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As bariatric procedures become more commonplace, the safety and quality of bariatric surgery continues to rise. Risk factors remain inconsistent from hospital to hospital and procedure to procedure, however, highlighting the necessity for comprehensive education on the prevention and management of their resulting complications. In response to this need, Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field. Edited by leading experts, it provides sound recommendations for collecting, monitoring, and analyzing outcomes, with an emphasis on quality and process improvement. Its scope is tremendously comprehensive, covering everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism; to rare-but-deadly complications, such as Wernicke's encephalopathy and rhabdomyolsis as well as the emergency management of various life-threatening complications, including internal hernia, gastric nectrosis from banding, pulmonary embolus, and bleeding. Readers also learn about early-day, late-day, and intraoperative complications, for which the authors provide evidence-based recommendations for swift and accurate diagnosis, preventive strategies, and best practices in medical and surgical management. Comprehensive and accessible, this book is a valuable resource for bariatric surgeons and surgical trainees, physicians, and nurses who participate in the perioperative care of the bariatric patient.
Intraoperative neurophysiological monitoring (IOM) has proven itself a versatile technique that reduces the risks of acquiring intraoperative neurological deficits, shortens operating time, and lowers the costs of medical care and rehabilitation. It can also reduce the risks of medical malpractice suits and serve as a research tool to better understand nervous system disorders and promote improved treatments. In Intraoperative Neurophysiological Monitoring, Second Edition, the premier authority on the subject, Aage R. Moller, has extensively expanded and rewritten his highly regarded first edition to create a comprehensive, up-to-date reference on IOM techniques and their anatomical and physiological basis. In addition, the author has added new material on the monitoring of the spinal motor system, sensory systems, peripheral nerves, and in skull base surgery. Writing as a pioneer and leader in the field, Dr. Moller provides practical information about how to perform electrophysiological recordings in the operating room, interpret the results, and present them to the surgeon. Included are descriptions of methods for guiding the surgeon in such operations as microvascular decompression and the implantation of electrodes for deep brain stimulation and auditory prostheses. Methods for mapping of the cerebral cortex, the brainstem, and the spinal cord are also described, as well as practical procedures for monitoring cranial motor nerves. Practical aspects of IOM including requirements of equipment, reducing electrical and magnetic interference, and how to work with other teams in the operating room are discussed in detail. Comprehensive and up-to-date, Intraoperative Neurophysiological Monitoring, Second Edition, is an authoritative survey of the theoretical and practical knowledge needed to reduce the risks that occur in surgical operations impacting the nervous system.
1.Provides clinical certainty about difficult and controversial areas of vascular malformation 2. Explains how to incorporate genetic studies to aid diagnosis 3. Illustrates and explains unique findings from world experts 4. Includes evidence-based material to reflect research from the last 2 decades 5.Multiple colour illustrations and clear explanations make the text easy to absorb.
Although the history of organ transplant has its roots in ancient Christian mythology, it is only in the past fifty years that body parts from a dead person have successfully been procured and transplanted into a living person. After fourteen years, the three main issues that Robert Veatch first outlined in his seminal study Transplantation Ethics still remain: deciding when human beings are dead; deciding when it is ethical to procure organs; and deciding how to allocate organs, once procured. However, much has changed. Enormous strides have been made in immunosuppression. Alternatives to the donation model are debated much more openly -- living donors are used more widely and hand and face transplants have become more common, raising issues of personal identity. In this second edition of Transplantation Ethics, coauthored by Lainie F. Ross, transplant professionals and advocates will find a comprehensive update of this critical work on transplantation policies.
Over the last quarter of a century, the fields of medical ethics and of legal issues related to medical practice have rapidly developed for a number of reasons. Firstly, the provision of healthcare nowadays is based on a complicated partnership between healthcare providers, patients, administrators and organizations responsible for providing finance; this complicated partnership frequently results in clashes of views, opinions, and priorities, which have a major ethical and legal dimension. Secondly, a major event of the 21st century is the development of multicultural societies; healthcare-related decisions thus have to be made on the background of so many different ethnicities, religions, cultures and languages, resulting in a great spectrum of ethical and legal implications. Thirdly, in the modern world, people are more mobile and can easily and cost-effectively seek treatment outside of their country of origin or residence, which raises many ethical and legal issues. Lastly, the development of new medical specialties, modern and advanced treatments for very challenging patients, and the introduction of new technologies in medical practice have dramatically broadened the spectrum of ethical and legal issues related to medical practice. This book will therefore aim to cover in detail general principles and specific issues related to the ethical and legal dimensions of modern surgical practice.
Highly Commended, BMA Medical Book Awards 2015 Orthopaedic Trauma: The Stanmore and Royal London Guide is a definitive and practical guide to musculoskeletal trauma surgery with an emphasis on the techniques employed and the reasoning behind them. Written with the needs of trainees in orthopaedic surgery in mind, this comprehensive book systematically covers all aspects of trauma of the upper limb, lower limb, and spine, with separate sections on paediatric trauma. Many chapters include detailed descriptions of the initial diagnosis and management of common injuries as well as the consent process, theatre set-up, and surgical approach required for operative treatment. The book also features sections on topics such as polytrauma, pelvic trauma, and resuscitation, enabling the reader to learn safe, evidence-based approaches. Information on complications, key references, viva and multiple-choice questions to test understanding of concepts covered are included in each chapter, allowing the book to be used both as a practical guide to the treatment of patients and as a preparation tool for postgraduate orthopaedic examinations. This book complements the successful titles Basic Orthopaedic Sciences: The Stanmore Guide and Operative Orthopaedics: The Stanmore Guide.
Working at the forefront of cosmetic surgery at the turn of the twentieth century, Dr Suzanne NoA"l was both a pioneer in her medical field and a firm believer in the advancement of women. Today her views on the benefits of aesthetic surgery to women may seem at odds with her feminist principles, but by placing NoA"l in the context of turn-of-the-century French culture, this book is able to demonstrate how these two worldviews were reconciled. NoA"l was able to combine her intense convictions for gender equality and anti-ageism in the workforce with her underlying compassion and concern for her female patients, during a time when there were no laws in place to protect women from workplace discrimination. She was also responsible for several advances in cosmetic surgery, a thriving industry, and is today best known for her development of the mini facelift. This book, therefore, sheds much valuable light on advances in aesthetic surgery, twentieth-century beauty culture, women and the public sphere, and the 'new woman'.
This concise handbook covers a diversity of subjects encompassing the broad spectrum of craniofacial surgery. As a quick reference guide intended for the less experienced craniofacial audience (i.e., the medical students, residents and fellows), fundamental concepts and techniques in craniomaxillofacial surgery are presented and explained for an improved comprehension of this complex topic. In addition, these highly-focused chapters are well aided by high-resolution illustrations, diagrams and tables that enable easy understanding of the basic principles of the more commonly performed operations.
Over the last two decades, there have been numerous exciting developments in the surgical field of articular cartilage repair. Magnetic resonance imaging plays a critical role in pre-operative surgical planning, through its ability to identify the extent and severity of cartilage lesions. It also plays an important role in post-operative management, by allowing surgeons to noninvasively monitor the morphological status of repaired cartilage tissue.This book covers recent advances in ultra high field MRI and biochemical MRI techniques such as T2 mapping, delayed gadolinium enhanced MRI of cartilage (dGEMRIC), gagCEST and sodium MRI. It is written by a multidisciplinary team including basic scientists, radiologists, orthopaedic surgeons and biomedical engineers. The volume is an ideal reference guide for musculoskeletal radiologists, basic research scientists, orthopedic surgeons and biomedical engineers etc.
Sports Injuries of the Foot is the go-to text for the management and treatment of foot injuries in athletes, demonstrating the current state-of-the-art techniques in assessment, testing and treatment. Organized anatomically beginning with the toes and working down the foot, it covers such common athletic injuries as turf toe, bunions, MTP instability and mid foot and navicular fractures, all in the context of athletic activity. Attention is also given to special considerations for the adolescent and female athlete, with an eye toward return to play. Written by clinicians for clinicians, it will be an invaluable resource for orthopedists, podiatrists, team physicians, athletic trainers and primary care providers alike.
Cosmetic surgery represents an extreme form of modern grooming. It is the fastest growing medical specialty, yet misconceptions abound about those who undertake it and their reasons for doing so. With a grounded approach, engaging 30 women through in-depth interview, this study explores how they chose cosmetic surgery as an option. Their accounts frame a theoretical discussion, in which Northrop proposes that cosmetic surgery is initiated within the vulnerable and divisive relationship between the self and its poor body image. Poor body image and the attempt at its reparation are examined conceptually through shame and narcissism. With compelling case studies and a multi-disciplinary approach, Reflecting on Cosmetic Surgery demonstrates that shame constitutes a framework through which we formulate appearance norms and learn the art of becoming socially embodied. Shame concerns the self, but manifests in response to perceived social phenomena. Through the evaluation and amendment of body image with cosmetic surgery, notions of self and social worthiness are played out. Northrop argues convincingly for a review of the way in which we view narcissism and proposes that shame, and the discomforts arising from it, are implicated in its occurrence. This book will appeal to students and scholars across the social sciences, and particularly in women's studies and gender studies.
A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates.
Richard B. Welbourn, a retired endocrine surgeon who has written two books on the subject, has compiled the definitive history of the new and advancing discipline of endocrine surgery. The book traces the history of endocrine surgery from its origins to the 1980s, detailing the stories behind the surgery of each gland. A valuable biographical index containing basic information as well as the ideas and achievements of great names in the field will prove an invaluable resource. Topics include: Evolution of Endocrine Surgery; The Pituitary; The Thyroid; Thyroid Cancer; The Adrenal Glands; The Parathyroid Glands; The Endocrine Gut and Pancreas; Islet Cell Transplantation; Multiple Endocrine Adenopathy and Paraendocrine Syndromes; Cancer of the Breast and Prostate; Essential and Renal Hypertension; Surgical Stress. The book also includes more than 80 photos and diagrams. A chronological table shows the main events described in the text in their temporal context via milestones in general medicine, surgery and science, and selected major events in political and social history.
This is the first Q&A-based revision book specifically aimed at candidates sitting the viva component of the FRCS(Plast) examination. It provides a selection of common clinical scenarios presented in a realistic way and presents a guide to answering the FRCS (Plast) questions, as well as advice on how to approach the revision process itself. Crucially, this will help to prepare candidates to organise their thoughts, demonstrate higher order thinking and present a robust answer in the face of grey areas and controversies. The text covers all topics from the syllabus including Trauma, Burns, Facial and Soft Tissue Injuries, Acute Head and Neck Tumours, Cleft and Craniofacial, Congenital anomalies, Facial Palsy, Vascular anomalies, Trunk & Perineal, Skin Cancer, Basic Sciences, Aesthetic, Ethics & Medico-legal, and Consent. Candidates using this book will be able to realistically recreate the exam scenario either in private or in a group setting. This book is equally useful for candidates sitting plastic surgery post graduate exams with equivalent syllabuses to that of the FRCS(Plast) such as the EBOPRAS exam, as well as others. In addition, it also makes an excellent companion for trainees throughout the course of their six-year training rotation, allowing more junior plastic surgery trainees the opportunity to become acquainted with the format and content of the FRCS (Plast) exam. Lastly it may be helpful to consultants who are interested in coaching their trainees in topics other than their subspeciality.
Surgery remains a challenge for young learners. Perhaps the most difficult of all surgeries are those done on the liver, biliary tree and pancreas. These organs are difficult to expose, difficult to operate and the patients are often difficult to recover. There are significant consequences for any missteps on what is a narrow pathway to a successful outcome. The skills needed to master surgery on these organs are hard to acquire. The volume of information presented to students is enormous and complex to parse. HPB textbooks contain a large amount of information from various authors but are often poorly coordinated. Surgical manuals contain significant anatomic details and descriptions but have difficulty transferring key concepts. Experienced surgeons are often oblivious to their skills and communicate poorly to their students regarding the things they do or understand that make them wise. This book tries to capture this wisdom. The topics in this book are most applicable to hepatobiliary and pancreatic surgeons but really extend to all general surgeons. Anyone who operates in the abdomen must have a basic understanding of these dominant organs; general surgery trainees and staff are an additional focus of this book. The skills needed for a modern surgeon to succeed are much broader than the scalpel tip. Section I, HPB Surgical Craft, imparts important lessons on the laws of human interactions and cognitive aspects of surgery. Sections on the anatomy and operations on the liver, pancreas and bile ducts are presented. The expanded gallbladder section and pancreatitis chapters are of particular importance to general surgery residents. This book has been written in a readable and entertaining style, with many fun historical and contemporary quotes dotted throughout. The Wise Scalpel is an attempt to impart knowledge and understanding to students and practicing surgeons at all levels. The book focuses on tips, traps and underlying truths about the diseases of these organs and their surgical treatment. While this book will not supplant the struggle needed to move from novice to expert surgeon, hopefully it will quicken the process and help avoid some of the dangers and frustrations along the way.
Robotic spine surgery is one of the fastest growing segments of the spine surgery market. Surgeons specialising in spine surgery are highly motivated to learn and improve their understanding of the indications,application,and future clinical scope of using new technological platforms. Spinal surgeons face time pressures but are hungry for new ways to effectively treat patients. This book presents information in the case study format. By using examples of surgical cases of an advanced nature (e.g. spinal deformity, minimally invasive surgery, combinatorial technology using the robot) this will differ from other texts. Each case study is written by a well-respected expert in the field and represents that surgeon's most monumental case. Each case contains a concise patient history with indications, contraindications and insights to help the reader assimilate expert knowledge. The case studies examine both the unique and technical aspects of robotic planning and surgical execution, and include seminal bullet point sections: Key take away points; Tips and pearls to avoid pitfalls; and "how I could have done this better." This new text provides valuable and practical knowledge for spine surgeons and others involved in robotic surgery.
Selected as a Doody's Core Title for 2022! For nearly 40 years, Surgical Exposures in Orthopaedics: The Anatomic Approach has helped orthopaedic surgeons enhance their anatomic knowledge, increase safety, and improve patient outcomes. The fully revised sixth edition carries on the legacy of Dr. Stanley Hoppenfeld (1934-2020), whose ideas have influenced orthopaedic surgical care worldwide. Coauthored by Piet de Boer and Dr. Richard Buckley, this bestselling reference provides a clear view of orthopaedic anatomy from the surgeon's perspective using easy-to-follow descriptions and hundreds of superb full-color illustrations. Brings you up to date with recent changes in the field, using a highly relevant anatomic approach that has become increasingly important as approaches become smaller. Details the techniques and pitfalls of each surgical approach, gives a clear preview of anatomic landmarks and incisions, and highlights potential dangers of superficial and deep dissection. Contains 21 new surgical approaches, including fixation of rib fractures, the suprapatellar approach for tibial nail insertion, a minimally invasive approach to the clavicle, the posterior triceps-on approach to the distal humerus, three new approaches to the distal femur, as well as several others. Includes expanded content on the anteromedial approach to the elbow and new surgical approaches to the talus, cuboid, navicular, and Lisfranc's joint. Features fully revised content throughout, including changes to the trochanteric osteotomy required to perform surgical hip dislocation, updated content on external fixation, and new references where appropriate. Provides access to numerous high-quality procedural videos from every relevant angle, including a split screen with diagrams. 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.
With the introduction of cardiac surgery more than five decades ago and the use of the heart-lung machine for open heart surgical procedures granting the surgeon unlimited time in which to operate inside the heart, a complex task has been given to the Perfusionist. With a pairing of a perfusionist and a surgeon for each chapter, this book is an essential collection of techniques and protocols to aid in decision making in the operating room.
Surgical training is highly competitive and requires preparation, dedication and an understanding of the principles of selection. Your application will be evaluated across a range of competences according to objective criteria, with selection based primarily on your: surgical portfolio - evidence of relevant experience and achievements to date, which is used to demonstrate your suitability for a role surgical interview - a range of 'stations' designed to assess specific areas of the selection criteria This book is a practical guide to help you build an impressive portfolio and deliver a quality performance at interview. It offers key advice on these two areas of assessment, as follows: The surgical portfolio: Advice on where to start and how to maximise the benefit you gain from each opportunity. Each portfolio domain is discussed in turn, explaining the context and rationale and providing a guide to maximising your performance in each area. Example opportunities are provided for you to pursue to help to adapt your experience to the specific assessment criteria. The surgical interview: Understand the rationale behind the questioning to help you tailor your answers to maximise scoring. Answer templates with key guidance to help you provide effective answers based on your portfolio experiences. Guidance on contemporary surgical topics to help you with discussion and debate.
A new revision guide designed to help candidates prepare for the first part of the FRCS general surgery exam. Due to a lack of preparatory resources for the exam, this book bridges the gap, offering updated guidelines and information which will help candidates succeed. It acts as a supportive revision guide which will enrich other FRCS exam resources. This resource provides an updated approach to the FRCS exam. Using questions written by practicing surgeons, the book offers more contemporary revision materials, touching on topics not widely covered in other FRCS revision aids. Readers will gain a familiarity with the style of the FRCS exam, as Higher FRCS uses a style reflective of the exam to enhance the candidate's knowledge, confidence, and preparation. The audience for this book includes general surgery trainees who are preparing for their higher exams (including FRCS), alongside surgical trainees taking the MRCS. It is also a beneficial resource for students in other medical courses studying for surgical exams.
This highly illustrated book describes how to perform dermal filler procedures in a way that simultaneously takes into account esthetic and safety aspects in order to achieve optimal outcomes in individual patients. After discussion of filler materials and design considerations, the relevant basic and clinical anatomy is described, drawing on cadaveric examinations and imaging in living subjects. Step-by-step instruction is then provided on how to identify a safe injection plane and on injection using the pinch technique. The coverage includes guidance on injection procedures specific to different sites. A thorough and systemic description of potential side effects of filler injection, and the management of complications is also presented. The Art and Science of Filler Injection equips the reader with a sound knowledge of all aspects relevant to the achievement of pleasing esthetic results without side effects and will be of value for practitioners at all levels of experience.
Here is the second, completely revised and updated edition of the successful practical guide to image-guided spine intervention. It contains revised text and images as well as new sections and chapters. The updated text thoroughly discusses both well-established and new interventions that are applied to the spine for the purpose of pain relief.
Main image shows the bones, muscles, ligaments, veins and arteries of the shoulder. Illustrates posterior, lateral, anterior and superior views of the shoulder anatomy, as well as the socket of a normal shoulder joint. Shows impingement syndrome, rotator cuff tear, trauma (such as proximal humeral fracture and acromioclavicular separation), and bicipital tendon problems. Also illustrates instability such as anterior dislocation of the humerus, Bankart lesion, and Hill Sachs formationbr>Size is 20" W by 26" H. For more information about our chart mounting styles, click here.
Spare Parts examines major developments in the field of organ replacement that occurred in the United States over the course of the 1980s and the beginning of the 1990s. It focuses upon significant medical and social changes in the transplantation of human organs and on the development and clinical testing of the Jarvik-7 artificial heart, with special emphasis on how these biomedical events were related to the political, economic, and social climate of American society. Part I examines the important biomedical advances and events in organ transplantation and their social and cultural concomitants. In Part II, the focus shifts to the story of the rise and fall of the Jarvik-7 artificial heart in the United States, its relation to American social institutions and cultural patterns, and its bearing on social control issues associated with therapeutic innovation and the patient-oriented clinical research it entails. Part III is a personal conclusion, which explains why the authors left the field of organ transplantation after so many years. Spare Parts is written in a narrative, ethnographic style, with thickly descriptive, verbatim, and atmospheric detail. The primary data it is based upon includes qualitative materials, collected via participant observation, interviews in a variety of medical milieu, and content analysis of medical journals, newspapers, and magazine articles, and a number of television transcripts. The new introduction provides an overview of some of the recent developments in transplantation and also underscores how tenacious many of the patterns associated with organ replacement have been. Spare Parts should be read by all medical professionals, sociologists, and historians.
Most people think that stroke victims end up looking like Frankenstein with a horrible facial expression and erratic movements. But, that is not the way it has to be. Today, it is possible for some stroke victims to make a full recovery. Gerry Purdy knows this because his wife, Alicia - a healthy, beautiful and smart person - suffered a stroke on August 23, 2011 and was able to return to her vivacious self. Our Stroke of Luck portrays the life they had together. Gerry and Alicia had dated in high school and got back together for their 45th high school reunion. Life was good. And then - Bam! - without warning Alicia suffered a stroke. Find out how Alicia's neurosurgeon was able to remove the clot from her brain that caused the stroke. Experience the tense ups and downs of that night-one moment seeming as though she might be paralyzed on her left side for the rest of her life and then the next seeing a flash of hope. Gerry and Alicia were lucky that the radiologist was able to identify the clot in her brain and lucky to get her transferred to the Marcus Stroke Center at Grady Hospital in Atlanta. They were lucky that Dr. Nogueira was able to extract the clot from Alicia's brain. And, finally, they were lucky that she was able to make a full recovery. Truly, this was their stroke of luck. |
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