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

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

This book provides a useful guide for the management of complex abdominal wall problems from the perspective of a general surgeon, with sensible, practical clinical advice for the management of problems as they arise. Starting from managing the open abdomen and optimising the chances of achieving later definitive fascial closure, through to dealing with incisional and parastomal hernias throughout the abdomen. Expert guidance supported by an evidence-based review of the literature aids higher surgical trainees and consultant general surgeons who wish to expand their practice in this area. Focuses on the needs of the general surgeon Offers practical tips and advice for handling difficult cases Based on current best evidence Complemented by high quality images

Written by PAs for PAs, Orthopaedics for Physician Assistants, 2nd Edition, is the first and only orthopaedics text specifically designed for physician assistant practitioners and students. This comprehensive yet portable guide helps you master the essential knowledge that directly affects your patient care. Coauthors and physician assistants Sara Rynders and Jennifer Hart clearly present everything you need to know to manage orthopaedic issues in either a general practice or orthopaedic practice setting. Provides precisely the diagnostic and procedural information physician assistants need, covering orthopaedic physical examination and history taking, imaging interpretation and diagnosis, and treatment strategies for orthopaedic problems. Features brief, bulleted text, consistent headings in each chapter, an easy-to-follow outline format, and clear diagrams and images throughout. Demonstrates how to perform 14 key joint injections with online videos of elbow joint injection, knee joint injection, medial epicondyle injection, subacromial injection, digital block, and more. NEW to the 2nd Edition: ICD-10 codes to facilitate accurate coding and billing "Clinical Alert" boxes that highlight key information Quick-reference guide inside the front cover listing content by disorder name Concise review of common Orthopedic PANCE/PANRE topics Streamlined surgery content that focuses on need-to-know material A clearer, more direct writing style and updated content throughout, reflecting the most current research evidence and national and international guidelines Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This book identifies the 50 key scientific articles in the field of vascular and endovascular surgery. It provides a commentary to each carefully selected paper and explains why these papers are so important, thus providing every surgeon with the foundation stones of knowledge in this fast-moving area. There has been an exponential increase in the volume and quality of published research relating to vascular and endovascular surgery in recent decades. Among thousands of articles, a small fraction is truly "game changing." Such studies form the foundations of vascular surgery today and the selection of papers within this book provide the 50 landmark papers every 21st-century vascular and endovascular surgeon needs to know. A valuable reference not only to the established surgeon, but also to vascular surgery residents and trainees, as well as to more experienced surgeons as they continue to learn new techniques and approaches and to improve their knowledge of vascular disorders and treatments. The papers provide an evidence-based resource for those surgeons preparing for professional exams and may inspire clinicians to produce new research. About the Editors Juan Carlos Jimenez MD, MBA Professor of Surgery Gonda (Goldschmied) Vascular Center David Geffen School of Medicine at UCLA Los Angeles, California Samuel Eric Wilson, MD Distinguished Professor of Surgery and Chair Emeritus University of California Irvine Irvine, California

Optimizing Physical Performance During Fasting and Dietary Restriction examines the effects of sustained fasting and food restrictions on metabolism and physical performance in athletes. It provides broad coverage including both religious and non-religious fasting and dietary restrictions. This practical and evidence-based guide outlines recent findings from peer-reviewed literature as well as original experiments conducted by the authors, who are experts in the supervision of athletes during fasting. The book presents findings and information simply and clearly and also summarizes implications for athletes. Written in an accessible style, each chapter reviews 30 to 100 investigations and also includes relevant citations, teaching objectives, definitions of key terms, summary of key points, practical implications for athletes, and questions for discussion

Balancing basic science with information on everyday clinical practice, Blumgart's Surgery of the Liver, Biliary Tract and Pancreas, 7th Edition, provides you with expert guidance and advances in the field so you can offer patients the most optimal diagnostic and surgical care. In two convenient volumes, Dr. William Jarnagin and his team of internationally recognized surgeons cover exactly what you need to know, including advances in diagnostic and surgical techniques, minimally invasive surgeries, new interventional diagnostic techniques, and all relevant diseases. This comprehensive, practical reference is designed to help you choose and perform the most appropriate procedures that will minimize inpatient hospital time, curtail costs, and reduce overall recovery time for your patients. Presents cutting-edge guidance on pathology, diagnostics, surgery and non-operative intervention of the liver, biliary tract, and pancreas in one highly regarded, authoritative reference. Covers all surgical approaches, both open and minimally invasive. Considers all worldwide opinions and approaches to management, and includes key data on surgical outcomes to better inform clinical decision-making. Contains 161 chapters with updated references and additional figures-more than 1,500 illustrations in all. The imaging section has been reorganized to reflect a disease-based approach. Includes new and expanded sections on advances in molecular characterization of benign and malignant HPB diseases, perioperative management, interventional techniques, minimally invasive surgery and robotics, and therapeutic advances for malignant disease. Features a section dedicated entirely to operative technique, plus a new historical chapter authored by Professor Jacques Belghitti: "Hepatobiliary and Pancreatic Surgery: Historical Perspective." Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Thyroid Surgery: Principles and Practice will bridge a gap between the huge platform of literature available about thyroid surgery and the practical working reality. The pearls in techniques and surgical procedures are exhaustively detailed with authors' individual experience enriched with quality photographs. This book covers management of large/massive multinodular goiters which are the hallmark of Indian thyroids. However, the emphasis will be more on applying this knowledge to a given patient and would largely revolve around this theme. It aims to provide a take-home message in controversial areas and is a ready reference to all interested in learning the science and craftsmanship of thyroid surgery. Key Features: Covers all topics comprehensively with a practical approach Inclusion of guidelines adds value to the content Discusses all investigatory modalities Consists of useful surgical tips with exhaustive surgical photography Features large anatomical illustrations with cadaveric dissections

This book provides a sound introduction to surgical instrumentation, including their recognition, use and care. It provides useful information that is essential for operating department practitioners, nurses, scrub practitioners, surgeons under training, surgical technologists, junior doctors and medical students. Descriptions of how and where the instruments are used will also aid in the knowledge required for their application, providing an understanding of instruments for specific procedures. The book is relevant to surgical practice around the world. It also aligns with the core curriculum of the Association of Surgical Technologists in the United States. This book provides the fundamental knowledge required for students and qualified staff working within the perioperative environment, to ensure the safe and efficient use of surgical instrumentation and ultimately the care of the surgical patient as a result.

This comprehensive, completely up-to-date collection of test questions covers the whole MRCS syllabus tested in the intercollegiate MRCS Part A examination. Written by recent successful candidates, the revision guide has been designed in accordance with the 2012 Royal College of Surgeons of England guidance to match the exact format of the MRCS Part A with 5 single best answer (SBA) papers and 5 extended matching question (EMQ) papers. Completing the papers to time provides excellent practice in exam technique, and concise, clear answers and explanations are ideal for evaluation and revision. MRCS Part A: SBAs and EMQs is ideal for all MRCS Part A candidates. Undergraduate medical students preparing for their surgical finals will also find the guide invaluable for testing their SBA and EMQ technique.

Spare Parts examines major developments in the field of organ replacement that occurred in the United States over the course of the 1980s and the beginning of the 1990s. It focuses upon significant medical and social changes in the transplantation of human organs and on the development and clinical testing of the Jarvik-7 artificial heart, with special emphasis on how these biomedical events were related to the political, economic, and social climate of American society.

Part I examines the important biomedical advances and events in organ transplantation and their social and cultural concomitants. In Part II, the focus shifts to the story of the rise and fall of the Jarvik-7 artificial heart in the United States, its relation to American social institutions and cultural patterns, and its bearing on social control issues associated with therapeutic innovation and the patient-oriented clinical research it entails. Part III is a personal conclusion, which explains why the authors left the field of organ transplantation after so many years.

Spare Parts is written in a narrative, ethnographic style, with thickly descriptive, verbatim, and atmospheric detail. The primary data it is based upon includes qualitative materials, collected via participant observation, interviews in a variety of medical milieu, and content analysis of medical journals, newspapers, and magazine articles, and a number of television transcripts. The new introduction provides an overview of some of the recent developments in transplantation and also underscores how tenacious many of the patterns associated with organ replacement have been. Spare Parts should be read by all medical professionals, sociologists, and historians.

With poignant insight and humor, Frank Vertosick Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick s patients and unsparing yet fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain the culmination of decades spent struggling to learn an unforgiving craft illuminates both the mysteries of the mind and the realities of the operating room."

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

Uniquely designed to reflect the physician's decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of female pelvic medicine and reconstructive surgery. This practical, atlas-style resource covers everything from basic concepts through to clinical and urodynamic evaluation, management, and treatment, equipping you to make the best clinical decisions and optimize outcomes. Edited and authored by renowned experts in the field, this updated 5th Edition is an ideal resource for urogynecology fellows and practitioners, urologists, and OB/GYNs who need a step-by-step, comprehensive reference on the latest procedures and research to evaluate and treat female pelvic floor disorders. Offers a comprehensive approach to all urogynecologic disorders, including genuine stress incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection. Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of clear surgical illustrations, photographs, and radiographs. Features an all-new video collection to clearly demonstrate key procedures. Contains new chapters on Urology for the Urogynecologist and Interstitial Cystitis/Bladder Pain Syndrome. Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction. Includes case presentations from leading experts in urogynecology and urology that allow you to apply the information presented to everyday clinical situations. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This book takes a whole new perspective concerning the approach to treating aging process. Most doctors feel they have no other options but to operate on the physical processes that occur as we grow older. Now, for the first time, there is another scientific approach that impacts on the causes of aging and not just on the effects. The basic principles and practice of anti-aging medicine and age management clearly and succinctly explains the solid scientific research behind doctor Giampapa's revolutionary theories, revealing that a key number of bio chemical processes at the cellular level can be clinically manipulated to successfully improve the physical signs of aging even without surgery. Dr. Giampapa gives the clinical dermatologist and plastic surgeon the knowledge and tools to successfully incorporate anti-aging medicine into their practice. These tools not only improve the longevity of their cosmetic procedures but markedly enhance the quality of life and health that patients can experience. Throughout the book a new concept of aging is built around preserving DNA function and replication. Treatment concepts are centered around: Controlling blood sugar levels and glycation; Inhibiting cellular inflammation; Supplying the correct combination of antioxidants; Improving gene regulation and methylation; Following a simple diet guide and exercise plan; Regulating age-related hormonal declines; Improving DNA repair and decreasing DNA damage. Containing hundreds of scientific medical references as a valuable resource for future investigation and information, this book is an essential addition to the cosmetic physicians library.

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

Ideal for thorough review and exam preparation, Review of Hand Surgery, 2nd Edition, presents a comprehensive review of hand surgery in a reader-friendly outline format for quick reference. Drs. Pedro K. Beredjiklian, David J. Bozentka, and Gregory Gallant lead a team of hand surgeons who are involved in resident/fellow training, focusing on need-to-know information for efficient and effective review. This unique resource includes the latest information from textbooks, current journal articles, and in-training and self-assessment examinations in a single, convenient volume. Contains three new chapters: Pediatric Hand, Wrist and Forearm Fractures and Dislocations; Arthroscopic Treatment of Hand and Wrist Injuries; and Paralytic Hand, Cerebral Palsy and Stroke. Includes updated and expanded coverage of atypical hand infections, systemic arthropathies, burns and frostbite, chemical burns, local flaps and more. Provides detailed descriptions of functional anatomy of the hand, organized by tissue structure. Explains complex concepts such as the mechanics of the hand and disruptions that lead to deformity in concise, easy-to-understand sections. Features full-color, easy-to-read photographs, illustrations, and tables to reinforce learning and recall of high-yield information. Perfect for study and review for the Orthopaedic In-Training Examination (OITE), AAOS Hand and Wrist Self-Assessment, ASSH Annual Self-Assessment, and AAOS Hand Surgery Certification/Recertification (ABS with ABOS and ABPS) exams. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access bonus images plus all of the text, figures, and references from the book on a variety of devices.

This concise and accessible revision guide delivers the must-know facts and associations for the common conditions that are most likely to be tested during medical school finals across medicine and surgery. Covering 60 common presentations, ordered by specialty, information is systematically structured throughout and is ideal for rapid reference. Each condition is represented by a succinct review covering definition, epidemiology, aetiology, pathology, clinical presentation, examination, investigations, differential diagnosis and management. Mnemonics, illustrations, boxes and summary tables supplement the text throughout. Key Features One-stop shop for finals revision covering 60 common conditions requiring medical or surgical management Presents core facts in accessible, 'bite-sized' sections to aid memory and rapid recall Highly structured format for ease of reference Incorporates the latest clinical guidelines, handy hints and tips, mnemonics and questions for self-assessment ------------------------------------------------------------------------------------------------------- Written by a foundation doctor who understands from recent personal experience the requirements and pressures of medical finals, this aide-memoire will provide invaluable guidance during clinical studies and examination preparation. About the Author: Kristen Davies, MBChB (Honours) MRes (Distinction), is an Academic Foundation Doctor, Northumbria Healthcare NHS Foundation Trust and a Training Fellow, Newcastle University, UK. Editorial Advisor: Shadaba Ahmed, FRCS-ORL/NHS DLO MoME MCPS FCPS is ENT, is Consultant and Lead for HN Services, University Hospitals of Morecombe Bay NHS Foundation Trust, an Honorary Lecturer at Lancaster University and an Honorary Teacher at Liverpool University, UK.

This two-volume set forms a comprehensive yet concise examination guide covering the entire spectrum of paediatric surgery. The 1732 questions and associated explorations are structured such that the complete curriculum is addressed in a systematic manner simply by answering the questions and reading the subsequent discussions. Each chapter provides relevant information and evidence-based facts and figures on a specific area, alongside practical discussions from the expert panel of internationally acclaimed authors. These two volumes further act as a compendium of current research by compiling salient details from other texts. Succeeding in Paediatric Surgery Examinations Volumes 1 and 2 are highly recommended for candidates of postgraduate paediatric examinations. They provide an excellent overview that will also be of great benefit to practicing paediatric surgeons and urologists, paediatricians, general surgeons and orthopaedic surgeons. Impressive. Covers the depth and breadth of paediatric surgery.

The second edition of Endocrine Surgery is a comprehensive update of the previous edition published in 2003. Edited by three leading authorities in the field of surgical endocrinology, the book encompasses the clinical, imaging, nuclear, molecular, technological and evidence-based principles that are applied in the diagnosis and treatment of all categories of endocrine tumors. Authored by experts from across the globe, this textbook reflects the best international clinical practice and also provides an outstanding educational resource. With full color illustrations throughout, the new edition emphasizes contemporary approaches in successive stages including: pituitary endocrine tumors; pathology and pathophysiology of pulmonary neuroendocrine cells; surgery of endocrine tumors of the lungs and thymus; robotic endocrine surgery; molecular testing of thyroid nodules; pediatric surgery for neuroblastoma and ganglioneuroma; multiple endocrine neoplasia; retroperitoneoscopic adrenalectomy; radionuclide imaging of carcinoid tumors, pancreas and adrenals; serotonin-induced cardiac valvular disease and surgical treatment; multimodal management of primary and metastatic neuroendocrine tumors; pathophysiology and surgery of Type II diabetes; post-bariatric surgery hyperinsulinemic hypoglycemia; and surgical management of metabolic syndrome. Endocrine Surgery 2e provides the clinician with a definitive resource to reach curative outcomes in the treatment of patients with endocrine pituitary, thyroid, and parathyroid entities. Further coverage of broncho-pulmonary, adrenal, pancreatic, and intestinal neoplasia is also included, making this the definitive textbook on the subject. Demetrius Pertsemlidis, MD FACS The Bradley H. Jack Professor of Surgery, Icahn School of Medicine at Mount Sinai, New York, USA William B. Inabnet III, MD FACS Professor of Surgery and Chief, Division of Metabolic, Endocrine and Minimally Invasive Surgery, Icahn School of Medicine at Mount Sinai, New York, USA Michel Gagner, M.D. FRCSC, FACS, FASMBS Clinical Professor of surgery, Herbert Wertheim School of Medicine, Florida International University, Miami, FL and Senior consultant, Hôpital du Sacre Coeur, Montreal, Quebec, Canada Print Versions of this book also include access to the ebook version.

First published in 1994: Colorectal Physiology reviews recent findings in fecal incontinence, which is becoming a greater concern to physicians and surgeons as our population grows older and becomes better educated. International experts in anorectal physiology and management of incontinence present their personal views and specific clinical experiences on topics such as causes, diagnostic testing, and modes of treatment. The contributors also examine theoretical and practical aspects of current opinion. This book is a useful reference for researchers, colon and rectal surgeons, physicians, and students interested in understanding and managing fecal incontinence.

'Gripping ... so powerfully emotional that at times I had to put it down to wipe my eyes' Mail on Sunday 'How do you say thank you to someone for giving you their heart? It is the greatest gift a person can ever give.' Marc is a promising young footballers of 15, growing up in Scotland. A few hundred miles away in England, Martin is a fun-loving 16-year-old. Both are enjoying their summers when they are suddenly struck down by debilitating illnesses. Within days, the boys are close to death. Although their paths have never crossed, their fortunes are about to be bound in the most extraordinary, intimate way. One of them will die and in doing so, he will save the other's life. This is a deeply powerful and dramatic story. It is extremely rare for the family of a donor to have any personal contact with the recipient of their loved one's organ. Yet remarkably, the mothers of these two boys meet and become friends, enabling the extraordinary, bittersweet moment in which a mother who has lost her son meets the boy he saved. Reaching out and placing her palm flat against his chest, she feels the heart of her son beating away inside another. Her boy, the boy who gave his heart away.

Cosmetic surgery represents an extreme form of modern grooming. It is the fastest growing medical specialty, yet misconceptions abound about those who undertake it and their reasons for doing so. With a grounded approach, engaging 30 women through in-depth interview, this study explores how they chose cosmetic surgery as an option. Their accounts frame a theoretical discussion, in which Northrop proposes that cosmetic surgery is initiated within the vulnerable and divisive relationship between the self and its poor body image. Poor body image and the attempt at its reparation are examined conceptually through shame and narcissism. With compelling case studies and a multi-disciplinary approach, Reflecting on Cosmetic Surgery demonstrates that shame constitutes a framework through which we formulate appearance norms and learn the art of becoming socially embodied. Shame concerns the self, but manifests in response to perceived social phenomena. Through the evaluation and amendment of body image with cosmetic surgery, notions of self and social worthiness are played out. Northrop argues convincingly for a review of the way in which we view narcissism and proposes that shame, and the discomforts arising from it, are implicated in its occurrence. This book will appeal to students and scholars across the social sciences, and particularly in women's studies and gender studies.