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A vital question that concerns many: how to make surgery safer? Is it by tightening the regulations and imposing rigid protocols or by empowering surgeons with the resources to help them make safer decisions? This is the book for those who would choose the second option. What do you think separates smart surgeons from the rest? Why, on the other hand, do surgeons make blunders despite having experience and knowledge? There is only one answer to both questions -- it is decision-making. Decision-making is an art and is at the heart of surgery. It decides between excellent and poor surgical performance. Although a vital part of professional activity, surgeons are not generally aware of how to optimise decision-making skills. Making a good decision is a skill that, like any skill, needs to be developed and this book reveals how surgeons can sharpen these skills. Presented here are the findings from decision science that surgeons, irrespective of speciality or seniority, can apply to everyday practice. Surgeons and pilots have many things in common. The field of aviation has improved passengers' safety over the years and some of the ideas used in the aviation industry can be translated to surgery to achieve better outcomes. Surgeons are required to adapt new strategies throughout their careers. Ideas taken from this book will help to speed up the learning curve. It offers answers to the questions which experienced surgeons may find difficult to explain. Equally, it answers the questions that trainees may even find difficult to ask. You are expected to be cognisant of the knowledge behind making decisions. Nonetheless, no-one tells you how to access this information easily. This book is the key to that vital information.
This book describes the current applications of arthroscopy in a very wide range of sports injuries involving, among other sites, the hip, knee, ankle, shoulder, elbow, and wrist. For each condition, mechanisms of injury are explained and the role of arthroscopy in diagnosis and treatment is described. Relevant information is also provided on the epidemiology and mechanisms of injury in specific sports and on indications for treatment and rehabilitation. The book fully reflects the recent advances that have taken place in arthroscopy, permitting more accurate assessment and more successful management of post-traumatic pathologies. Furthermore, it acknowledges that as a result of the increasing use of new technologies and biomaterials, there is now particular interest in techniques that promote biological healing of articular lesions and permit complete functional recovery. The authors are leading specialists in the field who have aimed to provide practitioners with the clear guidance that they require on the evaluation and treatment of injuries incurred during sporting activity.
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.
Concise, practical, and packed full of clinical information, the Oxford Handbook of Surgical Nursing is the essential resource for all those working in nursing practice surgery and its sub-specialties. Easily-accessible, this handbook provides all of the information and practical advice needed to care effectively and professionally for surgical patients. This handbook provides a thorough introduction to the principles and practice of the care of patients undergoing the range of surgical procedures. It covers all of the core elements of surgical care from point of diagnosis, through to discharge and rehabilitation. The Oxford Handbook of Surgical Nursing provides clinical knowledge and skills for managing complex cases in the hospital or clinic. This guide will assist the reader in understanding the core role of the surgical nurse within the modern surgical team, to plan, implement and evaluate patient care delivery, and to manage complications arising from surgery. Evidence-based, and following the latest national guidelines, you can be sure this will be an indispensable companion, for all nurses, whether new to the specialty, or more experienced in surgical care.
The number of ICD patients is increasing sharply, yet the number of
electrophysiologists--physicians who specialize in the electrical
system of the heart--is not increasing as dramatically. The result
of this influx is that more and more ICD patients are being treated
by physicians and staff with little or no ICD training.
There are many fine books on device-based therapy for the heart,
but most are written for the experts. Whether you read it from
cover-to-cover or use it for reference (or both), it is written
primarily with you in mind - for people who are actually involved
in the clinical care of these patients.
"The Nuts and Bolts of ICD Therapy" is specifically written for non-cardiologists. This book is written in a lively intelligent and easy to navigate style. It emphasizes real-life clinical practice and practical tips, including illustrations from actual clinical settings. Each chapter concludes with a checklist of key points from each subject ("Nuts and Bolts").
This bestselling Oxford Handbook has been thoroughly revised for the new edition to include brand new chapters on Paediatric Orthopaedics and Common Surgical Procedures, as well as new presentations, illustrations, and new anatomy and emergency indexes to aid quick reference. It is an invaluable tool for junior surgical trainees, medical students, nursing, paramedical, and rehabilitation staff. The handbook covers the assessment and preparation of the patient, anaesthesia and critical care, inflammation, wound healing and infection, and the key components of general surgical practice, as well as chapters on other surgical specialties, including plastic, paediatric, and orthopaedic surgery. There are step-by-step descriptions of common operative surgical techniques, practical hints and procedures, and information on signs, symptoms and rarities. Emergency presentations are clearly identified for rapid reference and investigations and management plans are set out in a clear and easy-to-follow way. Surgically relevant anatomy and physiology has been expanded for each area, quick reference symbols ensure the reader is guided to key facts, and there is an increased focus on evidence-based practice with key references throughout. A cut above the rest, this is the essential guide to clinical surgery and the surgical specialities.
Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.
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 book provides an in depth review of the current practice in treating elderly patients with coronary artery disease (CAD) as well as an update of the existing literature. It is intended to reflect the current science of elderly patients with stable angina, acute coronary syndromes and those patients who are forwarded for CAGB procedures. Evidence in the elderly patient group is often limited and/or non-existent therefore the main challenge, even for further research, will be to define the role of geriatric preconditions and its impact on outcome. A second topic will be to clarify how, if ever, existing cardiological outcome values like mortality can be applied to elderly patients or if other values like improvement of functional status or quality of life are more suitable parameters to measure interventional success in elderly patients. The role of pharmacotherapy in advanced age has to be discussed. These topics will be embedded in epidemiological, pathophysiological and ethical aspects of interventional treatment of CAD in older age.
This book will educate and prepare neurosurgery candidates who are preparing for the Neurosurgery Oral Board exam, the final step prior to board certification. It will also serve as a primer for the Goodman oral board course, a bi-annual course sponsored by the AANS. The book begins by initially describing the format of the oral board exam in the US. It then examines some of the concepts and techniques in the question-answer process that forms the major premise of the oral board exam. Each chapter contains 4-5 case presentations, which are organized similarly to how oral board questions are presented, with a brief history / physical and relevant imaging studies. The authors provide detailed analysis of these cases, as well as key references for each case with the salient conclusions from each referenced paper. While there are a few books that cover the board exams, none of them are specifically designed as case-based resources for oral board exam preparation. Goodman's Neurosurgery Oral Board Review focuses specifically on the oral board exam. Its primary intended audience is US, Canadian and British neurosurgeons who are preparing for the oral board, but it will also be a very appropriate resource for those who are trying to maintain competence in neurosurgery. Dr. Levi's edited text is authored by a group of long-standing, dedicated members to the course who have taught it for the last 15 years. With their extensive experience in teaching for the board exams, the skillset they bring to this book is unrivaled.
This book is designed to guide the dental practitioner in the medical and surgical management of the oral surgery patient. It provides dentists and dental professionals with up-to-date, evidence-based information on how to handle any oral surgical problem and how to work up a patient. The book is divided into five sections, the first two of which present overviews of general and basic perioperative topics and the principles of exodontia. Management of oral pathology is then discussed in detail, covering odontogenic infections, osteonecrosis, preprosthetic surgery, common oral pathology, biopsy techniques, and dentoalveolar trauma. The fourth section is devoted to topics in advanced oral surgery, such as disturbances of the temporomandibular joint apparatus, facial deformities, and dental implants. Finally, a series of illustrative case reports and unusual surgical cases is presented. The book is multi-institutional and multispecialty based. Both editors have extensive academic experience and have authored numerous scientific publications.
The most comprehensive textbook in the field edited by the founding father of endourology returns for a new edition. In full colour throughout and packed with surgical teaching videos, this is an essential purchase for all urologists wishing to master their skills.
Back for a second edition, Current Surgical Guidelines has been fully updated to reflect changes in guidelines across the surgical sub-specialities since its first publication. Drawing together printed and digital guidelines from the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Clinical Excellence (NICE), and relevant US guidelines, this book acts as a valuable complete and comprehensive reference for those embarking on their surgical training, revising for exams, or for senior staff as an aide-memoire. Guidelines have been distilled into summary tables, and topics are formulated to answer most real-life clinical practice questions with contemporary facts and figures, decision recommendations, and treatment options. New chapters on hernias, skin malignancies, trauma, and medicolegal practice have been added to increase fresh challenges facing the contemporary surgical trainee.
This handy book offers a complete overview of current minimally invasive techniques for the management of endocrine diseases of the neck, reflecting how, in the past few years, the development of various ultrasound-guided procedures and endoscopic/video-assisted surgical techniques has changed the approach to thyroid and parathyroid diseases. The book opens by describing the main diagnostic tools for thyroid, parathyroid and cervical lymph nodes, focusing especially on the new technologies for tissue characterization. The different minimally invasive treatment procedures involving either a percutaneous approach (ethanol injection, laser thermal ablation, radiofrequency thermal ablation, high-intensity focused ultrasound) or minimally invasive surgery are then described in detail. The volume is intended for all clinicians and surgeons with an interest in the field of endocrinology and neck surgery. It provides a synthetic but clear description of the various available techniques from a technical point of view and discusses the main issues concerning each of them, permitting comparative evaluation in order to identify the best option in a particular case. It also reports the evidence available in the current literature.
This book reviews the recent progress made in the prevention, diagnosis, and treatment of esophageal cancer. Epidemiology, molecular biology, pathology, staging, and prognosis are first discussed. The radiologic assessment of esophageal cancer and the role of endoscopy in diagnosis, staging, and management are then described. The principles of surgical resection, radiation therapy, and systemic chemotherapy for esophageal cancer are explained, and particular attention is paid to the multidisciplinary management of early-stage cervical, thoracic, distal, and junctional tumors. Up-to-date information is also provided on the treatment of metastatic and recurrent disease and on approaches that may affect future care, such as chemoprevention. Esophageal cancer remains one of the least studied cancers although it accounts for more than 400,000 deaths across the globe each year. The majority of esophageal cancers worldwide are squamous cell carcinomas, yet in the past few decades major epidemiologic changes have occurred affecting the incidence of adenocarcinomas in Western countries. Despite the advances in surgical and non-surgical therapies, overall survival has not changed significantly. It is hoped that Esophageal Cancer: Prevention, Diagnosis and Therapy will assist specialists from a variety of disciplines, including surgery, radiation therapy, gastroenterology, and medical oncology, in delivering optimal, up-to-date care to the benefit of patients.
This Atlas focuses on the description of approaches and surgical techniques used to treat the entire spectrum of esophageal diseases. Surgical "pearls" and tips on how to select and perform the correct operation are included and based both on evidence-based data and the experience of the Editors. Step-by-step descriptions of 14 operative procedures in esophageal surgery are provided. Each chapter describes the current indications, perioperative management strategies, and a detailed operative approach with relevant technical considerations. The description of approaches and surgical techniques used in esophageal surgery are outlined in an easily understandable manner for the specific target audience.
Comprehensive in scope, Aesthetic Orthognathic Surgery and Rhinoplasty presents orthognathic surgery from an aesthetic perspective, encompassing analysis, diagnosis, treatment, 3D virtual planning, and adjunctive procedures. Easily accessible clinical information presented in a concise and approachable format Well-illustrated throughout with more than 1,000 clinical photographs Includes access to a companion website with videos of surgical procedures
This book highlights the potential of low-intensity pulsed ultrasound, or LIPUS, to introduce a new era in dentistry by revolutionizing the approach to dental treatment and providing a cure for pathologic conditions long considered untreatable. Readers will find information on all aspects of LIPUS, from its mode of action and biologic mechanisms to the full range of emerging clinical applications. The role of LIPUS in promoting dental tissue repair and regeneration and in tissue engineering is fully explained in a series of chapters focusing on stimulation of cell metabolism in the dentocraniofacial region, bone healing, periodontal regeneration, the temporomandibular joint, pulp cell differentiation, the salivary glands, and orthodontics. The past two decades have witnessed numerous discoveries that have enhanced the scope for use of therapeutic ultrasound in dentistry. In summarizing the latest knowledge in this exciting field, the book will be of interest to dental surgeons, orthodontists, periodontists, and other practitioners.
Minimally invasive aesthetic procedures continue to be popular with patients, so many medical practitioners who have not previously specialized in the field or practiced very widely are either turning to this area or expanding the range of treatments they currently offer. These practitioners require a basic primer to get them up to speed on the details of treatments, as well as expert tips on the idiosyncratic demands involved in running an aesthetic practice. The Cosmetic Bootcamp meetings began as a way for colleagues in dermatology, plastic surgery, ophthalmology, and otorhinolaryngology to teach each other in a collegial environment. The meetings are designed to provide physicians in these specialties a forum to exchange ideas, explore new technologies and techniques, and discuss ways to improve patient care. The focus is on advancing the science and outcomes using a multidisciplinary approach. Drawn from these meetings, Cosmetic Bootcamp Primer: Comprehensive Aesthetic Management presents a succinct but comprehensive textbook from a team with extensive experience in training newcomers to the field of aesthetic practice. The first part of the text details how a practice needs to be run for optimum impact and efficiency. Both new and seasoned practitioners will find much advice in this section for improving their daily office operation to help them compete effectively. The second section reviews the essentials of the clinical treatments. Each of the core aesthetic specialties are included, and chapters contain what the editors consider essential information as well as a few "pearls." The book is supplemented with an instructional DVD to enable users to experience the flavor of the actual Cosmetic Bootcamp meetings. Future versions of this text will include internet-based interactions to foster further discussions. For those interested in a more direct interaction, please visit Cosmetic Boot Camp to see dates for upcoming meetings.
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.
A comprehensive practical guide to all types of nail surgery, including some cosmetic procedures, this is a master-class for those wishing to perform nail surgery, with clear descriptions of each stage involved and of any complications and how to deal with them.
Musculoskeletal foot pathology is endemic in patients with rheumatological conditions, with up to 90% of patients reporting current foot pain. However, foot pathology is often trivialised, despite the strong body of evidence showing foot problems are associated with reduced quality of life. The Foot and Ankle in Rheumatology is a unique, comprehensive, and detailed guide to all aspects of the management of foot and ankle pathologies in rheumatic conditions. Written by a team of leading experts, this title provides international perspectives and current state of the art information on foot and ankle pathology across a range of conditions. With over 170 colour images and photographs, practical diagnostic and management techniques are clearly explained with references to the latest guidelines. Rheumatology is a fast-evolving field, with major advances in treatment and management strategies. As the effective management of rheumatological foot and ankle disorders requires and integrated, disease-stage approach across a multidisciplinary team, the Foot and Ankle in Rheumatology has been designed to provide clear, practical, and evidence-based advice for a wide range of health professions, from podiatrists, rheumatologists, and orthopaedic surgeons to occupational therapists and physiotherapists.
In this book, leading international experts showcase the latest advances in research into Dupuytren disease and its clinical management. The coverage spans all relevant specialties, including cell biology, biomechanics, genomics, surgery, pharmacotherapy, and radiotherapy. The opening sections address epidemiology, cellular and extracellular events, and genetics. Treatment by means of collagenase injection, percutaneous needle fasciotomy, and other surgical and minimally invasive approaches is then extensively discussed. Comparative studies of different approaches are reviewed, and aspects of patient assessment, examined. The prevention and treatment of disease recurrences are also addressed. Further sections consider related conditions, other treatment options, and future pathways for research. This book should be read by all who treat or conduct research into Dupuytren disease. It is based on presentations delivered at the 2015 International Conference on Dupuytren Disease, held in Groningen, the Netherlands, which was designed to promote a coordinated global response to the disease involving patients, scientists, and clinicians.
This second edition of the Transesophageal Echocardiography Multimedia Manual is a comprehensive resource and essential guide to the rapidly expanding field of perioperative transesophageal echocardiography (TEE), encompassing newer cardiac surgery techniques, more diverse surgical procedures, and use in the intensive care unit. With over 900 figures, this well-illustrated manual and its accompanying videos and self-test questions demonstrate new developments and challenges for the anesthesiologist, cardiologist, cardiac surgeon, critical care physician, and those interested in perioperative TEE. The accompanying downloads present two-dimensional examples in their original video format accompanied by sketches, three-dimensional orientation, Doppler-related information, and hemodynamic, radiologic, and anatomical correlation to assist the user visualize the dynamic process of transesophageal echocardiography. New to this edition! Now in full-color with over 800 pages of content, including six new chapters covering new minimally invasive cardiac surgical techniques, non-cardiac surgery, and complementary imaging techniques such as three-dimensional echocardiography plus updates to all existing chapters Over 900 high-resolution images to illustrate the advancement of echocardiography technology Companion downloads showcase over 1000 videos of 2-dimensional examples accompanied by 3-dimension orientation providing an interpretation of results, plus over 140 self-test questions Expert perspectives from over 85 renowned and experienced anesthesiologists, cardiologists, cardiac surgeons, and critical care physicians from five countries
Hepato-Pancreato-Biliary (HPB) surgery is now firmly established within the repertoire of modern general surgery. This new edition has been completely rewritten by world-leading surgeons to reflect the considerable advances made in the surgical management of HPB disorders since the highly successful first edition. This new edition includes: An in depth coverage of benign and malignant disorders of the liver, pancreas, and bile ducts and gallbladder A comprehensive section on anatomy, imaging, and surgical technique Over 20 new chapters, including a complete account of pediatric HPB disorders Illustrated with almost 300 high-resolution images, many in full-color Surgical Management of Hepatobiliary and Pancreatic Disorders, Second Edition, comprehensively covers the full spectrum of common HPB diseases and associated surgical techniques to assist not only the general surgeon in regular practice, but also surgical trainees and those in related specialties of oncology, radiology, gastroenterology, and anesthesia.
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