Male genitourethral abnormalities are a source of great concern and distress to those affected. Surgery, when required, is very specialized and often extremely complex requiring expert surgical skills in order to achieve the best outcomes. Atlas of Male Genitourethral Surgery: The Illustrated Guideprovides urological surgeons, at all levels of experience from trainees to established specialists, with a full colour, highly illustrated and step-by-step approach to male genitourethral surgery, enabling complete mastery of surgical techniques in this difficult and challenging area. Full-color throughout and with over 430 high-quality images, this comprehensive atlas covers key areas of urologic surgery including: * Surgery for penile curvature * Urethral reconstruction and artificial urinary sphincters * Penile and scrotal reconstruction * Surgery for male infertility * Surgery for erectile dysfunction * Surgery for penile cancer Each chapter includes an introduction to the condition and its challenge, a step-by step guide to the surgical procedures applicable for that condition with surgical tips and tricks for improved techniques and outcomes. Brought to you by the world s leading experts in the field of genitourethral surgery, this outstanding book guides you through the most challenging of operations, helping you deliver high quality clinical care to your patients.

In der Intensivmedizin ist es oft notwendig, rasch erste therapeutische Massnahmen ohne Fehler und Unsicherheiten vorzunehmen. Dieses Buch bietet den Arzten wahrend ihrer intensivmedizinischen Ausbildung eine schnelle und ubersichtliche Hilfe in der kompetenten Betreuung eines breiten Patientenspektrums an einer chirurgischen Intensivstation. Haufige Krankheitsbilder aus Abdominalchirurgie, Thoraxchirurgie, Herzchirurgie, Traumatologie, Geburtshilfe und Innerer Medizin werden behandelt und die pathophysiologischen Vorstellungen erlautert. Daruber hinaus werden grundlegende Kenntnisse in Bezug auf kunstliche Beatmung sowie alternative Techniken vermittelt und die Thematik der parenteralen und enteralen Ernahrung ubersichtlich und praxisnah dargelegt. Krankheitsbildern wie Sepsis mit ihrer Pathophysiologie und damit verbundener Verzahnung von Gerinnung und Inflammation wurde besonderes Augenmerk gewidmet, so dass neue und teils noch in Entwicklung befindliche Therapieansatze beurteilt werden konnen."

Physical examination is a key element of clinical diagnosis in surgical practice, as well as an essential skill in postgraduate professional entry and exit examinations. With its 'at-a-glance' algorithms, mind maps, and exam-style questions and answers, Physical Examination for Surgeons provides a concise yet authoritative guide to examination technique and differential diagnosis. Written by a team of senior surgical registrars and consultant surgeons, experienced postgraduate examiners and leading international experts, it provides a comprehensive and definitive answer to the challenges of the MRCS exam on physical examination. All surgical specialties are covered, including neurosurgery, ENT, gynaecology and transplant. It is a high-yield revision aid for the Membership of the Royal College of Surgeons exam, as well as a valuable reference for the Fellowship exam (FRCS) and beyond. Of interest to trainee and practising surgeons, emergency medicine physicians, medical students and clinical nurse specialists and military healthcare practitioners.

'Roger Kneebone is a legend' Mark Miodownik, author of Stuff Matters 'Fascinating and inspiring' Financial Times 'The pandemic has made the necessity of relying on experts evident to all . . . this is a rich exploration of lifelong learning' Guardian What could a lacemaker have in common with vascular surgeons? A Savile Row tailor with molecular scientists? A fighter pilot with jazz musicians? At first glance, very little. But Roger Kneebone is the expert on experts, having spent a lifetime finding the connections. In Expert, he combines his own experiences as a doctor with insights from extraordinary people and cutting-edge research to map out the path we're all following - from 'doing time' as an Apprentice, to developing your 'voice' and taking on responsibility as a Journeyman, to finally becoming a Master and passing on your skills. As Kneebone shows, although each outcome is different, the journey is always the same. Whether you're developing a new career, studying a language, learning a musical instrument or simply becoming the person you want to be, this ground-breaking book reveals the path to mastery.

This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.

Offering comprehensive coverage of this fast-changing field for more than 20 years, Urologic Surgical Pathology is an expert guide to all common and rare entities in the genitourinary system. The 4th Edition keeps you fully up to date with discussions of newly recognized tumors and terminologies, the latest classification schemes, current grading approaches, molecular alterations, and commonly used ancillary diagnostic techniques. With its clinical focus on day-to-day urological pathology sign-out and an emphasis on clinicopathologic and radiographic-pathologic correlations, this thoroughly revised uropathology reference is an excellent resource for diagnostic decision making. Includes expanded coverage of differential diagnosis for all tumor types encountered in urological surgical pathology practice. Incorporates the latest TNM staging and WHO classification systems, as well as new diagnostic biomarkers and their utility in differential diagnosis, newly described variants and new histologic entities. Discusses advances in molecular diagnostic testing, its capabilities, and its limitations, including targeted therapy/personalized medicine. Covers new developments in immunohistochemistry and the latest diagnostic tumor markers. Features more than 1,600 high-quality images - all in color - including gross pictures, histopathologic and cytopathologic images, special stains, other ancillaries, drawings, and illustrations. Helps you find information quickly with a consistent chapter format; an abundance of tables, diagrams and flowcharts; boxed lists of types and causes of diseases; differential diagnosis; characteristic features of diseases; complications; classifications; and staging. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients' obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease's prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.

This book comprehensively summarizes the current state of knowledge on malignancies of the gastrointestinal tract. Dedicated organ-based chapters evaluate current treatments and management and provide information on incidence, etiology and biological characteristics. The state of the art in the radiologic and endoscopic staging of gastrointestinal malignancies is described, and guidance is offered on the role of interventional radiology and interventional gastroenterology in the treatment of these challenging tumors. In addition, the book explores novel and evolving treatments, including personalized systemic therapy and minimally invasive surgical and radiology techniques, and addresses patient-reported outcomes and survivorship challenges. It closes by discussing animal models of gastrointestinal malignancies and examining the significance of the Ras superfamily of GTPases. It will be of benefit to all surgeons, oncologists and other specialists who treat these malignancies, as well as to trainees looking to increase their understanding of the field.

This book is part of a series covering surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.

Written for residents and practitioners of otolaryngology, medical oncology, radiation oncology, and maxiollofacial surgery, this book provides the reader with a comprehensive, concise discussion of the best evidence available on which to base clinical decisions needed when managing patients with squamous cell carcinomas of the oral cavity, pharynx and larynx. Because of its accessible and practical format, this book is considerably different than other related titles on the market. Formatted with questions at the beginning of each chapter that are then answered with evidence and best practices available for each case, each chapter addresses situations the clinician is likely to face in the diagnostic evaluation and treatment of a patient with cancer of the head and neck. Most clinical decisions in the management of cancers of the head and neck region are based on the results of a few controlled, randomized clinical trial trials (Evidence Level I). However, most decision-making is based on the results of case-control studies (Evidence Level II), descriptive studies, reports of expert committees, or opinions of respected authorities (Evidence Level III). This information is scattered throughout the literature and often comingled with information about other topics. Therefore, there is a need for a publication in which the evidence pertinent to making decisions regarding a particular clinical problem is distilled from the literature and presented in a single concise, clinical, situation-driven source. Cancer of the Oral Cavity, Pharynx and Larynx: Evidence-Based Decision Making is just such a resource.

This book is exceptional in presenting an interdisciplinary approach to the subject of human papillomavirus (HPV) infection in the context of head and neck cancer. Leading experts in the field discuss the epidemiology and molecular biology of HPV-positive head and neck squamous cell carcinoma, HPV testing, the nonsurgical and surgical treatment of HPV-positive tumors, predictive factors for outcome and quality of life, and ongoing trials on the effectiveness of vaccination in disease prevention. It also provides recommendations for testing, diagnosis treatment and vaccination. Otolaryngologists, head and neck surgeons, medical oncologists, radiation oncologists, molecular biologists and pathologists will find this book a valuable resource.

Now combining general surgery and the specialties in one volume, this Sixth Edition of Essentials of General Surgery and Surgical Specialties focuses on the information all medical students need to know to pass the NBME surgery shelf or other surgery rotation examinations. This new edition of Lawrence's popular text offers concise, high-yield content and a smaller format ideal for study on the go. Updated to reflect the latest advances in the field, it provides the authoritative, up-to-date content today's busy medical students need for exam success. Includes general surgery and surgical specialties all in one volume Offers authoritative information by leading surgery educators Provides five in-book practice questions per chapter, with additional questions online Practice questions include answers and references to the area within the text where the topics are covered Focuses on high-yield information for quick reference eBook available for purchase. Fast, smart, and convenient, today's eBooks can transform learning. These interactive, fully searchable tools offer 24/7 access on multiple devices, the ability to highlight and share notes, and more

This first open access European CAR-T Handbook, co-promoted by the European Society for Blood and Marrow Transplantation (EBMT) and the European Hematology Association (EHA), covers several aspects of CAR-T cell treatments, including the underlying biology, indications, management of side-effects, access and manufacturing issues. This book, written by leading experts in the field to enhance readers' knowledge and practice skills, provides an unparalleled overview of the CAR-T cell technology and its application in clinical care, to enhance readers' knowledge and practice skills.

A teenage mother arrives by donkey cart to a hospital after attempting to deliver her baby in the bush. A young father faces the loss of a leg after receiving a gunshot wound that will not heal. A man walks miles to a hospital for a pain in his side caused by an appendix that burst five days earlier. Without access to surgical resources, millions of people with conditions like these become disabled or die. In Operation Health, Adam L. Kushner argues that not only are severe medical conditions - like a strangulated hernia or obstetric fistula-treatable by surgical means in low-income countries; they are, in fact, surgically preventable. Although the World Bank estimates that 11 percent of the global disease burden is treatable by surgery, more than a quarter of the world's population lacks access to straightforward and life-saving surgical procedures. Operation Health makes a strong and compelling justification for adding surgical care to the global health agenda by providing an overview of dangerous but repairable medical conditions common in developing countries. Every chapter opens with a vignette by Kushner which tells the remarkable story of the patients and situations he encountered in the field. Carefully crafted case studies demonstrate the power of surgery to heal people suffering from potentially debilitating conditions, including clubfoot, obstructed labor, and broken bones. The chapters - written by world-renowned surgical experts - cover related medical topics such as epidemiology, women's health, cancer, and trauma in locations from Sierra Leone to Nepal, Ghana, Mongolia, and elsewhere. This detailed and compassionate book will be of great interest to medical professionals, students, public health policy makers, philanthropic donors, and those with a general interest in global health.

This volume provides a concise yet comprehensive overview on surgical procedures performed on the cirrhotic patient. The text explains the underlying pathophysiologic alterations in liver disease and cirrhosis, provides assessment of disease severity and risk factors, and helps to predict potential outcomes based on the nature of the operation. Operations discussed in detail include bariatric surgery, colorectal surgery, hepatic surgery, kidney transplantation, gynecological procedures, neurosurgical procedures, and ophthalmic surgery. The book is also supplemented with instructive color illustrations and tables. Written by experts in the field, Surgical Procedures on the Cirrhotic Patient is a valuable, multidisciplinary resource for clinicians who treat the cirrhotic patient. With a Foreword by Thomas E. Starzl, the father of liver transplantation.

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.

This is the only book dedicated solely to frontal sinus disorders. It is a richly illustrated and comprehensive mine of information on the anatomy and management of these disorders. This updated second edition offers much new information. Additional topics include balloon dilation, frontal surgery as part of skull base surgery, and advances in endoscopic techniques and tools that have occurred since 2004 and have made open osteoplastic procedures almost obsolete. The anatomy and surgery of the supraorbital ethmoid cell and its significance in the pathology of frontal sinus disease are also covered. Throughout the book, particularly important areas of text are highlighted and core messages, emphasized. Videos of described procedures are available online.

Biomedical Optics in Otorhinolaryngology: Head and Neck Surgery gives an overview of current technology in biomedical optics relevant to the field of Otorhinolaryngology and head and neck surgery. It provides a comprehensive source of knowledge for researchers and active clinicians seeking information on the principles and practical use of novel diagnostic and therapeutic technology. While most books focus exclusively on laser surgery, which has been largely unchanged for the past 15 years, optical diagnostics and head and neck PDT (photodynamic therapy) are usually entirely overlooked. This book contains a basic introduction into the physics of light and its propagation, lasers and low-coherent light sources, and photon-tissue interaction in relation to therapeutic and diagnostic use. The principles of various imaging techniques are also discussed ( i.e. optical coherence tomography in its variations), as well as the principles and practice of lasers for surgical use on the therapeutic side.

This book aims to equip readers with a better understanding of neuroendocrine tumors of the abdomen and explains how to manage them optimally by making use of novel therapeutic options that represent major advances on previous treatments. The most recent advances in epidemiology, genetics, molecular biology, biomarkers, pathology, diagnostics, clinical assessment, medical therapy, and surgical treatment are presented. The information and data provided will stimulate readers to develop their personal opinions on significant issues and assist in decision making in individual patients during routine clinical practice. The book features a multidisciplinary approach and is designed to meet the needs of all physicians seeking comprehensive guidance from experts on the management of patients with neuroendocrine tumors. It will also be of value for researchers wishing to acquaint themselves with the state of the art in the field and emerging research avenues. Abdominal Neuroendocrine Tumors is published in Springer's highly successful Updates in Surgery series, which now comprises more than 20 titles.

This text is aimed at defining the current concepts that define trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It will serve as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader will have full understanding of the tests that are used to study trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications are reviewed in detail. Trauma Induced Coagulopathy will also be a valuable source for quick reference to the clinician that is faced with specific clinical challenges when managing coagulopathy.

This book provides a concise, focused and clinically relevant summary of complications and emergencies related to bariatric surgery. The first section of the text addresses general complications related to anesthesia and the stress of surgery, including issues such as deep vein thrombosis, pulmonary embolism, hemorrhage, pneumonia and cardiac complications. Additionally, this section addresses the workup of the bariatric patient with abdominal pain. The second portion of the text focuses on gastric bypass and sleeve-specific complications, including staple line and anastomotic leaks, internal hernia, marginal ulceration, GI obstruction, hernia formation and gallstone disease. The third portion of the book examines metabolic, nutritional and psychological complications after bariatric surgery. The text also covers management of weight loss failure. Bariatric Surgery Complications and Emergencies serves as a very useful resource for physicians and surgeons who are involved in any parts of evaluation or management of bariatric patients suffering from postoperative complications or emergencies including bariatric surgeons who perform these operations on a regular basis, non-bariatric general surgeons who cover such patients when on-call, surgical trainees, and primary care physicians.

Otolaryngology - head and neck surgeons, general surgeons, and thoracic surgeons are required to know how to perform various types of open airway surgery. However, due to a decrease in the number of patients with subglottic or tracheal stenosis and resident work hour restrictions, exposure to these cases during training is often inadequate. As a result, there is an ever-increasing need for training programs to develop lifelike open airway simulation models. These in turn will promote competency-based surgical residency training and a drive toward continuing medical education and maintenance of certification. Written by an international group of airway surgeons, Airway Reconstruction Surgical Dissection Manual is an essential guide for residents and fellows in the fields of otolaryngology - head and neck surgery, general surgery, and thoracic surgery, as well as consultant surgeons in these specialties who are responsible for managing airway conditions, but infrequently perform open airway surgeries. This manual covers everything the trainee requires for mastering open airway surgical procedures on a live animal and extrapolating these techniques to human patients.It is extensively detailed for the beginner or for the experienced surgeon perfecting his or her technique, and can be used by the individual working at his or her own pace or in a group setting. There are several key features to this text: Complex tasks are broken into rudimentary steps so they can be mastered by trainees at any level High quality photos and diagrams of each surgical step convey information clearly and succinctly Procedural differences between animals and humans are clearly identified for easy and practical application to human patients

The most comprehensive textbook in the field edited by the founding father of endourology returns for a new edition. In full colour throughout and packed with surgical teaching videos, this is an essential purchase for all urologists wishing to master their skills.