Biomaterials for Surgical Operation offers a review of the latest advances made in developing bioabsorbable devices for surgical operations which include surgical adhesives (sealants), barriers for the prevention of tissue adhesion, polymers for fractured bone fixation, growth factors for the promotion of wound healing, and sutures. Over the years, many descriptions of biomaterials have appeared in academic journals and books, but most of them have been devoted to limited clinical areas. This is in marked contrast with this volume which covers a wide range of bioabsorbable devices used in surgery from a practical point of view. The currently applied polymeric devices are critical in surgery, but all involve serious problems due to their poor performance. For instance, fibrin glue, the most widely used surgical sealant, can produce only a weak gel with low adhesive strength to tissues, accentuating the limited effectiveness of current treatment options. Likewise, the currently available barrier membranes cannot fully prevent tissue adhesion at the acceptable level and are, moreover, not easy to handle with endoscopes due to their poor mechanical properties. Biomaterials for Surgical Operation is aimed at those who are interested in expanding their knowledge of how the problems associated with the currently used devices for surgical operation can be solved. It primarily focuses on the absorbable biomaterials which are the main components of these medical devices.

PNL is the gold standard for the management of large and/or otherwise complex renal stones. Since its introduction in the seventies PNL has undergone considerable evolution, mainly driven by the improvement in access techniques, endoscopic instrument technology, lithotripsy devices and drainage management. The conventional prone position for PNL has been challenged in the last two decades by a variety of modifications, including the supine and Galdakao-modified supine Valdivia positions, which make simultaneous retrograde working access to the collecting system possible and have proven anesthesiological advantages. The Galdakao-modified supine Valdivia position allowed the development of ECIRS (Endoscopic Combined IntraRenal Surgery), a technique exploiting a combined antegrade and retrograde approach to the upper urinary tract, using both rigid and flexible endoscopes with the related accessories. The synergistic teamwork of ECIRS provides a safe and efficient, minimally-invasive procedure for the treatment of all kinds of urolithiasis. The aim of this book is to share with the urologic community worldwide our experience, our standardization of all the steps, and tips and tricks for the procedure.

Taking a multidisciplinary approach to a common and often frustrating problem for athletes and those with an active lifestyle, this book is the first of its kind, addressing muscular injuries to the posterior leg using an in-depth and expansive style that is uniquely dedicated to ensuring all content is explicitly linked to the practical care of patients with calf pain. It is divided thematically into three sections. The first section covers underlying principles involved in these issues, including anatomy, physiology, pathophysiology of injury and neurophysiology of musculoskeletal pain. Clinical assessment techniques and imaging are covered in the second section. The third section on treatment is the most expansive, discussing acute, sub-acute and chronic posterior leg muscle injuries, as well as surgical management, rehabilitation techniques, complementary medicine and special populations. Overall, the book is designed to use muscular injuries of the posterior leg to as a means to understand the assessment and treatment of muscular injuries more broadly. Taken together, it is the consummate source for orthopedists, doctors in sports medicine, podiatrists, rehabilitation professionals and primary care physicians who treat muscular injuries in the posterior leg, though reader will gain a conceptual and practical framework for the assessment and treatment of muscular injuries in general.

Part of the new Core Knowledge in Orthopaedics series, this new resource provides concise and practical coverage of the most essential knowledge in orthopaedics and sports medicine for infants and children. It opens with a review of the differences between the pediatric and adult skeletons, and continues with a chapter covering physical examination techniques for paediatric patients. The book then explores a broad range of individual orthopaedic problems and disorders. Abundant tables, algorithms, and specially designed diagrams assist readers in mastering key concepts quickly and efficiently. Covers all areas of pediatric orthopaedics, including upper and lower extremity disorders, injuries, and deformities * musculoskeletal infections * muscular dystrophy and arthrogryposis * sports medicine * spina bifida * synovial disorders * trauma * cerebral palsy and neuromuscular disorders * and more. Uses concise, bullet-point text with numerous charts, tables, and algorithms to expedite reference. Features a wealth of outstanding illustrations, original drawings, and clinically relevant radiographs. Offers lists of bibliographical sources at the end of each chapter. With 26 additional contributing experts

Every day, newspapers and television news programs present stories on the latest controversies over healthcare and medical advances, but they do not have the space to provide detailed background on the issues. Websites and weblogs provide information from activists and partisans intent on presenting their side of a story. But where can students - or even ordinary citizens - go to obtain unbiased, detailed background on the medical issues affecting their daily lives? This volume in the Health and Medical Issues Today series provides readers and researchers a balanced, in-depth introduction to the medical, scientific, legal, and cultural issues surrounding organ tranplants and its import in today's world of healthcare. Organ Transplantation is organized to provide readers with easy access to the information they need: BLSection 1 provides overview chapters on the background information needed to intelligently understand the issues and controversies surrounding organ transplants, such as how organs are procured and who determines who gets an organ. BLSection 2 offers capsule examinations of the contemporary issues and debates that provoke the most heated disagreements and misunderstandings, such as controversies over who deserves to get an organ, and the concerns over xenotransplantation BLSection 3 includes reference material on organ transplantation, including primary source documents from important players in the debates, a timeline of important events, and an annotated bibliography of useful print and electronic resources. This volume in the Health and Medicine Today series provides everything a student requires to understand the issues involved in organ transplantation and provides aspringboard for further research into the issue

This text takes a comprehensive approach to rotator cuff disorders, including tears and arthroscopic techniques in surgical management. It addresses the latest topics, such as the conversion of mini-open repair to all arthroscopic repair, and answers key questions raised at instructional courses. Experts in the field present not only arthroscopic shoulder anatomy, cuff tear patterns, repair concepts, and other fundamentals, but also provide coverage of state-of-the-art techniques. The step-by-step approach is supplemented by a wealth of anatomical drawings and color photos.

This invaluable resource discusses clinical applications with effects and side-effects of applications of stem cells in bone and cartilage regeneration. Each chapter is contributed by a pre-eminent scientist in the field and covers such topics as skeletal regeneration by mesenchymal stem cells, clinical improvement of mesenchymal stem cell injection in injured cartilage and osteoarthritis, Good manufacturing practice (GMP), minimal critera of stem cells for clinical applications, future directions of the discussed therapies and much more. Bone & Cartilage Regeneration and the other books in the Stem Cells in Clinical Applications series will be invaluable to scientists, researchers, advanced students and clinicians working in stem cells, regenerative medicine or tissue engineering.

This book offers a comprehensive guide to total knee arthroplasty (TKA) that will assist in achieving excellent outcomes based on a sound understanding and technique. After an introductory section on the native knee that covers the anatomy, physiology, biomechanics, and patterns of disease, all aspects of primary knee arthroplasty are discussed in detail. Individual chapters are devoted to topics such as acute pain management, the role of technological aids, prosthetic kinematics, alignment targets, unicompartmental arthroplasty, patellar resurfacing, outcome measures, and cost-effectiveness. An extensive section explains the causes and management of potential complications, including aseptic failure, infections, and periprosthetic fracture. The surgical techniques appropriate for revision knee arthroplasty are described separately, and guidelines on how to deal with bone loss, instability, and extensor mechanism failure are provided. The authors are all respected experts from the United Kingdom, United States, Australia and Europe.

Rapid prototyping is used to design and develop medical devices and instrumentation. This book details research in rapid prototyping of bio-materials for medical applications. It provides a wide variety of examples of medical applications using rapid prototyping, including tissue engineering, dental applications, and bone replacement. Coverage also discusses the emergence of computer aided design in the development of prosthetic devices.

Deciding on cometic surgery should not be like buying a used car. Magazines, television shows, and advertisements have bombarded the average person with unrealistic or totally wrong information. Reality TV shows such as Extreme Makeover, I Want a Famous Face, or Dr. 90210 create hype about cosmetic surgery, but do not always convey realistic expectations or realistic results. Dr. Christopher Saunders weeds through the misinformation and focuses on education and easy concepts: the "Real-Reality" of cosmetic surgery. In an easy to read, informative, and thorough manner Dr. Saunders presents cosmetic surgery topics that focus on realistic options, realistic recovery, and realistic results that he calls the "Real-Reality." From the consultation, to the actual cosmetic operation, and everything in between, Dr. Saunders filters out the used-car sales pitch and hype pushed by many doctors and companies. Dr. Saunders uses a concise and clear voice in his book to outline key concepts about the "Real-Reality" of cosmetic surgery. If you are considering cosmetic surgery or have questions about the topic, this is a must read and important educational source.

Oncological surgeons are often requested in their clinical practice to identify and manage uncommon and complex situations. It is therefore of the utmost importance that they are well aware of the most recent technological evolutions, in order to achieve the best possible results in term of oncological outcome, with a concern on quality of life and economical issues. Furthermore, new techniques can give a fundamental contribution in overcoming the limitations of standard approaches.

An essential aim of this book is to underline the great importance and the need of an effective coordination of multi-disciplinary care among surgeons, medical oncologists, radiation therapists, plastic surgeons and ancillary services, in order to optimise patient outcome.

A radial forearm free flap is one way of filling a hole which is left when a cancer has been removed. It is one of the most common ways of replacing tissue in the head and neck, particularly after mouth cancers have been removed. It can be used to replace large parts of the mouth and has the advantage that when it heals it does not shrink so that hopefully speech and swallowing will not be greatly affected. For the procedure, a surgeon takes a piece of skin from the inside surface of the patient's forearm near the wrist. The skin and fat layer in this region are removed (the flap) along with two blood vessels, one of which supplies blood to the flap (the artery) and one of which drains blood from it (the vein). The vessel which supplies blood to the flap is the artery which gives rise to the pulse at the wrist at the base of the thumb. Once the flap of skin is raised it is transferred to the head and neck and sewn into the hole created by the removal of the cancer. The blood vessels supplying and draining the flap are then joined to blood vessels in the neck under a microscope. These blood vessels then keep the flap alive while it heals into its new place. Once the flap is removed from the forearm the hole created is covered with a graft of skin. This graft of skin can be taken from one of several places. Commonly a thin piece of skin is shaved from the arm above the elbow. Alternatively, some skin will be borrowed from the stomach. This highly illustrated colour atlas is a comprehensive guide to head and neck reconstruction using free radial artery forearm flap. Beginning with an introduction to the history of the technique and its advantages and disadvantages, the book then provides step by step guidance on surgical anatomy, pre- and post-operative care, surgical procedures, and potential complications. A selection of case studies is included to assist learning. Key points Colour atlas explaining radial forearm free flap for head and neck reconstruction Presented as step by step guide through procedures and pre- and post-operative care Includes case studies to assist learning Highly illustrated with surgical images and diagrams

This comprehensive guide covers all aspects of mastopexy and breast reduction, ranging from anatomy to the variety of procedures in mastopexy, mastopexy/breast reduction, and breast reduction, preoperative care, complications, breast tumors (benign and malignant), and medicolegal aspects.

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.

Founded by four Swiss surgeons in 1958, AO Spine is a premier knowledge provider in spine surgery and at the forefront of education and research. Endorsed by AO Spine, this book is a comprehensive guide to the management of spinal disorders. Beginning with a general overview of the spine and its physiology and biomechanics, the next section extensively covers the paediatric spine and associated disorders. The following sections discuss conditions found in the different anatomical sections of the spine - cervical, thoracic and lumbosacral - and their history, physical examination, diagnosis and surgical and non-operative management techniques. The final part of the book explores future trends in spine surgery. Authored by leading US-based neuro and orthopaedic surgeons, this textbook is highly illustrated with more than 650 surgical images, diagrams and tables. Key points Comprehensive guide to surgical and non-operative management of spinal disorders Endorsed by AO Spine committee Covers diagnosis and treatment of numerous conditions in each section of the spine Highly experienced and renowned, US-based author team

Psychoprosthetics is defined as the study of psychological aspects of prosthetic use and of rehabilitative processes in those conditions that require the use of prosthetic devices. Psychoprosthetics: State of the Knowledge brings together, into one easily accessible volume, the most recent and exciting research and knowledge in this new field

This book has been written by established Orthopedic Surgeons who have become dedicated specialists within their particular subspecialty. They have contributed by writing highly detailed chapters that educate the reader with the basic science, accepted fundamentals and most recent trends within the full range oftrauma management in orthopedics. It is intended that this well illustrated and highly informative text book to provide orthopedic surgeons in training with comprehensive and relevant core knowledge on all aspects oftrauma management orthopedics, and will become an essential guide for surgeons in training, providing step by step approaches to performing initial diagnosis, surgical procedures and post operative management. "

The first section covers the general assessment and investigation of the squinting patient, before considering whether surgery is the best form of treatment. The second section addresses common squint disorders, describing the conditions and highlighting the surgical options to be considered. The final section provides a step-by-step account of the surgical procedures, indicating when they should be used, and illustrating specific techniques. This is an essential manual for trainees in clinical practice and those preparing for examinations who need to know how to competently manage this commonly encountered disorder. Optometrists will also find it of great value when managing these patients both pre- and post-operatively. Using a problem-oriented approach, diagnosis and assessment of conditions are introduced before addressing treatment options Specific disorders are covered in detail, indicating when to use surgical treatment and which techniques to use The surgical procedures are covered in a step-by-step format with clear line diagrams highlighting the required techniques. A separate chapter covers general and specific surgical complications

This book is of great significance for final year MBBS and postgraduate students of general surgery, orthopedics and anesthesia. It provides the basic knowledge needed to answer questions that are routinely asked in practical table viva examinations. It includes simple, comprehensive, condensed and pointwise information with illustrative diagrams wherever required. A comprehensive description of the instruments used in general surgery, orthopedics and anesthesia along with their photographs is a prominent feature of this book. Important major and minor general surgical procedures and commonly performed bedside procedures are described in a step-by-step approach. Some of the neglected, but important commonly-asked topics such as different types of surgical suture materials, surgical needles, perurethral, catheters, tubes, drains, intravenous fluids and intravenous cannulas are also covered in this book. The second edition also includes chapters on recent advances in general surgery such as laparoscopic surgery and robotic surgery. Common surgical emergencies presenting to the emergency room are also discussed in the second edition. The book covers all aspects of practical examination for undergraduates. Also helpful to the postgraduate students of general surgery, orthopedics and anesthesia. Identification points of the instruments and their uses are mentioned in each section. Discusses all surgical instruments used in general surgery and super specialty surgeries such as neurosurgery, urosurgery and plastic surgery along with illustrative photographs. Orthopedic implants used in different fractures are also discussed along with their photographs. Different sterilization procedures of every instrument are discussed in detail. Anesthesia section includes equipments for general as well as regional anesthesia. Commonly used drugs in anesthesia and emergency drugs are also described. Major and minor operative and bedside procedures in general surgery which are commonly asked in examinations are described in a step-by-step approach. Preoperative preparation of the patient prior to surgical procedures is described in detail. Different types of surgical suture materials, needles and the basic surgeries are discussed in the section of suture materials. Different types of perurethral catheter, tubes and drains used in general surgery are described. It covers the basic knowledge of different intravenous fluids and intravenous cannulas used in clinical practice. Includes chapters on recent advances in robotic surgery, instruments used for laparoscopic surgical procedures and a brief description of the energy sources in surgery. A chapter on approach to diagnose common surgical emergencies presenting at the emergency room and its subsequent management has been added.

This updated edition examines the biological characteristics and clinical use of arterial grafts for coronary artery bypass surgery. It contains first-hand information on arterial grafts, as well as vein grafts with regard to biological characteristics, clinical use including off-pump coronary bypass grafting surgery, results, and future developments. The book is a practical guide and as a stimulus for further improvement of arterial grafting techniques.

State-of-the-art Wellknown experts Collection of papers on one topic The contributions in this volume cover recent advances and changing concepts on diagnosis and treatment of resistant epilepsy in children. Topics treated are new insights on mechanisms of epileptogenesis in developing brain, multimodality imaging in pediatric intractable epilepsy, pediatric intractable epilepsy syndromes, pediatric temporal lobe epilepsy surgery, critical review of palliative surgical techniques for intractable epilepsy, treatment modalities for intractable epilepsy in hypothalamic hemartomas, contemporary management of epilepsy in tuberous sclerosis.

Omnidirectional Inductive Powering for Biomedical Implants investigates the feasibility of inductive powering for capsule endoscopy and freely moving systems in general. The main challenge is the random position and orientation of the power receiving system with respect to the emitting magnetic field. Where classic inductive powering assumes a predictable or fixed alignment of the respective coils, the remote system is now free to adopt just any orientation while still maintaining full power capabilities. Before elaborating on different approaches towards omnidirectional powering, the design and optimisation of a general inductive power link is discussed in all its aspects. Special attention is paid to the interaction of the inductive power link with the patient 's body. Putting theory into practice, the implementation of an inductive power link for a capsule endoscope is included in a separate chapter.