinal and ventral/incisional hernia. This book provides an overview of the current understanding of the biologic basis of hernia formation as well as laying the foundation for the importance of hernia research and evaluating outcomes in hernia repair. Diagnosis and management strategies for inguinal and ventral hernia are discussed in detail with separate techniques sections for the most widely used procedures in this field as well as emerging technologies such a robotic and single incision surgery. Pertinent associated topics to inguinal hernia surgery such as chronic groin and athletic pubalgia are covered in detail. For incisional hernias, associated topics such as hernia prevention and enhanced recovery protocols are discussed. For both inguinal and ventral/incisional hernias mesh choices and available mesh technologies are discussed in detail as this remains an often confusing matter for the general surgery. When appropriate, chapters to highlight controversies in care are featured such as the use of synthetic mesh in contaminated surgery and laparoscopic closure of defects in laparoscopic ventral hernia repair. Current recommendations and outcomes data are highlighted when available for each technique. Textbook of Surgery will serve as a very useful resource for physicians and researchers dealing with, and interested in, abdominal wall hernias. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.

This text provides the reader a starting point for the most difficult and uncommon complications in acute care surgery. It is designed to provide options to that ubiquitous intra-operative or bedside question “Well, now what do we do with this?” The topics have been chosen for the extreme difficulty of management and the surprising regularity that they present and the lack of large volume of accumulated evidence, where expert experience remains vital. The volume editors present a list of clinical scenario's, intra-operative findings, and ethical circumstances that few general surgeons in their career will see in their career. The authors represent the most prolific surgeons in practice today. They present how they wound manage these challenging acute care surgery problems based on their vast clinical experience. Here, these surgeons share their personal experience with the most difficult cases. The text is divided into 4 parts. The first part is “Global Patient Issues” when asingular surgical problem presents itself in a very complicated patient with an extensive list of unstable co-morbid diseases. The second part is “Specific Disease Issues”. This is a surgical text and as such each issue is an unexpected intra-operative finding and expert management. The third part is “Post-Operative Issues” and as any seasoned surgeon knows, is the most critical part of managing a complicated surgical case. The last section is “Challenging Ethical Scenarios.” The text is designed to provide the surgeon in training or the seasoned general surgeon unique clinical or operative options for the care of their patients.

This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process. These include patient's anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's own physiologic and mental status, training and experience, and many other factors such as creativity, leadership skills, and overall'biochemistry'of the environment. The text reviews theoretical as well as objective information that surgeons use to make intraoperative decisions in situations, often with very limited data; decisions that will decide between a patient's living or dying, such as in trauma surgery and other complex surgeries. How surgeons choose one technical approach over another in these situations is covered. This book fills a critical need for resource materials on these topics and includes both theoretical as well as practical presentations of many typical patients seen in operating rooms aroundthe world. Surgical Decision Making: Beyond the Evidence Based Surgery is written by academic and clinical practicing surgeons that face intraoperative decision situations on a daily basis and therefore provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical or research practice.

This well-illustrated book presents one hundred and eighty cases that have been consulted on by an international breast group (organized and run by Dr. Michael Higgs) that comprises experts in breast surgery and is dedicated to the solution of problems associated with aesthetic breast surgery. The focus of the book is accordingly on actual pre- and postsurgical problems in breast surgery. Each case study includes the history of the breast problem, photos, questions, recommendations for treatment, and discussions of relevant subjects from a variety of specialists. Outcomes of the selected treatments are also presented. The book is unique in covering the multitude of complications that can arise with breast surgery from the perspective of international experts. It will enable readers to identify appropriate methods of handling specific problems and to implement the recommendations in their practice.

This concise and practical handbook covers the basics of pathophysiology, diagnosis, interdisciplinary surgical management, prevention and rehabilitation of patients with deep sternal wound infections and sternal osteomyelitis. All relevant aspects and surgical procedures are explained in an easily understandable way. Additionally special approaches and preventive measures are highlighted with regard to the perioperative handling as well as the rehabilitation possibilities.Through concise texts with numerous illustrations, the book is ideal for the practice and as a supplement to further studies. This book is suitable for all specialists who are involved into the treatment and diagnosisof sternal wound infections, particularly cardio-thoracis, thoracic, plastic, vascularsurgeons, cardiologists, radiologists, and rehabilitation physicians.

This textbook provides a state-of-the-art reference in the rapidly changing field of hernia surgery. With contributions by key opinion leaders in the field, this book describes the latest trends and detailed technical modifications for both routine and complex hernias. The reader will gain unique insights into robotic and laparoscopic repairs, anterior and posterior component separations, reconstructions in the setting of contamination, enterocutaneous fistulas and loss of abdominal domain. Important contributions from key reconstructive plastic surgeons detail modern trends on how to deal with complex skin and soft tissue challenges. The textbook provides unparalleled step-by-step instructions to perform both routine and complex repairs by incredible illustrations, intra-operative color photographs and a unique video collection of procedures performed by today's top hernia surgeons. As a comprehensive and most up-to-date reference to modern treatment algorithms, trends in prosthetic science and technique selections, Hernia Surgery: Current Principles will be an invaluable resource to all residents and practicing general, plastic, and trauma surgeons to help them succeed in the field of Hernia surgery.

This book provides clear practical guidance on all aspects of the surgical treatment of penetrating trauma and aims to foster the type of strategic thinking that can save patients'lives. The coverage encompasses prehospital care, penetrating injuries to various body regions and specific organs, orthopedic injuries, peripheral arterial injuries, injuries to special groups of patients, including children and the elderly, military injuries, and a range of other topics. Based on their extensive personal experience, expert authors provide step-by-step instructions on evaluation, surgical techniques, and management of perioperative problems. Tips and tricks and technical pearls are highlighted and each chapter includes a list of the most important points to observe. This second edition of Penetrating Trauma has been extensively revised and updated – with inclusion of some entirely new chapters – to take into account the most recent trends in resuscitation, diagnostics, and treatment. Itwill be an ideal resource for those looking for practical solutions on how to treat injuries surgically.

This book provides a comprehensive, state-of-the art review of the interventional procedures that can be performed in intensive care settings. The book addresses fundamentals of the indications and technical aspects of procedures, and identifies pitfalls and resource needs. In addition, a section is dedicated to a discussion of the staff-preparation, hemodynamic, and anesthetic concerns necessary for all procedures. Chapters focus on the following specific concerns: airway, thoracic, ENT, vascular, abdominal, genitourinary, neurologic, and musculoskeletal. A brief review of the existing literature addressing these particular topics accompanies each section. Extensive illustrations and diagrams are also included to enhance the readers'experience.Authored by a multi-disciplinary team of experts in their fields, Interventional Critical Care: A Manual for Advanced Care Practitioners serves as a comprehensive resource for advanced care practitioners and physicians for performing and preparing for procedures in the ICU.

This manual provides a practical approach to operative trauma management. Written entirely by physicians who currently practice in shock trauma, the manual features a hands-on approach and practice to dealing with shock trauma that is regularly utilized by the faculty at the R Adams Cowley Shock Trauma Center. The volume includes numerous photographs that illustrate operative techniques in great detail. The book is also presented in a manual format so that it fits easily into a white coat pocket, making it a portable and readily accessible reference.The Shock Trauma Manual of Operative Techniques is a valuable resource for practicing surgeons in the community who cover the Emergency Department and thus, may be called upon to provide operative therapy for trauma, residents, particularly those in whom operative trauma is not a part of their training, and fellows who are training in surgical critical care and trauma.