Atlas of Selective Lymphadenectomy for Melanoma, Breast Cancer and Colon Cancer emphasizes a multidisciplinary approach combining the experiences of a nuclear medicine physician, surgeon, and pathologist. This is an important reference also for researchers and clinicians who want to become familiar with sentinel lymph node mapping. The underlying thesis in solid tumor biology is that metastasis in general starts in an orderly progression with lymphatic spread first to the sentinel lymph node (SLN) in the nearest lymph node basin. Therefore, the logical approach is to harvest that specific SLN for thorough analysis.

Brilliant, volatile and invariably male, the surgeon stereotype is a widespread and instantly recognisable part of western culture. Setting out to anatomise this stereotype, Cold, hard steel offers an exciting new history of modern and contemporary British surgery. The book draws on archival materials and original interviews with surgeons, analysing them alongside a range of fictional depictions, from the Doctor in the House novels to Mills & Boon romances and the pioneering soap opera Emergency Ward 10. Presenting a unique social, cultural and emotional history, it sheds light on the development and maintenance of the surgical stereotype and explains why it has proved so enduring. At the same time, the book explores the more candid and compassionate image of the surgeon that has begun to emerge in recent years, revealing how a series of high-profile memoirs both challenge the surgical stereotype and simultaneously confirm it. -- .

The consummate guide to cardiac pacing and defibrillator therapy in a clinical setting Designed to provide clinicians and fellows with a complete, up-to-date breakdown of current device therapies for pacing and defibrillation, Cardiac Pacing and ICDs reflects the latest developments in the device treatment of heart rhythm abnormalities. Topics ranging from essential principals to new and innovative techniques are explored in focused chapters, illustrated with full-color images, charts, and diagrams. Addressing every aspect of permanent and temporary pacing and defibrillation therapy, this invaluable resource covers patient indications, pacing mode selection, implantation and removal techniques, troubleshooting, and much more. The seventh edition has been expanded and revised to enable clear and practical understanding of the field as it exists today. Drawing upon real-world experience and cutting-edge research, it offers accessible, systematic guidance with a clinical focus, as well as a wealth of bitesize tips and tricks. Access to a new companion website provides insightful supplementary material, complete with downloadable images and video clips of key techniques. This essential book: Provides an intuitive, easy-to-navigate guide to cardiac pacing techniques and devices Explains pacing hemodynamics in practical, clinically relevant terms Features simple algorithms for mode selection and device programming Offers details of novel pacing systems and techniques, such as leadless pacemaker and His bundle pacing. Covers pacemaker timing cycles, special features, and evaluation and management of pacing system malfunctions Summarizes indications and details implantation techniques of ICDs, including transvenous and subcutaneous systems Includes best practices in MRI safety, patient consultation, and remote patient follow-up Cardiac Pacing and ICDs is an ideal resource for clinicians and fellows in cardiology and electrophysiology, those preparing for the IHRBE Examination in Devices, and any nurses, technicians, and other professionals caring for patients with implantable cardiac devices.

Success in any exam requires careful preparation, background reading and, importantly, prior self-assessment. Containing 1000 Single Best Answer (SBA) questions for the MRCS Part A, this book offers surgical trainees a wealth of exam practice, written and edited by expert authors with recent experience of the MRCS syllabus. Get Through MRCS Part A: SBAs covers the entire syllabus, split into sections on pathology, applied surgical anatomy and physiology. Each question is accompanied by a detailed answer together with a road map highlighting important topics. Written by surgeons, for surgeons, working your way through this book is the best practise for your MRCS Part A examination.

First published in 1967, Human Guinea Pigs is a report by a consultant physician on the implications of medical research on both the medical profession and on the men, women and children who are the subjects of medical experiments. It suggests that there are limits to the permissibility of experiments on humans. It points out how it has become a common occurrence for medical investigators to take risks with patients of which the patients themselves are frequently unaware, and to submit them to mental and physical distress and possible hazards which in no way are necessitated by or have connection with the treatment of the disease from which are suffering. The author describes a number of experiments which, in his opinion, raise important problems. In his view, medical research must go on, but there must be acknowledged and observed safeguards for patients. This book will be of interest to students of medicine, ethics, law, politics and social work.

Kidney stone is a significant disease with a 12-15% prevalence in the United States. Patients with a history of stones have a 50% risk of making another stone in 5 years or 80% risk in their lifetime. The goal of this book is to educate the reader on the nuts and bolts of stone disease and to provide new and updated information to help them tackle this painful disease.

This book provides a real-time and knowledge-based fuzzy logic model for soft tissue deformation. The demand for surgical simulation continues to grow, as there is a major bottleneck in surgical simulation designation and every patient is unique. Deformable models, the core of surgical simulation, play a crucial role in surgical simulation designation. Accordingly, this book (1) presents an improved mass spring model to simulate soft tissue deformation for surgery simulation; (2) ensures the accuracy of simulation by redesigning the underlying Mass Spring Model (MSM) for liver deformation, using three different fuzzy knowledge-based approaches to determine the parameters of the MSM; (3) demonstrates how data in Central Processing Unit (CPU) memory can be structured to allow coalescing according to a set of Graphical Processing Unit (GPU)-dependent alignment rules; and (4) implements heterogeneous parallel programming for the distribution of grid threats for Computer Unified Device Architecture (CUDA)-based GPU computing.

Real-life cases sharpen your critical thinking skills for your clerkship and the shelf exam The 60 cases in Case Files Surgery feature realistic clinical scenarios designed to help you enhance and hone your clinical decision-making skills. Each case includes an easy-to-understand discussion correlated to key concepts, definitions of key terms, clinical pearls, and Board-style review questions to reinforce learning. The format allows you to review a patient vignette and then explore/examine the case in a contextual, application-based manner. The book is ideal for both quick-access and slow and careful study. Realistic cases are accompanied by questions that encourage you to think through the differential diagnosis and treatment options Real-life surgery cases with high-yield discussions aligned to clerkship guidelines USMLE-style review questions and clinical pearls accompany each case Primer on how to approach clinical problems and think like an experienced doctor

This new edition of the successful Get Ahead Surgery: 250 SBAs for Finals provides invaluable revision for all medical students preparing for final exams. Written by experienced authors, this book covers the entire syllabus in a clear and comprehensive style. It builds on the strengths of the first edition to provide reliable and effective revision practice to help candidates achieve success in final exams.

This new edition of the successful Get Ahead Surgery: 100 EMQs for Finals provides invaluable revision for all medical students preparing for final exams.

• Completely updated according to the current curriculum
• Questions are written in the style of the Universities Medical Assessment Partnership (UMAP) bank
• Enhanced answer explanations ensure thorough learning
• Contains more difficult and challenging stems for those students aiming for honours
• Also suitable for PLAB and MRCS candidates

Written by Saran Shantikumar, series editor for the Get Ahead series, this book covers the entire syllabus in a clear and comprehensive style, building on the strengths of the first edition to provide reliable and effective revision practice to help achieve success in finals exams.

Computer technology has developed remarkably in the field of neurosurgery during the past 10 to 20 years. Great achievements have been made recently in neuroimaging techniques and computer technology for neuronavigation, from frameless, armless systems to robotic microscopes. Contained in the present volume are all the papers presented at the International Symposium on Computer-Assisted Neurosurgery and selected papers presented at the 6th Annual Meeting of the Japanese Society of Computers in Neurosurgery, which were held in Kobe, Japan, on January 24-26, 1997. This volume is a comprehensive description and review of current technical ad vancements in computer-assisted neurosurgery, with a special focus on advanced intraoperative neuroimaging, various neuronavigation system, robotic microscopes, and strategies for preoperative and intraoperative surgical planning using high-power workstations with three-dimensional software. We express our thanks to the contributors for their participation and cooperation, and to Springer-Verlag for personal and technical assistance in publishing this work. We sincerely hope that this volume will contribute to improving neurosurgical technology and outcomes.

Provides a concise and intuitive overview of the role of statistics in surgical practice. Uses no mathematics but includes narrative descriptions of statistical concepts. Includes topics of specific interest to surgeons. Provides real surgical examples to illustrate applications.

A concise and convenient pocket guide to interventional cardiology's latest procedures and technologies Interventional cardiology is growing more and more integral to the modern-day management of cardiovascular problems. Indeed, trainees are taught interventional methods as a matter of course. With a widening range of options open to them, however, the practicing cardiologist must be diligent and discerning when selecting the appropriate course of action for each patient, adapting their strategy as circumstance demands. Developing the skills and experience necessary to make these key judgments can be a challenging and lengthy process. Bringing together the knowledge of an international group of over 50 experts, this fifth edition of the Practical Handbook of Advanced Interventional Cardiology helps cardiologists of all levels to find interventional solutions to a wide range of problems. Its revised contents cover topics including new devices, valve procedures, and venous and atrial occlusion, and also feature new chapters on bioresorbable vascular scaffolds, protected percutaneous coronary intervention, coronary atherectomy, pulmonary embolism, and more. This essential companion: Offers clear, easy-to-follow guidance for cardiology practitioners of all levels of skill and experience Grades each strategic or tactical action by level of complexity Includes full-color clinical images and illustrations Covers all key interventional procedures and techniques Provides practical tips and tricks for handling difficult clinical scenarios and complications The Practical Handbook of Advanced Interventional Cardiology is an invaluable resource for both practitioners and trainees in interventional cardiology and all related areas of cardiovascular medicine.

This book fills the gap between fundamental and applied research in the use of nanomaterials in biomedical applications, covering the most relevant areas, such as the fundamental concepts of the preparation of nanostructures and regulatory requirements for their safe use in biomedical devices. It also critically discusses what has been achieved in the field, and what needs to be urgently addressed and reviews the state-of-the-art medical uses of nanomaterials for treating damaged organs and tissues. Combining the expertise of clinical researchers working in the field of tissue engineering and novel materials, the book explores the main topics regarding the characterization of materials, specific organ-oriented biomaterials and their applications, as well as regulations and safety. Further, it also examines recent advances, difficulties, and clinical requirements in terms of human bone, cornea, heart, skin and the nervous system, allowing readers to gain a clear and comprehensive understanding of current nanomaterial use in biomedical applications and devices, together with the challenges and future trends. This book is a valuable tool for multidisciplinary scientists and experts interested in fundamental concepts and synthetic routes for preparing nanomaterials. It is also of interest to students and researchers involved in cross-disciplinary research in nanomaterials for clinical applications and offers practical insights for clinicians as well as engineers and materials scientists working in nanoengineering.

What are the names of the fingers? The fingers should be named: thumb, index finger, middle finger, ring finger, and little finger. But this answer is not always correct, complete, or adequate; at times, there is confusion and aberrations... Retrospectively, in 1969, in the second issue of the new British Journal of Hand Surgery, Dr. H. Graham Stack wrote a classic article, "Naming the Fingers," elaborating on these confusions, ambiguities, and misconceptions.

With the permission of Sage Publications, we have reproduced the article- and it is just as relevant today as it was four decades ago. The lessons that were illustrated and preached have still been relatively ignored. Indeed, it may be more relevant as the problem of "Naming the Fingers" has not been resolved or eliminated- and there have been over 200 reports of wrong site surgery on the hand in 2007 in the US. - including 123 on the fingers.

Fingerology has evolved into a reference book, a compendium of and about the fingers.

This unique collection of multiple choice questions (MCQs) is specifically written to help surgical trainee candidates prepare for Part One of the FRCS general surgery exit examination, which features MCQs on general surgery. The book helps candidates gauge the types of questions likely to be asked and the extent of preparation required for this examination. The wide range of surgical topics covered, including general surgery and emergency surgery in addition to endocrine, vascular, upper GI, hepatobiliary, colorectal and transplant surgery, also makes it a useful revision text for MRCS examination candidates.

Peritoneal dissemination is a common route of cancer metastasis. The benefit of administering chemotherapy directly into the peritoneal cavity is supported by preclinical and pharmacokinetic data. In comparison to intravenous (IV) treatment, intraperitoneal (IP) administration results in a several-fold increase in drug concentration within the abdominal cavity. There is now growing evidence from clinical studies showing a survival advantage for IP chemotherapy in various tumor typies, including ovarian, gastric and colorectal cancer. However, while the use of IP chemotherapy is slowly gaining acceptance, it is not universal, largely due to the greater toxicity associated with this approach. Moreover, efficacy of IP chemotherapy is limited by poor distribution within the abdominal cavity and by poor tissue penetration. A new way of IP chemotherapy is the application of cytotoxics in form of a pressurized aerosol into the abdominal of thoracic cavity. Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is applied through laparoscopic access using two balloon trocars in an operating room equipped with laminar air-flow. In a first step,a normothermic capnoperitoneum is established with a pressure of 12 mmHg. A cytotoxic solution (about 10% of a normal systemic dose) is nebulized with a micropump into the abdominal cavity, and maintained for 30 min. The aerosol is then removed through a closed suction system. Applying an aerosol in the peritoneal cavity allows a homogeneous distribution of the chemotherapeutic agent within the abdomen. Furthermore, an artificial pressure gradient is generated that overcomes tumoral interstitial fluid pressure, an obstacle in cancer therapy. This results in a higher local drug concentration compared to conventional IP or IV chemotherapy. At the same time the plasma concentration of the chemotherapeutic agent remains low. In first clinical studies with limited number of patients in ovarian, gastric and colorectal cancer, as well as peritoneal mesothelioma, PIPAC has obtained encouraging tumor response rates and survival, with a low-side effects profile. Larger clinical trials are currently ongoing to examine if these data can be reproduced and extrapolated to other situations.

1. A guide to managing paediatric surgical patients in a remote and rural setting 2. Includes guidance on differences in presentation and problems relating to the Tropical environment 3. A key resource in understanding paediatric surgical patients needs when being managed remotely

Current Trends in Biomanufacturing focuses on cutting-edge research regarding the design, fabrication, assembly, and measurement of bio-elements into structures, devices, and systems. The field of biomaterial and biomanufacturing is growing exponentially in order to meet the increasing demands of for artificial joints, organs and bone-fixation devices. Rapid advances in the biological sciences and engineering are leading to newer and viable resources, methods and techniques that may providing better quality of life and more affordable health care services. The book covers the broad aspects of biomanufacturing, including: synthesis of biomaterials; implant coating techniques; spark plasma sintering; microwave processing; and cladding, powder metallurgy and electrospinning. The contributors illustrate the recent trends of biomanufacturing, highlighting the important aspects of biomaterial synthesis, and their use as feedstock of fabrication technologies and their characterization, along with their clinical practices. Current Trends in Biomanufacturing updates researchers and scientists the novelties and techniques of the field, as it summarises numerous aspects of biomanufacturing, including synthesis of biomaterials, fabrication of biomedical structures, their in-vivo/ in-vitro, mechanical analysis and associated ISO standards.

A notable surgeon and charismatic teacher himself, Professor Ellis has brought together in Operations that Made History a fascinating collection of renowned surgical procedures, each one illustrating a different aspect of the history of surgery. The first section of the book looks at examples of surgical procedures which have made a major contribution to the history of surgery, such as the first successful gastrectomy, performed in Vienna over a hundred years ago by Theodor Billroth. Some operations, whilst in themselves minor procedures, have nevertheless had a massive impact on the history of surgery. These are grouped together in the second section. In the final part of the book, Professor Ellis focuses on the famous patient, such as Nelson and George IV. In surgery, as in fields of human activity, history is forgotten at our peril. Operations that Made History gives its readers a unique insight into a remarkable speciality, using the lessons of history to instruct as well as amuse.

Dr. Moshe Schein has previously compiled two books of surgical aphorisms and quotations the first book Aphorisms & Quotations for the Surgeon, with its 1500 quotations, and the slimmer A Companion to Aphorisms & Quotations for the Surgeon. Since their publication, both books have become steady bestsellers. Surgeons use the books to decorate their lectures or manuscripts with relevant smart or entertaining entries; some like to quote from the books during teaching rounds or conferences; many simply enjoy them for their collective and eternal surgical wisdom and wit. Now, as Moshe is drifting towards retirement, here is the last in the trilogy of this international bestselling series The Little Book of Aphorisms & Quotations for the Surgeon. The quotes collected within this little book have been gathered since the publication of the last two books in the series. As before, these aphorisms and quotations are retrieved from multiple sources: journals, books, lectures and, more and more, gathered from surgical friends around the world. The decision to include any entry is based on personal taste. Some would question the wisdom or accuracy of individual entries; others may not get the humor or may object to political incorrectness.

Whether you are a doctor, nurse, student, or otherwise interested reader, the stories here will help you to understand how medicine works and how medical error can happen. The lifelong process of learning that is a medical career requires healthcare workers to find a way to live through these setbacks without either becoming too adept at putting them 'down to experience' and forgetting their social significance, or 'burning out' and leaving medicine. The stories and discussions here present detailed narratives, analyses, and reflections on medical errors through actions, omissions, and misunderstandings. They offer a uniquely honest perspective on the social implications of medical error and will enable healthcare workers at all levels to analyse and learn from it without losing sight of its impact.