This book presents and explains the latest developments in surgery for congenital digestive tract malformations, tumors, abdominal trauma, and the most important acquired digestive disorders. Particular attention is paid to minimally invasive and innovative techniques. In addition to clear descriptions of the surgical procedures that highlight useful tips and tricks, for each condition the clinical presentation is well illustrated and information is provided on pathogenesis. The book also includes general chapters that address the anatomy of the abdomen in children, diagnostic issues, the problem of clinical nutrition, and other aspects of management in pediatric patients with gastrointestinal pathologies. Pediatric Digestive Surgery will serve as a comprehensive and up-to-date reference for all pediatric surgeons. It will provide the trainee with easily understood, concise guidance while offering the more experienced surgeon valuable updates on the latest thinking and practice in the field.

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.

This new edition has been fully updated to provide general surgeons with the latest advances in the field. Beginning with an overview of the general principles of surgical procedures each of the following sections discusses surgery in a different system of the body, from head and neck, to breast and thorax, to pancreas, spleen, and vascular surgery. The book covers both conventional and laparoscopic techniques, providing step by step guidance. The second edition of this comprehensive manual includes a number of new topics: liver and portal venous systems, day case surgery, parathyroid and adrenal surgery, bariatric surgery, and neurosurgery. The chapter on the management of rectal cancer and colorectal surgery has been completely revised and rewritten. The text is enhanced by nearly 700 clinical images and diagrams. The previous edition (9788184481952) published in 2008. Key Points Fully revised, new edition covering latest advances in field of general surgery Discusses both conventional and laparoscopic procedures Second edition includes several new topics Previous edition (9788184481952) published in 2008

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.

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.

Selected as a Doody's Core Title for 2021! Definitive, detailed, and multidisciplinary in scope, Surgery of the Breast: Principles and Art, Fourth Edition, remains the most comprehensive "how-to" reference on today's breast surgery. The text and its content have been thoroughly updated and carefully consolidated into one volume, to describe and demonstrates the most advanced and successful techniques for all types of oncological, reconstructive, and aesthetic breast surgeries-covering oncologic management of breast disease, breast reconstruction, reduction mammoplasty and mastopexy, augmentation mammoplasty, and more. Ideal for both plastic surgeons and general surgeons who perform a high volume of breast surgery, this classic text has been significantly revised to bring you fully up to date. Superbly illustrated with over 1500 drawings and full-color preoperative, intraoperative, and postoperative photographs. Up-to-date information on every aspect of breast surgery, including new coverage of the emerging role of pre-pectoral implants in breast implant procedures. Fully revised table of contents with new chapters on oncoplastic techniques and breast reduction, as well as the evolving role of fat grafting in partial mastectomy defects, implant-based reconstruction, autologous reconstruction, lipo-augmentation, and aesthetic breast surgery in transgender patients (female to male and male to female). More chapters directly address problems and controversies in the treatment of breast cancer. New editors and new international contributors provide authoritative guidance and a fresh perspective. 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.

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

You have been booked for surgery and have discussed your forthcoming operation and its risks with your physician and your surgeon.
How much did you really understand?
How much do you remember clearly?
Are you satisfied that you know all the risks and those that apply especially to you?
Do you really believe that a verbal discussion is the only reliable way of getting and retaining the information which you consider important in helping you decide?
Do you understand what is meant by the legal term "Informed Consent" and how it is interpreted?
This simple reference book should answer most of your questions and is written in understandable language. It is based on the author's knowledge and a 50-year experience in the broad aspects of diagnostic and operative surgery.
It is also based on standard reference literature for surgeons on the subject of those complications which may occur during or following the commoner surgical operations.
Technical terms have been translated into non-technical language as far as possible and the reader should find the explanations quite straightforward. Even so, any final questions should still be addressed to your physician and your surgeon.

Selected as a Doody's Core Title for 2022 and 2023! Part of the highly respected Master Techniques in Surgery series, Colon and Rectal Surgery: Anorectal Operations, 2nd Edition, provides the authoritative, up-to-date guidance you need to master both traditional techniques and innovative new procedures in colon and rectal surgery. Covering both basic and advanced procedures, this edition contains superbly illustrated, expertly written chapters covering virtually any colorectal surgical technique likely to be performed today. Each contributing author presents a real-world viewpoint on a particular surgery, and outstanding full-color illustrations provide visual support for every procedure. Presents easy-to-digest, clinically relevant material from world-renowned colon and rectal surgeons who explain their preferred techniques step by step, including indications and contraindications, preoperative planning, postoperative management, outcomes, complications, and follow-up. Covers hemorrhoidectomies, anal and rectovaginal fistula and sphincter procedures, fecal incontinence, procedures for perineal prolapse and excision of rectal carcinoma, lateral sphincterotomy, rectocele, and muscle, anal and pilonidal flap procedures. Includes 17 all-new chapters: Ultrasound-guided Ligation/Mucosalpexy for Hemorrhoidal Disease Rubber Band Ligation Ligation of the Intersphincteric Fistula Tract (LIFT): Without Mesh Repair of Rectovaginal Fistula Repair with Bioprosthetic Mesh, Transvaginal Rectovaginal Fistula: Transvaginal Approach Without Mesh Magnetic Anal Sphincter Encirclement Procedure for Rectal Prolapse in the Elderly Perineal Rectosigmoidectomy Closed Lateral Interanal Sphincterotomy Transanal Endoscopic Operating Transanal Minimally Invasive Surgery (TAMIS) for Local Excision Transabdominal Rectus Flaps Ventral Hernia Repair Incision, Excision and Wound VAC Closure Surgical Management of Anogenital Hidradenitis Condylomata Acuminatum Anal Carinoma and Melanoma Enrich Your eBook Reading Experience with Enhanced Video, Audio and Interactive Capabilities! 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 Adapt for unique reading needs , supporting learning disabilities, visual/auditory impairments, second-language or literacy challenges, and more

The key reference dedicated to surgery for cholesteatoma... The cholesteatoma, strictly speaking a cyst and not a cancer, nevertheless shows expansive and destructive growth patterns that may give rise to serious symptoms and consequences, including fatality, not unlike those seen for malignant neoplasms. The great challenge of therapy is to eradicate the pathologic growth while preserving hearing and other critical functions of the middle ear and petrous bone, respecting the proximity of vital neural and vascular structures, and the intricate three-dimensional relationships involved. Mario Sanna's Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma is the ultimate illustrated guide to complete management of the cholesteatoma, including assessment of the full expansion and degree of destruction caused by the growths, and short- and long-term follow-up to assess and treat for recurrence. Key Features Brilliantly illustrated with diagnostic images from otoscopy and radiology, both normal and pathological Step-by-step description of approaches and techniques for the procedures Special coverage of petrous bone cholesteatoma, which is less frequent than other forms but more difficult to diagnose and treat, with introduction and description of a new function-sparing procedure, the subtotal petrosectomy Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma extends Mario Sanna's passionate dedication to excellence in otologic teaching and training into this highly complex surgical area. Practitioners, residents, and fellows will find it indispensable. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Large intracranial lesions are among the most complex and dangerous lesions encountered by neurosurgeons, and a single neurosurgical approach often does not provide a large or safe enough corridor for effective treatment. A combined approach to these surgeries, incorporating open, endoscopic, vascular and keyhole techniques can be more successful. This comprehensive text describes in detail how to select the most appropriate approaches, as well as how to avoid any complications that may arise. High quality videos of the techniques described are available through an online version on Cambridge Core, accessible via the code printed on the inside of the cover. With over 150 colour images supporting the text, this is a definitive reference for anyone involved in intracranial tumor or vascular surgery.

Das Buch soll einen ersten UEberblick uber die psychotherapeutische Begleitung von Patienten vor und nach bariatrischen chirurgischen Eingriffen geben. Es richtet sich an die therapeutischen Teams, die mit Adipositaspatienten vor und nach der Operation arbeiten, soll aber auch Chirurgen fur das Thema sensibilisieren. Durch die zunehmende Zahl an entsprechenden Operationen steigt die Notwendigkeit, diese Patienten wahrend des gesamten Prozesses zu begleiten.

Detailliert und praxisorientiert beschreibt dieses Buch, wie Patienten, die einen sicheren venoesen Zugang benoetigen, optimal mit einem Portsystem versorgt werden. Die unterschiedlichen Implantationstechniken und ihre Vor- und Nachteile sind ebenso ausfuhrlich dargestellt wie die Portanwendungen bei unterschiedlichen Indikationen und der Umgang mit dem Port nach der Implantation. Eine standardisierte Operationstechnik, die Auswahl des geeigneten Materials, die perfekte Kooperation der beteiligten Berufsgruppen untereinander und mit dem Patienten und die kompetente Portpflege und -nutzung sind Voraussetzungen, um eine lange UEberlebenszeit der Patienten und eine hohe Lebensqualitat zu erreichen. Bildserien zur Durchfuhrung der operativen Eingriffe und zur Portnutzung und -pflege werden zusatzlich durch instruktive Videos erganzt.

Every year a large number of chronic patients undergo dialysis at dialysis departments in the Slovak Republic. Each one of them is connected to the artificial kidney 100 to 160 times. The most valuable property of these patients is a quality and long-term functioning arteriovenous fistula since it is one of the essential conditions for successful dialysis. The surgeon who creates arteriovenous access must thoroughly examine the patient before the operation, properly evaluate the vascular system and choose the most favourable way of the vascular access for long-term haemodialysis. Patients with chronic renal failure have impaired haemostasis, several of them have diabetes and their vascular system is affected by atherosclerosis. Determination of the operational plan and optimal vascular access is strictly individual and depends not only on the vascular system of the patient but also on the general condition, age and prognosis of the disease. A quality arteriovenous fistula should conform to the requirements of the simplest and the shortest operation as possible, using local anaesthesia. Underestimation of any fact can result in the creation of many non-functional AV fistulas. AV fistulas operations for the purpose of long-term haemodialysis are an integral part and one of the most problematic issues of Vascular Surgery. There are more and more patients who are in the long-term haemodialysis program. The average age of patients is increasing. All these factors have resulted in the need to create more and more AV fistulas because their usability is limited. The correct operational tactics, individual approach to the patient and precise surgical technique of the vascular surgeon contributes to the improvement of the quality of life of sick patients, of whom only a small percentage is so lucky that the disease is cured by successful kidney transplantation.

Essentials of Hand Surgery provides a practical manual on the diagnosis and management of hand disorders. The first section covers the basic principles, including anatomy and examination and investigation techniques. The major part of the book is divided between emergency surgery following trauma and those disorders that can be managed by elective surgery. Throughout the emphasis is on providing clear, well-illustrated guidance on the evaluation, diagnosis and management, with discussion of the surgical skills and techniques required for an optimum outcome. A practical guide to the management of hand disorders for trainee hand surgeons, orthopaedic surgeons and plastic surgeons Covers the key procedures for both emergency and elective surgeries Concise text enhanced by a lavish collection of over 400 photographs and 200 artworks in full colour

Robotic surgery has revolutionised how surgeons think about minimally invasive surgery in the new century. No longer is robotic surgery only for science fiction novels. Robots can now be used for all types of minimally invasive procedures. In many cases, they bring benefits in ergonomics, visualisation, and precision of action. While the current generation of robots is limited, the future is boundless. This book explores common general surgical procedures with the use of the da Vinci (R) surgical system, describes patient selection, surgical tech, robotic instrumentation and positioning and also guides the general surgeon in understanding robotic surgery and implementing it in their practice.