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Neurosurgery represents one of the most specialized arenas in modern medicine. Today, more than ever, patients with neurological disorders seek opinions from a variety of specialists and are often treated by teams of physicians. While consensus is often reached within institutions, regional variation is found between institutions. The lack of high quality clinical evidence contributes to this problem. This textbook aims to examine some of the most controversial areas of neurological surgery by applying the current evidence to illuminate our understanding of the pathophysiology of each disease and the outcomes from surgical and non-surgical treatments. Today's neurosurgeon must be able to apply current evidence in the clinic to determine, for example: Which aneurysm should be treated with endovascular or open vascular techniques? Which degenerative lumbar spine should be fused, decompressed, or both and which spine's deformity should be corrected and to what extent? Whether an acoustic neuroma should be treated, followed, removed, or irradiated? The Evidence for Neurosurgery is a textbook that will challenge current dogmas in many instances, provide an organized framework for understanding where current evidence can be applied clinically, and illustrate where gaps in the evidence exist and how these deficiencies may be filled in the future. In the first chapter, "Clinical Evidence," the reader will gain an understanding of the levels of clinical evidence and will learn what types of study designs are appropriate and in which situations. The textbook is then divided into six sections: Spine, Vascular, Tumor, Pediatrics, Functional, and Trauma. Each section's editors have provided a brief synopsis of the specific challenges within each field followed by chapters that provide the current evidence in areas where clinical uncertainty lies.
Robotic Surgery of the Bladder is a dedicated resource to understanding and mastering the concepts and practical aspects of robotic bladder surgery. The volume provides an introduction to urologists interested in initiating robotic radical cystectomy by providing them background, concepts, steps, and tools and tricks to introduce robotic radical cystectomy into their clinical practice, all in a safe, stepwise, and organized manner. For the more experienced robotic surgeon, the text serves as a resource for more advanced applications and techniques. The volume is also accompanied by many still images and a DVD of video clips. Written by experts in the field, Robotic Surgery of the Bladder is a comprehensive resource that maintains the time-tested oncologic principles of bladder cancer surgery, while introducing the advantages that exist with robotic-assisted approaches.
This extensively illustrated book aims to systematize the selection of treatment options in patients with parotid tumors that extend beyond the borders of the parotid tissue and therefore present particular problems for the surgeon. Reconstruction of the postoperative defect is especially difficult in such cases because of the complexity and density of the anatomical structures in the lateral region of the head and neck and also the general condition of most patients, who tend to be elderly and to have accompanying disorders. The difficulty in the management of extended parotid tumors is increased by the need to sacrifice the facial nerve, even if only partially. The book provides clear criteria to assist in the choice of treatment, from the simplest options involving use of local flaps to the most sophisticated ones. It will assist the surgeon in ensuring that the patient achieves the best possible quality of life, no matter what the patient's age or the associated comorbidities.
This comprehensive and authoritative text takes an integrated approach to childbirth trauma, focusing on anal sphincter injuries and perineal morbidity, as well as other lower urinary tract dysfunctions secondary to childbirth. In recent years there has been an increasing emphasis on childbirth injury. Research based on clinical evaluation and anal ultrasound has improved our understanding of these significant childbirth related complications, their associated morbidity and their long-term sequelae. Despite extensive research interest, clinical focus and institutional national and international guidelines, outcomes are still not optimal and debates continue. Complete with full-color illustrations, Childbirth Trauma is a useful guide for clinicians and researchers in this field.
Fully illustrated throughout with a wide range of scans, images and line drawings, ABC of Orthopaedics and Trauma provides practical guidance on the diagnosis, treatment and management of orthopaedic conditions, and assists with the initial assessment based on common presentations. Written by a team of renowned expert orthopaedic surgeons and rheumatologists, it includes coverage of the current national guidelines from NICE and professional bodies. Twenty-four chapters cover all the major areas of this vast speciality using a digestible and reader-friendly approach, including sections on fractures, joint replacements, rheumatological disorders, osteoarthritis, emergencies, and post-operative care. Introduction to specialist topics like metabolic bone disease, peripheral nerve injury, paediatric orthopaedics and tumours are also featured. Topics consist of history and examination, investigation and initial management of common orthopaedic trauma and elective presentations. In addition, this full-colour, user-friendly reference guide offers readers a look at the day-to-day clinical practice of a speciality that will affect at least half of the global population at some point, covering further chapters on epidemiology, biomechanics, common procedures, future developments and education. ABC of Orthopaedics and Trauma is an excellent resource for all healthcare professionals caring for patients with musculoskeletal and orthopaedic related disorders. This will be a valuable reference to orthopaedic trainees, sports physicians, physiotherapists, nurses, occupational therapists, clinical researchers and student doctors.
This easy-to-consult guide describes new minimally invasive procedures for the treatment of spinal canal stenosis that are accompanied by fewer complications and side-effects, reduce the risks of anesthesia, and lower costs. Clear accounts are provided of various CT and X-ray guided techniques for lumbar spinal canal and foraminal stenosis, including the use of spacers and minimally invasive lumbar decompression (MILD). Helpful introductory information is also provided on biomechanics and symptoms. Like other books in the Springer series New Procedures in Spinal Interventional Neuroradiology, this practice-oriented volume will fill a significant gap in the literature and meet the need expressed by a large number of specialists (interventional neuroradiologists and radiologists, neurosurgeons, and orthopedists) for a topical and handy guide that specifically illustrates the presently available materials and methods.
This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases. How several landmark surgical innovations were developed are described to show the challenges faced, and the ethical dilemmas these innovators dealt with. The challenges of dealing with regulatory issues, and how to work with industry partners, and investors when working on a new therapy is described. Once a new technology has been brought to the market, standards need to be developed regarding the training, credentialing and adoption of the new technology. There are insufficient standards of how to balance the desire to provide patients the latest therapy with the obligation that patients receive informed consent about the new technology, and the relationship that the physician may have had with product development. The book describes the national perspective of paying for new technology, and provides one insurance company's approach to the introduction of innovative therapy. The Sages Manual Ethics of Surgical Innovation will be a resource for surgeons, researchers and health policy personnel to understand the ethical issues related to the development, introduction and adoption of innovative therapies for gastrointestinal diseases. Although the context for discussion is the application of innovation to gastrointestinal disease, the ethical issues are applicable to any discussion of innovative medical or procedural therapies.
Edited by Sudhir Diwan, a former Director of Pain Medicine fellowship program at Ivy League Weill Cornell Medical College, and Timothy R. Deer, an internationally renowned expert in neuromodulation and minimally invasive spinal procedures, this atlas covers advanced procedures that normal residency and fellowship programs may not cover. It consolidates information pain fellows usually amass by traveling throughout the country to various specialized weekend courses. Advanced Procedures for Interventional Pain Management: A Step-by-Step Atlas is for physicians that know the fundamentals of pain medicine and want to push their knowledge further. Through easy-to-digest bullet points, extensive diagrams, hundreds of figures, and expanded legends beneath each illustration, this compendium covers techniques such as fluoroscopic guidance and radiation safety, endoscopic transforaminal discectomy, endoscopic direct-percutaneous discectomy, transforaminal myelogram, percutaneous facet fusion, percutaneous sacroplasty, vertebral augmentations, percutaneous tumor ablation, percutaneous spinal fusion, minimally invasive spinal decompression (MILD), Interspinous Spacer Placement and advanced neuroaugmentation techniques like high frequency stimulation and DRG stimulation. This book also has a dedicated section on Regenerative Medicine with chapters on platelet rich plasma, stem cell therapy, and intradiscal regenerative therapy. Each chapter has a strict chapter format that includes the indications and contraindications for each procedure, a list of equipment and drugs, a step-by-step illustration-focused how-to, a list of possible post-procedural complications, and bullet-pointed clinical pearls and pitfalls. Within each chapter the authors will also cover the variations of each procedure due to different equipment. This book is ideal for pain medicine fellows, spine surgeons, and interventional pain physicians who want access to the best minds and specialized procedures in a single package.
The field of benign foregut surgery continues to evolve with new diagnostic methods and treatment modalities. The text lays the foundation in understanding the foregut through review of the anatomy and physiology, followed by subsequent chapters focusing on the diagnosis and management of specific benign diseases of the foregut: gastroesophageal reflux disease and diaphragmatic hernia, Barrett's esophagus, disorders of esophageal dysmotility, benign esophageal and gastric tumors, peptic ulcer disease and gastric outlet obstruction, and gastroparesis. Written by experts, each of these sections addresses the evaluation and management of the disease process, technical conduct of the most common endoscopic and surgical procedures, postoperative management including complications, and revisional operations. Additionally, expert commentary will serve to highlight and clarify controversies in the field. The SAGES Manual of Foregut Surgery provides a comprehensive, state-of- the art review and will serve as a valuable resource for clinicians and surgeons.
This atlas depicts and describes catheter-based interventions across the entire pediatric age range, from fetal life through to early adulthood, with the aim of providing an illustrated step-by-step guide that will help the reader to master these techniques and apply them in everyday practice. Clear instruction is offered on a wide range of procedures, including vascular access, fetal interventions, valve dilatation, angioplasty, stent implantation, defect closure, defect creation, valve implantation, hybrid approaches, and other miscellaneous procedures. The atlas complements the previously published handbook, Cardiac Catheterization for Congenital Heart Disease, by presenting a wealth of photographs, images, and drawings selected or designed to facilitate the planning, performance, and evaluation of diagnostic and interventional procedures in the field of congenital heart disease. It will assist in the safe, efficient performance of these procedures, in decision making, and in the recognition and treatment of complications.
This richly illustrated atlas, compiled by authors with extensive experience in the field, offers a step-by-step guide to the surgical treatment of tumors, and congenital diseases of the skull base and nasal sinuses. Particular attention is devoted to the various techniques employed for extirpation of tumors and reconstruction of the skull base and Paranasal Sinuses. In order to facilitate understanding of the different approaches, clear surgical illustrations are presented alongside the high-quality intraoperative photographs. Whenever appropriate, technical tips are provided and briefly discussed. This atlas will appeal to a broad audience of residents, fellows, and consultants in different fields of medicine, including surgeons (head and neck, neurosurgery, otolaryngology, plastic and reconstructive surgery, ophthalmology, maxillofacial surgery) and oncologists.
This book provides comprehensive coverage of the management and related surgery of the rheumatoid hand, wrist, and elbow. It provides a much-needed, authoritative discussion of the epidemiology, surgical techniques, and outcomes of rheumatoid surgery. The book begins by introducing important background concepts, and then goes on to present up-to-date details on pre and postoperative management, indications, and treatment options. Each section ends with case-based coverage of common clinical scenarios and features numerous illustrations that showcase the sequential approach in managing this disease. Clinical Management of the Rheumatoid Hand, Wrist, and Elbow has broad appeal for rheumatologists and primary care physicians, and will assist them in providing appropriate referrals for surgery consultations. It also serves as a valuable reference for surgeons treating and managing patients with this unique disease.
The EAES Manual of Endoscopic Surgery provides surgeons and surgical residents with the best practical knowledge currently available on commonly performed minimally invasive abdominal and thoracic procedures. Expert European surgeons share their career-long experience by dissecting operative procedures step by step and highlighting potential technical and anatomical hazards. Authors instruct the reader in a fashion similar to the conversations that take place between master surgeons and their apprentices while scrubbing for surgery. Uniform full color illustrations complete the detailed descriptions of minimally invasive surgeries. In addition to the operative instructions, a key component of the manual is the provision of information on patient selection, choice of operative approach, special needs for minimally invasive procedures, and the early diagnosis and treatment of complications after surgery.
This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.
This book presents various skills to help surgeons improve their day-to-day performance and development including professionalism, communication, situation awareness, decision making, leadership, and technical dexterity. It also offers advice on how to organise a surgical theatre list, improve theatre efficiency, prepare for surgical interviews and participate in surgical research and audit. Furthermore, it emphasises the need to strive for safety in surgery and to learn from things going wrong. The complex world of emotions that surgeons may encounter is also discussed. The guidance presented here may be of value to any aspiring surgeon, whatever their surgical specialty, and wherever they choose to practise. The skills highlighted in this book reflect the author's initial experiences as a surgical trainee, the teachings of his senior trainers, as well as his subsequent involvement in supervising multiple junior surgeons as a Consultant in Trauma and Orthopaedics. Much of the material presented is supported by an extensive literature review. This book complements the previously published book "Career Skills for Doctors" by the same author.
This book offers an essential guide to surgical approaches to the umbilicus. The navel is the only natural scar in the body, accepted for all human beings all over the world. Its absence or distortions can have negative psychological impacts, as it normally lends beauty and harmony to the otherwise unattractive abdomen. The aesthetic importance of the navel justifies the increasing amount of individuals undergoing abdominoplasty and omphaloplasty. However, these surgeries may lead to a series of complications or unintended aesthetic outcomes. Indeed, the postsurgical final aspect of the umbilicus is the main stigma and primary source of problems and complaints following abdominoplasty. In this book readers will find a complete surgical guide to the most important surgical approaches and strategies related to the navel, helping them to deliver a high standard of quality and patient-tailored surgical and aesthetic outcomes. Written by a renowned plastic surgeons with more than 20 years of experience, Omphaloplasty - A Surgical Guide of the Umbilicus offers readers an overview of general and innovative surgical techniques for the umbilicus, helping them to make the best choice when performing abdominoplasties.
Computer-Assisted Surgery (CAS) is a new tool for performing complex procedures in a predictable and safe way. This book is designed to serve as a comprehensive review of Computer-Assisted Surgery, covering the current status of both research and applications. CAS includes Virtual Preoperative Planning (VPP) and Intraoperative Virtual Navigation (IVN), which are a set of technologies used to measure oncological margins in 3-Dimensions (3D), to locate small intraosseous tumors and apply controlled resections preserving anatomical structures. During VPP, patient acquired multimodal images are processed and an interactive virtual scenario is created. This can then be used as a platform to measure oncological distances and preplan osteotomies in safe areas. IVN is a procedure which allows the execution of the VPP with a mean error of less than 3mm. For the student, medical doctors, research and development scientists or new researchers, the protocols are central to the performance of Computer-Assisted technologies.
This book introduces the latest advances relating to the pathophysiology, biophysics, monitoring and treatment of traumatic brain injury, hydrocephalus, and stroke presented at the 16th International Conference on Intracranial Pressure and Neuromonitoring (the "ICP Conference"), held in Cambridge, Massachusetts, in June 2016 in conjunction with the 6th Annual Meeting of the Cerebral Autoregulation Research Network. Additionally, the conference held special sessions on neurocritical care informatics and cerebrovascular autoregulation. The peer-reviewed papers included were written by leading experts in neurosurgery, neurointensive care, anesthesiology, physiology, clinical engineering, clinical informatics and mathematics who have made important contributions in this translational area of research, and their focus ranges from the latest research findings and developments to clinical trials and experimental studies. The book continues the proud tradition of publishing key work from the ICP Conferences and is a must-read for anyone wishing to stay abreast of recent advances in the field.
This series provides a clearly structured and comprehensive overview of fracture treatments based on the most recent scientific data. Each book in the series is organized anatomically, so the surgeon can quickly access practical aspects, examples, pearls and pitfalls. In this first volume in the series, fractures of the proximal humerus are examined with an overview of fracture morphology, injury pattern, preoperative considerations, conservative treatment, surgical management and postoperative care. Fractures of the Proximal Humerus is written by a group of experts from the Association for the Rationale Treatment of Fractures (ARTOF) who aim to provide an independent, unbiased summary of fracture treatments to improve clinical outcomes. Trauma and orthopaedic surgeons worldwide who are searching for current knowledge of new implants, therapeutic strategies and advancements will be able to quickly and accurately apply the information from this book to provide the best possible care for their patients.
Although pediatric surgery is a distinct and evolving specialty, it still remains an integral part of most general surgical and paediatric medical practice. Nevertheless, surgery in children does differ from adult practice in various fundamental ways, and there are key physiological and anatomical differences that constantly need underlining. Progress and improvement in outcome has also been rapid but it is sometimes difficult for practitioners to keep themselves up-to-date with the usual surgical or paediatric text books. This book will give a concise overview of all important topics and is designed to provide information in order to recognise the common surgical conditions; namely typical symptoms and signs, investigation and then treatment management. It will also provide an anatomical and physiological background to aid understanding, in addition to emphasising logical, and where possible, evidence-based practice by the use of flow charts, tables and algorithms. Authored by an international range of leading contributors, this is the first book of it's kind to offer comprehensive coverage to this topic in a quick reference, pocket-book format.
Since the introduction of laser devices to the medical sciences this technology has created great interest. Specifically, the laser's unique physical properties and precise bio-tissue interactions render this versatile source of biologic energy an attractive tool for multiple therapeutic purposes in cardiovascular medicine. Over the course of the last 2 decades the utilization of laser technology has become an important component for the management of patients with complex cardiovascular diseases. During this time period, cutting edge laser technology including a variety of wave length generators, newly designed catheters, and a selection of advanced optic fibers have been introduced and applied in the cardiovascular circulation. Improved lasing techniques in the cardiac catheterization suites and operation rooms have been implemented for treatment of ischemic coronary syndromes, peripheral arterial occlusive disease and other atherosclerotic thrombotic conditions. Moreover, during this 20 year time frame, several multicenter and single center clinical studies have been published focusing on the role and utilization of lasers in coronary and peripheral revascularization. And within the rapidly expanding field of interventional cardiac electrophysiology, laser technology has recently revolutionized the management of fractured, abandoned and malfunctioning leads of cardiac pacemakers and automatic defibrillators. Consequently, replacing a notoriously cumbersome and high risk open heart surgery with safe and markedly efficient percutaneous laser based extraction. This textbook will provide the most authoritative, comprehensive and contemporary information covering technological progress, clinical experience and pertinent aspects of laser applications in cardiovascular medicine. It will be of interest to cardiologists, vascular surgeons and interventional radiologist as well as medical students, scientists, biomedical engineering students and graduates.
Cementing endoprostheses is one of the most frequently performed orthopedic procedures in the world today. PMMA cements are used to anchor artificial joints. They fill up the free space between the prosthesis and bone and constitute a very important elastic zone. Owing to their optimal rigidity the cement can evenly buffer the forces acting against the bone. Although the bone cement which are currently commercially available are all based on the same chemical substance (methyl methacrylate = MMA), their physical and chemical properties differ. The completely revised second addition of the book "PMMA (Bone) Cements" could not have a better timing. In a contemporary overview about biological, physical and chemical characteristics of PMMA cement, physicians, material developers, pharmacists, microbiologist, and economists should gain a basic understanding of the subject. It should also serve them as a reference book. In particular for future physicians and hospital personnel numerous questions will be addressed which have been posed during trainings, congresses and expert gatherings concerning the use of PMMA cement in the operating theater in a save and competent way. Also for decision makers at the hospital administration a comprehensive platform has been created which can be used as a basis of their assessment.
This volume covers the known details of all subtypes of occult spinal dysraphism in unprecedented detail. This 21 chapter invaluable resource begins with a deep dive into the history and embryology of occult spinal dysraphisms. Following this, subtypes of occult spinal dysraphism are thoroughly explored --- of which include split cord malformations, tethered cord syndromes, adult presentations/outcomes of occult spinal dysraphism, cutaneous stigmata. Chapters will cover the clinical presentation, radiological features, and surgical nuances of each of the occult spinal dysraphisms. Throughout the book, expertly written text is supplemented by a number of high quality figures and tables, as well as a video documenting surgical treatment of type 1 split cord malformation. By focusing on each entity currently grouped within this topic as a separate chapter, the most up-to-date information will be provided to the reader, making Occult Spinal Dysraphism a must-have resource for students, practitioners and medical professionals involved in treating spinal dsyraphism.
Minimally Invasive Surgical Oncology is aimed at the minimal invasive surgeon as well as at the general surgeon and surgical trainee who wish to explore this field. It covers disciplines like gastroenterology, gynecology, urology, thoracic and pediatrics and builds bridges to oncologists and internal medicine. It gives a state-of-the art overview and perspectives for future developments and research as well. The book serves as an operative guide for a new generation of surgeons and offers the extraordinary feature being a text book, an operative atlas and a quick reference guide as well. The reader is provided with a tool in hand which synthesizes the latest knowledge in traditional therapies like chemotherapies and gives a comprehensive overview how to proceed in treating a cancer patient using minimal access techniques.
This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases. Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional "open" cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes. A major addition to the clinical literature, Management of Cerebrovascular Disorders: A Comprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians.
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