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Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases is a practical handbook that focuses on the diagnosis and management of the most commonly encountered digestive diseases.Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases is portable enough to keep in a lab coat or briefcase, yet informative enough for day-to-day patient care. Written and edited by Dr. Esrailian and over 50 contributing experts, the language throughout is clear and concise enough for application at the office, or at the bedside. Gut Instincts combines knowledge, experience, and evidence, helping providers of all levels to deliver the highest quality patient care. However, the chapters are concise and designed to be used as quick reference even during patient visits.Unique Benefits and Features Include: A “Gut Instincts” sidebar in each chapter with important clinical pearls for patient care Addresses the most frequently encountered clinical problems in digestive diseases Focuses primarily on diagnosis and management More than 50 algorithms, tables, and figures throughout the book Uses a coherent format while distributing high-yield information Some Chapter Topics Include: Barrett's esophagus Pancreatic diseases Colon polyps Non alcoholic fatty liver disease Complications of portal hypertension Gut Instincts combines knowledge, experience, and evidence and is the ideal resource for practicing gastroenterologists and fellows, residents and medical students, nurse practitioners and physician assistants, and all primary care providers and trainees on the “front line” of patient care.

O presente Tratado de Coloproctologia, Segunda Edição, reúne a grande experiência de mais de 300 membros da Sociedade Brasileira de Coloproctologia (SBCP) e de alguns colaborado_x0002_res internacionais de renome, atualizando os temas mais importantes desta especialidade. Honrando o passado de uma obra ganhadora do Prêmio Jabuti no Brasil, esta nova edição será importante fonte de estudo e atualização, indispensável tanto para jovens quanto para experientes especialistas em coloproctologia, cirurgia geral e aparelho digestivo.

Over the last two decades, there have been major advances in imaging, endoscopy, and laparoscopy in the field of Gastrointestinal (GI) surgery. GI surgery is the newest sub-specialty branch of general surgery, where enhanced expertise and high-volume centres have made a difference in the outcomes of complex operations. Surgeons can now do difficult procedures with low morbidity and mortality rates, and greatly improved overall results. This volume provides detailed and up-to-date information on diseases of the appendix, colon, and rectum. It covers the anatomy, surgical and non-surgical approaches to different conditions, dedicated chapters on rectal and colon cancer, plus current and future surgical techniques. Written and edited by experts in the field, this book will be a valuable resource for specialist surgeons and trainees, general surgeons, researchers, and medical students.

Microbial biofilms: Role in Human Infectious Diseases focuses on new and emerging concepts in microbial biofilm research, such as the mechanisms of biofilm formation, biofilm-induced pathogenesis, biofilm detection/and diagnosis, gene exchange within biofilms, strategies to control microbial biofilms and the burden of biofilm associated infections. In addition, it highlights the various anti-biofilm strategies such as surface coating, signal quenching, novel compounds that can be translated to curb biofilm-associated infections and the escalation of antimicrobial resistance determinants. Microbial biofilms can be a serious problem in medical settings as they are associated with significant mortality and morbidity. Infection related to biofilms increases recovery time and the cost of disease management. Biofilms are resistant to known antibiotics and human defense mechanism. In addition, due to close proximity of microbes within biofilms, increase genetic transformation has been detected results in increases frequency of antibiotic gene spread. With the advancement in science and technology, novel strategies have been proposed to combat the impact of biofilms on human health. - Fulfills the knowledge gap in biofilm study - Focuses on new and emerging concepts in microbial biofilm research - Highlights the various anti-biofilm strategies - Provides concise, thorough and up-to-date information about the important role of microbial biofilms in human diseases

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.

A Endoscopia Digestiva avança a largos passos, acompanhando não somente o desenvolvimento de equipamentos e acessórios, mas também o melhor entendimento das principais afecções que acometem o aparelho digestório. Em consonância com seus princípios, a Sociedade Brasileira de Endoscopia Digestiva (SOBED) lança este novo livro, que traz, de forma atualizada e bem ilustrada, temas fundamentais da área, de grande interesse a todos aqueles que atuam na especialidade.

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.

Covering both the theoretical and practical aspects of critical care,Irwin & Rippe's Intensive Care Medicine, Ninth Edition, provides state-of-the-art, evidence-based knowledge for specialty physicians and non-physicians practicing in the adult intensive care environment. Drs. Craig M. Lilly, Walter A. Boyle, and Richard S. Irwin, along with a team of expert contributing authors and education expert, William F. Kelly, offer authoritative, comprehensive guidance from an interprofessional, collaborative, educational, and scholarly perspective, encompassing all adult critical care specialties.

This book presents a comprehensive overview of all available surgical techniques for complex perineal reconstruction. Divided into 17 chapters and employing a multi-disciplinary approach, it provides valuable insights into the re- sectional aspects of this field, considerations in multiple organ removal (bladder, anus/colon, stomach), and the inclusion of radiology in preoperative planning for complex reconstructions, as well as anaesthetic aspects in perioperative patient care. Written by leading experts in the field, the respective chapters offer step-by-step descriptions of all available reconstructive options and detailed information on perineal and pelvic defects, together with valuable insights into surgical execution, indications, and common complications and pitfalls encountered when dealing with this challenging defect. Given its breadth of coverage, the book provides a practical and comprehensive guide for Consultant Plastic and Reconstructive Surgeons, and for surgeons of allied specialties involved in re-sectional aspects of perineal and pelvic surgery.

This book describes a novel health interprofessional education and collaborative practice (IPECP) program established at King Saud University (KSU), Riyadh, Kingdom of Saudi Arabia. The book has three main sections. The first section introduces interprofessional education's background, theory, and context for collaborative practice. This section elaborates on defining and developing centers of excellence in IPECP, defining and exploring the meaning of interprofessional collaborative practice in contemporary health care, theories of the team working relevant to health and social care systems, and learning in and about interprofessional groups and broader collaboration. The second section explains how to formulate and implement strategies for effective IPECP. It involves developing and implementing a novel health IPECP curriculum, governance, IPECP's impact and implications on health care outcomes, IPE accreditation standards, regulatory policies, and legal structures. The third section describes the result of a case study of an IPECP program established at KSU. This program is developed by the vice-rectorship for health specialties at KSU (VRHS-KSU) in collaboration with partners harvard medical international (PHMI) to enhance health professional education further through interprofessional education and collaboration. For that purpose, a strategic plan is developed to develop learning, teaching, and assessment in all health sciences colleges (HSCs), along with a governance structure to establish a joint'center of excellence in interprofessional education and collaborative practice (CoE-IPECP)'. The strategic plan and design of the program summarized in this book were accomplished through several meetings, workshops, and courses conducted at KSU in Riyadh, and harvard macy institute (HMI) in Boston, USA. The toolkit for successful program implementation includes a pro forma business plan, implementation groups'training, matching needs with feasibility, and expected impact on HSCs. Initiation of pilot projects started with implementing some interprofessional courses, establishing an initial physical and IT infrastructure of the center, developing the webpage, newsletter, and listservs, and improving faculty development programs to enhance IPECP at HSCs. Also, this book is a helpful road map for other national and international universities and institutes aiming to develop their professional health education, particularly interprofessional education and collaborative practice.

This book serves as a hands-on reference for practitioners specializing in oncology, general physicians, medical students and residents engaged at the point of care or'battleground.'The book contains 64 chapters divided into 14 sections, each focusing on individual diseases that are frequently or occasionally encountered in the geographic locations observed (Central and South America, along with the Caribbean). The role of multidisciplinary care is concisely yet thoroughly discussed, including the role of diagnostic physicians (such as pathologists and radiologists), as well as treating physicians including medical, surgical, and radiation oncologists. Attention guidelines for specific cancer entities are likewise developed, including the assessment of oncology care priorities in the context of specific diseases when resources may be scarce. Among many important changes, this third edition includes a brand-new section (Section XIV) proposing training procedures targeted to various roles involved in patient care. There are dedicated chapters for main physician specialties involved in cancer treatment (oncologist, radiologist, surgeon, etc.), presenting an integral starting point to steer and support newly-minted professionals and seasoned physicians alike. This new edition also includes major updates in other areas, and some passages have been revised and reorganized for better comprehension.

This text aims to provide a comprehensive review of general emergency surgery, the branch of medicine that treats patients presenting to the hospital with a wide variety of emergency conditions. It includes a section focusing on clinical aspects, management, logistics, patient cohorts and perioperative considerations in the context of general emergency surgery and trauma. Other sections describe various conditions and diseases in specific anatomical structures to enable readers to easily find the information they need. Written and edited by international experts and opinion leaders in the field, this book is a valuable reference resource for general and emergency surgeons, trauma surgeons, emergency physicians and nurses. It will also be of interest to residents, students and all other healthcare professionals involved in the management of emergency surgical patients.

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.

Filled with clinical information and practical advice, this second edition of the Oxford Handbook of Perioperative Practice has been substantially updated to reflect changes in the field. Taking a logical sequence to follow the journey of the patient from anaesthesia to surgery, then on to the post-anaesthetic recovery area, it provides guidance on all aspect of patient care and support. Specialty surgery, such as bariatric surgery, has been included in a new chapter to cover developments in the field and the increase in NHS provision of these services since the first edition was published. This has been reflected in covering the pre-surgical requirements to newer types of surgery, including psychological interventions and implications for practitioners who need to cover anaesthetics, surgery, and post-anaesthetic care separately. With easy to access information about essential information and various medical conditions, this volume has been written by expert teaching staff and clinicians who work within the speciality. Unique and indispensable, this book gives a wealth of practical information at your fingertips.

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.

This book collects valuable studies in the field of pelvic medicine, reflecting the latest technologies and innovations for maintaining pelvic floor health and managing incontinence and pelvic floor disorders in both men and women. It provides an authoritative and multidisciplinary perspective from Mediterranean experts in the field, mainly focusing on obstetrics and gynecology, urogynecology, urology, female urology, colorectal surgery, and physiotherapy. Collecting innovative ideas and studies based on recent developments, with detailed background information, the book will shed new light on the subject and serve as a valuable reference guide for graduate students, researchers, and practicing professionals interested in continence and pelvic floor management.

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 hands-on reference for practitioners specializing in oncology, general physicians, medical students and residents engaged at the point of care or'battleground.'This new edition has been prepared specifically to include important observations and propose attention protocols for cancer patients within the context of the COVID-19 pandemic, as well as general updates to the previously released chapters. The book contains 58 chapters divided into 13 sections, each focusing on individual diseases that are frequently or occasionally encountered in the geographic locations observed (Central and South America, along with the Caribbean). The role of multidisciplinary care is concisely yet thoroughly discussed, including the role of diagnostic physicians (such as pathologists and radiologists), as well as treating physicians including medical, surgical, and radiation oncologists. Attention guidelines for specific cancer entities are likewise developed, including the assessment of oncology care priorities in the context of specific diseases when resources may be scarce.

This book serves as a hands-on reference for practitioners specializing in oncology, general physicians, medical students and residents engaged at the point of care or'battleground.'The book also bridges the critical gap in clinical knowledge over key elements of multidisciplinary cancer care, focusing on malignant diseases of prevalence in Central and South America as well as the Caribbean, a vast and diverse catchment area in which cancer is emerging as a major health challenge on an individual and population-wide basis. The book contains 55 chapters divided into 13 sections, each focusing on individual diseases that are frequently or occasionally encountered in the geographic locations observed. The role of multidisciplinary care is concisely yet thoroughly discussed, including the role of diagnostic physicians (such as pathologists and radiologists), as well as treating physicians including medical, surgical, and radiation oncologists. Attention guidelines for specific cancer entities are likewise developed, including the assessment of oncology care priorities in the context of specific diseases when resources may be scarce.

Offering comprehensive coverage of all diseases and conditions affecting the colon, rectum, and anus, Steele's Colon and Rectal Surgery provides authoritative guidance on the full range of today's operative procedures. Edited by Dr. Scott R. Steele, Chairman of the Department of Colorectal Surgery at the Cleveland Clinic, and section editors Drs. Justin A. Maykel, Amy L. Lightner, and Joshua I.S. Bleier, this new reference contains 81 concise, tightly focused chapters that take you step by step through each procedure, guided by the knowledge and expertise of key leaders in the field from across the world.

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.

Issues in Kidney Disease–Transplantation is a collection of seventeen independent chapters written by renowned authors, covering a wide range of topics, from the overview of transplantation, the complex process of paired organ donation, transplantation in highly sensitized recipients, recurrent disease following transplantation, controversies in multi-organ transplantation, the successes in short and long-term outcomes after kidney transplantation, and the complex issues of ethics in transplantation. This book will appeal to renal fellows, nephrologists, and other physicians involved with kidney transplantation, transplant coordinators, social workers, and other allied health professionals. It brings timely and updated reviews, addresses important controversies in kidney transplantation, and outlines opportunities for future research.

O uso adequado da fotobiomodulação nas complicações da região pélvica. Das mesmas autoras do livro Eletrotermofototerapia em Oncologia, Fotobiomodulação com Laser e LED em Uroginecologia e Proctologia é o primeiro livro publicado sobre o tema e tem como objetivo apresentar o uso adequado da fotobiomodulação nas complicações da região pélvica. Apresenta os princípios da fotobiomodulação, sua interação da luz com o tecido biológico e as alterações histológicas pós-radioterapia. São discutidos as melhores formas de avaliação para que os parâmetros adequados da fotobiomodulação sejam escolhidos em complicações como edema e linfedema genital e de membros inferiores, algias uroginecológicas, anorretais e pós-operatórias, estenose vaginal, radiodermite, fibrose radioinduzida, mucosite vaginal e anal, episiotomia e lacerações perineais, disfunções sexuais e cicatriciais, síndrome genitourinária e desordens musculoesqueléticas do complexo lombo-pélvico-quadril. Ricamente ilustrado e com vários protocolos de tratamento, este livro é um guia para o profissional utilizar a fotobiomodulação de forma segura e com resultados positivos na área de Saúde da Mulher, Saúde Pélvica, Saúde do Homem e Proctologia.

Prostate Cancer Metabolism: From Biochemistry to Therapeutics shows the peculiarities of prostate cancer metabolism, emphasizing the targetable aspects – that have not been considered in conventional treatment protocols. The book specifically addresses treatment of the castration-resistant stage of prostate cancer proposing many repurposed drugs and nutraceuticals to complement, not replace, standard therapies. The large body of evidence supporting these concepts makes them deserving of further research and well-designed clinical trials. It discusses lipid, cholesterol, glutamine, and glucose metabolisms and their impact on prostate cancer. Additionally, it explains how current established drugs can be repurposed to improve treatment outcomes. The concepts set out in the book, that deal with cancer at the cellular/molecular level, help identify new avenues of research and treatments to pursue that do not affect well-being whilst offer consistent benefits. Since most practicing physicians have not studied basic biochemistry since medical school, each chapter begins with a brief review of the topic to facilitate an understanding of the metabolically-oriented approach to targeting prostate cancer. Conventional treatments are not discussed here since they are covered in textbooks and specialized updates that abound in the medical literature. It is a valuable resource for cancer researchers, oncologists, clinicians and members of biomedical field who want to learn more about prostate cancer metabolism and how to apply recent findings in the field to bedside. - Explains the basic aspects of prostate cancer metabolism, including its biochemistry which has a pivotal role in clinical practice - Discusses new drugs and nutraceuticals with a metabolism-centered approach - Offers practical bedside approach in combination with molecular and biochemical fundamentals to help readers identify and provide the best treatment to their patients

With the increasing use of immune checkpoint inhibitors (ICI) across various cancers, the trends for indication at earlier stages, and the use of combination immunotherapy, the frequency of ICI-induced immune-related adverse events (irAE) is expected to grow substantially. Management of these irAE is challenging as it requires not only consideration of the toxicity but also risk-benefit ratios with respect to the primary cancer. Several rheumatic irAE have been reported with ICI therapy including arthritis, myositis, polymyalgia-like syndromes, sicca/Sjogren-like manifestations, and several other less common systemic autoimmune features commonly associated with connective tissue disease. This handbook provides clinicians with a comprehensive overview of the management of rheumatic irAE that develop from cancer immunotherapy. It focuses on the irAE seen with ICI, the most frequently used agents in treating cancer. It provides an overview of cancer immunology,immunotoxicity, and immunotherapies such as ICI, cytokine-based therapy, and CART. It examines the epidemiology, clinical manifestations, diagnosis, differential diagnosis, and treatment of a variety of rheumatic immune-related adverse events arising from these therapies. Chapters also cover cancer immunotherapy in patients with preexisting rheumatic diseases such as inflammatory arthritis and other connective tissue disorders. The book helps clinicians to distinguish the current types of cancer immunotherapy and general toxicity patterns, recognize and diagnose rheumatic clinical syndromes, understand the pathogenesis of irAE, and consider risk–benefit ratios when managing patients with rheumatic irAE.Rheumatic Diseases and Syndromes Induced by Cancer Immunotherapy is an essential resource for physicians and related professionals, residents, fellows, graduate students and nurses alike in rheumatology, clinical immunology, oncology, and internal medicine.

This thoroughly revised and extended second edition of the book clearly explains the nature of colon polyps and their relationship to colorectal cancer in light of new developments. It discusses in detail new topics, including polyp development, risk factors and prevention measures, and also describes surgical, medical oncology and radiotherapy treatments of colon cancer. In cases of advanced colon cancer, it clearly demonstrates how to perform surgical interventions in the presence of urinary tract metastases and gynecologic organ metastases. The book also includes chapters on medical treatment and radiotherapy in distant metastases of colorectal cancer. Further, it presents resection of liver metastases and transplantation options. Carefully examining the risk factors, and the treatment of colon cancer from the early to the advanced stages, the book is invaluable not only for medical specialists and students, but also for general readers and patients.

The Art of Laparoscopic Surgery: Textbook and Atlas by C Palanivelu is the second edition of the book that discusses updated information pertaining to various minimal access surgeries. This edition of the book is divided into four distinct volumes as basic laparoscopic surgery, esophagogastric surgery, colorectal surgery and hepato-pancreato-biliary surgery. Each chapter in the book includes detailed operative description and images in the form of atlas. The book illustrates advanced laparoscopic techniques and step-by-step information of operative procedures. The book will assist in understanding current concepts of laparoscopic surgery and the technical details.

Over past several decades, an increasing number of cases of diverticulitis of colon have been reported making it a major health problem particularly in western countries. The distribution of the disease varies geographically with western population having prevalence rates of 5-45% and Asian population having prevalence rates of 13-25%. Although elderly people are more likely to develop diverticulitis, younger patients may also develop diverticular disease. In fact, it has been reported that disease in younger patients is more aggressive with higher rates of complication and recurrence. According to latest statistical reports acute diverticulitis accounts to nearly 200000 hospital admissions putting a burden of 2.7 billion dollars on healthcare system in America. Diverticular disease can cause significant symptoms, impair quality of life and can prove fatal if left untreated and is considered as the fifth most costly gastrointestinal disorder in the Western world. The book entitled, Diverticulitis; Diagnosis and Treatment, presents an up to date review of the medical and surgical management of diverticulitis. The book comprises of various topics discussing the background, epidemiology, etiology, pathogenesis, presentation, treatment both medical and surgical, and recent advances in the management of diverticulitis. The book will be academic interest for surgeons, physicians, gastroenterologists and Coloproctologists. The book can be used as a reference book by teachers, professionals and students. The main benefit of reading this book is that since this disease entity is common all over the world and its incidence is increasing and is a significant contributor of health care costs, all the relevant and latest information regarding this disease has been published in a comprehensive form which will be helpful to the students, academicians, researchers and professionals dealing with medical healthcare.

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.

This second edition is an all-inclusive textbook with a unique algorithm-based approach to the evaluation and management of colorectal surgery disease. It examines the thought processes, technical tricks, and decision-making strategies for specific clinical situations.The book aims to utilise the experience its contributors have gained caring for patients with a wide range of colorectal diseases. The technical challenges of managing complex patients and the technical details that make these situations challenging are covered, and evidence and experience-based solutions are offered for surgeons of all levels. This book focuses on providing pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through an algorithmic approach.

Digital health and medical informatics have grown in importance in recent years, and have now become central to the provision of effective healthcare around the world. This book presents the proceedings of the 30th Medical Informatics Europe conference (MIE). This edition of the conference, hosted by the European Federation for Medical Informatics (EFMI) since the 1970s, was due to be held in Geneva, Switzerland in April 2020, but as a result of measures to prevent the spread of the Covid19 pandemic, the conference itself had to be cancelled. Nevertheless, because this collection of papers offers a wealth of knowledge and experience across the full spectrum of digital health and medicine, it was decided to publish the submissions accepted in the review process and confirmed by the Scientific Program Committee for publication, and these are published here as planned. The 232 papers are themed under 6 section headings: biomedical data, tools and methods; supporting care delivery; health and prevention; precision medicine and public health; human factors and citizen centered digital health; and ethics, legal and societal aspects. A 7th section deals with the Swiss personalized health network, and section 8 includes the 125 posters accepted for the conference. Offering an overview of current trends and developments in digital health and medical informatics, the book provides a valuable information resource for researchers and health practitioners alike.

This is the first comprehensive book exclusively dedicated to anorectal physiology and the importance of diagnostic tools in guiding the evaluation and treatment of anorectal dysfunction. Functional disorders, and specifically fecal incontinence and evacuatory disorders, are prevalent in the general population, affecting up to 20% of individuals. As many of these conditions have extremely complex mechanisms, a thorough understanding of anorectal physiology is a crucial element in the surgeon's “arsenal'to ensure accurate evaluation and to inform treatment.At this time, there is no other title that specifically addresses all aspects of anorectal physiology, as well as anorectal and pelvic floor disorders, including fecal incontinence and defecation disorders. Specifically, the book provides detailed descriptions of diagnostic methods and treatment algorithms for a range of anorectal conditions, including modern treatment modalities such as sacral neuromodulation.A unique and comprehensive reference covering all aspects of the evaluation and treatment of anorectal disorders, Anorectal Physiology – A Clinical and Surgical Perspective will be of significant interest to proctologists and coloproctologists, gastroenterologists, colorectal surgeons, gynecologists and all other professionals interested in anorectal physiology.

This exciting, user-friendly text covers everything sports medicine and emergency clinicians need to know when encountering sports-related injuries and trauma, whether on the field or in the office. Divided into eight thematic sections, all aspects of musculoskeletal and other trauma care are described in detail, with each chapter including key points for quick reference. The opening section presents general approaches to sports-related trauma, from initial evaluation and acute management to stabilization, anesthesia and imaging. The different types of fractures and dislocations, as well as musculoskeletal healing complications, are covered in part two. The next three sections then take in-depth looks at bone and joint trauma in the upper extremity, lower extremity and axial skeleton, respectively. Soft tissue and other sports-related trauma comprise parts six and seven - from tendons, ligaments, nerves and more to chest, head and facial injuries. The final andlargest section presents sports-specific injuries, covering more than 30 individual and team activities from baseball, basketball and hockey to swimming, sailing and triathalon. Throughout, copious figures, photographs and tables enhance and advance the content for a complete, well-rounded examination of the field. Comprehensive but not complex, Sports-related Fractures, Dislocations and Trauma is a practical, high-yield manual for sports medicine and emergency care specialists, primary care physicians and any other professionals caring for athletes both on the field and in the office.

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 extensively revised third edition provides a practically applicable guide to the pathophysiology, assessment and management of vascular disorders encountered in vascular surgical practice. It features detailed information on the latest developments in the pathophysiology of conditions including atherosclerosis, multi-organ failure, limb compartment syndromes and Raynaud's phenomenon in a clear easy to digest format. Disorders such as reperfusion injuries, vasculitides, and aortic dissection are covered. Furthermore, key topics in vascular and endovascular practice such as radiation biology and radiation safety are also detailed. Each chapter contains a set of learning objectives and key references, enabling the reader to quickly identify key points.Mechanisms of Vascular Disease: A Textbook for Vascular Specialists comprehensively covers a variety of common and unusual pathophysiologies encountered in vascular surgery, and is an ideal resource for both the trainee, and practicing clinical vascular surgeon seeking an up-to-date resource on the topic.

The book focuses on novel interpenetrating polymer network (IPN)/semi-IPN technologies for drug delivery and biomedical applications. The dynamism of the design and development of interpenetrating network polymers is based on their ability to provide free volume for the easy encapsulation of drugs in the three-dimensional network structure obtained by cross-linking two or more polymer networks. Natural polymer-based IPNs can deliver drugs at a controlled rate over an extended period of time, while novel IPNs ensure better mechanical strength and sustained/ controlled drug-delivery properties. This book presents an overview of the use of this technology to fabricate nanomedicine, hydrogels, nanoparticles, and microparticles, thereby unlocking IPN's potential in the area of drug delivery and biomedical engineering. It also discusses applications of IPN systems in cancer therapy and tissue engineering, and describes the various IPN systems and their wide usage and applications indrug delivery.

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.

Up-to-date and evidence-based, Updates on Treatment and Management of Endocrinopathies [correct title?] provides an overview of recent developments regarding the most prevalent endocrine disorders. A concise, easy-to-read reference for endocrinologists and endocrine surgeons, this timely reference includes an overview of each disorder as well as diagnosis, management, treatment, prognosis, and a summary by a renowned expert who has contributed to the most current literature. - Addresses endocrine diseases of the thyroid, parathyroid, and adrenal glands as well as familial endocrine syndromes: multiple endocrine neoplasia type 1 and 2 (MEN). - Includes both surgical and nonsurgical treatments. - Consolidates today's available information on this timely topic into one convenient resource.

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.

This book is a comprehensive and current guide to the diagnosis and treatment of the entire spectrum of anorectal diseases. It focuses mainly on anorectal problems, as anorectal pathology is often more complex and challenging for surgeons than colonic diseases.The book covers anorectal anatomy, physiology, and embryology as a foundation to a detailed description of preoperative, intraoperative, and post-operative patient management. All surgical procedures are shown in step-by-step detail by leading surgeons and gastroenterologists. This book will be relevant to general, colon, and rectal surgeons in training and practice, gastroenterologists, and other practitioners with an interest in anorectal diseases.

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.

In diesem Buch stellen führende Internisten und Chirurgen die Therapie chronisch entzündlichen Darmerkrankungen wie Morbus Crohn und Colitis ulcerosa umfassend und handlungsorientiert dar. Sie beschreiben die jeweils spezifischen Aspekte der Behandlung, aber insbesondere auch die Schnittstellen der interdisziplinären Zusammenarbeit, die eine enge Abstimmung zwischen Internisten und Chirurgen erfordert. Die primäre, medikamentöse Therapie wird dem operativen, möglichst darmerhaltenden Vorgehen gegenüber gestellt. Diagnostik, Sondersituationen (z.B. Pouchitis), extraintestinalen Manifestationen und therapieassoziierten Komplikationen sind eigene Kapitel gewidmet. Abgerundet wird das Buch durch Pathogenese und Epidemiologie, Besonderheiten der CED in unterschiedlichen Lebensabschnitten sowie Begleittherapien.

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 book describes the various procedures, including surgery through the abdominal wall, through a transanal access or by the union of both, using an open, laparoscopic, or robotic approach. Worldwide pioneers for each technique are invited as authors and portray in step-by-step detail about each procedure. Of the 32 chapters, 23 are dedicated only for the surgical procedures. Each chapter is enriched by numerous figures, which complement the text, permitting the understanding of each surgical technique from its beginning until the last step. Eight additional chapters are dedicated to the clinical and anatomical aspects of rectal cancer.In the last decade there has been an impressive evolution in the treatment of patients with rectal cancer, with a focus not only on the preservation of a cancer-free life, but the quality of that life. This book has been written to be useful for everyone involved in rectal cancer management. From internists, gastroenterologists, endoscopists,oncologists, radiotherapists and radiologists involved in the treatment of rectal cancer during their daily practice, to surgeons specialized in colorectal surgery, to junior faculty to trainees, all interested in new and innovative techniques.

With a focus on evidence-based, state-of-the-art information throughout, the eighth edition of Irwin and Rippe's Intensive Care Medicine offers authoritative guidance to the wide variety of specialty physicians and non-physicians practicing in the adult intensive care environment. This comprehensive textbook covers both the theoretical and practical aspects of the field, and has been completely updated to provide encyclopedic, interprofessional coverage to support practitioners in every area of this complex field.

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.

Mechanical Circulatory and Respiratory Support is a comprehensive overview of the past, present and future development of mechanical circulatory and respiratory support devices. Content from over 60 internationally-renowned experts focusses on the entire life-cycle of mechanical circulatory and respiratory support – from the descent into heart and lung failure, alternative medical management, device options, device design, implantation techniques, complications and medical management of the supported patient, patient-device interactions, cost effectiveness, route to market and a view to the future. This book is written as a useful resource for biomedical engineers and clinicians who are designing new mechanical circulatory or respiratory support devices, while also providing a comprehensive guide of the entire field for those who are already familiar with some areas and want to learn more. Reviews of the most cutting-edge research are provided throughout each chapter, along with guides on how to design new devices and which areas require specific focus for future research and development. - Covers a variety of disciplines, from anatomy of organs and evolution of cardiovascular devices, to their clinical applications and the manufacturing and marketing of devices - Provides engineering and clinical perspectives to assist readers in the design of a market appropriate device - Discusses history, design, usage, and development of mechanical circulatory and respiratory support systems

Auch in der 3. Auflage des Buches ist das gesamte Spektrum der proktologischen Erkrankungen, ihrer Diagnostik und Therapie beschrieben. Der Schwerpunkt liegt auf den Möglichkeiten der chirurgischen Therapie, der gezielten Indikationsstellung und der Durchführung der Verfahren. Wie in den Vorauflagen sind die Beschreibungen durch zahlreiche vierfarbige Zeichnungen illustriert, die durch klinische und radiologische Bilder ergänzt werden. Die Neuauflage wurde durchgängig aktualisiert, neue Autoren sind hinzugekommen, viele Kapitel sind komplett neu geschrieben; diagnostische und Operationsverfahren, die in den letzten Jahren neu eingeführt wurden, werden dargestellt und in ihren Anwendungsmöglichkeiten bewertet. Zusätzlich zeigen zwei Videos die Durchführung der TEM bei Rektumtumoren. So ist wieder eine umfassende und detaillierte Gesamtdarstellung der modernen chirurgischen Proktologie entstanden.