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Books > Medicine > Surgery > General surgery
A radial forearm free flap is one way of filling a hole which is
left when a cancer has been removed. It is one of the most common
ways of replacing tissue in the head and neck, particularly after
mouth cancers have been removed. It can be used to replace large
parts of the mouth and has the advantage that when it heals it does
not shrink so that hopefully speech and swallowing will not be
greatly affected. For the procedure, a surgeon takes a piece of
skin from the inside surface of the patient's forearm near the
wrist. The skin and fat layer in this region are removed (the flap)
along with two blood vessels, one of which supplies blood to the
flap (the artery) and one of which drains blood from it (the vein).
The vessel which supplies blood to the flap is the artery which
gives rise to the pulse at the wrist at the base of the thumb. Once
the flap of skin is raised it is transferred to the head and neck
and sewn into the hole created by the removal of the cancer. The
blood vessels supplying and draining the flap are then joined to
blood vessels in the neck under a microscope. These blood vessels
then keep the flap alive while it heals into its new place. Once
the flap is removed from the forearm the hole created is covered
with a graft of skin. This graft of skin can be taken from one of
several places. Commonly a thin piece of skin is shaved from the
arm above the elbow. Alternatively, some skin will be borrowed from
the stomach. This highly illustrated colour atlas is a
comprehensive guide to head and neck reconstruction using free
radial artery forearm flap. Beginning with an introduction to the
history of the technique and its advantages and disadvantages, the
book then provides step by step guidance on surgical anatomy, pre-
and post-operative care, surgical procedures, and potential
complications. A selection of case studies is included to assist
learning. Key points Colour atlas explaining radial forearm free
flap for head and neck reconstruction Presented as step by step
guide through procedures and pre- and post-operative care Includes
case studies to assist learning Highly illustrated with surgical
images and diagrams
This book is of great significance for final year MBBS and
postgraduate students of general surgery, orthopedics and
anesthesia. It provides the basic knowledge needed to answer
questions that are routinely asked in practical table viva
examinations. It includes simple, comprehensive, condensed and
pointwise information with illustrative diagrams wherever required.
A comprehensive description of the instruments used in general
surgery, orthopedics and anesthesia along with their photographs is
a prominent feature of this book. Important major and minor general
surgical procedures and commonly performed bedside procedures are
described in a step-by-step approach. Some of the neglected, but
important commonly-asked topics such as different types of surgical
suture materials, surgical needles, perurethral, catheters, tubes,
drains, intravenous fluids and intravenous cannulas are also
covered in this book. The second edition also includes chapters on
recent advances in general surgery such as laparoscopic surgery and
robotic surgery. Common surgical emergencies presenting to the
emergency room are also discussed in the second edition. The book
covers all aspects of practical examination for undergraduates.
Also helpful to the postgraduate students of general surgery,
orthopedics and anesthesia. Identification points of the
instruments and their uses are mentioned in each section. Discusses
all surgical instruments used in general surgery and super
specialty surgeries such as neurosurgery, urosurgery and plastic
surgery along with illustrative photographs. Orthopedic implants
used in different fractures are also discussed along with their
photographs. Different sterilization procedures of every instrument
are discussed in detail. Anesthesia section includes equipments for
general as well as regional anesthesia. Commonly used drugs in
anesthesia and emergency drugs are also described. Major and minor
operative and bedside procedures in general surgery which are
commonly asked in examinations are described in a step-by-step
approach. Preoperative preparation of the patient prior to surgical
procedures is described in detail. Different types of surgical
suture materials, needles and the basic surgeries are discussed in
the section of suture materials. Different types of perurethral
catheter, tubes and drains used in general surgery are described.
It covers the basic knowledge of different intravenous fluids and
intravenous cannulas used in clinical practice. Includes chapters
on recent advances in robotic surgery, instruments used for
laparoscopic surgical procedures and a brief description of the
energy sources in surgery. A chapter on approach to diagnose common
surgical emergencies presenting at the emergency room and its
subsequent management has been added.
Provides the complete knowledge about the history to be asked in
the long cases for examinations and points out all the examination
aspects. Contains more than 50 diagrams and illustrated
photographs, which make the readers to understand easily. It
includes a lot of tables and boxes with important points needed for
the examination time. The book being handy makes it easier for the
readers to carry it to the wards and outpatient departments.
Thoroughly revised and updated with latest points from various
journals and textbooks.
FRCS General Surgery Section 1: 500 SBAs and EMIs, Second Edition
has been thoroughly revised to ensure the content remains
completely up to date and accurate. With 50 new questions, FRCS
General Surgery Section 1: 500 SBAs and EMIs offers the most
relevant and comprehensive set of practice questions for trainees
preparing for the exam. Chapters are mapped to the syllabus to
deliver structured revision in all the key topics tested in the
exam. Featuring a wealth of practice questions and fully
descriptive answers, this book provides the essential revision tool
to maximise chances of success. 500 SBA and EMI scenario based
questions reflecting the formats encountered in the exam Answers
feature concise, case-based descriptions to consolidate knowledge
Extensive evidence-based referencing to relate theory to clinical
practice Visually-enhanced answers to improve understanding of key
concepts
The purpose of this book is to contribute to basic and clinical
medical research on cochlear implants for inner ear malformation
and cochlear nerve deficiency. Cochlear implantation for children
is performed worldwide, and the outcomes concerning speech and
hearing acquisition are epoch-making. However, there are some
difficulties associated with applying this operative treatment to
patients who have complicated inner ear malformations or cochlear
nerve deficiencies that have slowed the development of their
speech, hearing, and/or sense of balance. The first part of the
book outlines the fundamental aspects of inner ear maldevelopment
to facilitate readers' understanding of cochlear implantation from
the point of view of embryology, morphology, and genetics. In turn,
the second part describes current clinical cases and presents
successful clinical reports. The book offers a primary resource for
otolaryngologists, neurologists, and pediatricians with an interest
in this field.
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Hernia Surgery
(Hardcover)
Selim Soezen, Hasan Erdem
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This book presents a comprehensive, state-of the-art guide and
review of ultrasound applications for children and infants with
surgical problems. It is meant as a single source to provide
information about sonographic application, interpretation and
technique for a diversity of pediatric surgical care providers,
making it a useful tool for the ultrasound novice as well as the
more advanced ultrasonographer. Sections address initial obstacles
faced by a physician starting with ultrasound such as the scanning
techniques, underlying anatomy and normal sonographic findings. The
initial chapter provides an introduction and basic overview about
ultrasound theory and techniques. Subsequent chapters focus on
specific body parts and systems and their disease processes as it
pertains to pediatric and neonatal patients. The text also includes
a chapter on abdominal trauma and its evaluation with the FAST
(focused abdominal sonography for trauma) exam. Diagnostic and
Interventional Ultrasound in Pediatric Surgery serves as a useful
resource for a broad spectrum of pediatric care providers,
including a growing number of ultrasound users, surgeons and
pediatricians alike.
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