Over the past decade, tremendous innovations in technology, clinical applications, and implant design have transformed the field of facial implant surgery, leading to improved outcomes and greater patient satisfaction. The highly anticipated 2nd Edition of Atlas of Facial Implants, led by renowned plastic surgeon Dr. Michael J. Yaremchuk, brings you fully up to date with these changes, offering authoritative coverage of both aesthetic and reconstructive applications of alloplastic implants for recontouring the craniofacial skeleton. Provides step-by-step descriptions of each procedure enhanced by hundreds of color illustrations and color photographs depicting preoperative, intraoperative, and postoperative views. Reviews indications for implant use, patient evaluation, and surgical planning, as well as pearls and pitfalls throughout. Discusses Computer-Aided Design (CAD)/Computed-Aided Manufacture (CAM) for both cranial reconstruction (cranioplasty) as well as aesthetic applications. Features new coverage of facial implants as an important adjunct in rejuvenative aesthetic surgery, as well as their role in refining orthognathic surgical procedures, surgical treatment of Graves' disease, and facial skeletal augmentation. Provides access to procedural videos depicting post orthognathic irregularities and imbalances, functional cranioplasty, and more. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

A comprehensive survey of recent advances is given in this Update. The wide spectrum of experimental and clinical investigations include the pathophysiologic, diagnostic and therapeutic aspects.

This book presents a comprehensive survey in which internationally recognized experts discuss specific topics. The wide spectrum of experimental and clinical investigations include the pathophysiologic, diagnostic and therapeutic aspects. Update 1990 represents the series' continuous effort to combine the most recent developments in one reference source for all those involved in cardiology, internal medicine, pediatrics, anesthesia, intensive care and emergency medicine.

Safe surgery is founded upon careful dissection and clear identification of vital structures. Knowledge of the appropriate anatomy and anatomical relations is therefore essential, not only during surgical training, but as the cornerstone of surgical practice. The aim of this book is to describe the essential anatomical basis of a range of common procedures in general and vascular surgery. The large-format multi-volume texts on operative surgery, despite their undoubted excellence, are now too expensive for individual purchase. Single-volume books on operative surgery have been unable to devote sufficient attention to anatomical detail and the surgeon is left ploughing through anatomy texts, often failing to find illustrations which demonstrate clearly the features that are important in an operative dissection. The present text highlights features of the operations which are important anatomically while not attempting to give a complete description of the operative procedure. A combination of line diagrams and cross sections has been used to provide the topographical detail. The volume is aimed mainly at surgeons in training, to help them on a day-to day basis and to provide a text which will be useful in revising for post graduate examinations in surgery. It is also hoped that the book will be of use to practising surgeons, providing an easy means of highlighting important anatomical aspects of the procedures they perform relatively infrequently. 1989 S.J.S."

Gastric Carcinoma/Classification, Diagnosis, and Therapy presents the most current perspective on gastric carcinoma, with particular emphasis on the surgical and chemotherapeutic modalities that offer hope for future treatment. The book discusses epidemiology, pathogenesis, and precancerous and clinical stage classification of the disease and provides valid practical guidelines for stage-specific diagnosis, therapy, and patient guidance. Topics explored include endoscopic criteria for premalignant lesions and early gastric carcinoma; clinical staging of gastric cancer by ultrasound, computerized tomography, and magnetic resonance tomography; surgical treatment of carcinomas of the gastroesophageal junction; possibilities for palliative treatment in surgical practice for advanced tumors; adjuvant treatment of gastric cancer; and chemotherapy of advanced gastric carcinomas in elderly and high-risk patients.

Das Buch enthAlt BeitrAge namhafter Experten zu aktuellen Themenkreisen der arthroskopischen Chirurgie. Schwerpunkte sind Indikationsstellung und erhaltende Therapie am Meniskus, Methodenwahl und technisches Vorgehen am vorderen Kreuzband sowie diagnostische und operativ-arthroskopische MAglichkeiten am Schultergelenk. Die Darstellung besonderer arthroskopischer Techniken und eine kritische Zusammenfassung zu Standort und zukA1/4nftigen MAglichkeiten der Gelenkspiegelung runden das Buch ab.

Transcutaneous ultrasonography is an established procedure for diagnosis and therapy in gastroenterology. However, ultrasonic images can often be hampered by pulmonary and intestinal gas and by bony and adipose tissue. In 1956 Wild and Reid reported the first results of transrectal ultrasound of the prostate [1]. In 1976 Lutz introduced an A-mode ultrasonic probe which could be introduced via the biopsy channel of an endoscope [2]. In 1978 and 1980 Hisanaga performed echocardiography using an ultrasonic transducer attached to the tip of a flexible instrument [3, 4]. In animal studies and later on in humans Di Magno has used an echoendoscope in which a small transducer was attached at the tip of a fiberoptic endoscope [5, 6]. The purpose was to overcome the limitations of transcutaneous ultrasonography by directly approaching target lesions with a high-frequency ultrasound source via the gastroin testinallumen. SJlbsequently, the first series of endoscopic ultrasonography (EUS) examinations were reported during the European congress in Stockholm [7]. The purpose of this book is: 1. To evaluate the technique and the equipment for endoscopic ultrasonography 2. To evaluate in detail the endosonographic pattern of the normal and abnormal wall structure 3. To analyze a large consecutive series of various gastrointestinal malignancies in order to determine the usefulness and accuracy of EUS in the detection, staging, and therapy of malignant diseases 4. To compare EUS with other imaging techniques References 1.

Fibrin plays a central role in wound healing. It has a hemostatic effect by forming a temporary wound closure and assists in neovascularization and fibroblast prolifera- tion. It therefore makes the repair of injured or severed parts of the human body by simple glueing possible, a notion that men have dreamed of since ancient times. The first modern attempts in this direction, using clotting substances derived from human blood to achieve hemostasis, were reported by Bergel (in 1909), Grey (in 1915), and Harvey (in 1916), who used fibrin powder or fibrin patches to control bleeding from parenchymatous organs. Two decades later Young and Medawar (1940) and Cronkite (1944) used blood plasma or fibrin solutions, adding thrombin to seal nerve anastomoses and to fix skin grafts in humans. Due to the poor adhesive strength of the fibrinogen the results were unsatisfactory. In 1972 a new era in fibrin sealing was initiated by Matras. By using highly concentrated fibrinogen in combination with factor XIII (fibrin-stabilizing factor) and by delaying fibrinolysis with a fibrinolysis inhibitor (aprotinin), a method was developed which after satisfactory results in animals, soon began to be applied in humans.

Fibrin plays a prominent role in wound healing. It has a hemostatic effect, induces cellular response to wound damage,' and, by forming strands to build a matrix, assists in neovascularization and fibroblast proliferation. The concept of using clotting substances from human blood for wound manage- ment and to achieve hemostasis in bleeding parenchymatous organs can be traced to 1909, when Bergel [1] reported on the hemostatic effect of fibrin powder. In 1915, Grey [3] employed fibrin to control bleeding in neurosurgical operations of the brain. A year later, Harvey [4] used fibrin patches to stop bleeding from parenchy- matous organs in general surgery. It took more than two decades for this ingenious idea to be rediscovered. In 1940, Young and Medawar [8] reported on experimental nerve anastomosis by sealing. Similarly, Tarlov and Benjamin [7] reunited nerves with plasma clots in 1943. Tarlov improved the results obtained with clot anastomosing of nerves by avoiding tension at the nerve stumps. In 1944, Cronkite et al. [2] reported on an initial series of eight cases in which fibrinogen and thrombin had been used successfully for anchoring skin grafts.

Contains a DVD that includes more than 50 videos of surgical and experimental techniques and a color histologic atlas of normal tissues Provides normal data for the most common breeds of minipigs and domestic swine Adds new chapters on cancer models, transgenics, necropsy, and toxicology Includes technical discussions on anesthesia, analgesia, and perioperative care that represent the best practices for using swine in experimental surgery Presents extended reference lists at the end of each chapter to point toward further study

In this age of specialization most patients with diseases of the hind gut and anus are still managed by general physicians or surgeons. The speciality of coloproctology has grown from the art of 'anology', a study of conditions limited to that distance from the anal verge that could be inspected easily by torch- or candlelight or with the aid of a simple speculum. Two centuries ago many proctological ills were often treated by itinerant quacks, partly because the physician considered himself rather too grand to meddle around the anus and the medical profession in general tended to look down on those who studied anal disease. Today, in certain countries, coloproctology has become a speciality every bit as exclusive as urology or orthopaedic surgery, with its own training programme and examinations, usually undertaken after the end of general surgical training. Such super-specialization has undeniable advantages with rapidly advancing technology and therapeutic possibilities. There is no doubt that for the patient suffering from a low rectal carcinoma or severe inflammatory bowel disease there are advantages in being treated by surgeons who are dealing with several cases in a year rather than by a general surgeon who sees such problems relatively rarely. Such specialized colorectal surgery units makes good sense medically and economically in large centres of population with good communications.

The The use use of of lasers lasers in in medicine medicine has has opened opened up up entirely entirely new new fields fields of of therapy therapy and and diagnosis. diagnosis. However, However, progess progess in in the the technical technical application application of of lasers, lasers, which which often often results results in in the the sudden sudden eclipse eclipse of of previous previous techniques, techniques, far far outpaces outpaces that that in in medicine medicine itself. itself. Know-how Know-how can can be be acquired acquired only only through through exacting exacting investigations investigations by by researchers researchers and and clinicians, clinicians, and and close close collaboration collaboration between between them them is is necessary necessary if if we we are are to to understand understand the the tremendously tremendously com plicated plicated biosystem biosystem that that is is the the "human "human being". being". With With the the desirability desirability of of rapid rapid exchange exchange and and discussion discussion of of ideas ideas and and findings findings in in mind, mind, the the MUnchener MUnchener Messe- und und Ausstellungs-GmbH Ausstellungs-GmbH organizes organizes biennially biennially the the congress congress LASER LASER OPTOELECTRONICS, OPTOELECTRONICS, which which has has become become a a forum forum for for leading leading experts experts in in laser laser medicine. medicine.

Proceedings of the Anglo-German Proctology-Meeting, Munich, May 14/15, 1981

The first complete general study of acute necrotizing hemorrhagic pan creatitis was made in 1889 by Reginald Fitz. If we survey the therapeutic evolution of this severe illness, we may briefly summarize it into three pe riods: (a) resolutely surgical treatment, from approximately 1880 to 1938; (b) much more conservative treatment, from 1938 to 1963; and (c) a return to surgery, from 1963 onward. Hoffmann, in 1911, was probably the first to advocate the removal of the necrotic portion of the pancreas. In 1933, Okinczyc wrote: "The ope rative indications are not a matter for discussion; emergency surgery must be quick to manage the patient's poor resistance." So: "go right to the target, expose, drain ... and hope " Leriche and Arnaud, more inge nious, said: "The aim of the operation is to avoid diffusion of the pan creatic juice into the abdominal cavity and limit the harmful effects of what remains in situ ... " With the progress in intensive care techniques, the "conservatives" emphasizing the poor results of surgery had no difficulty in imposing their point of view. Subsequently, in 1963, a new period began with the first successful emergency pancreatoduodenectomy, performed by Watts. If nowadays surgery for the secondary stage of necrosis or abscesses is generally accepted, emergency surgery still remains questionable even if not systematically refused. Many surgeons perform it under three condi tions: the worsening of the patient's general state despite medical treat ment, a dubious diagnosis, and a biliary etiology."

The increasing incidence of both chronic pancreatitis and pan creatic cancer was the primary impetus for the organization of this meeting, an additional factor being the widespread existence of pancreatic disease within Italy itself. It is well known that the treatment of chronic and particularly of acute pancreatitis is still a matter of controversy, and it seemed useful to compare our own experience with that of other centers working in the same field. Consequently, in addition to numerous Italian specialists in the field, doctors from the Federal Republic of Germany, Denmark, Great Britain, France, and Austria were invited to attend the meeting. The symposium lasted two days and comprised eight sessions dealing with the anatomy and physiology of the pancreas and the pathophysiology, diagnosis, and treatment of pancreatic diseases. A central feature of the discussion on the surgical treatment of chronic pancreatitis was the debate between those who favor the use of drainage and those who believe resection to be the best treatment. Finally, I would like to thank Dr. Cavallini and Dr. Pederzoli very much for their help in organizing the meeting and also the local authorities for their aid. Professor Adamo Dagradi Director of the Institute of Clinica Chirurgica, Verona Opening Address I am pleased to welcome all partlclpants and particularly the guests from abroad, to this meeting on the clinical evaluation of pancreatitis."

The preceding monograph: ''Vagotomy - latest advances", Springer-Verlag, 1974 ed. by F. Holle and S. Andersson reported an innovation in surgery: the so-called "selective proximal vago tomy (spv) with pyloroplasty (pypl)". The usefulness of the method was put to the test in cases of peptic ulcer disease and in dog experiments. No claim was made - as some reviewers erroneously supposed - that the method was a comprehensive presentation of the surgery of peptic ulcer disease or even that it offered a patent solution to this subject Instead, it should be regarded as the initial step towards this goal. The clinical results obtained during the years 1964-74 encouraged us to pursue this line of approach with a view of reaching a stomachpreserving or non-resective method in peptic ulcer surgery and to test the appli cability of the method to other benign disorders of the stomach. After 16 years of testing and experience with over 2000 cases S (Dec. 1t. 1979) of selective proximal vagotomy with pyloroplasty, supplemented by advanced studies on the pathophysiology of the method, an additional volume is now proposed: "Vagotomy and Pyloroplasty, advances 1975-1980", Springer-Verlag 1980. This subsequent volume deals primarily with improvements and findings made during the last 5 years. It also refers to important questions concerning the practical performance of the method which arose from congresses and discussions in this field. These are: 1. Definition, efficiency and effects of the model: spv + pypl. 2.

The acute abdomen often perplexes the expert as well as the young physician. There are few areas in medicine in which Hippocrates' aphorism-the art is long, life is short, decision difficult, and delay perilous-is more applicable than here. Too often the harried physician fails to listen to the patient who is trying desperately to suggest the diagnosis. The significance of various types and location of pain often are neglected by the doctor. Physical findings are influenced by experience; the presence or absence of tenderness or a mass may be answered in entirely different ways by various observers. Because solid facts frequently are lacking, attempts to resolve diagnostic dilemmas by computer analysis or by algorithms are not likely to be successful. Fortunately, in the great majority of cases, unusual and difficult diagnostic procedures are not necessary for the identification of the acute abdomen and of the major disease. Astute clinical judgment must be based primarily upon careful attention to the pa tient's words and detailed observation."

The development of accurate hormonal assays in recent years has evoked much interest in the area of anaesthesia and surgery. In an effort to allow an exchange of ideas and new information in this area, the First International Symposium on Endocrinology in Anaesthesia and Surgery was held in Bonn during September 1978. The contents of this book represent much of the information presented by the leading authorities in this field. The presentations were grouped in three areas: 1. Basic problems of endocrinology in anaesthesia and surgery; 2. The response of the endocrine system to anaesthesia and surgery; 3. Hormone and anaesthetic management of endocrine disease. As with any multi-authored text, there is both repetition and diversity but hopefully the reader will be able to obtain much of the useful information. As Editors, we wish to express our deep appreciation to Profes sor R. Frey and Springer-Verlag for including this book in the series on "Anaesthesiology and Intensive Care Medicine." H. Stoeckel T. Oyama Table of Contents I. Basic Problems of Endocrinology in Anaesthesia and Surgery H. Breuer Basic Principles Regulating the Endocrine System . . . . . . . .. 3 G. Wesemann and E. Grote Pathophysiology of Intra- and Postoperative Stress .. . . . . .. 10 M. Trede Surgical Treatment of Endocrine Disorders .. . . . . . . . . . .. 24 T. Oyama Influence of Anaesthesia on the Endocrine System ... . . . .. 39 L. Nocke-Finck Radioimmunological Determination of Hormones."

Notfalle erfordern adaquates chirurgisches Vorgehen, da ansonsten lebensbedrohliche Komplikationen im postoperativen Verlauf auftreten koennen. Jeder Arzt muss deshalb die Massnahmen der Notfallmedizin und der chirurgischen Erstversorgung beherrschen. Die "Definitive chirurgische Erstversorgung" - ein etablierter Klassiker in neuer Auflage - von G.H. Willital und A. Holzgreve soll jedem chirurgisch tatigen Arzt eine wertvolle Orientierungshilfe sein. Alle Erkrankungen und Unfalle, die eine chirurgische Erstversorgung notwendig machen, werden aufgefuhrt. Die chirurgische Erstversorgung aller Falle wird einheitlich systematisch gegliedert und klar und pragnant dargestellt. das erfolgreiche Werk (65.000 Exemplare und 5 Auflagen bei Urban & Schwarzenberg) erscheint jetzt in der 6. Auflage bei Walter de Gruyter alle Erkrankungen und Unfalle, die eine chirurgische Erstversorgung notwendig machen, sind sorgfaltig aktualisiert einheitlich systematisch gegliedert in Leitsymptome, Diagnostik und Therapie Kitteltasche-Format fur schnelles Nachschlagen

The Operation Primer provides excellent photographic step-by-step guidance to the surgical procedure. It has been produced to describe the operation in the simplest manner possible without over-simplifying. At the core of the Operation Primer is the section on Nodal Points, where the key surgical steps are described in detail. This surgical guide book provides essential reference material for surgeons wishing to update their knowledge in this specific area.

The Operation Primer Laparoscopic Hysterectomy is specially intended for those gynecologists who wish to familiarize themselves with minimally invasive hysterectomy techniques. This Operation Primer is an excellent teaching tool, accurately describing a standardized technique not only for novices but also for experienced laparoscopic surgeons. It provides a detailed overview of presurgical considerations and preparation, key surgical steps and highlights possible pitfalls of laparoscopic hysterectomy.

This Operation Primer on total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LASH or LSH) follows the step-by-step concept and provides a detailed manual for gynecologists who want to apply laparoscopic techniques for hysterectomy.

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The Viva Voce is a particularly difficult element of the MRCS exam since candidates will be tested across a broad range of topics in surgery, pathology, critical care and basic science, and also as candidates are unsure what to expect, or how to prepare for such an exam. Questions for the MRCS Viva is an essential guide to sitting and passing the Viva Voce part of the MRCS exam. Each subject area offers 20-30 questions, which follow a conversational pattern where new questions follow logically from previous answers - exactly as one would expect in the exam itself. Written by recently qualified surgeons who are now actively involved in the teaching and support of new trainees, this book is the closest a candidate will get to being a fly on the wall in a Viva Voce examination.

Surgery Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the surgery clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. Each case has been carefully chosen and covers scenarios and questions frequently encountered on the Surgery boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls. "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material. "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam. Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians. 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.

Selected as a Doody's Core Title for 2022! Derived from Sam W. Wiesel and Todd J. Albert's four-volume Operative Techniques in Orthopaedic Surgery, this single-volume resource contains a comprehensive, authoritative review of operative techniques in spine surgery. In one convenient place, you'll find the entire Spine section, as well as relevant chapters from the Oncology and Pediatrics sections of Operative Techniques in Orthopaedic Surgery. Superb full-color illustrations and step-by-step explanations help you master surgical techniques, select the best procedure, avoid complications, and anticipate outcomes. Written by global experts from leading institutions, Operative Techniques in Spine Surgery, Third Edition, clearly demonstrates how to perform the techniques, making this an essential daily resource for residents, fellows, and practitioners. Includes new procedures and comprehensive updates throughout with visually stunning, consistently rendered medical illustrations and intraoperative photographs that present how to perform each technique step by step. Provides new procedural videos and a newly streamlined eBook for on-the-go reference. Uses consistent, easy-to-follow chapter templates and extensive bulleted lists and tables for quick reference and review. Discusses each clinical problem using the same concise format: definition, anatomy, physical exams, pathogenesis, natural history, physical findings, imaging and diagnostic studies, differential diagnosis, nonoperative management, surgical management, pearls and pitfalls, postoperative care, outcomes, and complications. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.