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.

This book is a state-of-the-art overview of cancer regional therapy (CRT) for the surgeons and interventional radiologists active in CRT development and research. The goals of this book are 1) to review the theory and practice of cancer regional therapies including pharmacology, devices, techniques, and workflow, 2) illustrate the most common procedures performed in the interventional and operating rooms, and 3) discuss data supporting use of CRT. This is meant to be a definitive text on the theory and practice of CRT. It begins with a summary of the history, technical principles that underlie regional therapy. The following parts discuss current data and practice in peritoneal, liver, limb, pleural and other sites. Included in the practice are considerations of workflow and financial issues revolving around CRT. Novel techniques and therapies under investigation are presented to inform the direction of the field. Cancer Regional Therapy summarizes the history, current technology, common procedures, and future prospects in this field and includes procedures from many surgical and interventional radiologic disciplines.

This comprehensive, illustrated guide presents representative general surgery, including gastrointestinal tract, hepatobiliary and inguinal hernia. Surgery is generally based on the microanatomy; however, in practice surgery involves more dynamic and floating anatomy. In the last decade, the methods have been constantly improved, shedding new light on classical anatomical science. Laparoscopic is one such methodology. All illustrations presented in this book have been drawn by the author - a pioneering surgeon - and show real-world procedures. All the methods introduced are practical and have been refined based on the precise clinical and embryological anatomy. This unique book offers readers essential insights into efficient and high-integrity surgeries in abdominal region. As such, it is a valuable resource for all gastrointestinal surgeons.

This book acts as a portable and easy-to-understand reference for surgical trainees or young faculty members that are interested in reviewing procedures on the way to the operating room. This second edition aims to provide a practical hands-on approach to operative trauma management. Following the success of the first edition, chapters were revised, updated, and added due to substantial changes in trauma care over the past few years. Several new experts contributed their knowledge and techniques inside this new edition. For example, chapters on fasciotomy and resuscitative endovascular balloon occlusion of the aorta (REBOA) have been added. The second edition of The Shock Trauma Manual of Operative Techniques is a valuable reference for practicing surgeons in the community and serves to aid trauma practitioners as they attempt to deal with operative challenges.

This second edition discusses information pertaining to various minimal access surgeries. This edition is divided into four distinct volumes: basic laparoscopic surgery, esophagogastric surgery, colorectal surgery. and hepato-pancreato-biliary surgery. Each chapter includes detailed operative description and images in the form of atlas. The book illustrates advanced laparoscopic techniques and step-by-step information of operative procedures. It will assist in our understanding of current concepts of laparoscopic surgery and the technical details. Thoroughly revised edition including requisite advanced laparoscopic techniques with step-by-step description of the operative procedure and adequate number of high quality intraoperative pictures. Volume 1: Basic Laparoscopic Surgery provides a detailed description to give an overall view about the various basic aspects of laparoscopic surgery, the instrumentation, energy devices, training modules operation theatre staff nurse training and laparoscopic operation setup. This volume will be helpful to various minimally invasive surgeons in all the fields like General surgeons, Gastrointestinal surgeons, Urology surgeons, Surgical oncologists and Gynecologists. Volume 2: Esophagogastric Surgery includes detailed descriptions of the diseases of the oesophagus and stomach ranging from benign diseases to malignancies. Oesophageal and stomach cancer, particularly thoracoscopic esophagectomy in prone technique Ivor Lewis two stage esophagectomy and D2 radical gastrectomy, have been described in detail. Volume 3: Colorectal Surgery includes detailed descriptions of various minimally-invasive colorectal procedures involving the most recent approaches, such as minimally-invasive inter sphincteric resection for low rectal malignancies. Colon cancer, including transverse colon and rectum, prolapse rectum, total proctocolectomy with ileoanal pouch anastomosis, has been described in detail. Volume 4: Hepato-Pancreato-Biliary Surgery describes in detail all the minimally-invasive hepatobiliary surgeries. The World first laparoscopic Whipple's operation has been described, along with guidelines and selection for laparoscopy derived in the first international summit on laparoscopic pancreatic resection. A chapter on laparoscopic donor hepatectomy is also included in the book. This book has been well-accepted by the surgical fraternity and has also got translated into other languages like Spanish, Korean and Chinese.

This book discusses the latest findings in the fields of biofilm, pilonidal cysts and sinuses. The first part provides detailed information on biofilm formation, antibiofilm properties and activity as well as their potential clinical application in wound management. The second part then examines pilonidal sinus disease and the surgical treatment options. Written by leading experts in the field, the book is a valuable resource for beginners and experienced surgeons alike.

The first edition laid out the foundation with laparoscopic and robotic surgery utilizing the Da Vinci SI platform. Since then, many new advances in equipment and surgical techniques are becoming more popular. This second edition expands upon laparoscopic and endoscopic techniques and robotic surgery with the use of the new Da Vinci XI platform. This book bridges the gap between the practicing community of surgeons and the surgical innovators and provides a foundation for all classic and new techniques in minimally invasive colorectal surgery. By enhancing the surgical toolbox, the surgeon is able to progress from the novice to the master. Rather than describing the entire operative procedure by an individual author, this book compares operative steps of various technical difficulties throughout different chapters, thereby allowing the surgeon to tailor surgery to patient and surgeon`s own comfort level and experience. Chapters are written by a myriad of renowned experts in the field and discuss the major advances in advanced laparoscopic and endoscopic, robotic, and transanal minimally invasive surgical techniques. Great emphasis is placed on transanal total mesorectal excision (TaTME), which is dramatically changing the surgical approach to rectal resections. The second edition of Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery serves as a valuable resource to general surgeons, colon and rectal surgeons, minimally invasive surgeons, as well as residents and fellows.

This book is a surgical manual, intended to present and discuss the use of robotic surgery for abdominal wall hernia repair. It comprises the most important surgical approaches in the field, presenting step by step procedures in a clear and didactic way. Abdominal wall hernias are very common conditions, easily identifiable in clinical practice and that usually require a surgical intervention as treatment. However, the choice for the right surgical procedure to treat those conditions may vary, provided the diversity on possible techniques, clinical presentations and complexity. Robotic surgery has emerged in recent years as an important tool to increase the number of surgical approaches for the surgeon who faces abdominal wall hernias. Video-assisted and robotic surgery may represent a consistent improvement in options available for the surgeon involved in wall hernia repair. Current robotic surgical techniques present several of the benefits of common laparoscopic surgery features (such as low invasiveness and fast recovery), and adds some other specific benefits, such as more dynamic and precise movements and a much better view of the operatory field. Robotic Surgery for Abdominal Wall Hernia Repair is intended to help surgeons to manage this disease from another point of view and to choose the best procedures in each case, pushing medical practice to another level of decisions, investigation and follow up, considering the use of new technologies in robotic surgery. It intends to be a reference manual to medical practitioners who has surgical skills in their backgrounds, but that are not familiar with the use of minimally invasive procedures for abdominal wall complex defects.

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

From James Chang MD, FACS, Associate Professor of Surgery Plastic Surgery]and Orthopedic Surgery Hand and Microsurgery, Program Director, Plastic Surgery, Stanford University Medical Center: "The Yearbook of Hand and Upper Limb Surgery is an annual review of the year's most relevant articles pertaining to this specialty. World-recognized hand surgery experts provide commentary on their personal experience related to these published abstracts. This interactive format allows the resident, fellow, or practicing surgeon to become quickly updated in this rapidly-changing field. The portable book form allows this Yearbook to be carried anywhere for ease of use. On first reading, the hand surgeon can become familiar with the latest studies published. Thereafter, it can remain on the bookshelf for easy reference of that year's key articles."

Patients affected with a hernia continue to represent a significant clinical population. Resulting from varied causes and associated with an array of pathophysiologies, a hernia can pose marked diagnostic and treatment challenges for the clinician. Sometimes sub-clinical and sometimes life-threatening, a hernia may require little or substantial medical intervention. This book consists of sixteen chapters by noted clinicians and scientists. Many chapters include background pathogenesis, typical symptoms experienced by patients, diagnostic measures, and therapeutic approaches. Current information is summarised and interpretations offered where appropriate. Basic pathogenic mechanisms and pathophysiology are considered in chapters such as those on the inheritance of a groin hernia (Burcharth and Rosenberg), and on alterations in arterial blood gases both before and after surgery (Tsounaki). These chapters make evident both the progress made in understanding the processes underlying hernias and related diseases, as well as the incomplete understanding we have with respect to such processes. Descriptions of clinical presentations, diagnostic approaches, and medical and surgical management are provided for several types of hernias, including inguinal, diaphragmatic, incisional, and Richter's. The utility of new methods for correction, such as laparoscopy and components separation, is described in the chapters by Maxwell and Baird, Marescaux et al, Mazzochi et al, and Sabino et al. These chapters reflect the technological improvements that have been brought to the successful treatment of hernias. It is likely that, with time, further definitions and refinements will additionally advance the understanding and approaches to hernias. The goal of this book is to summarise our understanding of basic concepts of hernia, at present, as a reference for scientists and clinicians.

The Year Book of Plastic and Aesthetic Surgery provides information valuable for the continued professional development of plastic surgeons at all levels of skill and knowledge. The Year Book of Plastic and Aesthetic Surgery presents abstracts of articles from journals worldwide that touch upon all aspects of plastic and reconstructive surgery. Commentaries from experienced surgeons evaluate the clinical importance of each article and discuss its application to clinical practice. Focused, fast, and insightful information for the busy surgeon.

From James Chang MD, FACS, Associate Professor of Surgery Plastic Surgery] and Orthopedic Surgery Hand and Microsurgery, Program Director, Plastic Surgery, Stanford University Medical Center: "The Yearbook of Hand and Upper Limb Surgery is an annual review of the year's most relevant articles pertaining to this specialty. World-recognized hand surgery experts provide commentary on their personal experience related to these published abstracts. This interactive format allows the resident, fellow, or practicing surgeon to become quickly updated in this rapidly-changing field. The portable book form allows this Yearbook to be carried anywhere for ease of use. On first reading, the hand surgeon can become familiar with the latest studies published. Thereafter, it can remain on the bookshelf for easy reference of that year's key articles.

The Year Book of Surgery brings you abstracts of the articles that reported the year's breakthrough developments in surgery, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed The Year Book of Surgery is published annually in September, and includes topics such as: Trauma; Burns; Critical Care; Transplantation; Surgical Infection; Would Healing; Oncology; Vascular Surgery; and General Thoracic Surgery.

Laparoscopic Surgery of the Abdomen is intended to give the practicing surgeon or trainee an in-depth analysis of the technical aspects of the most commonly performed laparoscopic procedures, their indications, contraindications, and complications. Included are strategies to prevent complications as well as ways to handle them once they occur. Heavily illustrated, the book breaks new ground in visualizing operative procedures and problems. Seven sections, comprising the core curriculum of accepted procedures in laparoscopic surgery, present gallbladder disease, common bile duct exploration, hernia, colon diseases, anti-reflux procedures, acute abdomen and the role of diagnostic laparoscopy, and emerging procedures on the spleen and adrenals. Recognized leaders in the field tackle each section, emphasizing what to do when and how to solve acute situations. Laparoscopic Surgery of the Abdomen is a practical, must-have resource for the general surgeon, imparting the clinical insight needed for successful performance of the core miminally invasive procedures as well as a source of useful patient information for the office practice.

Topics: The Current Treatment of Achalasia; The Current Surgical Management of Portal Hypertension; The Effective of Bariatric Surgery on Long Term Mortality; Volume and Outcome Results for Bariatric Surgery; The Differentiation of Benign and Malignant Thyroid Nodules; VATS Resection of Peripheral Lung Nodules; Comparison of Whole Organ Pancreas and Isolated Islet Transplantation for Type I Diabetes; The Role of Palliative Surgery in Advanced Cancer; The Treatment of Lower Extremity in the Endovascular Era; Carotid Artery Disease: Angioplasty and Stenting Versus Carotid Endarterectomy; Resection of Unresectable Liver Tumors Following Chemotherapy; The Role of Reduced Heart Rate Volatility in Predicting Death in Trauma Patients; What We have Learned and What We Need to Know About SARS; How Should Surgeons Use Outcome Studies to Improve Patient Care?; The Role of the Radiology Interventionist in the Treatment of Abdominal Abscesses; Does Volume Help Predict Outcome in Surgical Diseases?; The Current Management of Gastrointestinal Stromal Tumors; The Current Management of Chronic Pancreatitis; The Role of Minimally Invasive Surgery for Pancreatic Pathology; The Role of Adjuvant Therapy in the Management of Pancreatic Cancer; Laparoscopic Liver Resections; The Pharmacologic Modulation of the Hypermetabolic Response; Workup of the Incidental Liver Lesion; Breast Reconstruction: Trans Flap Versus Implant

In pathology education within North America, there exists a wide gap in the pedagogy between medical school and residency. As a result, the pathology intern often comes into residency unprepared. Completely illustrated in color, this book lays the foundation of practical pathology and provides a scaffold on which to build a knowledge base. It includes basic introductory material and progresses through each organ system. Within each chapter, there is a brief review of salient normal histology, a discussion of typical specimen types, a strategic approach to the specimen, and a discussion of how the multitude of different diagnoses relate to each other.

This book brings together state of the art endosurgical techniques on abdominal, gastrointestinal, colorectal and thoracic operations in children, as well as operations of upper urological tract. Each chapter is complemented by a corresponding video of the described procedure, featuring critical maneuvers, useful tips, and alternative approaches. The book itself summarizes each operation, containing illustrations about positioning in the operation theatre, the most important steps of the surgical procedures and the managing of possible complications. The videos are accessible through different devices including desktop or laptop computers, tablets, as well as smartphones, allowing both novice and experienced surgeons to review the procedures on the go, during rounds, or in the operating room. The book and accompanying videos are therefore an invaluable guide for pediatric surgeons as well as young surgeons at the start of their career. Videos and more: Download the free Springer Nature More Media App - Scan dedicated images in this book to stream videos or access and download supplementary material.

Although benign biliary disease is an area in which many surgeons have experience, there are many nuances to providing the highest quality of surgical care. The biliary anatomy is unique but presents with anatomical variances and can be distorted by benign pathology. Biliary surgery has been one of the areas where minimally invasive techniques were first applied in the late 1980s. However, surgical technique has continued to evolve due to acquisition of advanced minimal surgical skills and improvement in surgical technology. The expertise, sage, and knowledge of the members of the Society of American Gastrointestinal and Endoscopic Surgery (SAGES) have prioritized the creation of this manual on modern biliary surgery. This manual will provide the standard for the current state of biliary surgery in the 21st century. The SAGES Manual of Biliary Surgery will align with the new SAGES University Masters program. The Manual supplements the Masters Program Biliary Surgery Pathway. Its goal is to help the surgeon progress from the competent to the proficient and finally to the mastery level. Both for the surgical trainee and senior surgeon, this guidebook will also give insight into modern evaluation and management. The highlights will emphasize what is both feasible and safe from a minimally invasive approach in biliary surgery. The concept of Safe Cholecystectomy will be defined and expounded on in detail. The difficult cholecystectomy will be given ample coverage to include management of intraoperative bile duct injury, indications and techniques of subtotal cholecystectomy, and special attention to intraoperative diagnostic imaging that serve as adjuncts, including cholangiograpy, ultrasound, as well as indocyanine green biliary fluorescence. We will review the updated international Tokyo guidelines for acute cholecystitis. Furthermore, the evolution of treatment of choledocohlithiasis has evolved the most in recent years, and thus requires an extensive discussion of the non-operative and operative management of bile duct stones. This text will serve as an important contribution to the medical literature sponsored by SAGES, an international leading authority in gastrointestinal surgery with a keen interest in safe and proficient biliary surgery. Leaders in the field of biliary surgery will impart their insight and considerable experience in the chapters planned for this manual. The intent for this manual is to be the cited resource for high quality and applicable knowledge for the treatment of benign biliary disease.

Significant changes in surgical training have occurred over the past decade, with the inevitable progress towards specialization in the various surgical specialties. The current edition of Essential Surgical Practice: Higher Surgical Training in General Surgery reflects these latest developments with a new structure that accurately mirrors current surgical training. This new edition excludes surgical specialties that are distinct from general surgery, allowing an increased focus on topics of direct relevance to trainees in higher surgical training. Over 31 chapters, the book provides detailed information on those specialties of which the general surgeon is required to have a working knowledge, and highlights core information for revision and quick reference. Topics include: * Surgical biology and pathology * Surgical craft approaches and technologies * Perioperative care * Cardiovascular, pulmonary and renal pathophysiology * Surgical infections * Interventional radiology * Trauma and head injuries * Disorders of the thyroid and adrenal glands * Disorders of the stomach, liver, spleen, colon and pancreas * Bariatric surgery This book can be used with confidence by those enrolled in local courses and is also consistent with the scope and level of information required for international postgraduate examinations, such as the Joint Surgical Colleges' Fellowship Examination. To enhance the book's utility, the print edition includes complimentary access to a VitalSource ebook online and offline on your PC or Mac, iPhone(R)/iPod Touch(R)/ iPad(R), Kindle Fire or Android(TM) device.

Ultrasound guidance of liver surgery is a very sophisticated approach that permits the performance of otherwise unfeasible operations, discloses the true extent of tumors, increases the indications for hepatectomy, and renders surgery safer. Despite this, it has remained relatively neglected in the literature over the past two decades, during which time much progress has been achieved. This is the first atlas on the subject, and it is comprehensive in scope. The state of the art in the use of ultrasound for resection guidance is carefully documented, and new techniques for exploration of the biliary tract and facilitation of transplant surgery are presented. Further important topics include the role of ultrasound in laparoscopic approaches, the use of contrast agents for diagnosis and staging, and developments in the planning of surgical strategy. The editor is a leading authority whose group has been responsible for a variety of advances in the field. He has brought together other experts whose aim throughout is to provide clear information and guidance on the optimal use of ultrasound when performing liver surgery. This atlas is intended especially for hepatobiliary surgeons but will also be of considerable value for general surgeons.

Highly Commended, BMA Medical Book Awards 2014 Bailey & Love's Short Practice of Surgery remains one of the world's pre-eminent medical textbooks, beloved by generations of surgeons, with lifetime sales in excess of one million copies. Under the guidance of the eminent editors, the expert team of contributors have revised and updated the material throughout while retaining those features praised in previous editions. The content is sub-divided into parts for ease of reference. Sections devoted to the underlying principles of surgical practice, investigation and diagnosis, and pre-operative care are followed by chapters covering all aspects of surgical trauma. The remainder of the book considers each of the surgical specialties in turn, from elective orthopaedics through skin, head, and neck, breast and endocrine, cardiothoracic and vascular, abdominal and genitourinary to transplantation. Key features: *Authoritative - emphasises the importance of effective clinical examination and soundly based surgical principles while taking account throughout of the latest developments in surgical practice *Current - text and illustrations fully revised with brand new chapters on patient safety, day care surgery (outpatient), and bariatric surgery *Readable - preserves the clear, direct writing style, uncluttered by technical jargon, that has proved so popular in previous editions *User-friendly - numerous photographs, explanatory line diagrams, learning objectives, summary boxes, biographical footnotes and memorable anecdotes support and enhance the textual descriptions This 26th edition retains a wide appeal among all those studying surgery, from undergraduate medical students to those in preparation for their postgraduate surgical examinations. In addition, its high standing and reputation for unambiguous advice continue to make it the first point of reference for many practising surgeons.

Few doctors receive formal training in how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training.New doctors will find little help in the standard textbooks on how to follow-up patients.This book provides the necessary background information to enable rational decision making in a concise and economical style. It describes reasonable and safe lines of management suitable for most patients, ideal for when discussion with a senior colleague is not possible. Since the First Edition was published surgical outpatient services have undergone tremendous change. The traditional general surgical clinic has been replaced by specialist clinics where decisions on patient management are taken by multidisciplinary teams.This new edition is multi-authored to take account of the multidisciplinary approach. As well as an overall review of general outpatient issues, every major specialty is covered, with clear notes for each condition covering history, examination, investigations, results, treatment, follow-up and post-operative follow-up. The book can be read before or during clinics, and enables trainees to have an action plan in mind before they walk into a consultation. All surgeons have to be trained to go through the process of dealing with unfamiliar clinical conditions for the first time. Surgeons will use this book as a useful foundation on which to build their own personal knowledge.