This is a stunningly well-written account of the life of a surgeon: what it is like to cut into people's bodies and the terrifying - literally life and death - decisions that have to be made.There are accounts of operations that go wrong; of doctors who go to the bad; why autopsies are necessary; what it feels like to insert your knife into someone.

An interdisciplinary panel of pioneers and opinion leaders review the basic, preclinical, clinical, and developmental pathways to new treatment strategies, such as therapeutic angiogenesis and myogenesis. The authors take advantage of new biological understanding, novel therapeutic targets, multiple available and well-studied therapeutic strategies, and the necessary imaging techniques to measure outcomes. Their in-depth discussions cover the identification of new therapeutic targets and pathways, the investigation of transcriptional factors, master switch molecules, cell-based approaches, chemokines, a better understanding of the effects of aging, endothelial dysfunction, and hypercholesterolemia in response to angiogenic stimuli. Highlights include examination of drug delivery problems, outcomes measure, stem therapy, high-risk interventions, development pathways, and future possibilities.

This book includes a foreword by Nicola Maffulli, Professor of Trauma and Orthopaedic Surgery, Keele University School of Medicine, and Consultant Trauma and Orthopaedic Surgeon, North Staffordshire Royal Infirmary and City General Hospital, Staffordshire. The new structure of the Fellowship of the Royal College of Surgeons (FRCS) examination requires candidates to complete two papers in extended matching question (EMQ) and multiple choice question (MCQ) format. This invaluable revision aid contains a 'bank' of over 350 questions in self-test format. Comprehensive answers are detailed at the end of each section. With a focus on high-yield topics, students can choose use the resource in the early stages as an overview of the subjects, then later as an ideal exam revision aid. There's nothing else like it! Specialist registrars preparing for the FRCS (Trauma and Orthopaedics) examination will find this an essential revision aid. It is also useful for Basic Surgical Trainees preparing for the Membership of the Royal College of Surgeons (MRCS) examination.

A comprehensive review the state-of-the-art in atherosclerosis of the arteries of the legs and feet. The authors discuss in detail the primary symptom-claudication-an intermittent pain in the leg or foot while walking, its predisposing factors, the current diagnostic methodologies, the impressive advances in the therapeutic armamentarium, and the need to screen for co-existing coronary artery disease. Additional chapters describe cutting-edge noninvasive angiography and vascular flow studies, specific drug therapy for claudication, regression of atherosclerosis therapy, gene therapy, and drug eluting stents for peripheral arterial disease. The authors also examine the epidemiology of LEAD, the effects of smoking and effective smoking cessation programs, its pathogenesis and its association with lipid abnormalities and hypertension, aggressive risk factor modification, and the need to measure the ankle brachial index of every patient over 45.

Sports medicine including care of the athlete can be an exciting and unique aspect of orthopaedic residency training and beyond. Many of us develop a lifelong passion for helping athletes get back to competition, but, at times, the challenge of mastering sports medicine can be daunting. This book is written by health care providers specifically to help residents prepare to effectively manage conditions seen in athletes both on the field and in clinical situations.

This one-of-a-kind book delivers challenging, clinically relevant case-based learning tools regarding orthopedics and sports medicine for advanced practice nursing students and practitioners. Written by nurse practitioner/educators, it fills a gap in information and guidelines for treatment of this population in primary and acute care environments. Cases across the lifespan cover areas of orthopedics and sports medicine most likely to be encountered. Cases are described in depth to foster a comprehensive learning experience and to facilitate inductive and deductive critical reasoning. Each follows a template that encompasses the context for the case, chief patient complaints and history along with physical assessment findings, diagnostic evaluation, interventions, evaluation of care and outcome, and references for additional information. An accompanying teaching guide aids instructors in accelerating critical thinking. Key Features: Fills an identified gap in available literature Reflects both primary care and acute care across the lifespan Includes referral red flags and scope of practice for each case Formats cases for both inductive and deductive reasoning Offers focused instructor manual to facilitate meaningful learning

Through its representation, cosmetic surgery impacts on us all, not just those who go "under the knife." Women's magazines teem with its promises and horror stories; feminists ardently debate its status as harmful or heroic; surgeons and regulators compete to define which procedures can be offered and how. This book investigates the ways in which cosmetic surgery is shaping gender, and in the process, it questions contemporary cultural studies assumptions about how we read the media.

Cosmetic surgery is everywhere: we are surrounded by altered, enhanced, skinny and stretched celebrities, in a hyped media culture that focuses increasingly on the body beautiful. Once only associated with the rich and famous, cosmetic surgery is now widely available, advertised in magazines, doctors' surgeries, and even on television. In some parts of the world it has become an aesthetic and cultural norm, yet remains deeply troubling for many.
Skintight argues that cosmetic surgery is the most provocative and controversial aspect of a new 'makeover culture'. Shows such as Ten Years Younger and Extreme Makeover demonstrate that 'fixing' the body is a way to improve lifestyle and uncover true identity. Meanwhile, celebrities such as Michael Jackson and Jocelyn Wildenstein demonstrate the horrors of extreme surgical alteration.
Presenting a multidisciplinary approach, and examining a wide range of popular culture case studies from women's magazines, television, architecture and the Internet amongst others, Skintight dissects the realities of cosmetic surgery and culture.

Most individuals with brain damage experience a curtailment or loss of lifestyle without rehabilitation. Improved methods and appropriately timed medical interventions now make it possible for more individuals to survive brain insults and to be assisted by rehabilitation neuropsychologists in achieving renewed commitment to life. Damage to the brain -- the organ of human emotions and cognition -- reduces psychological functioning and realistic adaptation, and the patient and his/her family are often encapsulated in the time prior to injury. To regain part or most of the lifestyle lost, an honest, dedicated, and realistic approach is required. Neuropsychological rehabilitation can provide tools for this task, provided that the most comprehensive, elaborate and knowledge-based methods are integrated in the training, and provided that knowledge from many disciplines and from community environments and family is encompassed.
In the present book knowledge representing the development of neuropsychological rehabilitation during the past five years is collected from a conference titled "Progress in Neuropsychological Rehabilitation." The chapters are written by professionals who were invited to share their experiences from different areas within the field because of their expertise with processes involved in neuropsychological rehabilitation. After a historical review, the chapters follow a visible sequence from biology to neuropsychology and neuropharmacology. Experts discuss the most advanced medical knowledge of the effect of injury on states of the organism. The second part of the book is dedicated to the outcome and the economics of rehabilitation as well as plans for the future. Finally, a panel discussion addresses the overall concept: Is rehabilitation worthwhile and ethical? The reactions -- influenced by the cross-cultural exchange of knowledge -- shed light on the essence and practice of today's neurorehabilitation.

Short Bowel Syndrome: Practical Approach to Management is the first reference exclusively about the issues experienced by patients with a short bowel. It covers all aspects of normal and abnormal physiology, the presenting features, and outcomes, including metabolic problems, gallstones, and renal stones. It discusses both medical and surgical treatments, including intestinal transplantation. The use of growth factors, which is likely in the future to become increasingly important in promoting intestinal structural adaptation, is extensively discussed. Special emphasis is given to the psychosocial aspects of the quality of life of patients, including support groups. Emphasis is also given to the importance of an experienced multidisciplinary team in caring for these patients. This book is particularly timely given the recent advances in the management of Short Bowel Syndrome, including the availability of pharmacologic agents to enhance intestinal absorption, refinements in parenteral nutrition, and surgical procedures designed to eliminate the need for parenteral nutrition support. The goal of this international, interdisciplinary book is to bring the subject of Short Bowel Syndrome to a wide audience. A wide range of specialists have contributed to this book to provide various viewpoints on the state-of-the-art care of those with this condition.

This is the first textbook on surgery for Diabetic Foot in the world. It is written as a practical surgery manual for residents and young surgeons performing surgical procedures for patients with diabetic foot problems. Such a guide will be useful not only to residents and surgeons in Singapore but also to our neighbouring countries including, Malaysia, Indonesia, Hong Kong, India, Sri Lanka etc. Each surgical procedure is written in a systematic fashion covering indications, pre-operative preparation, anaesthesia, patient positioning, operative technique (in step by step fashion and illustrations) and post-operative care.The scope covers all aspects of surgery for diabetic foot from surgical debridement, split skin grafting, surgery for osteomyelitis, minor amputations including ray, transmetatarsal, Lisfranc, Chopart and Modified Pirogoff amputation to major amputations such as below knee, through knee and above knee amputation. It also includes assessment for revascularisation and revascularisation procedures.This book will serve as a useful practical guide for training surgical residents and for surgeons aspiring to do diabetic foot surgery.

This handbook considers topics that have general application to the critically ill patient. Basic pathophysiology and understanding of its role in critical care monitoring and management are covered, followed by a close look at trauma related and non-trauma related entities likely to afflict the critically ill surgical patient.The authors consist of practitioners who are experts in their field. They represent the team approach to critical care management where members from the divisions of anesthesia, internal medicine, respiratory medicine, infectious disease and surgical specialties all contribute in formulating intervention, assessment and management plans for the critically ill surgical patient.By emphasising the surgical conditions requiring critical care, The Surgical Critical Care Handbook will serve as a quick and easy reference for any medical trainee or practitioner aspiring to join the ICU.

This book reviews the main topics in thromboprophylaxis around orthopedic surgery, from a general scope of the problems with the disease highlighting them in orthopedics to the new specific protocols involving, for example, new oral anticoagulants. The prevalence of the venous thromboembolism in each procedure (from "easy" to "hard" surgeries, with different rates of related thrombosis) and the risk factors to bear in mind in each one (related and non-related with the orthopedic procedure) are also revised. A chapter focus on the diagnosis and treatment of venous thromboembolism, which is commonly "forgotten" in many books addressed to orthopedic surgeons and anaesthesiologists. The methods for thromboprophylaxis have three specific chapters: the most common drugs used and recommended when pharmacological prophylaxis is needed, new drugs which are arising day by day and which management will be of main importance in a close near future, and mechanical methods, recommended both as additional when possible and for sole indications when the risk of bleeding could move us to minimize the real risk of thrombosis. Anaesthetic implications for thromboprophylaxis and, also, main implications of the application of antithrombotic protocols in the anaesthetic practice are covered by another chapter. In our opinion it was very important to divide the orthopedic procedures according to their own thrombotic risk, so having their own protocols for thromboprophylaxis: high risk, day surgery procedures and "special" surgical procedures are included in three different chapters, from three different authors with complementary views. Finally, in a last chapter, we review the problems involving the perioperatory management of antiaggregated and anticoagulated patients, with a special part in hip fracture surgery.

This book identifies key treatment challenges and unique care considerations in patients with head and neck cancers, providing a comprehensive guide to patient management that illustrates the critical importance of a multidisciplinary approach in achieving optimal oncological, functional, and survival outcomes. It covers all relevant specialties, including dental and oral medicine, medical oncology, radiation oncology, surgical oncology, and reconstructive surgery. It highlights the vital role played by ancillary head and neck cancer services, such as speech and swallowing therapy, occupational and physical therapy, and nutritional therapy in offering essential physical and psychological support from the time of diagnosis onward. The closing chapters address post-treatment issues, including those relating to survivorship, surveillance, and end-of-life care. Multidisciplinary care is perhaps even more important for patients with head and neck cancers than for other cancer patients, and in addressing all its aspects this book is invaluable for a wide range of practitioners.

The intent of the book is to provide readers with a summary of the obesity problem with specific focus on the metabolic health issues (ie, diabetes mellitus), obstructive sleep apnea, non-alcoholic fatty liver disease and the psychological effects of obesity. This will provide readers with an understanding of the commonly performed operations for obesity along with evidence-based outcomes, nutritional issues, and metabolic consequences.

The sudden call, the race to the hospital, the high-stakes operation - the drama of transplant surgery is well known. But what happens before and after the surgery? In Transplanting Care, Laura L. Heinemann examines the daily lives of midwestern organ transplant patients and those who care for them, from pretransplant preparations through to the long posttransplant recovery. Heinemann points out that as efforts to control healthcare costs gain urgency - and as new surgical techniques, drug therapies, and home medical equipment advance - most of the transplant process now takes place at home, among kin. Indeed, the transplant system effectively depends on unpaid care labor, typically provided by spouses, parents, siblings, and others. Drawing on scores of interviews with patients, relatives, and healthcare professionals, Heinemann follows a variety of patients and loved ones as they undertake this uncertain and strenuous ""transplant journey."" She also shows how these home-based caregiving efforts take place within the larger economic and political context of a paucity of resources for patients and caregivers, who ultimately must surmount numerous obstacles. The author concludes that the many snags encountered by transplant patients and loved ones make a clear case for more comprehensive health and social policy that treats care as a necessarily shared public responsibility. An illuminating look at the long transplant journey, Transplanting Care also offers broader insight into how we handle infirmity in America - and how we might do a better job of doing so.

Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You'll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field. Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area. Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches. Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks. Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management. Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more. 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.

Bone circulation is important to our understanding of many major orthopedic conditions such as osteoarthritis, osteoporosis, repair, and tumors. Yet, circulatory physiology, basic to all healthy organs and most diseases, has been difficult to study in the skeleton. The biological regulation of blood flow is complex and the tissues have been relatively inaccessible to measurement. In recent years, however, advances have been made in understanding circulatory physiology and fluid flow in bone, functional measurement of blood flow, and the roles of circulation in bone turnover and repair. These advances have enhanced our insights into bone homeostasis and the interrelationships of circulation and skeletal biology, including repair and disease.This seminal volume presents updated information on circulatory physiology of bone and fluid flow through the bone matrix. It then describes new techniques in quantifying and imaging bone circulation. A clinical section covering circulatory elements of skeletal diseases provides valuable insight into pathophysiology that may serve as diagnostic biomarkers or therapeutic targets.

Up to date and evidence-based answers to a wide range of spinal surgical questions that could be asked in the FRCS (Tr & Orth) Viva exam. Using a clear, case-based structure key points emphasise the core information that will improve the performance of every surgical in training. Sections cover all the key areas of Trauma, Degenerative spinal pathology, Spinal cord injury, Spinal deformity, Primary bone tumours, Metastatic disease, Paediatric spinal surgery, Basic sciences, and other topics. Suitable for use by trainees at all levels in orthopaedic surgery and neurosurgery, both in the UK and internationally, and those with an interest in spinal surgery.

The minimally invasive surgical removal of the gallbladder, known as laparoscopic cholecystectomy, is one of the most commonly performed operations today. Yet, patients do not have a full understanding of the procedure and often, search the internet for answers. This concise book aims to bridge the knowledge gap between surgeons and patients by explaining the various aspects of the procedure in detail, educating patients and their relatives who are eager to understand more about the procedure and condition.Readers will be brought through the basics of gallbladder anatomy and physiology, operative procedure and post-operative care. All procedures are richly illustrated in colour to import greater understanding and a more immersive experience to readers.With chapters on operative procedures and challenging scenarios faced, medical undergraduates and junior doctors will also find this book useful as it provides in-depth practical knowledge that will be invaluable to them as they embark on their own training and practice.

The minimally invasive surgical removal of the gallbladder, known as laparoscopic cholecystectomy, is one of the most commonly performed operations today. Yet, patients do not have a full understanding of the procedure and often, search the internet for answers. This concise book aims to bridge the knowledge gap between surgeons and patients by explaining the various aspects of the procedure in detail, educating patients and their relatives who are eager to understand more about the procedure and condition.Readers will be brought through the basics of gallbladder anatomy and physiology, operative procedure and post-operative care. All procedures are richly illustrated in colour to import greater understanding and a more immersive experience to readers.With chapters on operative procedures and challenging scenarios faced, medical undergraduates and junior doctors will also find this book useful as it provides in-depth practical knowledge that will be invaluable to them as they embark on their own training and practice.

Medical practitioners, scientists and graduate students alike will find this exhaustive survey a vital learning tool. It provides a thorough description of the fundamentals and applications in the field of laser-tissue interactions. Basic concepts such as the optical and thermal properties of tissue, the various types of tissue ablation, and optical breakdown and its related effects are treated in detail. The author pays special attention to mathematical tools (Monte Carlo simulations, the Kubelka-Munk theory etc.) and approved techniques (photodynamic therapy, laser-induced interstitial thermotherapy etc.). A section on applications reviews clinically relevant methods in modern medicine using the latest references.

The most comprehensive reference available in this complex area, Sarrafian's Anatomy of the Foot and Ankle, Fourth Edition, remains the anatomy reference of choice for foot and ankle orthopaedic surgeons and podiatrists. Edited by Drs. Armen S. Kelikian and Shahan K. Sarrafian and featuring original anatomical dissection photographs prepared by Armen Sarrafian, this classic text has been completely updated throughout, including newly restored dissection photographs. Captures all of today's clinical knowledge on the anatomy of the foot and ankle, including detailed coverage of functional anatomy, applied anatomy biomechanics, and cross-sectional anatomy. Contains a new chapter on neurologic motor control of gait and its impact on the foot and ankle, as well as chapters on imaging of the foot and ankle portraying normal anatomy and variants. Features more full-color photographs, new plain film and magnetic resonance images, and redrawn illustrations to accompany classic dissection photographs. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

The objective of The Posterior Intrahepatic Approach in Liver Surgery is to describe techniques, as the more routine application today of split liver, living donor transplantation has continued to teach us more about the anatomy of the liver and its applications. Furthermore, laparoscopic surgery in general has grown space and it is important to show the application of the posterior approach in laparoscopic liver surgery as well.

Key Features 1) Detailed summary of every recorded variation and anomaly for each muscle in the human body 2) Information on comparative anatomy of each muscle (e.g., how each human muscle may appear in our closest living relatives, the apes). 3) Schematic illustrations of the variations and anomalies for easy visualization 4) Comprehensive literature review resulting in the most accurate prevalence information for each variation and anomaly 5) Diverse group of co-authors from various academic and cultural backgrounds