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.

A senior surgeon suggests that many commonly performed operations are not necessary and that any benefits they offer are a placebo. For many complaints and conditions the benefits from surgery are lower, and the risks higher, than you or your surgeon think. In this book you will see how commonly performed operations can be found to be useless or even harmful when properly evaluated. Of course no surgeon is recommending invasive surgery in bad faith, but Ian Harris argues that the evidence for the success for many common operations, including knee arthroscopies, back fusion or cardiac stenting, become current accepted practice without full examination of the evidence. The placebo effect may be real, but is it worth the recovery time, expense and discomfort?

This book provides readers with a detailed orientation to healthcare simulation research, aiming to provide descriptive and illustrative accounts of healthcare simulation research (HSR). Written by leaders in the field, chapter discussions draw on the experiences of the editors and their international network of research colleagues. This seven-section practical guide begins with an introduction to the field by relaying the key components of HSR. Sections two, three, four, and five then cover various topics relating to research literature, methods for data integration, and qualitative and quantitative approaches. Finally, the book closes with discussions of professional practices in HSR, as well as helpful tips and case studies.Healthcare Simulation Research: A Practical Guide is an indispensable reference for scholars, medical professionals and anyone interested in undertaking HSR.

A textbook in the Illustrated Colour Text series on ENT, aimed at medical students and junior doctors.Concise presentation of ENT in the attractive ICT format - clear line diagrams, colour photos of clinical conditions, summary boxes etc. Covers a topic which is important in primary care - medical students and junior doctors are motivated to buy a book in this area. Basic anatomy and physiology is reviewed - useful revision for students in clinical years. Comprehensive coverage of both presenting symptoms and specific diseases, with more detail on the commoner conditions. Clear description of examination and investigation techniques.

volume of conference proceedings reviews the general pathophysiological significance of the isoforms of cyclooxygenase, and the likely value of selective COX-2 inhibitors in the treatment of rheumatoid conditions. Also covered is the possible use of antibodies against cytokines and cell adhesion receptors in the treatment of inflammatory conditions.

Cardiothoracic Critical Care covers an engaging collection of critical scenarios based on actual cardiothoracic intensive care unit events, ranging in topics from fundamentals of critical care to management of mechanical circulatory support devices. Each chapter discusses a unique case scenario, the appropriate diagnosis, and summarizes the most up-to-date evidence-based management recommendations and best practice guidelines. Combining years of critical care experience into a problem-based learning compendium, Cardiothoracic Critical Care is an ideal resource for the diverse group of medical providers and levels of experience working in the intensive care unit.

Compact and portable, Netter's Surgical Anatomy Review P.R.N. is the easiest and most convenient way to refresh need-to-know anatomy for surgeons-in-training. Vibrant, detailed artwork by preeminent medical illustrator Frank H. Netter, MD makes it easy to visualize the anatomy that underlies the procedures and clinical conditions you see during a surgical residency or clerkship. This concise, instant review of anatomy and clinical correlates is perfect for "just in time" use. Updates include new chapters on heart and lung anatomy, diagnoses, and procedures. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.

Modern practical medicine requires high tech in diagnostics and therapy and in consequence in education. All disciplines use computers to handle large data bases allowing individual therapy, to interpret large data bases in form of neuronal signals, help visualization of organs during surgery. This book contains chapters on personalised therapy, advanced diagnostics in neurology, modern techniques like robotic surgery (da Vinci robots), 3D-printing and 3D-bioprinting, augmented reality applied in medical diagnostics and therapy. It is impossible without fast large scale data mining in both: clinical data interpretation as well as in hospital organization including hybrid surgery rooms and personal data flow. The book is based on a course for medical students organized in the editor's department. Every year, around 300 international undergraduate medical students take the course.

Surgery of the Liver, Bile Ducts and Pancreas in Children, Third Edition describes the modern approach to the diagnosis, management and surgery of childhood conditions of the liver and associated structures. The first edition was recognized worldwide as a landmark publication and helped to establish pediatric hepatobiliary surgery as a discrete subspecialty; the second was expanded to include pancreatic diseases, transplantation and trauma. This third edition is overseen by a new editorial team from two world-leading centers for children's liver surgery: King's College Hospital in London, and Lurie Children's Hospital in Chicago. The book has been further expanded and updated by a team of international experts to take account of the very latest advances in research and practice.

The content from these proceedings comes from a symposium honoring Larry Hench, a pioneer in the field of bioceramics. Prof. Hench has condensed his Sosman Lecture into the keynote paper of this volume. In addition, this proceedings draws together research in the different aspects of bioceramics and illustrates its unifying themes. Apatites and active bone substitute materials are well represented, with extended analyses of processing effects and variations in making these materials more functional. Included in this volume are a series of papers on interactions between ceramics and biological environments with some much needed analysis of why ceramics succeed or don't in vivo.

This issue of Surgical Oncology Clinics of North America focuses on Biliary Tract and Primary Liver Tumors and is edited by Dr. T. Clark Gamblin. Articles will include: Biliary Tract and Primary Liver Tumors; Biliary Tract and Primary Liver Tumors: Who, What and Why?; Imaging Updates for Biliary Tract or Primary Liver Tumors; Endoscopic and Percutaneous Approaches to Treat of Biliary Tract and Primary Liver Tumors: Controversies and Advances; Intrahepatic Cholangiocarcinoma: Strategies and Options; Surgical Considerations of Hilar Cholangiocarcinoma; Gall Bladder Cancer: Managing the Incidental Diagnosis; Approaches and Outcomes to Distal Cholangiocarcinoma; Evolving Surgical Options of Hepatocellular Carcinoma; Staging of Biliary and Primary Liver Tumors: Current Reccomendations and Workup; Systemic and Targeted Therapy for Biliary Tract Tumors and Primary Liver Tumors; Regional Chemotherapy for Biliary Tract and Primary Liver Cancer; Role of Radioembolization for Biliary Tract and Primary Liver Cancer; Inoperable Biliary Tract and Primary Liver Tumors: Palliative Treatment Options; Expanding the Surgical Pool for Hepatic Resection to Treat Biliary and Primary Liver Tumors; and more!

Die neueste Ausgabe des Atlas of Gastroenterology enthalt umfassendes Bildmaterial, das einen besonders aussagekraftigen UEberblick uber die wichtigsten gastrointestinalen, pankreatischen und hepatobiliaren Erkrankungen vermittelt. Alle Erkrankungen des Magen-Darm-Trakts, von Leberabszessen uber endokrine Neoplasmen der Bauchspeicheldruse bis hin zu Motilitatsstoerungen der Speiseroehre, werden anhand von endoskopischen und transabdominalen Ultraschallbildern, Computertomographien, Magnetresonanzbildern, Radionuklidbildern, Angiogrammen und hochaufloesender Manometrie dargestellt, erganzt um Hinweise zur Histopathologie und Zytologie. Der Atlas enthalt uber 2000 aussergewoehnliche Bilder, geordnet nach Krankheitsbild und Therapieansatz, die auch histopathologische Praparate, MRT- und CT-Scans, Endoskopie, EUS und Bilder von offenchirurgischen Eingriffen umfassen. Mit einem hervorragenden Redaktionsteam und 200 Autoren fur die einzelnen Kapitel, bei denen es sich jeweils um international anerkannte Experten in ihren Fachgebieten handelt, richtet sich Yamada`s Atlas of Gastroenterology an eine breite Leserschaft, von Studierenden uber Assistenzarzte, Stipendiaten und AErzte in Ausbildung bis zu Klinikarzten, Professoren und anderen Medizinexperten. Vielbeschaftigte AErzte in Ausbildung oder Klinikarzte, die sich eine schnelle Einfuhrung in das Spektrum der gastroenterologischen Erkrankungen wunschen, finden in Yamada`s Atlas of Gastroenterology eine praktische und hilfreiche Darstellung der haufigsten Erkrankungen mit einer prazisen, umfassenden Erlauterung der wichtigsten Punkte.

Smart Advice on the leading causes of back problems and the best ways to relieve the pain
Smart Ways to stretch, exercise, and strengthen the muscles in your back
Smart Tips on how today's leading medical techniques and therapies can make your back feel good again
An all-you-need-to-know introduction to understanding why your back hurts and how to make it feel good again
* Smart Insights into the causes of back pain and the many factors--including

For courses in surgical technology intended to prepare students for the current NBSTSA surgical technologist certification exam. This ISBN is for exam review via Pearson Test Prep, an online practice resource. Go digital: Practice taking your surgical technology exam online - with Pearson Test Prep Pearson's Surgical Technology Exam Review provides everything the surgical technology student needs to know to prepare for today's NBSTSA CST certification exam. Developed by multiple leaders in the field, the content is based on the NBSTSA CST certification exam outline and the AST's Core Curriculum for Surgical Technology, 6th Edition. Students practice with more than 1,000 questions spanning all aspects of surgical technology practice, as well as concise topical outlines summarizing key knowledge. New! The 4th edition is now offered via Pearson Test Prep, an online practice resource with hundreds of questions and detailed rationales, available for both desktop and mobile.

Returning for its fifth edition, the Oxford Handbook of Anaesthesia has been re-energized by new editors and a specialist contributor team, while still retaining its much-loved, clear and concise style. Written for anaesthetists at all stages of their careers, from trainees sitting exams through to experienced consultants as well as ODPs and nurses involved in theatre area work and pre-assessment, this comprehensive guide to the anaesthetic world is as indispensable as ever. This new edition has been completely revised and brings you the most up-to-date guidance and information to keep pace with fast-moving areas of anaesthesia, including a completely revised regional anaesthesia chapter. Now in full colour and packed with enhanced illustrations throughout, including new ECG rhythm strips and illustrations of specialist equipment, the Handbook also includes colour coding for easier navigation. Designed for daily use, this Handbook is your essential companion to anaesthesia, with everything you need at your fingertips whether on the go or for revision.

A concise revision guide to the core basic sciences for all surgical trainees preparing for Part A of the Intercollegiate MRCS examination. Covering the essential facts for anatomy, physiology and pathology, with indications of both their clinical relevance and importance. Focusing on the recurring examination themes for initial surgical training, this title is designed for the basic surgical trainee as well as proving useful for those in higher surgical training and for the surgically-inclined, well-motivated student. Covers the essentials of the basic sciences - anatomy, physiology and pathology - for the MRCS examination. Explains the application and clinical relevance of the three sciences. Bulleted text for easy reading and rapid exam preparation. Focused on the common themes of the examination. Clear annotated line drawings to aid learning. 250 new online single-best answer questions in the format of the MRCS Part A examination. Each answer will refer back to text for further reading as required. New OSCE 'Clinical scenarios' at the end of every chapter.

The closest students can get to seeing the USMLE Step 2 CK without actually taking it Surgery: PreTest Self-Assessment & Review is the perfect way for students to assess their knowledge of surgery for the USMLE Step 2 CK and shelf exams. It includes 500 USMLE-style questions and answers that address the clerkship's core competencies along with detailed explanations of both correct and incorrect answers. Readers will find vignette-style questions and updates on the latest surgical techniques. All questions have been reviewed by students who recently passed the boards and completed their clerkship to ensure they match the style and difficulty level of the exam. *500 USMLE-style questions and answers *Detailed explanations for right and wrong answers *Targets what you really need to know for exam success *Thoroughly reviewed by students who aced their clerkship*Targets all the topics students must know for clerkship success*Answers are referenced to leading textbooks and journal articles

A unique, must-have study aid for the hepatology boards In Hepatology and Transplant Hepatology: Board Review with Multiple Choice Questions, two experienced hepatologists deliver a practical and hands-on resource ideal for trainees seeking board certification in hepatology. The only board-specific study aid on the market today, this book covers all the areas tested on the exam: pre-transplant, peri-operative, post-transplant and transplant immunology. This indispensable study aid also includes: Questions based on real cases experienced by the authors Original images, pathology slides and cholangiograms Questions and answers based on up-to-date management guidelines from the main liver societies Brief topic overviews following each question, as well as "Pearls" and "Must-Know Facts" sections scattered throughout the book Perfect for medical professionals studying and preparing for the hepatology boards, Hepatology and Transplant Hepatology: Board Review with Multiple Choice Questions is also an indispensable resource for practicing gastroenterologists and hepatologists seeking to refresh their knowledge and test their proficiency in foundational and advanced hepatology topics.

Nasal continuous positive airway pressure ventilation is the gold standard in the treatment of obstructive sleep apnea. Long-term compliance rates are about 60%. Therefore, several alternative treatment options are of special interest. Beside conservative therapies, various surgical concepts exist. The field of surgery for sleep disordered breathing has rapidly grown with new instrumentation and surgical techniques in the last 10 years. Surgeons in these fields have to attend scientific meetings, participate in workshops, and read the literature to stay up to date. In our sleep laboratories we conduct 30 polysomnographies each night. Each year, we perform almost 1,000 surgical procedures for sleep disordered breathing apart from numerous other conservative and apparative treatment modalities. Referring to our expe- ence and the present literature, we tried to give new information on surgical techniques in this second edition. The chapters are grouped in different anatomical fields of interest. We wanted to give general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptions, the chapters contain informations about indications and contraindications of each surgical procedure and the postoperative care. Special interest has been dedicated to evidence-based medicine. So in each chapter, there is a table of references summarizing the effectiveness of the procedure and EBM grade.

In Essential Urologic Laparoscopy: The Complete Clinical Guide, Second Edition, editors Sean P. Hedican and Stephen Y. Nakada provide a complete update of their critically acclaimed first edition while adding new material related to Hand Assisted Laparoscopic Radical Cystectomy, Laparoscopic Retroperitoneal Lymph Node Dissection and Laparoscopic Assisted Renal Ablation. The authors offer clear, concise chapters focusing on getting started, laparoscopic instrumentation, and step-by-step procedural adult laparoscopy. Each chapter is organized so that the reader can easily identify key points and pitfalls, providing user-friendly text that describes the essential equipment necessary for performing urologic laparoscopy. Authorative and highly practical, Essential Urologic Laparoscopy: The Complete Clinical Guide, Second Edition provides a comprehensive guide to performing effective and cutting-edge urologic laparoscopy and is a must have for any urologist looking to create, maintain, or expand a successful practice in minimally invasive urologic surgery.

This volume provides the most comprehensive and complete resource available on all aspects of gastric cancer and it’s management. The book covers topics such as oncologic approaches to staging, treating, and following patients, filling a critical need for resource materials on these areas. As multidisciplinary care is an integral part of gastric cancer treatment, this text is unique in including a renowned group of expert authors from a variety of disciplines, including pathology, gastroenterology, medical oncology, surgery and clinical genetics. In addition, authors from an international pool of gastric cancer experts have covered the breadth of practice and understanding globally. Edited and organized by an expert from one of the most highly respected cancer institutions in the country, Gastric Cancer: Principles and Practice is an expert review of this field, serving as a valuable reference for physicians in training and in practice, as well as for researchers who are interested in the scope of issues and advances in this important malignancy.

Despite tremendous recent advances in the treatment of most malignancies, there remain several critical questions for each cancer. This particularly true for the surgical management of solid-organ malignancies. Comparative effectiveness is a relatively new term which encompasses the age-old concepts of how best to treat cancer patients. Comparative effectiveness is defined as the direct comparison of healthcare interventions to determine which work best for which patients when considering the benefits and risks. The Institute of Medicine has defined comparative effectiveness research(CER) as the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care. CER is certainly best done with well-conducted randomized controlled trials. Unfortunately, clinical trials are not always feasible owing to the impracticality of conducting the trial, the considerable cost, and the time required to complete the trial. These challenges are even more pronounced with respect to surgical treatment. Thus alternative approaches may need to be considered in order to address pressing questions in the care of the oncology patient. These approaches may include well-conducted retrospective cohort studies from cancer registries and other data sources, decision and cost-effectiveness analyses, and other novel methodologies. This book lays out the current critical questions for each major malignancy and proposes approaches to gain answers to these pressing questions.

This volume provides a comprehensive overview of quality metrics and methods used to improve quality for all major modalities of CRC screening. It introduces the readers to the evidence of effectiveness behind various CRC screening modalities: stool-based tests (Fecal Occult Blood, Fecal Immunochemical and Fecal DNA tests), flexible sigmoidoscopy, colonoscopy and CT colonography. In-depth chapters review the latest guidelines for CRC screening, compare differences among the five major national guidelines, and highlight the need for valid quality and cost indicators. While the main focus of this volume is on colonoscopy, since most quality indicators and analyses have focused on this modality of screening and surveillance, one chapter is devoted to quality indicators of other screening modalities. Differences between process and outcome measures are also highlighted and a small but valid set of recommended national measures are listed. Written by experts in the field, Colorectal Cancer Screening: Quality and Benchmarks is an important and useful resource written for gastroenterologists, primary care physicians, general and colorectal surgeons, family physicians, and investigators with research focus in screening and quality metrics.

This book presents an overview of the most important current developments in the pre-analytical handling of tissue. It addresses in particular potential ways to improve the situation whereby methods employed in the pre-analytical phase – the period from surgical removal of tissue to the start of pathological processing – have remained essentially unchanged for decades with only modest standardization. It is examined how the pre-analytical period can be optimized, resulting not only in an increase in diagnostic quality but also in a reduction in processing time and costs. Among the key topics examined are the so-called cold ischemia time between tissue removal and fixation, the potential superiority of vacuum-based preservation over immediate formalin fixation, two-temperature fixation, molecular analysis methods, and the pre-analytics of specimens from particular tissues. Readers will find this book to be an important update that reveals the full importance of the pre-analytical phase for quality of pathological work-up.