Inflammation in itself is not to be considered as a disease . . . and in disease, where it can alter the diseased mode of action, it likewise leads to a cure; but where it cannot accomplish that solitary purpose . . . it does mischief - John Hunter, A Treatise on the Blood, ITfIlammation, and Gunshot Woundr (London, 1794)1 As we reached the millennium, we recognized the gap between our scientific knowledge of biologic processes and our more limited clinical capabilities in the care of patients. Our science is strong. Molecular biology is powerful, but our therapy to help patients is weaker and more limited. For this reason, this book focuses on the problems of multiple organ failure (MOF), multiple organ dysfunction syndrome (MODS), and systemic inflammatory response syndrome is, patients who have severe injuries; require major, (SIRS) in high-risk patients, that overwhelming operations; or have serious illnesses requiring intensive care; patients who have diseases elsewhere, in other organs or systems, that limit their capabilities to survive a new insult; and patients who are elderly or at high risk for sepsis or other complications. These are the patients who need our help. They need the advances in science, in molecular biology, immunology, pathophysiology, biochemistry, genetics, high technology, and other areas of maximum support at the bedside. These advances could potentially have the greatest impact on improving patient care.

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.

Trigeminal neuralgia and other cranial neuralgias comprise a group of facial pain conditions, characterised by disabling pain attacks that selectively respond to specific treatments. Although not as common migraine, they affect over 1% of the population and must be recognised and adequately treated in clinical practice. The spectrum of cranial neuralgias is wide and as a consequence the conditions are managed by a range of different specialists. Studies show that delayed diagnoses and mismanagement are common and can lead to depression and suicide. 36 recognised experts from nine countries have contributed to OPML Trigeminal Neuralgia and Other Cranial Neuralgias to guide you through the maze of pathophysiology, clinical features, diagnosis-making, and condition-specific treatments. The approach is practical and evidence-based and ready for real-world applications. The value of phenotyping, targeted investigations, and treatment algorithms is emphasised. The editors and contributors subscribe to the view that there needs to be a holistic approach with multidisciplinary teams working together and with patients being at the centre of this process. Psychologists and patent support groups can help to ensure that patients are managed holistically and share the decision-making process. Their involvement in the handbook has helped to emphasis this. There remain considerable challenges, but the field is rapidly evolving and there are increasing number of opportunities opening up to improve our understanding of these conditions and hence their management. The editors and contributors have included case scenarios, algorithms, self-administered tools for training in diagnosis and management, clinical tips and carefully chosen references. Each chapter includes a lay summary and key points and can be read as a stand-alone unit.

Lachen ist die beste Medizin. Dass Medizin aber auch ganz schoen zum Lachen sein kann, beweist Dr. Ronny Tekal jede Woche aufs Neue, wenn er mit arztlichem Insiderwissen in der Kolumne "NebenWirkungen" der AErzteWoche einen satirischen Blick auf die gar nicht so heile Welt der Heilkundigen wirft: Wer schon immer wissen wollte, was die "Halbgoetter in Weiss" mit den "Halbgoettern mit heruntergezogener Hose" verbindet, ob "Irren arztlich ist" und Mediziner voellig hilflos sind, wenn sie "Datenlos durch die Nacht" geistern, wie man seine "Farm im Darm" bewirtschaften kann, statt sich im nikotinhaltigen "Nebel des Grauens" zu verlieren, welche Groesse der eigene "Medizinische Fussabdruck" hat oder wo "Sankt Harvard" liegt, wie man uber die Partnerboerse "Tinder fur AErzte" die idealen Behandler findet, wo sich im Spital die "Becher-Polonaise" tanzen lasst und was die AErzte unterm Kittel tragen, findet hier garantiert die passenden Antworten. Dieses Buch enthalt die besten NebenWirkungen der vergangenen 10 Jahre. Fur AErzte. Und Patienten. Und alle, die das eine oder das andere einmal werden wollen.

This multi-contributed, comprehensive book covers revision surgery for total hip and knee arthroplasty. The focus of Revision Total Hip and Knee Arthroplasty will be on the techniques of revision surgery. Separated into a hip section and a knee section, each will include evaluation of the failed replacement, revision surgery, surgical technique, revision for specific diagnosis, complications, and postoperative management.

Intraoperative neurophysiologic monitoring has shown a steady increase in use for surgeries in which neural structures may be at risk of injury. Some of the surgical techniques used carry inherent risks, and these risks have changed the way in which neurophysiologic monitoring has impacted patient safety and quality of care during surgical procedures. It is therefore crucial that those performing and interpreting intraoperative neurophysiologic monitoring are adequately trained. This book is a comprehensive guide to the current practice of intraoperative neurophysiology with chapters on various modalities and clinical uses. Separate chapters devoted to anesthesia, operating room environment, special considerations in pediatrics and the interpretation and reporting of neurophysiologic data are useful and complementary. Questions and detailed answers on the topics covered can be found on the accompanying website for study review. This book will be useful to the trainee as well as the neurophysiologist already in practice.

This second edition of the Atlas of Temporomandibular Joint Surgery is a major revision of Dr. Quinn s classic work, taking into account new procedures, equipment, and evidence-based findings from the latest research in TMJ treatment. Assuming that readers are familiar with non-surgical therapies to correct temporomandibular pain and disorders, Drs. Quinn and Granquist focus on the surgical remedies for disorders that are beyond conservative treatment. This concise, how-to surgical atlas guides both the novice and experienced surgeon through the intra-articular and extra-articular procedures that have proven efficacious in the treatment of advanced craniomandibular dysfunction. Chapters take readers through decision making for TMJ surgery, diagnostic imaging methods, surgical approaches, surgery for internal derangements, trauma, osseous surgical procedures, total joint replacement, and pathologies.

Dieses Buch enthalt wertvolle praktische Anleitungen und Tipps fur die PJ-Tertiale Innere und Chirurgie und bereitet optimal auf das mundliche Staatsexamen vor. Von A wie Anamnese bis Z wie Zugange legen werden alle Schritte und Handgriffe mit vielen Bildern und kurzen Texten erklart. Auch schon fur die Famulatur ist dieses Buch eine grosse Hilfe. So koennen Sie sich ideal auf die Zeit in Praxis und Klinik vorbereiten und wissen Bescheid, wenn Sie beim Patienten sind oder mit Kollegen zusammen arbeiten. Neben der Beschreibung der praktischen Handgriffe bietet das Buch ausserdem:* Checklisten - Welches Material benoetige ich wofur?* Merksatze - Was sind die Dos and Donts?* Zwischenmenschliches - Dinge, die sonst nicht im Lehrbuch stehen.Der HerausgeberDr. Carl Meissner ist Allgemeinchirurg in der Allgemein- und Viszeralchirurgie am Klinikum Magdeburg. Sein PJ ist noch nicht so lange her und er weiss noch sehr genau, welches Handwerkszeug ein junger PJler braucht.

The eighth edition of the acclaimed text Operative Pediatric Surgery continues to provide a unique level of comprehensive detail on the full range of surgically treatable conditions presented in neonate and childhood as well as in utero. Written by expert international authors, all chapters cover both minimal access and open surgery, with operative techniques illustrated by both high-quality colour line artwork, operative photographs, and a library of video clips. Encompassing the full range of pediatric surgery operations that both trainee and experienced pediatric surgeons require, this established operative guide is the standard reference for the pediatric surgeon and will ensure that they can access the most up to date and authoritative information to benefit their clinical practice. * ensures authoritative coverage of all aspects of pediatric surgery *includes the latest operative techniques *reviews alternative surgical approaches *aids visualisation by the inclusion of over 1000 illustrations *establishes total confidence

Paediatric Surgery has been fully updated to reflect current guidelines and practices, and offers a contemporary overview of the subject in general, as well as detailed information about core subjects. Structured to assist problem-solving and diagnosis, the handbook contains detailed clinical features on all aspects of neonatal and general paediatric surgical conditions, it is a key revision tool for the MRCS and FRCS Paediatrics post-graduate exams, as well as the UEMS European exam in paediatric surgery. The chapter on common operations has been expanded, including new topics on orchidopexy, scrotal exploration, thoracotomy, and appendicectomy, as well as information on robotic surgery. There is also a new chapter on global paediatric surgery, outlining the challenges and future direction of the discipline in India, East Africa, West Africa, and South Africa. Neonatal medicine and neonatal surgery both have new topics on resuscitation, ventilation strategies, jaundice, and congenital lung abnormalities. With the knowledge level based around what is needed in clinical practice, supporting background and science is included to strengthen understanding. Pragmatic and practical, this second edition of Paediatric Surgery is a vital tool for all those who work in the field.

Over the past forty years transplantation has developed from a laboratory based experimental procedure to a clinical commonplace. Transplantation raises issues of patient screening and selection, quality of life for recipients, living donors and their families, cognitive changes associated with transplantation, ethical considerations, and the impact of immunological and pharmacological changes associated with the procedure. This complex of issues affects clinicians from a wide range of disciplines and is the focus of consultation-liaison psychiatry and this book. Pittsburgh, where many of the contributors are based, was and is still a pioneering center for organ transplantation. Dr. Thomas Starzl, who gives an overview of the field, is one of the founding fathers of transplantation surgery.

Die in diesem Ratgeber zusammengefassten Informationen uber die Craniomandibulare Dysfunktion (kurz: CMD oder Kiefergelenksyndrom) gehoeren keineswegs zum Allgemeinwissen, auch in vielen medizinischen Fachrichtungen setzt sich die Erkenntnis dieser Zusammenhange nur langsam durch. Viele unklare Beschwerden koennen auf den Kauapparat zuruckgefuhrt werden. Das Buch informiert den Patienten umfassend uber Funktionszusammenhange des eigenen Koerpers und ihre moeglichen Stoerungen. Neben den zahlreichen Informationen, die in diesem Buch enthalten sind, kann man sich anhand eines einfachen Selbsttests ein erstes Bild machen - wenn sich die Funktion Ihres Kauapparats ausserhalb des Normbereichs bewegt, erhalten Sie einen wichtigen Hinweis, wo weiterzusuchen ist. Die als CMD bezeichneten Funktionsstoerungen koennen sich weitgehend korrigieren, zumindest aber soweit entscharfen lassen, dass die von ihnen ausgehenden Beschwerden unter Kontrolle gebracht werden koennen. Die Basis dafur bilden moderne und umfassende Diagnosemethoden, bei denen auch moegliche begleitende Belastungsfaktoren des Alltags erhoben werden. Die CMD-Untersuchung wird damit, sofern gewunscht, zu einer Bestandsaufnahme von Fehlfunktionen, bei welcher tatsachlich der ganze Mensch in den Blick genommen wird!

Most 'How to write/publish' books are aimed at the scientific community and medical professionals as a whole. To date none has ever been dedicated to surgeons alone. This book is aimed specifically at surgeons who wish to have their work, observations, novel ideas to be published, but do not know the route leading to successful publication in the various leading and reputable journals. Each chapter (21 in total) will attempt to guide the budding writer, using simple and brief language and taking examples from daily life.

On its initial publication, "Forgive and Remember" emerged as the definitive study of the training and lives of young surgeons. Now with an extensive new preface, epilogue, and appendix by the author, reflecting on the changes that have taken place since the book's original publication, this updated second edition of Charles L. Bosk's classic study is as timely as ever.

This text takes a multidisciplinary approach to breast cancer care. It includes an introductory chapter looking at the incidence, epidemiology, aetiology and histology of the disease. There are chapters on the essential topics of screening, politics and multi-cultural aspects of care. Methods of treatment which include surgery, radiotherapy, chemotherapy and endocrine therapy are discussed. The remaining sections are devoted to important issues in after care and the importance of the multidisciplinary team approach.

The 6th International Symposium on Artificial Heart and Assist Devices met in Tokyo in July 1996, bringing together researchers and specialists from around the world. The symposiums proceedings in this volume comprise papers from nine sessions, each opening with contributions by leading scientists: TAH, heart transplantation, biomaterials, VAS, clinical application, pathophysiology, engineering, new approaches, and special sessions. Of special note is the inclusion, for the first time, of pathophysiology related to clinical use of assist devices. The clinical application section includes a paper by Dr. Michael DeBakey on the progress made in recent years. With descriptions of the scientific exhibition, accompanied by photographs of all artificial heart devices and systems displayed by major laboratories and manufacturers, Artificial Heart 6 presents the latest information on developments in the field of artificial heart, biomaterials, and heart transplantation.

So gehen Sie sicher in die Prufungen OP-Weiterbildung und OTA: Alle relevanten Themen der Weiterbildung und Ausbildung sind durch gezielte Aufgaben abgedeckt und konkret beantwortet. Damit koennen Sie Ihr Wissen selbstandig uberprufen und erzielen den besten Lernerfolg. Die Themenschwerpunkte sind auf das Standardwerk "OP-Handbuch" abgestimmt, in dem Sie alle Inhalte noch vertiefen und nachschlagen koennen. Neu in der 3. Auflage: komplett didaktisch uberarbeitet, groesseres Format zum besseren Lernen und mit Springer Nature Flashcards zum Wiederholen per App zu jeder Zeit, an jedem Ort

This color atlas is a detailed guide on how to perform open, endoscopic, and robotic thyroidectomy techniques safely and effectively. Each chapter offers step-by-step descriptions of essential surgical procedures and techniques. Relevant information is included on surgical anatomy, and clear guidance is provided on preoperative set-up, draping, instrumentation, and complications and their treatment. The description of endoscopic thyroidectomy techniques focuses on the bilateral axillo-breast approach (BABA), while in the case of robotic thyroidectomy both BABA and the bilateral axillo-postauricular approach are described. In each case, the evidence supporting the technique is carefully examined. In the closing chapter, the role of new energy sources in thyroid surgery is discussed. The lucid text is supported by more than 200 full-color illustrations clarifying surgical anatomy, instrumentation, and procedures, and surgical video clips are also available to readers via a website. This atlas will be invaluable in enabling surgeons to achieve optimal outcomes when performing thyroid surgery.

This evidence-based guide is the first of its kind to outline the surgical and perioperative management of patients with anatomical anomalies and support clinical decision-making under these difficult circumstances. Presented in a simple, accessible format and organized by anatomical area, this book contains all the essential topics required by trainees and practitioners to assess the patient quickly, diagnose anatomic anomalies, determine the feasibility and safety of the planned surgical and anesthetic procedures, and arrange for advanced consults and care, if needed. Newer techniques for surgical and anesthetic management of patients with anatomic anomalies are presented to facilitate practitioners' development of their skills. Chapters include the latest ultrasound techniques and images, as well as case studies. Physicians, nurses, and trainees involved in the surgical, anesthetic, perioperative, or critical care of patients will find this guide to be their go-to resource in the OR, lab, or pain clinic.

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.