The world-wide problem of obesity has increased to epidemic proportions over the last several decades and continues to grow. Obesity is now a leading cause of morbidity and mortality in the western world. Due to the limited success of dieting, lifestyle changes and medical therapy, bariatric or weight-loss surgery has become increasingly important in the fight against obesity. At this time, bariatric surgery -- now commonly called metabolic surgery -- has been shown to be the most effective and durable treatment for obesity. This book provides the reader with a comprehensive, evidenced-based and updated review of all aspects relating to bariatric surgery. The introductory chapters provide a broad overview of basic concepts such as the epidemiology of obesity, its medical treatment and related psychological issues. Preoperative evaluation of the bariatric patient and selection of the most appropriate operation is thoroughly discussed. The different types of operations and their risks and benefits are examined in depth. The text also focuses on practical issues in postoperative management and nutritional follow-up. Specific attention is given to pre-pregnancy and pregnancy considerations including pregnancy outcome following bariatric surgery and the optimal bariatric-pregnancy interval. Written by international experts, this book is a valuable resource for a broad spectrum of clinicians and healthcare professionals dealing with obesity. It also serves as a pragmatic reference for all those involved in the care of bariatric or obese patients who are considering bariatric surgery. Medical and nursing students as well as residents in surgery, medicine, obstetrics/gynaecology, and family practice will also benefit from it at any stage of their training.

Cholecystecomy is the surgical removal of the gallbladder. It is the definitive treatment for symptomatic gallstones and non-neoplastic gallbladder disease. In this book, the authors present current research in the study of the procedures, prognosis and potential complications of cholecystectomies. Topics include the techniques and indications of cholecystectomy; traditional laparoscopic cholecystectomy; iatrogenic bile duct injuries after cholecystectomy; surgical strategy for gallbladder carcinoma; cholecystectomy in patients with suspected choledocholithiasis and cholecystitis in the elderly; and single-incision laparoscopic cholecystectomy.

A hernia is the protrusion of an organ or the fascia of an organ through the wall of the cavity that normally contains it. A hiatal hernia occurs when the stomach protrudes into the mediastinum through the oesophageal opening in the diaphragm. This book presents topical research in the study of the types, symptoms and treatment of hernias. Topics discussed include minimally invasive repair of inguinal hernia in children; surgical approach to parastomal hernia and risk factors for incisional hernia after severe secondary peritonitis.

Gastrointestinal surgery is performed for a range of benign and malignant diseases in both elective and emergency settings. However, many of these operations are followed by complications, which need early detection so that they can be managed in a way that is rational, evidence-based and makes the best use of the available local resources. Complications after Gastrointestinal Surgery is an up-to-date and comprehensive reference book for practicing and aspiring gastrointestinal and general surgeons as well as for trainees and assistants. With contributions from more than 90 experts from 15 different countries, it offers a systematic description of the general aspects of surgical complications. It discusses institutional issues such as managing complications in limited-resource settings and the impact of centralisation and checklists. It also describes the ways to deal with specific post-surgery problems pertaining to different organs such as the oesophagus, the small and large intestines, pancreas and liver.

This classic text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. It is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: 'If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared, it has remained the classic treatise on the initial approach to abdominal pain.' Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high-anxiety situation, and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 22nd Edition, Dr. Silen has again updated the text in a respectful but significant way. He has added a chapter on the increasing disorder of diverticulitis, reexamines the use of analgesics, emphasizes the costs of over-testing, and updates all recommendations regarding trauma, radiologic studies, and therapeutic recommendations.

Self-expandable stents were initially placed for the treatment of cardiovascular diseases but now play an integral role in the relief of benign and malignant obstruction of the gastrointestinal tract and biliary system. Self-Expandable Stents in the Gastrointestinal Tract will familiarize the reader with the indications, techniques, and outcome following placement of expandable metal stents within the gastrointestinal tract. The volume covers all aspects of expandable stents including their composition, tissue responses, and placement techniques. In addition, placement using endoscopic and radiologic techniques is discussed. Unique illustrations allow the reader to gain knowledge that will improve their ability to care for their patients. The volume will serve as a comprehensive reference for all aspects of expandable stents. Self-Expandable Stents in the Gastrointestinal Tract will be extremely useful for physicians in the field of gastroenterology, endoscopy, and radiology, as well as gastrointestinal and thoracic surgeons whether they are in training or practice.

A hernia is defined as a protusion or projection of an organ or a part of an organ through the body wall that normally contains it. The risk for inguinal hernia is highest among Caucasian males. Other risk factors include a history of another hernia, advanced age, abdominal wall injury, history of abdominal aortic aneurysm and smoking. Inguinal hernias have a variety of clinical presentations ranging from a finding of a painless bulge in the groin region on routine physical examination to emergent, life-threatening presentations due to bowel strangulation. Most hernias can be diagnosed on physical examination as a bulge in the groin while coughing or straining. The definitive treatment of all hernias, regardless of their origin or type, is surgical repair. The authors of this book examine the risk factors, prognosis and management options for inguinal hernia.

Since general surgeons first started performing laparotomies in the late 1880's, acquired hernias and abdominal wall defects have become a surgical disease of their own. Many surgeons have made it their life's work to develop surgical techniques, design hernia meshes or utilise biologic tissue for repair of these abdominal wall defects. Hernias are defined as a defect in the normal architecture of the abdominal wall muscuolo-aponeuroic structure. They are subdivided into congenital or acquired hernias. The ventral or incisional hernia defects are rare due to the failure of normal healing of the incision after a laparotomy. The approach to the initial repair may be quite straightforward in the patient with a simple fascial defect who is otherwise healthy. As the size of the defect gets beyond 4 cm, or the patient has a significant co-morbid disease, other considerations must come into play. The component separation technique for abdominal wall reconstruction has brought many new young surgeons to focus their skills toward improving it. With the advances in critical care and peri-operative resuscitation together with knowledge of the abdominal compartment syndrome, surgeons are addressing very complicated ventral hernias. They commonly have significant loss of domain, tissue loss due to infection or tumour, or an entero-atmospheric intestinal fistula. The combined information in this text will help the surgeon identify the right surgical technique for the right patient. The focus of the text is the evaluation, prevalence, surgical techniques, and outcomes of patients undergoing complex ventral hernia repairs. The use of preoperative evaluation imaging is reviewed. The multiple etiologies of hernia and abdominal wall defects are mentioned. The surgical repairs utilising tissue repairs, both synthetic and biologic mesh are reviewed, and the component separation is discussed in detail. New endo/laparoscopic component separation techniques are also described. This text will become a must-have for every surgeon who takes care of patients with complex ventral hernias.

Laparoscopic Surgery of the Abdomen is intended to give the practicing surgeon or trainee an in-depth analysis of the technical aspects of the most commonly performed laparoscopic procedures, their indications, contraindications, and complications. Included are strategies to prevent complications as well as ways to handle them once they occur. Heavily illustrated, the book breaks new ground in visualizing operative procedures and problems. Seven sections, comprising the core curriculum of accepted procedures in laparoscopic surgery, present gallbladder disease, common bile duct exploration, hernia, colon diseases, anti-reflux procedures, acute abdomen and the role of diagnostic laparoscopy, and emerging procedures on the spleen and adrenals. Recognized leaders in the field tackle each section, emphasizing what to do when and how to solve acute situations. Laparoscopic Surgery of the Abdomen is a practical, must-have resource for the general surgeon, imparting the clinical insight needed for successful performance of the core miminally invasive procedures as well as a source of useful patient information for the office practice.

Coloproctology is a surgical specialty which dynamically changes every few years. There is a profusion of colorectal textbooks but specialty series on particularly complex topics as well as on the specialized management approach for trainees and training colorectal surgeons are actually few. The aim of this text is a superior quality colorectal book written by world experts targeted at senior surgical and colorectal trainees and young consultant coloproctologists in current areas of subspecialty expertise. The structure of the chapters is current and is based on what does not appear and is not addressed in current colorectal textbooks. This series has proven useful in areas already represented, including Neurosurgery, Vascular Surgery, Transplantation Surgery, etc. The text is aimed at being relatively didactic with an algorithm approach to specialized areas within coloproctology which could potentially be updated every 3 years or so with new topics to create a set for didactic training in colorectal surgery. It is anticipated that these texts will become valuable teaching textbooks and part of every coloproctologist s armamentarium as well as appealing to all general surgeons and surgical trainees engaged in complex elective and emergency colorectal surgery. "

Since the 2004 hardcover publication of "Before and After", Susan Maria Leach's guide to living and eating well after weight loss surgery, the number of people undergoing gastric bypass surgery every year has continued to rise, reaching into the hundreds of thousands. Now is the perfect time to release the paperback. Part memoir and part cookbook, "Before and After" is an intimate account of Susan Maria Leach's inspirational story. At 278 pounds, Susan couldn't fit into a rollercoaster seat, couldn't tie a bathrobe around herself, couldn't even ride with her husband on the back of his Harley. Enough was enough. Susan underwent gastric bypass weight loss surgery, and melted down to a mere 135 pounds. Two years later, Susan is as svelte as ever, and ready to update her book in time for the paperback publication. The revised edition of "Before and After" includes a new journal entry giving perspective on the three and a half years since Susan's last entry in November 2002; a new Q and A section, additional recipes, an expanded source guide, and more., updated with a new Q and A section, additional recipes, an expanded source guide, and more.

For the thousands of people affected by severe obesity, the decision to undergo weight loss surgery can be a matter of life and death. But it is not a simple procedure. That's why, for many, the decision does not come easily. To help you make the best possible choice, a dynamic team of experts have come together to share their experience, knowledge, and findings about these procedures. Merle Cantor Goldberg is one of this country's leading psychotherapists specializing in eating disorders; Drs. Cowan and Marcus have helped develop many of the techniques used in bariatric surgery, and have also taught these procedures to hundreds of other surgeons. "Weight Loss Surgery begins by asking important questions that must be considered before any decision is made. It then presents a comprehensive overview of pre-op visits, the various weight loss surgeries available, and the post-op recovery period, examining both the psychological and the physical impacts of the surgery. Weight loss surgery is not a minor procedure, but when appropriate, it can save lives. This thoughtful book offers the information you need to make the decision that's right for you.

The most comprehensive and authoritative reference available today on colorectal surgery This 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 Highlights Thirty-seven chapters cover a wide array of gastrointestinal disorders such as fecal incontinence, ulcerative colitis, Crohn's disease, diverticulitis, carcinomas, and other malignant lesions A multidisciplinary team approach to rectal cancer encompasses rectal cancer protocol MRI, synoptic reporting, and various neoadjuvant therapy protocols The use of cutting-edge approaches including laparoscopy, robotics, hyperbaric oxygen, and radiofrequency tissue remodeling Superb full-color plates, illustrations, photographs, diagrams, detailed tables, graphics, and surgical videos elucidate underlying disease and management As 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. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This book presents current evidence in an Enhanced Recovery Programme context, and provides a common sense approach to using the array of available analgesia techniques appropriately in major abdominal surgery. Current pain relief options are discussed, many of which have been described only in the last ten years. Topics covered range from the now widespread use of portable ultrasound machines to an appreciation of the value of some older drugs in a new context. Analgesia for Major Abdominal Surgery is aimed at anesthetists, acute pain teams, and acute pain nurses, as well as colorectal, hepatobiliary, urological and gynecological surgeons.

The book encompasses the different concepts and designs using magnets for surgical purposes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. The text reviews new data about interventions in all medical and surgical fields. Written by experts in their fields, topics focus on endoluminal and laparoscopic operations, techniques from vascular and GI anastomosis. The book demonstrates the use of magnets to treat a variety of diseases such as reflux, back pain, and fecal incontinence. The reader will learn how to retract and gain exposure, dissect tissue planes, achieve hemostasis, and create anastomosis in a totally different way. Physical properties of external surface and internal magnets are discussed. The authors emphasize the importance of partnering with industry leaders to develop novel surgical tools. By harnessing the power of attraction, the energy and might of magnets, Magnetic Surgery serves as a valuable resource for clinicians, surgeons and researchers in biomedical engineering interested in this form of energy and physical metal properties. In utilizing these properties, the book seeks to improve surgical outcomes of patients worldwide.

This comprehensive book provides the reader a perspective of the current evidence-based management of Laparoscopic Colorectal Surgery. It covers sections on benign surgery for IBD, diverticulitis, rectal prolapse etc. along with the procedures for colon and rectal cancers, including laparoscopic TME. The accompanying videos complement the text imparting specific operative skills of exposure, retraction, countertraction, dissection, vascular control, hemostasis, laparoscopic Stapling, anastomosis, specimen extraction and stoma formation. This book aims to help surgeons to learn, standardize, practice and master the complex skills of Laparoscopic colorectal surgery. Key Features Provides step by step solution to the difficulties encountered by the beginners by covering a section on bugbears. Caters to General, GI, Oncology and Colorectal surgeons who have the adequate basic laparoscopic skills and have already been doing some advanced laparoscopic surgery in form of laparoscopic Upper GI and bowel surgery and would want to start laparoscopic colorectal surgery. Covers a section on Robotic and single incision laparoscopic surgery providing the contemporary knowledge in this emerging field, whereas a section on trans-anal surgery provides a futuristic dimension to this field.

This comprehensive, illustrated guide presents representative general surgery, including gastrointestinal tract, hepatobiliary and inguinal hernia. Surgery is generally based on the microanatomy; however, in practice surgery involves more dynamic and floating anatomy. In the last decade, the methods have been constantly improved, shedding new light on classical anatomical science. Laparoscopic is one such methodology. All illustrations presented in this book have been drawn by the author - a pioneering surgeon - and show real-world procedures. All the methods introduced are practical and have been refined based on the precise clinical and embryological anatomy. This unique book offers readers essential insights into efficient and high-integrity surgeries in abdominal region. As such, it is a valuable resource for all gastrointestinal surgeons.