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

Surgical site infection (SSI) is one of the most frequent complications after abdominal surgery as abdominal procedures are often clean-contaminated, contaminated or even dirty procedures, so long the gastrointestinal tract, plenty of microorganisms, is entered. SSI is associated with morbidity and mortality, and reduces the patients' quality of life after surgery. Moreover, it prolongs hospital stay and requires increased instrumentation, medication and complementary tests, altogether representing an economic burden for the Health Services. This has led to the development of several Guidelines and Consensus documents, including prophylactic measures to prevent SSI. Different scientific societies, including the World Health Organization (WHO), the Center for Disease Control (CDC), the American College of Surgeons (ACS) and the Surgical Infection Society (SIS), have published recommendations for the prevention of SSI in the last years. All the documents agree with most of the recommendations. However, the evidence grade of these recommendations is often low to moderate and with the aim to generalise these measures to all the surgical procedures, the extrapolations lead to a lowered evidence power. Thus, in some cases the force of the recommendations is based on the opinion of experts in the field. The aim of this book is to revise the actual evidence about these prophylactic measures in abdominal surgery.

The latest edition of this text provides a comprehensive update on the current standards and newest skills in diagnostic endoscopy for pre/neoplastic lesions of the upper and lower gastrointestinal tract. The atlas outlines procedural requirements and strategies for detection and endoscopic staging (prediction of pT category) of small and minute early cancers, and presents endoscopic and high-resolution endosonographic criteria for submucosal invasiveness. The three major resection techniques, including risk profiles, and differential indications and contraindications for each technique are also outlined. In addition to thoroughly revised chapters from the previous edition, the atlas features new content on submuscosal neoplasias in the GI tract, new magnifying images of early gastric neoplasias, and new endoscopic images of adenoma, dyplasia, inflammatory bowel disease, and early cancer in the duodenum and small bowel. Written by experts in the field, Atlas of Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions, Second Edition is a valuable resource that will improve the diagnostic skills of endoscopists.

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

Advances in surgical technique and broadening indications for complex gastrointestinal procedures, surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, but morbidity continues to be a persistent problem. This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery. All chapters are written by experts in their field and include the most up-to-date clinical information from national and world leaders in their respective discipline. The text provides a practical, clinically useful guide that reviews risk factors for these complications and offers key information on how to avoid potentially high morbidity events in the peri-operative period. It also discusses the management of these problems when they do occur. With its helpful guidelines and "tricks of the trade" to avoid potential complications, this book is essential to all medical professions treating such patients. Gastrointestinal Surgery: Management of Complex Perioperative Complications is of great value and utility for general surgeons, thoracic surgeons, upper gastrointestinal surgeons, colorectal surgeons, hepato-pancreato-biliary surgeons, surgical oncology fellows, thoracic surgery fellows and upper level residents in general surgery.

This book represents an effort to document the experience of a carefully-chosen group of international surgeons, regarding the use of imaging technology in their everyday practice. The aim of this book is to help medical students and surgeons at all levels of training and practice to understand the basics of the more common imaging techniques (CT, MRI, MRCP, US, XR, radionuclide scan, etc.), including their advantages and disadvantages and their optimal use and limitations. Following that, the application of these imaging modalities, including the most current developments, in the different fields and subspecialties of surgical practice (including, but not limited to, surgical oncology, neurosurgery, endocrine surgery breast surgery, hepatobiliary surgery, pancreatic surgery, transplantation, urology etc.) is presented in detail. What is important about this book is that it is written by an international group of surgeons who are experts in their respective fields and who offer us here their wisdom and experience, regarding what the communication between the surgeon and the radiologist should be, in order to provide these complex patients with the best possible care. Apart from the radiological and imaging tools commonly used in current practices, future prospects and challenges regarding how imaging technology can increase surgical efficiency in the future are explored. The overall goal of this book is to help surgeons in today's technology-driven environment have a proper understanding of the use and limitations of modern imaging techniques.

Many surgical procedures are performed by ambulatory surgery and account for around 60-70% of all surgical procedures. This book presents new research in ambulatory surgery, and discusses advances in other surgical procedures. The topics discussed include ambulatory surgery as well as breast reconstruction, thyroid goitre surgery, and midface lift surgery.

Achieve the best outcomes with expert, practical, highly visual guidance! Operative Techniques in Colon and Rectal Surgery features just the colorectal surgery content from Operative Techniques in Surgery, the comprehensive 2-volume set edited by Michael W. Mulholland, MD, PhD. Ideal for practitioners who wish to focus on mastering today's best colorectal surgery procedures, it takes you step-by-step through each technique in a consistent manner, using concise, bulleted text, full-color illustrations, and full-color intraoperative photographs to clearly convey exactly what to look for and how to proceed. Key Features Global contributors known for their technical expertise share their knowledge and skills. Comprehensive coverage keeps you up to date on small intestine procedures, surgery of the colon, appendix, rectum, and anus, as well as rectal resections. Full-color, step-by-step explanations of operative procedures help you master each technique, avoid complications, and anticipate outcomes. Each clinical issue is discussed in the same easy-to-follow format: definition, differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications. Bulleted text and tables allow for quick and easy reference, while intraoperative photographs provide a surgeons-eye view of each procedure. Ideal for anyone involved in colon and rectal surgery, colorectal fellows, practitioners, and general surgeons. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

Bariatric surgery has become a mainstay in the treatment armamentarium of morbid obesity. Randomised trials have established the efficacy of bariatric surgery towards sustained weight loss, along with significant improvements in related comorbidities, quality of life measures, and all-cause mortality. This compilation discusses the indications and complications of bariatric surgery as well as several other topics that include omentectomy, post-surgery atrial fibrillation, blood transfusions, and others.

Handbook of Pediatric Surgical Patient Care focuses on the decision-making process in the overall management of the pediatric surgical patient and provides guidelines for diagnosis. The book covers topics ranging from a wide spectrum of neonatal conditions and surgical critical care to other childhood afflictions, pediatric cancer and the injured child. It also focuses on the current management of common childhood conditions including appendicitis, pyloric stenosis and hernias. Algorithms are employed in an effort to streamline surgical care. The purpose of this handbook is to provide a brief, easily accessible, rapid source of contemporary information to students, residents and practitioners caring for infants and children with surgical disorders.

Hepatobiliary & Pancreatic Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities. This is a title in the Companion to Specialist Surgical Practice series whose eight volumes are an established and highly regarded source of information for the specialist general surgeon. The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within each major surgical sub-specialty. Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter. Purchase of a print book also includes a downloadable version of the eBook. An expanded authorship team across the series includes additional European and World experts with an increased emphasis on global practice. The contents of the series have been extensively revised in line with recently published evidence. The contents highlight the increasing use of laparoscopic surgical technique in the management of HPB disease. The contributions incorporate the latest oncological approaches to the management of HPB malignancy.

Radiofrequency Ablation of Cancer: Current Indications, Techniques and Outcomes discusses the principles and techniques of safe usage of radiofrequency current for the treatment of malignancies. Throughout the text, indications and outcomes data are stressed. Edited and authored by pioneers in the field, the book features extensive discussion of RFA for hepatic tumors, including treatment of liver metastases from colorectal cancer, combined modality therapy for liver metastases, treatment of hepatocellular carcinoma with RFA, laparoscopic RFA, percutaneous RFA, and hepatic metastases from neuroendocrine tumors. In addition, chapters consider the emerging role of RFA in the management of primary breast cancer, primary bone tumors as well as metastatic bone tumors, renal tumors, and lung tumors. The principles and instrumentation as well as the imaging aspects of RFA are presented with comprehensive chapters on ultrasound, MRI, PET and CT by leaders in the field. Complemented by 90 illustrations, this text is the gold standard reference on the use of RFA in treating a wide variety of malignant processes. It will serve as a valuable reference for all physicians engaged in the care of cancer patients.

AnHiBlich des 5. Therapietages der Abteilung fUr Theore tische und Klinische Medizin der Ruhr-Universitat in Bochum wurde von mir das Leitthema "Interdisziplinare Onkologie am Beispiel der Magengeschwiilste" gewahlt. Gerade bei den Magenkarzinomen ist die Bedeutung der interdisziplinaren Onkologie so offenkundig, daB das Inter esse von jedermann an diesem Gebiet vorausgesetzt werden darf. Die Intensivierung des Kontaktes zwischen Hausarzt, Gastroenterologen, Pathologen, Operateur, Radiologen und Chemotherapeuten ist vor aUem im Sinne des Patienten zu fordern. Ziel soUte es sein, eine moglichst familiennahe Behandlung, die sich oft iiber lange Zeit erstreckt, zu ermog lichen. Das Magenkarzinom ist wohl nach wie vor eines der Mali gnome, bei dem die Behandlungsergebnisse am wenigsten befriedigen. Die Heilung beim lokalisierten Magenkarzinom ist bis heute ausschlieBlich chirurgisch moglich, wahrend die zytostatische Therapie noch in der Entwicklung steht. Auch die Ergebnisse des Operationserfolges ist nur durch ver mehrte Friihoperationen, Senkung der Operationsmortali tat, intraoperative Metastasenprophylaxe und zusatzliche Chemotherapie moglich. In diesem Zusammenhang sei besonders auf die Bedeutung des erstkonsultierten Hausarztes bei der Friiherkennung und die Aufklarung der Bevolkerung hingewiesen. So werden wir vieUeicht in Verbindung mit einer Intensivie rung der interdisziplinaren Zusammenarbeit in greifbarer Zukunft die Symptome des Magenkrebses im Vorfeld der Erkrankung besser erkennen, urn nicht immer wieder das zu erleben, was Theodor Storm im folgenden Gedicht als Be troffener zum Ausdruck brachte: VI Vorwort Beginn des Endes Ein Punkt nur ist es, kaum ein Schmerz, Nur ein GefUhl, empfunden eben; Und dennoch spricht es stets darein, Und dennoch stort es dich zu leben."

The much-anticipated revision of the second edition of The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, has been completely restructured, reorganized, and revised. The Manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions. These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both "gold standard" and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy. The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents.

This scarce antiquarian book is a facsimile reprint of the original. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment for protecting, preserving, and promoting the world's literature in affordable, high quality, modern editions that are true to the original work.

You, the surgical patient, are part of a team that includes your family physician, anesthetist, surgeon and members of the surgical nursing staff. Each member of that team has an obligation to make your recovery from major surgery, if and when an operation proves to be necessary, as safe as possible.
The first responsibility is yours and the other members of your surgical team will do their part. That is what this book is all about. In addition, safe and effective new alternatives to major surgery are discussed, as are modern technological approaches, both for diagnoses and for treatment.
Medical terms are explained in the text as far as possible and a glossary of these terms has also been added to the end of the book. In addition there is an index for cross-reference.
This book will not make you a surgical specialist, but it will make you more knowledgeable about what to expect as a patient