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.

Selected as a Doody's Core Title for 2022! First presented by the American College of Surgeons and the Alliance for Clinical Trials in Oncology in 2015, the comprehensive, evidence-based examination of cancer surgery techniques as standards distills the well-defined protocols and procedures that are critical to achieve optimal outcomes in a cancer operation. This unique, one of a kind collaboration between the American College of Surgeons and the Alliance for Clinical Trials in Oncology focuses on best practices and state-of-the-art methodologies. Operative Standards for Cancer Surgery clearly describes the surgical activities that occur between skin incision and skin closure that directly affect cancer outcomes. Quickly grasp the proper technical elements of a cancer operation through clear, practical text and more than 120 illustrations. Benefit from careful analysis of the best evidence available in the literature; gathered here to create the highest quality standards in cancers of the esophagus, stomach, thyroid, rectum, and melanoma. Learn from experts drawn from diverse groups, including the American College of Surgeons, the Alliance for Clinical Trials in Oncology, the National Cancer Institute Cooperative Groups, and the Commission on Cancer, as well as national societies and organizations with an interest in these five cancer types. Enhance 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 sixth edition of Operative Surgery of the Colon, Rectum and Anus presents the state of the art in colorectal surgery. Edited by world renowned surgeons and with expert chapters from contributors in North America, Europe, and Australasia, the book is essential reading for the experienced surgeon established in colorectal practice as well as advanced trainees in general surgery. Each procedure is described in authoritative text beautifully complemented by high quality step-by-step color artwork and intraoperative photographs, enabling the reader to approach common and rare colorectal conditions with confidence. The book comprehensively covers surgery of the anus, rectum and colon in 87 chapters, grouped into nine sections for ease of reference (General Principles, Proctology, Stomas, Small Intestine, Colon, Rectum, Perineal Reconstruction, Rectal Prolapse and Surgery for Incontinence). The print edition is further enhanced by an accompanying VitalSource eBook, enabling the user to download and read the book offline on a personal computer or mobile device. A masterful account of contemporary surgical practice, Operative Surgery of the Colon, Rectum and Anus will remain the definitive atlas of coloproctology for years to come.

This book covers the following on a wide variety of surgery cases such as general surgery, neurosurgery, orthopedic and traumatology, otorhinolaryngology-head, and oncology. Other topics related to surgery in this volume include anesthesiology, oncology, and anatomical pathology. This book provides an authentic, fresh, and educational case in each section. The purpose of this book is to contribute some perspective on basic science and clinical evidence of unusual case, which will give educational benefit to our readers. In addition, this volume is designed to meet the demand of practitioners to face challenging and unexpected cases in the surgical field, which readers will find very helpful. This valuable book contains 38 real cases in surgery. Access to case scenario is given at the beginning, followed by physical examination, differential diagnosis, and management in surgery. We emphasize in evidence-based medicine to expand the knowledge of surgical education and practice. The explanation was conducted understandably, and key learning points were summed up to help the readers. We believe that our readers will find this text, written by our best practitioners and specialists, very informative and useful.

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.

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.

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.

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.

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.

For years the administrative of anesthesia was extremely dangerous and risky. Because of this the surgeon and anesthesiologist had to balance the risks and benefits for each patient before proceeding with surgery. In the last two decades the care of the surgical patient has changed dramatically. New equipment, monitors and pharmacologic agents have transformed surgical technique and improved outcomes. Patients once deemed "too sick" for the operating room are found frequently on operating room schedules nationwide. Today, anesthesiology for the healthy patient in most developed countries is extremely safe. However, perioperative complications still occur. These events can be catastrophic for patients and may have serious implications for residents, surgical and anesthesiology staff and nurses. Prompt recognition and management of these incidents may reduce or negate complications. This is based on a fundamental base of knowledge acquired through several avenues and practiced with other team members to maximize outcomes. Engagement of all caregivers impacts outcomes. Many organizations do not have the structural components or education to recognize or manage these catastrophic events. This textbook will provide educational material for the many students, as well as nurses, residents or attending physicians who participate in perioperative medicine. It will focus on the most serious perioperative complications and include a discussion of the pathophysiologic and pharmacologic implications unique to each. Additionally, it will provide medicolegal information pertinent to those providing care to these patients. All chapters will be written with the most current and relevant information by leading experts in each field.The layout and format is designed to be purposeful, logical and visually effective. Other features include review questions and answers, chapter summaries and shaded call-out boxes to facilitate learning. Catastrophic Perioperative Complications and Management will be of great utility for medical and nursing students, anesthesiology residents, student nurse anesthestists, surgical residents, nurses involved in perioperative medicine as well as surgical and anesthesiology attending physicians.

This is a practical guide to pediatric vascular access. It covers how to use ultrasound appropriately, how to prevent and manage early and late complications, and how to correctly place the catheter tip using ECG or radiology. It includes all the most modern approaches and devices. In particular, the best approach for some specific populations is covered, including neonates and infants, complex patients, and children with cancer or renal failure requiring long term treatments. A guide on how to establish a vascular access team in a pediatric hospital is included, including the costs and benefits of having this hospital-based team. Vascular Access in Neonates and Children is aimed at pediatric anesthesists and surgeons, and radiologists, pediatricians and other specialities may also find it of interest.

This fifth edition of Chassin's Operative Strategy in General Surgery is a major revision that strives to remain faithful to the purpose and tone of Dr. Chassin's original text. This unique textbook provides an emphasis on surgical strategy that is unmatched by other textbooks of surgical technique. The text explains the conceptual basis of each operation, outlines strategies to avoid common pitfalls, and carefully describes and beautifully illustrates the technical steps of each operation. The fifth edition preserves the unique qualities of its previous edition while providing a comprehensive update. This updated volume also features a vast amount of richly detailed artwork and operative photographs, which help depict operative techniques step-by-step. No other text so successfully combines operative technique with the concept of strategy - that is, key governing principles that dictate safe surgery and avoidance of complications. There are books of technique, there are books about complications, and there are books about the rationale involved in the treatment of various kinds of surgical pathology. Chassin's combines all three. Chassin's Operative Strategy in General Surgery: An Expositive Atlas Fifth Edition comprehensively covers all non-vascular operations commonly performed by general surgeons. This edition expands this comprehensive general surgery reference while remaining true to the special character of the work. The revision expands upon procedures not covered in the previous edition and incorporates new techniques into many other chapters.

This book comprehensively covers minimally invasive laparoscopic and robotic surgical techniques suitable for use in abdominal operations. Chapters describe relevant techniques for abdominal wall reconstruction, esophageal, bariatric, hepatobiliary, and colorectal surgery. Detailed step-by-step procedural guidance is provided with relevant photographic illustrations. Techniques in Minimally Invasive Surgery is a vital resource for surgeons who perform minimally invasive gastrointestinal operations. The book is particularly addressed to trainees, fellows, and junior faculty.

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.

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

This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.

Experimental surgery is an important link for the development in clinical surgery, research and teaching. Experimental surgery was part of the most important surgical discoveries in the past century. Since 1901 nine Nobel Prizes have been awarded to the pioneers had remarkable achievements in the basic or practical surgery. In recent 20 years, experimental surgery has achieved new advances, like laparoscopic and robotic surgery, tissue engineering, and gene therapy which are widely applied in clinic surgery. The present book covers wide experimental surgery in preclinical research models subdivided in two volumes. Volume I introduces surgical basic notions, techniques, and different surgical models involved in basic experimental surgery and review the biomechanical models, ischemia/reperfusion injury models, repair and regeneration models, and organ and tissue transplantation models, respectively. Volume II introduces several specific experimental models such as laparoscopic and bariatric experimental surgical models. The second volume also introduces graft-versus-host disease, and other experimental models. Review the advances and development of recent techniques such as tissue engineering, organ preservation, wound healing and scarring, gene therapy and robotic surgery. The book documents the enormous volume of knowledge we have acquired in the field of experimental surgery. In this book, we have invited experts from the United States, Canada, France, Germany, China, Japan, Korea, UK, Sweden, Netherland, Hungary and Turkey to contribute 36 chapters in the fields of their expertise. These two volumes are the compilation of basic experimental surgery and updated advances of new development in this field that will be invaluable to surgeons, residents, graduate students, surgical researchers, physicians, immunologists, veterinarians and nurses in surgery.

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

The book encompasses the different concepts and designs using magnets for surgical purposes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. The text reviews new data about interventions in all medical and surgical fields. Written by experts in their fields, topics focus on endoluminal and laparoscopic operations, techniques from vascular and GI anastomosis. The book demonstrates the use of magnets to treat a variety of diseases such as reflux, back pain, and fecal incontinence. The reader will learn how to retract and gain exposure, dissect tissue planes, achieve hemostasis, and create anastomosis in a totally different way. Physical properties of external surface and internal magnets are discussed. The authors emphasize the importance of partnering with industry leaders to develop novel surgical tools. By harnessing the power of attraction, the energy and might of magnets, Magnetic Surgery serves as a valuable resource for clinicians, surgeons and researchers in biomedical engineering interested in this form of energy and physical metal properties. In utilizing these properties, the book seeks to improve surgical outcomes of patients worldwide.

Auch die 2. Auflage des erfolgreichen Buches fasst das Faktenwissen der Viszeralchirurgie in komprimierter, stichwortartiger Form zusammen. Zur Vorbereitung der Facharztprufung ist es ebenso geeignet wie zum raschen Nachschlagen im klinischen Alltag. Alle Beitrage wurden von renommierten Experten geschrieben. Im Mittelpunkt stehen detaillierte Empfehlungen zum diagnostischen Vorgehen, zur Indikationsstellung und zur Therapiedurchfuhrung; auch die Schritte des operativen Vorgehens sind fur die wichtigsten Eingriffe dargestellt. Kurzubersichten erleichtern das gezielte Einpragen der wichtigsten Fakten.

Pediatric Surgery provides an authoritative, up-to-date and comprehensive analysis of current practice in the field. It is divided into three topical volumes, with a total of seven sections focusing on general principles, newborn surgery, general pediatric surgery, tumor surgery, trauma, transplantation, and pediatric urology surgery. Detailed descriptions of surgical techniques and pre- and postoperative management are provided by experts from various parts of the world. The result is an international reference on the surgical management of both common and rare diseases of infants and children that will be an ideal source of information and guidance for pediatric surgeons, pediatric urologists, neonatologists, pediatricians, and all those seeking more detailed information on surgical conditions in children. The three topical volumes are as follows: General Principles and Newborn Surgery General Pediatric Surgery, Tumors, Trauma and Transplantation Pediatric Urology