Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It's your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee. Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques. Quickly find the exact information you need with a straightforward "just what you need to know" approach, including surgical tips and pearls. Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability. Access the fully searchable contents of the book and an abundance of surgical videos online at Expert Consult.

Knowledge of cutaneous lymphomas has been growing significantly as a result of important discoveries in immunology, molecular biology, and immunohistochemistry. Improved clinical pathologic correlation and follow-up data, as well as the synergistic collaboration among different lymphoma registries and specialists from several academic medical centers have greatly contributed to the understanding of the difficult field of cutaneous lymphoproliferative disorders. While these advances have increased understanding of skin lymphomas, they have also produced an extensive and sometimes confusing litany of articles, studies, and classification schemes. This issue on Cutaneous Lymphomas in Surgical Pathology Clinics provides an organized and updated review of this challenging topic by leading experts. It bridges critical knowledge gaps in the diagnosis of cutaneous lymphomas. Sezary Syndrome, Mycosis Fungoides and variants are presented along with B-cell, CD30, lymphoproliferative disorders among others. In addition to multiple clinical and microscopic images, tables and algorithms are presented to aid in diagnosis and staging. Beyond its usefulness to general pathologists, dermatopathologists, and hematopathologists, this information is intended to be helpful for dermatologists, hematologists/oncologists, fellows, and residents.

No other neurological condition allows the same opportunities for an intracranial electrophysiological study of the human brain as epilepsy does. Epileptic surgery is designed to remove the epileptic focus from the human brain, thereby effecting either cure or substantial reduction of seizures in an individual with an otherwise intractable condition. Its use as a treatment modality dates from the late 19th century, and it has become a widely used treatment option throughout the world in the last 20-30 years. The complexity of epilepsy cases in surgical centres, and the need for invasive electrode studies for pre-surgical evaluation, are both greatly increasing. Invasive Studies of the Human Epileptic Brain is the definitive reference text on the use of invasive electroencephalographic (EEG) diagnostic studies in human epilepsy. Written by some of the most renowned epilepsy experts of the 20th and 21st centuries, the authors provide their expertise and insights into the identification and mapping of intracranial epileptiform and non-epileptiform activity, mapping of the human brain function, and approaches in the use of invasive electroencephalography in a variety of clinical situations. The book is organized into an easily readable series of chapters and is brilliantly illustrated with case studies; each providing an intuitively comprehensive approach to invasive brain studies.

Employed for both cosmetic and reconstructive purposes, breast implants are one of the most widely-used and controversial prostheses available. The development of safe, reliable products is vital to the future of this important field of surgery. Biomaterials in plastic surgery reviews the history, materials and safety issues associated with breast implants.
Beginning with an introduction to the history of biomaterials used for breast augmentation, Biomaterials in plastic surgery goes on to discuss development issues. It then discusses the chemistry and physical properties of biomedical silicones before reviewing cohesive gel and polyurethane foam implants. The book concludes by analysing the epidemiological evidence on the safety issues relating to breast implants, followed by a review of retrieval and analysis of breast implants emphasizing strength, durability and failure mechanisms.
With its distinguished editors and international team of expert contributors, Biomaterials in plastic surgery is an important guide for surgeons, manufacturers and all those researching this important field.
Comprehensively examines the history, materials and safety issues associated with breast implantsProvides an overview of the history of biomaterials used for breast augmentation and goes on to discuss the development and chemical and physical properties of biomedical siliconesReviews cohesive gel breast implants and polyurethane foam breast implants

Although hip, knee and other orthopaedic implants are well-established prostheses, much remains to be understood about how these implants wear in use. This important book summarises the wealth of recent research in this area and its implications for implant and joint design.
After an introductory overview, the book reviews the causes and prevention of implant wear. Part one discusses fundamental issues such as tissue response to wear, the anatomy and biomechanics of hips and knees as well as the materials and design issues they raise for hip, knee and other types of orthopaedic implant. Part two considers wear phenomena in a range of materials, including ultra-high molecular weight (UHMWPE), metal and ceramic joints. It also covers surgical and other factors influencing wear as well as ways of detecting, analysing and predicting implant wear and failure.
With its distinguished editor and international team of contributors, Wear of orthopaedic implants and artificial joints is a standard reference for implant manufacturers, surgeons and those researching this important area.
Summarises the wealth of recent research into the wear of orthopaedic implants and artificial joints and discusses the implications for implant and joint designReviews the causes and prevention of implant wear, tissue response to wear, the anatomy and biomechanics of hips and knees and the materials and design issues they raise for orthopaedic implantsConsiders wear phenomena in a range of materials, including ultra-high molecular weight (UHMWPE), metal and ceramic joints

This issue will deal with "Heel Pathology" and focus on topics such as: Tarsal Tunnel; Calcaneal Osteomyelitis; Plantar Fasciitis; Exostoses of the Calcaneus; Systemic Disorders affecting the Heel; Sports Injuries of the Heel;Calcaneal Fractures.

An abdominoplasty or "tummy tuck? is one of the most commonly performed cosmetic plastic surgery procedures. The operation, which is used to make the abdomen more firm, is considered major surgery.? This issue of Clinics in Plastic Surgery provides the most extensive coverage of the various different techniques and tips for successful outcomes available in the literature as a single volume.

The book is divided into three sections: The first section covers basic materials (from choice of suture materials to why powdered gloves can cause latex allergy), instruments (such as why scissors are right or left handed) and basic techniques (for example, how to deliberately tie a slip knot and how to avoid doing so accidentally!). The second section covers local anaesthetic agents and techniques. The third section describes the most commonly performed operations and the complications that may be encountered including how to avoid and how to deal with them. There are also chapters that deal with the highly important but often neglected topics of biometry and orbital and lens implant biomaterials and design. Throughout, the scientific basis has been emphasized where possible. Professionals who work with ophthalmic patients such as nursing staff and optometrists will also find a clear description of the commonly performed procedures to be of interest. * an easy-to-use book, rectifying any immediate gaps in surgical knowledge * a highly practical text which covers everything that the ophthalmic trainee needs to know * beautifully illustrated text, covering all the basic procedures from anesthesia to instruments, wounds and their aftercare to the most commonly performed ophthalmic operations

A highly clinical, practical book on carotid diseases, which focuses on management options. For each management question an expert from Europe and from the US offer their views, and for particularly controversial topics more than one author has been invited to comment. Conclusions or management options are summarised in a box at the conclusion of each topic, which allows easy referral. The book is divided up into three main parts, covering pre-operative work-up, operative aspects and post-operative care. Chapters include evidence-based recommendations and experts personal opinions and reflect on-going clinical debate.Practical, focussed and clinically relevant. Highlights the most controversial issues with expert opinions on each.Management options summarised for easy referral. An up-to-date summary on the challenging area of carotid disease.Reflects on-going clinical practice. Includes evidence-based information.Covers many practical and controversial issues that are not mentioned in the mainstream textbooks. Includes expert input from 60 experienced clinicians from the US and Europe.Reflects queries and problems faced by surgeons in their day-to-day work.

This comprehensive book looks at the art and science of surgical nursing. Covering many of the essential issues relevant to the care of adults undergoing surgery in a range of settings, the text explores the nature of surgical nursing in all its guises, addressing challenging contemporary issues and measuring outcomes. It also explains the principles, whichunderlie the nursing care of patients throughout their surgical journey - from assessment and diagnosis, through pre- and intra-operative care, to the post-operative recovery phase and discharge. The physiological and scientific basis of practice is set out clearly and succinctly, while complex issues of care are explored through the use of reflection activities and short case studies. The text addresses issues, which will help nurses develop their role and their philosophy of care and assist in the improvement of patient management.The book looks at surgical nursing from the nurses not the surgeons point of view This is a British text, in a subject area dominated by US books

This book is an introductory text to spinal disorders. Based on the highly successful forerunner to this volume, Practical Orthopaedic Medicine, the book still retains the original philosophy of this text which is to systematically cover all the joints discussing examination, diagnosis and treatment. The full spectrum of therapies is covered with particular emphasis on Maitland's widely practised spinal manipulation techniques - how they are assessed clinically and their role in the management of spinal problems. A complete review of the current literature has been undertaken and a valuable new chapter on the spine in sport has been added. This book will be essential reading for students and practitioners involved in sports medicine, orthopaedic medicine and physiotherapy.

This text highlights the value of a team approach to appreciating the commplexity of spinal pain and a range of treatment approaches. Contributions from epidemiology, anatomy, pathology, biomechanics, clinical medicine orthopaedics, chiropractic, osteopathy and physiotherapy are presented. Each section is written by an experienced practitioner and provides a summary of pertinent material, seeking to improve the reader's understanding of the causes of cervical spine pain The volume is part of a series of three books bringing together a multidisciplinary approach to the management of mechanical spinal pain.

In the late 1980s, a promising new treatment for breast cancer emerged: high-dose chemotherapy with autologous bone marrow transplantation or HDC/ABMT. By the 1990s, it had burst upon the oncology scene and disseminated rapidly before having been carefully evaluated. By the time published studies showed that the procedure was ineffective, more than 30,000 women had received the treatment, shortening their lives and adding to their suffering. This book tells of the rise and demise of HDC/ABMT for metastatic and early stage breast cancer, and fully explores the story's implications, which go well beyond the immediate procedure, and beyond breast cancer, to how we in the United States evaluate other medical procedures, especially life-saving ones.
It details how the factors that drove clinical use--patient demand, physician enthusiasm, media reporting, litigation, economic exploitation, and legislative and administrative mandates--converged to propel the procedure forward despite a lack of proven clinical effectiveness. It also analyzes the limited effect of technology assessments before randomized clinical trials evaluated decisively the procedure and the ramifications of this system on healthcare today.
Sections of the book consider the initial conditions surrounding the emergence of the new breast cancer treatment, the drivers of clinical use, and the struggle for evidence-based medicine. A concluding section considers the significance of the story for our healthcare system.

THE SUNDAY TIMES NUMBER ONE BESTSELLER 'A vital book about dying. Awe-inspiring and exquisite. Obligatory reading for the living' Nigella Lawson At the age of thirty-six, on the verge of completing a decade's training as a neurosurgeon, Paul Kalanithi was diagnosed with inoperable lung cancer. One day he was a doctor treating the dying, the next he was a patient struggling to live. When Breath Becomes Air chronicles Kalanithi's transformation from a medical student asking what makes a virtuous and meaningful life into a neurosurgeon working in the core of human identity - the brain - and finally into a patient and a new father. What makes life worth living in the face of death? What do you do when when life is catastrophically interrupted? What does it mean to have a child as your own life fades away? Paul Kalanithi died while working on this profoundly moving book, yet his words live on as a guide to us all. When Breath Becomes Air is a life-affirming reflection on facing our mortality and on the relationship between doctor and patient, from a gifted writer who became both. SHORTLISTED FOR THE WELLCOME BOOK PRIZE 2017

Back Pain and Spinal Manipulation: a practical guide presents a highly-illustrated, didactic guide to the diagnosis and manipulative treatment of back pain. Based on a diagnostic approach to back pain the text is extremely practical and includes how-to-do-it-yourself tips based on the authors' many years of practical experience. The second edition of this popular text has been extensively revised and updated to include the developments that have taken place within the field in recent years. New illustrations have been added, and the format has been redesigned to produce a text that makes the information more easily accessible. New for the second edition: * manipulation techniques for the thoracic spine * sacro-iliac disorders and treatment * muscle stretching techniques * muscle energy techniques Features includes: key check points, classification of techniques, charts on technique/directness/specificity and do's and don'ts, and position of the patient/position of the therapist. With an emphasis throughout on practical information that is easy to follow, the book is essential reading for all practitioners, physiotherapists, chiropractors and osteopaths involved in the diagnosis and treatment of back pain.

Provides the complete knowledge about the history to be asked in the long cases for examinations and points out all the examination aspects. Contains more than 50 diagrams and illustrated photographs, which make the readers to understand easily. It includes a lot of tables and boxes with important points needed for the examination time. The book being handy makes it easier for the readers to carry it to the wards and outpatient departments. Thoroughly revised and updated with latest points from various journals and textbooks.

According to popular belief, technical skill is far more important for surgeons than thoughtful deliberation. Nothing could be further from the truth. Although surgeons must sometimes make decisions rapidly on the basis of incomplete evidence and must respond to unexpected catastrophes in the operating room rapidly, those events are intermittent - most of the time surgeons deliberate on diagnostic problems and thoughtfully manage postoperative care, which is often intellectually challenging. The relationship of surgeons with their patients is, in a real sense, far more intimate and trusting than that of any other professional, a claim that is supported by the fact that patients surrender their bodies to their surgeons in a state of total helplessness and vulnerability when they undergo anesthesia. Because of that responsibility, no other professional group has a greater sense of dedication to the welfare of their patients than surgeons. Surgical culture is deeply steeped in ethics, and surgeons confront and resolve ethical dilemmas as much or more than most other professionals, although they often may not recognize the situations they resolve are problems in ethics - they are just part of the daily routine. This book is a compendium of articles from the recent surgical literature that address ethical issues chosen by surgeons because they are controversial and pertinent to the practice of surgery. The reader will not find a great deal of sophisticated dissection of fine philosophical distinctions in these discussions of ethical conflicts and controversies in surgery. Instead, they will discover differing viewpoints from thoughtful essayists, mostly surgeons, whose feet are firmly in contact with the ground and who have extensive experience in the real world of surgery, medicine, and law.

Describes the genesis, pathology, clinical features, presentation, syndromes, clinical examination, investigation procedures, treatment, prophylaxis, and surgery of common vertebral joint problems.New edition of a highly successful, widely acclaimed book Completely updated to take account of recent developments in research and practice The Gray's Anatomy" of spinal musculoskeletal pain - now the essential reference for all involved in the treatment of vertebral conditions The only single book to offer a comprehensive survey of the whole field Covers the genesis, pathology, clinical features, presentation, syndromes, clinical examination, investigation procedures, treatment, prophylaxis, and surgery of common vertebral joint problems Gives the reader a thoughtful and critical digest of more than 2500 references - two-thirds of theseSuperbly illustrated: 412 photographs and 206 line illustrations"

Eureka: General Surgery and Urology is an innovative book for medical students that fully integrates core science, clinical medicine and surgery. The book benefits from an engaging and authoritative text, written by specialists in the field, and has several key features to help you really understand the subject: Chapter starter questions - to get you thinking about the topic before you start reading Break out boxes which contain essential key knowledge Clinical cases to help you understand the material in a clinical context Unique graphic narratives which are especially useful for visual learners End of chapter answers to the starter questions A final self-assessment chapter of Single Best Answers to really help test and reinforce your knowledge The book starts with the First Principles chapter which clearly explains key concepts such as assessment of the patient fitness for surgery, patient consent and pain management. The Clinical Essentials chapter provides an overview of the symptoms and signs of surgical disease, investigations and management options. A series of disease-based chapters briefly describe, by system, relevant structure and function, history and examination and main surgical presentations, each chapter introduced by engaging clinical cases that feature unique graphic narratives. The Emergencies chapter covers the principles of immediate care in situations such as acute appendicitis. Finally, the Self-Assessment chapter comprises 80 multiple choice questions in clinical Single Best Answer format, to thoroughly test your understanding of the subject. The Eureka series of books are designed to be a 'one stop shop': they contain all the key information you need to know to succeed in your studies and pass your exams.

Tourette syndrome (TS) is finally recognized as a common neurodevelopmental disorder, and has gained increasingly high social awareness and scientific interest worldwide. Knowledge of its clinical presentation, mechanisms of disease, and available treatment approaches has increased remarkably over the last decade. Likewise, the way clinicians, teachers, social care workers and families face the problems manifested by patients with TS is rapidly evolving. Tourette Syndrome, edited by Davide Martino and James F. Leckman, offers a unique opportunity to capture this interesting momentum through a comprehensive and up-to-date overview. Tourette Syndrome covers all of the main aspects related to TS, analyzing the complexity of its clinical presentation, the novel viewpoints of causes and mechanisms, the best way to assess TS patients, and the multifaceted and multidisciplinary treatment options. The multidisciplinary and up-to-date content is the main asset of this volume, which represents a useful source of consultation for a wide audience of professionals, all of whom will have access to what is known so far on TS within their particular area of expertise, at the same time being able to expand and update their knowledge in other areas. Medical and PhD students, as well as post-doctoral scientists, will be able to use the volume as a valuable learning source. Also, questions for future research are clearly presented in the volume, providing a summary of the viewpoint of the contributing authors upon where research on TS should be heading. Finally, clinicians and other health professionals will have access at a glance to the main patients' associations and organizations dedicated to TS worldwide, which can facilitate the direct contact with patients.

Heart failure occurs in almost epidemic proportions, placing a huge burden on both the healthcare system, and sufferers and their families. This can only rise over coming years as the ageing population, particularly in industrialized countries, increasingly suffers from heart failure and its related comorbidities. The care of this group of patients has evolved significantly over recent years as our knowledge and understanding of the pathophysiology of heart failure has developed. It has become evident that supportive care is integral to comprehensive heart failure care, and this book provides an evidence-based overview of heart failure aetiology, its management, and the supportive care required by patients throughout the course of their disease. Supportive Care in Heart Failure integrates the complexities of heart failure care, bridging knowledge bases from cardiology and cardiothoracic surgery, general medicine and palliative care. The book reviews essential information about epidemiology and pathophysiology of heart failure, and evidence-based medical, device, surgical and interdisciplinary management. It addresses the evaluation and management of quality of life, common symptoms and problems associated with heart failure, and the holistic approach to supportive care throughout the course of the illness through the end of life. Prognostication, communication, and ethical decision making are reviewed in detail. Heart failure has traditionally presented a challenge to physicians, as a generally progressive condition with significant symptoms, a poor quality of life, and high mortality. But by applying the principles of palliative medicine, it is possible to offer a supportive care approach that synthesizes the experience of both the heart failure specialist and the palliative care physician, and offers the best possible quality of care to this group of patients.

In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors.
In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation.
Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.