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Hearing loss can vary in type ranging from conductive, mixed to sensorineural, as well as in degree from mild, moderate, severe to profound. There could also be multiple permutations and combinations like moderate mixed hearing loss or severe conductive hearing loss. In addition, the hearing loss could be unilateral or bilateral. While cochlear implants were devised for bilateral profound sensorineural hearing loss, various other devices have been invented for other types of hearing losses. Research continues to design a suitable implant which would amplify sound for patients who cannot be candidates for cochlear implants.
This book, written by experts from across the world, provides comprehensive coverage of acne and rosacea, focusing in particular on pathogenesis and treatment but also considering clinical aspects, prognostic factors, and impacts on quality of life. Both standard knowledge and important, clinically relevant insights that have emerged over the past decade are presented with the goal of assisting the reader in understanding these diseases and improving treatment outcome. It is explained how high-level research has recently given rise to a variety of new concepts in etiology and treatment, and emerging trends are also discussed. The book is in a reader-friendly format that highlights core messages with a very practical and clinical focus. Pathogenesis and Treatment of Acne and Rosacea will be an indispensable reference for all physicians who care for patients with acne or rosacea and for scientists working in the field.
A comprehensive and thorough selection of contributions from across the world, this book aims to review the current state-of-the-art in assessment and management of the patellofemoral joint. While featuring a wide range of surgical techniques for different pathologies, detailed attention is also devoted to conservative treatment and approaches involving mesenchymal stem cells, autologous chondrocyte implantation, platelet-rich plasma, and pulsed electromagnetic fields. Anatomy, clinical examination, and methods of evaluation are discussed, and individual chapters address important miscellaneous topics, including rehabilitation, complications of surgery, injuries in specific patient populations, and scoring systems. Though patellofemoral joint pathology is a frequent clinical problem, its management remains challenging for the orthopaedic surgeon. Conceived at the ISAKOS Congress held in Toronto in June 2013 as a small booklet, this work quickly turned into a major project involving more than 35 authors worldwide. The editors believe that this book will be of great value to orthopaedic doctors to improve understanding, diagnosis, and treatment of future patients.
Perioperative Management in Robotic Surgery covers perioperative considerations for robot-assisted surgery (RAS), from preoperative through to postoperative. This is the first extensive, evidence-based, clinical work covering the perioperative management of commonly performed and emerging RAS. Included inside are discussions of surgical procedures, preoperative evaluation, patient selection, common emergencies, complications, pain management and recovery (including same day surgery). There are also reviews of patient management, the basics of various procedures and techniques, useful patient care protocols, as well as an overview of the perioperative issues that are unique to any given RAS procedure. The book is written for anesthesiologists, surgeons, and other perioperative physicians - as well as allied health professionals, nurses, and physician assistants who assist during RAS procedures and help manage patients during the perioperative period.
Beginning with the scientific basis of tumors, this book provides up-to-date information on epidemiology, cytogenetics, and molecular biology, before examining current treatments for the full range of pediatric tumors. Integration of surgery, neoadjuvant and adjuvant chemotherapy, and radiation therapy is a dominant theme. In addition, chapters on supportive care, palliative care, and the role of parents' associations reflect the book's holistic approach. All chapters are written by world-renowned international authorities on pediatric cancer from major children's cancer groups. Excellent full-color pictures and line drawings illustrate all aspects of managing childhood tumors, including details of operative techniques neglected in many other texts. This comprehensive book, expanded and updated to encompass the very latest developments and strategies, provides a contemporary approach for pediatric, general, and urological surgeons dealing with childhood tumors.
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.
Wear and osteolysis are still the most important potential problems in total hip and knee arthroplasty. Although technology in arthroplasty has been improved dramatically during the past decade, the clinical data relating to some implants reveal that many concerns remain. During the "Tribology Day" within the scientific programme of the 2013 EFORT Congress in Istanbul, the main topics included these concerns as well as the benefits of the materials most commonly used in total hip and knee arthroplasty. This book includes the presentations delivered on the day and covers a range of interesting issues regarding metal, ceramic, and polyethylene articulations. It provides information on the current concepts relating to tribology in total hip arthroplasty and offers a critical outlook on possible improvements in total knee arthroplasty.
This book addresses hot topics relating to talar osteochondritis dissecans (OCD): improvements in the accuracy of diagnosis, sound preoperative planning, optimal treatment, and procedure-specific rehabilitation protocols. The technical difficulties in each of these areas are identified and evidence-based guidelines are presented. With regard to diagnosis, several chapters discuss the roles of arthroscopy, standard radiography, computed tomography, magnetic resonance imaging, and combined imaging modalities (PET/CT and SPECT/CT). The chapters on treatment cover various surgical options and provide an overview of the direct postoperative treatment; in addition, rehabilitation protocols are described for all the treatment procedures. The book has been written by a team of leading experts in the field of foot and ankle surgery from across the globe who have aimed to provide the reader with an up-to-date handbook ideal for use when approaching a patient with a talar OCD. Their reviews and opinions are based firmly on the best currently available evidence.
This book reviews the brilliant progress made in the past three decades in clinical outcomes for osteosarcoma patients treated with a multidisciplinary approach, including limb-salvage surgery combined with neoadjuvant multidrug chemotherapy and aggressive management of pulmonary metastasis. Osteosarcoma was a miserable disease for adolescents and young adults until the early 1970s, with a survival rate that was less than 10-15% even after amputation for affected limbs because of the progression of pulmonary metastasis. With the development of neoadjuvant chemotherapy for osteosarcoma, including high-dose methotrexate, doxorubicin, cisplatin, and ifosfamide during the late 1970s and the 1980s, however, the prognosis has dramatically improved. Limb-salvage surgery for patients with extremity osteosarcoma is now a gold-standard surgical procedure for more than 90% of patients with localized disease. Additionally, aggressive pulmonary metastasectomy for patients with lung metastasis from osteosarcoma has contributed to improvement of their survival. More recently, carbon-ion radiotherapy has also been introduced for patients with unresectable osteosarcoma of the trunk, as in the spine and pelvis. In this volume the author provides valuable descriptions of an important new treatment modality for a multidisciplinary approach for osteosarcoma patients.
A unique question-and-answer book for surgical residents and trainees that covers all surgical aspects of critical care and acute or emergency medicine This is a comprehensive, one-of-a-kind question-and-answer text for medical professionals and apprentices concentrating on the growing subspecialty of surgery in critical care and emergency surgery. Covering all surgical aspects of critical care and acute or emergency surgery, it is an ideal learning and review text for surgical residents and trainees who care for these patients and those taking the Surgical Critical Care Board Examination. Edited by highly experienced professionals, and written in an engaging style, Surgical Critical Care and Emergency Surgery: Clinical Questions and Answers focuses exclusively on the unique problems and complexity of illnesses of the critically ill and injured surgical patient, and covers the specialist daily care such patients require. It reflects the latest advances in medical knowledge and technology, and includes fully revised and updated questions throughout, with additional topics addressed in a new companion website. Unique question-and-answer book on the growing specialty of critical care and acute surgery Ideal for US boards candidates Covers trauma and burns as well as critical care 8 page full-color insert showing high quality surgical photos to aid study Supplementary website including additional questions Surgical Critical Care and Emergency Surgery, Second Edition is an excellent resource for medical students, residents, fellows, and surgeons, as well as those in non-surgical specialties.
This book discusses predominantly pectus excavatum and pectus carinatum, its variation and the treatment modalities available, including minimally invasive surgery. This will help to increase awareness of the available treatment options to doctors and healthcare workers but will also help trainee cardiac and thoracic surgeons. It is also an essential reference book for those already practicing. Chest wall deformities are a common occurrence, the commonest being pectus excavatum and pectus carinatum. The treatment for these is provided by very few centers and there is a decline in expertise especially in the UK due to rationing. When patients approach their GP they are mostly turned away and asked to live with it due to a lack of awareness and treatment modalities. The Editors have extensive experience in this field and will invite authors from other specialties, i.e. chest physicians, cardiologist, pediatric surgeons, anesthesiologists, pain management team, plastic surgeons and prosthetic departments, to contribute their views and solutions to the book.
Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. "Revision ACL Reconstruction: Indications and Technique" provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations.
There is an increasing need for medical thoracoscopy performed by pulmonologists, which may be video assisted and has the advantage of being very cost-effective. This book is a comprehensive and up-to-date guide to thoracoscopy for pulmonologists that documents the considerable progress in endoscopic telescopes and instrumentation. Clear practical guidance is provided on technique, and diagnostic, therapeutic, and interventional applications of thoracoscopy are all carefully examined with the aid of high-quality illustrations. Although medical thoracoscopy is much less invasive than thoracotomy, complications can occur in a small number of cases; these are discussed and advice on prevention is provided. The concluding section examines the future of the field, covering developments such as mini thoracoscopy, autofluorescence thoracoscopy, and flexi-rigid thoracoscopy.
It is essential that medical professionals in the operating room regularly undertake emergency drills. This unique book takes what can be an onerous task for leaders and operating room physicians, and makes it easy. Chapters cover drills ranging from medical emergencies such as cardiac arrest and malignant hyperthermia, to non-medical emergencies such as an active shooter and evacuation of a medical facility. Each chapter includes at least three scenarios for a specific type of drill, with expected actions and educational material for debriefing. The latest specialty guidelines and algorithms are included throughout and key learning points are highlighted for each drill, removing the need for further detailed research in advance of each exercise. Written and edited by leading experts in the field and endorsed by the Society for Ambulatory Anesthesia, this manual enables every reader to lead a meaningful drill with educational value for all participants.
This book describes the reconstructive procedures currently used by the authors for the treatment of oral and maxillofacial defects, based on twenty-five years of experience at a major European University Hospital. The coverage encompasses mandibular, maxillary, orbitocranial, intraoral soft tissue and cutaneous defect reconstruction. Controversies in defect reconstruction are discussed, and clear guidance is given on the optimal choice of reconstructive technique according to the location and size of the defect. Full descriptions are provided of both aesthetic and functional procedures, with use of implants and dental prostheses. The resultant functional and aesthetic reconstruction will enable the patient quickly to resume a normal social, family and professional life. All of the chapters include representative images depicting each stage of treatment, from preoperative study, through intraoperative and postoperative appearances, to ultimate outcome upon rehabilitation.
This book focuses on a novel series of minimally invasive surgeries performed without gas insufflation and through a single port using the RoboSurgeon system. The concept of RoboSurgeon surgery involves a degree of "robotization" of the operator and participants. The operator, wearing a head-mounted display, uses robot-like handheld instruments. The endoscope is controlled by the movement of the operator's head using a gyro-sensor system. All participants wearing head-mounted displays can see the same images as the operator does. Although this surgery is mainly intended for urological cancers, it may also be applicable for various operations concerning other urological diseases, as well as for the treatment of diseases in different medical fields. The system has the potential to become the new standard in robotic surgery. This solution may be a boon to many patients around the world, especially in the aging societies many countries are now facing.
As the number of patients with colitis-associated cancer (CAC) is on the increase, the purpose of this book is to review the latest topics concerning management of the disease. In recent years, the diagnostic power of endoscopy and molecular pathology has also grown tremendously, as a result of which they now have a far greater influence on the treatment of CAC. At the moment, appropriate monitoring programs for ulcerative colitis and Crohn's disease remain uncertain. At the same time, the latest findings on DNA methylation and microRNAs hold the promise of making revolutionary changes in these areas. Moreover, recent drug advances in the treatment of inflammatory bowel diseases have changed surgical indications. On the other hand, the indication of mucosectomy on colorectal cancer in ulcerative colitis and prophylactic abdominoperineal resection for Crohn's disease remain controversial. This book provides the latest information on the remaining issues of CAC from the point of view of expert surgeons.
Nearly all patients with chronic kidney disease (CKD) have at least one significant dermatologic manifestation. This all-inclusive reference covers the wide array of cutaneous manifestations attributable to CKD, kidney transplantation and the pharmacological aspects of the disease process. Each chapter provides pathobiology, extensive clinical discussions, full-color images and in-depth treatment options. Dermatological Manifestations of Kidney Disease helps the practitioner, nephrologist, resident and student recognize, appropriately evaluate and treat these conditions more effectively.
Minor Surgery at a Glance is an essential companion for those who wish to learn or familiarise themselves with minor surgery, including trainees and practising surgeons, dermatologists, GPs, and emergency medicine physicians. Covering the basic principles of minor surgery, as well as offering an overview of techniques and common procedures accompanied by step-by-step illustrations, this book also provides concise summaries of vital information and the clinical practicalities. Providing an accessible and practical introduction to a rapidly expanding area of practice, Minor Surgery at a Glance is ideal for medical students, foundation programme doctors, and trainees in a wide variety of disciplines who perform minor operations.
This is a comprehensive book in burn surgery, written by 25 experts in China. It summarizes the theoretical basis of and clinical experience in the prevention and control of burn injuries. It is a comprehensive and up-to-date reference book for surgeons and scientists working with burn management. The different degree of burns and surgical techniques during burn wound care, reconstruction and healing are reviewed separately. Authors also introduce successful cases in different kinds of burns.
Review Questions for Dentistry is an essential exam practice tool designed for undergraduate dentistry students, postgraduate MJDF candidates, and overseas candidates sitting their OREs. Using the questions as a platform for learning consolidation, this exam preparation guide provides feedback to students to enable them to assess their knowledge and understanding of the subject. * Features multiple question formats including MCQs, EMQs, SAQs and find the missing word questions * Answers include detailed explanations to help expand and consolidate learning * The text is divided into two sections; introductory questions and questions exploring the subjects in more detail * The book is accompanied by a companion website offering further interactive self-assessment tools
Postoperative nausea and vomiting is an increasingly common and distressing problem faced by patients undergoing anesthesia that negatively affects their recovery and wellbeing and can result in significant increases in healthcare costs. Effective treatment strategies and relevant, up-to-date guidance are essential to manage postoperative nausea and vomiting in the perioperative setting. This practical, concise guide to the subject offers information on the history and mechanisms of postoperative nausea and vomiting, assessing and identifying risk factors, providing appropriate pharmacological and non-pharmacological treatment options, and implementing successful management strategies to tackle this issue. As a uniquely comprehensive study of the topic that provides much more detail than a chapter in a general anaesthesia textbook, this is an invaluable resource for anesthetists and physicians managing patients post-surgery.
This book comprehensibly describes the clinical details of anatomic hepatic resection using the Glissonean pedicle approach for hepatocellular carcinoma. It includes all aspects of the surgical anatomy of the liver, preoperative management of patients, surgical techniques, and intraoperative key points to prevent postoperative complications. The first three chapters provide a general introduction to the clinical anatomy of the liver, preoperative management of patients with hepatocellular carcinoma, basic techniques for hepatic resection using the Glissonean approach, and the application of dye staining in anatomic hepatic resection. Subsequent chapters present the technical details of anatomical segmentectomy (Couinaud's classification), sectionectomy and hemi-hepatectomy for hepatocellular carcinoma using the modified suprahilar Glissonean approach. All of these hepatectomies can be performed using simple and easily available surgical instruments. In addition, it discusses precise transection of the deepest hepatic parenchyma guided by methylene blue staining. It is a useful and timely reference for hepatobiliary surgeons, clinical staff, and medical students.
Quality reporting is a rapidly growing area. Each year, new regulations in the US from the Council of Medicare and Medicaid Services make quality reporting a larger factor in determining reimbursement practices. Quality metrics are common parts of European clinical practice. Value of care is a focus of all payers, with specific interest directed at assessing the quality of care provided by a given healthcare team. While there are many publications in this space, no text has sought to provide an overview of quality in spine care. Quality measurement and quality reporting are ever growing aspects of the healthcare environment. Quality assessment is valuable to all healthcare stakeholders: patients, physicians, facilities, and payers. Patients are drawn to facilities that provide high value care; public reporting systems and grading systems for hospitals offer one opinion with regard to "high quality care." Most physicians email inboxes are inundated with offers of recognition for being a "Top Doc" for a nominal fee. Some payers offer incentives to patients who chose to be treated at "Centers of Excellence" or similar facilities; the definition of "Excellence" may be unclear. There is little consensus on how to measure quality, how to incorporate patient and procedure factors and achieve accurate risk adjustment, and how to define value of care. Regardless of these challenges, regulatory efforts in the US, as well as numerous international efforts, make quality assessment and quality reporting an important part of physician behaviour. Physician and facility reimbursement for procedures are often tied to quality metrics. Spine procedures are costly, elective, and are a focus of many payer-based programs. Hence, spine care is often a focus of quality reporting efforts. This text summarizes the state of the art with regard to quality measurement, reporting, and value assessment in spine care. We will review quality reporting in the US and internationally. Chapters will outline how quality improvement efforts have achieved success in hospital systems. The reader will be provided with insights in how to achieve success incorporating quality metrics into spine care. Features: 1. Illustrates the state of the art in spine quality reporting: There is no text that thoroughly addresses quality assessment and quality reporting in spine care; there are, however, numerous articles in this space. This book provides a definitive text covering the state of the art for quality reporting in spine care and will be of value to the international orthopedic and neurosurgical spine community. 2. Provides insight on quality reporting in different healthcare systems: The text will allow for comparison of different quality reporting systems from different health care systems. This will provide practitioners with insight into the strengths and weaknesses of different approaches to quality reporting, and may drive improvement in quality assessment and reporting systems. A single text that features review of US, European, and Australia/Asian health care systems' quality reporting is novel and will be thought provoking for readers. 3. Describes the US and international Healthcare reimbursement systems: Practicing physicians are provided with little information and less insight into the vagaries of the US and other healthcare systems. The text will provide insight into code development, valuation, and how quality reporting affects physician reimbursement 4. Explains risk adjustment: Appropriate risk adjustment and assessing patient and procedure factors that may impact quality reporting are invaluable to accurate quality measurement. The text will review risk adjustment, different approaches to risk assessment/mitigation, and provide physicians with insights into appropriate measures to capture in their clinical practices 5. Provides a foundation for improved quality assessment in spine care: While there are many disparate elements and differing approaches to capturing spine quality metrics, no definitive text has attempted to summarize these efforts in a single volume. By synthesizing these variable approaches, the reader may be provided with insights into superior approaches to quality assessment and a foundation will be provided for improving healthcare systems.
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