The Operative Standards for Cancer Surgery manuals provide evidence-based recommendations for the proper technical conduct of cancer surgery. Presented by the American College of Surgeons, Operative Standards for Cancer Surgery: Sarcoma, Adrenal, Neuroendocrine, Peritoneal Malignancies, Urothelial, Hepatobiliary helps surgeons distill the latest evidence into best practices and techniques that lead to improved outcomes. Focused on the steps between skin incision and skin closure, this manual is an invaluable resource for surgical oncologists and general surgeons alike. Quickly grasp the proper technical conduct of cancer operations through clear, practical text and more than 150 illustrations. Benefit from expert analysis of the best-available evidence Gain insight into areas of controversy in surgical oncology Learn from experts drawn from diverse groups including the American College of Surgeons, the Alliance for Clinical Trials in Oncology, and multiple national surgical and oncology societies 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.

Written in a simple point by point style for ease of use, this volume covers all aspects of pediatric surgery with emphasis on important points for diagnosis and management. Each chapter covers a topic with emphasis on the most common conditions in neonatal and general pediatric surgery. The text is well illustrated with clinical, operative, radiological, and histopathological color figures and illustrations. The book also presents some of the rare conditions encountered in pediatric surgery, as well as common pediatric urology conditions. An Illustrated Guide to Pediatric Surgery is a useful reference to pediatric surgeons, specialists, fellows and residents, as well as general surgeons, pediatricians, neonatologists, medical students and interns interested in pediatric surgery.

This revision book is an aid to those preparing for the FRCS General Surgery Section 1. The topics and chapters are taken directly from the Intercollegiate Surgical Curriculum. The philosophy of this book is to focus on the level of knowledge and the approach that would be expected of the better candidates as they approach the end of their training and make the transition into consultants. In addition to the acquisition of knowledge through the process of tackling questions, the book will hopefully identify to the reader areas gaps in their knowledge base for which further study is required. Various techniques including the use of diagrams and tables are utilised to explain key facts. As per the curriculum, the book is organised into chapters in accordance with the syllabus, allowing less familiar topics such as relevant aspects in urology and gynaecology to be covered. Topics such as Gastrointestinal, HPB, Vascular, Breast and Endocrine Surgery are understandably covered in greater depth given their common occurrence in the examination. Questions are presented in a single best answer and extended matching item format, mirroring those that the candidate will encounter during the examination. This book is useful for candidates in both the early and late stages of their revision for the examination. Early familiarity with the range and depth of topics may help guide further self-directed learning. Those in the latter stages of revision can use the questions to build confidence and reinforce their knowledge. Each chapter is written by an authoritative author alongside the book editor to ensure it is relevant and informative for the reader.

This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions. Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients' ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of "Obesity Science". This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery. With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery.

Although attempts at radical removal of cancers of the rectum had been performed earlier, it was not until W. E. Miles in 1908 re ported his experience in the management of cancer in this ana tomic part, that the combined abdominoperineal resection be came the recognized and accepted approach for the treatment of this cancer. Miles reasoned that proctectomy removed the cancer, bearing a segment oflarge bowel but also the regional lymphatics into which the cancer spread, not only proximally, but laterally and distally as well. In his monograph in 1926 he stated: . . . There are, I hold, two main principles to be observed in the surgical treatment of cancer of the rectum and indeed of all cancers wherever they are found, first, ope ration should be based on a knowledge of the demonstrable facts of pathology, and, second, the most extensive operation possible in conformity with that knowl edge should be performed on all patients no matter how small or early the local manifestation of the disease may seem to be . . . This philosophy was appropriate in his time but today, with increased knowledge regarding the biological behavior of cancer of the rectum, the recognition of the importance of the extent of the primary lesion and staging of cancer, and the availability of multiple modalities in the management of neoplastic disease, the philosophy has appropriately changed.

Chirurgische Eingriffe an gastrointestinalen Organen unterliegen trotz Standardisierung und weitreichender Technisierung nach wie vor zum Teil erheblichen Unterschieden. Für alle Chirurgen ist es von großem Interesse, die individuellen technischen Varianten einzelner auf diesem Gebiet ausgewiesener Chirurgen kennen zu lernen und so ihr eigenes operatives Repertoire zu erweitern. In diesem Buch werden die chirurgischen Eingriffe für eine Auswahl wichtiger Operationen von Experten in ihrer spezifischen Vorgehensweise Schritt für Schritt und reich bebildert dargestellt. Zahlreiche renommierte Chirurgen aus dem deutschsprachigen Raum ebenso wie internationale Autoren beschreiben ihr Procedere. Außergewöhnliche und schwierige Situationen, wie unerwartete Befunde, anatomische Varianten oder Blutungszwischenfälle, finden besondere Berücksichtigung.

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.

The new, fully updated edition of this book gives a concise overview of all important topics and is designed to provide information to recognise and treat common pediatric surgical conditions: namely, symptoms and signs, investigation, and management. A logical, evidence-based practice is encouraged by the use of flow charts, tables, and algorithms. This edition has been thoroughly revised to reflect the rapid progress in the world of pediatric surgery including the subspecialties of general pediatric surgery, urology, hepatobiliary surgery, organ transplantation, minimally invasive surgery (including robotic surgery), and bariatric surgery. This book also provides an anatomical and physiological background to aid understanding. Having been authored by international leaders in these fields, this book offers comprehensive coverage of various surgical conditions in children with a quick-reference format. The first edition has been immensely popular with over 160,000 downloads including GPs, A&E doctors, adult surgeons who need to treat children, pediatricians, and of course, pediatric surgeons.

Selected as a Doody's Core Title for 2022! Filled with the collective wisdom and experience of surgeons at the busiest department of colorectal surgery in the world, Cleveland Clinic Illustrated Tips and Tricks in Colon and Rectal Surgery walks you step by step through each procedure, with pointers given along the way as if from a trusted mentor. You'll find a unique collection of insight and personal clinical experience in dealing with challenging and unusual situations-tips and techniques you can use when faced with similar circumstances in the operating room. Focuses on the performance of surgical techniques, described in bulleted lists and highlighted with more than 600 full-color photographs, drawings, and images. Uses a highly templated format for quick reference: Perioperative Considerations (brief overviews of equipment, anesthesia, patient positioning, and other procedural elements), Technique, and Pearls and Pitfalls, with the vast majority of each chapter devoted to technique. Covers surgery for anorectal disease and pelvic floor disorders, surgery within the abdomen and the pelvis, as well as tips for particular situations such as bowel obstruction, trauma, and the difficult stoma. Designed for general surgery residents, colorectal surgery fellows, and practicing colorectal, general, and oncologic surgeons-those in training or anyone who needs to brush up on the latest techniques. 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.

The concept for this book evolved over many years of intense clinical practice during which a wide variety of vascular complications were encountered as a result of other surgical or interventional procedures. In this book, the authors describe cohesive efforts by experts in the field as they commit to advancing health care quality by all professionals. It should be noted at the outset that the book does not discuss various non-vascular or systemic complications of patients undergoing vascular interventions such as myocardial infarction, renal or respiratory failure. Instead, the content is divided into four separate sections. The material begins with an introduction to vascular anatomy and function. There follows a section addressing specific complications of the vascular system that can occur in any patient, sometimes even without intervention. The third section addresses complications specific to interventions and surgical procedures. The final section is dedicated to the delayed and long-term sequelae attributable to the most commonly encountered vascular complications. Vascular Complications of Surgery and Intervention: A Practical Guide is targeted towards dedicated health care professionals managing patients affected by inadvertent but potentially disastrous vascular complications and for those practitioners performing interventions either directly upon the vascular system or procedures that have potential for collateral impact.

The thorax has a fundamental role in the aesthetic of the male body: congenital or acquired alterations are experienced as extremely frustrating clinical situations. Most breast surgery texts briefly mention gynecomastia, but no text comprehensively addresses the male breast and thorax, including reconstructive and cosmetic surgery and surgery in transgender patients. This gap is now thoroughly filled by Plastic and Cosmetic Surgery of the Male Breast: after introducing principles of anatomy and aesthetics for the male thorax, the first part focusses on the main congenital malformations and their treatment; the main benign acquired pathologies and their treatment (including an ample section dedicated to gynecomastia), the carcinoma of the male breast, with reference to familiar forms; the treatment of carcinoma and reconstruction of the thorax. The book closes with a chapter dedicated to breast surgery in transgender patients. While female breast surgery is increasingly practiced in specific Breast Units and highly specialized centers, male breast issues are treated in general and plastic surgeries units. This handy volume is a sound reference for the most complex clinical cases, and the latest reconstruction treatments for the male thorax and will be useful for general and thoracic surgeons, plastic surgeons and senologists.

Aligned to the topics within the Intercollegiate Surgical Programme (ISCP) curriculum, this case-based volume covers the common clinical presentations encountered across general surgery. With its clear 'elective' and 'emergency' structure and its question-and-answer format, it offers both a comprehensive overview of general surgical training and evidence-based discussions of specific subspecialties. Oxford Case Histories in General Surgery covers upper gastrointestinal/HPB, colorectal, breast, endocrine and emergency surgery. Each section includes clinically relevant images and detailed descriptions of the radiological and pathological features. The individual case histories outline the key essentials for investigation, diagnosis and management in a wide variety of clinical scenarios. As a part of the Oxford Case Histories series, this book is an important educational tool for those embarking on surgical rotations at final year undergraduate and postgraduate foundation level. It is also an essential reference for the surgical care practitioner and early years core surgical trainee.

With concise text and a simple, easy-to-follow organizational structure, the brand-new Vascular Decision Making: Medical, Endovascular, Surgical helps you make well-informed treatment and procedural decisions on a variety of vascular conditions and diseases you encounter in clinical settings with patients. Over 90 disease states are presented, each with a 2-page step-by-step algorithm of decision making followed by accompanying descriptive text which is keyed to decision making points in the tree. Topics covered are organized in sections on Preoperative Evaluation and Medical Treatment, Atherosclerotic Cerebrovascular Disease, Non-Atherosclerotic Cerebrovascular Disease, Thoracic Aortic Disease, Aortoiliac Aneurysms, Other Aneurysms, Visceral Artery Disease, Renovascular Diseases, Atherosclerotic Lower Extremity Disease, Non-Atherosclerotic Lower Extremity Disease, Upper Extremity Disease, Vascular Trauma, Hemodialysis Access, Venous Insufficiency, Lymphatic Diseases & Malformations, Venous Thrombosis, and Complications. Each disorder-specific section or chapter follows a similar pattern, and addresses signs & symptoms, the patient assessment, imaging, surgical evaluation, complications, pre- and post-op activities, and more. Contributors number more than 100, and represent diverse experiences and backgrounds in vascular surgery, imaging and radiology, and other fields. 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 The book includes free access to the Zingtree companion site, allowing clinicians to step through each algorithm and explanatory text on their smartphone, to make the process applicable for point of care use.

Breast cancer affects 1 in 10 women and the majority of UK women will attend a breast clinic at least once during their lives. The patient's journey through assessment and management is one that involves a huge range of healthcare professionals, in which the truly multidisciplinary management style required has previously been only sparsely addressed. This book provides a practical guide on how to investigate and manage common breast problems for all members of the breast disease team, whether surgeons, nurses, pathologists or support workers. Its focus is on providing easy access to the most up-to-date evidence, allowing healthcare workers to make the best decisions possible and encouraging a team approach to patient support.
26 chapters cover the whole of the patient journey from assessment through to surgery and adjuvant treatments, giving a practical overview of the whole process of care. The coverage guides the reader from clinical examination and investigation of the breast patient to pre-operative workup and post-operative complication guidance. To enable swift and effective decision-making, clear management plans are provided for common breast problems. The book also includes the latest evidence, guidance and references on breast disease, together with discussions on current controversies in the field including the management of margins, management of the axilla and the evidence surrounding the NHS Breast Screening Programme. To give practical advice on the realities of being part of a breast care team, the book also has several chapters devoted to leadership and management including MDT requirements, audit and research, avoiding complaints and the organisation of a breast unit.
Enabling every healthcare professional to respond to patients' needs accurately and knowledgeably, Breast Disease Management is a practical guide for the whole team in providing truly patient-centred, effective care.

Core Topics in Thoracic Surgery provides accessible and concise coverage of the topics most often encountered in thoracic surgery practice. This handbook will guide the reader through revision of the topics covered in the FRCS(CTh) examination, and also covers more specialist topics in detail. In-depth technical sections offer guidance for difficult procedures, with useful commentaries from leading surgeons. A broad range of thoracic surgery issues are examined, with the latest evidence and information relevant to the speciality presented in a clear fashion. Combining an easy-to-use revision guide for trainees and a comprehensive reference text for cardiothoracic surgeons and recently appointed consultants, this is a one-stop guide to thoracic surgery. Authored by leading experts in the field, this resource will be invaluable to cardiothoracic surgeons, respiratory physicians and specialist nurses seeking to refresh or expand their knowledge of this field.

The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them.
This highly practical book is the only guide needed to the procedures and techniques commonly used in anesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use.
This book will be used by all junior trainees in anesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

Complications following surgical procedures are not only associated with significant morbidity and mortality, but also add immensely to the psychological burden of the patient and are disappointing for the surgical team. Recent research has led to a greater understanding of the response to surgery and anaesthesia, and great advances have been made in pre-operative preparation with appropriate investigations and pharmacological prophylaxis. These have reduced the incidence of many complications, but the risks are impossible to remove completely. This wide-reaching and practical handbook covers all aspects of post-surgical complications. It is divided into two sections: the first covers general complications such as pressure sores, complications of fluid balance and problems related to anaesthesia, while the second focuses on the complications encountered in the major surgical specialties. Fully revised and updated since the previous edition, and written by a team of experts, Post-operative Complications is essential reading for all those involved in caring for surgical patients. It is particularly relevant for junior doctors and those preparing for their membership of the Royal College of Surgery (MRCS) exams.

The landscape of academic surgery has become increasingly complex. Young academic surgeons are now confronted with the task of juggling administrative, clinical, educational, and research responsibilities. While decades ago young faculty would look toward a single "triple threat" mentor, trainees and young junior faculty now must assemble a team of mentors who can help him/her craft a career trajectory for success in academia. In addition, with the emergence of team based science and an emphasis on clinical "crew management" faculty now must hone their leadership skills to be effective in the research and clinical environment. While many books focus on specific research or technical surgical topics, there is a need for an accessible, user-friendly text on the subject of surgical mentorship and leadership. In particular, there is a strong desire among trainees and young surgeons to learn about mentorship, as well as define leadership tools. Currently, there is a gap in the market for a definitive reference on surgical leadership and mentorship. This text will provide a comprehensive, state-of-the art definitive reference on surgical mentorship and leadership. The book will provide a practical, useful guide that reviews select topics on leadership and mentorship, as well as provide key information on how to launch a successful "young" surgical career. This text will focus on key points on how to identify mentors, highlight mentor-mentee "pearls", as well as define key leadership traits in being successful as an academic surgeon. This text will serve as a very useful resource for young surgical faculty, as well as fellows and residents in a broad array of surgical training programs. Chapters will have multiple "call out" boxes to highlight key lessons learned, as well as provide mentorship and leadership "pearls." All chapters will be written by experts in their field and will include the most up-to-date information from national and international leaders.

Der Zugang zum tiefen Rektum und zum Analkanal durch direkte Spaltung des gesamten Sphinkterapparates wurde vor uber 100 Jahren durch Cripps erfolgreich angewendet und von ihm eine entsprechende Serie von 36 Patienten veroeffent- licht. Cripps war dabei angenehm uberrascht, trotz fehlender 2 Rekonstruktion bei uber j der Patienten anlasslich von Spat- 3 kontrollen gute Kontinenz zu finden. Die Moeglichkeit geriet aber in der Zwischenzeit weitgehend in Vergessenheit, und im "chirurgischen Armamentarium" hat sich eigentlich nur die parasakrale Rektotornie nach Kraske gehalten, welche den Sphinkterapparat moeglichst unbehelligt lasst. Es ist das Verdienst von Y ork Mason, die mannigfachen Moeglichkeiten des sphinkterspaltenden Zugangs erneut und uberzeugend dargelegt und auf die ausgezeichnete Kontinenz- funktion bei adaquater Rekonstruktion hingewiesen zu ha- ben. Nachdem wir uns von der Nutzlichkeit des sehr pragma- tisch durchgefuhrten Eingriffs uberzeugt hatten, schien es uns unbedingt erforderlich, die anatomischen Voraussetzungen eines moeglichst blutsparenden Vorgehens zu prazisieren und dieses Vorgehen in Beziehung zu setzen zu den heutigen Kenntnissen der normalen Kontinenz respektive Defaka- tionsfunktion. Herr Huber hat sich - beraten durch den Vorsteher des Instituts fur klinische Anatomie im hiesigen chirurgischen De- partement, Herrn Prof. A. von Rochstetter- anhand frischer Dissektionspraparate uber ein Jahr mit den Fragen dieses Zugangs befasst. An den klinischen Fallen dieser Zeit konnten dann seine Erkenntnisse immer wieder in ihrer Bedeutung fur die chirurgische Praxis uberpruft werden. Die entspre- chenden gemeinsamen Erfahrungen sind in der kleinen Mo- nographie niedergelegt.

Oberblick }ber die operative Technik und Taktik bei gastro- intestinalen Erkrankungen. Farbabbildungen beschreiben die einzelnen Operationsschritte. Darstellung der Anatomie, Phy- siologie und Pathologie erfolgt nur insoweit, wie sie f}r das Verst{ndnis der Zusammenh{nge wichtig ist.

Das gluckliche Zusammentreffen zweier auf dem komplizierten Gebiet menschlicher Fehlbildungen interessierter AErzte, eines Kinderendokrinolo- gen und eines Kinderchirurgen, und eine langjahrige engste Zusammenarbeit erlaubten es, einen hohen Standard bei der Behandlung von Kindern mit einem intersexuellen oder fehlgebildeten weiblichen Genitale zu schaffen, was in dem vorliegenden Buch seinen Niederschlag findet. Die Darstellung komplizierter operativer Techniken ist ohne subtile und ubersichtliche zeichnerische Darstellung nicht moeglich. Die in den Staaten zufallig gemachte Bekanntschaft mit der akademisch ausgebildeten Zeichne- rin Frau Siri Mills M.A. erwies sich als ein Glucksfall ganz besonderer Art. Das hervorragende anatomische Wissen, die exzellente Auffassungs- gabe, operative Vorgange zeichnerisch zu erfassen und kunstlerisch auszuar- beiten und ihre Bereitschaft, jedwede Detailwunsche des Operateurs zu be- rucksichtigen, fanden ihren fruchtbaren Niederschlag in den Abbildungen dieses Buchs. Dem Springer-Verlag, und hier besonders Herrn Professor Dr. Dietrich Goetze, von dem die Anregung zur Publikation dieses Werks ausging, sei gedankt fur das bereitwillige Eingehen auf all unsere Wunsche, insbesondere fur die Bereitschaft, Frau Mills als Zeichnerin zu gewinnen.

Der V. Band der allgemeinen und speziellen Operationslehre, die Oto-Rhino- Laryngologischen Operationen, erscheint in diesen Jahren in der dritten Auflage. Er beginnt mit dem vorliegenden Band V/1, der die Operationen an der Nase und im Nasapharynx mit Berucksichtigung der transsphenoidalen Operationen an der Hypophyse und der Eingriffe am vegetativen Nervensystem des Kopfes abhandelt. Band V /2, der anschliessend erscheint, wird die Operationen an den Nasennebenhoehlen und der angrenzenden Schadelbasis beinhalten. Band V/3 mit der Darstellung der oto-rhino-larnygologischen Operationen im Mund-und Halsbereich (DENECKE) sowie Band V /4, die allgemeinchirurgischen Operationen am Hals (SCHWEMMLE), sind 1980 erschienen. Band V /5 wird die Operationen am Ohr und der zugehoerigen Schadelbasis enthalten. Diese Ausweitung des V. Bandes gegenuber seiner zweiten Auflage von 1953 wurde durch das Hinzukommen einer grossen Anzahl neu entwickelter Operatio- nen an den einzelnen Organen im Bereich von Hals, Nase und Ohr notwendig. Neue Erkenntnisse uber die Pathophysiologie und die Funktion der Organe sind in die entwickelten Oprationstechniken eingeflossen. Dadurch wurde eine voellige Neubearbeitung des Stoffes erforderlich. Als Co-Autor fur den vorliegenden Band V/1 konnte Professor WERNER EY, Darmstadt, gewonnen werden, der sich seit Jahrzehnten mit der Chirurgie der ausseren und inneren Nase besonders intensiv befasst hat. Bei der korrigierenden Rhinoplastik und bei den rekonstruktiven Verfahren haben die Autoren versucht, die neuen Erkenntnisse uber eine funktionelle Chir- urgie unter Berucksichtigung der Pathophysiologie der Nase herauszuarbeiten.

G. Carstensen Die Chirurgie ist eine Wissenschaft, ihre Ausubl, mg ein Handwerk; sie verlangt eine UEbereinstimmung logischer, handwerklicher und intuitiver Vorgange, wobei der Kopf die Hand leitet. Wissenschaft ist nicht nur der jeweilige Stand unserer Er- kenntnisse, sondern auch unserer Irrtumer - allerdings mit der Einschrankung, dass der Irrtum von heute der Fortschritt von morgen sein kann und unsere Fahigkeiten, Entwicklungen vorauszusehen, nicht uberschatzt werden sollten. Eine Wissenschaft hutet als wertvollstes Gut, was sich nach Bewahrung durchge- setzt und als Bestand erwiesen hat. Diesem Ziel dienen unsere Tagungen, die auch Auskunft uber neue Entwicklungen oder sich abzeichnende Ergebnisse zu erteilen haben. Ausserdem verlangt die wissenschaftliche Halbwertszeit des Arztes nach standiger Erneuerung und Erganzung des Wissens. Chirurgischer Fortschritt grundet sich nicht zuletzt auf die Erkennung und Ver- meidung intra-und postoperativer Komplikationen, deren Eroerterung auf unseren Kongressen und im Schrifttum meist zu kurz gerat, weil verstandlicherweise lieber vom Erfolg geredet wird. Jedoch, das Kriterium und Gutezeichen chirurgischer Ar- beit ist die Sicherheit des Eingriffs, und zwar in der Indikation wie in der operativen Durchfuhrung. Diesem Buch und seiner Sammlung sei daher ein Wort von Rudolf Nissen vorangestellt: Es tut allen, den Jungen wie den Alten, gut, immer wieder daran erinnert zu werden, dass Unvollkommenheit der Leistung unser tagliches Schicksal und dass ih- re klare Erkenntnis der beste Weg ist, sie zu vermeiden.

Das Gro8e Netz wurde lange vernachUissigt. Nur die Embryologen und Anatomen interessierten sich dafiir. Es wurde miBachtet, und in den meisten Biichern wurde sogar empfohlen, es generell bei Laparoto- mien zu entfernen, urn postoperative Verwachsungen zu verhindern. Heute weiB man, daB es zum Schutz und zur Verteidigung der Perito- nealhohle dient. Es war von groBer Wichtigkeit, in einem einzigen Buch alles zu sam- meln, was dieses peritoneale Gebilde betrifft und ihm damit eine eigene IdentiHitverleiht. Sein Studiumruft physiopathologische Problemeher- vor, die vie! komplexer sind als vermutet wurde. Seine Pathologie ist vieWiltig, sei es, daB es sich urn eine Einklemmung des Netzes in einen Leistenbruch oder urn entziindliche und tumorbedingte Uisionen han- delt. Sein Anteil an vielen bewahrten und erfolgreichen Wiederherstel- lungstechniken wird immer groBer - bei der Visierlappenplastik, bei Transplantationen, bei der Revaskularistion - die durch die Mikro- chirurgie so sehr den Bereich der Wiederherstellungschirurgie erweitert haben. Urn all diese verschiedenen Probleme zu erortern, sind die beiden Autoren an jedes Kapitel kritisch und prazise herangegangen, was der Leser selbst entdecken wird. Dieses ausgewogene Buch ist keine reine Zusammenstellung. Es ist das Ergebnis einer groBen Erfahrung, die die Autoren dazu gefiihrt hat, samtliche Techniken, die das groBe Netz betreffen, mit einer per- fekten Bildausstattung zu beschreiben.