The human face should be in perfect harmony and balance along with ideal functioning of the stomatognathic system... was a view idealised by Apollo Belvedere, who created the neoclassical Greek sculpture of the head and face. However, Nature ensures that all of us are not blessed with perfect faces. It is for the resolution of these imperfections that orthodontic treatment is sought. But for patients whose problems are so severe that neither growth nor camouflage offers an ideal solution, surgical realignment of jaws or repositioning of dentoalveolar segments is the only choice. Surgery is not a substitute for orthodontics in these patients; instead, it must be properly coordinated with orthodontics and other dental treatment to achieve overall positive results. With recent advances in surgical technology, it is now possible to treat these patients successfully for whom orthodontic camouflage would have resulted in esthetically unacceptable and often unstable results. This art and science of diagnosis, treatment planning, and execution of treatment of dentofacial deformities by combining orthodontics, oral and maxillofacial surgery to correct severe musculoskeletal, dento-osseous, and soft tissue deformities of the jaws and associated structures is called orthognathic surgery. Successful orthognathic surgery demands the understanding and cooperation of the oral and maxillofacial surgeon, orthodontist, and general dentist. Each must provide a proper diagnosis and treatment plan, perform necessary treatment and refer to necessary treatment outside his or her respective area of expertise. In order for patients to receive state-of-art care when correcting their deformities, the orthognathic team must: 1. recognise the various characteristics of malocclusion and dento-facial deformity; 2. define the nature of the problem, including the possible etiology; and 3. design a treatment strategy based on the specific needs and desires of the individual. In this modern era, the role of the doctor has shifted from that of sole decision maker in the planning process to that of a partner with the patient as co-decision-maker. Therefore, the clinician must not overlook the importance of including the patient and parents in the treatment planning process. Ackermann and Proffit have suggested that clinicians are generally more influenced by objective findings (problem list) and patients are more influenced by subjective findings (their perception of their needs and values). This dichotomy makes communication an effective tool when one is faced with the decision between orthodontic camouflage and surgical orthodontic correction. The authors' of this book examine the diagnosis and treatment planning in orthognathic surgery.

Praxiswissen kompakt: OP-Instrumente im UEberblick Dieses Buch bietet allen Mitarbeiterinnen und Mitarbeitern im OP - OP-Pflegekrafte und OTAs - einen kompakten UEberblick der wichtigsten chirurgischen Instrumente und deren Instrumentation. Gleichgultig, ob Sie schon erfahren im OP sind oder der Bereich neu fur Sie ist: hier lernen Sie OP-Instrumente sicher zu erkennen, gezielt vorzubereiten und einzusetzen. Profitieren Sie von den erfahrenen Autorinnen und meistern Sie Ihren Arbeitsalltag souveran. Ein Fachbuch fur alle OP-Mitarbeiterinnen und operations-technische Assistentinnen: Fur die Einarbeitung neuer Mitarbeiterinnen und Mitarbeiten, Grundlagenwerk fur die Fachweiterbildung oder zum Nachschlagen bei Fragen zum Instrumentarium. Neu in der 4. Auflage: Komplett aktualisiert mit uber 200 aktuellen Abbildungen.

Recent topics of interest in neurosurgery are discussed in selected papers in this volume. The first major topic deals with vascular malformations of the brain, where neuroradiological interventions and microneurosurgical treatment present major advances. The second major topic covers treatment patterns for various supratentorial tumors in Ahildhood. The interdisciplinary aspects of neurosurgical intensive care, particularly electrophysiology and anesthesia, are treated extensively.

SOLVING FOR WHY chronicles one man's journey to find the answer to the biggest of all life's questions: "Why?" Following a traumatic car accident, Dr. Shrime-the child of Lebanese immigrants fleeing a civil war, who later became a successful practicing surgeon in Boston-found himself compelled to change the course of his life, determined to find meaning and satisfaction even if it meant diverting from America's idea of "success." Featuring stories, insights, and research from his own exceptional life and work, SOLVING FOR WHY is the story of Dr. Shrime's search for-and discovery of-lifelong fulfillment. Now a global surgeon operating on a hospital ship docked off the coast of West Africa and one of the few global experts on surgery in low- and middle-income countries, Dr. Shrime seeks to impart the wisdom of the lessons he's learned over the course of his search for a life of true contentment. In the tradition of Dr. Paul Farmer's To Repair the World, Dr. Atul Gawande's Better, and Dr. Michele Harper's The Beauty in Breaking, SOLVING FOR WHY combines personal stories with deep, thoughtful research into the challenges of working in modern medicine in the 21st century and the commodification of work in America. A story of discovery and transformation, SOLVING FOR WHY seeks to help readers answer the "why" of their own lives and ultimately find joy outside the status quo.

The fifth edition of "Vascular Surgery" has been thoroughly revised, enlarged and updated. Written by an international panel of experts, this atlas presents indications for each procedure, detailed technical analysis for the operation, and a summary of its post-operative complications. The authors have made great efforts to highlight potential pitfalls and danger areas in each operation and give advice on avoidance of complications.

Atlas of Operative Oral and Maxillofacial Surgery is an innovative, multidisciplinary, contemporary surgical atlas covering core aspects of oral and maxillofacial surgery, head and neck reconstructive surgery and facial cosmetic surgery. The text is constructed as a procedure-based surgical atlas with special emphasis placed on depicting surgical techniques with high-resolution color illustrations and images. Chapters are written by experts in their field and are designed to provide high-yield information pertaining to procedure indications, contraindications, pertinent anatomy, techniques, post-operative management, complications and key points. Each chapter concludes with a detailed photographic case report illustrating pertinent procedure specifics such as locations for incisions, anatomical planes of dissection, key steps in the procedure, radiographs findings and pre- and postoperative photographs. Procedures are organized by sections to include: dentoalveolar and implant surgery, odontogenic head and neck infections, maxillofacial trauma surgery, orthognathic and craniofacial surgery, tempomandibular joint surgery, infections of the head and neck, facial cosmetic surgery, and pathology and reconstructive surgery. The combination of concise text, more than 1,000 color clinical illustrations and images, and case reports makes the Atlas of Operative Oral and Maxillofacial Surgery a key reference to all oral and maxillofacial surgeons, head and neck surgeons, and facial plastic surgeons and will serve as a foundation for residency training, board certification and the recently implemented recertification examinations.

In December, 1966, two patients dying of months after the transplants had been per uremia as a result of diabetic kidney disease formed. This was long enough, however, to were offered a small chance of survival. Ac establish unequivocally in both patients cording to the thinking of the time, it was that an endocrine organ, the pancreas, could inappropriate-and perhaps even unethical function normally and for many days as a to offer them either chronic hemodialysis or human-to-human graft. The patients had kidney transplantation. These were considered become normoglycemic independent of insulin a waste of effort because it was believed that injections. scarce medical resources should not be spent The possible long-term benefits of restoring on patients, uremic or not, whose chances of insulin function were hotly argued then, and surviving for more than a few months were they have not been fully determined 20 years thought to be very small. Reduced to its later. It seems to me now, however, that the essence, the idea was that diabetic patients basic premise is sounder than I realized in were terrible risks and would remain so even if 1966: if one could restore an effective, norm the uremia were corrected."

This book provides an invaluable study aid for all general surgery residents preparing for the American Board of Surgery In-Training Examination (ABSITE). Concisely written overviews of each topic covered on the exam combined with the self-test format offer a new and innovative approach. Each chapter is a short summary of a basic science or clinical topic and includes hundreds of related questions like those found on ABSITE. The book is targeted to trainees at various levels and also can be used to prepare for the qualifying (written) and certifying (oral) exams given by the American Board of Surgery upon completion of training.

An examination of surgical breast reconstruction which establishes a strong link between, on the one hand, the personal feelings and actions of women with breast cancer, and on the other, powerful discourses and practices of the breast cancer movement.

Continuing medical education and specialty training procedures represent highly dynamical processes, with a continuously evolving content. The specific teaching methods available (micro-teaching, team teaching, mastery learning, simulation, and e-learning) are essential elements of this process to promote professional updating and teaching at the bedside, aimed at providing an excellent clinical practice. The didactic laboratory is the core of this process: teachers, students and the School must be able to integrate in order to encourage this trend, and following this trend, the Trieste School of Medicine has long recognised the importance of supporting educational aspects and teaching programmes that promote our discipline.

This volume is the result of the co-operation of the Trieste School of Medicine with experts at a national and international level who, in 2005, took part in seminars or micro-teaching sessions held at the Cattinara University Hospital.

Specialists from around the world have contributed to this unique textbook on the surgical skills essential for the urgent treatment of craniofacial injuries caused by war and terrorist incidents. It explores a wide range of considerations including how to work with limited resources and logistical problems, preparation for terror attacks, preservation of sight and cosmetic appearance, and also features a simulation training module proven to be academically successful and economical to run. The content is ideal for all nonspecialist clinicians and students of medicine, dentistry and nursing, and also for teaching programmes involving the psychopathology of trauma.

Hypospadias is recognised as one the most common congenital malformations in male newborns, resulting in an abnormal opening of urethral meatus. It is regarded as a multifactorial disorder in which interactions between genetics, maternal and environmental factors lead to hypoplastic development of the ventral side of the penis, either dependently or in an interaction with other factors. This book discusses the risk factors of hypospadias. It also examines the epidemiology and surgical outcomes of hypospadias.

This volume is published under the auspices of the World Federation of Societies of Intensive Care Medicine, which consists of 48 members societies (both medical and nursing) - a truly world wide organisation - and whose aim is to promote excellence in the care of critically ill patients. The volume will be distributed to delegates on occasion of the 9th International Congress of the World Federation of Societies of Intensive and Critical Care Medicine, to be held in Buenos Aires at the end of August 2005.

Endoscopic neurosurgery has not yet reached the safety and applicability of microsurgery. Endo-neuro-sonography is a new technique aimed at making endoscopy safer by real-time imaging and navigation capacity (brain-radar). The endo-neurosonographic image is a sonographic scan at the tip of the endoscope (mini-CT) providing additional information to the endoscopic view. Endo-Neuro-Sonography is the first book on this new topic, presenting techniques and equipment, anatomical features, and the first clinical series. Schematic drawings, tables and 237 figures (122 in color) offer a precise overview of this technique. The final chapter is dealing with future concepts on minimally invasive neurosurgery and specific reference to ergonomics in neurosurgery.

Fifty scenarios in general surgery are described and possible treatment options are considered. A case presentation format is used to illustrate the author 's preferred strategy, supported by evidence from the literature. Alternate approaches favored by other experts are also presented. An excellent clinical decision making tool for general surgeons and residents.

SBAs for the Oral and Maxillofacial Surgery FRCS is a question and answer style revision guide designed to help candidates prepare for the Oral and Maxillofacial Surgery (FRCS) Section 1 written exam, and the Tri-Collegiate Membership in Oral Surgery (MOral Surg) exam. Reflecting the format of the exam, the book contains 300 single-best-answer (SBA) questions with detailed explanatory answers. Questions are mapped to the latest curriculum, with key topics weighted according to their relevance in the most recent examinations. An introductory chapter explains the marking methodology used and advises on how candidates can best approach the exam. A revision guide section suggests study topics and recommended reading. Providing a thorough assessment of the key topics and expert guidance, this is an essential resource for higher surgical trainees in Oral and Maxillofacial Surgery looking to maximise their exam success.

The general surgery re-certification exam is not like the ABSITE or the first certification exam. Transplantation, physiology, immunology, cellular and molecular biology, pharmacology, and other basic science material are not tested. The re-certification exam tests clinical knowledge. This book focuses on the clinical aspects of general surgery and current standard of care recommendations. All aspects of surgery are covered including new recommendations for morbid obesity surgery, breast cancer management, hemostatic resuscitation, management of anti-platelet and anticoagulation agents, damage control surgery, surgery in pregnancy, angiography in trauma, and other pertinent issues. As the only dedicated book for the re-certification exam, the reader will avoid having to wade through the extraneous material found in other study guides. All aspects of general surgery are covered and this book can be used as a sole resource for the exam.

A condensed version of the critically-acclaimed SURGERY: BASIC SCIENCE AND CLINICAL EVIDENCE, Essential Practice of Surgery provides a state-of-the-art, evidence-based approach to surgery for surgeons, residents and medical students. The book is divided into 8 comprehensive sections, providing the most succinct coverage of crtical topics: Care of the Surgical Patient; Gastrointestinal & Abdominal Disease; Endocrine Surgery; Vascular Surgery; Cardiothoracic Surgery; Transplantation; Cancer; and Associated Disciplines. Over 250 illustrations and 340 tables, including 62 evidence-based tables, complement the text. Reviews of SURGERY: "...a fresh approach... [the book] emphasizes the basic science underlying the practice of surgery and the evidence supporting clinical decisions. The text is clearly written and the chapters are well-illustrated. There is also a unique feature: several hundred evidence-based tables. These tables allow the reader to reach conclusions on the basis of data." -- New England Journal of Medicine "Is it different from the existing textbooks of surgery? Did the authors achieve their principal goal of providing an evidence-based approach to surgical decision making? Would I recommend it to the surgical residents in my program?...the answer to all these questions is yes. The ambitious undertaking of creating an evidence-based textbook of surgery has largel succeeded and I heartily recommend it." -- Journal of the American Medical Association "During a period of numerous adventures into the textbook arena, this is different in focus and quality. The 130 contributors constitute an excellent group of young surgeons, who, along with the editors, have stayed the course with this interesting format. Surgery: Basic Science and Clinical Evidence is reader friendly with excellent illustrations and 200 evidence-based tables. -- Archives of Surgery

There is a decreased tolerance for error when pediatric patients undergo medical procedures. It is, therefore, important to accomplish procedures as quickly and accurately as possible. Pediatric Anesthesia Procedures is designed to provide rapid access to information in order to solve a clinical problem as it is occurring. Its pictorial, highly visual format will allow anesthesiologists and other clinicians to review and 'see' the procedures during planning stages, making it a practical resource to keep in the operating room for quick and easy reference during time-pressured situations. This will make it especially useful for practitioners doing procedures that they perform infrequently-or must perform for the first time during an emergent or urgent situation. The chapters within cover a wide variety of basic and advanced pediatric anesthesia procedures and provide generously illustrated step-by-step guidelines for performing them. Each is introduced with an accessible description, followed by a variety of high-quality graphic images-including detailed photographs, magnetic resonance images, computed tomography images, and ultrasound images-and detailed instructions.

Infection Prevention in Surgical Settings is a handbook that provides easy access to guidelines for infection control in various surgical settings. It specifically addresses the needs of nurses practicing in perioperative, PACU, ambulatory surgery, endoscopy, or other surgical settings who need access to current guidelines to meet OSHA and JCAHO requirements. Infection Prevention contains procedure guidelines for preparation of the patient, surgical equipment, personnel, and surgical practices. Each procedure contains a brief description, followed by rationales for the principles outlines in the procedure. Each rationale is referenced to AORN standards, CDC guidelines, and other resources.Provides an easy-to-use reference to common, significant infection control practices & issues found in various surgical and other related settings Brings together the work of recognized experts and professional associations that provide factual, relevant, and succinct rational and correct interpretation of infection control practicesFirst handbook devoted to infection control issues that directly relate to surgical environments Follows a consistent format presentation for each procedure that includes the steps, rationale, references, and suggested additional readings Spanish version also available, ISBN: 84-8174-615-0