The third edition of ENT: An Introduction and Practical Guide provides an essential introduction to the clinical examination, treatment options and surgical procedures within ENT. It encompasses the most frequently encountered conditions in the emergency setting, on the ward and in the outpatient clinic. The text has been updated to include new content on implantation surgery for hearing loss. It also includes significant changes in the indications for surgery, patient assessment, management, and surgical techniques. The subject of dizziness and vertigo have also been updated to include novel interventions. With its highly practical step-by-step approach, this book will be invaluable to all surgical trainees studying for higher postgraduate examinations in ENT, and an essential guide for otorhinolaryngologists, primary care practitioners and specialist ENT nurses in their early years of training.

'Principles and Practicalities of ENT' ensures that doctors of all levels are well equipped to approach common clinical scenarios encountered in ENT with confidence. Each section covers how to prepare for patients, includes key points in the history and examination, and how best to investigate and manage a wide variety of common ENT presentations and conditions. The material is structured to provide an easy reference including red flag and primary care sections to enable readers to know what to look out for when considering referrals. Inaddition to being a revision tool for medical students, doctors pursuing MRCS (ENT) examinations and higher surgical training in ENT, this book also serves as a useful aid for primary care physicians in their everyday diagnostics and referral practices.

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.

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.

Modern imaging methods have made it possible to detect breast cancer at an earlier stage than in the past. Nevertheless, a large majority of suspicious findings at screening subsequently prove to be benign. It is therefore important to be able to identify benign lesions in a manner that is reliable, tissue sparing, patient friendly, and cost-effective. More than 70% of breast biopsies can now be performed using minimally invasive procedures that meet these criteria. This book examines in detail vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact, Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and ductoscopy. Further chapters are devoted to the pathology of the breast tissue obtained using these procedures, their limitations, the implications of recent advances in breast imaging, and the results of cost-benefit analyses. The closing chapter provides a systematic review and meta-analysis of recent data.

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.

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.

This timely book analyses and evaluates ethical and social implications of recent developments in reporting surgeon performance. It contains chapters by leading international specialists in philosophy, bioethics, epidemiology, medical administration, surgery, and law, demonstrating the diversity and complexity of debates about this topic, raising considerations of patient autonomy, accountability, justice, and the quality and safety of medical services. Performance information on individual cardiac surgeons has been publicly available in parts of the US for over a decade. Survival rates for individual cardiac surgeons in the UK have recently been released to the public. This trend is being driven by various factors, including concerns about accountability, patients??? rights, quality and safety of medical care, and the need to avoid scandals in medical care. This trend is likely to extend to other countries, to other clinicians, and to professions beyond health care, making this text an essential addition to the literature available.

This handbook covers the technical, social and cultural history of surgery. It reflects the state of the art and suggests directions for future research. It discusses what is different and specific about the history of surgery - a manual activity with a direct impact on the patient's body. The individual entries in the handbook function as starting points for anyone who wants to obtain up-to-date information about an area in the history of surgery for purposes of research or for general orientation. Written by 26 experts from 6 countries, the chapters discuss the essential topics of the field (such as anaesthesia, wound infection, instruments, specialization), specific domains areas (for example, cancer surgery, transplants, animals, war), but also innovative themes (women, popular culture, nursing, clinical trials) and make connections to other areas of historical research (such as the history of emotions, art, architecture, colonial history). Chapters 16 and 18 of this book are available open access under a CC BY 4.0 license at link.springer.com

Each year approximately two million people who are burned require medical treatment. Seventy thousand require hospitalization, and nine thousand die from their injuries. "Coping StrategieS" provides the burn patient and his/her family a unique source of information and insight on the effects of disfigurement, sexuality, cosmetics, prosthetics, coping with stress, anxiety and guilt, and about employment strategies. These topics are addressed by professionals and survivors and parents of survivors--uniting all points of view and making this work important reading.

This very popular revision guide, originally published in its first edition as General Pathology Vivas, is packed with useful information in A-Z format covering the essentials of pathology for examination candidates. This accessible and informative text will help to dispel some of the anxiety facing those studying for their viva or oral examinations. It has been written by a pathologist with many years of experience teaching pathology. This edition, first published in 2006, includes many updated entries to provide even broader coverage of the key topics and concepts that are an essential prerequisite to understanding basic pathology. This concise account is aimed at undergraduate medical candidates and for the oral parts of the MRCS, MRCP and FRCOG examinations. It will also serve as a valuable aide memoire for the junior surgeon or doctor at all levels of experience, especially those training junior staff themselves.

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.

This book comprises the proceedings of the second International Conference, AsiaHaptics 2016, held in Kashiwanoha, Japan. The book treats the state of the art of the diverse haptics (touch)-related research, including scientific research of haptics perception and illusion, development of haptics devices, and applications to a wide variety of fields such as education, medicine, telecommunication, navigation, and entertainment. This work helps not only active haptic researchers, but also general readers to understand what is going on in this interdisciplinary area of science and technology.

Reconstructing Identity After Brain Injury tells the remarkable story of Stijn Geerinck and his journey from road traffic accident to recovery. After he was hit by a drunk driver whilst cycling, Stijn suffered a traumatic brain injury and had to undergo drastic maxillofacial and neurosurgery. In his own words, this book narrates Stijn's difficult recovery, focusing on the physical, medical, mental, social and financial changes he had to endure. It lays the groundwork for coping with permanent impairment resulting from TBI, including lifelong lesions and the irreversible physical changes. The testimonial narrative is complemented with philosophical insights, providing key philosopher's reflections on the experience of brain injury. Stijn also explores the essential human characteristics of resilience, fighting spirit, emotionality, despair, vulnerability, hope, depression, optimism, anxiety, rationality, focus, anger and love, as he looks at the impact of his brain injury and resulting disfigurement on his masculine identity. It is essential reading for any professional involved in neuropsychological rehabilitation, and all those touched by this condition.

Reconstructing Identity After Brain Injury tells the remarkable story of Stijn Geerinck and his journey from road traffic accident to recovery. After he was hit by a drunk driver whilst cycling, Stijn suffered a traumatic brain injury and had to undergo drastic maxillofacial and neurosurgery. In his own words, this book narrates Stijn's difficult recovery, focusing on the physical, medical, mental, social and financial changes he had to endure. It lays the groundwork for coping with permanent impairment resulting from TBI, including lifelong lesions and the irreversible physical changes. The testimonial narrative is complemented with philosophical insights, providing key philosopher's reflections on the experience of brain injury. Stijn also explores the essential human characteristics of resilience, fighting spirit, emotionality, despair, vulnerability, hope, depression, optimism, anxiety, rationality, focus, anger and love, as he looks at the impact of his brain injury and resulting disfigurement on his masculine identity. It is essential reading for any professional involved in neuropsychological rehabilitation, and all those touched by this condition.

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.

The Trauma Care Manual 3e is the definitive evidence-based manual of best trauma practice. Now in its third edition, this valuable book continues to provide clear practical guidelines for the management of victims of major trauma. New coverage includes chapters on abdominal and urological trauma, aswell as trauma in the obese patient. Also included is coverage of pre-hospital management; trauma centres, sytems & teams; modern trauma resuscitation; trauma physiology & metabolism; damage control surgery. Written by members of Trauma Care, this book offers a nationally accepted set of standards for good practice.

Describing the diagnosis and management of maxillofacial and associated traumatic injuries step by step, Oral and Maxillofacial Trauma, 4th Edition takes you beyond the surgical management of head and neck trauma to cover the general management of traumatic injuries, systemic evaluation of the trauma patient, and special considerations associated with maxillofacial trauma patient care. New to this edition are over 700 full-color illustrations showing details of traumatic injuries and their treatment. Edited by head and neck trauma expert Dr. Raymond J. Fonseca, along with over 80 highly respected contributors, this comprehensive reference provides all of the information you need to offer the best care possible to maxillofacial trauma patients. One-of-a-kind, comprehensive chapters cover current research literature with topics including advances in maxillofacial trauma surgery, nonpenetrating chest trauma, metabolic response to trauma, maxillofacial prosthetics, and the societal impact of maxillofacial trauma. Coverage of emerging topics includes firearm injuries, neurologic injuries (the leading cause of death from trauma), wound healing, airway management, shock, and nasal fractures, so you can work confidently with team members from other disciplines such as neurologists, anesthesiologists, and orthopedists. Over 80 expert contributors represent the specialties of oral and maxillofacial surgery, anesthesiology, and otolaryngology. UPDATED content reflects current thinking and the latest techniques in the management of traumatic injuries. NEW full-color illustrations and design highlight clinical areas and show details of injuries and their treatment. NEW! Streamlined, single-volume format makes information easier to access and the book easier to carry.

In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.

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.