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The perioperative care of individuals with neurologic compromise is critically important, yet it is only one dimension of the rich relationship between anaesthesiology and the neurosciences. The mechanism of everyday therapeutic interventions such as anaesthesia and analgesia is exciting neuroscience in its own right. At the new frontier of outcomes studies lies the question of how the perioperative period might impact the brain. For example, questions related to anaesthetic neurotoxicity, delirium, and cognitive dysfunction pose critical challenges for the field. The Oxford Textbook in Neuroscience and Anaesthesiology addresses the exciting field of neuroanaesthesiology in a new and stimulating way. In twenty eight chapters, the neuroscientific basis of anaesthesiology, the full spectrum of clinical neuroanaesthesia, and the care of neurologic patients undergoing non-neurologic surgery are explored in one comprehensive textbook for the first time. The first section considers the neural mechanisms of general anaesthetics, cerebral physiology, the neurobiology of pain, and more. The second section explores the care of patients with neurologic disease in the operating room or intensive care unit. These clinical chapters systematically treat the perioperative considerations of both brain and spine surgery, and provide introductions to neurocritical care and pediatric neuroanaesthesia. The final section outlines the care of neurologic patients undergoing non-neurologic surgery. It examines key connections of neurology and anaesthesiology, examining how conditions such as dementia, stroke, or epilepsy interface with the perioperative period. Each chapter has been carefully crafted to be concise yet highly informative, reflecting the cutting edge of neuroscience and neuroanaesthesiology. This international textbook gathers the best available expertise of authors and leaders worldwide. Includes access to online-only content, including more than 20 cases and more than 90 questions that can be used in presentations and teaching sessions. By activating your unique access code, you can access and use the material.
This book provides comprehensive coverage of current topics in idiopathic scoliosis (IS). A three-dimensional deformity of the spine, the condition is characterized by lateral curvature combined with vertebral rotation. The primary lesion, however, lies in the median sagittal plane, taking the form of a lordosis. Although the clinical manifestations of scoliosis have been well documented, its cause and pathogenesis have not yet been determined. Research into what causes IS has focused on the structural elements of the spine, spinal musculature, collagenous structures, the endocrine system, the central nervous system, and genetics. Results of these studies have brought about a new perception of IS epiphenomena, but the main cause of IS remains unknown. Recently, several investigators have produced new hypotheses regarding the cause of IS using the developing techniques of genetics, biochemistry, and neurology. This book is a review of the various causative factors thus far proposed for IS and an introduction to the directions in which research is heading to determine the primary cause of IS.
Despite often taken as a simple procedure, techniques on tracheostomy have evolved considerably on the last few years. Consequently, new technical variations and indications for different purposes are being developed and proposed. The current book is proposed to serve as a comprehensive guide exclusively devoted to tracheostomy, discussing its most important details, variations and indications. Here the reader will find a broad discussion ranging from the most basic pre-clinical aspects to post-surgical procedures and complications. Great emphasis is placed on key topics such as the oncologic patient, variations of the technique, and tracheostomy in the intensive care unit, among others. Additionally, some issues that are not commonly discussed in regular textbooks, like tracheostomy in child and in great obese, are also included. With a wealth of photos, illustrations and tables, Tracheostomy - A Surgical Guide provides the material necessary to support a safe and effective surgical intervention in different populations and surgical contexts, with the hope that it will result in improved care for patients who underwent tracheostomy.
Netter's Concise Orthopaedic Anatomy is a best-selling, portable, full-color resource excellent to have on hand during your orthopaedic rotation, residency, or as a quick look-up in practice. Jon C. Thompson presents the latest data in thoroughly updated diagnostic and treatment algorithms for all conditions while preserving the popular at-a-glance table format from the previous edition. You'll get even more art from the Netter Collection as well as new radiologic images that visually demonstrate the key clinical correlations and applications of anatomical imaging. For a fast, memorable review of orthopaedic anatomy, this is a must-have. Maintains the popular at-a-glance table format that makes finding essential information quick and convenient. Contains useful clinical information on disorders, trauma, history, physical exam, radiology, surgical approaches, and minor procedures in every chapter. Lists key information on bones, joints, muscles, and nerves in tables correlate to each Netter image. Highlights key material in different colors-pearls in green and warnings in red-for easy reference. Features both plain film and advanced radiographic (CT and MRI) images, along with cross-sectional anatomic plates for an even more thorough visual representation of the material. This "updated" second edition includes an eBook with the print. The ExpertConsult eBook includes test-yourself images, and notes and highlighting capabilities. All other content is the same as the 2010 2nd edition.
This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.
Surgery for head neck cancer has evolved greatly in the recent years. Appropriate surgical resection with negative margins still remain corner-stone in achieving good oncological outcome. This atlas proposes a new concept of " The Compartment Surgery " to achieve negative margins in third dimensions which is the problem area in majority of cases. Reconstructive techniques have evolved vastly in the recent years with use of microvascular free flaps and this has significantly improved the functional outcome. Performing each step in appropriate manner cumulatively enables us to perform more complex procedures. Theme of this atlas revolves around this fact. This atlas on head and neck cancers takes a fresh stylistic approach where each surgical procedure is described in a step-wise manner through labeled high-resolution images with minimal incorporation of text. This allows the surgeons to rapidly revise the operative steps of a procedure within minutes just before they start a surgery. Head and neck has multidimensional anatomy and surgical treatment requires specific approach for each subsite. This operative atlas covers the entire spectrum of common, uncommon and rare cancers of the head and neck area. Each subsite is addressed in a separate chapter with further subdivisions for surgery of tumors with varying extent. Each procedure is demonstrated with photographs of each surgical step and line diagrams. Commonly used flaps (regional and free flaps) are demonstrated in separate chapter for reconstruction. With over 1000 images, and coverage of both the ablative and reconstructive surgical procedures, this is a technique-focused atlas in comparison to the available comprehensive texts. There are two chapters on very advanced cancers, and surgery in resource constrained surgical units making the book relevant to a wide range of cancer surgeons and fellows-in-training in varied clinical settings.
This color atlas is a detailed guide on how to perform open, endoscopic, and robotic thyroidectomy techniques safely and effectively. Each chapter offers step-by-step descriptions of essential surgical procedures and techniques. Relevant information is included on surgical anatomy, and clear guidance is provided on preoperative set-up, draping, instrumentation, and complications and their treatment. The description of endoscopic thyroidectomy techniques focuses on the bilateral axillo-breast approach (BABA), while in the case of robotic thyroidectomy both BABA and the bilateral axillo-postauricular approach are described. In each case, the evidence supporting the technique is carefully examined. In the closing chapter, the role of new energy sources in thyroid surgery is discussed. The lucid text is supported by more than 200 full-color illustrations clarifying surgical anatomy, instrumentation, and procedures, and surgical video clips are also available to readers via a website. This atlas will be invaluable in enabling surgeons to achieve optimal outcomes when performing thyroid surgery.
This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirically. The descriptions of technique are supplemented by detailed guidance on such aspects as indications, anesthesia, aftercare and pain management, and the prevention and management of complications. Where appropriate, careful comparisons are made of competing repair options, including open techniques. In summary, this book will help practicing surgeons to standardize their operative technique so as to reflect current scientific knowledge and thereby improve the quality of laparoscopic/endoscopic hernia surgery.
The goal of this text is to expand one's practice of minimally invasive colorectal surgery by implementation of various advanced reduced port and single techniques. The authors present a comprehensive operative technique text to teach and implement single incision and reduced port laparoscopic colorectal surgery best practices into clinical practice. The text is divided into three main sections: perioperative considerations; focused operative techniques, tips and tricks; and step-by-step details of common colorectal procedures. Each case is paired with intraoperative photos and video accompaniment to facilitate understanding the technique, reproducing the steps, and implementing single incision laparoscopic colorectal surgery. The extensive illustrations and links to video make this a truly interactive text. With the aid of this text, surgeon experienced in laparoscopy, as well as those looking to expand their minimally invasive arsenal will be able to successfully incorporate single incision laparoscopic techniques into practice
This comprehensive, evidence-based book is intended to serve as a reference for medical practitioners involved in the perioperative care of neurosurgical patients. Fundamental aspects of neuroanesthesiology and neurocritical care are thoroughly examined across 101 chapters, outlining key elements that are crucial to a care provider's knowledge of the practice. These elements include specific diagnostic procedures and treatment options, concepts and applicable details of the available neurosurgical interventions and techniques, and mechanisms necessary to provide top of the line care for patients. Each chapter features definitive and distinct areas of this multi-specialty discipline, and is designed to guide the reader from problem to solution in situations that can arise in the clinical setting. Essentials of Neurosurgical Anesthesia & Critical Care, 2nd edition is a problem-oriented approach textbook that will aid a wide variety of readers in handling day-to-day issues and developments relevant to the perioperative care of neurosurgical patients.
This book brings together all the relevant available science behind face transplants. It is comprehensive in its coverage, encompassing patient and donor evaluation, ethics, legal issues, psychological issues, types of transplant, surgical technique, issues relating to immunosuppression, follow-up protocols, and current outcomes. Facial transplantation, which allows the replacement of missing anatomy with a perfect match based on transplant medicine principles, has become the most striking innovation in plastic surgery of the twenty-first century as surgeons and scientists progress from reconstructive surgery to restorative surgery. A robust team approach is, however, necessary to produce safe and efficient outcomes, and numerous questions are arising, from technical issues to ethical dilemmas. The reader will discover in this volume all the information required in order to understand this new discipline and to be able to set up a program of facial transplantation.
Newly updated, this full-color resource offers a systematic approach to performing a neuromusculoskeletal assessment with rationales for various aspects of the assessment. This comprehensive text covers every joint of the body, head and face, gait, posture, emergency care, the principles of assessment, and preparticipation evaluation. The latest edition of this core text is the essential cornerstone in the new four-volume musculoskeletal rehabilitation series. Thorough, evidence-based review of orthopedic physical assessment covers everything from basic science through clinical applications and special tests. 2,400 illustrations include full-color clinical photographs and drawings as well as radiographs, depicting key concepts along with assessment techniques and special tests. The use of icons to show the clinical utility of special tests supplemented by evidence - based reliability & validity tables for tests & techniques on the Evolve site The latest research and most current practices keep you up to date on accepted practices. Evidence-based reliability and validity tables for tests and techniques on the EVOLVE site provide information on the diagnostic strength of each test and help you in selecting proven assessment tests. A Summary (Precis) of Assessment at the end of each chapter serves as a quick review of assessment steps for the structure or joint being assessed. Quick-reference data includes hundreds of at-a-glance summary boxes, red-flag and yellow-flag boxes, differential diagnosis tables, muscle and nerve tables, and classification, normal values, and grading tables. Case studies use real-world scenarios to help you develop assessment and diagnostic skills. Combined with other books in the Musculoskeletal Rehabilitation series - Pathology and Intervention, Scientific Foundations and Principles of Practice, and Athletic and Sport Issues - this book provides the clinician with the knowledge and background necessary to assess and treat musculoskeletal conditions. NEW! Online resources include video clips, assessment forms, text references with links to MEDLINE (R) abstracts, and more. NEW! Video clips demonstrate selected movements and the performance of tests used in musculoskeletal assessment. NEW! Text references linked to MEDLINE abstracts provide easy access to abstracts of journal articles for further review. NEW! Forms from the text with printable patient assessment forms can be downloaded for ease of use. NEW! Updated information in all chapters includes new photos, line drawings, boxes, and tables. NEW! The use of icons to show the clinical utility of special tests supplemented by evidence - based reliability & validity tables for tests & techniques on the Evolve site.
This book provides an informative update on scientific advances relating to transplant dermatology that may be applicable to clinical practice. Commentary is provided on the emerging role of viruses in transplant dermatology, the management of skin disease secondary to transplant medication, sunscreen use in transplant recipients, the role of revision of immunosuppression, and advances in photodynamic therapy. The latest staging and management criteria for high-risk squamous cell carcinoma and the implications for clinical practice are then analyzed. Finally, the management of other cutaneous malignancies is discussed, covering malignant melanoma, Merkel cell carcinoma, and rarer tumors that also behave aggressively and require special consideration in solid organ transplant patients. Each particular advance is addressed in an individual chapter by leaders in the field. The book both expands current knowledge and complements previous textbooks on the subject.
Osteonecrosis of the jaws is a well-known side-effect of antiresorptive therapy that predominantly occurs in patients suffering from malignant diseases and receiving intravenous administrations of nitrogen-containing bisphosphonates or subcutaneous administrations of denosumab, a monoclonal antibody. Less frequently it may also be observed in patients with osteoporosis who are being treated with these antiresorptive drugs This textbook provides detailed, up-to-date information on all aspects of medication-related osteonecrosis of the jaws, including clinical features, pathogenesis, treatment options, and preventive measures. It also explains safe prevention and treatment strategies for patients receiving antiresorptive drugs who require extractions, implant insertions, and other dento-alveolar surgeries. This book will be of major interest for medical and dental students, dentists, and oral and maxillofacial surgeons as well as osteologists and oncologists.
Patients with rare diseases, affecting less than 1 in 2000 persons, frequently experience delays or errors in diagnosis, sometimes with tragic consequences. Even after the diagnosis has been established, the quality of health care delivered is often poor. This book, which is both textbook and atlas, covers the full range of rare congenital genitourinary anomalies encountered in males and females, many of which have previously been described only in sporadic case reports. In the case of the more established anomalies, variants are presented. For each anomaly, information is provided on incidence, similar cases, clinical presentation, diagnosis, possible management and outcome. Informative supporting illustrations are presented for each anomaly, and the book will serve as an excellent reference for all pediatricians, urologists and surgeons who are responsible for the care of such patients.
The inaugural publication of the 7.0 Tesla MRI Brain Atlas: In Vivo Atlas with Cryomacrotome Correlation in 2010 provided readers with a spectacular source of ultra-high resolution images revealing a wealth of details of the brainstem and midbrain structures. This second edition contributes additional knowledge gained as a result of technologic advances and recent research. To facilitate identification and comparison of brain structures and anatomy, a detailed coordination matrix is featured in each image. Updated axial, sagittal, and coronal images are also included. This state-of-the-art and user-friendly reference will provide researchers and clinicians with important new perspectives.
The use of ultrasound guidance to perform diagnostic and therapeutic injections is growing at a rapid rate, as is the evidence to support its use. Even with the increased popularity of ultrasound, there remains a lack of formal training or a standard reference book. Atlas of Ultrasound Guided Musculoskeletal Injections fills this void in the literature and will be useful to physiatrists, orthopedists, rheumatologists, pain medicine and sports medicine specialists alike. Broken down by anatomic structure and heavily illustrated, this book is both comprehensive and instructive. The Editors and their contributors break down the basics (both the fundamentals of ultrasound to needle visibility and the role of injections) and explore ultrasound-guided injection for structures in the shoulder, elbow, wrist and hand, hip and groin, knee, ankle and foot, and spine. Using a clear, heavily illustrated format, this book describes the relevant clinical scenarios and indications for injection, the evidence to support ultrasound use, relevant local anatomy, injection methods, and pearls and safety considerations. It will be a valuable reference for trainees and experienced clinicians alike, for experienced sonographers or those just starting out.
This updated second edition of a successful book provides essential, internationally applicable information in the area of bone and joint pathology with emphasis on practical diagnostic aspects, including many illustrations: roentgenograms, CT-scans, MRI, scintigraphies, as well as pictures of gross surgical specimens and microphotographs, immunohistochemical reactions and genomics. Information on histopathological and molecular diagnosis, and basic therapeutic guidelines are provided. This book offers generous coverage of epidemiology, clinical features, radiology, pathology, differential diagnosis, prognosis and treatment, not only for common lesions, but also for those less frequently encountered, including lesions of joints. The content is arranged based on the World Health Organization's Consensus Classification, with the addition of other lesions not included therein. Tumors and Tumor-Like Lesions of Bone provides day-to-day assistance to general and specialized surgical pathologists, radiologists, orthopedic, head and neck and dental surgeons, oncologists and rheumatologists.
In recent years, mini-invasive surgery has become increasingly important for reducing the risk of infection and minimizing blood loss and volume of implants.
Hip surgery requires small incisions, which make the use of the appropriate equipment and an extensive knowledge of the anatomy of the region essential.
Mini-invasive surgery requires the surgeon to consider the indications for surgery for each patient he treats and to know the exact loco-regional anatomy for that patient. Methods must be very precise and warrant visual explanations to help teach young surgeons.
In this book, the different surgical approaches to the hip are presented in terms of their anatomical specifications and indications. Films of these operations, performed by international specialist authors, and some of these images are used to explain the surgical techniques described in the book.
The highly didactic and visual presentation based on filmed operations is very helpful for the understanding of these methods.
This book explains how hypertension affects 20-50% of the adult population in developed countries. Heart failure is the result of the hypertension's effects on the heart and it represents a growing public health problem. In this context the international scientific community is continuously struggling to develop better strategies in screening, diagnosing and treating hypertension and its deleterious effects. Thus, this field is continuously changing, with new important information being added constantly. This volume will offer both insights into the intimate mechanisms of transition from hypertension to heart failure and clinical practice advice on the prevention and treatment of heart failure in hypertensive population. The mechanisms which explain the progression from hypertension to heart failure will be also covered exhaustively by offering two chapters referring to the diagnosis of heart failure in hypertensive population and one regarding echocardiography which is the most frequently used imaging method in clinical practice. The reader will be also provided with information on cardiovascular magnetic resonance which has the unique advantage of differentiating hypertensive heart failure from other pathologies associated with increased myocardial thickness. This book is a useful tool for clinicians but also to the research community interested in heart failure and consequences of hypertension on heart who want to be up-to-date with the new developments in the field.
Spinal disorders are among the most common medical conditions with significant impact on health related quality of life, use of health care resources and socio-economic costs. Spinal surgery is still one of the fastest growing areas in clinical medicine. The increasing age of the population will require an increased need for the treatment of degenerative spinal disorders particularly spinal stenosis. Basic knowledge on the state of the art in diagnosis and treatment of spinal disorders is required not only for spine specialists but also for general orthopedic surgeons, rheumatologists, neurologists, psychiatrists, chiropractors, physiotherapists, basic scientists and health care executives to choose and/or evaluate appropriate diagnostic and therapeutic approaches. "Spinal Disorders" is an easily readable teaching tool focusing on fundamentals and basic principles. It provides a homogeneous syllabus with a consistent didactic strategy teaching fundamentals and general principles. The chosen didactic concept highlights and repeats core messages throughout the chapters. This modern, up-to-date and easy to read textbook on spinal disorders with its appealing layout will inspire and stimulate the reader for the study of spinal disorders.
Minimally invasive surgery has become the standard treatment for many diseases and conditions. In the last decade, numerous studies have demonstrated that laparoscopic approaches have improved patients' quality of life if compared with standard open procedures. Atlas of Single-Port, Laparoscopic, and Robotic Surgery serves as a guide in single-port, standard laparoscopy, and robotic surgery and shows how novel techniques, such as single-port laparoscopy and robotics, have recently evolved. The atlas illustrates the unique challenges that the new single-port surgery modality presents, including instruments crowding and articulation, and the advanced laparoscopic skills required to perform these procedures, such as the ability to move and control a flexible camera. It also illustrates how to efficiently and safely utilize the robot to perform most gynecologic procedures. This exceptional resource provides students, residents, fellows, operating room personnel, and practicing gynecologic surgeons with invaluable information about instrumentation, surgical technique, port systems, and the current research and development in robotics.
This fourteenth volume in the EUROPEAN INSTRUCTIONAL LECTURES series continues the format of educational chapters from across Orthopaedics and Traumatology contributed by distinguished Orthopaedic Educators in Europe. It provides current material and major advances covering a range of topics including: General Orthopaedics, Basic Science and Technology, Musculo-skeletal Tumours, Infections, Paediatric Orthopaedics, Trauma, Spine, Upper Limb, Hip, Knee, Leg, Ankle and Foot. All the chapters are based on lectures presented at the 15th EFORT Congress in London, England. The lectures are an authoritative source of information illustrated by radiographs, MRI, CT and PET Scans, operative photographs, tables and line drawings as appropriate. They are an invaluable source of instruction for Surgeons and Trainees alike. This book was edited by Professor George Bentley, Chairman, Scientific Publications Committee of EFORT.
This book provides an update on a wide variety of hot topics in the field of knee surgery, sports trauma, and arthroscopy, covering the latest developments in basic science and clinical and surgical methods. It comprises the Instructional Course Lectures delivered at the 16th ESSKA Congress, which was held in Amsterdam during May 2014 and brought together the world's leading orthopaedic and sports physicians. The contributions are all written by European and international experts in their field. Each lecture has a practical focus and provides an up-to-date synthesis of core knowledge on the subject in question with the aid of high-quality illustrations. Take home messages and key recommendations are highlighted. This book will be of value to practitioners and researchers alike.
Owing to the alterations in visceral anatomy, many endoscopists, and especially trainees, experience difficulties when performing endoscopic surveys or procedures in patients who have previously undergone surgery to the digestive tract. In this richly illustrated book, an expert in the field provides a detailed overview of endoscopic follow-up of gastrointestinal (esophageal, gastric, and colorectal) anastomosis. Both normal appearances and pathological conditions involving complications are fully covered. The methodology, timing, protocols, and role of diagnostic endoscopy are first discussed. Endoscopic treatments for the resolution of different clinical problems related to recurrences, stenoses, dehiscences, and fistulas are then evaluated step by step with the aid of high-quality images. Regardless of level of experience, endoscopists and gastroenterologists will find Endoscopic Follow-up of Digestive Anastomosis to be an invaluable source of information and aid to treatment in this important area, which too often receives insufficiently detailed attention. "
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