An overview of the wide variety of medical devices that are an integral part of clinical practice, this practical book includes descriptions of medical devices by both clinical specialty and purpose, thus ensuring that a wide variety of devices are included. Covering important elements such as body contact, duration of contact, the mechanism of each device, its intended use, single and/or multiple use, benefits and any side/adverse/toxicological effects to the patient, and how to avoid user error, and authored by clinicians, researchers and educators who are experienced in medical device use, regulation and research, the content will be of benefit to postgraduate clinicians and employees of medical device companies.

This book introduces readers to the latest developments regarding pressure injury wounds, diabetic wounds, and negative pressure wound therapy. The first part exclusively deals with wounds from pressure ulcers, describing in detail their prevention, classification, and treatment. In turn, chapters addressing diabetic wounds form the middle part of the book. Here, the authors provide guidance on the medication and treatment (e.g. stem cells, laser) of patients suffering from this disease. The book's last part, which focuses on negative pressure wound therapy, addresses all major aspects of this approach, reflecting the latest research. Illustrated with a wealth of high-quality pictures throughout, the book offers a unique resource for both beginners and experienced plastic surgeons.

Capturing the latest thinking for the evaluation and treatment of dentofacial deformities, Principles and Practice of Orthognathic Surgery, covers the basic principles and concepts required to diagnose and correct dentofacial deformities along with planning, surgical techniques, surgical complications, classic patterns, and clinical presentations. Clinical photos, case studies, and detailed art make this a valuable reference for orthodontists, craniofacial surgeons, oral and maxillofacial surgeons, and residents in training. More than 8,000 photos and illustrations boost your understanding of key points and surgical techniques. Logically organized material aids your thinking prior to developing treatment plans and executing surgery. Current surgical protocols for Oral and Maxillofacial Surgeons and Orthodontics put you at the forefront of the orthognathic surgery field. NEW! In-depth content revision and clear artwork are added to this edition. NEW! Virtual Surgical Planning chapter examines how VSP provides a useful tool for planning surgeries prior to entering the operating room. NEW! 45 videos depict step-by-step approaches to essential orthognathic procedures and techniques. NEW! Enhanced eBook version included with every new print purchase provides access to a complete, fully searchable version of the text, along with videos of procedures and much more! NEW! More case studies are included, each demonstrating long-term results. NEW! Up-to-date review and analysis of research literature is added.

Hip Replacement offers useful strategies to
choose the appropriate biomaterials and implant structure
avoid complications in hip replacement surgery
analyze the bone-biomaterial interface
perform difficult hip reconstructions
track in vivo performance of hip prosthetics
inhibit implant loosening and the formation of wear debris
classify acetabular defects for surgical revisions
Providing nearly 200 figures, pictures, and micrographs to clarify surgical procedures, Hip Replacement is a timely and state-of-the-art guide for orthopaedic and hip replacement surgeons; geriatricians; biomedical, biomaterials, and chemical engineers and bioengineers; physical, materials, biological, and polymer scientists; and upper-level undergraduate and graduate students in these disciplines.

This book has been written to assist not only postgraduate students, but also int- ested dermatologists, general practitioners, and surgeons. During the last two decades, various surgical therapies have been used in the tre- ment of stable refractory vitiligo, but none of them became very popular because of their intrinsic drawbacks, and thus could not be adopted as a standard procedure. There has always been a need for a technique that gives best results without complications. The commonly used surgical procedures for the treatment of vitiligo have been narrated in short and their characteristic drawbacks have been pointed out. The c- lular graft technique is costly, requires a good laboratory and infrastructure, and except for being able to cover a wider vitiliginous area, the ultimate results are no better than tissue grafting technique. I used the small skin particles prepared from ultra thin or thin split thickness skin graft, the so called "microskin graft," in the tre- ment of vitiligo effectively with good expansion ratio, i.e., small donor skin to treat big vitiliginous area. This procedure covers the bene? t of cellular and tissue graft, but without their inherent drawbacks. The microskin graft technique has been illustrated with minimum necessary text to explain the steps. This technique is very simple to learn and execute. It is extremely 2 cost effective and can treat very large area up to 1,500 cm in an operative session.

Frustrated by your frown lines? You deserve a natural, non-toxic option to help you regain your youth and your confidence. Don't wait to pursue: Improved texture and better skin tone Firmer skin on your face, neck, chest, and hands Drastically minimized fine lines and wrinkles Softer, less visible scars Dr. Bridghid McMonagle and Dr. Kaley Bourgeois designed their protocol to help you look your best without botox, synthetic fillers, or surgery. With Activated Platelets and Ozone, you can look better, and Secrets to a Younger You tells you how. Prioritize the health of your skin today!

Retinoids are valuable drugs in the dermatologic armamentarium, being employed in daily clinical practice. The text provides an in-depth update on the latest thinking on pharmacology, clinical use, side effects, and follow-up of retinoid therapy in dermatology; it also addresses topics related to retinoid use in special circumstances, such as vulnerable populations, concomitant surgery, and aesthetic procedures. CONTENTS: The background of retinoids * Mechanism of action of vitamin A * Mechanism of action of topical retinoids * Mechanism of action of isotretinoin * Mechanism of action of acitretin * Mechanism of action of bexarotene * Mechanism of action of alitretinoin * Effects of retinoids at the cellular level (differentiation, apoptosis, autophagy, cell cycle regulation, and senescence) * Effects of retinoids at the systemic level * New aspects of isotretinoin teratogenicity * Mucocutaneous side effects * Ophthalmologic side effects * Musculoskeletal side effects * Neurologic side effects * Psychiatric side effects * Gastrointestinal side effects * Endocrine and metabolic side effecs * Other systemic side effects: Cardiovascular, pulmonary, otolaryngorhinologic, genitourinary, renal, and immunologic * Retinoids in acne * Retinoids in hidradenitis suppurativa/acne inversa * Retinoids in rosacea * Retinoids in hair disorders * Retinoids in psoriasis * Retinoids in keratinization disorders * Retinoids in antiaging therapy * Retinoids in other skin diseases * Retinoids in lymphoma * Retinoids in cutaneous chemoprophylaxis * Guide to good clinical practice for vulnerable populations (infancy, childhood, fertile period, elderly) * Retinoids and concomitant surgery * Retinoids and concomitant aesthetic procedures * Laboratory and clinical follow-up * Teratogenicity and registry programs * Management of vitamin A and retinoid side effects * Future and novel unexplored indications of retinoids Published in association with the Journal of Dermatological Treatment.

This book covers the history of plastic surgery from the remarkable achievements of such ancient civilizations as India and Egypt up to the revolutionary techniques developed at the end of the Middle Age, the Renaissance and beyond. Coverage details how the knowledge of wound healing has changed and influenced plastic surgery, describes the development of various surgical reconstructive procedures and details the birth of Cosmetic Surgery.

Childhood Abuse, Body Shame, and Addictive Plastic Surgery explores the psychopathology that plastic surgeons can encounter when seemingly excellent surgical candidates develop body dysmorphic disorder postoperatively. By examining how developmental abuse and neglect influence body image, personality, addictions, resilience, and adult health, this highly readable book uncovers the childhood sources of body dysmorphic disorder. Written from the unique perspective of a leading plastic surgeon with extensive experience in this area and featuring many poignant clinical vignettes and groundbreaking trauma research, this heavily referenced text offers a new explanation for body dysmorphic disorder that provides help for therapists and surgeons and hope for patients.

The new edition of this outstanding reference textbook, in two volumes, offers comprehensive and authoritative coverage of the contemporary specialty of oral and maxillofacial surgery. The aim is to provide an all-encompassing, user-friendly source of information that will meet the needs of residents and experienced surgeons in clinical practice and will also serve as an ideal companion during preparation for board certification or recertification examinations. All of the authors, numbering some 100, are distinguished experts in the areas that they address. The new edition takes full account of the significant changes in clinical practice and guidelines that have occurred during recent years. Readers will find clear explanations of the practical application of surgical principles, with a wealth of supporting illustrative material, including atlas-type illustrations to complement the descriptions of specific procedures. The fourth edition of Peterson's Principles of Oral and Maxillofacial Surgery is a truly exceptional resource for clinicians and students alike.

Biomechanics of Tendons and Ligaments: Tissue Reconstruction looks at the structure and function of tendons and ligaments. Biological and synthetic biomaterials for their reconstruction and regeneration are reviewed, and their biomechanical performance is discussed. Regeneration tendons and ligaments are soft connective tissues which are essential for the biomechanical function of the skeletal system. These tissues are often prone to injuries which can range from repetition and overuse, to tears and ruptures. Understanding the biomechanical properties of ligaments and tendons is essential for their repair and regeneration.

This volume presents a comprehensive overview of the latest advances in basic and translational research in the field of reconstructive transplantation and its potential therapeutic implications. Dr. Thomas E. Starzl and Dr. Raimund Margreiter, both pioneers in the field of transplantation, have written the foreword for the book. The volume spans such topics as skin rejection, immune monitoring, stem cell-based immunomodulatory strategies, costimulatory blockade, tolerance induction, chronic rejection, ischemia reperfusion injury, nerve regeneration, cortical reintegration, and small and large animal models for reconstructive transplantation. The book is intended for biomedical researchers and basic scientists in the field of reconstructive transplantation, transplant immunology and regenerative medicine, as well as clinicians, surgeons and multidisciplinary specialists, who are practicing or interested in this novel and exciting field. Postgraduate fellows and students will also find it a valuable reference.

This book by Madbak and Dangleben has collated lot of information that has been presented and published in many disparate arenas into a single easy to read source. In an area where there is more experience and "favorite techniques" than true evidence based answers, they provide a wealth of information along with outstanding photographic support that makes this an excellent resource for all surgeons caring for this population. Similar to many things in life, when treating patients with the open abdomen one size or methodology does not fit all and this book will assuredly contain at least one possible answer to your patient's problem. Although the numbers of "open abdomens" are decreasing due to changes in resuscitation and transfusion practices, it still represents a complex complication that can be challenging to deal with. This ambitious textbook on the management of the open abdomen provides a practical approach for addressing this complex problem. One of the more unique aspects of this textbook is its detailed "How to" approach for the wide variety of techniques utilized in the management of the open abdomen. While there may be no consensus as to what constitutes the optimal management of the open abdomen, this book articulates a number of options and their advantages. Most importantly, it provides high quality photographs that enhance the step by step "How to" approach of the text. More recent developments including using biologic mesh, implementing complex abdominal wall reconstruction and utilizing minimally invasive endoscopic techniques are described. This book is not only appropriate for all practicing surgeons that deal with this complex issue, but is also relevant for residents and fellows who are just getting their first exposure to open abdomens.

The Clash of Medical Evidence and the Law in the Breast Implant Case

"An accessible, passionate indictment of the ignorance, opportunism and social indifference that enriched lawyers and a few plaintiffs, though the available scientific evidence was against them." —New York Times Book Review Notable Books of 1996

In the early 1990s, sympathetic juries awarded huge damages to women claiming injury from silicone breast implants, leading to a $4.25 billion class-action settlement that still wasn’t large enough to cover all the claims. Shockingly, rigorous scientific studies of breast implants have now shown that there is no significant link between breast implants and disease. Why were the courts and the public so certain that breast implants were dangerous when medical researchers were not? The answer to this question reveals important differences in the way science, the law, and the public regard evidence—and not just in the breast implant controversy.

"An indispensable guide to the breast implant madness—litigation that will forever stand as a monument to the inability of our civil justice system to sort out latter-day Ptolemies from Galileos."—Wall Street Journal

"[A] sober and rigorous examination of the controversy over silicone breast implants . . . an important statement, not just about silicone implants, but about other matters at the intersection of law, science, and opinion. [Dr. Angell’s] book is . . . a warning that rationality, like much else in the fragile porcelain of society, can be weakened by lack of vigilance."—New York Times

"Marcia Angell's outstanding book explains clearly and fairly the combination of greed, fear, ignorance, junk science, and media hype that created this national litigation nightmare. Everyone interested in the tort system, science, and medicine should heed the lessons that Dr. Angell teaches."—Shirley M. Hufstedler, former U.S. Secretary of Education and former judge in the U.S. Court of Appeals, 9th Circuit

One of the most important factors in ensuring successful osseointegration is the stability of the implant after its insertion. In order to achieve optimum conditions for implantation, it is often necessary to prepare the area and reconstruct the bone to ensure that it is the correct shape and size for the implant. Preprosthetic and maxillofacial surgery provides a thorough review of the current status and future direction of this important field. Part one reviews bone grafting for implantology and reconstructive preprosthetic surgery. Chapters in part two discuss reconstruction and rehabilitation whilst the final group of chapters analyse tissue engineering applications.

As the surgical community steps up to tackle the global burden of surgical disease in developing countries, Global Reconstructive Surgery is the first reference of its kind to offer focused, pertinent coverage of key areas surgeons need to understand to fully participate in this endeavor. It provides authoritative, real-world guidance on common surgeries performed around the world to help optimize outcomes in difficult environments and for a variety of conditions. Offers practical wisdom and experience from surgeons who have lived and worked in challenging global settings. The clear, organized format is based on the way clinicians examine, prepare for, and treat patients in resource-limited circumstances. Each chapter matches the clinical pathway and thought processes of care delivery, from the clinical problem and pre-operative assessment to operative intervention, post-operative care, and possible complications and options for management. Covers perioperative management, cleft and craniofacial surgery, hand surgery, burns, trauma, and key techniques commonly performed by surgeons across the globe. Includes the surgical steps of each procedure, photographs of clinical cases, and surgical pearls for resource-poor settings. Discusses alternative approaches related to cultural considerations and unavailability of state-of-the-art equipment. Ideal for plastic surgeons, otolaryngologists, craniofacial surgeons. oral and maxillofacial surgeons, general surgeons - both those who volunteer for surgical trips and those training in local communities. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

The skin is the largest human organ system. Loss of skin integrity due to injury or illness results in a substantial physiologic imbalance and ultimately in severe disability or death. The most common cause of significant skin loss is thermal injury, followed by trauma and chronic ulcerations. Over the past decades extraordinary advances have been made in the understanding of cellular and molecular processes of wound healing and the pathobiology of chronic wounds. This knowledge has led to wound care innovations that facilitate more rapid closure of wounds with better functional and aesthetic outcome. A sensible and resource-saving utilization of these innovative technologies requires a broad knowledge of these processes and innovations. This book intends to give an overview about today's wound care developments in tissue engineering and skin replacement. It presents a variety of indications and diversities of clinical applications to help the surgeon select a specific procedure for each clinical situation.

Hair transplantation is in demand worldwide, but because Asian hair tends to be more sparse and coarse than Caucasian hair, transplantation procedures need to be adapted to Asian patients. This book, exclusively devoted to Asian hair, is a complete and comprehensive text written by a group of authors sharing their experience in their specialized fields of hair restoration. Included are many practical tips as well as chapters on regional transplantation such as eyebrows, eyelashes, sideburns, beards, and mustaches, in addition to the usual scalp hair restoration. With its many illustrations, the book gives readers a complete knowledge of hair restoration surgery and provides a quick, easy-to-use reference on Asian hair and the differences in patients' demands. With an influx of new physicians in this challenging field of medicine, further education and training are imperative and must be available to provide a high standard of medical practice. This compilation meets that objective and ultimately makes the valuable contribution of restoring patients' self-confidence.

Biomaterials are used in many areas of medicine, particularly in surgery and d- tistry. In orthopedic surgery, total hip arthroplasty has been extremely successful, and has been called 'the operation of the 20th century'. Total hip arthroplasty is r- tinely performed every day in most orthopedic departments. Over the last decades, many efforts have been made to better integrate the components within the recipient bones, to decrease the friction at the prosthetic interface, and to minimize wear. Minimally invasive procedures have been developed, and various designs are inte- ed to preserve as much as possible of the bone stock of young patients. By contrast, the clinical results have been less favorable after various hand and wrist joint replacements. Many early designs have failed, the clinical data of the current pr- theses are frequently quite limited, and there is often insufficient biomechanical information available, although trapezio-metacarpal arthroplasty in particular has become quite popular in recent years. In order to promote progress in hand and wrist arthroplasty, Antonio Merolli and Thomas J. Joyce have edited this lovely book, whose chapters discuss current research and recent advances in hand and wrist arthroplasty. The problems of metacarpophalangeal joint prostheses are particularly developed.

Treatment of articular cartilage pathology in the knees of young and active patients is a challenging and controversial issue. Biologic Knee Reconstruction: A Surgeon's Guide is a how-to, step-by-step guide that addresses the evaluation and management of this unique patient population.   Internationally renowned cartilage experts Dr. Brian J. Cole and Dr. Joshua D. Harris, along with their contributors, present information on normal and abnormal history and physical examination. The reader will learn proper decision-making using a patient-centered approach of treatment, increasing the likelihood of a successful outcome. In addition to radiographic assessment of articular cartilage, Biologic Knee Reconstruction discusses the use of biomarkers, defect classification, and patient-reported and surgeon-measured outcomes. Aggressive nonsurgical medical management, including medications, injections, physiotherapy, and rehabilitation, is also presented.   Biologic Knee Reconstruction also discusses the management of concomitant pathologies such as malalignment, meniscal deficiency, and ligamentous instability. Selection of surgical cartilage restorative treatment options is multifactorial, requiring consideration of several patient-, knee-, and defect-specific issues. All contemporary open and arthroscopic cartilage techniques are presented in detail with high resolution figures. A unique feature of Biologic Knee Reconstruction is the presentation of several chapters discussing non-medical issues highly pertinent to the advancement and future of this field: funding of research and cost of new advanced technologies, regulation of advanced cellular, tissue, and genetic technologies, evidence-based medicine and clinical trial design and conduct, and the ethics of allograft tissues and stem cell use.   Features: Technique preference cards from the experts performing cartilage surgery Patient education information The most up-to-date descriptions of advanced cartilage techniques Unique chapters not covered in books elsewhere, including: Biomarkers Patient-reported outcomes assessment Newer injection techniques (PRP, stem cells) One- and two-stage open and arthroscopic techniques using chondrocyte- and stem cell based cell therapies Costs and public and private funding of research Barriers to high-quality randomized trials Governmental regulation and availability/accessibility to patients Gene therapy and tissue engineering Ethics of articular cartilage surgery with stem cells, ex-vivo cell manipulation, and juvenile tissue sources   With the most up-to-date content and step-by-step methods for surgical procedures, Biologic Knee Reconstruction: A Surgeon's Guide is the perfect addition to the bookshelf of the orthopedic surgeon, cartilage researcher, sports physical therapist, or athletic trainer who evaluates and manages this unique patient population.

Laryngotracheal Reconstruction: From Lab to Clinic lines for using the technique of tracheal autotra- presents the experimental and clinical aspects of plantation in conservation laryngectomy. The tissue reconstruction of the larynx and trachea. shortcomings and complications of tracheal auto- The book reflects the development and implemen- transplantation encountered in the initial patient tation of a research-based clinical program. The series led to a modification of the technique. The experimental work was started in 1989 with the modified autotransplantation technique proved to aim of improving the reconstructive possibilities be reliable from a reconstructive, functional and in the following two clinical situations: (1) extend- oncological viewpoint. ed hemilaryngectomy defects after tumour In a second part (Chap. VI), healing aspects after removal and (2) tracheal stenoses that are impos- repair of laryngotracheal defects are highlighted. sible to repair by segmental tracheal resection. The The healing mechanisms of the cartilage support, two problems differ in localization (larynx, tra- the mucosal lining and the blood supply were chea), etiology (oncology, traumatic), and treat- studied for each tissue component individually.