This book describes the fusion of CBCT and CAD/CAM technologies for the purpose of surgical dental treatments and explains the advantages and applications of this digital approach for implant placement procedures and other oral surgical protocols. All aspects of computer-aided imaging and design are first covered in the textbook, including the creation of DICOM and STL files; followed by the process of virtual merging to obtain a combined image. Secondly, clinical tips for the use of digital wax up, software interactions and accurate template fabrication are explained, including subtractive and additive methods used for this manufacturing step. The remainder of the book is devoted to the application of technology fusion in implantology, guided bone regeneration, and maxillofacial surgery. Both static and dynamic guided surgeries are described. Materials characteristics and surgical instruments are also presented to define a correct selection criteria. The digital approach outlined in this textbook involves a paradigm shift in the way traditional oral surgery is conceived. Technology fusion aims to improve treatment accuracy, optimize clinical time and reduce patient morbidity. Clinicians will find this book to be a valuable guide for virtual surgical planning and a path to introduce themselves into the exciting world of digital dental surgery.

In this book, detailed information on the nosology, pathology, pathogenesis, clinical presentation, diagnosis and treatment of large- and medium-sized vessel and single-organ vasculitis is provided and critically discussed by the most expert physicians and researchers in the field. Among the conditions considered are giant cell arteritis, Takayasu arteritis, polyarteritis nodosa, primary central nervous system vasculitis, isolated aortitis, isolated gastrointestinal vasculitis, cutaneous vasculitis and isolated genitourinary vasculitis. The role of histopathology in the diagnosis and prognosis of these vasculitis is evaluated, along with the part played by imaging studies in diagnosing and monitoring these diseases, while indications and limitations of the available imaging modalities are discussed as well. The expanding role of biological agents for the treatment of the large vessel vasculitis is addressed, as well as the current approaches to these diseases. This book will be a valuable companion in decision-making for medical practitioners, internists, specialists, researchers and postgraduate students interested in the intriguing fields of vasculitis and rare diseases.

The aim of this open access book is to provide a unique, timely, critical and comprehensive compilation of more than 30 years of robust international experimental and clinical research related to the basic science and therapeutic application of water-filtered infrared-A (wIRA) and hyperthermia in oncology, psychiatry (depression), musculoskeletal disorders, dermatology, infectiology, and surgery. This is an internationally absolutely unique attempt which publication is timely and of great interest in medical as well as in natural sciences. The aim is to enhance communication and advance the use of heat therapy for patient benefit, and to generate an environment in which anyone with an interest in hyperthermia can discuss, collaborate, network, and share events and resources. Productive dialogue and discussion among scientists and practitioners on issues relating to hyperthermia therapy is essential, especially relating to thermal transmission by water-filtered infrared-A (wIRA). The specificity and advantage of this technology is its tolerance by tissue, and its penetration of up to 3 cm allows the delivery of high heat dosages that are relevant across multiple clinical indications. Currently, wIRA is being applied in Austria, Germany, Portugal, Switzerland, The Netherlands, UK and the USA. The authors' hope is that its use will increase in these countries, and also expand into others. This book will be an invaluable tool for oncologists, surgeons, dermatologists as well as physiotherapists.

A vital question that concerns many: how to make surgery safer? Is it by tightening the regulations and imposing rigid protocols or by empowering surgeons with the resources to help them make safer decisions? This is the book for those who would choose the second option. What do you think separates smart surgeons from the rest? Why, on the other hand, do surgeons make blunders despite having experience and knowledge? There is only one answer to both questions -- it is decision-making. Decision-making is an art and is at the heart of surgery. It decides between excellent and poor surgical performance. Although a vital part of professional activity, surgeons are not generally aware of how to optimise decision-making skills. Making a good decision is a skill that, like any skill, needs to be developed and this book reveals how surgeons can sharpen these skills. Presented here are the findings from decision science that surgeons, irrespective of speciality or seniority, can apply to everyday practice. Surgeons and pilots have many things in common. The field of aviation has improved passengers' safety over the years and some of the ideas used in the aviation industry can be translated to surgery to achieve better outcomes. Surgeons are required to adapt new strategies throughout their careers. Ideas taken from this book will help to speed up the learning curve. It offers answers to the questions which experienced surgeons may find difficult to explain. Equally, it answers the questions that trainees may even find difficult to ask. You are expected to be cognisant of the knowledge behind making decisions. Nonetheless, no-one tells you how to access this information easily. This book is the key to that vital information.

This book offers a comprehensive review of the state of the art in Ultrasonography (USG) dentomaxillofacial imaging to help radiologists and dentists in their training and daily practice. The book examines the relationship between clinical features, diagnosis, and choice of minimally invasive technique for a range of dentomaxillofacial disorders and provides information on post-treatment therapy. Accurate interpretation of indications for treatment is the cornerstone of success in medicine, and as such, the book explains how the selection of imaging technique is closely linked to clinical and diagnostic aspects and how recognition of this relationship forms the foundation for optimal outcomes. In addition to examining the various modalities, the book highlights the role of the latest USG imaging techniques. Further, it discusses in detail the pathology, treatment, and prognosis of common and rare diseases, as well as congenital/developmental malformations in the dentomaxillofacial, an area that is often underestimated and largely ignored by dentists. Featuring updated high-resolution images created with state-of-the-art equipment, the book introduces readers to current imaging modalities. It also includes pathological descriptions of radiologic diagnoses to help clarify the pathophysiology of the disease, while the pearls and pitfalls of image interpretation provide a quick reference guide for practitioners. Written by leading international experts, this outstanding book is a valuable resource for both radiologists, dentists and students seeking a more in-depth appreciation of the subject and its contribution to the scientific radiology community.

The book is the first of its kind to specifically outline the psycho-educational nursing interventions required by the anxious, adult patient undergoing elective, ambulatory surgery. Anxiety management is a considerable issue for the majority of surgical patients and has been recognised as such for many decades. However, no formal nursing intervention currently exists to support patients during this acute phase.

This book is one of the first to provide strong evidence for the way in which patients can be assisted in the management of their anxiety. Moreover, it provides future direction for surgical nursing intervention in this new era of minimal invasive surgery where patients undergoing elective procedures increasingly require less physical nursing intervention and spend very little time within the acute hospital setting.

Although most clinicians are aware of the problem of antimicrobial resistance, most also underestimate its significance in their own hospital. The incorrect and inappropriate use of antibiotics and other antimicrobials, as well as poor prevention and poor control of infections, are contributing to the development of such resistance. Appropriate use of antibiotics and compliance with infection prevention and control measures should be integral aspects of good clinical practice and standards of care. However, these activities are often inadequate among clinicians, and there is a considerable gap between the best evidence and actual clinical practice. In hospitals, cultural determinants influence clinical practice, and improving behaviour in terms of infection prevention and antibiotics-prescribing practice remains a challenge. Despite evidence supporting the effectiveness of best practices, many clinicians fail to implement them, and evidence-based processes and practices that are known to optimize both the prevention and the treatment of infections tend to be underused. Addressing precisely this problem, this volume offers an essential toolkit for all surgeons and intensivists interested in improving their clinical practices.

This book provides a systematic review of the management and treatment of this disease. The concise and highly structured chapters feature essential background knowledge and commentary on recent advances within each step of a range of patient pathways. Management of Muscle Invasive Bladder Cancer provides a framework for patients' care based on the research, as well as practically and clinically oriented guidelines. This book is relevant to trainees and practicing urologists and oncologists, in addition to medical professionals involved in the treatment of bladder cancer.

This book is intended as a comprehensive reference on the anatomy, pathophysiology, and management of complications in neck dissection. The informative text is complemented by detailed clinical photos, high-quality illustrations, and clinical material from experienced and respected leaders in the field of neck surgery. An understanding of potential complications and early recognition of their signs and symptoms will prepare the surgeon to mitigate risk, minimize morbidity, and improve outcomes for each of their patients. Early recognition of the signs and symptoms of post-operative complications can prevent exacerbating the problem. Complications in Neck Dissection aims to shed light on these complications in greater detail and elaborate on their management. Written by experts in the field, the book reflects upon common and rare complications that are encountered and elaborates on how neck surgeons can prevent them.

Written for nonspecialists, this useful manual provides sufficient detail to allow inexperienced clinicians and medical students to give an anesthetic in an unexpected or emergency situation. The author covers the use of ether with air as a carrier gas; ketamine, epidural, and subarachnoid anesthesia; various methods of local and regional anesthesia; intubation; and the use of relaxants. There is also a chapter on primary intensive care, and an appendix featuring a detailed list of equipment.

This superbly illustrated atlas serves as a basic introduction to contrast-enhanced mammography (CEM), a breakthrough functional breast imaging modality, which is rapidly growing. This book is an essential guide for the latest developments with correlative findings, practical interpretation tips, physics, and information on how contrast mammography differs from conventional 2D and 3D Full Field of View digital mammography (FFDM). It includes: * over 1000 high-quality 2D, 3D and recombined contrast mammography images representing the spectrum of breast imaging * findings obtained in the full range of benign, pre-malignant and malignant conditions, including artefacts and postoperative changes, presented with high-quality illustrations from case examples * image interpretation tips using mammographic and DCE-MRI descriptors of the BI-RADS lexicon to effectively read and interpret this advanced imaging modality * practical tips to interpret this new modality and how it is used as an adjunct to 2D mammography * details on how integration of contrast-enhanced mammography drastically changes lesion work-up and overall workflow in the department * "imaging pearls" boxes offering interpretation tips for expert clinical guidance * a case on the recently introduced CEM guided biopsy procedure The book's target audience consists of diagnostic radiologists, residents, fellows, technologists and clinicians involved in the care of breast cancer patients, including surgeons and oncologists. The goal is to provide a concise introduction to CEM and to lead to enhanced interpretation and better patient staging prior to surgery.

This book provides a complete guide to laparoscopic sleeve gastrectomy and the management of obesity. The chapters discuss guidelines for healthcare providers for the management of patients with obesity, the rationale behind choosing patients, performing the procedure in line with the patient's condition, the perioperative period, postoperative requirements, and postoperative complications. This book aims to give readers an understanding of the surgical techniques involved in laparoscopic sleeve gastrectomy and the wider treatment options available. It is relevant to bariatric, metabolic, and general surgeons, physicians, clinical nutritionists as well as students.

Mastering Corneal Surgery: Recent Advances and Current Techniques comprehensively covers all the recent advances in the existing techniques for common and rare corneal conditions, as well as presents the potential intraoperative circumstances the surgeon can face with their patients. Mastering Corneal Surgery: Recent Advances and Current Techniques by Dr. Amar Agarwal and Dr. Thomas John, along with more than 50 contributors, cover the most recent innovations in corneal surgery, including corneal procedures in combination with IOL implantation in eyes with deficient capsules, and combining endothelial keratoplasty with IOL repositioning. Bonus! Extensive high-quality video demonstrations of the techniques discussed inside Mastering Corneal Surgery: Recent Advances and Current Techniques enhances the written text, creating a superior resource. The 28 videos, combined with the written text, clinical photographs and pictures, furthers the learning process more than learning from text or video alone. Mastering Corneal Surgery: Recent Advances and Current Techniques covers all the recent advances in the existing techniques for common and rare corneal conditions and presents the potential intraoperative circumstances the surgeon can encounter with their patients. The general ophthalmologist and cornea specialist will welcome the novel surgical methods and their differences from the existing techniques highlighted inside this cutting-edge resource.

This extensive and yet easy-to-read book covers technical aspects of the management of difficult acute cholecystitis. It discusses diagnostic evaluation, treatment, and strategies for avoiding and managing complications based on both evidence-based data and the experiences of the editor and the international contributors. Further, it analyses the latest guidelines to find the best clinical applications. Each chapter describes the current diagnostic and management strategies, focusing on a possible risk stratification by scores proposed in literature. Lastly, the book describes the relevant technical considerations and tips and tricks, explaining them in full. Illustrated throughout and including line graphs depicting fundamental anatomic and technical principles, making it easy-to understand, it is a useful toolkit for all residents, fellows and general surgeons needing a guide to the treatment of difficult acute cholecystits.

This book is based on the most common office based anesthesia complications that have been identified over the last 10 years. This has allowed the development of a presentation on the prevention, recognition and management of office based anesthesia complications to be delivered over 10 years to thousands of oral and maxillofacial surgeons in an attempt to reduce the incidence of future complications. This text provides detailed methods to allow the oral and maxillofacial surgeon, anesthetist and anesthesiologist to risk stratify patients as well as prevent, recognize and manage the most common anesthesia related complications. Additionally, it describes how to run an ideal Advanced Cardiac Life Support (ACLS) driven megacode, identify differences in pediatric anesthesia and ideally manage opioid needs of the oral and maxillofacial surgery patient. Office Based Anesthesia Complications is based on the most common anesthesia related complications that have been documented over more than 20 years of data collection for Oral and Maxillofacial Surgery.

This book provides a comprehensive overview of the diagnosis and management of diseases of the biliary tree. Topics covered include: congenital biliary abnormalities, genetic cholangiopathies, autoimmune cholangiopathies, inflammatory and drug-related cholangiopathies, and cholangiocarcinoma. Given their particular importance (even for clinicians working with adults), pediatric conditions are also examined. In addition, a special section is devoted to pregnancy and diseases of the biliary tree, and to transplants and diseases of the biliary tree. Each chapter offers up-to-date information on the management of the diseases discussed. Moreover, the book addresses new treatments for autoimmune cholestatic liver diseases, reflecting the new therapeutic targets that have recently been discovered. Examples include farnesoid X receptor (FXR) and peroxisome proliferator-activated receptor (PPAR)-agonists, together with new drugs that affect the composition of bile flow. Given its scope, the book offers a valuable guide for a broad range of practitioners.

This volume introduces engineers and healthcare professionals to the latest in neurosurgical robotic technology. The chapters in this book are organized into two parts and cover basic engineering concepts that underpin surgical robotics; various robotic platforms and how these systems make their way to the clinic; popular applications of surgical robots in neurosurgery within subspecialties; and a discussion on the future development of neurosurgical robotic systems. In the Neuromethods series style, chapters include the kind of detail and key advice from the specialists needed to get successful results in your clinic. Cutting-edge and thorough, Neurosurgical Robotics is a valuable resources for scientists and engineers interested in learning more about this fascinating and developing field.

This book presents up-to-date information on promising indications for ultrasound in contemporary periodontics and implant therapy with the aim of assisting researchers and dental practitioners to use this novel imaging modality to advance research and patient care. Readers will find clear guidance on the application of ultrasound for evaluation of periodontal and peri-implant tissues. The mechanism of ultrasound imaging is explained in detail and compared to other imaging modalities. Furthermore, the role of ultrasound in the planning and execution of implant surgery and the assessment of implant stability is discussed. The book closes by considering the potential dental applications of functional ultrasound and volumetric ultrasound. This book will potentially be of high values for dental surgeons, periodontists, general dentists, orthodontists, dental hygienists, dental assistants, dental researchers and other practitioners, etc.

Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

This comprehensive book on Endocrine Surgery covers disorders of thyroid, parathyroid, adrenal glands along with neuroendocrine tumors of pancreas and gastrointestinal tract. It is a comprehensive, up-to-date treatise covering embryology, anatomy, etiology, clinical manifestations, diagnoses, and treatment modalities of surgical endocrine diseases. The authors explore the pertinent surgical endocrinology topics with a South Asian perspective. Color illustrations, flowcharts and tables make the topics lucid for professionals. This book provides the essential information surgeons require for evaluation and management of patients, both with straight forward, and complex endocrine problems. Key Features Focusses on concise yet comprehensive, up-to-date coverage of surgical endocrine diseases Discusses Robot Assisted Endocrine Surgery and explores its impact on healthcare finances Highlights the difference between practices used in western and resource limited countries by incorporating a South Asian perspective for region specific diseases.

Variability in care in emergency surgery is well known, particularly in abdominal surgery, and reducing it is fundamental to improving outcomes. It is therefore vital to identify the factors that are key to improving mortality and reducing complications in various surgical emergencies. Under the leadership of the World Society of Emergency Surgery, over 200 leading experts in emergency surgery, critical care and surgical infections established a template to help define and optimise emergency surgery, particularly that relating to the abdomen. This book refines this initial work, crystallising it into a meaningful resource for practising surgeons and health care administrators alike, and paving the way for advances in emergency surgery around the globe. This book sets a benchmark for Emergency Surgery and is a must read for those wanting their patients to do better.

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 main goal of the second edition of this book is to update the content on the rapidly growing field of lymphoscintigraphy, a radionuclide-based imaging procedure that provides information on the functional status of the lymphatic system. Although the technique was originally introduced to identify the cause of peripheral edema (i.e., blockage of the venous or lymphatic circulation), more recent and widespread applications include radioguided biopsy of the sentinel lymph node in patients with solid cancers. This procedure is crucial for the adequate planning of oncologic surgery in a growing number of cancers, most notably breast cancer, cutaneous melanoma, head and neck cancers, penile cancer, and cervical cancer. The book focuses on the latest advances in lymphoscintigraphy techniques, including both novel tracers recently approved for clinical use (especially in the field of sentinel lymph node mapping) and the expanding role of hybrid imaging with SPECT/CT - and in sentinel node detection using hybrid tracers (radiolabeled and fluorescent) for dual-signature guidance. Each chapter addresses the clinical application of lymphoscintigraphy in different anatomic areas or disease conditions. After an introductory section concerning the pathophysiology of the specific site/disease, the clinical relevance and impact of lymphoscintigraphy is demonstrated by a collection of richly illustrated teaching cases describing the lymphoscintigraphic patterns most commonly observed, as well as anatomic variants and technical pitfalls. Emphasis is placed on tomographic multimodality imaging. The book gathers contributions by experts in nuclear oncology, who have revised their chapters by updating the didactic material and adding clinical cases. Regarding sentinel lymph node biopsy in particular, a major distinction of this text is the incorporation of the staging guidelines of the American Joint Committee on Cancer (8th edition) into the didactic material.

This handbook is an up-to-date, evidence based quick, easy reference guide for expert regional anesthesia providers. It will also be an invaluable tool and a great entry point for amateurs' sonographers who wish to understand the basics of ultrasound, its uses for diagnosis and treatment, current guidelines and standards of care. It presents in details challenges, stratification of risks, techniques, and approaches to facilitate effective ultrasound use in perioperative pain control and emergency room pain management. This uses an outline, schematic approach for easy understanding and retention. The applications of ultrasound are vast and cover the full spectrum of ultrasound guided regional anesthesia. This book concentrates and encompasses the most clinically relevant information as a first aid use of perioperative ultrasound. The chapters are concise, focusing on clinical presentations, diagnosis, differential diagnosis which will help you to deliver patient care in a timely and skillful manner. This compact book is packed with relevant, remarkable information related to ultrasound guided techniques and evidence-based protocols and latest guidelines for regional anesthesia, nerve blocks, and opioid-reducing analgesia to promote early recovery after surgery. Concise, practical, and clinically applicable for various specialties, this book fills the unmet need for understanding the usefulness and techniques of ultrasound and its application in perioperative pain management, in particular regional anesthesia and nerve blocks. This handbook enables every physician, nurse, resident and all medical staff to understand the essentials of ultrasound and regional anesthesia, its evolving techniques, and the use of modern equipment to provide patient care safely.