This book will provide all the basic details of neuroanaesthesia and how management of different neurosurgical cases may differ. Simple issues such as neurological examination of patient, understanding CT-scan and MRI scans along with anaesthetic management are discussed in simple language, making this book a ready-reckoner. The title provides an insight into all possible aspects of anesthetic management of neurosurgical and commonly encountered neurologic patients. The book also includes chapters related to allied specialities such as critical care, neurology and neuroradiology, making it a complete package.

Vascular surgery has seen a remarkable evolution. A discipline focused on the natural history and treatment of vascular disease by open operation is now primarily a minimally invasive specialty. Mastery of the basic pathophysiology has been retained while the transformation by improved imaging and endovascular intervention has been integrated into practice. This fourth edition of Vascular Surgery: Principles and Practice has incorporated these advances building on the specialty's past assets. Knowledge of natural history and open surgery will always have an essential role in optimal care of patients with vascular diseases. The authors' exposition of the old and the new will make this edition a valuable resource for vascular surgeons and all others dedicated to the care of vascular patients.

Surgical oncology is now a recognized specialty in the US and several European countries, and cancer surgery takes up a significant part of any general surgeon's workload. This thoroughly updated second edition of this bestseller is officially endorsed as a textbook for the syllabus and curriculum of the UEMS examination in Surgical Oncology, which is administered by ESSO (European Society for Surgical Oncology). The examination is for trainees at the end of training or established consultants seeking to expand their accreditation.

Trauma in older people aged over 65 is a rapidly growing field within orthopaedics. Up to two thirds of fractures occur as a result of a fall and about one third of all fractures occur in the over-65 population. The aim of this comprehensive new text is to present the epidemiology and management of all musculoskeletal trauma that occurs in the elderly. The book deals with the assessment and treatment of medical comorbidities, complications, and the role of orthogeriatric care. The focus of the book is on the practical management of fractures although soft tissue injuries and dislocations are also discussed. Reflecting the multidisciplinary nature of the field, contributors are drawn from orthopaedics and orthogeriatrics on both sides of the Atlantic. The book is intended for all surgeons and physicians involved in the treatment of trauma in the elderly, and it will be relevant to trainees and as well as experienced practitioners.

Venous Ultrasound 2e is the essential text for anyone involved in the treatment of chronic venous disease. It provides specific information on ultrasound as it is applied to chronic insufficiency, including history, general techniques, examples of anatomy, and protocols for performing ultrasound on patients, and discussions on key aspects of interpretation of sonographic findings. Updated to include the outcome and impact of three recent studies, the ATTRACT trial, the EVRA study, and the VIDIO imaging trial. An entire chapter is dedicated to iliac venous and stent imaging for those interested in expanding practice based on the mentioned studies. Also included is specific protocol for imaging of the pelvic area with focus on the pelvic congestion and reflux affecting this anatomic area. This text demonstrates that as imaging techniques improve, so too will the understanding of venous pathologies increase and the burdens of their respective pathologies. Pelvic Congestion, iliofemoral and late stage disease can be interrogated with a non-invasive approach using the techniques included prior to interventional procedures. This fully updated new edition includes coverage of new ablation techniques which include non- thermal and non- tumescent therapies for venous insufficiency - these have unique ultrasound properties on what to see, look for and observe in intra and post- operative situations. Focusing on the fundamentals that every phlebologist needs to know, the color illustrations and numerous line drawings complement the text for a complete learning experience. Key features: Covers anatomy related to venous insufficiency and obstruction Protocols with step by step approaches for those new to certain exams Includes useful diagrams and images to aid understanding Thoroughly up to date, with all the latest information for those practicing venous therapies Venous Ultrasound 2e is valuable for sonographers and physicians alike; including phlebologists, general and vascular surgeons, physicians, radiologists, angiologists, interventional cardiologist, mid-levels, and nurses who work in this area.

This book covers the clinical approach to managing head and neck pathology as it presents to the otolaryngology department. Including cervical lymphadenopathy, salivary gland disease, oral, oropharyngeal, laryngeal and hypopharyngeal lesions as well as thyroid and parathyroid diseases. Each chapter presents an evidence-based, practical, and user-friendly approach to assessing, investigating and managing these patients A practical, clinically applicable guide to managing head and neck pathology An evidence-based approach to the clear guidance provided in the book. Colour images and flow charts for quick reference Clear, concise and comprehensive, Head, Neck & Thyroid Surgery: An introduction and practical guide will be useful to trainees and clinicians in otolaryngology, maxillo-facial and plastic surgery.

Mind Maps in Surgery uses a concise and visually stimulating method, Mind Mapsr, to teach the reader the main topics in surgery. Each Mind Map covers a particular topic, disease, or condition; and includes the various aspects of a surgical disorder such as its pathophysiology, etiology, symptoms and signs, investigations, differential diagnosis, and management. In addition to covering the major types of surgery, the book contains chapters on the management of acutely ill patients and surgical patients, which is of vital importance for the reader. Instead of presenting the information in seemingly endless, lengthy text, the book is thoughtfully and carefully structured so that it contains only the essential knowledge. It is aimed especially at undergraduate medical students doing their surgical rotations, as a wonderful study aid for their final exams. It is also useful for surgical trainees working towards their membership exams, as well as doctors and nurses in the surgical profession.

Visual Tracking in Conventional Minimally Invasive Surgery introduces the various tools and methodologies that can be used to enhance a conventional surgical setup with some degree of automation. The main focus of this book is on methods for tracking surgical tools and how they can be used to assist the surgeon during the surgical operation. Various notions associated with surgeon-computer interfaces and image-guided navigation are explored, with a range of experimental results. The book starts with some basic motivations for minimally invasive surgery and states the various distinctions between robotic and non-robotic (conventional) versions of this procedure. Common components of this type of operation are presented with a review of the literature addressing the automation aspects of such a setup. Examples of tracking results are shown for both motion and gesture recognition of surgical tools, which can be used as part of the surgeon-computer interface. In the case of marker-less tracking, where no special visual markers can be added to the surgical tools, the tracking results are divided into two types of methodology, depending on the nature and the estimate of the visual noise. Details of the tracking methods are presented using standard Kalman filters and particle filters. The last part of the book provides approaches for tracking a region on the surgical scene defined by the surgeon. Examples of how these tracking approaches can be used as part of image-guided navigation are demonstrated. This book is designed for control engineers interested in visual tracking, computer vision researchers and system designers involved with surgical automation, as well as surgeons, biomedical engineers, and robotic researchers.

In All About Fibromyalgia, the authors provide a thoroughly revised and updated version of the highly successful Making Sense of Fibromyalgia, which was endorsed by the Arthritis Foundation, Southern California Chapter. This new volume continues to provide a comprehensive guide - for both patients and professionals - to this little known and poorly understood syndrome. It has now also been completely updated with the current understanding of the disease, and includes information on the latest drug treatments.

The ability of an epithelial cell to adhere to its neighbor and to the extracellular environment is an essential process that defines in part a normal multicellular organism. In the post-genomic era of cancer biology, it is known that epithelial tumors are multi-clonal and are genetically unstable. In contrast, during the process of tumor metastasis, which is the major cause of death from cancer, a restricted set of adhesion molecules are displayed on the tumor cell surface. The adhesion molecules provide a selective advantage for migration of the tumor cell to a distant site. In this volume, the expression of specific adhesion molecules within human cancer tissues are highlighted. The expression signatures from published DNA microarray and immunohistochemistry studies are detailed. The concept that the alteration of specific adhesion molecules influence the cancer migration ability and cancer damage responses is detailed in this volume; both features are essential for the survival of an invading tumor cell. Defining the minimal adhesion receptors preserved on cancer cells during tumor progression will define the metastatic adhesion signature. Understanding the metastatic adhesion signature will reveal vulnerabilities that could be exploited for the prevention and/or eradication of the invading cancer cell.

The clinical management of patients with acute brain and spinal cord injury has evolved significantly with the advent of new diagnostic and therapeutic modalities. Acute Brain and Spinal Cord Injury presents the latest medical science and highlights controversies in the clinical management of patients with acute brain and spinal cord injuries. Divided into five sections-traumatic brain injury, ischemic stroke, intracerebral and subarachnoid hemorrhage, and spinal cord injury-this text: Delineates diagnostic and monitoring tools, pharmacotherapies, and interventional and surgical treatments Examines and explores recently published laboratory trials and research Incorporates over 50 diagrams and figures for concise communication of scientific information This stand-alone reference is a powerful tool in helping today's neurologists and neurosurgeons keep abreast of current advancements in brain and spinal cord injury.

One of the hallmarks of a master surgeon is the ability to navigate a wide variety of inevitable difficult situations in surgery, whether errors in judgment, technical mistakes, or unavoidable outcomes. Under the leadership of series editor Dr. Stephen R. Thompson, the Complications in Orthopaedics series provides real-world guidance on recognizing and avoiding errors, as well as how to "course-correct" during surgery. In this volume, Drs. P. Maxwell Courtney, Yale A. Fillingham, and a team of expert surgeons describe the most common errors and complications of adult reconstruction surgery, focusing on the knee and hip and demonstrating practical solutions that are integral to improving patient outcomes. Covers key topics such as Pain Management Following Total Hip Arthroplasty and Total Knee Arthroplasty, Achieving Balance and Stability During a Total Knee Arthroplasty, Unicompartmental Knee Arthoplasty, Neurovascular Injury in Total Hip Arthroplasty, Post-operative Periprosthetic Fractures in Total Hip Arthroplasty, Hip Preservation: Complications of PAO?, and many more. Describes and offers solutions to the most common or most devastating errors and complications in the practice of adult reconstruction surgery, combining the breadth of knowledge of academic surgeons with the in-the-trenches skills of community surgeons. Uses an easy-to-follow, standardized chapter format that covers preoperative errors, intraoperative issues, and postoperative complications. Includes procedural video clips to reinforce discussions in the text. Features a full-color design with numerous photographs, radiographs, and illustrations. Includes introductory material on relevant anatomy and necessary background information. 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.

With detailed, expert guidance on each essential topic, Plastic Surgery: Principles and Practice offers single-volume convenience without sacrificing complete coverage of this multi-faceted field. Written by global leading authorities, it provides concise, easy-to-follow instruction with the clinical details and supportive data needed to achieve optimal patient outcomes. Offers thorough coverage of facelift procedures, rhinoplasty, otoplasty and more, along with clinical pearls from masters in the field. Features hundreds of high-quality images including anatomical line art, case photos, and procedural operative photos. I Includes a superb selection of procedural videos of global experts performing key techniques within operating room and close-up clinical pearls. An ideal resource for residents, fellows, and practitioners in plastic surgery, as well as those in otolaryngology, vascular surgery, and cosmetic dermatology. 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.

Laparoscopy in combination with laparoscopic ultrasonography is a new staging procedure for tumors of the abdomen. The treatment of several other tumor entities, such as pancreatic and gastric cancer, lymphoma, ovarian cancer, liver malignancies, is also improved by more accurate staging. Laparoscopic staging helps prevent unnecessary laparotomies, provides much less trauma to the patient, maximum information on tumor spread, and enables palliative procedures to be performed during the staging procedure. This book provides detailed guidelines on the aim and technique of laparoscopic staging and discusses the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.

Historically, vascular disease has been treated by a combination of open surgical procedures and medical management. Since the first description of a percutaneous procedure to dilate diseased lower limb arteries, the treatment of vascular disease has changed. Endovascular Intervention for Vascular Disease: Principles and Practice offers a diverse and comprehensive review of the current status of endovascular therapy for peripheral vascular disease. Setting a gold-standard in industry, it describes the entire spectrum of current techniques and emerging technologies including aneurysm repair, the management of occlusive disease, and vascular trauma. Providing step-by-step guidance on arterial and venous interventions by anatomical site, the book collects expert discussions on recent clinical trials and procedures for venous disease, reconstruction, and repair. In addition to summarizing the current techniques and available evidence, it discusses likely future advances in the field, taking into consideration both the natural history of the disease and alternative therapies that may involve cell- or gene-based approaches.

Pancreas transplantation has rapidly moved from an experimental procedure associated with high rates of morbidity and mortality to a mainstream technique with excellent patient and graft survival. Over 30,000 pancreas transplants have already been performed. The value of pancreas transplantation however must be balanced against the risk of the operative procedure and the innovative long-term immunosuppressive therapy. The indications for this procedure and the selection of the patients are critical to ensure low mortality and any improvements in quality of life.
This second edition reflects recent advances in the field, especially the increasing number of islet transplantations and the growing interest in stem cell research applicable to this condition. It provides an authoritative account on the current status of the whole organ pancreas transplantation and islet and pancreatic stem cell transplantation.

Two to three decades ago, multiple primary malignancies (MPM) were considered to be simply a clinical curiosity, with sporadic reports, mostly single case descriptions, found in the literature. While in the last few years, analyses of larger series have been published, the number of cases has still been relatively small and most of the reports have addressed a single type of primary tumor and its associations. With the improved prognosis and survival of cancer patients, MPM is becoming increasingly prevalent in this population, necessitating a better understanding of the characteristics and associations of the malignancies involved. Thus, as a prerequisite, a universal definition and an internationally accepted classification system, based on chronological, pathological, clinical, and other parameters, are needed. Moreover, much remains to be learned about the etiology of MPM, whether genetic, iatrogenic, or environmental. Several of the hereditary syndromes, such as familial adenomatous polyposis, hereditary non-polyposis colorectal cancer, hereditary breast-ovarian cancer, and multiple endocrine neoplasia, are already well-known and their characteristics in relation to MPM must be kept in mind. Nonetheless, along with these syndromes, there are sporadic and apparently casual associations between primary neoplasms that can involve almost any part of the body. This volume points out the clinical aspects of MPM and discusses the diagnostic and therapeutic problems that are encountered in treating these patients. "DNA-guided" surgery, currently confined to the treatment of patients with hereditary syndromes, will, along with other novel treatment strategies, no doubt play an increasingly greater role in the therapy of MPM. This work presents state-of-the-art information about MPM that is aimed at a broad range of medical specialists, including surgeons, endoscopists, oncologists, and geneticists, . The goal is to improve our understan

Since the publication of the first edition chronic obstructive pulmonary disease (COPD), as a public health issue, has continually increased in line with the predictions of the World Health Organization - unfortunately, this trend is increasing, and by the year 2020 COPD will become one of the main killers of human life. With several important large scaled trials becoming available and our knowledge of COPD's determinants rapidly growing, it was essential to update Clinical Management of Chronic Obstructive Pulmonary Disease with a second edition that will enable physicians to stay informed, aid in the clinical diagnosis, and the proper treatment of COPD Within this text expert analysis will examine -New treatments and combative strategies developed from recent and current clinical trails -The pathological and physiological mechanisms of chronic obstructive pulmonary disease -Current and up to date information from developing worlds faced with the COPD epidemic -The burden COPD has and will have in the future for patients, treatments and society

This book identifies the key scientific articles in the field of Intensive Care and explains why these papers are important in contemporary clinical management. Identifying those influential contributors who have shaped the practice of modern Intensive care practice, the book includes commentaries on 50 seminal papers in a wide range of areas. enal This an invaluable reference for trainees, fellows, and surgeons studying for exams, as well as for seasoned surgeons and physicians who want to stay current in their field.

Intended for medical oncologists, surgeons, obstetricians, gynecologists, geneticists, genetic counselors, and primary care physicians, this text presents the epidemiological, biological, and clinical issues associated with hereditary breast cancer. It offers clear guidance on the application and utilization of cancer risk assessment models, genetic counseling and testing of high risk patients, and screening and prevention options for individuals at risk of hereditary breast cancer. Addressing every essential aspect of hereditary breast cancer, this
source offers comprehensive analyses of hereditary breast cancer-associated syndromes, low penetrance genes, and hereditary breast cancer associated with mutations in the BRCA1 and BRCA2 genes.

Human motion analysis or gait analysis is used throughout the country and the world in clinics for pre-surgical planning and postsurgical follow-up. Only recently have technological advances truly begun to meet medical needs by supplying more accurate analytical data from which to make educated assessments of dynamic foot and ankle pathology. A comprehensive overview of current and emerging methods is necessary for practitioners to effectively integrate the new techniques into better pre-treatment planning, surgical and rehabilitative care, and post-treatment follow-up.

Originating as a one-day workshop sponsored by the Shriner's Hospitals and the National Institutes of Health, Foot and Ankle Motion Analysis: Clinical Treatment and Technology provides a single source reference for the latest technologies and their clinical applications. With contributions from an international panel of experts from orthopaedic, rehabilitation, engineering, academic, medical-industrial, and clinical disciplines, this text focuses on the relevant scientific advances with an emphasis on applications, limitations, and problems to be solved. Divided into two parts, the text begins by presenting basic and advanced clinical applications and opportunities in foot and ankle motion analysis in both pediatric and adult cases. The second part introduces the technological advances themselves from a quantitative perspective. Modeling concepts, seminal developments, and novel approaches are described along with emerging horizons related to mechanical paradigms, imaging, kinetics, robotics and simulation, tri-planar force sensing, and more. The book also includes a chapter of references and sources of support for future research and development prospects.

Clinical and research applications in motion analysis have resulted in better functional assessment, fewer, more effective surgeries, and longer-term follow-up care. Foot and Ankle Motion Analysis: Clinical Treatment and Technology provides a basis for expanding these contributions to the broader community of practitioners caring for both adult and pediatric patients.

Whether from trauma, congenital deformity, or disease, many patients can present with disfiguring and debilitating facial defects. This reference presents a range of expertise on soft-tissue surgery of the craniofacial region for improved function and enhanced cosmetic appearance. Covering the latest technologies available, this source includes chapters on laser imaging, burns, cleft palate, and facial paralysis.

This book provides comprehensive coverage of the anatomical and physiological aspects of complex colorectal and pelvic malformations. Also described are the surgical protocols for this specialized field within pediatric surgery. The benefits of high-level collaboration between surgical services when treating these anomalies are explained, as are treatment algorithms and care of complications. Includes evaluation and management of the newborn Describes surgical interventions of the newborn, and when a primary repair versus a staged approach is required Explains the value of laparoscopy and deciding in which cases to use it Looks at the importance of a transition program to adulthood Pediatric surgeons worldwide and the teams in which they work will benefit from this well illustrated and comprehensive work.

The national withdrawal rate from medical school averages about 1%, but withdrawal from surgical residency programs is much higher, roughly 16%. The drop out risk is greater for white women and minorities than for white males. Getting Cut examines the factors which lead to resignation from these graduate residency programs by observing the dynamic interplay between the institution and individual residents. Professor O'Connell analyzes the current shortcomings in the process of selection, and looks at how the culture, structure, and organization of these educational programs affect the drop out rate once residents have been accepted. An analysis of the "old boy's network" culture of these surgical programs exposes the greater risk of withdrawal among female and minority residents. Further examination of the process of resident evaluation reveals that in addition to being graded on cognitive knowledge and critical judgment, residents are also evaluated on personal characteristics, the most important being "honesty." Professor O'Connell demonstrates how the medical faculty's subjective assessment of these elusive and contestable qualities not only aid in identifying the morally deficient among the technically proficient, but also how these practices promote discrimination as well.

With an ever-expanding array of biomaterials and implant devices appearing in the field, Spinal Reconstruction: Clinical Examples of Applied Basic Science, Biomechanics and Engineering helps surgeons assess and utilize the latest technologies to improve the reconstruction of the spine and enhance the reconstitution of diseased spinal segments. With illustrative descriptions of specific clinical scenarios, this guide helps surgeons select the best devices and materials for reconstructive procedures and considers issues in biocompatibility, biostability, and structure-function relationships for enhanced patient outcomes and mobility. With more than 350 figures and photographs, this book: Details current strategies in minimally invasive spine surgery as currently applied to the lumbar spine Covers the myriad of patient factors, orthobiologic grafting alternatives, and technique-driven mechanical options encountered in spinal care and reconstruction Identifies new surgical techniques for spinal fusion, vertebral compression fractures, and arthroplasty Discusses the basic mechanisms and clinical application of currently available operative treatments Supplies the most up-to-date information on the evaluation, diagnosis, and operative treatment of spinal pain, deformity, and disease