Search

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

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

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

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

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

Nueva edición de la obra de referencia en cirugía dirigida a profesionales involucrados en procedimientos quirúrgicos en cualquiera de sus vertientes. Contiene información totalmente actualizada de gran ayuda para reforzar la toma de decisiones clínicas y contribuir a una mejor planificación del tratamiento quirúrgico más adecuado. Incorpora nuevos capítulos y un acceso a la web www.expertconsult.com en la cual se podrá consultar el texto completo on line y una colección de 30 vídeos. Entre las novedades temáticas se recogen los avances en cirugía de reconstrucción de la pared abdominal, inmunoterapia e inmunología de tumores, enfermedad vascular periférica, medicina regenerativa, trasplante de hígado, trasplante de riñón y páncreas, cirugía robótica y cirugía mínimamente invasiva y otras áreas destacadas dentro del ámbito de la cirugía. Nueva edición de la obra de referencia en cirugía dirigida a profesionales involucrados en procedimientos quirúrgicos en cualquiera de sus vertientes. Contiene información totalmente actualizada de gran ayuda para reforzar la toma de decisiones clínicas y contribuir a una mejor planificación del tratamiento quirúrgico más adecuado. Entre las novedades temáticas se recogen los avances en cirugía de reconstrucción de la pared abdominal, inmunoterapia e inmunología de tumores, enfermedad vascular periférica, medicina regenerativa, trasplante de hígado, trasplante de riñón y páncreas, cirugía robótica y cirugía mínimamente invasiva y otras áreas destacadas dentro del ámbito de la cirugía. Incorpora acceso a la web www.expertconsult.com en la cual se podrá consultar el texto completo online y una colección de 30 vídeos.

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

Infolge verbesserter diagnostischer und therapeutischer Möglichkeiten und der Zunahme der durchschnittlichen Lebenserwartung steigt die Zahl der Patienten mit terminaler Herzinsuffizienz weltweit dramatisch an. Die Herztransplantation als etablierte Therapie allein ist nicht in der Lage, dies zu kompensieren. Daher besteht die dringende Notwendigkeit, neue Behandlungsstrategien zu entwickeln. Mit den heute zur Verfügung stehenden Unterstützungssystemen stehen wir an der Grenze zwischen'bridge-to-transplant'und'chronical support'. Das vorliegende Buch bietet einen Überblick über die etablierten Systeme zur Behandlung der Herzinsuffizienz, aber auch eine erste Orientierungshilfe bei alternativen Verfahren, die sich noch in einem experimentellen Stadium befinden.

Chirurgia Sabistona to od ponad 60 lat jeden z najlepszych na świecie podręczników medycznych. Najnowsze, 18 wydanie tej książki w znakomity sposób kontynuuje tę tradycję, bazując na latach doświadczeń poprzednich edycji. Od pokoleń pozycja ta jest przewodnikiem dla lekarzy chirurgów, wytyczając kierunki działania na mapie współczesnej chirurgii. Podręcznik podzielony jest na 13 głównych rozdziałów i skupia się na kilku obszarach tematycznych: zasady leczenia chirurgicznego, specyfika zabiegów w chirurgii poszczególnych narządów oraz wybrane specjalizacje chirurgiczne. W książce pojawiły się również zupełnie nowe zagadnienia, takie jak rola lekarza w zapewnieniu bezpieczeństwa terapii pacjentów na oddziale chirurgicznym czy chirurgia rekonstrukcyjna. Autorzy poszczególnych rozdziałów w bardzo przystępny i zrozumiały sposób przedstawiają najnowsze doniesienia z dziedziny współczesnej chirurgii. Liczne kolorowe zdjęcia i ryciny są doskonałym uzupełnieniem całości. Podręcznik dedykowany jest studentom, rezydentom oraz specjalistom z zakresu chirurgii. We współczesnym świecie nowoczesnej medycyny chirurgia wciąż pozostaje dyscypliną nauki, w której wiedza i umiejętności łączą się w walce o dobro pacjentów.

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

Otimize resultados beneficiando-se de um inigualável legado do conhecimento cirúrgico!Sabiston - Tratado de Cirurgia há 70 anos é considerado o mais completo, útil, claro e compreensível texto do mundo sobre os princípios e as técnicas da cirurgia.Como um título do Expert Consult, essa totalmente atualizada 18ª edição vem com acesso aos conteúdos completos on line, totalmente disponíveis... lhe possibilitando consultá-lo rapidamente de qualquer computador que esteja conectado à Internet!