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 book introduces state-of-the-art experimental and numerical methods and examples for evaluating the drilling performance of engineering and biological materials, particularly in thermal aspects. The authors use a common pathway to present the technological and analytical methods for both industry (metal) drilling and orthopaedic surgery (bone) drilling research, making this book a resource for both industrial and clinical readers who wish to understand the evolution of technologies, techniques and challenges in drilling. The authors also focus on advanced engineering materials, such as titanium alloys and high-strength cast irons, which have broad applications in the automotive, aerospace, medical device and sports industries. This book is a must-read for a broad audience, including engineering students in upper-level undergraduate and graduate courses that involve machining processes; for surgery residents, fellows, and practicing surgeons; and for engineers in the medical device industry who develop new bone cutting tools. Bridges the knowledge on drilling from the manufacturing industry to healthcare; Covers the experimental and modeling aspects of drilling thermal analysis; Includes experimental studies that contain parameters and data that emulate practical production and clinical drilling.

The aim of this text is to provide the framework for building a clinical trial as it pertains to operative and non operative invasive procedures, how to get it funded and how to conduct such a trial up to publication of results The text provides all details of building a scientifically and ethically valid proposal, including how to build the infrastructure for a clinical trial and how to move it forward through various funding agencies. The text also presents various types of clinical trials, the use of implantable devices and FDA requirements, and adjuncts to clinical trials and interaction with industry Clinical Trials Design in Invasive Operative and Non Operative Procedures will be of interest to all specialists of surgery, anesthesiologists, interventional radiologists, gastroenterologists, cardiologists, and pulmonologists

Acknowledging the fact that hypospadiology has become a true subspecialty, this unique book highlights and explores current philosophy and different principles and techniques of hypospadias repair. It offers an excellent practical guide to all surgeons involved in the management of this common, but troublesome disease. The aim is to help interested surgeons to develop vision, philosophy and talent rather than just enumerate techniques. It is well illustrated with ample colour diagrams and photographs of various operations together with many technical tips. All surgeons in training will benefit by reading this book in preparing for their higher examinations and their surgical training. There is a wide diversity of opinions, and a large number of operations have been described. Here, the team of world class authors present an expert overview on the management of this condition.

This book is intended for surgeons wanting to take their antireflux practice to an advanced level. It focuses on what experts do in real life, highlights pitfalls in skillful patient selection and fundoplication surgical technique, and addresses how to handle the "curve balls". It also provides recommendations on obtaining high patient satisfaction and building relationships with referring physicians. It is intended as an "expert" level manual to help readers move to the next level in their practices. From patient assessment and selection, anticipation of perioperative challenges, intraoperative problem-solving and technique, and postoperative management of side-effects, to reducing long-term recurrence rates and resumption of antisecretory medication, these expert authors dig deep to share the pearls of wisdom that make the difference between the average surgeon and the expert. Written by experts in the field, Fundoplication Surgery: A Clinical Guide to OptimizingResults confronts the issues that have hindered the broader use of fundoplication nationally and is a valuable resource and reference guide for addressing ambiguous symptoms and test results in one's practice.

Cleft Lip and Palate Primary Repair introduces the main approaches to cleft lip and palate repaired, including the principles of design, skills and case analysis. Presenting a collection of advanced theories and techniques in this field, richly illustrated and with video clips of the respective operations, it is intended for plastic surgeons, oral surgeons and paediatrics surgeons, as well as for medical students. Bing Shi is a Professor and surgeon at Department of Cleft Lip and Palate Repair in West China Hospital of Stomatology, Sichuan University, China. Brian C. Sommerlad is a Consultant Plastic Surgeon at the North Thames Cleft Center, Great Ormond Street Hospital for Children, UK.

This practice-oriented book provides a comprehensive and up-to-date review of the history, surgical anatomy, etiology, pathogenesis, clinical presentation and treatment of primary, secondary, and tertiary hyperparathyroidism. The coverage is wide ranging, encompassing, for example, innovations in both medical and surgical treatment, current indications for parathyroidectomy, the role and performance of minimally invasive surgery, the value of intraoperative parathyroid hormone monitoring and guidance on reoperations. Individual chapters are devoted to particular conditions and disease settings, including multiple endocrine neoplasia types 1 and 2 and parathyroid carcinoma, with provision of information on genetic testing, clinical manifestations and therapy. All aspects of secondary hyperparathyroidism in predialysis and dialysis patients are discussed. The book is endorsed by the Italian Society of Surgery. It will be of great value for endocrine surgeons and endocrinologists and will also be of interest to specialists in internal medicine, nephrologists, urologists, gynecologists and radiologists.

This book provides a comprehensive overview of the approach to retroperitoneal sarcomas, rare and challenging tumors requiring highly specialized, multidisciplinary management. Based on an updated review of the literature and drawing on the expertise of respected authors, it analyzes key topics - such as pre-operative work-up and staging, multimodal therapy, multi-organ resection, surgical complications and management of local recurrence and advanced disease - as well as several other debated issues. Presenting surgery as the cornerstone in the treatment of this disease, the book serves both as a guide for non-expert physicians wishing to understand the best management of RPS patients, including the need to refer them to specialized centers, and as a state-of-the-art overview for surgeons with interest in sarcoma surgery.

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.

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.

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.

This book describes the surgical bariatric procedures most frequently performed worldwide and examines their evolution in recent years both within Italy and internationally. For each operation, indications, the surgical technique, potential complications, and the outcomes with respect to weight and obesity-associated comorbidities are presented. In view of the significant failure rate revealed by studies on the long-term results of bariatric surgery, the problem of weight regain and revision surgery are also discussed in detail, covering the different types of revision, conversion to other procedures, and the main outcomes. In addition, individual chapters focus on selected topics of importance. The role of bariatric surgery in the cure of type 2 diabetes ("diabetes surgery") is discussed and the debate over the significance of gastroesophageal reflux disease and hiatal hernia for choice of procedure is summarized. Finally, the most common endoluminal procedures, which have been gaining in importance, are described and other bariatric operations, outlined.

This book, which describes in detail the most common procedures employed in inguinal hernia surgery, is exceptional in reflecting fully the most recent advances, as well as the most established techniques, in knowledge and practice. The role of recently developed and emerging technologies, including robotics, minimally invasive surgery, and biological meshes, is clearly explained, highlighting useful tips and tricks. The descriptions of traditional procedures, such as the Lichtenstein repair, are brought fully up to date and take into account the novel perceptions that professionals have of them, for example regarding the important role of nurses. The reader will also find guidance on established and new treatments for specific pain conditions, including postoperative chronic pain, the pubic inguinal pain syndrome, and obscure groin pain in women. The need for such an update on inguinal hernia surgery became clear at the 1st World Conference on Abdominal Wall Hernia Surgery, which highlighted the huge differences in the approaches adopted by scientists around the world and was chaired by the editor of this book. Inguinal Hernia Surgery will be a useful tool for all health care practitioners involved in hernia surgery.

This text provides a high level, comprehensive but concise review of adult surgical critical care. It can be used to review complex topics of critical illness in surgical patients, as a reference tool, or as preparation for a board examination. It is focused on the surgical patient including high yield facts, evidence-based guidelines, and critical care principles. To remain succinct, it concentrates on surgically relevant care. Further, the text is written with an expectation that reader already possesses a basic understanding of critical care pathophysiology and clinical practices such as those acquired during residency. Organized by organ system, each section contains several chapters addressing relevant disorders, monitoring and treatment modalities, and outcomes. Principles of Adult Surgical Critical Care will be of use to intensivists caring for surgical patients regardless of parent training domain. Additionally, this work is intended to be used by surgical critical care fellowship trainees as well as other advanced practice providers such as nurse practitioners and physician assistants who provide care in ICUs and emergency departments alike.

In general, surgeons strive to achieve excellent results and ideal patient outcomes, however, this noble task is frequently failed. For patients, surgical complications are analogous to “friendly fire� in wartime. Both scenarios imply that harm is unintentionally done by somebody whose aim was to help. Interestingly, adverse events resulting from surgical interventions are more frequently related to system errors and a communication breakdown among providers, rather than to the imminent threat of the surgical blade “gone wrong�.   Patient Safety in Surgery aims to increase the safety and quality of care for patients undergoing surgical procedures in all fields of surgery.   Patient Safety in Surgery, covers all aspects related to patient safety in surgery, including pertinent issues of interest to surgeons, medical trainees (students, residents, and fellows), nurses, anaesthesiologists, patients, patient families, advocacy groups, and medicolegal experts.​ ​​

Heart disease in children has a number of diagnostic traps for the unwary, and all of us involved in the specialty have been caught at one time or another. For example, it is sometimes very difficult to differentiate between respiratory and cardiac disease in infants and between neurological and cardiac conditions in older children, and the consequences of taking the wrong path can be significant. This book is a collection of cases highlighting situations which can ensnare even the best cardiologist. Although they illustrate the importance of taking a good history and performing a thorough examination, the most important lesson is learning to keep an open mind and develop the ability to think laterally. As clinicians we need to have the confidence to make a decision for our patients but also the humility to be able to acknowledge that we don't always get it right first time, and it is imperative that we learn from the experience. We hope the reader will find these short chapters interesting and while they are not evidence-based medicine in the true sense, they do represent a wide range of clinical experience from which we can all learn.

"Pediatric Surgery, Diagnosis and Management" features contributions by leading experts in pediatric surgery and pediatric urology who have unique experience in their respective fields. The text provides detailed practical advice on the diagnosis and management of congenital and acquired conditions in infants and children.

This is the second edition of a superbly illustrated manual on neck dissection that will serve as a roadmap for advanced surgeons and beginners alike. The reader is guided through the various cervical structures in a series of chapters depicting the methods employed by surgeons operating in vivo. The illustrations provide an overview of all surgical anatomy relevant to the treatment of oncologic patients. Compared with the first edition, revisions have been made when appropriate and an important new chapter has been added on microscopic anatomy and laryngeal cancer. This chapter, which will also be of interest to pathologists, documents the microscopic anatomy of the larynx, presents patterns of spread and surgical options, and depicts the major surgical procedures on the larynx with the aid of numerous photographs and line drawings.

Body piercings, tattoos, and permanent make-up have become very popular as a fashion statement in recent decades. This book guides the reader through the world of body art. An overview is first provided of the history and epidemiology of tattoos and piercings. Subsequent chapters go on to examine in detail the materials and devices used in various forms of body art, and the techniques employed. All relevant risks and potential complications are clearly described with the aid of color illustrations. Special attention is paid to allergic reactions and the management of complications. The closing chapter examines the techniques and devices used for tattoo removal, with a particular focus on the use of different lasers.

Introduction to CT scan and MRI.- Anomalous systemic venous connections.- Anomalous pulmonary venous connections.- Atrial septal defect.- Unroofed coronary sinus.- Atrioventricular septal defect.- Ventricular septal defect.- Tetralogy of Fallot.- Tetralogy of Fallot with absent pulmonary valve.- Pulmonary atresia with intact ventricular septum.- Ebstein's anomaly.- Patent ductus arteriosus.- Left ventricular outflow tract obstruction.- Aortic coarctation.- Aortic arch interruption.- Complete transposition of the great arteries.- Hypoplastic left heart syndrome.- Cor triatriatum.- Tricuspid atresia.- Single ventricle.- Pulmonary atresia with ventricular septal defect.- Truncus arteriosus.- Aorto-pulmonary window.- Anomalous pulmonary arteries.- Anomalous coronary arteries.- Double outlet right ventricle.- Double discordance.- Isomerism.- Slings and rings.

While a surgeon many decades agotreated diseases from headtotoe, this concept has evolved, and today some degree of specialization is the rule worldwide. In many countries various boards for sub-specializations are designed, and after a broad training in general surgery, many young surgeons move on further into a specific field. Knowledge of anatomy and precise surgical technique remain the foundation of high quality surgery. A knowledgeable surgeon, equipped with excellent theore- cal and clinical skills, will only be accomplished when he or she masters the - erative techniques of the practice of surgery. The legacy of an academic surgeon or a surgical teacher relies in great part onthe transmission of his or her surgical abilities. Significant influence on the development in esophageal surgery arises from the surgical understanding of the anatomical and functional structures of the esophagus as well as the ongoing developments in the multidisciplinary m- agement in this challenging field of surgery. In bringing forth this atlas, we were motivated by the desire to create a comp- hensive and educational atlas on esophageal diseases, emphasizing all details of pathophysiologies, diagnostic strategies, pre- and postoperative management, and operative techniques covering minimally invasive and open procedures ranging fromstraightforward tomore complex procedures.

Written by internationally acclaimed specialists, Pediatric Surgery provides pertinent and concise procedure descriptions spanning benign and malignant problems and minimally invasive procedures. Complications are reviewed when appropriate for the organ system and problem, creating a book that is both comprehensive and accessible. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. Forming part of the series, Surgery: Complications, Risks and Consequences, this volume Pediatric Surgery provides a valuable resource for all general surgeons and residents in training. Other healthcare providers will also find this a useful resource.

Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters provides a comprehensive review of the role of and technical considerations regarding robotic surgery for conditions of the kidney and associated conditions of the upper urinary tract. In addition to serving as a reference regarding indications, preoperative and postoperative management, complications, and evidence-based outcomes, this text also serves as a practical guide for surgeons in how to perform the complete array of robotic kidney and upper tract surgery. Included are detailed descriptions of positioning, instrumentation, and surgical steps for the surgeon newly adopting robotic surgery or for those refining their techniques. All chapters are written by recognized and published experts in the various techniques, creating an authoritative text on the subject. Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters will be of great value to urologists, robotic surgeons, fellows in urologic oncology or endourology as well as urology residents in training and surgical nurses and other surgery team members involved in these procedures.

This atlas provides a comprehensive, state-of-the-art review of all interventions that pertain to the esophagus. It includes a review of the current staging modalities, ablation technologies, resection and reconstruction techniques, and disease classification. Evidence-based guidelines regarding how each intervention is chosen are also included. With color illustrations and photographs for each surgery, the atlas details specific anatomic topics such as micro-anatomy of Barrett's and Dysplasia, EMR pathology, endoscopic ultrasound, and conventional surgical anatomy. Each intervention is presented in task format as a task list to be checked-off as each step is completed. Written by experts in the field, Atlas of Esophageal Disease and Intervention: A Multidisciplinary Approach serves as a valuable resource for any practitioner who performs esophageal intervention and will guide new surgeons and gastroenterologists into the hybrid multidisciplinary approach to this disease.