The patient safety is the paramount factor while treating them either conservatively or surgically. Iatrogenic injuries during surgery will cause significant morbidity and may lead to mortality.Although, the improvement made in the implants, instruments and techniques of orthopedic operations today, there are considerable surgical complications occurring. At the moment, the surgery has been well acknowledged for all the fractures and orthopedic diseases in adults and children. Also, the goal of treatment of limb fractures is to restore the limb length and anatomic articular surface alignment and rotation, also to create adequate fixation for early mobilization of associated joint with minimal complications. This Book includes safety facts explaining the anatomy and characteristic techniques for the surgeon in preventing neurovascular complications in various surgical approaches of the specific bones and joints, Hand surgery, Spine surgery and also explains every detail of performing safe surgery in the field of orthopedics and trauma. To avoid the neurovascular and other serious complications, the applied knowledge with extraordinary skills is requisite for the orthopedic surgeon while doing surgeries. This Book also highlights the prevention of surgical site infection, the current ideology of antibiotic therapy in orthopedic surgery, the precise need of anatomical skills and safe operative talent of the surgeon in avoiding hazardous complications during maximum and minimal invasive orthopedic surgery. This book will be a valuable read for MBBS students, orthopedic residents and practicing orthopedic surgeons.

This well-illustrated book presents one hundred and eighty cases that have been consulted on by an international breast group (organized and run by Dr. Michael Higgs) that comprises experts in breast surgery and is dedicated to the solution of problems associated with aesthetic breast surgery. The focus of the book is accordingly on actual pre- and postsurgical problems in breast surgery. Each case study includes the history of the breast problem, photos, questions, recommendations for treatment, and discussions of relevant subjects from a variety of specialists. Outcomes of the selected treatments are also presented. The book is unique in covering the multitude of complications that can arise with breast surgery from the perspective of international experts. It will enable readers to identify appropriate methods of handling specific problems and to implement the recommendations in their practice.

This book comprehensively discusses advanced surgical techniques for pancreatic cancers, including open, laparoscopic and robotic-assisted surgery, as well as palliative surgery and total meso-pancreas excision. It also features high-resolution illustrations taken from selected clinical cases to enhance the descriptions of the surgical procedures. Providing details of technical issues and commenting on the outcome, it a timely reference resource for pancreatic surgeons, pancreatic physicians, and interns interested in pancreatic cancer surgery.

This book presents an updated perspective on spinal implants currently used in thoraco-lumbar spine surgery, leading to a rigid or dynamic spine fusion. The development of new surgical devices and techniques is mostly focused on a spinal fusion for lumbar instability due to trauma, tumours or degenerative or infectious diseases. Pedicle-screw fixation and fusion are currently considered to be the gold standard for most of the above-mentioned pathologies, and modern implants are designed to improve the accuracy of pedicle-screw placement and to allow the use of new surgical techniques and minimally invasive approaches. The content is relevant for surgeons, orthopaedic specialists, neurosurgeons, physiotherapists and osteopaths.

This collection of chapters describes in detail the latest insights into the evaluation of resectability and neoadjuvant therapy to pancreaticoduodenectomy and distal pancreatectomy for pancreatic cancer. Shedding light on immunotherapy and gene therapy, this volume comprehensively covers treatments and procedures for the disease, allowing surgeons and trainees to gain an overview and explore innovative treatments. It also provides information on various cases using tools such as endoscopic ultrasound, MDCT, PET for diagnosis and laparoscopy and robotic resection methods. Edited and authored by pioneering professionals, Diagnosis and Treatment for Pancreatic Cancer is a valuable resource for gastroenterologists, medical oncologists, surgical oncologist and general surgeons interested in treatment of pancreatic cancer care.

This book is a comprehensive, state-of-the art, definitive reference for the surgical management of Neuroendocrine Tumors (NETs). It provides a practical, clinically useful guide that prioritizes the diagnostic work-up, indications for surgery, surgical principles, and perioperative care of patients with NETs in the context of multi-disciplinary care. Most textbooks on NETs have traditionally focused on patients with advanced disease, highlighting systemic therapies and emerging treatment options. In contrast, this book provides a concise yet comprehensive summary of the surgical management of NETs and serves as an invaluable resource for physicians, fellows, and residents who treat this difficult disease by providing helpful guidelines and up-to-date information on clinical management. Written by experts in the field, Neuroendocrine Tumors includes the most up-to-date clinical information from national and international leaders in their respective disciplines. It not only serves as an invaluable resource for many as they seek to provide the best possible surgical and multidisciplinary cancer care, but also an opportunity to identify new avenues of scientific discovery that may lead to significant advances in the diagnosis and management of NETs.

This superbly illustrated atlas provides step-by-step descriptions of surgical procedures to the airways based on use of the sheep as an animal model, which has been demonstrated scientifically to be comparable to the human. The procedures covered - tracheotomy, laryngotracheoplasty, slide tracheoplasty, tracheal reconstruction, partial cricotracheal reconstruction, and main endoscopic techniques - are relevant to a range of frequent surgical indications, such as stenosis, laryngotracheomalacia, and tracheal tumor. The book is the first to describe such surgery on the basis of this animal model and includes a full description of preparation of the model. The practical guidance provided will equip surgical trainees with the knowledge required before embarking on these procedures in humans, but will also be highly relevant to more experienced surgeons wishing to upgrade their skills. The book is the outcome of a successful collaboration between the Head and Neck Surgery Departments of the University Hospital of Modena and the Bambino Gesu Hospital in Rome.

This book provides comprehensive but concise data for congenital diseases of the penis, explaining the embryological and anatomical background, incidence, historical background, investigation approaches, imaging and management of each condition. The book is organised in themed parts, starting from embryology and normal anatomy and examining anomalies for each anatomical part: prepuce, penis, urinary meatus, penile urethra with a final part of acquired penile diseases with congenital background. With clear illustrations in each chapter to explain each condition in detail, online animations for the difficult and complex cases are also provided. Practitioners in the field of pediatric urology and surgery will find this highly readable book particularly valuable. The author is a pioneer pediatric surgeon with over 30 years' experience in the field of genitourinary anomalies.

The definitive monograph on the world's most commonly performed obstetric surgical procedure, this text benefits from plentiful illustrations to show all the details a surgeon needs to know, and from expert international contributors to share their knowledge on the many specialist questions raised.

This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process. These include patient's anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's own physiologic and mental status, training and experience, and many other factors such as creativity, leadership skills, and overall "biochemistry" of the environment. The text reviews theoretical as well as objective information that surgeons use to make intraoperative decisions in situations, often with very limited data; decisions that will decide between a patient's living or dying, such as in trauma surgery and other complex surgeries. How surgeons choose one technical approach over another in these situations is covered. This book fills a critical need for resource materials on these topics and includes both theoretical as well as practical presentations of many typical patients seen in operating rooms around the world. Surgical Decision Making: Beyond the Evidence Based Surgery is written by academic and clinical practicing surgeons that face intraoperative decision situations on a daily basis and therefore provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical or research practice.

This well-illustrated handbook provides answers to important questions that may arise during the retrieval of multiple organs for transplantation and offers step-by-step descriptions of current surgical techniques for procurement of the various thoracic and abdominal organs, including heart, lung, liver, intestine, pancreas, and kidney. The coverage includes detailed instruction on liver splitting techniques and on living donor liver hepatectomies and laparoscopic and robot-assisted nephrectomy for transplantation. In addition, guidance is provided on preoperative evaluation for multiorgan donation, contraindications, management for organ retrieval in deceased donors, and organ preservation. The advice offered and the questions addressed will be of relevance not only to transplant surgeons, trainees, and fellows but also to all other professionals involved in organ transplantation, including nursing staff in intensive care units and emergency rooms.

This book is aimed at surgeons faced with the immediate management of acute surgical problems in a variety of resource settings. The topics covered are common in both developed and developing countries as well as in tropical and non-tropical settings. The book offers an introduction to trauma, which includes primary, secondary and tertiary surveys, trauma resuscitation, and multidisciplinary care followed by a short section on acute burns management and a discussion of a range of specific surgical topics including various of acute abdomen, upper and lower gastrointestinal bleeding, perianal conditions, oncological issues that require acute intervention, abdominal wall problems, urological emergencies and neck swellings. It also addresses the rational use of antibiotics and medications and the role of high dependency units. Each chapter includes a flow chart algorithm with multiple endpoints that relate to the resource situations available to the surgeon. The book is of interest to clinicians dealing with changes in acute surgery and the increasing disparity between developed and developing countries

Management of benign anorectal disorders is challenging for the treating surgeons as the patients are highly distressed, the symptoms are always alarming, and surgical intervention may be associated with lifelong disabilities such as loss of sphincter control. Written by highly experienced colorectal surgeons, this book provides detailed notes on optimal management of these disorders including pre- and post-operative management. Chapters cover the entire range of benign disorders such as hemorrhoids, fissure, fistula-in-ano, anorectal injuries, anal incontinence, rectal prolapse, pelvic floor disorders, benign tumors and ulcers, and strictures. Chapters on surgical anatomy and physiology equip the surgeons with the information necessary to understand the complex anatomy and functioning of this region which makes surgery all the more difficult. Benign Anorectal Disorders is an essential reading for colorectal surgeons, general surgeons, fellows-in-training and the post-graduate students.

This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.

This fifth edition of Chassin's Operative Strategy in General Surgery is a major revision that strives to remain faithful to the purpose and tone of Dr. Chassin's original text. This unique textbook provides an emphasis on surgical strategy that is unmatched by other textbooks of surgical technique. The text explains the conceptual basis of each operation, outlines strategies to avoid common pitfalls, and carefully describes and beautifully illustrates the technical steps of each operation. The fifth edition preserves the unique qualities of its previous edition while providing a comprehensive update. This updated volume also features a vast amount of richly detailed artwork and operative photographs, which help depict operative techniques step-by-step. No other text so successfully combines operative technique with the concept of strategy - that is, key governing principles that dictate safe surgery and avoidance of complications. There are books of technique, there are books about complications, and there are books about the rationale involved in the treatment of various kinds of surgical pathology. Chassin's combines all three. Chassin's Operative Strategy in General Surgery: An Expositive Atlas Fifth Edition comprehensively covers all non-vascular operations commonly performed by general surgeons. This edition expands this comprehensive general surgery reference while remaining true to the special character of the work. The revision expands upon procedures not covered in the previous edition and incorporates new techniques into many other chapters.

Robotic Surgery of the Bladder is a dedicated resource to understanding and mastering the concepts and practical aspects of robotic bladder surgery. The volume provides an introduction to urologists interested in initiating robotic radical cystectomy by providing them background, concepts, steps, and tools and tricks to introduce robotic radical cystectomy into their clinical practice, all in a safe, stepwise, and organized manner. For the more experienced robotic surgeon, the text serves as a resource for more advanced applications and techniques. The volume is also accompanied by many still images and a DVD of video clips. Written by experts in the field, Robotic Surgery of the Bladder is a comprehensive resource that maintains the time-tested oncologic principles of bladder cancer surgery, while introducing the advantages that exist with robotic-assisted approaches.

When Laparoscopy in Children was first published in 2003, it quickly became popular with pediatric surgeons worldwide owing to its clear schematic drawings and concise text. This new edition has been revised and enlarged to cover the new procedures and other advances that have emerged in the intervening period, during which the number of operations has almost doubled. Now, the vast majority of indications for laparoscopy in children are presented and discussed. Each operation is systematically described and illustrated step by step, providing the reader with the technical guidelines required to perform laparoscopy safely even in small children. Laparoscopy in Children will be an invaluable guide for all surgeons who perform, or plan to perform, such operations.

This book is designed specifically to help equip new surgeons with the anatomical and technical knowledge to supplement hands on experience in minimally invasive colon and rectal surgery. There are multiple colorectal surgeries which distinctly lend themselves to the use of the laparoscopic approach. To assist the junior surgeon who is embarking on a career in surgery, expert surgeons and educators in the field of colon and rectal surgery from around the country authored the chapters included in this book. Chapters describe key elements of each surgery, including the order of surgery, when and how the surgeon created tension, rotated the patient, and optimized flow of the surgery. Chapters also contain tips and pitfalls that are not always explicitly presented when describing a surgical approach in order to provide readers with a diverse toolkit. Each chapter is also full of new illustrations that show the direction of traction, the line of dissection, and the anatomy of the colon. The illustrations also present tools in a color-coded format to clearly distinguish between the surgeon's and the assistant's tools. Laparoscopic Colectomy: A Step by Step Guide is a valuable resource to residents and junior attendings who wish to master laparoscopic colon and rectal surgery.

The book covers all aspects of lower limb oedema including aetiology, pathophysiology, clinical approach, investigations, differential diagnosis and management. It presents all the medical and surgical aspects of lower limb oedema in a well-illustrated manner for better understanding. It covers the lower limb oedema of different origins separately to highlight the different spectrums in their presentation and management. Separate chapters include special conditions like pregnancy, trauma and vascular malformations. The book augments the learning and knowledge for lower limb oedema management by illustrating all aspects of it. It suggests proceeding with every possible aetiology with a better understanding of pathophysiology and adequate designated investigations. It also includes clinical guidelines that help to solve the diagnostic dilemma in lower limb oedema management with infused points to reach a consensus in each and every possible cause. The book includes recent scientific literature and accepted guidelines adopted from the publications during the last ten years to provide latest knowledge in the field. The approaches discussed in the book with specific importance to clinical workup and meticulous investigation protocols will help the surgeons, physicians, primary care workers as well as surgical resident trainees to reach the correct diagnosis and proper management.

This book offers an essential guide to surgical approaches to the umbilicus. The navel is the only natural scar in the body, accepted for all human beings all over the world. Its absence or distortions can have negative psychological impacts, as it normally lends beauty and harmony to the otherwise unattractive abdomen. The aesthetic importance of the navel justifies the increasing amount of individuals undergoing abdominoplasty and omphaloplasty. However, these surgeries may lead to a series of complications or unintended aesthetic outcomes. Indeed, the postsurgical final aspect of the umbilicus is the main stigma and primary source of problems and complaints following abdominoplasty. In this book readers will find a complete surgical guide to the most important surgical approaches and strategies related to the navel, helping them to deliver a high standard of quality and patient-tailored surgical and aesthetic outcomes. Written by a renowned plastic surgeons with more than 20 years of experience, Omphaloplasty - A Surgical Guide of the Umbilicus offers readers an overview of general and innovative surgical techniques for the umbilicus, helping them to make the best choice when performing abdominoplasties.

This book adopts a multidisciplinary approach to examine in detail a range of interesting new concepts in the diagnosis and therapy of pancreatic adenocarcinoma. It is divided into three parts. The first part provides an epidemiological and clinical overview of the disease, followed by an update on pathological findings, including new discoveries in the area of molecular biology. The second part, on diagnosis, offers detailed and comprehensive information on the advantages and disadvantages of different imaging techniques, including nuclear medicine and endoscopic ultrasound. The concluding part gives a panoramic overview of the various therapeutic options, from surgery to chemotherapy and palliative approaches based on interventional endoscopy and radiology. This book will be a valuable source of information for clinicians involved in the management of pancreatic adenocarcinoma and for all who are interested in updating their knowledge of the disease, including fellows and senior residents.

Guidelines in Clinical Surgery is a handbook for all trainees in surgery, providing an invaluable and expert guide to all aspects of clinical surgery that the trainee will encounter during their day to day work. General chapters on clinical examination, pre-operative, peri-operative and post-operative care are accompanied by expert guidance on how to deal with specific surgical problems, such as respiratory failure, wound healing, MRSA infection, tropical surgery and acute ischaemia. Further chapters provide invaluable information on topics including nutrition, anaesthsia, sutures and surgical incisions. The special problems associated with the surgical management of elderly patients are discussed, and the reader is introduced to the principles of surgical oncology and laparoscopic surgery. With its concise and easy-to read layout, Guidelines in Clinical Surgery is written by a team of expert surgeons, some of whom are also examiners for the Royal College of Surgeons. It is an invaluable on-the-job guide for Foundation level doctors on surgical rotation, as well as for those studying for the MRCS, FRCS and equivalent examinations. Guidelines in Clinical Surgery is a handbook for all trainees in surgery, providing an invaluable and expert guide to all aspects of clinical surgery that the trainee will encounter during their day to day work. General chapters on clinical examination, pre-operative, peri-operative and post-operative care are accompanied by expert guidance on how to deal with specific surgical problems, such as respiratory failure, wound healing, MRSA infections, tropical surgery and acute ischaemia. Further chapters provide invaluable information on topics includingnutrition, anesthesia, sutures and surgical incisions. The special problems associatted with the surgical management of elderly patients are discussed, and the reader is introduced to the principles of surgical oncology and laparoscopic surgery.
With its concise and easy-to read layout, Guidelines in Clinical Surgery is written by a team of expert surgeons, some of whom are also examiners for the Royal College of Surgeons. It is an invaluable on-the-job guide for Foundation level doctors on surgical rotation, as well as for those studying for the MRCS, FRCS and equivalent examinations.

Liver steatosis or nonalcoholic fatty liver disease (NAFLD) is a progressive disorder characterized by the fat accumulation in the parenchyma of the liver. The progressive form of NAFLD called nonalcoholic steatohepatitis (NASH) is the advanced condition that shows different grades of fibrosis, which could progress to cirrhosis, hepatocellular carcinoma and liver-related morbidity and mortality. Bariatric surgery gains attention as a potential treatment for liver steatosis because different studies revealed an improvement in 90% of cases of fatty liver after surgery. The improvement occurred within the first year and persisted up to five years. Pathogenic mechanisms that are involved in the evolution steatosis are intimately connected with insulin resistance, type 2 diabetes (T2D) and the metabolic syndrome. Bariatric surgery is a powerful treatment to ameliorate all these conditions. The aim of this book is to update the actual evidence about liver steatosis, non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in morbidly obese patients, the diagnostic methods and the evolution after the different techniques of bariatric surgery.

In recent years there has been increasing sub-specialization and a rapid expansion of the range of therapies available to pediatric ENT specialists. This concise, up-to-date textbook deals comprehensively with all the practical and theoretical aspects necessary for those taking exams or wishing to up-date their knowledge. It is divided into sections covering rhinology, otology and head and neck problems. The uniformly structured chapters cover all relevant topics comprehensively and succinctly. The authors are from Europe and the US and are internationally renowned experts in their fields. This useful and reader-friendly textbook will not only be inspirational to young specialists with an interest in pediatric ENT, but also to those who are due to take their final exams as well as for established specialists in the field.

This illustrative book discusses the normal embryology, anatomy, functions, normal variations and diseases affecting the prepuce. It also explores other rare anomalies and diseases of the prepuce as well as previously unreported cases. In addition to the male prepuce, the book also discusses the female prepuce (hood) in order to elucidate some lights in normal and abnormal prepuce. A separate section covers the frenulum and its anomalies. Rich in illustrations this book will help paediatricians and urologists better understand the anomalies of the prepuce.