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.

Back pain is the commonest form of rheumatism and it is estimated to affect between 65% and 80% of populations sampled. The costs of back pain-related medical care and disability compensation make it one of society's most significant non-lethal medical conditions. Whilst mortality is low, its morbidity is high, inconvenience great, and economic burden massive. The actual symptom of back pain is one of the commonest and most perplexing encountered in medical practice. A proper understanding of what it means is crucial for further medical advance. However, the field of back pain research probably has more experts than any other. Anybody who has back pain will, as often as not, expound views on all matters concerning causation and expectations. Indeed, it is not for a lack of ideas that this field of investigation has failed to make progress. A respected senior investigator advised me early on that patients could not even tell which side their pain was on. It was only many years later that I discovered why. Though the initial incident or accident would seem important to the patient and to the researcher, it is remarkable how little it helps distinguish patterns of back pain. Tests of inappropriate behaviour in the past have been widely disseminated and yet even the originators have said that they cannot be sure of the implications of positive non-organic test findings. This book will show that these 'indicators' are not what they seem to be. In many cases, it is difficult to tell which level in the lumbar spine the pain comes from, and thus treatments such as injections or operation, may be given at the wrong level, let alone the wrong side. Though the various forms of back pain treatment seem to help some patients, when these same treatments are subjected to randomised controlled trials, the evidence for efficacy seems to all but vanish. With all these difficulties and uncertainties, it can be seen why low back pain presents one of the most fallible fields of healthcare. This book indicates that there are ways of dealing with the majority of these problems. Many of the answers from the research conducted were most unexpected. The reader is also advised that the scientific approach cannot deliver hard and fast answers to all contemporary questions in such a wide field and much has depended on the choice of problems to study. Whilst the tests used to distinguish the patterns in this study have their limitations, and whilst there is, as yet, only limited evidence as to the underlying pathology for the patterns recognised, it is felt that some of the other patterns identified are descriptive of diagnoses that are generally accepted. If the answers that are put forward appear to change the direction of understanding, it is hoped that you, the reader, will be able to carry the enquiry further when you see patients, advise treatment or even experience back pain yourself!

Die 5. Auflage des Textbook and Color Atlas of Traumatic Injuries to the Teeth deckt umfassend akute Zahntraumata ab und behandelt auch samtliche Aspekte interdisziplinarer Behandlungsszenarien. - Neuauflage dieses massgeblichen Referenzwerks der dentalen Traumatologie. - Grundlich uberarbeitet und aktualisiert, mit neuem Layout. - Umfasst acht neue Kapitel zu innovativen Entwicklungen in dem Fachgebiet. - Mit Beitragen weltweit anerkannter Autoren und Herausgeber. - Begleitende Website (dentaltraumguide.org), eigenstandiges Kapitel zur Nutzung des Fachbuchs als Erganzung zu den Online-Inhalten.

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.

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.

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.

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.

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.

"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.

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.

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.

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 book is a well-illustrated and comprehensive guide to the etiology, clinical manifestations, diagnosis, clinical management and prevention of dental caries. Current challenging problems in the field are analyzed and the latest research findings, presented. After an introductory chapter on tooth development, the relationships of biofilm and saliva to dental caries and the significance of the balance between demineralization and remineralization for the development of carious lesions are discussed. Subsequent chapters address the state of the art in diagnosis and treatment, the implications of disease burden for prevention and the association between systemic diseases and dental caries. Dental Caries: Principles and Management is intended for dental school students, practicing dentists and researchers in dentistry.

This book gives an updated and detailed overview of diagnostic and therapeutic strategies for rectal cancer. Rectal cancer has become an increasing and serious disease in western countries, mainly linked to lifestyle and bad alimentation habits. This specific cancer is not only a threat to the lifespan of patients, but also has a heavy impact on quality of life, due to its implications in the fecal, urinary and sexual functions. Recent guidelines of prevention and early diagnosis, as well as current and future diagnostic and staging work-up, are here presented in a clear and convincing way, linking each topic to the therapeutic options arising from the staging and including a chapter on the molecular evaluation of the tumor. To complete the multifaceted approach to this particular pathology, a large part is devoted to the in-hospital care of rectal cancer patients, beginning from the fast-track procedures and the enhanced recovery systems, up to the in-depth description of the available of surgical techniques, including salvage situations, accidents, complications, and their treatment. A final chapter will be dedicated to the follow-up policy and its advantages.

The book will serve as on demand reference for consultation when one is faced with such special scenario in the field of endourology. It's easy to read and easy to understand format should give an easy access to all chapters right from the beginning, so there is no need to read previous chapters for understanding the current one. Furthermore it will serve as a textbook for problem oriented approach, which will be an interesting and attractive method of teaching.

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"

Recent trends in medicine have pushed many gynecologic procedures to the outpatient setting, whether in-office, in small medical ambulatory surgery centers, or in procedure rooms. Office-Based Gynecologic Surgical Procedures covers both basic and advanced procedures, from biopsy and saline ultrasound to cystoscopy. It answers the "How?", "What?", and "When?" of setting up, preparing for, and confidently performing office procedures. While appropriate training and certification in these procedures such as cystoscopy and hysteroscopy is needed, this book is an excellent resource for advice and tips on how to safely transition from the technique used in the operating room. It also provides the necessary algorithms and in-depth instructions pertinent to performing these types of procedures effectively in the office setting. A chapter on patient safety in the office is also included. Office-Based Gynecologic Surgical Procedures is ideal for established OBGYNs in practice who want to expand their range of procedures offered in-office, fellows in Women's Health, advanced nurse practitioners, recent OBGYN residency graduates, and family medicine physicians eager to familiarize themselves with women's health procedures.

Das Buch beinhaltet in praxisgerechter Form die Darstellung der aktuellen und gAngigen Methoden der phlebologischen Diagnostik und Therapie inklusive der bildgebenden Verfahren i. S. der immer wichtiger werdenden Duplexsonographie und Phlebographie. Es wird umfassend auf die konservative Therapie eingegangen, insbesondere die Kompressionstherapie, aber auch auf die Pharmakotherapie bei der chronisch-venAsen Insuffizienz. Aktuelle Aspekte der Thromboseprophylaxe und -therapie werden berA1/4cksichtigt. Das Buch enthAlt zahlreiche Tabellen und Abbildungen in Form von Zeichnungen und Fotodokumentationen. Der besondere Nutzen besteht in der AktualitAt der BeitrAge und der MAglichkeit, in vergleichsweise kurzer Zeit einen Aoeberblick A1/4ber phlebologische Fragestellungen zu bekommen.

The Operation Primer provides excellent photographic step-by-step guidance to the surgical procedure. It has been produced to describe the operation in the simplest manner possible without over-simplifying. The core of the Operation Primer is the section on Nodal Points, where the key surgical steps are described in detail. This surgical guidebook provides essential reference material to surgeons wishing to update their knowledge in this specific area.