This volume provides a concise yet comprehensive review of techniques for stopping ongoing hemorrhage in all areas of the body. The text discusses open surgical techniques and minimally invasive (percutaneous, endoscopic, radiologic, laparoscopic) approaches, as well as techniques appropriate to pre-hospital settings, such as "on the scene", ambulance, and the battlefield. The techniques and tips are delivered in a detailed, yet simple and straight-forward manner so that readers are more readily able to replicate these concepts in the face of ongoing, life-threatening hemorrhage. Written by experts in the field, Treatment of Ongoing Hemorrhage: A Practical Guide is a valuable resource for surgeons, trainees, and any physician who works within the emergency department or upon critically ill patients.

Intragastric balloons are steadily gaining popularity among the medical treatments available for obesity. Their efficacy and safety are reinforced by growing body of evidence obtained around the globe. Intragastric balloons are now considered one of the safest and most effective medical procedures for weight reduction. Additionally, the reduced potential for side effects and low invasiveness (compared to bariatric surgeries) are important considerations. This book is edited by renowned surgeons and endoscopists from Brazil, a country known for its reputation on the field of bariatric endoscopy and surgery. Such reputation is especially valid where the use of intragastric balloons is concerned. These devices, approved by the FDA only in 2015, have been used in Brazil since the 1990s, attesting to Brazilian expertise in the field. This book describes the various types of intragastric balloons used for the treatment of obesity, an alternative to bariatric surgery and other more invasive methods. It addresses their indications, procedures and outcomes, providing readers an overview of the therapeutic options available worldwide. It is divided into seven main sections: I - Introductory Issues; II - Devices; III - Technical Procedures and Related Issues; IV - Acute Complications and Treatment; V - Chronic Complications and Treatment; VI - Special Populations; and VII - Miscellaneous. This structure helps to promote a better knowledge construction and a reasonable flow of ideas throughout the book, guiding the reader from introductory topics to surgical procedures and complications. The book ultimately intends to offer an essential reference guide for all physicians and surgeons interested in the treatment of obese patients. It is intended for both experienced professionals looking for in-depth information and for trainees and residents seeking to broaden their perspectives concerning the treatment of obesity.

The new Pediatric Otolaryngology-Head and Neck Surgery: Clinical Reference Guide is a concise pocket guide spanning the breadth of this growing sub-specialty. Formatted exactly like the best selling "Pasha" Otolaryngology-Head and Neck Surgery guide, the book is a comprehensive and efficient resource for physicians and residents that covers embryology, otology, rhinology, laryngology, head and neck surgery, evidence-based medicine, and common syndromes. Key Features: *Complete review of pediatric sub-specialty *Bulleted list format for quick review *Comprehensive index *Tabs for each chapter enable readers to quickly find sections they need *More than 100 pre-eminent chapter authors from more than 30 renowned institutions *Covers a range of topics and resources for both preparations for qualifying examinations, and also as a reference guide for otolaryngologists, pediatricians, trainees, students, nurses, nurse practitioners, and physician assistants Editor Sanjay R.Parikh, MD FACS Section Editors: 1)Embryology - Steven Goudy, MD 2)Otology - Steven Goudy, MD & David White, MD 3)Rhinology - Emily Boss, MD & Soham Roy, MD 4)Laryngology and Bronchoesophagology - David White, MD & Soham Roy, MD 5)Head and Neck Surgery - Paul Krakovitz, MD and Carlton Zdanski, MD 6)Evidence and Guidelines in Pediatric Otolaryngology - Emily Boss, MD 7)Common Syndromes - Carlton Zdanski, MD. From the Foreword: "Pediatric Otolaryngology - Head and Neck Surgery: A Clinical Reference Guide is a valuable new educational resource for residents and fellows in training who desire a comprehensive and concise source of information with respect to the discipline of pediatric otolaryngology. The guide also fills a necessary niche in terms of providing an informative text designed for the rapidly expanding group of physician extenders - physician assistants, nurses, and nurse practitioners - providing pediatric otolaryngologic care...The editor, Dr. Sanjay Parikh, and his

Chirurgische Sofortmassnahmen" by G. H. Willital an established classic in a new edition provides valuable orientation for every surgically active physician. The book covers all diseases and accidents which might make emergency surgical intervention necessary. The surgical procedures for each case are systematically structured and presented in a clear and concise manner for rapid consultation."

This new reference covers the top 100 pearls in cutaneous oncologic, nail and cosmetic dermatologic surgery, giving you at-a-glance access to some of the best know-how in the field. Organized in a consistent format, and illustrated with full color photographs and explanatory line drawings, this is the perfect tool to help you improve the level of care you offer your patients. Whether you're new to the field or you've been practicing dermatologic surgery for years, you'll consider this book one of your most valuable resources. Fills a gap in the field by bringing together material that is rarely gathered in one book. Includes expert hints and tips on avoiding common pitfalls in cosmetic and dermatologic surgery. Illustrates each pearl with line drawings and photographs to put it into clinical context.

The human body is composed of four basic kinds of tissue: nervous, muscular, epithelial, and connective tissue. Connective tissue is the most abundant type and serves as a connecting link for binding, supporting and strengthening all other body tissues. In this compilation, the authors explore connective tissue grafts, a promising and reliable method that provides a satisfactory esthetic outcome, making it a popular option for clinicians. The fundamentals of subepithelial connective tissue grafts, harvesting techniques, clinical success and possible postoperative complications is also discussed. (Imprint: Nova Medicine and Health)

Written in readable format and rich with clinical cases, this book systematically introduces surgical nursing during robotic surgery. The first part introduces the history of robotic surgery, operating room management, quality control of robotic surgical nursing, management of safety, infection, and anaesthesia. The second part introduces key points of nursing during robotic surgery in urology, general surgery, gynaecology, heart, chest and otorhinolaryngology. It will be a helpful reference for practitioners those in the process of implanting or about to implant robotic surgery.

Surgery of the Rheumatoid Hand and Wrist is a text book providing an up-to- date overview of the modern surgical treatments to the hand and wrist of patients suffering with inflammatory arthritis. Soft tissue deformity and joint replacement are treated throughout the book with a presentation of the latest design of implants for the wrist and fingers, written by design surgeons. Also included are a number of discussions with regard to various types of arthroplasty as related to the various clinical presentations. Modern up- to-date surgical principles and surgical techniques addressing problems in inflammatory arthritis of the hand and wrist. Long term role of surgery is addressed. Contributions from world renowned surgeons.

This book is a practical guide to the basics of surgery for interns, residents and practising surgeons. It serves as an instruction manual on best practice and preparations for surgery. Comprising 45 chapters, the text begins with discussion on duties and responsibilities of house surgeons and residents, before detailing different techniques for best practice in a variety of areas, including sterile hand washing and gloving techniques, resuscitation of a patient, insertion of IV cannula, Ryles tube and Foley Catheter, local anaesthetics and nerve blocks, and minor surgical procedures. Other important chapters include discussion on the MRSA super-bug, and the 'Safe Surgery Saves Lives' initiative from the World Health Organisation. The second edition has been fully revised to present the latest techniques in the field. Additional chapters are included covering informed consent and negligence, surgical knots, intestinal and vascular anastomosis, energy sources in surgery, and surgical nutrition. The new edition features nearly 500 surgical photographs and figures, and includes a DVD ROM demonstrating bandaging techniques, tube thoracostomy, central venous cannulation, and venous cutdown. Key points Practical guide to surgery for trainees and surgeons Fully revised, second edition featuring many new topics Highly illustrated with images and figures, and includes a DVD ROM demonstrating procedures Previous edition (9789351527220) published in 2015

This excellently illustrated book provides a thorough overview of the management of orbito-zygomaticomaxillary fractures, which can be complex since both function and facial form may be affected. Practical guidance is offered on all aspects, including clinical examination, CT assessment, surgical planning, surgical access and techniques, soft tissue management, intra- and postoperative assessment, and management of complications. In addition, important technological advancements in planning and treatment are described, including the use of navigation systems and 3D printing. Finally, the authors discuss strategies involving delayed surgical intervention and revision surgery for the malpositioned zygomatic maxillary complex. Management of Orbito-zygomaticomaxillary Fractures will be of value for oral and maxillofacial/craniomaxillofacial surgeons at all levels of experience

Die Veranderungen im Gesundheitswesen bewirken einen enormen Druck auf die Krankenhauser, so effizient wie moglich zu arbeiten.

Das Praxishandbuch fur die Funktionsdienste OP und Anasthesie unterstutzt Pflegende, damit sie den neuen Anforderungen gerecht werden konnen.

Die Operationsabteilung ist mit Personaleinsatz und kostenintensivem Materialbedarf der betriebswirtschaftlich teuerste Bereich der Krankenhauser. Bei einem chirurgisch versorgten Patienten entstehen allein 30% der Gesamtkosten im OP. Damit entscheidet die Leistungsfahigkeit des OP-Bereiches wesentlich den finanziellen Erfolg eines Krankenhauses im DRG-System. Um Kosten zu senken, mussen Schnittstellen zu "Nahtstellen" werden. Dies ist besonders im Bereich der standardisierten Operationen moglich und OP- und Anasthesiepflegepersonal muss sich daher interdisziplinar weiterbilden. "

Orthopedic Joint Mobilization and Manipulation provides a clear understanding of how thrust and non-thrust techniques work to eliminate pain and re-establish normal joint motion and function. This comprehensive resource presents a thorough overview of the literature supporting the use of joint mobilisation, joint manipulation and manual therapy. It also incorporates these theories with easy-to-use clinical methods for treating common musculoskeletal conditions. The guide includes a treatment finder that allows readers to easily locate techniques by body region. There is also the use of medical illustrations to show underlying bones and directional arrows to show hand placement and indicate thrust direction.

Volker H. Schmitt untersucht die Gewebereaktion auf funf Barrierematerialien histologisch, immunhistochemisch und ultrastrukturell. Der Autor kann zeigen, dass der ultrastrukturelle Befund mit dem makroskopischen Ergebnis korreliert, die effektivste Barriere zeigte das groesste Ausmass an Remesothelialisierung. Eine bislang als negativ interpretierte Inflammation ging mit geringerer Adhasionsbildung einher. Es gab keine Korrelation zwischen dem Vorhandensein CD68-positiver Makrophagen und der Gewebereaktion. Solche Untersuchungen der Biokompatibilitat und Oberflachenmorphologie sind essentiell fur die Weiterentwicklung materialbasierter Ansatze, weg von rein physikalischen Barrieren hin zu funktionalen Biomaterialien im Sinne des Tissue Engineering. Diese Untersuchung ist praxisnah und weiterfuhrend, da durch serosale Schadigung entstehende peritoneale Adhasionen eine haufige Komplikation in der Abdominalchirurgie darstellen.

This book provides in-depth analysis and guidance in the clinical diagnosis and treatment, and development of new treatments with clinical applied prospect of burn and trauma associated lung injury. It includes study on the pathological change of burn and trauma associated lung injury such as inhalation injury, lung blast injury, pulmonary barotrauma, delayed hemopneumothorax, lung injury associated sepsis, ventilator-induced lung injury and ischemia-reperfusion lung injury. It is also compiled with many clinical typical cases, full data and series of pictures. It also aims at bringing more clinicians' attention to burn-/trauma-induced lung injury, making them familiar with the relevant theories and clinical diagnose; guiding the treatment of burn and trauma associated lung injury and improving the prognosis and life quality of patients; stimulating more clinicians and researchers to further explore the pathological mechanism and new treatments of burn and trauma associated lung injury. It persists in combining theory and practice, and highlights practical application to reflect the theoretical value. It is very suitable for the medical teaching and can also be used as a reference book for medical doctoral students, postgraduates, and medical trainees receiving continuing education from critical care medicine, burn & trauma surgery, and emergency medicine.

In diesem essential erhalt der Leser grundlegende Einblicke in die Wirkungsweise der hyperbaren Oxygenation (HBO) auf die verschiedenen Prozesse der Wundheilung. Der Einsatz der HBO bei chronischen Wunden wie dem diabetischen Fusssyndrom sowie strahleninduzierten Gewebsschaden ergibt sich vor allem aus der positiven Beeinflussung der Wundheilungsprozesse uber Induktion von Gefassneubildung und Kollagenisierung. Im Rahmen eines multimodalen Therapiekonzeptes kann die HBO so gezielt bei Wundheilungsstoerungen eingesetzt werden, von denen immungeschwachte Personen mit Diabetes mellitus sowie Tumorpatienten unter Strahlentherapie haufig betroffen sind. Die hier vorliegende Auswertung der klinischen Datenlage der letzten beiden Jahrzehnte bestatigt die positiven HBO-Effekte beim diabetischen Fusssyndrom sowie den verschiedenen Formen der Strahlennekrose.

This book comprehensively covers diversity, equity and inclusion (DEI) in the context of daily surgical practice. Through real-life illustrative case scenarios and experiences, this book explores DEI and its impact on academic surgery, career development, and clinical practice. Each chapter highlights a commonly encountered scenario and features extensive guidance on how to address each challenge secondary to both implicit explicit biases as well as detailing how to implement best practices. Diversity, Equity and Inclusion provides a detailed guide to the best practices and challenges associated with implementing DEI in day to day surgical practice and is a valuable resource for all surgical practitioners looking for a guide on how to successfully implement DEI strategies into daily clinical practice.

Andreas Neff zeigt die exzellenten diagnostischen und therapeutischen Optionen der Endoskopie, die fur den MKG-Chirurgen bei der komplexen Anatomie der Mund-Kiefer-Gesichtsregion, speziell der Kieferhoehlen und der Nasengange, des Kiefergelenks, aber auch der Speicheldrusen heute unverzichtbar ist. Minimalinvasive Darstellung und Zugange gemass State of the Art erfordern neben chirurgischem Know-how auch ein spezielles technisches Equipment. Wahrend die Endoskopie in der MKG-Chirurgie meist speziellen Indikationen vorbehalten ist, hat sie insbesondere in der HNO inzwischen einen Grossteil der traditionellen direkten bzw. invasiv-offenen Verfahren ersetzt. Auch in der MKG-Chirurgie wird es analog zu ihren Nachbardisziplinen zunehmend zu Paradigmenwechseln in der Behandlungsstrategie kommen, denen sich die MKG-Chirurgie stellen muss, um sich auch in Zukunft auf Augenhoehe weiterentwickeln zu koennen.

Die Organtransplantation erfordert und erfahrt als jiingstes Gebiet der Chirurgie zunehmend sowohl breitere klinische Anwendung als auch groBeres allgemein arztlich-medizinisches Interesse. Beiden Aufgaben mochte dieses Buch gerecht werden: Detailliert wird einerseits das Vorgehen bei der Nierentransplantation geschil dert, der bislang einzigen Organ transplantation im engeren Sinn, die als klinische Standardbehandlung gelten kann und weite Verbreitung gefunden hat. Anwen dung dieses Verfahrens, Kenntnisse der Problematik und Organgewinnung kon nen somit nicht mehr auf wenige Transplantationseinheiten beschrankt bleiben; speziell auch auBeruniversitare Krankenhauser werden zunehmend an diesen Aufgaben teilnehmen. Auch Organentnahme und andere kooperative Tatigkeiten sind Teil der Transplantationschirurgie. Deshalb werden - etwas abweichend yom strengen Konzept einer Operationslehre - nicht nur die Technik der Trans plantation, sondem auch alle damit verbundenen Gebiete, besonders Indikation, Vorbereitung, Anasthesie, Nachbehandlung sowie Organgewinnung ausfUhrlich behandelt. Urn andererseits einen Oberblick iiber Bedeutung und Entwicklungsstand des gesamten Transplantationsgebietes zu ermoglichen, werden die Transplanta tionen anderer Organe und Gewebe jeweils im Prinzip dargestellt. Eingeschlossen sind auch Transplantationen, die auBerhalb des Bereiches der Chirurgie liegen, wie die von Homhaut, Gehorknochelchen und Knochenmark. We iter ist die Transplantationschirurgie derzeit wohl noch starker als andere Bereiche der Chirurgie mit der Grundlagenforschung auch der Nachbardisziplinen, hier be sonders der Immunologie, verflochten. 1m ersten, allgemeinen Teil des Buches werden deshalb die fUr die Organtransplantation generell giiltigen Bereiche der Immunologie, der Histokompatibilitatsbestimmung, der Organkonservierung und der Morphologie der AbstoBungsreaktion dargestellt."

Mit den Pariser und Jenaer Nomina anatomica

Leistungstrager wollen leistungsgerecht gefuhrt werden Personalakquisition * Wie ermittle - und begrunde - ich den Personalbedarf? * Wie wahle ich die richtigen Mitarbeiter aus? Personalfuhrung und -entwicklung * Welcher Fuhrungsstil passt zu welchem Mitarbeiter? * Wer passt zu welchen Aufgaben am besten? * Gehaltsverhandlung * Arbeitsrecht: Arbeitszeitmodelle, Gleichstellung, Korruption ... * AErzte aus dem Ausland * OEkonomie und Ethik Gesundheitsfoerderung - physisch und psychisch * Altersgerechte Arbeitsbedingungen * Konflikt-Management * Mobbing: Pravention, Kosten ... Zukunftsfahigkeit - Veranderungen gestalten * Change-Management * Prozessverbesserung * Diversity-Management - soziale Vielfalt konstruktiv nutzen Das essentielle Know-how fur alle AErzte, die Fuhrungsverantwortung tragen - oder demnachst ubernehmen werden.

Die Viszeralchirurgie ist eine der wichtigsten chirurgischen Subdisziplinen. Ihre Anwendung erfordert spezielle sonographische Kenntnisse, die uber das in der Weiterbildungsordnung geforderte Grundwissen weit hinausgehen. Das Buch bietet Facharzten und Assistenten topaktuelles Standardwissen fur die klinische Praxis und Weiterbildung. Umfassend und praxisorientiert: o Die gesamte Sonographie des Abdomens aus viszeralchirurgischer Sicht ist erfasst. o Das Standardwissen wird erganzt durch die laparoskopische, 3D- und Duplexsonographie. o Pra- und postoperative Befunde sind berucksichtigt. UEbersichtlich und lerngerecht: o Alle Kapitel sind einheitlich strukturiert und damit besonders benutzerfreundlich. o Die klare Didaktik erleichtert das schnelle Erfassen und gezielte Nachlesen. o Mit neuer Technik fur die optimale Wissensvermittlung: sonographische Originalabbildungen werden nach EDV-gestutzter Aufbereitung interessierender Areale korrespondierend zueinander dargestellt. Der ideale Praxis-Leitfaden fur die qualifizierte sonographische Ausbildung und die sichere Anwendung der Sonographie im viszeralchirurgischen Klinikalltag.