In this issue of Surgical Clinics of North America, a spectrum of liver surgery topics is summarized, bringing the reader up-to-date with the era of modern hepatic resection surgery.? The basics of liver anatomy and history are reviewed, along with articles on hepatic cysts and liver abscess, imaging and work-up of incidental liver mass, management of benign liver lesions, hepatic resection nomenclature and techniques, laparoscopic liver resection, robotic liver surgery, emergency hepatic resection for liver trauma, repair of laparoscopic cholecystectomy injury, current approach to HCC, intra-hepatic cholangiocarcinoma, resection of metastatic colorectal cancer, neuroendocrine cancer metastases, hepatic ablation procedures, fulminant hepatic failure and when to transplant, and the current role of shunts versus TIPS for portal HTN.

This issue of the Surgical Clinics of North America covers a broad spectrum of anorectal disease such as basic anatomy, physiology, and testing of the anorectal region, as well as the most current diagnostic and management strategies for many of the common anorectal conditions encountered by surgeons including hemorrhoids, anal fissures, abscess and fistula.? Also presented are new techniques in the management of pilonidal disease, perianal infections including HIV and condyloma, pruritis ani, and anal stenosis--difficult conditions that often are frustrating for patient and surgeon alike.? Two articles are dedicated to the current management of anorectal Crohn's disease and rectovaginal fistulas, including the evolving multidisciplinary approach.? In addition, advances in the evaluation and current management of retrorectal tumors and anal neoplasms including the role of local excision and transanal endoscopic microsurgery for selected rectal tumors are covered.? Rounding out this issue are approaches to the difficult situation of anorectal trauma including foreign body management, as well as two articles dedicated to the evaluation of pelvic floor disorders and fecal incontinence.

Written by many of the world 's leading colorectal surgeons, this evidence-based text investigates the risks and benefits of colorectal surgeries. By using clinical pathways, algorithms, and case discussions, the authors identify the best practices for patient safety and positive outcomes to ensure that physicians correctly recognize potential problems and carefully manage complications.

Improved Outcomes in Colon and Rectal Surgery is a must read and essential reference for all colorectal surgeons, fellows and residents, as well as those working in gastroenterology and the medico-legal profession.

First published in 1994: Colorectal Physiology reviews recent findings in fecal incontinence, which is becoming a greater concern to physicians and surgeons as our population grows older and becomes better educated. International experts in anorectal physiology and management of incontinence present their personal views and specific clinical experiences on topics such as causes, diagnostic testing, and modes of treatment. The contributors also examine theoretical and practical aspects of current opinion. This book is a useful reference for researchers, colon and rectal surgeons, physicians, and students interested in understanding and managing fecal incontinence.

The use of interventional endoscopy of the biliary and pancreatic ducts has increased dramatically in recent years. Although choledocholithiasis is the most common reason for endoscopic treatment, other indications include pancreatolithiasis, cholangitis, biliary pancreatitis, papillary stenosis, sphincter of Oddi dysfunction, and benign or malignant ductal strictures. The Guest Editor has assembled an issue full of expert authors to present state-of-the art information biliary and pancreatic endoscopy procedures and techniques.

This book provides a useful guide for the management of complex abdominal wall problems from the perspective of a general surgeon, with sensible, practical clinical advice for the management of problems as they arise. Starting from managing the open abdomen and optimising the chances of achieving later definitive fascial closure, through to dealing with incisional and parastomal hernias throughout the abdomen. Expert guidance supported by an evidence-based review of the literature aids higher surgical trainees and consultant general surgeons who wish to expand their practice in this area. Focuses on the needs of the general surgeon Offers practical tips and advice for handling difficult cases Based on current best evidence Complemented by high quality images

Endoscopic imaging has become an important clinical tool for the diagnosis and treatment of gastrointestinal diseases and is poised to advance in a revolutionary fashion in the next few years. The articles in this issue are a result of an ASGE Imaging workshop held in early 2008. The goal of the workshop, and this issue, is to bring together clinical investigators and biophotonics engineers to help develop and clinically apply enhanced imaging technologies for the eventual benefit of patients. Articles in this issue are devoted to chromoendoscopy, autofluorescence endoscopy, reflectance spectroscopy, optical coherence tomography, laser confocal microscopy, and targeted endoscopic imaging to name a few.

This issue aims to bring the busy gastroenterologist/endoscopist up to date with advances and future directions in gastrointestinal motility and functional bowel disorders. Articles include coverage of the esophagus and small bowel and attention is given to Smartpill technology. Gastric emptying and constipation are also covered in detail, with attention to role of surgery and particularly sacral nerve stimulation for fecal incontinence. The Guest Editor believes that the state-of-the-art information in this issue will allow clinicians to be on the cutting edge for the foreseeable future.

This book covers the management of surgical diseases "through the eyes" of a clinician by providing an evidence-based approach to specific clinical dilemmas. The chapters take the reader through a step-by-step "decision-making" approach to commonly encountered, but difficult to manage, situations where the editors share their rationale behind the process. Emphasis is placed on the use of tables and algorithms to simplify understanding. They aim to empower the readers with the ability to manage complex abdominal surgery scenarios in a streamlined manner, thus improving the care and outcome of patients. Key Features Targets specific, difficult to manage scenarios Provides expert opinion/advice on how to tackle tricky situations Covers both benign and malignant cases Examines surgical dilemmas through illustrations

Laparoscopy in combination with laparoscopic ultrasonography is a new staging procedure for tumors of the abdomen. The treatment of several other tumor entities, such as pancreatic and gastric cancer, lymphoma, ovarian cancer, liver malignancies, is also improved by more accurate staging. Laparoscopic staging helps prevent unnecessary laparotomies, provides much less trauma to the patient, maximum information on tumor spread, and enables palliative procedures to be performed during the staging procedure. This book provides detailed guidelines on the aim and technique of laparoscopic staging and discusses the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.

Surgical oncology is now a recognized specialty in the US and several European countries, and cancer surgery takes up a significant part of any general surgeon's workload. This thoroughly updated second edition of this bestseller is officially endorsed as a textbook for the syllabus and curriculum of the UEMS examination in Surgical Oncology, which is administered by ESSO (European Society for Surgical Oncology). The examination is for trainees at the end of training or established consultants seeking to expand their accreditation.

Presenting an authoritative overview of abdominal and pelvic MRI techniques

Consistent image quality and fast-scanning techniques are among the goals of current magnetic resonance imaging (MRI) technology. To maximize the diagnostic possibilities of MRI techniques, especially in the increasingly vital area of abdominal MR, the right reference can make all the difference.

Distinguished by its all-inclusive coverage and rich illustrations with detailed captions, Primer on MR Imaging of the Abdomen and Pelvis is just such a reference.

Ideal for radiologists, radiology residents, MR technologists, and physicians interested in MRI of abdominal disease, this definitive guide uses a clear pattern-recognition approach, with chapters organized around organ systems and pathology. It offers clinicians an unmatched guide to high-quality MRI studies of the abdomen and pelvis, focusing on disease processes in the liver, gallbladder and bile ducts, pancreas, spleen, kidneys, and more.

Primer on MR Imaging of the Abdomen and Pelvis also provides critical coverage of MRI sequences, from the most up-to-date gradient echo and parallel imaging techniques to standard spin-echo sequences. In addition, you'll find a thorough review of modern imaging protocols and strategies, including those for the uncooperative patient.

Supported by end-of-chapter summary notes and helpful summary tables, Primer on MR Imaging of the Abdomen and Pelvis is the most clinically relevant guide to the successful use of MRI to image the abdomen and pelvis, as well as a concise yet comprehensive description of the full range of diseases of the abdomen and pelvis.

This volume reviews the history of endoscopy to diagnose small bowel disorders, places other diagnostic modalities into perspective, and defines the role of capsule endoscopy and per overtube assisted and retrograde enteroscopy in disorders as disparate as gluten sensitive enteropathy, small bowel neoplasms, and inflammatory bowel disease. The book further details the nonoperative approach to NSAID strictures, foreign body retrieval (to include impacted capsule endoscopes), and the diagnosis and treatment of chronically bleeding angiodysplastic lesions. The text is also richly illustrated with over 150 images and includes online video segments. Written by experts in the field, Endoscopy in Small Bowel Disorders is a valuable resource for medical and surgical residents, gastroenterologists in training and practice, therapeutic endoscopists, and general and colorectal surgeons.

This book is a compilation of endoscopic images of the upper gastrointestinal tract. The 3rd edition is enriched with high-resolution digital images highlighting the classification and staging of endoscopically relevant diseases. Serial documentation of diseases and procedures like corrosive injury, variceal obliteration, peptic ulcer etc. provides a complete, informative and interesting perspective. Rare conditions like Dieulafoy's disease and Gastric antral vascular ectasia (GAVE) have been extensively discussed along with common diseases of the GI tract. This book outlines the technique and interpretation of endoscopic images proving to be a helpful guide to endoscopy practitioners. Key Features Explores various GI tract diseases through coloured, high resolution clinical photographs. Serves as a useful reckoner for trainee endoscopists and practitioners pursuing gastroenterology or gastrointestinal endoscopy. The text is updated with tables, flowcharts, classifications and international treatment guidelines.

This book focuses on the management of children with fecal incontinence and constipation. Despite accurate anatomic reconstruction, many children still suffer from a variety of functional bowel problems. These include not only children with congenital anatomic problems such as anorectal malformations and Hirschsprung disease, but also includes the huge population of children who suffer from constipation, with or without soiling, and a large spinal population (spina bifida) who have bowel problems.

First published in 1994: Colorectal Physiology reviews recent findings in fecal incontinence, which is becoming a greater concern to physicians and surgeons as our population grows older and becomes better educated. International experts in anorectal physiology and management of incontinence present their personal views and specific clinical experiences on topics such as causes, diagnostic testing, and modes of treatment. The contributors also examine theoretical and practical aspects of current opinion. This book is a useful reference for researchers, colon and rectal surgeons, physicians, and students interested in understanding and managing fecal incontinence.

Progress in Colorectal Surgery covers a variety of topics of current interest to the colorectal specialist. Thirteen areas are covered by internationally renowned experts and include chapters on topics such as referral guidelines for rectal bleeding, difficult intra-operative problems in pelvic surgery, advances in the medical treatment of Crohn's disease, adjuvant treatment for colorectal malignancy, thorough overview of modern developments in the surgical treatment of disorders of the lower intestine including ulcerative colitis/severe acute colitis and innovations in the treatment of fecal incontinence.

Recognizing that the surgeon does not work in isolation, the book also integrates recent progress in imaging techniques for the anal canal and rectum, and highlights medico-legal considerations.

Aimed at current practitioners and trainees, the book discusses key concepts that will assist general surgeons and colorectal consultants in their management of patients with a broad spectrum of anorectal and colonic disorders. With a problem-oriented slant, this book is essential reading for all those with an interest in coloproctology.

Balancing basic science with information on everyday clinical practice, Blumgart's Surgery of the Liver, Biliary Tract and Pancreas, 7th Edition, provides you with expert guidance and advances in the field so you can offer patients the most optimal diagnostic and surgical care. In two convenient volumes, Dr. William Jarnagin and his team of internationally recognized surgeons cover exactly what you need to know, including advances in diagnostic and surgical techniques, minimally invasive surgeries, new interventional diagnostic techniques, and all relevant diseases. This comprehensive, practical reference is designed to help you choose and perform the most appropriate procedures that will minimize inpatient hospital time, curtail costs, and reduce overall recovery time for your patients. Presents cutting-edge guidance on pathology, diagnostics, surgery and non-operative intervention of the liver, biliary tract, and pancreas in one highly regarded, authoritative reference. Covers all surgical approaches, both open and minimally invasive. Considers all worldwide opinions and approaches to management, and includes key data on surgical outcomes to better inform clinical decision-making. Contains 161 chapters with updated references and additional figures-more than 1,500 illustrations in all. The imaging section has been reorganized to reflect a disease-based approach. Includes new and expanded sections on advances in molecular characterization of benign and malignant HPB diseases, perioperative management, interventional techniques, minimally invasive surgery and robotics, and therapeutic advances for malignant disease. Features a section dedicated entirely to operative technique, plus a new historical chapter authored by Professor Jacques Belghitti: "Hepatobiliary and Pancreatic Surgery: Historical Perspective." Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This book provides multiple choice questions in the specialized field of obesity and bariatric surgery. It is useful for preparation of board exams in bariatric surgery or exams for certified obesity practitioners.

This unique reference in laparoscopic colorectal surgery starts by looking at the establishment of the Lapco training programme in the UK. It then goes on to provide a comprehensive technical manual of operative and patient care for laparoscopic colorectal surgery, offers insight into training and assessment methodology and finally looks to the future and where we may be going. It shares knowledge of a unique training programme which healthcare systems worldwide are trying to emulate, and provides an up-to-date manual of know-how from some of the world's most experienced laparoscopic colorectal trainers.

Advances in surgical technique and broadening indications for complex gastrointestinal procedures, surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, but morbidity continues to be a persistent problem. This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery. All chapters are written by experts in their field and include the most up-to-date clinical information from national and world leaders in their respective discipline. The text provides a practical, clinically useful guide that reviews risk factors for these complications and offers key information on how to avoid potentially high morbidity events in the peri-operative period. It also discusses the management of these problems when they do occur. With its helpful guidelines and "tricks of the trade" to avoid potential complications, this book is essential to all medical professions treating such patients. Gastrointestinal Surgery: Management of Complex Perioperative Complications is of great value and utility for general surgeons, thoracic surgeons, upper gastrointestinal surgeons, colorectal surgeons, hepato-pancreato-biliary surgeons, surgical oncology fellows, thoracic surgery fellows and upper level residents in general surgery.

An easy to follow step-by-step guide to the most useful surgical skills from knot tying to simple procedures. Illustrated with colour photographs and video clips to demonstrate techniques, this book makes these practical skills as clear and easy to follow as possible. Including coverage of surgical instruments, wound management and suturing, and minor surgical procedures, it also explains how to use these essential surgical skills to make the most of a surgical placement. Healthcare students or junior professionals undertaking a placement in surgery or emergency medicine will feel confident and capable, and will be able to take an active role in surgical placements. Learning basic surgical skills is important for such placements, as well as for undertaking exams such as the Membership of the Royal College of Surgeons (MRCS).

A new revision guide designed to help candidates prepare for the first part of the FRCS general surgery exam. Due to a lack of preparatory resources for the exam, this book bridges the gap, offering updated guidelines and information which will help candidates succeed. It acts as a supportive revision guide which will enrich other FRCS exam resources. This resource provides an updated approach to the FRCS exam. Using questions written by practicing surgeons, the book offers more contemporary revision materials, touching on topics not widely covered in other FRCS revision aids. Readers will gain a familiarity with the style of the FRCS exam, as Higher FRCS uses a style reflective of the exam to enhance the candidate's knowledge, confidence, and preparation. The audience for this book includes general surgery trainees who are preparing for their higher exams (including FRCS), alongside surgical trainees taking the MRCS. It is also a beneficial resource for students in other medical courses studying for surgical exams.

Your trusted guide to surgical weight-loss

Sixty percent of individuals over the age of 20--or 58 million people in the U.S.--are overweight. As the obesity epidemic continues to grow, many Americans are researching the benefits and complications of weight-loss surgeries. Weight Loss Surgery For Dummies, 2nd edition is the most up-to-date and authoritative guide to understanding the impact of surgical weight-loss before, during, and after surgery.

Weight-loss surgery is often an overweight person's last resort, and it comes with many risks, questions, and fears. So how do you know if it's right for you? "Weight Loss Surgery For Dummies" gives you expert guidance on knowing whether you qualify for the procedures, advice on choosing the best center and doctor, and trusted information on evaluating the risks involved. Plus, it helps you plan to finance the procedure, prepare for surgery, and achieve the best results as you adjust to a new diet and lifestyle post-surgery. Trusted information on choosing a weight loss surgery that's best for youAdvice on what to expect before, during, and after surgerySample recipes and information to ensure you're getting proper nutrition post-surgery

If you or a loved one is considering gastric bypass surgery, "Weight Loss Surgery For Dummies" gives you everything you need to decide if it's the right course of action, what to expect during recovery, and how to ensure the best results through healthy eating behaviors and regular physical activity.

In 50 Landmark Papers every Acute Care Surgeon Should Know, editors Stephen Cohn and Peter Rhee have compiled a selection of the most influential recent contributions to the specialty of acute care surgery/emergency surgery. This book comprises 50 thought-provoking and relevant topics, reviewing carefully selected papers to update the readers on what has been published in the last decade. 50 key papers cover the most relevant studies from a wide range of topics from Acute Cholecystitis to Ventilator-Associated Pneumonia. This book is of interest to surgical residents and trainees, Trauma and Surgical Critical Care fellows and all members of the Acute Care team. This is both an informative and personal look at evidence-based topics, and is relevant to all general and acute care surgeons. About the Editors Stephen M. Cohn, MD FACS Hackensack Meridian School of Medicine at Seton Hall University Nutley, New Jersey, USA Peter Rhee New York Medical College Westchester Medical Center Valhalla, New York, USA