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.

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.

Punctuated with remarkable case studies, this book explores extraordinary encounters between hermaphrodites--people born with "ambiguous" sexual anatomy--and the medical and scientific professionals who grappled with them. Alice Dreger focuses on events in France and Britain in the late nineteenth century, a moment of great tension for questions of sex roles. While feminists, homosexuals, and anthropological explorers openly questioned the natures and purposes of the two sexes, anatomical hermaphrodites suggested a deeper question: just how many human sexes are there? Ultimately hermaphrodites led doctors and scientists to another surprisingly difficult question: what is sex, really? Hermaphrodites and the Medical Invention of Sex takes us inside the doctors' chambers to see how and why medical and scientific men constructed sex, gender, and sexuality as they did, and especially how the material conformation of hermaphroditic bodies--when combined with social exigencies--forced peculiar constructions. Throughout the book Dreger indicates how this history can help us to understand present-day conceptualizations of sex, gender, and sexuality. This leads to an epilogue, where the author discusses and questions the protocols employed today in the treatment of intersexuals (people born hermaphroditic). Given the history she has recounted, should these protocols be reconsidered and revised? A meticulously researched account of a fascinating problem in the history of medicine, this book will compel the attention of historians, physicians, medical ethicists, intersexuals themselves, and anyone interested in the meanings and foundations of sexual identity.

Distilling the ideas central to managing operating theatres, this book provides a practical and easy to use toolkit to improve theatre efficiency and patient outcomes. It advocates using time as the key measurement and proposes a new norm of operating theatre management based on rational, data-driven principles. Notions of 'efficiency' and 'scheduling' are clearly defined, and a scheduling toolkit available to download accompanies the work. The book's easy to use format supports managers in list planning, performance monitoring and demand-capacity matching while considering limited budgets and resources. It includes contributions from around the world, demonstrating the global application of its core approach. Aimed primarily at operating theatre managers, this book will also interest consultants, senior trainees, nurses and administrators who are involved in the daily running of the operating theatre and/or want to develop their leadership/managerial skills.

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.

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

Featuring both MCQs and EMQs, two of the key components of many postgraduate surgical examinations, this 2003 book is designed to be an accessible self-learning tool, and is the ideal companion to Fundamentals of Surgical Practice by Aljafri Majid and Andrew Kingsnorth. The questions provided are typical of those that appear in the MRCS/AFRCSEd and similar examinations and detailed answers, along with explanatory notes to assist the reader, are provided throughout. Each section is also further divided to reflect the topics covered in Fundamentals of Surgical Practice, and the answers are cross-referenced throughout to relevant sections of this key text, further enhancing the learning experience of the reader, who is able instantly to locate detailed information on the topic of interest.

SURGICAL PATHOLOGY DISSECTION, SECOND EDITION fills the need for a comprehensive, fully illustrated guide to the preparation, dissection, and handling of surgical pathology specimens. The authors share their wealth of talent and experiences by providing general principles that can be employed to resolve even the most complex problems in dissection and tissue sampling. The descriptive text is augmented by 62 exclusive, detailed illustrations printed as full-page plates depicting proper specimen handling techniques that add a unique vitality and multidimensional effect. Each chapter features a section on Important Issues to Address in Your Surgical Pathology Report and references selected for their pertinent coverage of specimen handling for each organ system. Updated and revised, this second edition includes four new chapters and expanded discussions on: - Preparation of Tissues for Molecular Analysis - Craniofacial Bones - Heart - Transplantation Specimens - The Sentinel Lymph Node Revisions have been made to conform to suggested guidelines proposed by the College of Amer Paths. FROM REVIEWS OF 1E: "Hruban, Westra and Isacson, working with a superb medical illustrator did an admirable job in taking the Johns Hopkins' gross room manual and translating it into a practical, concise, and easily accessible guide to contemporary practice in the surgical pathology laboratory." -Modern Path

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.

Selected as a Doody's Core Title for 2021! Written by residents for residents and medical students, Handbook of Pediatric Surgery is a pocket-sized resource filled with must-know information for the pediatric surgery rotation. In a concise, easy-to-reference format, it covers management of the pediatric surgical patient, pediatric trauma surgery, common pediatric surgical problems, and pediatric surgical oncology. A highly templated, bulleted content makes it quick and easy to find key information when you need it. Chapters on surgical problems clearly present historical background, relevant anatomy, epidemiology and etiology, clinical presentation, diagnosis, surgical management, and postoperative care. Additional chapters cover evaluation and examination, pediatric anesthesia, common pediatric drug dosing, and more. Succinct overviews of each topic include clinical pearls and pitfalls and algorithms where appropriate. Enhance Your eBook Reading Experience: Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Wars in the 19th century were accompanied by a very heavy loss of life from infectious diseases. Typhus fever, dysentery, malaria, typhoid fever and yellow fever caused many more deaths than wounds inflicted by enemy actions. During the Peninsular War, for example, for every soldier dying of a wound, four succumbed to disease. This book examines the development and evolution of surgical practice against this overwhelming risk of death due to disease. It reviews three major conflicts during this time: the Peninsular War, the Crimean War and the Boer War and also considers many minor wars fought by the British Empire in the intervening years, and highlights significant medical and surgical developments during these conflicts. War surgery in the first part of the 19th Century was brutal and it had to be carried out swiftly. It was performed at speed because there were no anaesthetics and the wounded often died during the procedure. Surgeons focussed their attention on wounds of the arms and legs, because limbs were both easily accessible to the surgeon (unlike organs inside the abdomen and chest) and lent themselves well to amputation. This was commonly the operation of choice for many war wounds of arms and legs. Some surgeons performed more difficult surgical procedures to try to preserve the limbs and attempted to repair damaged tissues but these operations took longer and caused greater suffering to the patient. Abdominal and chest wounds were not treated since surgeons did not have the means, the ability, or the understanding, to cut into the abdomen and chest to repair the damaged organs successfully. An important development which contributed to surgery moving forwards was the discovery of general anaesthesia, which became available in time for the Crimean War. However, whilst it certainly rendered operations pain-free, it was associated with significant numbers of deaths during surgery on wounded soldiers because of the poorly understood effects that anaesthetics had, particularly on the heart. As a result, operative surgery did not extend its scope a great deal, and military surgery remained focussed on surgery of the limbs. However, fewer amputations were performed during the Boer War at the end of this period.

Considered by critics to be an accurate portrayal of frontline medical conditions, A Surgeon in Khaki is New Zealand surgeon Arthur Anderson Martin's account of his experiences in 1914, early in World War I. Already a well-respected and widely traveled surgeon when war broke out, Martin joined the Royal Army Medical Corps. Under Field Marshal Sir John French, he served at Le Havre, Harfleur, and at the battle of the Marne. He marched to Aisne, to the new lines behind La Bassee, and finally to Flanders. During his entire service, he advocated immediate specialist surgery for the direst wounds, even under fire. In this engaging narrative, the reader experiences the daily life of war through the eyes of the medical officers who tried valiantly to help the wounded and ill on the front lines of World War I. Martin provides colorful descriptions of the soldiers and officers, harrowing details of the battles, and riveting accounts of the difficulty of treating men in a war zone. A better firsthand account of medicine during World War I is not to be found.

Dr Marius Barnard is probably best remembered as a member of the pioneering medical team that performed the world's first human heart transplant at Groote Schuur Hospital in 1967, with his brother Chris. He was also an MP for the Progressive Federal Party, he worked to improve cardiac surgery standards behind the Iron Curtain and globally, and he played a leading role in the creation of critical illness insurance - his invention, and one that has played a significant part in creating protection insurance policies with local and international companies to the direct benefit of the sick and ailing.

From his humble beginnings in the Karoo town of Beaufort West to his position as one of the world's leading cardiac surgeons, this book is a fascinating account of his life and work, and his relationships with his brother, his colleagues and his adversaries.

With candour, authenticity and charm it brings to life the spellbinding successes and formidable challenges of this international medical icon.

This textbook provides practical advice for junior surgical trainees on basic procedures in all surgical specialties. There are concise descriptions of minor and intermediate procedures that the trainee may be expected to perform and they are illustrated by clear line diagrams.

The ultimate objective for the book is to be a useful tool to increase awareness surrounding the importance of the use and the proper adjustment of highly rated head restraints according to scientific evidence, highlight the benefits of various prevention strategies and discuss future directions in neck injury and whiplash prevention.

'A great read. I am honoured to have worked with such a legend' David Nott 'A role model for women' Independent 'A wonderful read' Julian Fellowes 'Remarkable' Lauren Laverne 'Charming' Guardian We were occasionally expected to travel by ambulance to a serious case and would always have a kit of tools and drugs ready for emergency calls. On one occasion, we were responding to a man who had fallen into the hold of a grain ship and broken his leg. I was expected to go down a pole into the ship to administer analgaesia before he could be rescued. The 'audience' of shipworkers delighted in telling me that there were rats the size of dogs down in the grain. The other problem was that this was the era of the mini skirt, and you can imagine what that meant. Following the incident, I instituted the purchase of some 'Casualty Officers Emergency Dungarees' as an addition to the kit. Averil Mansfield established herself as a pioneer in every sense of the word when she qualified as a surgeon in the early 1970s. At the time just two per cent of her colleagues were female, and she was often met with surprise, bordering on disbelief and amusement, when telling people what she did. But time and again, Averil proved herself more than capable of the role which had been her greatest dream since the age of eight. After a formidable operating career in Liverpool and London, during which she made many enduring friendships, she went on to became the UK's first ever female professor of surgery. Life in Her Hands is the remarkable story of a truly trailblazing woman. Averil's account shines light on a medical and societal world that has changed beyond measure, but which - as she shows through her experiences - still has a long way to go for the women finding their place within it.

Written in the proven Secrets (R) question-and-answer format, Oral and Maxillofacial Surgery Secrets, 3rd Edition is an authoritative source for the effective and safe practice of oral and maxillofacial surgery (OMS) - and the ideal preparation tool for clinical rotations, exams, and board certification in OMS. Thoroughly revised and updated with the most current clinical information, this new edition provides dental students, OMS residents, and clinicians with practical tips, answers, and secrets from OMS experts. Best of all, it fits in your lab coat pocket so you can consult it wherever you go! Over 2,300 questions and answers offer valuable pearls, tips, memory aids, and secrets from oral and maxillofacial surgery experts in a concise, easy-to-read format. Popular and trusted Secrets (R) question-and-answer format helps you better understand the questions you are asked and provides you with perspective for the questions you ask yourself. Edited by two highly respected leaders in oral and maxillofacial surgery (OMS), with chapters written by internationally recognized experts in the field, making this an authoritative resource for the safe and effective practice of OMS. Convenient pocket size means you can consult this book wherever you go and carry it in your lab coat. NEW! 13 all-new chapters bring you the most current clinical information on recent advances in the science and practice of oral and maxillofacial surgery. NEW! Cosmetic Surgery section covers the evaluation of the aging face, forehead/belpharoplasty, facelift/neck, rhinoplasty, and non-invasive cosmetic procedures. NEW! Updated Secrets (R) two-color design highlights questions, tables, boxes, and bulleted lists so you can find information more easily.

Aesthetic Orthognathic Surgery and Rhinoplasty prasentiert die orthognathe Chirurgie aus asthetischer Sicht und behandelt die Bereiche Analyse, Diagnose, Behandlung, virtuelle 3D-Planung und begleitende Verfahren. - Prasentiert klinische Informationen pragnant und zuganglich. - Reich illustriert mit mehr als 1.000 klinischen Aufnahmen. - Begleitende Website mit Videos zu chirurgischen Verfahren.

An engaging and surprising history of surgeries on the clitoris, revealing what the therapeutic use of female circumcision and clitoridectomy tells us about American medical ideas concerning the female body and female sexuality. From the late nineteenth century through the mid-twentieth century, American physicians treated women and girls for masturbation by removing the clitoris (clitoridectomy) or clitoral hood (female circumcision). During this same time, and continuing to today, physicians also performed female circumcision to enable women to reach orgasm. Though used as treatment, paradoxically, for both a perceived excessive sexuality and a perceived lack of sexual responsiveness, these surgeries reflect a consistent medical conception of the clitoris as a sexual organ. In recent years the popular media and academics have commented on the rising popularity in the United States of female genital cosmetic surgeries, including female circumcision, yet these discussions often assume such procedures are new. In Female Circumcision and Clitoridectomy in the United States: A History of a Medical Treatment, Sarah Rodriguez presents an engaging and surprising history of surgeries on the clitoris, revealing how medical views of the female body and female sexuality have changed -- and in some cases not changed -- throughout the last century and a half. Sarah B. Rodriguez is lecturer in medical humanities and bioethics and in global health studies at Northwestern University.

Providing safe, effective anaesthesia for patients undergoing oral and maxillofacial surgery presents unique challenges involving a wide range of complex procedures, treatments, and interventions to manage an array of pathologies. This textbook is a practical, easy to read and engaging guide to the entire perioperative management process, encompassing everything that the practitioner needs to know. It utilises a clear, step-by-step approach to managing all aspects of anaesthesia for oral and maxillofacial surgery, from routine elective procedures to emergencies, difficult airways, cancer, and pain. A contemporary, evidence based approach and the most up-to-date techniques are described, with reference to current guidelines and standards. This comprehensive second edition will empower the novice, but also support more experienced practitioners and those who may occasionally be called upon to manage emergency cases. Written by international experts in the field with many years of experience both conducting and teaching oral and maxillofacial anaesthesia, this textbook is an essential resource for all members of the multidisciplinary team who wish to improve their understanding of and confidence with anaesthesia for this surgery.

Why buy Important Oral and Maxillofacial Presentations for the Primary Care Clinician? This book gives the Primary Care Clinician a grasp of the basic assessment of Oral and Maxillofacial presentations and will enable him or her to instigate an appropriate management plan. This book is unique in its presentation-based approach. It is a practical, problem-solving tool. It provides a simple, step-by-step algorithm approach to differential diagnosis and early management of seven important oral and maxillofacial presentations: Oral Ulcers, Patches on the Oral Mucosa, Lumps in the Mouth, Lumps of the Face, Facial Pain / Altered Sensation, Restricted Jaw Movement and Neck Lumps. Furthermore, the simple 'Ask', 'Look' and 'Sinister Features' lists for each presentation ensure that key questions are addressed when assessing the patient. Important Oral and Maxillofacial Presentations for the Primary Care Clinician is aimed internationally at medical, dental and allied healthcare professionals working in primary care. What's inside: Chapter 1 covers the basic examination of the mouth, face and neck. Chapters 2-8 each deal with a specific clinical presentation and provide the user with a management algorithm plus essential history and examination findings per clinical presentation. Furthermore, this is backed up with practical explanation and numerous clinical photographs