Die primare Varikose gilt in den westlichen Industriestaaten als eine Volkskrankheit; nur 20-50% der Bevoelkerung sind venengesund. In Deutschland sind die Ausgaben fur Venenleiden in der letzten Dekade auf fast das Doppelte gestiegen. Die Einfuhrung der bildgebenden Verfahren hat die diagnostischen und damit auch therapeutischen Moeglichkeiten grundlegend erweitert. Die Erfolgschancen besonders bei der chirurgischen Therapie lassen sich heute individuell beurteilen. Mit dem theoretischen Konzept der Rezirkulationskreise wurde dafur eine allgemeingultige Basis gefunden. Durch die Einordnung eines bestimmten Krankheitsbildes in den zugehoerigen Rezirkulationskreis sind die Minima und Maxima der operativen Strategie vorgegeben. Die reiche Bebilderung des Texts veranschaulicht das Konzept.

Pathophysiologische Zusammenhange bilden die Grundlage fur das Verstandnis einer Krankheit. Dieses Buch beschreibt erstmalig umfassend die pathophysiologischen Zusammenhange der wichtigsten Erkrankungen des Herz-Kreislauf-Systems. Es werden sowohl die ubergreifenden pathophysiologischen Prinzipien als auch einzelne klinische Krankheitsbilder des Herzens sowie des Koerper- und Lungenkreislaufs von klinischen Kardiologen systematisch abgehandelt. Damit ist gleichzeitig der direkte Bezug zur Praxis und Klinik sichergestellt. Das umfangreiche Abbildungsmaterial, die klare Gliederung und der flussige, pragnante Text ermoeglichen die einpragsame Vermittlung auch schwieriger Zusammenhange. Das Buch ist ein unentbehrliches Nachschlagewerk und gehoert in die Handbibliothek jedes Kardiologen und Herzchirurgen.

Featuring a combination of easily digestible sections, clinical images, and a text layout that assists rapid fact acquisition, this book highlights the core topics in congenital cardiac surgery. The text covers all the commonly encountered anomalies, with simple explanations of the underlying anatomy and management options. Readers are provided with strong support from the outset; including guidance on diagnosis, operative technique, and post-operative management. Aimed at trainees preparing for professional examination and newly appointed consultants, this invaluable handbook is a go-to resource for the busy practitioner. It will also be an ideal reference for cardiologists, intensivists, perfusionists, and cardiac nurses, requiring a concise and accessible summary of the surgical aspects of diagnosis and treatment. The book includes sections on transplantation, ECMO, hybrid procedures and adult congenital heart disease.

Questo libro si propone di impartire i consigli utili sul modo migliore per accompagnare il paziente traumatizzato grave in sala operatoria, organizzare il lavoro tuo e dell'equipe, sudare sette camicie per risolvere una situazione difficile, ma alla fine chiudere l'intervento con il miglior risultato possibile. In poche parole, una guida pratica sulla chirurgia del trauma destinata non solo agli specializzandi e ai tirocinanti, ma anche ai chirurghi generali interessati al trattamento dei pazienti traumatizzati e ai chirurghi che operano in condizioni difficili - ad esempio presso gli ospedali militari, i distretti rurali o nell'ambito di missioni umanitarie. Sull'atlante chirurgico impari a utilizzare le mani, ma certo non a ragionare, prevenire le mosse e improvvisare, mentre grazie ai nostri consigli pratici apprenderai che quando operi un paziente traumatizzato con emorragia massiva devi usare la testa, oltre che le mani. La prima parte illustra alcuni dei principi generali della chirurgia del trauma, soffermandosi non tanto su come si dovrebbe suturare, quanto piuttosto sulla necessita di sviluppare la capacita di pensare e programmare quando si sta davanti al tavolo operatorio. Purtroppo soltanto di rado, per non dire mai, queste capacita si apprendono frequentando le scuole di specializzazione. La seconda parte e dedicata alla chirurgia del trauma vista come uno sport da contatto: insegna come si trattano specifiche lesioni a carico dell'addome, del torace, del collo e dei vasi periferici, mettendo in particolare evidenza come le cose potrebbero non andare per il verso giusto, un aspetto quasi sempre tralasciato dai testi tradizionali. L'esperienza, invece, ci ha insegnato che imparare dove sono le insidie e essenziale se si vuole imparare ad operare. La lezione piu importante che ci auguriamo tu possa trarre da questa guida e di scegliere sempre la soluzione piu semplice, perche nella chirurgia del trauma e l'unica che non riserva mai sorprese e da risultati."

Dieser Ratgeber informiert Patienten mit einem Herzklappenfehler und Leser, die sich fA1/4r das Thema interessieren, in gut verstAndlicher Sprache A1/4ber diese Erkrankung. Er gibt einen Aoeberblick A1/4ber die Ursachen von Herzklappenerkrankungen sowie A1/4ber die TherapiemAglichkeiten, die heutzutage Standard sind. Der Schwerpunkt liegt hierbei auf der chirurgischen Therapie, d. h. der Herzklappenoperation.

Das Buch beantwortet Fragen, wie sie von unseren Patienten an unser Team gestellt werden. Als Begleiter fA1/4r die Zeit in der Klinik und fA1/4r das Leben nach der Herzoperation hilft es den Patienten, besser mit ihrer Erkrankung und den mit ihr verbundenen A"ngsten umzugehen.

Hier lernen Sie zu planen, und wenn notig, zu improvisieren. Wie Sie schwer verletzte Patienten in den Operationssaal bringen, Ihr Team organisieren, mit schlimmsten Verletzungen kampfen und bestmogliche Resultate erzielen. Je schlechter der Zustand Ihres Patienten, desto schneller und einfacher muss Ihre operative Losung sein. Im ersten Teil: allgemeine Prinzipien der Traumachirurgie mit Schwerpunkt auf strategischem Planen und Denken. Im zweiten Teil gehen die erfahrenen Unfallchirurgen auf spezifische Verletzungen und Komplikationen ein. Gelungene Didaktik, lebendige Sprache, klare Struktur: das ideale Buch fur angehende Chirurgen."

Das Marfan-Syndrom ist eine durch genetische VerAnderung bedingte Krankheit des Bindegewebes. Die Symptome betreffen hauptsAchlich Herz, Auge und WirbelsAule, aber darA1/4ber hinaus auch noch viele andere KArperregionen und sind bei verschiedenen Menschen unterschiedlich stark ausgeprAgt.

Als relativ seltene Krankheit, stand das Marfan-Syndrom lange nicht im Mittelpunkt der medizinischen Forschung, so dass AufklArung fA1/4r die Betroffenen und unter UmstAnden auch fA1/4r den Arzt Not tut.

Anerkannte und in der Behandlung von Marfanpatienten erfahrene FachArzte mAchten mit diesem Patientenratgeber helfen, die Krankheit besser verstehen zu lernen, um besser mit ihr umzugehen und demzufolge besser mit ihr leben zu kAnnen.

Following the success of its last symposium and book entitled 'The Evidence for Vascular Surgery', the Joint Vascular Research Group (JVRG) brings you this book. The book describes recent developments and best practice in vascular surgery, with an emphasis on multi-disciplinary care pathways. It is based upon a symposium held in Sheffield in June 2002 that aimed to improve the provision and equality of care for patients with peripheral arterial and venous disease. Many members of the JVRG have contributed to this book, including vascular surgeons, anaesthetists, radiologists, nurses and vascular technologists. The book consists of five sections covering the main areas of management of patients with peripheral vascular disease: Outpatients and medical management; Vascular imaging and endovascular intervention; Vascular surgery; Anaesthesia and theatres; Organisational aspects of care.

Nach einem Herzeingriff - einer Operation oder dem Aufdehnen der Herzkranzgefasse - stellen sich viele Fragen:

- Was liegt meiner Herzerkrankung zugrunde?

- Wie kann ich behandelt werden? Welche Komplikationen kann es geben?

- Wie verhalte ich mich in der ersten Zeit nach der Operation?

- Wie gestalte ich meinen Alltag nach der Operation? Was darf ich, wo muss ich vorsichtig sein?

- Wie lebe ich, um meine Gesundheit zu erhalten?

Zuverlassige und detaillierte Antworten geben Ihnen drei erfahrene Herzchirurgen des Herzzentrums Lahr in diesem Buch.

"

* Confidently devise a safe and successful plan for the pump run for patients undergoing surgery for congenital heart disease. This practical guide for perfusionists and other members of the cardiac surgical team provides information on the devices, technology and techniques required for successful bypass of patients with congenital heart defects * A practical, spiral-bound, go-to reference designed to answer the most frequently-posed questions about bypass for CHD, the surgical treatment of which is often complicated * Focuses on the latest technology and techniques and provides clear, matter-of-fact guidance based on specific diagnoses * Written by a seasoned perfusionist who is co-chief and educator at one of the world s leading children s hospitals * Spiral binding allows the book to be laid flat for easy referral in the operating room * A notes section following each diagnosis enables readers to add institution and/or surgeon-specific information to tailor a bypass plan for each CHD lesion

Die Entwicklung neuer Materialien und Techniken ftir die Gefass- chirurgie hat den Horizont der gesamten Chirurgie in ungeahnter Weise erweitert und befruchtet. Stand fruher im wesentlichen die sachgemasse Versorgung von Gefassen im Vordergrund, so bieten sich heute zahllose Moeglichkeiten einer Rekonstruktion der Blut- strombahn und daruber hinaus der Schaffung neuer Blutwege bis hin zum Anschluss transplantierter oder kunstlicher Organe. Kein Zweig unseres Faches ist hiervon ausgeschlossen. Wenn sich auch besondere Schwerpunkte der Gefasschirurgie entwickelt haben, so muss doch jeder Operateur zumindest die sein eigenes Interessen- gebiet betreffenden Gefasseingriffe beherrschen. Insofern mutet der hier und da geausserte Alleinvertretungsanspruch ftir die gesamte Gefasschirurgie kurios an. Viele Chirurgen sind von dieser sturmischen Entwicklung uber- holt worden, wahrend andere mangels Weiterbildungsmoeglichkei- ten oder eines geeigneten Krankengutes Muhe haben, diesen Fort- schritt mitzuvollziehen. Diese Hemmnisse zu uberwinden, hat sich der Autor ausdrucklich zum Ziel gesetzt. Die Gefasschirurgie -wie jede andere operative Tatigkeit -steht auf drei Saulen. Einmal muss der gegenwartige Stand des Wissens uber die Moeglichkeiten und Grenzen der Gefasschirurgie vorhan- den sein. Dann gilt es, die im Grunde einfachen, wenn auch durch besondere Sorgfaltspflicht gezeichneten Methoden der atraumati- schen Handhabung von Gefassen und deren Naht zu erlernen und schliesslich muss der Zugriff zum Gefasssystem "sitzen", das heisst, eindeutig, zweckmassig und schonend sein. Diesem letzteren Ziel dient dieses Werk.

This unique book details a multidisciplinary approach for providers caring for the Mechanical Circulatory Support (MCS) patient. Authors discuss the history of MCS, patient selection, surgical and post-operative care, mobility and nutritional issues for this subgroup of patients, along with outpatient management. They are expert clinicians in the field of MCS and Extracorporeal Membrane Oxygenation (ECMO), who provide direct patient care, conduct research, publish and maintain current leadership positions within the International Society of Heart and Lung Transplant and International Consortium of Circulatory Assist Clinicians.Non-clinical issues including Regulatory, Reimbursement, Administration, Program Development and links to Professional Organizations supporting MCS Clinicians are presented in the book that will be of great value to Nurses first, but also to Advanced Practice Providers (NP/PA), Dieticians, Physical Therapists and Administrators.

This atlas offers a step-by-step approach to Thoracoscopic surgery for Congenital Pulmonary Malformation (CPAM) in each major lung resection. This technique is still a matter of debate and is used approxmately by 50% of the surgeons in Europe. The apprehension of the thoracoscopic approach is complicated firstly by the small size of the child to whom it is proposed and secondly by the risks of perioperative or postoperative complications. Furthermore, the pulmonary malformations object of this investigation are rare, thus making this technique difficult to learn and reproduce The volume - the result of a surgical experience acquired since 2007 in this field - offers a step-by-step approach to the procedure in each major lung resection and is illustrated by numerous intraoperative photos, short video clips and even complete resection videos; tips and tricks are presented to facilitate surgery, to make it reproducible and accessible by all surgeons, whether they are young surgeons in training or experienced surgeons. This atlas aims to complement and not to replace the direct observation in the operating room, or the procedure learning by the reader. It offers essential guide for practitioners, trainees and thoracoscopic surgeons interested in CPAM.

This book provides an overview of current and potential applications of artificial intelligence (AI) for cardiothoracic imaging. Most AI systems used in medical imaging are data-driven and based on supervised machine learning. Clinicians and AI specialists can contribute to the development of an AI system in different ways, focusing on their respective strengths. Unfortunately, communication between these two sides is far from fluent and, from time to time, they speak completely different languages. Mutual understanding and collaboration are imperative because the medical system is based on physicians' ability to take well-informed decisions and convey their reasoning to colleagues and patients. This book offers unique insights and informative chapters on the use of AI for cardiothoracic imaging from both the technical and clinical perspective. It is also a single comprehensive source that provides a complete overview of the entire process of the development and use of AI in clinical practice for cardiothoracic imaging. The book contains chapters focused on cardiac and thoracic applications as well more general topics on the potentials and pitfalls of AI in medical imaging. Separate chapters will discuss the valorization, regulations surrounding AI, cost-effectiveness, and future perspective for different countries and continents. This book is an ideal guide for clinicians (radiologists, cardiologists etc.) interested in working with AI, whether in a research setting developing new AI applications or in a clinical setting using AI algorithms in clinical practice. The book also provides clinical insights and overviews for AI specialists who want to develop clinically relevant AI applications.

In this issue of Thoracic Surgery Clinics, Guest Editor Farid Shamji brings considerable expertise to the topic of Lung Cancer in this second issue covering this topic. Top experts in the field cover key topics such as biological treatments, improving anesthesia safety in pulmonary resection for lung cancer, history of surgical instruments in thoracic surgery, The Hemithorax - the empty chest syndrome, and more. Provides in-depth, clinical reviews on lung cancer, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 16 relevant, practice-oriented topics including Assessment of Operability and Resectability in Lung Cancer; Complications of chest wall resection in conjunction with pulmonary resection; Sepsis in the postpneumonectomy space: pathogenesis, recognition and management; Neuroendocrine cancers of the lung: natural history, pathological classification, biological behaviour and treatment; and more.

The possibilities of surgical treatment of spinal disorders have expanded enormously in recent years. Movement conservation, reduction of access routes, and the use of microscope and endoscope have reduced risks and significantly improved the chances of success. However, only by knowing and mastering the various conservative and minimally invasive surgical techniques can one work on individual treatment for the patient. This book reviews important literature about spinal disorders, describes surgical anatomy of the spine, etiology, pathology, clinical signs, imagine methods of the spinal diseases, and specific techniques of the spinal procedures. The chapter about cervical and lumbar degenerative disc disease will bring new knowledge in the possible therapy, including endoscopic and minimally invasive surgical procedures. The chapter about infections of the spine gives new information about conservative and surgical treatment as well as postoperative complications. The possibilities in surgical treatment in spine tumors will be written in a separate chapter. This chapter provides quite an extensive coverage of tumors related to the spine, and information on their management and treatment, including operative techniques and approaches with spine stabilization. Spinal trauma chapter brings together information on state-of-the-art clinical imaging, including multidetector CT and high-field MRI techniques and the pathophysiology, neurologic evaluation, medical management, surgical treatment, and postoperative assessment of spine trauma and spinal cord injury. Techniques for spinal procedures include the most common types of instrumented procedures such as anterior cervical discectomy and fusion, cervical arthroplasty, occiput C1, and C2 instrumentation, lumbar microdiscectomy, lumbar arthroplasty, posterior, transforaminal and anterior lumbar interbody fusion, and indications and techniques of revision spine surgery.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Dean Donahue and Hugh G. Auchincloss, is devoted to Thoracic Outlet Syndrome. Drs. Donahue and Auchincloss have assembled expert authors to review the following topics: Embryology and Anatomy of the Thoracic Outlet; Evaluation of Patients with Neurogenic Thoracic Outlet Syndrome; Reoperation for Persistent or Recurrent Neurogenic Thoracic Outlet Syndrome; Surgical Technique: Supraclavicular First Rib Resection; Evaluation and Management of Venous Thoracic Outlet Syndrome; How Common is Thoracic Outlet Syndrome?; Surgical Technique: Minimally Invasive First Rib Resection; Radiographic Evaluation of Thoracic Outlet Syndrome; Evaluation and Management of Arterial Thoracic Outlet Syndrome; and more!

This issue of Thoracic Surgery Clinics, guest edited by Drs. Virginia R. Litle and Robert J. Canelli, is devoted to Peri-operative Management of the Thoracic Patient. Drs. Litle and Canelli have assembled expert authors to review the following topics: Preoperative Evaluation of Patients Undergoing Thoracic Surgery; Prehab of the Thoracic Patient; Enhanced Recovery after Thoracic Surgery; Surgical Approaches for Esophagectomy: Open, Minimally Invasive, Robotic. What is the Approach Algorithm?; Intraoperative Anesthetic Management of the Thoracic Surgery Patient; Intraoperative Surgical and Anesthetic Concerns for Robotic Approach to the Thoracic Surgery Patient; Prevention of Postoperative Prolonged Air-leak after Pulmonary Resection; Intraoperative Pre-emptive Prevention of Esophagectomy Complications: Role of Feeding Tubes, Pyloric Drainage Procedures, Anastomotic Buttressing; Interventional Pulmonology: A Brave New World; Pain Management in Thoracic Surgery; Management of Complications after Lung Resections; Management of complications after esophagectomy; and more!

This book analyses and describes the whole spectrum of technical elements related with non-invasive mechanical ventilators technologies, ventilator modes and complementary technologies for correct interpretation and clinical indications. With the aim of addressing different topics, authors have presented in each chapter and section a rigorous summary of non-invasive mechanical ventilators principles and technologies, as well as clinical indications in order to understand lung function. Moreover, this book also offers a comprehensive examination of how mechanical ventilators interact, for example, in case of asynchrony (diagnosis/treatment), and other tools. The patient-mechanical ventilator interactions sections have been planned from a physiological basis, as they include physical description of the ventilator elements and the non-invasive algorithms that allow adequate patient-ventilator interaction. We describe the correct interpretation and monitoring of positive pressure, airflow and volume waveforms, leakages impact and analysis and interface options and technology (facial mask, nasal mask and other new interface). From a practical point of view, authors describe non-invasive mechanical ventilators device selection, indications and evaluation in different clinical conditions, acute and chronic setting from hospital (emergency/critical care/anesthesiology/pneumology) and from home non-invasive mechanical ventilation. We consider this to be an original and exhaustive book crucial and practical for the correct understanding of mechanical ventilators principles of technology and science of non-invasive mechanical ventilation.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Jyoti Patel and Jessica Donington, is devoted to Advances in Systemic Therapy for Non-Small Cell Lung Cancer. Drs. Patel and Donington have assembled expert authors to review the following topics: Adjuvant and Neoadjuvant Immunotherapy; Combining Immunotherapy with Radiation in Lung Cancer; Adjuvant Chemotherapy; ALK Mutations; Molecular Targets Beyond the Big 3; Advances in Systemic Therapy; Liquid Biopsies in NSCLC; Combining Immunotherapy and Chemotherapy for NSCLC; ROS-1 Mutations; EGFR Mutations; and more!

This issue of Thoracic Surgery Clinics, guest edited by Drs. Vincenzo Ambrogi and Tommaso Mineo, is devoted to Nonintubated Thoracic Surgery. Drs. Ambrogi and Mineo have assembled expert authors to review the following topics: Technical issues and patient safety in nonintubated thoracic anesthesia; Management of primary and secondary pneumothorax in nonintubated VATS; Treatment of pleural effusions with nonintubated VATS; Nonintubated VATS for chest infections; Nonintubated VATS lung biopsy for interstitial lung disease; Nonintubated VATS wedge resection of peripheral early lung cancer; Anatomical segmentectomy in nonintubated VATS; VATS lobectomy for lung cancer in nonintubated anesthesia; Nonintubated VATS tracheal and bronchial sleeve resection for lung cancer; Nonintubated tracheal surgery; Management of intraoperative crisis during nonintubated thoracic surgery; Team training for nonintubated thoracic surgery; and more!

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Joshua Sonett, is devoted to Thymectomy for Myasthenia Gravis. Dr. Sonett has assembled expert authors to review the following topics: Role of Thymus in the Immune System; A Neurologist's Perspective to Understanding Myasthenia Gravis: Clinical Perspectives of Etiology, Diagnosis and Preoperative Treatment; A Neurologist's Perspective on Thymectomy for Myasthenia Gravis: Current Perspective and Future Trials and Medications; Surgical Approaches to Myasthenia Gravis: Perspective of Anatomy and Radicality in Surgery; Surgical Techniques for Myasthenia Gravis: VATS; Surgical Techniques for Myasthenia Gravis: RATS; Surgical Decision Making: Thymoma and Myasthenia Gravis; Immune Syndromes and the Thymus: Is There a Role of Thymectomy?; Surgical Techniques for Myasthenia Gravis: Transcervical; Surgical Technique for Myasthenia Gravis: Subxyphoid Approach; History of Thymectomy for Myasthenia Gravis; and more!