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This book presents a review from diagnosis to management on the innovative use of the Da Vinci Robot in gynaecology (including both benign and gynaecological oncology). The authors of this book present and review important data on different chapters as: preface, history of robotics, evolution of robotics in medicine, the console -- the robot -- instruments used by the robot, use of energy by robotic instruments -- siting of ports - docking, positioning of the patient, role of bedside assistant, anaesthetising for robotic pelvic surgery, applications in gynaecology, non-gynaecological applications of the robot, simple hysterectomy, sacrocolpopexy, endometriosis, tubal surgery, radical hysterectomy, radical trachelectomy, nerve sparing techniques, pelvic lymphadenectomy - para-aortic lymphadenectomy, sentinel nodes, omentectomy, appendicectomy, pelvic exenteration, pelvic side wall recurrence surgery, robotic surgery during pregnancy and early pregnancy complications, role of the robot in elderly and obese patients, suturing, accessory instruments to facilitate robotic pelvic surgery, post-operative care after robotic surgery, cost of robot. Finally, the authors suggest fields for possible future research.
Minimally invasive techniques, designed to reduce morbidity and risk while simultaneously improving outcomes, are increasingly being used in oral and maxillofacial surgery. This book covers the most recent technological developments and the advanced techniques used when performing such minimally invasive surgery in patients with common and rare oral and maxillofacial pathologies. The relevant basic science is reviewed, but the principal focus is on the surgical techniques themselves. These are described step by step with the aid of numerous superb color illustrations that will help the clinician to gain a full understanding of the technology and the procedures. In addition, still emerging techniques of endoscopy, navigation, and minimally invasive surgery are well covered. This text will be a premier resource for physicians who diagnose and treat oral and maxillofacial pathologies and injuries.
This book aims to provide a guide for urodynamic investigation in individuals who have suffered spinal cord injuries. It is universally acknowledged that this type of investigation is valuable and most international guidelines consider it mandatory in patients with neurogenic bladder dysfunction. The book offers an evidence based knowledge of applicability, clinical value, and limitation, and will give the reader strong diagnostic outcomes that will benefit patients suffering from spinal cord injuries. What is presented in this book is based on expert opinions acquired over decades of urodynamic testing that have taken place in different parts of the world.
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 provides the most comprehensive and up-to-date knowledge of lymph node micrometastasis (LMM) and sentinel node navigation surgery (SNNS) in gastrointestinal cancers. Lymph node metastasis is a critically important prognostic factor in gastrointestinal tract cancers such as tumors of the esophagus, stomach, and colorectum. An understanding of the basic aspects of lymphatics and lymph nodes, including anatomy, histology, physiology, immunology, and molecular biology, is fundamental for physicians who are involved in cancer treatment. Furthermore, owing to the development of molecular and biological methodology, the precise recognition of LMM and its clinical significance have been clarified recently. At the same time, SNNS has actually been anticipated in treatment of breast tumors, and it is now being introduced in gastrointestinal tract cancer. For the application of SNNS, the detection of lymph node metastasis including LMM is extremely significant, because the presence of LMM determines the direction for surgery and chemo and/or radiation therapy. With these considerations in mind, the expert contributors to this book review basic and clinical approaches for LMM and SNNS including methodology for gastrointestinal cancers. Thus this volume benefits not only surgeons who treat gastrointestinal cancers but also clinical oncologists and medical scientists such as physiologists and pathologists.
This book offers a comprehensive overview of thoracic pathologies of surgical interest involving the lung, mediastinum, esophagus, and chest wall with the aim of providing both radiologists and thoracic surgeons with a reference of high value in everyday clinical practice. Oncologic and non-oncologic conditions are reviewed from both the radiological and the surgical point of view, each one being documented with the aid of high-quality radiologic images from several modalities (including X-ray, fluoroscopy, CT, MR, and PET), illustrations/artwork, and high-definition images from the surgical table. The postoperative anatomy and complications associated with thoracic surgery procedures are also described in detail, with provision of imaging examples that highlight aspects of importance in differentiating between normal and abnormal findings. Written by experts in the field, Diagnostic Imaging for Thoracic Surgery is exceptional in combining precise descriptions of surgical procedures with key teaching points in imaging interpretation.
This book provides a comprehensive guide to the treatment of small hepatocellular carcinoma (sHCC) using a minimally invasive technique: radiofrequency ablation (RFA). RFA has emerged as a new treatment modality and become the main modality of locoregional therapy. Extensive clinical research indicates that RFA is as effective as surgical resection for sHCC, and it has the advantage of being less invasive. However, the outcomes after RFA are largely dependent on the operators' experience- known as the "learning curve". This book presents the characteristics of sHCC and discusses why sHCC is the best candidate for RFA. Then it introduces all the commercially available RFA systems, and their working principles, advantages, disadvantages and so on. It goes on to demonstrate how to perform RFA under the guidance of ultrasound, CT, laparoscopy, or during open operation. Finally, it discusses the radiologic assessment and follow-up after RFA, as well as adjuvant therapies and clinical trials on RFA. The authors are experts from the fields of pathology, radiology, surgery, and gastroenterology, as well as manufacturers. With this book, readers gain have a clear idea of when and how to do RFA. It aims to standardize and generalize the procedure of RFA, which will be very helpful in improving the outcome of RFA for sHCC.
Quality reporting is a rapidly growing area. Each year, new regulations in the US from the Council of Medicare and Medicaid Services make quality reporting a larger factor in determining reimbursement practices. Quality metrics are common parts of European clinical practice. Value of care is a focus of all payers, with specific interest directed at assessing the quality of care provided by a given healthcare team. While there are many publications in this space, no text has sought to provide an overview of quality in spine care. Quality measurement and quality reporting are ever growing aspects of the healthcare environment. Quality assessment is valuable to all healthcare stakeholders: patients, physicians, facilities, and payers. Patients are drawn to facilities that provide high value care; public reporting systems and grading systems for hospitals offer one opinion with regard to "high quality care." Most physicians email inboxes are inundated with offers of recognition for being a "Top Doc" for a nominal fee. Some payers offer incentives to patients who chose to be treated at "Centers of Excellence" or similar facilities; the definition of "Excellence" may be unclear. There is little consensus on how to measure quality, how to incorporate patient and procedure factors and achieve accurate risk adjustment, and how to define value of care. Regardless of these challenges, regulatory efforts in the US, as well as numerous international efforts, make quality assessment and quality reporting an important part of physician behaviour. Physician and facility reimbursement for procedures are often tied to quality metrics. Spine procedures are costly, elective, and are a focus of many payer-based programs. Hence, spine care is often a focus of quality reporting efforts. This text summarizes the state of the art with regard to quality measurement, reporting, and value assessment in spine care. We will review quality reporting in the US and internationally. Chapters will outline how quality improvement efforts have achieved success in hospital systems. The reader will be provided with insights in how to achieve success incorporating quality metrics into spine care. Features: 1. Illustrates the state of the art in spine quality reporting: There is no text that thoroughly addresses quality assessment and quality reporting in spine care; there are, however, numerous articles in this space. This book provides a definitive text covering the state of the art for quality reporting in spine care and will be of value to the international orthopedic and neurosurgical spine community. 2. Provides insight on quality reporting in different healthcare systems: The text will allow for comparison of different quality reporting systems from different health care systems. This will provide practitioners with insight into the strengths and weaknesses of different approaches to quality reporting, and may drive improvement in quality assessment and reporting systems. A single text that features review of US, European, and Australia/Asian health care systems' quality reporting is novel and will be thought provoking for readers. 3. Describes the US and international Healthcare reimbursement systems: Practicing physicians are provided with little information and less insight into the vagaries of the US and other healthcare systems. The text will provide insight into code development, valuation, and how quality reporting affects physician reimbursement 4. Explains risk adjustment: Appropriate risk adjustment and assessing patient and procedure factors that may impact quality reporting are invaluable to accurate quality measurement. The text will review risk adjustment, different approaches to risk assessment/mitigation, and provide physicians with insights into appropriate measures to capture in their clinical practices 5. Provides a foundation for improved quality assessment in spine care: While there are many disparate elements and differing approaches to capturing spine quality metrics, no definitive text has attempted to summarize these efforts in a single volume. By synthesizing these variable approaches, the reader may be provided with insights into superior approaches to quality assessment and a foundation will be provided for improving healthcare systems.
The Oxford Textbook of Vascular Surgery draws on the expertise of over 130 specialist contributors to encompass the field of vascular surgery. Through the use of figures, findings of contemporary trials, and additional online content, this textbook is an excellent study material for surgical trainees entering their final two years of training, in addition to serving as an effective reference source for practicing surgeons. This volume discusses the epidemiology, vascular biology, clinical features and management of diseases that affect the vasculature and contains dedicated chapters which address topics such as paediatric surgery, damage control surgery, and amputations. The text follows a logical framework which complements the published Intercollegiate Surgery Curriculum making it particularly useful in preparation for the Intercollegiate Examination. The online version of The Oxford Textbook of Vascular Surgery is free for twelve months to individual purchasers of this book and contains the full text of the print edition, links to external sources and informative videos demonstrating current surgical techniques, making this a valuable resource for practicing surgeons. The field of vascular surgery has advanced rapidly in recent years and has expanded to include the techniques of interventional radiology and cardiology which are also extensively covered in this volume, making it an authoritative modern text. By combining contemporary evidence-based knowledge with informative figures, online resources and links to the current training curriculum, The Oxford Textbook of Vascular Surgery is a highly valuable source of information and will become the standard reference text for all who study vascular disease and its treatment.
The increasing prevalence of obesity in many countries means that it should now be considered a pandemic. It is widely recognized that obesity increases the risk of a variety of life-threatening conditions, including heart disease, diabetes, and hypertension. Bariatric surgery is often the most effective way to treat such morbid obesity. Nevertheless, while various bariatric procedures have been proposed, to date standards have been lacking. In this book, leading experts from around the world discuss all aspects of bariatric surgery and present their own favored versions of surgical procedures with the aid of informative illustrations. Technical nuances are carefully described, and detailed attention is devoted to potential complications and how to avoid them. The expertise of the authors and the range of techniques considered guarantee that both trainees in bariatric surgery and experienced surgeons will find this book to be an invaluable source of information and guidance in their daily work.
If you die through mistakes in moral reasoning, then you are as dead as if you die through mistakes made in medicine. Organ transplantation saves lives yet thousands die every year on waiting lists through lack of organs. We are exhorted to donate; but is our individual reluctance the essence of the problem, or is it caused by deeper issues in the way public policy is discussed and formulated? Janet Radcliffe Richards casts a sharp critical eye on the moral arguments, forcing us to confront the logic and implications of our own position. A book for everyone who is up for intellectual challenge and is serious about moral reasoning in any context.
'It gives me immense personal pleasure to see this publication come to fruition - edited by two very committed young teachers, ably supported by several up and coming young surgeons who are setting out on the road to a surgical vocation. 'A picture is equal to a thousand words' - this adage is exemplified by the excellent pictures in this volume generously contributed by many young surgeons. The reader will find the following pages a compelling read. This book is the outcome of the painstaking collection of clinical material over many years by the two editors, aided by colleagues who have contributed much towards this very worthwhile publication.' Pradip K. Datta, in the Foreword from "Book 1".
This book provides a systematic description of fundamental knowledge, application methods, and management issues about the clinical application of endovascular surgery and device. It is organized as the three parts. Part 1 introduces the development background of endovascular device and its knowledge hierarchy, and gives an overview on classification, structure, shape, and characteristics of the above device. Part 2 is based on a large number of clinical practices. It firstly summarizes the basic operation skills and conventional methods of endovascular device, and then exemplifies the application scheme of special device for complex cases. Part 3 discusses the management theory and methods of endovascular device in clinical application, puts forward the agile supply chain management model and autonomous intelligent decision-making method of device supply and cooperation management for clinical surgery, and designs its managerial system and guides. This book provides comprehensive and professional knowledge, advanced theory, and referential methods for clinical application and management of endovascular surgery and device. It is a useful guide for the clinical practice in specialized study and professional training in endovascular surgery, and provides the methods of neuro-management and smart medical service for patients.
This book provides a comprehensive surgical atlas of functional single ventricle and hypoplastic left heart syndrome, based on theoretical insights and a wealth of clinical practice. It offers anatomical morphology and descriptive texts, while also highlighting key aspects of each procedure. The book is divided into three major parts, the first two of which illustrate the procedures for the palliation of functional single ventricle and hypoplastic left heart syndrome respectively, including the fundamental concepts, derivatives, evolutionary process, and criterion for the staged Fontan procedure. In turn, part three highlights advances in computational simulation for cardiological applications. Featuring well-illustrated, clearly structured instructions, the book offers a valuable guide to functional single ventricle and hypoplastic left heart syndrome for cardiologists around the globe.
Textbook of Epilepsy Surgery" "covers all of the latest advances in the surgical management of epilepsy. The book provides a thorough understanding of epileptogenic mechanisms in etiologically different types of epilepsy and explains neuronavigation systems. It discusses new neuroimaging techniques, new surgical strategies, and more aggressive surgical approaches in cases with catastrophic epilepsies. The contributors also analyze the improved statistics of surgical outcome in different epilepsy types.
The book follows a systematic approach to the diagnostic evaluation of patients who are candidates for epilepsy surgery. It first discusses the general principles of surgery, and then describes the presurgical evaluation according to the six zones (symptomatogenic, irritative, ictal onset, epileptic lesion, functional deficit, and epileptogenic zone). This series of chapters concludes with the description of the Epilepsy Surgery Management Meeting, an essential and indispensable part of the surgical evaluation.
The book next incorporates detailed discussions of the cortical mapping techniques and the numerous surgical techniques. This is followed by the post-surgical medical management and a discussion of the surgical outcome. Finally, selected case studies are presented, along with protocols for the storage and processing of brain tissue for molecular studies. This definitive textbook is an invaluable reference for neurologists, neurosurgeons, epilepsy specialists, and those interested in epilepsy and its surgical treatment.
Developed for the International Association for Trauma Surgery and Intensive Care (IATSIC), the Manual of Definitive Surgical Trauma Care 5e is ideal for training all surgeons who encounter major surgical trauma on an infrequent basis. This new edition includes both an e-version, and also a microSD card containing over 20 operative videos. The increasing role of non-operative management (NOM) has been recognised, and the Military Module is substantially updated to reflect recent conflict experience. An expanded section highlights trauma management under austere conditions.Written by faculty who teach the DSTC Course, this definitive and well established book focuses on life-saving surgical techniques to use in challenging and unfamiliar incidents of trauma.
This introduces the theoretical and practical guide of NOSES. The book introduced 10 different techniques of NOSES for colorectal neoplasms based on extensive high-quality surgical images. The first part mainly describes the development process of NOSES and the current achievements of these techniques which will provide readers a general understanding of NOSES. The second part elaborates on ten different surgical procedures specific to position of tumor location of NOSES in detail. All key technical points and operational skills regarding to NOSES are displayed by both high-quality images. The indications and contraindications are also strictly determined in this book. In addition to the elaboration of NOSES, each chapter of this book also conduct a detailed and comprehensive analysis the hot spots, technical difficulties and key issues with regard to laparoscopic surgery for colorectal cancer. This book is suitable for the colorectal cancer surgeons and doctors of general surgery.
Orthognathic Surgery: Principles, Planning and Practice is a definitive clinical guide to orthognathic surgery, from initial diagnosis and treatment planning to surgical management and postoperative care. * Addresses the major craniofacial anomalies and complex conditions of the jaw and face that require surgery * Edited by two highly experienced specialists, with contributions from an international team of experts * Enhanced by case studies, note boxes and more than 2000 clinical photographs and illustrations * Serves as an essential reference for higher trainees and practicing clinicians in cranio-maxillofacial surgery, orthodontics, plastic and reconstructive surgery and allied specialties
This book discusses the management of serious finger damage, which can have lifelong consequences for patients without timely and effective replantation treatment to restore the function of the hand. Featuring more than 30 cases and over 420 clinical surgical photographs, it combines systematic with thematic approaches, basic theory with clinical practice, and images with text descriptions. The book is divided into nine main sections: overview of the development history of replantation of severed fingers; anatomy of the hand; common equipment and materials; commonly used drugs; the choice of anesthesia; routine replantation methods, etc. In addition, it includes typical images for 13 special types of amputated finger replantation, and introduces readers to the replantation concept, surgical approach, surgical technique, key points of operation and matters requiring attention for each type. As such, the book offers an invaluable reference guide for finger replantation and related surgeries.
This book provides easy-to-understand descriptions of high-quality liposuction techniques applicable to different parts of the body, including the face, abdomen, breasts, arms, buttocks, thighs, and calves. The coverage also encompasses the liposuction treatment of osmidrosis and fat injection techniques (facial, breast, and stem cell). Drawing on his extensive experience of more than ten thousand cases of liposuction and fat and stem cell transplantation, the author presents important new theoretical perspectives and novel surgical approaches that he has personally developed. These include the MDMP technique (multi-direction, multi-position), which is straightforward to perform and offers significant benefits. All procedures are described step by step, from preparation through to completion. The book is superbly illustrated throughout, with a wealth of informative photographs that will aid the practitioner. It will be of high value for experienced plastic and cosmetic surgeons and also for residents and fellows.
This book accentuates the anatomies involved in spine surgery techniques, from the base of the skull down to the sacrum and the sacroiliac joint. It includes extensive illustrations that cover all major spine surgeries. It also discusses the instrumentations used with different operative approaches. The book features high-resolution pictures of operative dissection, cadaveric specimens, and intraoperative imaging that clearly illustrate the relevant anatomy of various spine surgery procedures, allowing surgeons to "reconstruct" a three-dimensional anatomical view when performing the surgery. As such, it is a valuable reference resource for spine surgeons.
Extensively illustrated and evidence based, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines helps you effectively diagnose and manage musculoskeletal pain. It discusses diagnostic categories and their associated muscle and movement imbalances, and makes recommendations for treatment. Also covered is the examination itself, plus exercise principles, specific corrective exercises, and the modification of functional activities. Case studies provide examples of clinical reasoning, and a companion Evolve website includes video clips of tests and procedures. Written and edited by the leading experts on muscle and movement, Shirley Sahrmann and associates, this book is a companion to the popular Diagnosis and Treatment of Movement Impairment Syndromes. An organized and structured method helps you make sound decisions in analyzing the mechanical cause of movement impairment syndromes, determining the contributing factors, and planning a strategy for management. Detailed, yet clear explanations of examination, exercise principles, specific corrective exercises, and modification of functional activities for case management provide the tools you need to identify movement imbalances, establish the relevant diagnosis, and develop the corrective exercise prescription. Case studies illustrate the clinical reasoning used in managing musculoskeletal pain. Evidence-based research supports the procedures covered in the text. Over 360 full-color illustrations -- plus tables and summary boxes -- highlight essential concepts and procedures. A companion Evolve website includes video clips demonstrating the tests and procedures and printable grids from the book.
Epileptogenic lesions are often small and do not change over time. Moreover, several genetically determined epilepsy syndromes exist, and by definition are not caused by underlying structural lesions. As a result of these circumstances, there is frequently a degree of uncertainty over whether an epileptogenic lesion is being overlooked or simply is not present. MRI can play an important role in resolving such uncertainty and localizing epileptogenic foci. This book aims to provide the clinical and imaging information required in order to decide whether an MRI scan is appropriate and whether it is likely to be sufficient to detect a lesion. The first part of the book presents background information on epilepsy and explains how to perform an MRI examination. Detailed attention is paid to functional MRI and post-processing, and the examination of subcategories of patients is also discussed. The second part of the book then documents the MRI findings obtained in the full range of epileptogenic lesions with the aid of high-quality images. Throughout, emphasis is placed on guiding the reader in the correct interpretation of the imaging findings. Both radiologists and referring physicians will find this book to be an indispensable guide to the optimal use of MRI in epilepsy.
This volume focuses on the clinical applications of molecular diagnosis and targeted therapy from the viewpoint of oncologists specializing in specific organs. In addition, it discusses the role of molecular diagnosis and targeted therapy in the course of surgical treatment. Recent, rapid advances in molecular biology have shed new light on the mechanisms of cancer progression, and molecularly targeted drugs have been used to treat a variety of malignant diseases. For the diagnosis and precise treatment of cancer, analysis of the molecular background of the tumor is indispensable. However, there are both tumor-specific and comprehensive mechanisms involved in these processes. Accordingly, a firm grasp of molecular diagnosis and targeted therapies for different tumors is vital for clinicians and basic researchers alike. This book provides essential information and the latest findings on molecular diagnosis and targeted therapy for thoracic and gastrointestinal malignancies. Though primarily intended for clinical and basic oncologists, it also offers a useful guide for clinicians who are interested in this field and are considering getting started in molecular diagnosis and targeted therapy.
This comprehensive volume covers all the subspecialities of laryngology, from phonosurgery to cancer. Each surgical procedure is explained and well illustrated in a step-by-step manner. In addition, coverage evaluates different surgical methods such as endoscopic versus open surgery and the use of cold instrument versus laser so that the reader receives guidance for the use of these complimentary methods.
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