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This book contributes to the enhancement of fundamental and practical knowledge in the treatment of fractures, healing disturbances and bone disorders with intramedullary nailing. It promotes this biological and mechanical outstanding technique for appropriate indications and ameliorate the standard of care for those patients, who can profit from intramedullary nailing. Orthopedic trauma surgeons from all over the world, who work in the most different circumstances and with the most diverse technical and logistical equipment, will find this book to be an essential resource and guide for their daily practice with intramedullary nailing.
Personal protective equipment (PPE) for biological hazards - such as, gloves, gowns, aprons, masks, or protective eyewear (face shields, goggles or glasses) - reduce the risk of exposure to potentially infective materials. This book highlights the risks inherent in dermatological surgery and the various tools used in its practice. The authors provide detailed guidance on best practice to remove or reduce risk and thus this book is an essential reference for anyone involved from dermatologic and cosmetic surgeons through nursing staff and on to clinic administrators. The book is lavishly illustrated to show some of the practical aspects of the subject and is packed with tips and tricks to assist the practitioner reduce risk wherever possible.
Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy - as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.
This practical quick reference covers all aspects of acute care of the hand. Structured and formatted for easy, efficient comprehension of up-to-date material, Orthopaedic Hand Trauma helps you assess, evaluate, and treat (including the use of surgical interventions) injuries of the bone, tendon, and nerve that are commonly encountered in the emergency room or urgent care clinic. Each chapter is designed to help you manage patients in an acute care setting. Concise, yet comprehensive review, covering the most common hand injuries encountered in the ER. Features bulleted text along with algorithms, protocols, and numerous images and tables that make for quick comprehension and efficient application. Content organized by injury type-coverage includes the mechanism of injury, evaluation, acute treatment, definitive treatment, and complications. Perfect for anyone working in in the ER or urgent care settings. Includes a list of suggested readings for further, detailed explorations of each topic. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.
The most important and reliable resource for treating diseases of the liver For more than 55 years, "Schiff" has been acclaimed as the most outstanding liver book in the world. This new 12th edition brings the field completely up to date and includes a companion website that features a wide-variety of accessory materials. The text is evidence-based to offer hepatologists and gastroenterologists treating patients with liver disease a comprehensive and essential resource. The text highlights clinical practice and covers anatomy, pathology, testing, imaging, and the effects of liver disease on other organs. The book is written in clear and accessible terms and key features include: Treatment guidelines and management algorithms for every disease Full-color attractive design throughout the text Informative section overviews for each section Concise key concepts box in every chapter A full liver transplant section This 12th edition is thoroughly revised with the latest clinical information. The new edition offers: Information on acute and chronic liver failure and infections in cirrhosis Over 100 MCQs Downloads for Powerpoint(TM) making the content ideal for presentations Schiff's Diseases of the Liver is designed to be a first-stop reference for dealing with today's demanding clinical situations.
The practice of surgery has been revolutionized since the introduction of video-assisted endoscopy. Minimally invasive approaches are now available for almost all severe gynecologic diseases and conditions. Innovations - particularly the use of video-assisted and robotic-assisted laparoscopy and hysteroscopy - make this one of the most dynamic and technically demanding medical specialties. The new edition of this authoritative textbook catalogs the full spectrum of laparoscopic and hysteroscopic procedures used in general gynecology, gynecologic oncology and infertility surgery. Evidence-based research is presented, supporting use of the minimally invasive techniques described. The book contains many new chapters and techniques and the management of complications is highlighted throughout. The editors and contributors have pioneered some of the most important laparoscopic procedures used today and their work has made video-assisted laparoscopy accessible to surgeons worldwide. High-quality color pictures supplement many of the presentations and there is also a selection of video-clips of key procedures.
This volume of Advances and Technical Standards in Neurosurgery covers some important new developments in functional neurosurgery and endovascular therapy. In the Technical Standards section a variety of topics are considered, including optic pathway gliomas, pineal lesions, cavernous sinus meningiomas and the eternal problem of minor and repetitive head injury. Endovascular treatment of a variety of lesions is now common practice and the state of the art in endovascular treatment for acute ischemic stroke is reviewed. An appraisal of the evidence on whether there is a place for microsurgical vascular decompression for essential hypertension raises interesting questions. The volume is completed by contributions on neurosurgical treatment of cluster headaches and occipital nerve stimulation.
This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirically. The descriptions of technique are supplemented by detailed guidance on such aspects as indications, anesthesia, aftercare and pain management, and the prevention and management of complications. Where appropriate, careful comparisons are made of competing repair options, including open techniques. In summary, this book will help practicing surgeons to standardize their operative technique so as to reflect current scientific knowledge and thereby improve the quality of laparoscopic/endoscopic hernia surgery.
This unique reference fulfills the unmet need of a textbook that addresses the scope of practice for surgeons practicing in rural regions. The text provides up-to-date content covering a wide breadth of topics relevant to surgical care in rural areas, with focus on the surgical diseases that are often treated by surgical subspecialists in the urban setting. Written by experts in each subspecialty, the text focuses on procedural aspects of surgical patient care. The first section discusses practice issues unique to rural surgery and provides an overview of applying principles of quality improvement to surgical practice. Subsequent chapters cover specific surgical procedures. Each chapter includes a brief discussion of indications and contraindications for surgery. The surgical technique is described with attention to important anatomic details. Key portions of the procedure are highlighted including potential complications and how to avoid them. Procedure specific perioperative care is also discussed. Supported with ample illustrations and images, Advanced Surgical Techniques for Rural Surgeons is a valuable resource for surgeons currently in practice or preparing to practice in a rural area, as well as surgical technicians, surgical nurse practitioners and physician's assistants.
Microwave ablation is a simple, affordable, and highly precise technique. After its successful application in treating liver tumors, it is now widely used to combat renal tumors, adrenal tumors, thyroid nodes, uterine fibroids and other solid tumors. This book presents 40 successful cases of treating these diseases. A series of picture before treatment, after treatment and from different angles is provided for each kind of tumor treatment. In each chapter, step by step operative techniques and illustrations are included. This book also examines CT, NMR and ultrasonography to evaluate the effect of microwave ablation. Editor Ping Liang, is the Director and Professor at Dept. of Interventional Ultrasound, General Hospital of PLA, Beijing, China. Editor Xiaoling Yu is Professor and Chief physician, Editor Jie Yu is Associate Chief physician at the same department.
This book describes the current applications of the robotic system in general surgery, focusing on the technical aspects of the procedures most commonly performed by this means. It provides a comprehensive overview of the state of the art in robotic surgery and presents the most recently available evidence as documented in the literature. The opening chapters review robotic platforms, discuss the general advantages, limitations, and strategies of robotic surgery, and identify challenges and critical elements when setting up a robotic program. The full range of applications of the robotic system is then covered, encompassing thoracic, esophageal, gastric, hepatobiliopancreatic, splenic, colorectal, endocrine, and transplantation surgery. Detailed attention is also paid to innovative applications and future trends in the robotic platform, with inclusion of a special chapter on fluorescence imaging during robotic procedures. The book closes by considering aspects related to credentialing and privileging, such as mentoring, proctoring, and teaching modules for residents and fellows. Against the background of increasing acceptance of the robotic surgery system across the globe, this book will be invaluable for all general surgeons. There is no doubt that within general surgery the system will continue to flourish on account of its undoubted technical advantages, which minimize most of the intrinsic shortcomings of laparoscopy.
Chronic venous disorders are a major health problem due to their wide prevalence and socio-economic considerations. This book is a comprehensive manual providing state- of- the- art information on the diagnosis and management of these common problems. Till recently venous disorders have been getting secondary attention as compared to their arterial counterpart. However, the last two decades witnessed major technological advancements and therapeutic strategies for these problems. Written with a surgical perspective, this monograph covers the latest developments and recommended procedures in an easy-to-read format guiding the surgeon to prepare a rational treatment plan. Supplemented with numerous figures and illustrations, the chapters update the readers with how to evaluate such patients in their practices, selection criteria for appropriate procedures and how to manage the complications. The book includes basics of venous disorders, primary varicose veins and recurrence after surgery, chronic venous insufficiency, venous ulcers and congenital venous malformations. Detailed coverage of endo-venous procedures such as radio-frequency ablation, laser ablation and foam sclerotherapy are additional essential features of this book. Primarily intended for the practicing general surgeon, this volume is also relevant for residents in general surgery and vascular surgery.
In general, surgeons strive to achieve excellent results and ideal patient outcomes, however, this noble task is frequently failed. For patients, surgical complications are analogous to "friendly fire" in wartime. Both scenarios imply that harm is unintentionally done by somebody whose aim was to help. Interestingly, adverse events resulting from surgical interventions are more frequently related to system errors and a communication breakdown among providers, rather than to the imminent threat of the surgical blade "gone wrong". Patient Safety in Surgery aims to increase the safety and quality of care for patients undergoing surgical procedures in all fields of surgery. Patient Safety in Surgery, covers all aspects related to patient safety in surgery, including pertinent issues of interest to surgeons, medical trainees (students, residents, and fellows), nurses, anaesthesiologists, patients, patient families, advocacy groups, and medicolegal experts.
Written in the proven Secrets (R) question-and-answer format, Oral and Maxillofacial Surgery Secrets, 3rd Edition is an authoritative source for the effective and safe practice of oral and maxillofacial surgery (OMS) - and the ideal preparation tool for clinical rotations, exams, and board certification in OMS. Thoroughly revised and updated with the most current clinical information, this new edition provides dental students, OMS residents, and clinicians with practical tips, answers, and secrets from OMS experts. Best of all, it fits in your lab coat pocket so you can consult it wherever you go! Over 2,300 questions and answers offer valuable pearls, tips, memory aids, and secrets from oral and maxillofacial surgery experts in a concise, easy-to-read format. Popular and trusted Secrets (R) question-and-answer format helps you better understand the questions you are asked and provides you with perspective for the questions you ask yourself. Edited by two highly respected leaders in oral and maxillofacial surgery (OMS), with chapters written by internationally recognized experts in the field, making this an authoritative resource for the safe and effective practice of OMS. Convenient pocket size means you can consult this book wherever you go and carry it in your lab coat. NEW! 13 all-new chapters bring you the most current clinical information on recent advances in the science and practice of oral and maxillofacial surgery. NEW! Cosmetic Surgery section covers the evaluation of the aging face, forehead/belpharoplasty, facelift/neck, rhinoplasty, and non-invasive cosmetic procedures. NEW! Updated Secrets (R) two-color design highlights questions, tables, boxes, and bulleted lists so you can find information more easily.
This book provides a refined clinical guide for evidence-based recommendations in paediatric orthopaedics. Focusing on specific body regions (hip, knees, ankle and feet, spine, shoulder, elbow and wrist and hand) this resource addresses clinical questions related to conditions in these areas. A background section in each chapter sets the scene for the best available practice and also appraises the evidence for its strength and weakness. At the end of each chapter, the authors' provide recommendations on future research. Evidence-Based Paediatric Orthopaedics: The Best Answers to Clinical Questions has been edited by a team of surgeons with a great interest in evidence-based practice who have brought together an international experts to produce this timely book. A wide spectrum audience including paediatric orthopaedic surgeons, trauma surgeons, orthopaedic residents, emergency department doctors, general practitioners and medical students looking for an evidence based approach to paediatric orthopaedics will find this book to be an essential guide for clinical practice.
Focusing on the clinical information that must be mastered for success on oral board exams, Plastic Surgery Case Review presents 50 case studies, each of which highlights a specific topic that is frequently covered in the oral boards. It contains short, high-yield chapters that are designed to serve as a thorough yet quick review of pertinent information that physicians will encounter in the examination. Key Features: Each chapter begins with a case study that is modeled after the oral boards. Each case study includes: a description of the case and the work-up for similar scenarios, a discussion of treatment options, complications, and critical errors to avoid High-quality color illustrations throughout Chapters are organized in bullet-point format, making the book quick and easy to read This book will be an essential resource for plastic surgeons, residents, fellows, and other trainees studying for the oral board exams and a useful guide for plastic surgeons preparing for operative cases.
This book traces the 30 year development by surgeons and engineers in Oxford of a unique method of unicompartmental knee replacement with the 'Oxford Knee' prosthesis. The challenge to the surgeon is to replace the damaged surfaces of the arthritic joint so effectively that the soft tissues of the whole joint and the surfaces of the other compartments can resume all their physiological functions, a more difficult task than total knee replacements confront. As a user's guide, the book allows the surgeon to gain a good understanding of the biomechanics of the normal knee, of the pathological anatomy of unicompartmental arthritis, and the rationale of the design of instruments and implants. The outcome of the operation depends greatly on choice of the right patient and exact implantation of the prosthesis, subjects that are dealt with exhaustively. The reader can use this book as an adjunct to the implant specific instructional courses available. The book also provides long-term data on wear and revision rates for the Oxford Knee and covers common questions asked and the problems confronted by users. The book is accompanied by a DVD with animations of mathematical models of the intact and replaced knee, as well as full video footage of a knee replacement operation.
Orthopaedics For The Physical Therapist Assistant Provides The Physical Therapist Assistant (PTA) Student With A Broad Overview Of Orthopaedics. This Comprehensive Text Describes The Anatomy And Biomechanics Of Each Area Of The Spine, Pelvis, And TMJ. Working From This Foundation, Detailed Explanations On The Re-Evaluation And Treatment Of Each Of The Various Areas Are Given With An Emphasis On Techniques That Are Evidence-Based. Features - An Eclectic Approach Tying In Anatomy, Therapeutic Exercise And Kinesiology To The Examination And Pathology Of Each Of The Joints - Terminology Following The Guide To Physical Therapist Practice - Special Chapters On Pediatrics, Geriatrics, Manual Therapy, And Women'S Health. - End-Of-Chapter Questions For Student Review And Assessment - More Than 700 Illustrations, Tables, Figures, And Photographs - An Image Bank With Full-Color Photos * Five Appendixes Include A Guide To Conduct For Physical Therapist Assistants, Documentation, Commonly Used Abbreviations, Common Laboratory Values, And Proprioceptive Neuromuscular Facilitation Terms And Techniques. Instructor Resources: Powerpoint Slides, Testbank, Image Bank With Color Photos
Distilling the ideas central to managing operating theatres, this book provides a practical and easy to use toolkit to improve theatre efficiency and patient outcomes. It advocates using time as the key measurement and proposes a new norm of operating theatre management based on rational, data-driven principles. Notions of 'efficiency' and 'scheduling' are clearly defined, and a scheduling toolkit available to download accompanies the work. The book's easy to use format supports managers in list planning, performance monitoring and demand-capacity matching while considering limited budgets and resources. It includes contributions from around the world, demonstrating the global application of its core approach. Aimed primarily at operating theatre managers, this book will also interest consultants, senior trainees, nurses and administrators who are involved in the daily running of the operating theatre and/or want to develop their leadership/managerial skills.
Chronic Venous Insufficiency, the first volume in the Contemporary Endovascular Management book series, presents a current, succinct review of the rapidly evolving field of venous disease. In recognition of the significant effects of venous disease on patients and the quickly changing modes of therapy in the field, this volume fulfills the need for a comprehensive assessment of the treatment paradigms and innovative techniques now available. Volume 1 examines varicose veins, chronic venous reconstructions, and arteriovenous malformations from initial presentation through imaging and diagnosis to general and advanced therapies. As leaders in their field, the authors of Chronic Venous Insufficiency focus their contributions on current and relevant research and facts, specifically aiming to close knowledge gaps as well as to provide essential information for the practicing physician, the trainee, and the midlevel provider. Audiences for Chronic Venous Insufficiency: Vascular surgeons Phlebologists Vascular surgery residents and fellows Interventional radiologists General surgeons with interest in veins Cardiologists (peripheral vascular practice) Series Description: The Contemporary Endovascular Management series is designed to be a focused, relevant, and timely review of the modern aspects of imaging and intervention in specific vascular beds. Each volume in the series addresses one vascular bed and equips readers with the current information necessary for vascular practice using a clear and easy-to-access format. Audiences for Contemporary Endovascular Management series: Vascular surgeons Cardiologists (peripheral vascular practice) Interventional radiologists Invasive nephrologists and neurologists
This practice-oriented book, containing a wealth of high-quality ultrasound images, provides clear, concise, and complete coverage of the normal anatomy of the hand and wrist - tendons, nerves, and vascular structures - as well as the main pathologic conditions encountered in this area. The ultrasound images have been acquired with state of the art scanners and carefully labeled to facilitate recognition of each and every anatomic structure. Helpful comparison is also made with images and findings obtained using other diagnostic techniques, including in particular magnetic resonance imaging. The lucid text is complemented by practical tables summarizing key points for ease of reference. Readers will find Ultrasonography of the Upper Extremity to be a rich source of information on anatomy, examination techniques, and ultrasound appearances of one of the anatomic regions to have benefited the most from the technological revolution that has taken place in the field of ultrasonography during recent years. The book will appeal to both novice and experienced practitioners, including above all radiologists and ultrasound technicians but also rheumatologists and orthopedic surgeons. The author is the Director of the Operative Unit of Ecography at the Institute of Radiology, University Hospital Foundation IRCCS Policlinico San Matteo Pavia (Italy), and is Editor in Chief of The Journal of Ultrasound.
Comprised exclusively of clinical cases demonstrating the various management strategies for hammertoes, this concise, practical casebook will provide foot and ankle surgeons with the best real-world strategies to properly treat these frequent deformities of the lower extremity and their complications. Beginning with a review of the relevant anatomy and biomechanics of the toe, each subsequent chapter includes case material with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome, literature review and clinical pearls and pitfalls. Chapters included illustrate different surgical fixation techniques, including PIPJ arthroplasty and arthrodesis, tendon transfers and tenotomies, and osteotomies, as well as management strategies for complications. Pragmatic and reader-friendly, Hammertoes: A Case-Based Approach is an excellent resource for foot and ankle surgeons treating this common but frustrating condition.
During recent decades, more than 100 surgical procedures have been proposed to treat pelvic organ prolapse, and surgeons are still searching for the ideal approach. Although generally accepted guidelines and algorithms are still lacking, careful preoperative work-up and patient selection can serve as a sound basis for tailored surgery. In this comprehensive book, leading experts from around the world provide a detailed, up-to-date overview of the diagnostic and surgical approaches employed in patients with prolapse of the middle or posterior pelvic floor compartment. Each surgical technique is explained step by step with the aid of instructive figures. Guidance is also included on the management of surgical complications and of recurrent disease - aspects that are too frequently overlooked in the scientific literature. This book will prove essential reading for all who are interested in functional colorectal disorders of the pelvic floor and will represent a unique and invaluable source of knowledge for general surgeons, colorectal surgeons, and urogynecologists, whether in training or practice.
This pragmatic book is a guide for the use of simulation in surgery and surgical subspecialties, including general surgery, urology, gynecology, cardiothoracic and vascular surgery, orthopedics, ophthalmology, and otolaryngology. It offers evidence-based recommendations for the application of simulation in surgery and addresses procedural skills training, clinical decision-making and team training, and discusses the future of surgical simulation. Readers are introduced to the different simulation modalities and technologies used in surgery with a variety of learners including students, residents, practicing surgeons, and other health-related professionals.
This book is a comprehensive guide to rectal cancer care that will provide general and colorectal surgeons details regarding the latest developments in the field. The book aims to cover the dynamic shifts in rectal cancer care that have taken place over recent years. Management approaches, such as watch-and-wait and transanal approaches, are evaluated and assessed by experienced physicians to give readers a full understanding of the available treatment options. Chapter summaries are included to give a clinical overview of each approach and to assist the understanding of each topic covered, and make the book applicable to both general surgeons and specialist practice nurses, as well as rectal cancer specialists.
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