Bone disease, particularly osteoporosis, has emerged as a common and serious complication of solid organ transplantation. In recent years there have been real advances in our understanding of the pathogenesis and pathophysiology of bone loss, however treatment studies have been relatively sparse and successful strategies to reduce skeletal morbidity after transplantation remain to be clearly established. This book provides a unique resource for the many health professionals involved with transplantation of bone disease, both in terms of its scientific background and the management of the disease in clinical practice.
Contents:
-Basic Transplantation and Bone Biology
-Pathogenesis of Transplantation Related Bone Disease
-Clinical Features of Transplantation Bone Disease
-Management

Provides the comprehensive knowledge required to perform ERCP safely and effectively Authored by the very best in the field, this "how-to" guide to mastering the crucial yet complex gastrointestinal procedure called endoscopic retrograde cholangiopancreatography (ERCP) covers the entire range of both standard and advanced techniques, using a highly practical approach. It also places a strong emphasis on patient education, safety, and minimizing risks, offering "tips and tricks" and key points throughout to aid rapid understanding. The book is filled with over 250 illustrations Covering ERCP preparation, techniques, clinical applications, and quality and safety, ERCP: The Fundamentals, 3rd Edition begins with chapters on "getting prepared," including training and competence; facilities and equipment; risk assessment and reduction; sedation, anesthesia, and medications. It then covers "what can be done," describing standard devices and techniques; intraductal therapies; ampullectomy; and reporting and documentation. Next it has chapters on "what should be done," clinical applications of ERCP in acute cholangitis; peri-cholecystectomy; difficult bile duct stones; biliary pain; and numerous forms of pancreatitis. The book finishes with coverage of adverse events and how to ensure competent practice. Teaches all of the standard and advanced ERCP techniques Focuses on patient safety/comfort throughout Brilliantly-illustrated with endoscopic, EUS and radiologic images, and anatomical drawings Offers a step-by-step, practical approach to ERCP--highlighting potential technical and anatomical hazards Packed with tips and tricks boxes and key points boxes to assist comprehension 20 high-definition videos of ERCP performed by the experts, perfect to improve clinical technique Full reference to the very latest ASGE, ACG, ASG and UEGW guidelines throughout Brought to you by world pioneers in endoscopy, ERCP: The Fundamentals, 3rd Edition is an essential purchase for gastroenterologists and endoscopists of all levels.

Over the past decade, there have been a large number of important studies related to fluid management for the surgical patient, resulting in confusion on this critical aspect of patient care. Proper fluid therapy in the perioperative setting has always been important but has only recently had concrete outcome-based guidelines. This is the first comprehensive, up-to-date and practical summary book on the topic.

Spinal osteotomy techniques have been dramatically applied as a standard method for severe and rigid spinal deformity. Although clinical results indicate that patients who undergo osteotomy procedures typically experience well deformity correction and ameliorate the clinical appearance, aggressive peri-operative risks and follow-up complications are not rare. More meticulous and standard indication selection, osteotomy plan design and complication prevention strategy and outcome evaluation are critically needed for surgeon majored in spine deformity. The book Spinal Osteotomy is divided into sections that focus on principles of spinal osteotomy, technical and case illustration and outcomes and complications as well as computer navigation and other latest techniques. Each section is heavily illustrated and clearly written for ease of understanding. Orthopedic surgeons, neurosurgeon residents and fellows who want to focus on spinal deformity correction will find this instructive and invaluable.

Over the past decade, there have been a large number of important studies related to fluid management for the surgical patient, resulting in confusion on this critical aspect of patient care. Proper fluid therapy in the perioperative setting has always been important but has only recently had concrete outcome-based guidelines. This is the first comprehensive, up-to-date and practical summary book on the topic.

Compared with traditional surgical procedures, wrist arthroscopy reduces the risk to patients and hastens recovery. Nevertheless, in many ways wrist arthroscopy is still in its infancy, and its indications continue to evolve. This book is devoted to the optimal use of arthroscopy in the diagnosis and treatment of wrist pathologies that give rise to ulnar pain. The correct procedure in a wide variety of settings is carefully explained in step-by-step fashion with the help of numerous detailed illustrations. Particular care is taken to cover all the important technical issues. The authors are without exception internationally acknowledged experts who draw on their considerable experience to provide readers with sound guidance on the appropriate use of arthroscopy for each indication.

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 of generalorthopedicdisorders. 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 general 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. "

A comprehensive practical guide to all types of nail surgery, including some cosmetic procedures, this is a master-class for those wishing to perform nail surgery, with clear descriptions of each stage involved and of any complications and how to deal with them.

Still the most widely used comprehensive resource in orthopaedic surgery, Campbell's Operative Orthopaedics is an essential reference for trainees, a trusted clinical tool for practitioners, and the gold standard for worldwide orthopaedic practice. Unparalleled in scope and depth, this 14th Edition contains updated diagnostic images, practical guidance on when and how to perform every procedure, and rapid access to data in preparation for surgical cases or patient evaluation. Drs. Frederick M. Azar and James H. Beaty, along with other expert contributors from the world-renowned Campbell Clinic, have collaborated diligently to ensure that this 4-volume text remains a valuable resource in your practice, helping you achieve optimal outcomes with every patient. Features evidence-based surgical coverage throughout to aid in making informed clinical choices for each patient. Covers multiple procedures for all body regions to provide comprehensive coverage. Keeps you up to date with even more high-quality procedural videos, a new chapter on biologics in orthopaedics, and expanded and updated content on hip arthroscopy, patellofemoral arthritis and more. Follows a standard template for every chapter that features highlighted procedural steps, high-quality illustrations for clear visual guidance, and bulleted text. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices

During recent decades, more than 100 surgical procedures have been proposed to treat pelvic organ prolapse, and surgeons are still searching for the ideal approach. Although generally accepted guidelines and algorithms are still lacking, careful preoperative work-up and patient selection can serve as a sound basis for tailored surgery. In this comprehensive book, leading experts from around the world provide a detailed, up-to-date overview of the diagnostic and surgical approaches employed in patients with prolapse of the middle or posterior pelvic floor compartment. Each surgical technique is explained step by step with the aid of instructive figures. Guidance is also included on the management of surgical complications and of recurrent disease - aspects that are too frequently overlooked in the scientific literature. This book will prove essential reading for all who are interested in functional colorectal disorders of the pelvic floor and will represent a unique and invaluable source of knowledge for general surgeons, colorectal surgeons, and urogynecologists, whether in training or practice.

Utilizing a multidisciplinary approach and drawing on the experience of experts in their respective fields, this unique book presents and discusses an array of topics relevant to the ever-growing population of pediatric, adolescent and young adult female athletes. Each topic is clearly defined and includes epidemiology, diagnosis, treatment and future directions. Opening chapters discuss growth and development, sports nutrition, resistance training, and psychological considerations for the young female athlete, with a chapter focusing on the female athlete triad. Later chapters present injuries and management strategies common to the young female athlete, such as overuse injuries, spondylolysis, hip and ACL injuries, concussion, and cardiovascular complications. The concluding chapter considers the benefits of physical activity for chronic disease prevention later in life. The Young Female Athlete provides useful, up-to-date information for any practitioner treating this active population, encouraging sports participation with fitness, injury prevention, personal growth, and long-term health.

This book provides a comprehensive overview of the full spectrum of benign oesophageal disorders with an emphasis on surgical approaches. There are now new, sophisticated diagnostic methods and endoscopic treatment modalities which represent the high level of innovation within the field. These innovations are assimilated here through evidence-based chapters, written by practitioners and experts in their specific subjects. Some of the topics include gastroesophageal reflux disease, Barrett's oesophagus, oesophageal motility disorders, oesophageal diverticula, oesophageal caustic injuries, and discussion of minimally invasive surgery.This comprehensive, practical overview is suitable not only for medical students or residents interested in gastroenterology and gastroenterological surgery, but also for clinicians and practitioners.

The diagnosis and treatment of both congenital and acquired thoracic pathologies in children and adolescents require a high degree of specialization. This book provides practical guidelines for thoracic surgeons who operate on patients from neonatal age to adolescence and for pediatric surgeons who are challenged to treat disorders such as cystic malformations of the lung, mediastinal tumors, or chest wall deformities. The chapters, written by internationally acclaimed authors, include expert commentaries with tips and tricks for the clinical practice. Plus: QR codes for access to videos of surgical procedures.

Written by the world's leading authority in the field, Atlas of Reconstructive Surgery: A Case-Based Approach offers a case-based, highly illustrated approach to optimizing care for the reconstructive surgery patient. Dr. Lee L.Q. Pu invites you to learn from real cases that he has worked on throughout his years of surgical practice, providing detailed content on each case in an easy-to-follow, templated format. Superb illustrations, before and after case photos, and operative videos help you visualize exactly how Dr. Pu achieves improved outcomes for each patient. Presents a wide variety of cases covering reconstructive surgery of the body, face, and upper and lower limbs. Details how to optimize every aspect of care for the reconstructive surgery patient, including postoperative care and long-term follow-up for each case. Demonstrates Dr. Pu's techniques through intraoperative photos and procedural video clips. Includes key procedures such as facial reconstruction, complex leg reconstruction, and staging and combining of reconstructive surgeries. Includes surgical pearls throughout. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

This book provides a systematic review of the management and treatment of this disease. The concise and highly structured chapters feature essential background knowledge and commentary on recent advances within each step of a range of patient pathways. Management of Muscle Invasive Bladder Cancer provides a framework for patients' care based on the research, as well as practically and clinically oriented guidelines. This book is relevant to trainees and practicing urologists and oncologists, in addition to medical professionals involved in the treatment of bladder cancer.

Unique case-based format facilitates understanding of difficult clinical scenarios Focuses on tips and tricks to help prevent common mistakes Key pictures show a range of colorectal pediatric situations

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

The book is divided into two parts: Part I deals with the relevant physics and planning algorithms of protons (H Breuer) and Part II with the radiobiology, radiopathology and clinical outcomes of proton therapy and a comparison of proton therapy versus photon therapy (BJ Smit). Protons can be used for radiosurgery and general radio therapy. Since proton therapy was first proposed in 1946 by Wilson, about sixteen facilities have been built globally. Only a very few of these have isocentric beam delivery systems so that proton therapy is really only now in a position to be compared directly by means of randomised clinical trials, with modern photon radiotherapy therapy sys tems, both for radiosurgery and for general fractionated radiotherapy. Three-dimensional proton planning computer systems with image fusion (image of computerised tomography (CT), magnetic resonance registration) capabilities imaging (MRI), stereotactic angiograms and perhaps positron emission tomography (PET) are essential for accurate proton therapy planning. New planning systems for spot scanning are under development. Many of the older comparisons of the advantageous dose distributions for protons were made with parallel opposing or multiple co-planar field arrangements, which are now largely obsolete. New comparative plans are necessary once more because of the very rapid progress in 3-D conformal planning with photons. New cost-benefit analy ses may be needed. Low energy (about 70 MeV) proton therapy is eminently suitable for the treatment of eye tumours and has firmly established itself as very useful in this regard."

A TIMES BEST BOOK OF 2019 An intimate and compelling exploration into the unique psyche of the heart surgeon, by one of the profession's most eminent figures. Although Professor Stephen Westaby was born with the necessary coordination and manual dexterity, it was a head trauma sustained during university that gifted him the qualities of an exceptional heart surgeon: qualities that are frequently associated with psychopathy. His thirty-five-year career has been characterised by fearlessness and ruthless ambition; leaving empathy at the hospital door as thousands of patients put their lives in his hands. For heart surgeons, the inevitable cost of failure is death and in The Knife's Edge, Westaby reflects on the unique mindset of those who are drawn to this exhilarating and often tragic profession. We discover the pioneers who grasped opportunities and took chances to drive innovation and save lives. Often difficult, uninhibited and fearless, theirs is a field constantly threatened by the risk of public failure. Like those before him, Westaby refuses to draw the line in his search of a lifetime solution to problems of the heart. His determination is unerring - a steadfastness underpinned by his unusual mind. But as we glimpse into the future of cardiac surgery, for all its remarkable scientific advancement, one question remains: within the confines of socialised medical healthcare systems, how can heart surgeons - individuals often hardwired with avoidance of self-doubt, a penchant for glory and a flagrant disregard for authority - truly flourish?

Key features: • Expanded first chapter on levels of echocardiography. • New sections on COVID-19, cardio-oncology, multivalve disease, and specialist valve clinics. • Incorporation of new international guidelines, grading criteria and normal data. • Guide to how cardiac CT and magnetic resonance can compliment echocardiography. • Reformatted text and extra diagrams and tables to improve understanding.

Written by many of the world 's leading colorectal surgeons, this evidence-based text investigates the risks and benefits of colorectal surgeries. By using clinical pathways, algorithms, and case discussions, the authors identify the best practices for patient safety and positive outcomes to ensure that physicians correctly recognize potential problems and carefully manage complications.

Improved Outcomes in Colon and Rectal Surgery is a must read and essential reference for all colorectal surgeons, fellows and residents, as well as those working in gastroenterology and the medico-legal profession.

Atlas of Conducted Electrical Weapon Wounds and Forensic Analysis provides a comprehensive publication on the subject of Conducted Electrical Weapon (CEW) wounds and signature markings created by this class of weapon. This volume will serve as a very useful resource for all professions tasked with assisting persons that have allegedly been subjected to a CEW exposure. The volume provides an introduction to basic CEW technology and the types of CEWs currently available. It also serves as a comprehensive pictorial atlas of signature markings that CEW exposures make in the immediate and more remote post-exposure periods. Also, it discusses the ability of forensic specialty examinations of the CEW itself to aid in the determination of whether the alleged CEW exposure is consistent with the objective evidence and the subjective statements. Finally, this text addresses the important and growing area of factitious CEW markings that will be useful for consideration by investigators and litigators. Atlas of Conducted Electrical Weapon Wounds and Forensic Analysis provides an objective atlas of evidence for reference that will benefit those professionals who often must make diagnostic, treatment or legal judgments on these cases including Emergency and Primary-Care Physicians, Medical Examiners, Forensic Pathologists, Coroners, Law Enforcement Investigators, and Attorneys.

One of the horrors of the West African Ebola outbreak was the decimation of the area's already thin ranks of surgeons. As Ebola spread, health facilities closed, and some doctors-afraid of catching the disease-left the region or stopped performing surgery. Many of those who stayed contracted Ebola and died. As the pool of doctors available-and willing-to perform surgery dwindled, treatable conditions unrelated to the disease, including appendicitis, unrepaired hernias, stomach ulcers, and obstructed labor, went untreated with devastating results. Drs. Sherry M. Wren and Adam L. Kushner both worked extensively with surgeons in Ebola-ravaged countries during the 2014 outbreak. Recognizing that there was no guidance available for how to perform surgery under such dangerous conditions, Wren and Kushner collaborated to create official guidelines for safe surgical procedures in cases of confirmed or suspected Ebola. Operation Ebola documents these procedures and describes in vivid detail the conditions that faced both local surgeons and the international surgeons who came to help. Bringing together a group of medical experts from Sierra Leone and across the globe to tell their stories and offer hard-learned lessons, this book is a riveting first-hand account of performing surgery in under-resourced parts of the world. Through these health workers' eyes, readers will come to understand what it feels like to wear personal protective equipment (PPE) while operating, what dangers remain when using PPE, how to construct an Ebola maternity ward, and how to give anesthesia to patients during a time of Ebola. A succinct and gripping exploration of how an outbreak can affect surgical care and the surgeons who provide it, this book will interest medical professionals, students, policy makers, donors, and anyone who cares about Ebola or global health. Contributors: Kathryn P. Barron, Hakon A. Bolkan, Severine Caluwaerts, Joseph Forrester, Andrew M. R. Hall, Eva Hancilles, Mark J. Harris, Angela Hewlett, David B. Hoyt, Daniel W. Johnson, Thaim B. Kamara, Songor S. J. Koedoyoma, Michael Koroma, Adam L. Kushner, Marta Lado, Ronald C. Marsh, Andrew J. Michaels, Mohamed G. Sheku, Sherry M. Wren

A new, comprehensive review of the radiographic examination of the post-operative GI tract. Organized on an organ-by-organ basis, emphasis is placed on conventional studies, supplemented by cross-sectional imaging. Operative techniques and normal post-operative anatomy are depicted with many schematic line drawings. Normal changes, as well as early and late complications are discussed and abundantly illustrated. A must-have reference for general radiologists, specialists in gastrointestinal surgery and radiology medical libraries.