Die längere Lebenserwartung von Dialysepatienten und die Zunahme von Diabeteserkrankungen führen dazu, dass Shuntoperationen öfter und häufig wiederholt durchgeführt werden müssen. Ausgehend von seiner langjährigen klinischen und wissenschaftlichen Arbeit auf dem Gebiet der Shuntchirurgie beantwortet der Autor Fragen zur Auswahl des individuell sinnvollsten Eingriffs und zur Beherrschung von Komplikationen. Der Band enthält über 300 detaillierte Zeichnungen zum Prinzip der einzelnen Eingriffe und zum operativen Vorgehen.

This volume provides a comprehensive, state-of-the art review of inflammatory bowel disease and its management through the use of telemedicine applications. The book reviews barriers to successful outcomes in patients with IBD and offers a rationale for how self-management and telemedicine approaches can improve care in chronic illnesses such as IBD. This volume also includes a summary of the burden of telephone encounters in patients with IBD, characteristics of frequent callers to the office, outcomes associated with high telephone use, and strategies to provide education via telephone to patients with IBD. Prior literature on implementation of teleconsultation in research and clinical practice, as well as mobile applications used to track symptoms, quality of life, diet, and medication use in IBD are also explored in the book. Written by experts in the field, Telemanagement of Inflammatory Bowel Disease is a valuable resource for gastroenterologists, surgeons, a nd other clinicians dealing with, and interested in, this novel adjunct to routine care for inflammatory bowel disease.

The field of interventional bronchoscopy is rapidly expanding and has emerged as a new and exciting subspecialty in pulmonary medicine. To date, the impact of interventional bronchoscopy procedures has been felt in diagnosis, staging, and management of lung cancer, the most lethal cancer worldwide. Interventional Bronchoscopy: A Clinical Guide provides a state-of-the art description of interventional bronchoscopy procedures, addressing the scientific basis, indications, techniques, results, complications, and cost issues. Chapters address the current status, the advantages of new techniques and, most importantly, when to choose new techniques over the existing techniques. Each chapter will discuss the future of these procedures. Interventional Bronchoscopy: A Clinical Guide is an essential resource for a successful interventional pulmonology service and will be useful for the bronchoscopist, anesthesiologist, radiologist, thoracic surgeon and oncologist as well as practicing pulmonologists who do not perform these procedures but have to make decisions regarding appropriate referral of their patients to advanced airway centers.

A new era for liver anatomy has dawned. With the development of multidetector row computed tomography (MDCT) in the 1990s, precise volume-rendered 3-D images could be constructed, leading to new observations. Liver anatomy has since been reevaluated from the standpoint of portal segmentation and drainage veins and includes a reclassification of the liver. Better surgical results and fewer complications have supported the rationale for the new liver anatomy. Based on the work and spirit of Team Chiba from Chiba University, this publication is a testament to the collaboration, perseverance, and innovation in the field of liver anatomy. With high regard for the early pioneers in this field, Team Chiba can be credited with pioneering its own antiviral treatment, percutaneous ethanol injection therapy, radiation therapy, and US-guided hepatic resections. It is the team's hope that the new liver anatomy will find acceptance worldwide and will contribute to the advancement of the health and welfare of mankind.

"International Practices in Pancreatic Surgery" describes in great detail general and specific technical aspects of the standard resection procedures of the pancreas. Each surgical step during the pancreatic operation is precisely outlined and accompanied by drawings and photographs. The main chapters on pancreatic carcinoma, chronic and acute pancreatitis are written by the editors. An international faculty complements the texts by describing their own personal techniques. This concept offers the greatest possible overview of the techniques used by experienced surgeons.

This practical guide is a compendium of contemporary views on the development, treatment, and prevention of urinary stone disease. Emphasis is placed on utilizing current research to highlight areas of potential discovery and inspire novel approaches to easing the burden of urinary stone disease.

Tailoring treatment for individual breast cancers is no longer a dream and is now the main goal for current research. This book gives an overview of the most recent techniques, agents and approaches for breast cancer and the individualization of treatment. Particular attention is given to organ-specific tailored approaches, specific populations, patients' preferences and rehabilitation. Contributions from experts focus on the biomedical research behind the transfer of molecular biology knowledge into the clinical management of patients. This has led to increased survival as well as improved quality of life. The book gives an overview of the latest achievements in breast cancer and their use in clinical practice.

In this guidebook, international authorities review the current nonsurgical and surgical therapeutic options for dealing with Peyronie's disease. A variety of state-of-the-art research techniques is discussed. As the first medical text on the subject, this book provides an up-to-date summary of the etiology, natural history, and pathophysiology of this disease. Also discussed are the many misconceptions about Peyronie's disease.

This book brings a medley of over 1,500 aphorisms, quotations, and rules by surgeons and non-surgeons about surgery, surgeons and anything which may be relevant to the practice of surgery. All potential tastes will be gratified as the book includes ancient as well as contemporary entries, formal and colloquial, pronounced by surgical giants or anonymous, only guided by the prerequisite that the entry appeals to the surgical soul. Self-congratulatory and self-righteous clich s commonly uttered by surgeons who stand up to speak in public are eliminated from this book This book provides the surgical reader with a source of large and wide variety of surgical aphorisms and quotations. Most readers will use them to decorate their lectures or manuscripts with relevant "smart" or "entertaining" entries. You will enjoy many of the entries, you will hate the others, and you'll discover that surgical truth is old, that what you think is a novel idea has been said before, that what you see around you - was seen many years ago. It may contribute to your humanity and humility, perhaps even add maturity to your surgical personality and practice, and with a bit of luck increase your sense of surgical humor. Listen to Winston Churchill who said: "It is a good thing for an uneducated man to read books of quotations." In short this is an excellent gift for the surgeon who has everything tfm Publishing enjoyed considerable success with this book at the American College of Surgeons meeting in San Francisco. It's an unusual publication: a medley of over 1,500 aphorisms, quotations, and rules by surgeons and non-surgeons about surgery, surgeons, and anything which may be relevant to the practice of surgery. Compiled by a well-known surgeon and teacher - Moshe Schein, MD, Professor of Surgery at Cornell University Medical College, and a surgeon at the Bronx Lebanon Hospital, in New York - the book blends a deep knowledge of surgery with a wonderful s

In Essential Urologic Laparoscopy: The Complete Clinical Guide, Second Edition, editors Sean P. Hedican and Stephen Y. Nakada provide a complete update of their critically acclaimed first edition while adding new material related to Hand Assisted Laparoscopic Radical Cystectomy, Laparoscopic Retroperitoneal Lymph Node Dissection and Laparoscopic Assisted Renal Ablation. The authors offer clear, concise chapters focusing on getting started, laparoscopic instrumentation, and step-by-step procedural adult laparoscopy. Each chapter is organized so that the reader can easily identify key points and pitfalls, providing user-friendly text that describes the essential equipment necessary for performing urologic laparoscopy. Authorative and highly practical, Essential Urologic Laparoscopy: The Complete Clinical Guide, Second Edition provides a comprehensive guide to performing effective and cutting-edge urologic laparoscopy and is a must have for any urologist looking to create, maintain, or expand a successful practice in minimally invasive urologic surgery.

I: Grundlagen der Elektrophysiologie.- 1 Zellulare elektrophysiologische Grundlagen der Arrhythmogenese.- 2 Supraventrikulare Tachykardien: Pathomechanismen, Diagnostik und Therapie.- 3 Ventrikulare Tachykardien: Pathomechanismen, klinische Bedeutung, Diagnostik und Therapie.- 4 Long-QT-Syndrom: molekulare Grundlagen und Klinik.- 5 Biophysikalische Grundlagen der Radiofrequenz-katheterablation.- II: Interventionelle Therapie bei supraventrikularen Tachykardien.- 6 Katheterablation der AV-Knoten-Reentrytachykardie.- 7 Katheterablation bei ungewoehnlichen Formen von AV-Knoten-Reentrytachykardien.- 8 Katheterablation akzessorischer Bahnen beim WPW-Syndrom.- 9 Katheterablation beim WPW-Syndrom und uberlebtem Kammerflimmern.- 10 Sonderformen akzessorischer Bahnen.- 11 Katheterablation bei Vorhofflattern und Vorhoftachykardien.- 12 Ablationsverfahren zur Behandlung von Vorhofflimmern.- 13 Neue Mappingtechniken.- 14 Elektroanatomisches Mapping der sinuatrialen Aktivierung mit dem CARTOTM-System.- 15 Elektroanatomisches Mapping fokaler atrialer Tachykardien.- 16 Nichtablative interventionelle Therapie supraventriku-larer Tachykardien: implantierbarer Vorhofdefibrillator.- 17 Stimulationstechniken zur Pravention von Vorhofflimmern.- III: Interventionelle Therapie bei ventrikularen Tachykardien.- 18 Indikationen und Ergebnisse der Katheterablation bei ventrikularen Tachykardien.- 19 Therapie der repetitiven monomorphen ventrikularen Tachykardie (Typ Gallavardin).- 20 ICD-Therapie.- IV: Padiatrische Patienten.- 21 Diagnose und Therapie von Herzrhythmusstoerungen bei Kindern und Jugendlichen.

A comprehensive, state-of-the-art contribution to a field that is rapidly developing, The Behavioral Consequences of Stroke provides a broad overview of the cognitive and neurobehavioral effects of stroke. As attention to paralysis and the more obvious physical disabilities stroke patients incur expands, greater attention is being paid today to the cognitive and neurobehavioral complications that impact stroke morbidity and even functional neurological recovery in patients. Written by an international panel of experts and edited by a neurosurgeon and by a cognitive neuroscientist, this unique title addresses the full range of issues relevant to the field, including epidemiology, general treatment, sensorimotor control after stroke, post-stroke aphasia, memory loss after stroke, post-stroke depression, the role of imaging after a stroke, and an update on some stroke clinical trials, to name just some of the areas covered. Illuminative and an influential addition to the literature, The Behavioral Consequences of Stroke will serve as an invaluable resource for neurologsits, neurosurgeons, physiatrists and other physicians, as well as physical, speech and occupational therapists, nurses, psychologists, and other professionals.

This practical book provides up-to-date information on the particular features of ovarian cancer in older women and the best management approach. The full range of relevant topics is covered. Guidance is provided on geriatric assessment, screening, pathology, diagnosis, and follow-up. The various treatment options are carefully explained, covering surgical approaches, chemotherapy as a first-line strategy, the use of anti-angiogenic agents, and treatment of relapse. The cognitive problems that may arise in elderly women during and after treatment of ovarian cancer are documented, with advice on response. Guidance is also provided on the design of clinical trials, and current directions in biological research are reviewed. This book will be of value to both practitioners and researchers with an interest in ovarian cancer and the elderly.

This well-illustrated book provides step-by-step guidance on the various techniques - microlaryngoscopic, fiberoptic endoscopic and transcutaneous - that can be employed for the purpose of injection laryngoplasty, a surgical procedure in which a foreign material is injected into the vocal fold. The anatomy and function of the region are first explained, with identification of the causes and means of evaluation of glottic and neoglottic insufficiency. Advice is then provided on the choice of material for injection laryngoplasty, including absorbable and long-lasting options, on the basis of careful analysis that takes into account both the recent literature and the authors' own experiences. Detailed descriptions of the surgical indications and different procedures follow and for ease of reference, clear flow charts on diagnosis and indications are also included. The book concludes with chapters on the use of injection laryngoplasty specifically in the pediatric population and on postoperative care and speech therapy following the procedure. Injection Laryngoplasty will provide valuable assistance to all surgeons wishing to perform this kind of surgery.

This highly illustrated book, complete with comprehensive clinical references and annotated images, will serve as a leading text to educate head and neck surgeons, endocrinologists, and radiologists on the basics and nuances of thyroid and parathyroid ultrasound. It emphasizes the use of ultrasound as an office-based modality by clinicians and radiologists who actively care for this special set of patients. This text uniquely combines the collaboration between a clinician/surgeon and radiologist who share their extensive experience in head and neck ultrasound.

Basierend auf Erfahrungswerten aus über 30.000 Operationen im Kaiserin-Elisabeth-Spital wird in dem Band die Schilddrüsenchirurgie dargestellt. Beschrieben werden die Entstehung des Wiener Behandlungszentrums, der Wandel von Diagnose und OP-Verfahren sowie die Verbesserung der Ergebnisse. Mit Anleitungen zur Schilddrüsenchirurgie, Skizzen und Fallbeispielen sowie fast 200 Abbildungen. Qualitätsindikatoren werden anhand von Grafiken und Tabellen veranschaulicht. Das Werk vermittelt wertvolle Anregungen für das Qualitätsmanagement in der Chirurgie.

This atlas provides sequential pictures for most existing reconstructive urology procedures. Though the use of technology is described, the book has been constructed in such a way that urologists from all countries will be able to pickup the technical tips to perform the laparoscopic procedures using simplified devices.

Melanoma is one of the most types of cancer. When melanoma is detected at an early stage, treatment is highly successful, but outcomes can be poor when the disease is advanced. There has been significant progress in our understanding of the molecular biology, genetics, and immunology of melanoma over the past decade. This has been accompanied by rapid advances in therapeutic strategies for patients with melanoma. This book provides the clinician and the researcher with a broad understanding of the molecular and cellular pathogenesis of melanoma, explores the clinical characteristics and criteria for clinical and pathological staging of the disease, and provides an overview of current and evolving treatment strategies in the adjuvant, metastatic, and preventive settings. The treatment of special populations and rare variants of melanoma that often present particular clinical challenges is also covered. Authored by international experts in melanoma biology and clinical management, this volume concisely explains how to diagnose, treat, and prevent melanoma while reviewing advances in basic science and providing an overview of innovative approaches still under development.

This volume provides a comprehensive, state-of-the art review of the management of pancreatic lesions. The book reviews the differential diagnosis and pathology of different pancreatic lesions, profiles new advances in endoscopic evaluation, highlights new perspectives about imaging modalities, describes current treatment strategies and provides an algorithmic approach to management of pancreatic tumors. Recently published literature is placed in context with current management recommendations. The text also discusses the latest advances in minimally invasive techniques, such as Endoscopic Retrograde Cholangio-Pancreatography (ERCP) and Endoscopic Ultrasound (EUS). Written by experts in their fields, Pancreatic Masses: Advances in Diagnosis and Therapy is a valuable resource for gastroenterologists, surgeons and internists that helps guide patient management and stimulate investigative efforts.

This book is exceptional in explaining not only when and how but also why vitrectomy is performed - an additional focus that will help trainee surgeons to develop their own critical thinking. Uniquely, the book's first part describes "the life of the vitreoretinal surgeon" to help residents decide whether the field is indeed suitable for them, and if yes, how they can chart their own course in the absence of a formal fellowship program. The second and third parts discuss the fundamentals in VR surgery, such as the general philosophy underlying vitrectomy, equipment, examination, timing, anesthesia, the surgeon's posture, and the organization of the operating room. The final two parts are dedicated to surgical strategy and tissue tactics, reviewing the principles of surgical maneuvers and the practical sides of diagnosis-specific issues. An appendix is also included, which offers additional guideposts for the aspiring trainee surgeon, including a description of how an ideal mentor should act in surgery. The book is written in an easy-to-follow format with bullet points and text boxes, and has well over 250 color images and line drawings as well as over 60 tables.

This very important work laid the foundation for my subsequent dissertation and for my research work and publications on colorectal cancer. For the first time, several authors systematically summarized one disease exclusively as to its origins, pathology, diagnostics and therapy. This novel concept made a lasting impression on me in my scientific work. Manfred Georg Krukemeyer, MD, Department of Surgical Research, Westphalian Wilhelm University, Munster"