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."

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

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.

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 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 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."

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.

The fifth edition of this bestselling Oxford Medical Handbook is now even better than ever, with the inclusion of three new chapters on day case surgery, remote and rural surgery, and emergency surgery. It has been thoroughly revised with the latest guidelines, management algorithms, and guidance on decision-making.Now with the editorial team expanded to include four new associate editors, this new edition provides an accessible pocket reference for surgical trainees, medical students, and all those involved in the care of the surgical patient. It is thoroughly comprehensive, without sacrificing the clear, concise, and quick-reference style the Oxford Medical Handbooks are known for. It provides surgically relevant anatomy and physiology, quick reference symbols, key diagrams, and a focus on evidence-based practice with key references throughout. This essential guide will ensure you have the information you need at your fingertips.

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 pediatric orthopaedic surgery. In one convenient place, you'll find the entire Pediatrics section, as well as relevant chapters from the Adult Reconstruction; Foot and Ankle; Hand, Wrist, and Forearm; Oncology; Pelvis and Lower Extremity Trauma; Shoulder and Elbow; Spine; and Sports Medicine 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 Pediatric Orthopaedic 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. ,

Operative Techniques in Breast, Endocrine, and Oncologic Surgery

Most people have back surgery to relieve pain, but all too often it doesn't help. For the half million people who undergo back surgery each year, and the additional million who are seriously contemplating it, Do You Really Need Back Surgery?, Second Edition, is a godsend-an informed, reliable guide to when you should consider surgery and when you should not. Written by an internationally recognized expert in nerve and spinal surgery, this highly readable guide covers everything back patients need to know to make informed decisions about their treatment. The book discusses the details of spinal anatomy; explains the difference between acute, chronic, and recurring pain; shows how to keep the spine healthy; and defines such terms as spurs, stenosis, and slippage. It also reveals what clues your physician uses to predict whether a given type of pain is likely to go away with rest and exercise, and which types may become emergencies. Dr. Filler discusses the risks of surgery, the decisions you may be faced with and what options you have, and your expectations for recovery. He provides detailed explanations of the wide array of spinal injections and surgeries, including discectomies and fusions, as well as innovative procedures such as electrothermic and laser techniques and artificial disks. He explains the various medical imaging and diagnostic tests available and even covers the complexities of health insurance. The new and extensively revised edition of this book is expanded to cover the impact of dozens of new advanced technologies in spinal diagnostics and treatment that have emerged in the eight years since the original very successful edition. Advances in new types of pain medications and new types of surgeries that minimize recovery time and achieve better outcomes are explained. In addition, this book examines the problems in the case of a few new devices in spinal surgery where money from medical device manufacturers has led to distorted research that had to be withdrawn. A major change from the previous edition is the inclusion of two chapters that describe a series of different nerve entrapment syndromes that can cause headache, neck, shoulder and arm pain as well as causing buttock and leg pain - but are not caused by spine problems. This includes information about piriformis syndrome causing sciatic, thoracic outlet syndrome causing shoulder and neck pain and about pudendal nerve entrapments causing groin and pelvis pains. From Pilates to pedicle screws, and from osteoporosis to spina bifida, Do You Really Need Back Surgery?, Second Edition, covers all the questions your doctor usually doesn't have the time to answer. Featuring almost 100 illustrations, it is an essential manual for every neck or back pain sufferer.

With an emphasis on the "how and why" of contemporary surgery, Operative Techniques in Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Meticulously edited by Drs. Mary T. Hawn, Aurora D. Pryor, Steven J. Hughes, Michael S. Sabel, Kellie R. Brown and Amy J. Goldberg, this comprehensive, two-volume surgical atlas focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results. Coverage includes open as well as laparoscopic, robotic, endoscopic, and endovascular procedures in gastrointestinal, thoracic, esophageal, colorectal, hepatobiliary, breast, endocrine, dermatologic, vascular, and trauma surgery New, comprehensive section on trauma surgery, helmed by trauma expert Dr. Amy J. Goldberg New section editors for esophageal and foregut surgery and vascular surgery, Dr. Aurora D. Pryor minimally invasive surgery leader and Kellie R. Brown, expert in vascular surgery. New videos, personally selected by contributing authors and editors, accompany numerous chapters throughout the book Extensive updates throughout, including new coverage of the American Board of Surgery's SCORE Curricula for General Surgery and for Complex General Surgical Oncology Each procedure follows the same format: differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, 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.

Interdisziplinar - DAS Werk zur Wundballistik Grundlagen Das notwendige Grundwissen uber Physik, Munition und Waffen, Ballistik Verhalten von Geschossen im Menschen und im Tier (Physik der Schussverletzung) Experimentelle Simulation von Schussverletzungen und die dazu geeigneten Materialien Anwendungen Rechtsmedizin und Kriminalistik Die Schussverletzung als kriminalistische Spur (Rekonstruktion des Tatablaufs, Schussdistanz) Nicht-letale Geschosse und ihre Gefahrlichkeit Gefahrdung durch Geschosse Notfall- und Kriegschirurgie Bewertung von Verletzungen durch Kleinwaffengeschosse und Splitter Gasstrahlen (bei Schreckschuss- und Gaswaffen) Internationale Konventionen Physikalische Masszahlen fur das Verletzungspotenzial (die Wirksamkeit) von Geschossen und Splittern Nachschlagewerk Tabellenwerk (ballistische Daten zahlreicher - auch alterer - Patronenarten, Materialeigenschaften, sowie viele sonst schwer zugangliche Daten) Dreisprachiges Glossar fachspezifischer Ausdrucke (deutsch, englisch, franzoesisch) NEU Wundballistik der Polizeigeschosse Hinweise auf neuere Forschungsergebnisse Farbige Abbildungen Durch die Zunahme der terroristischen und kriminellen Aktivitaten weltweit sind nicht nur Armeeangehoerige betroffen. Auch Chirurgen, Rechtsmediziner, Polizisten und Kriminalisten mussen die Besonderheiten der Schussverletzungen kennen und beurteilen koennen.

What are the indications for necrosectomy? How you perform an EUA for acute peri-anal sepsis? What do you understand by the term Early Goal-Directed Therapy (EGDT)? Remember: this is a consultant's exam, and giving a range of options is not good enough. You must tell the examiner what you as a consultant are going to do. The FRCS is a uniquely challenging prospect; highly detailed, wide-ranging and encompassing both theory and practice. Preparation for this exam can be very difficult, and resources tailored to it are scarce. As the consolidated notes of a recent successful candidate, this book is an essential resource when preparing for the viva. The wide variety of questions require you to define, diagnose or choose between treatment options, while MCQs and SBAs help you to objectively evaluate your progress - a unique supplement to your study plan. Answers provided are comprised of an invaluable combination of detailed written answers and lists that will remind you of key points and help you structure your preparation.

The A-Z of Plastic Surgery is a quick reference guide to the ever expanding specialty of plastic surgery. The succinct bullet pointed entries will enable the reader to rapidly assimilate the essentials of each topic, cross referencing links enable them to research related entries. It will be particularly relevant to trainees in plastic surgery as a working reference book and as an invaluable resource during preparation for final exams.

This book highlights remarkable new endoscopic, laparoscopic, and thoracoscopic approaches to the removal of surgical lesions for different pathologic conditions under general endotracheal anesthesia in infants and children. It details how newer techniques in airway management, monitoring, regional nerve blocks for these innovative minimally invasive approaches have resulted in a decrease in intraoperative and postoperative morbidity and early recovery process after pediatric anesthesia. This unique book contains features that provide the audience with several clinical scenarios where exceptional surgical outcomes are achieved with optimum pre-op preparation via collaborative team efforts. To date there is no other textbook emphasizing the anesthetic and surgical management during the most innovative advances in endoscopic surgery in children. Per oral endoscopic myotomy (POEM) for the definitive treatment of achalasia in children is probably the most advanced endoscopic surgery done successfully in children. POEM is the best example of endoscopic surgery performed via natural orifices known as the Natural orifice transluminal endoscopic surgery (NOTES). Another new laparoscopic surgical intervention -Median Arcuate Ligament surgical release for Median Arcuate Ligament Syndrome (MALS) for patients with Postural Orthostatic Tachycardia Syndrome (POTS) is described with established perioperative protocols emphasizing the need for early admission, intravenous hydration, and premedication. Novel approaches in the anesthetic management in children with short bowel syndrome for bowel lengthening techniques like the serial transverse enteroplasty (STEP) and in teenagers for laparoscopic bariatric surgery with adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) for morbid obesity are new areas that would enlighten the readers. Anesthetic Management in Pediatric General Surgery is an invaluable resource for pediatric anesthesiologists, surgeons, and their trainees specializing in the care of pediatric patients.

This book provides step-by-step illustrated descriptions of diverse vocal fold injection techniques, including some not previously described. The aim is to provide laryngologists in general, and especially those who are less experienced, with the detailed understanding and guidance needed in order to achieve optimal outcomes. Highly experienced experts describe approaches via the transoral, transnasal, and transcutaneous routes and offer guidance on indications, injection materials, pre- and postoperative care, and the management of complications. Special considerations that must be borne in mind when employing different vocal fold injection techniques, in different settings, are also carefully explained. In offering comprehensive, up-to-date information on this minimally invasive and cost-effective procedure, Vocal Fold Injection will be an essential aid for practitioners.

This book highlights remarkable new endoscopic, laparoscopic, and thoracoscopic approaches to the removal of surgical lesions for different pathologic conditions under general endotracheal anesthesia in infants and children. It details how newer techniques in airway management, monitoring, regional nerve blocks for these innovative minimally invasive approaches have resulted in a decrease in intraoperative and postoperative morbidity and early recovery process after pediatric anesthesia. This unique book contains features that provide the audience with several clinical scenarios where exceptional surgical outcomes are achieved with optimum pre-op preparation via collaborative team efforts. To date there is no other textbook emphasizing the anesthetic and surgical management during the most innovative advances in endoscopic surgery in children. Per oral endoscopic myotomy (POEM) for the definitive treatment of achalasia in children is probably the most advanced endoscopic surgery done successfully in children. POEM is the best example of endoscopic surgery performed via natural orifices known as the Natural orifice transluminal endoscopic surgery (NOTES). Another new laparoscopic surgical intervention -Median Arcuate Ligament surgical release for Median Arcuate Ligament Syndrome (MALS) for patients with Postural Orthostatic Tachycardia Syndrome (POTS) is described with established perioperative protocols emphasizing the need for early admission, intravenous hydration, and premedication. Novel approaches in the anesthetic management in children with short bowel syndrome for bowel lengthening techniques like the serial transverse enteroplasty (STEP) and in teenagers for laparoscopic bariatric surgery with adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) for morbid obesity are new areas that would enlighten the readers. Anesthetic Management in Pediatric General Surgery is an invaluable resource for pediatric anesthesiologists, surgeons, and their trainees specializing in the care of pediatric patients.

This book provides a comprehensive state-of-the art overview on the main trends in the newest endoscopic, robotic, and minimal invasive surgical innovations. It also aims to give insight on some of the innovative ideas around Gastro-intestinal Surgery and Endoscopy to stimulate further activities. It contains established knowledge in the field of endoscopic and surgical techniques, and the integration of these new findings in updated therapeutic decision making are demonstrated. The text reviews the latest literature on the subjects and describes the decision making to establish new therapeutic options in the management of diseases applying new technologies. These new techniques are described in detail, which provide excellent back-up information for clinicians in daily practice. Written by experts in the field, Innovative Endoscopic and Surgical Technology in the GI Tract is a valuable resource of knowledge for clinicians, surgeons, nurses, technicians, students and researchers with an interest in GI- disease.

This book is a detailed resource on the technical aspects of pediatric neurosurgery that relate to vascular malformations of the brain and spinal cord. It introduces concepts relevant to cerebrovascular system development and the classification of vascular malformations. Information on a range of disorders is then provided with an emphasis placed on answering frequently asked questions in relation to a particular condition. Therefore, enabling the reader to systematically improve their understanding of how approach treating patients utilizing techniques such as ultrasound and spinal angiography. The chapters, authored by experts in their respective field, provide a standard of care based on current diagnostic and management guidelines for pediatric neurosurgical diseases. Pediatric Vascular Neurosurgery: Technical Nuances in Contemporary Pediatric Neurosurgery (Part 2) is a comprehensive overview of how to approach diagnosing and treating a range of vascular malformations encountered in pediatric patients. The problem-solving approach of this work makes it a valuable addition to the literature and suitable for use by residents, fellows and consultants within pediatrics and allied specialities, including Neurosurgery, Neurology, Neuro-anesthesia, Neuro-critical care and advanced health care providers amongst others.