This comprehensive manual on breast disease deals with all aspects of the surgical management of both benign and malignant disease. The chapters are written by leading experts, clearly illustrated with line drawings, clinical photos and diagnostic radiology images. Breast Surgery is divided into sections following the patterns of patient management from diagnosis through treatment and reconstruction. Part One, "Fundamentals", addresses common aspects of working with breast cancer patients and understanding the members of the breast cancer team. Part Two is an overview of "Biologic Principles". Parts Three, Four, and Five review "The Initial Evaluation", "Common Presenting Problems", and "Diagnostic Techniques". Part Six, an overview of breast cancer treatment, includes chapters on "Breast Cancer Staging", "Introduction to Gene Expression Profiling", and "Psychological Issues". Part's Seven through Twelve deal with important aspects of breast surgery and interdisciplinary care including pathology, medical oncology, and radiation oncology, with several chapters on neoadjuvant therapy and partial breast irradiation. Part Thirteen includes many chapters on followup of the breast cancer survivor, including late changes on physical exam and imaging, local recurrence, and treating metastatic disease. Though not intended to replace a text reference, Breast Surgical Disease and Interdisciplinary Management offers a comprehensive guide to provide practical advice for those seeking concise, expert input that can be quickly accessed on multiple topics associated with the care of the breast cancer patient.

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

The thorax has a fundamental role in the aesthetic of the male body: congenital or acquired alterations are experienced as extremely frustrating clinical situations. Most breast surgery texts briefly mention gynecomastia, but no text comprehensively addresses the male breast and thorax, including reconstructive and cosmetic surgery and surgery in transgender patients. This gap is now thoroughly filled by Plastic and Cosmetic Surgery of the Male Breast: after introducing principles of anatomy and aesthetics for the male thorax, the first part focusses on the main congenital malformations and their treatment; the main benign acquired pathologies and their treatment (including an ample section dedicated to gynecomastia), the carcinoma of the male breast, with reference to familiar forms; the treatment of carcinoma and reconstruction of the thorax. The book closes with a chapter dedicated to breast surgery in transgender patients. While female breast surgery is increasingly practiced in specific Breast Units and highly specialized centers, male breast issues are treated in general and plastic surgeries units. This handy volume is a sound reference for the most complex clinical cases, and the latest reconstruction treatments for the male thorax and will be useful for general and thoracic surgeons, plastic surgeons and senologists.

This extensively revised edition is an essential reference for physicians involved in the diagnosis, referral and treatment of the thoracic outlet syndrome (TOS). TOS is made up of a constellation of problems resulting from pathology at the thoracic outlet in the neck. Busy specialty practice sees multiple affected patients in every clinic, but TOS can often be difficult to diagnosis. Thoracic Outlet Syndrome explores all possible ancillary care issues surrounding this complex condition, including rehabilitation, disability, natural history and medicolegal issues, and aims to stimulate research, discussion and a sense of community between professionals involved in this area. Vascular and thoracic surgeons, neurosurgeons, neurologists, psychiatrists and psychologists, physical therapists, occupational medicine specialists and pain specialists will find this book a must read for successful treatment, referral and diagnosis of TOS in clinical practice.

This book summarizes the branch tracing method for bronchoscopic diagnosis. Cytopathological and histopathological diagnoses are essential to making prognoses and selecting appropriate treatment for peripheral pulmonary lesions, notably lung cancer. In order to collect cell and tissue samples from peripheral pulmonary lesions for cytopathological and histopathological diagnoses, exfoliative cytodiagnosis and biopsy under bronchoscopy with endobronchial ultrasonography (EBUS) are currently used worldwide. Bronchial Branch Tracing highlights how to identify the bronchial branches that lead to peripheral pulmonary lesions and offers a valuable guide for all respiratory physicians, as well as surgeons, who frequently perform bronchoscopies, helping them understand the method and improve their technique.

Great innovations take place within great institutions. Founded in 1819, Toronto General Hospital (TGH) is one of Canada's oldest hospitals and has created a nurturing environment for early Canadian innovations in heart surgery. The Heartbeat of Innovation tells the story of the brilliant surgeons who worked there and the hospital environment that provided an incubator to the many people - skilled perfusionists, dedicated nurses, and pioneering cardiologists - who participated in the revolution in heart surgery that took place along University Avenue in Toronto. Supported by historical records, hospital archives, personal memoirs, and interviews, this book is an extensive and descriptive account of the seemingly inexorable development of cardiac surgery at this leading academic health science centre. It pursues several themes: the complexity of this surgical specialty, its generally male-dominated nature, the trend toward teamwork in practice, and the evolution and incorporation of original research into this branch of healthcare. These strands are woven together to demonstrate how the TGH has evolved into such a dominant leader in the competitive and demanding field of cardiac surgery. Canadian hearts may beat with pride at the knowledge that one of the major stories in modern medicine took place here - and continues here.

Idiopatic pulmonary fibrosis (IPF) represents one of the most important devastating diseases that affects the lungs. Traditionally, the development of acute or chronic respiratory failure in disiorepresents an important dilemma for pulmonologists, intensivists, internists and anesthesiologists, due to the limited respiratory and functional reserve of these patients. In the last decade, we have witnessed a novel development of non-invasive mechanical ventilation and high flow oxygenation systems, representing an attractive option for patients compared to those patients with well-known poor results of invasive mechanical ventilation. In this book, we analyze all the options of non-invasive mechanical ventilation, indications, ventilatory modes, protocols, technology, equipment and applications in acute and chronic phase of patients with IPF, in addition to an exhaustive approach of all complementary techniques that optimize the application of these procedures. There are no previous descriptions or updates that incorporate this comprehensive analysis. This book, thus, serves as an updated scientific and practical reference for the knowledge of all spectrum respiratory failure presentations in idiopatic pulmonary fibrosis.

Following on from the success of the international best-seller "Key Questions in Cardiac Surgery", the long-awaited KEY QUESTIONS IN CONGENITAL CARDIAC SURGERY will be the latest book in the Key Questions series to be released. Key Questions in Congenital Cardiac Surgery will systematically cover all the main topics involved in the current practice of a congenital cardiac surgeon. It will incorporate current guidelines for practice (such as from the American College of Cardiology, American Heart Association, British Paediatric Cardiac Association and European Society of Cardiology) and up-to-date information based on current literature. Each chapter will be structured to include the aetiology, pathophysiology, clinical features, indications for surgery, peri-operative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly, there will be a section on basic sciences related to the practising congenital cardiac surgeon and a further section on congenital cardiac investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all congenital cardiac surgical trainees, at any stage of their training programme. It will provide residents, fellows and specialist registrars the necessary information to carry out their daily duties. Congenital cardiologists and paediatric cardiac intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the congenital cardiac surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine working with patients with congenital cardiac disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding congenital cardiac surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in congenital cardiac surgery that are asked within the confines of an examination.

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 of North America, guest edited by Dr. Edward D. Verrier, is devoted to Education and the Thoracic Surgeon. Dr. Verrier has assembled expert authors to review the following topics: The Master surgeon as educator; How does the adult surgeon learn?; How to obtain meaningful assessment in thoracic surgery education; How to give effective formative feedback in thoracic surgery education; Bias: How to minimize the hidden impact on thoracic surgical education; The educational challenges of the operating room; Effective classroom teaching and the impact of e-learning in thoracic surgery education; The alternative surgical curriculum; Deliberate practice and the emerging roles of simulation in thoracic surgery; Teaching, mentorship, and coaching in thoracic surgical education; Faculty development: using education for career advancement; The potential of virtual or augmented reality to enhance thoracic surgical education; How will artificial intelligence impact (cognitive) decision making in thoracic surgery; and more!

Interstitial lung diseases are a diverse group of acute and chronic pulmonary disorders characterized by a variable amount of inflammation and/or fibrosis. In Interstitial Lung Disease: Causes, Diagnosis and Treatment, the authors explore the role of genetics in the pathogenesis of interstitial lung diseases, as well as develop new diagnostic modalities and identify novel therapeutic targets. This compilation goes on to discuss acute infiltrative lung disease, a heterogeneous group of lung disorders characterized by diffuse parenchymal lung involvement. This group of infiltrative lung diseases may result in five histopathological presentations: diffuse alveolar damage, diffuse alveolar hemorrhage, immunoallergic pneumonia, acute organizing pneumonia and acute eosinophilic pneumonia. High-resolution computed tomography is proposed as a more sensitive and accurate method in diagnosing interstitial lung disease through specific patterns which are highly suggestive of a subtype of interstitial pneumonia. High-resolution computed tomography is also proposed for the diagnosis of sarcoidosis, a systemic granulomatous disease which involves the lungs in more than 90% of cases. It is one of the leading causes of interstitial involvement in lung diseases, and its diagnosis is based on compatible clinical, biological, imaging and anatomopathological features. The closing chapter aims to identify diagnostic procedures for the early diagnosis of cardio-pulmonary complications, delineate a proper methodology to monitor complications, and define therapeutic guidelines.

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. John Mitchell, is devoted to Surgery for Pulmonary Mycobacterial Disease. Dr. Mitchell has assembled expert authors to review the following topics: Surgical treatment of pulmonary nontuberculous mycobacterial disease; Minimally invasive approaches in the management of mycobacterial diseases; Medical management of pulmonary nontuberculous mycobacterial disease; Epidemiology, the WHO, and the global fight against M. tuberculosis: A primer; History of pulmonary mycobacterial disease; Nontuberculous mycobacteria: Epidemiology and the impact on pulmonary and cardiac disease; Modern collapse therapy for pulmonary tuberculosis; Surgical resection in the treatment of pulmonary tuberculosis; Treatment of complications of pulmonary tuberculosis; Current medical management of pulmonary tuberculosis; and more!

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.

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.

In recent years, The impact of the inflammatory response in cardiovascular surgery has been a focus of much attention within the field of cardiac surgery. Despite that, scientific research on the topic is still lacking in the health science literature. To develop the bank of information available to all involved in the field, the Editors of this book have assembled a group of leading experts to investigate the most current and exciting topics related to inflammation and cardiovascular surgery. As such Inflammatory Response in Cardiovascular Surgery is vital reading for all involved in the management of cardiovascular surgical patients, such as cardiovascular and transplant surgeons, anesthesiologists, intensive care physicians, cardiovascular and vascular fellows, and researchers.

In the dark years of apartheid, a boy grew up in a household with a terrible secret: although they were all of mixed origins, they had managed to `pass as white'. Young Winston Wicomb, however, was far too dark to fit in, and had to be hidden whenever someone knocked on their door. After struggling through school and even managing to obtain an university degree, he still remained unemployed due to his skin colour. To make ends meet, he serviced cars in their backyard, but never stopped dreaming about escaping the restraints of Apartheid. Then fate intervened. While distributing pamphlets advertising his mechanical skills, he found Professor Chris Barnard stranded next to the road. He offered to help even though he had no experience with the new Mercedes the professor drove. Barnard, surprised at the success of Winston's efforts and impulsive as ever, offered Winston a job in his research lab. It is here that Winston applied his knowledge and experience of matters mechanical to eventually produce the world's first apparatus to transport a living heart over long distances. `Vital Remains' tells to story of an unlikely hero, a huge risk, achievement ... and love.

This book is intended as a comprehensive, practically oriented reference on pulmonary hypertension within the context of adult congenital heart disease (ACHD). After an introductory chapter on pathophysiology, the various types of pulmonary hypertension that may be encountered in ACHD are discussed, highlighting the specifics observed within different patient categories. The diagnostic approach is then addressed in detail, and the last section of the book is devoted to management options, from conservative approaches to interventional treatment and the concept of treat and repair. Management in specific patient subjects, such as pregnant women, Fontan patients, and Down syndrome patients with Eisenmenger syndrome, is fully discussed, and guidance is also provided on palliative care. Pulmonary arterial hypertension related to congenital heart disease (PAH-CHD), despite significant similarities in lung pathohysiology, differs significantly from other types of PAH in terms of mechanism of onset, natural history and management. Mistakes and pitfalls in the management of patients with PAH-CHD are often related to a lack of knowledge or expertise in this condition. Pulmonary Hypertension in Adult Congenital Heart Disease will be a valuable resource and learning tool for all who care for patients with ACHD, both in tertiary practice and general cardiology.

Ein umfassender Leitfaden zur richtigen Planung, Programmierung und Implementierung heutiger Schrittmacher und anderer Herzimplantate, inkl. Problemloesungsstrategien. Dieses praktische Nachschlagewerk fuhrender Ausbilder im Klinikbereich richtet sich an angehende AErzte und Klinikmitarbeiter, die uber keine oder wenig Erfahrung in der Programmierung und dem Management von Implantaten verfugen. Best-Practice-Informationen sind in ein Referenzwerk geflossen, das sich auf die wichtigsten Schritte, haufige Fehlerquellen und moegliche Komplikationen konzentriert. Jedes Kapitel ist auf die Praxis ausgerichtet und gibt Handreichungen, um auch schwierigste, geratebezogene Aufgaben, wie Programmierung und zielfuhrende Problemloesung bei Komplikationen, schnell zu meistern. Die heutigen Schrittmachen und EP-Gerate sind im Vergleich zu fruheren Entwicklungen das, was Smartphone und Telefone mit Wahlscheibe gemein haben. Sie sind nicht nur kleiner und fur den Patienten komfortabler, sondern bieten auch komplexe Programmieroptionen, die es Klinikern ermoeglichen, Gerate ganz individuell auf die Anforderungen der Patienten anzupassen. Je kleiner, intelligenter und anpassbarer die Gerate werden, desto groesser sind die Herausforderungen fur Kliniker in puncto Konfiguration, Management und UEberwachung. Mit dieser einzigartigen Kurzreferenz lasst sich diese wichtige Technologie viel einfacher handhaben. AErzte und Techniker erhalten genau die Informationen, die sie benoetigen. - Konzentriert sich auf die Aufgaben, die Kliniker durchfuhren, inkl. der Schritte vor der Implantation, Planung, Programmierung, Management, Problemloesung etc. - Zeigt anhand von Beispielen aus der Praxis, wie Experten im klinischen Umfeld optimale Ergebnisse im eigenen Labor erzielen. - Bietet mehr als 300 Fotos, einschliesslich EKG-, Roentgen- und Fluoroskopie-Aufnahmen, Bilder von Gerateabfragen, intrakardiale Elektrogramme sowie farbige elektroanatomische Maps. - Begleitende Website mit Videos zu allen wichtigen Aufgaben und Verfahren.

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.

Percutaneous valve technology has received tremendous interest in the last few years from both clinicians and public as a direct result of advancements in endovascular techniques that made this technology a potential option and a promising reality. In this book, the authors review the latest of this rapidly emerging medical technology from all aspects, as it stands at present with the prediction of progress into the near and far future. This is a valuable book for the general public and of special value for the Interventional Cardiologists, Interventional Radiologists, Cardiac Surgeons, Cardiologists and Cardiac Anesthesiologists.

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.