AErzte gelten als Halbgoetter in Weiss und Chirurgen sind fur viele so etwas wie die Elite der AErzteschaft. Der Chirurg hat das Image eines Machers, er fasziniert, sein Alltag erscheint vielen unheimlich spannend und spektakular. Schliesslich verabreicht er keine Pillen, nein, er schneidet in die Haut - und das ist immer eine Grenzerfahrung. Dieses Buch ermoeglicht einen Blick hinter die hermetisch verschlossenen Turen der OP-Sale. Was geht dort vor sich? Welche Fahigkeiten muss der Operateur besitzen? Wie fokussiert er sich und wie bekommt er seine Emotionen in den Griff? Fragen wie diese werden in den dreizehn Kapiteln des Buches beantwortet - und das nicht in Form theoretischer Abhandlungen oder fiktiver Geschichten, sondern anhand ganz konkreter Erfahrungen des Autors, die er in seiner uber 40-jahrigen beruflichen Laufbahn sammeln durfte. Und es zieht Parallelen zum Leben ausserhalb der Krankenhauser, da letztlich in jedem Unternehmen und fur jeden Menschen dieselben Fahigkeiten und Eigenschaften wichtig sind: sich fokussieren und Ziele setzen, handeln und Druck von aussen managen, innovativ sein und das Team einbinden. Mit den konkreten Handlungsanleitungen gelingt die Umsetzung ganz einfach im Beruf oder privaten Alltag.

Considering the epidemiology of COPD, this title collects all available knowledge on the subject, featuring data on the national emphysema treatment trial. It explores the epidemiology of emphysema, the management of complications and surgical controversies in lung volume reduction surgery for emphysema (LVRS).

Advances in Spinal Fusion reveals a new generation of materials and devices for enhanced operations in spinal fusion. This reference showcases emerging research and technologies in areas such as biodegradable implants, drug delivery, stem cell isolation and transfection, cell encapsulation and immobilization, and the design of 2D and 3D scaffolds for cells. It captures a cascade of innovations crucial to increased healing and decreased morbidity in spinal fusion methods and mechanics and addresses current standards in analytical methodology and quality control, it describes the selection of biomaterials for improved biocompatibility, biostability, and structure/function relationships.

Thyroid Surgery: Principles and Practice will bridge a gap between the huge platform of literature available about thyroid surgery and the practical working reality. The pearls in techniques and surgical procedures are exhaustively detailed with authors' individual experience enriched with quality photographs. This book covers management of large/massive multinodular goiters which are the hallmark of Indian thyroids. However, the emphasis will be more on applying this knowledge to a given patient and would largely revolve around this theme. It aims to provide a take-home message in controversial areas and is a ready reference to all interested in learning the science and craftsmanship of thyroid surgery. Key Features: Covers all topics comprehensively with a practical approach Inclusion of guidelines adds value to the content Discusses all investigatory modalities Consists of useful surgical tips with exhaustive surgical photography Features large anatomical illustrations with cadaveric dissections

This book provides comprehensive coverage of the anatomical and physiological aspects of complex colorectal and pelvic malformations. Also described are the surgical protocols for this specialized field within pediatric surgery. The benefits of high-level collaboration between surgical services when treating these anomalies are explained, as are treatment algorithms and care of complications. Includes evaluation and management of the newborn Describes surgical interventions of the newborn, and when a primary repair versus a staged approach is required Explains the value of laparoscopy and deciding in which cases to use it Looks at the importance of a transition program to adulthood Pediatric surgeons worldwide and the teams in which they work will benefit from this well illustrated and comprehensive work.

Endoleaks and Endotension is an authoritative resource for vascular surgeons, interventional radiologists and cardiologists, vascular disease specialists, primary care physicians and internists, and students interested in endovascular aneurysm repair. It contains valuable guidelines from a widely respected team of international authorities on the subject.

This latest edition of an esteemed reference is one of the most comprehensive illustrated books available of the oral and maxillofacial manifestations of diseases. The fourth edition has now been revised and further expanded to include problems with newer classes of drugs and systemic diseases. Topics include: Viral and Bacterial infections and Mycoses Neoplasms and immune disorders Endocrine, nutritional, and metabolic diseases Diseases of the blood and blood-forming organs Mental disorders Diseases of the nervous, circulatory, and respiratory systems Disorders of teeth and salivary disorders Gastrointestinal disorders and diseases of the liver Diseases of the genito-urinary system and issues regarding pregnancy and menopause Diseases of the skin and subcutaneous tissues Diseases of connective tissue, bone, and joints Congenital, developmental, and systemic disorders Chemical, pharmaceutical, and physical agents Effects of radiation Clearly organized by systems of the body, this volume is a cogent examination of the most significant pathologies with oral and maxillofacial ramifications

This is the first textbook of surgical ethics. It is a practical, clinically comprehensive, well-organized guide to ethical issues in surgical practice, research, and educatio written by leading figures in surgery and bioethics. The authors cover the surgeon-patient relationship, the full range of surgical patients, surgical education and research and surgery and managed care. Their chapters are not abstract discussions of ethical principles; rather, they connect directly with the everyday concerns of practising surgeons.

From screening and diagnosis to prevention and treatment, every aspect of gastrointestinal endoscopy as a therapeutic measure is addressed in this volume. The authors are recognized authorities in this field, and in Therapeutic Gastrointestinal Endoscopy they present a problem-oriented, evidence-based textbook. In each chapter, it cites the key medical literature that can be studied for further reference. The book uses dozens of figures, photographs and illustrations to address the key issues of assessment, diagnosis and options for treatment. The authors present cohesive arguments for the preferred chosen management regime.

There is a great need for a visual resource to document, with clarity, the possible outcomes of surgery, including side effects and complications, and how these outcomes vary from individual to individual. Using a straightforward approach, Outcomes of Skin Surgery: A Concise Visual Aid is an easy-to-consult and highly illustrated reference for surgeons and patients alike. This text takes a major step forward in establishing a realistic basis for the decision-making process during a consultation. Procedures highlighted in the text include: the excision of benign and malignant tumors diagnostic biopsies cryosurgery curettage for superficial lesions photodynamic therapy

Covering both the applications and the related theory, A Concise Guide to Intraoperative Monitoring provides a general but comprehensive introduction to IOM. Unlike existing texts that typically report the results of specific studies, this book presents comprehensive coverage of the entire procedure, as well as the specific protocols used in hospital practice, examples of typical recordings, possible problems, and recommended solutions. At the end of each chapter the author poses several questions for review. These questions help technologists and medical residents in their preparation for the board exams. Taken together, these features make the book an ideal reference or training manual.

A Concise Guide to Intraoperative Monitoring begins by discussing the basic principles underlying the generation of bioelectrical signals. It then describes the electronic equipment and the various electrophysiological procedures involved in IOM. From this foundation, the book gradually advances to more specific topics, such as surgical procedures, neuronal structures at risk, the optimum combinations of tests to administer, and the proper interpretation of test results. The material
also provides you with a background on general anesthesia and analyzes the effects of various drugs on electrophysiological recordings. A Concise Guide to Intraoperative Monitoring also discusses the proper placement of stimulation and recording electrodes, as well as intervention strategies and equipment troubleshooting.

EXPAND YOUR KNOWLEDGE OF MRI OF THE FOOT AND ANKLE.

The introduction of MRI, together with rapid technological advancements over the last five years, has provided a powerful diagnostic tool. Despite this development, clinicians are unfamiliar with MRI of the foot and ankle, due to the complexities of this imaging modality and the anatomy and pathology of this region.

In Practical MRI of the Foot and Ankle, the authors present a state-of-the-art source for the broad range of topics related to this field. The work illuminates and expands on the limited body of available.

A PRACTICAL, COMPREHENSIVE REFERENCE

This work provides background information regarding appropriate MRI techniques followed by a brief discussion of the normal anatomy of the foot and ankle. Subsequent chapters encompass a broad spectrum of topics including bone injuries, osseous tumors, infections, arthropathies, and the pediatric foot and ankle.

Practical MRI of the Foot and Ankle is sure to become a standard in your reference collection.

First Published in 1981, this book offers a full, comprehensive guide to experimental stomatology. Carefully compiled and filled with a vast repertoire of notes, diagrams, and references this book serves as a useful reference for students of medicine, and other practitioners in their respective fields.

Ancient Egyptian medicine employed advanced surgical practices, while the prevention and treatment of diseases relied mostly on natural remedies and magical incantations. In the first of three volumes, The Medicine of the Ancient Egyptians explores these two different aspects, using textual sources and physical evidence to cast light on the state of ancient medical knowledge and practice and the hardships of everyday life experienced by the inhabitants of the land on the Nile. The first part of the book focuses on ancient Egyptian surgery, drawing mainly on cases described in the Edwin Smith papyrus, which details a number of injuries listed by type and severity. These demonstrate the rational approach employed by ancient physicians in the treatment of injured patients. Additional surgical cases are drawn from the Ebers papyrus. The chapters that follow cover gynecology, obstetrics, and pediatric cases, with translations from the Kahun gynecological papyrus and other medical texts, illustrating a wide range of ailments that women and young children suffered in antiquity, and how they were treated. Illustrated with more than sixty photographs and line drawings, The Medicine of the Ancient Egyptians is highly recommended reading for scholars of ancient Egyptian medicine and magic, as well as for paleopathologists, medical historians, and physical anthropologists.

In the past several years, the rapid development of sophisticated imaging modalities has made radiology the fastest growing specialty in medicine. It is important for the radiologic technologist to keep pace with technology's advancements.

The influx of freestanding outpatient facilities and the demands of insurance companies, HMOs and third party reimbursement have brought about change. Medical facilities have begun to call upon nurses, surgical technicians, and other non-radiologic personnel to assist with patient positioning during surgical procedures requiring imaging-creating a need for a concise, how-to guide to performing surgical procedures.

The Radiology Technologist's Handbook to Surgical Procedures provides a quick reference for using fluoroscopic and x-ray equipment during surgical procedures. This book includes detailed descriptions and photographs taken in actual clinical settings.

By using this manual as a foundation, the radiologic technologist will be able to master many of the operating room x-ray procedures.

Key features: High quality full color photographs and descriptive texts on the location and removal of the organs from the mouse Instructive methods and clear visuals for trimming and orienting the organs for paraffin histology to obtain the best possible sections for analysis Full color photomicrographs of the resulting section for each organ stained with hematoxylin and eosin demonstrating important features and landmarks for the histologist to ensure the optimal area for analysis is achieved All in one, easy to use guide organized by individual organs of the laboratory mouse Spiralbound for easy reference in the lab This "one-stop" guide offers an essential resource for any academic, research or development operation where mouse necropsy and/or histology are performed. Connecting the reader 'from the mouse to the microscope', it provides a detailed guide for locating, trimming, orientating and embedding of the most frequently investigated tissues collected in the laboratory mouse. It shows where the organs reside in the mouse, how to trim and embed them as well as the resulting optimal sections. This guide brings together the wealth of scattered information into one high-quality text, the emphasis is on providing knowledge that will help histologists and scientists get better results in any downstream assays where ideal sections are needed.

Originally published in 1992, Medical Theory, Surgical Practice examines medical and surgical concepts of disease and their relation to the practice of surgery, in particular historical settings. It emphasises that understanding concepts of disease does not just include recounting explicit accounts of disease given by medical men. It needs an analysis of the social relations embedded in such concepts. In doing this, the contributors illustrate how surgery rose from a relatively humble place in seventeenth century life to being seen as one of the great achievements of late Victorian culture. They examine how medical theory and surgical practices relate to social contexts, how physical diagnosis entered medicine and whether anaesthesia and Lister's antiseptic techniques really did cause a revolution in surgical practice.

Pain is an unfortunate daily experience for many individuals. Chronic pain -- lasting six or more months -- is suffered by approximately 30% of the population in the United States. These individuals wake up, function during the day and go to sleep, trying to keep pain at a minimum while, at the same time, maintaining some quality of life. They may make frequent visits to the doctor and the pharmacy. When they find relief, it is usually short-lived and comes at a cost such as dependence on narcotic medications or complete limitation of activity. Pain often becomes the central point of their existence.
This practice guide describes an approach to psychological evaluation of the chronic pain patient who is being considered for surgery. A large body of research is accumulating which demonstrates that the outcome of surgical procedures aimed at chronic pain relief can be strongly influenced by psychological and emotional factors. This approach, termed "presurgical psychological screening" (PPS) uses interview and testing techniques to identify emotional, behavioral, and psychosocial difficulties which have been demonstrated to negatively impact surgical outcome. Studies show that even patients with clearly identifiable pathophysiology may respond poorly to surgery, due to issues such as pain sensitivity, medication dependence, rewards for pain behavior and personality style. Thus, some insurance carriers, rehabilitation nurses and state worker's compensation systems are encouraging, or even requiring, presurgical psychological screening in cases of surgery designed to relieve chronic pain.
The first to present a comprehensive, unified approach to PPS in chronic pain syndromes, this text is designed to provide the behavioral health practitioner, as well as the trainee, with all the tools and information necessary to conduct PPS evaluations. It identifies a multitude of risk factors for poor surgical outcome and reviews research associated with each risk factor. Hands-on techniques for eliciting information from the patient about risk factors is also detailed. Toward this end, the practice guide also contains a number of forms and session outlines which can be directly utilized, or which can be altered to fit readers' needs. Models for weighing and combining surgical outcome risk factors are also provided. Thus, practitioners are able to reach valid and reliable predictions of surgical results. Finally, the text provides outlines of psychological interventions which can facilitate surgical outcome as well as surgical treatment alternatives. Upon completion of this practice guide, readers should be able to begin providing PPS evaluations which are scientifically valid, clinically sound, and which result in significant overall improvement in the treatment of chronic pain syndromes.

CLINICAL BIOMECHANICS OF THE LOWER EXTREMITY is a comprehensive text addressing the principles of anatomic and biomechanical development and the clinical application of these principles to disease/disorder management. The emphasis of the book is on practical information applicable to the daily practice of lower extremity care. Topics covered include: the physical examination and the assessment of disorders having a biomechanical basis, casting techniques, prescription writing, orthotic trouble-shooting, splinting and shoe prescription for athletic activity.

From challenges presented in everyday clinical practice to the complex cases without simple answers, Challenging Cases in Urological Surgery is an effective reference and revision aid for trainees and consultants alike. As part of the Challenging Cases series, cases are examined from a multidisciplinary approach considering all aspects of diagnostic, practical and evidence-based skills to provide a comprehensive and detailed demonstration of clinical investigation within real-world scenarios. With contributions from over 40 experienced and renowned consultants from the UK, the opinions within the 'Expert Commentary' includes an insight into real world case management and problem solving in complex cases. Using the most up-to-date evidence and clinical presentations highlighted in the UK ISCP curriculum, this book features the use of 'Clinical Tips', 'Evidence Base' and 'Future Advances' text boxes to highlight critical information in an easy-to-read format for efficient and effective learning. This book is split into 15 comprehensive sections; these include Urinary Tract Infection, Bladder Cancer, Male Infertility and Sexual Dysfunction and Emergency Urology and Trauma among other key areas in the field of Urology. Each chapter is a case-based guide which provides readers with practical yet clinically relevant advice on management of urological surgery cases. With every-day clinical observations, controversial topics and challenging cases, this book is a highly valuable resource for all those interested in urological surgery, trainees in the field and those sitting postgraduate urology examinations.

Reshaping... looks at women's involvement in cosmetic surgery and raises the question of why women put themselves under the knife for operations which are painful, risky and expensive and often leave them in worse shape than before.

The Objective Structured Clinical Examination or OSCE for short is a familiar and often daunting experience for medical students. This book provides the essential information needed to tackle OSCE stations competently and with confidence. Over 150 topics are covered at the perfect level of detail for candidates preparing for final exams. Using bulleted checklists and a succinct writing style, the authors cover the most important points to remember about the key conditions that students are likely to encounter during OSCEs, all in a brief 2 to 4 pages per condition.

Preoperative imaging is increasingly being adopted for preoperative planning in plastic and reconstructive surgery. Accurate preoperative analysis can reduce the length of operations and maximize surgical design and dissection techniques. Imaging for Plastic Surgery covers the techniques, applications, and potentialities of medical imaging technology in plastic and reconstructive surgery. Presenting state-of-the-art research on evolving imaging modalities, this cutting-edge text: Provides a practical introduction to imaging modalities that can be used during preoperative planning Addresses imaging principles of the face, head, neck, breast, trunk, and extremities Identifies the strengths and weaknesses of all available imaging modalities Demonstrates the added value of imaging in different clinical scenarios Comprised of contributions from world-class experts in the field, Imaging for Plastic Surgery is an essential imaging resource for surgeons, radiologists, and patient care professionals.

This book deals with heart failure in all its aspects, in- cluding chapters relating to receptor physiology and patho- physiological mechanisms, ventricular function and its assessment and the clinical aspects of heart failure in ischemic heart failure, cardiomyopathy, rheumatic heart disease and the timing of valve replacement. The pharmaco- therapy of heart failure deals with inotropic drugs, ACE in- hibitors, nitrates and calcium antagonists. Extending into the newer interventional techniques and surgical techniques the book includes chapters on balloon valvuloplasty, the po- tential use of the laser, the Jarvik artificial heart, car- diomyoplasty, left ventriculoplasty and heart and heart/lung transplantation.

This volume provides a concise yet comprehensive review of techniques for stopping ongoing hemorrhage in all areas of the body. The text discusses open surgical techniques and minimally invasive (percutaneous, endoscopic, radiologic, laparoscopic) approaches, as well as techniques appropriate to pre-hospital settings, such as "on the scene", ambulance, and the battlefield. The techniques and tips are delivered in a detailed, yet simple and straight-forward manner so that readers are more readily able to replicate these concepts in the face of ongoing, life-threatening hemorrhage. Written by experts in the field, Treatment of Ongoing Hemorrhage: A Practical Guide is a valuable resource for surgeons, trainees, and any physician who works within the emergency department or upon critically ill patients.