This handbook provides a comprehensive, yet succinct guide to the evaluation, diagnosis, and treatment of various musculoskeletal/extremity disorders in the emergency department. It covers a wide variety of common patient presentations, advanced imaging interpretation, proper anesthetic implementation, and associated extremity reduction/immobilization techniques. Richly illustrated, it assists clinical decision making with high-yield facts, essential figures, and step-by-step procedural instruction. Emergency Orthopedics Handbook is an indispensable resource for all medical professionals that manage emergent orthopedic, musculoskeletal, and local extremity injury care.

Robotic surgery has already created a paradigm shift in medical surgical procedures and will continue to expand to all surgical and microsurgical interventions. There is no doubt that in doing so robotic surgical systems, such as the da Vinci surgical system, will become smarter and more sophisticated with the integration, implementation, and synergy of new smart multifunctional material systems that will make surgical tools and equipment more functional in biomimetic sensing and actuation incorporating haptic/tactile feedback to surgeons in connection with kinesthetic interaction with organs during robotic surgery. This book is the first textbook in robotic surgery to discuss the integration of smart multifunctional soft and biomimetic materials with robotic end effectors to provide haptic and tactile feedback to surgeons during robotic surgery. It is also the first textbook in robotic surgery that comes with a solutions manual, which makes it useful as a supplement to faculty members teaching many different programs and courses such as robotics, medical devices, surgical interventions, and many more. This book can be adapted by professors to teach graduate students and researchers, to enable them to further employ their creativity and knowledge, and to undergraduates to enable them to get an excellent grasp of this exciting field. It is also useful for individuals interested in the field for self-study. The background required for this book is college-level mathematics, matrix analysis, geometry, and medical/surgical terminologies.

The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature. Surgeons need to be able to understand what they read before applying the conclusions of a surgical article to their practice. As most surgeons do not have the extra training in health research methodology, understanding how the research was done, how to interpret the results and finally deciding to apply them to the patient level is indeed a difficult task. Chapters explain the methodological issues pertaining to the various study designs reported in the surgical literature. Most chapters begin with a clinical scenario with uncertain course of action with which most surgeons are struggling. Readers are taught how to search the literature for the best evidence that will answer the surgical problem under discussion. An identified article that seems relevant to the problem you are investigating can be appraised by addressing 3 key questions: 1). Is the study I am reading valid? 2). What are the results of this study? 3). Can I apply these results to my patients? While the primary goal of Evidence-Based Surgery is to teach surgeons how to appraise the surgical literature, an added benefit is that the concepts explained here may help research-minded surgeons produce higher quality research.

This book explains how hypertension affects 20-50% of the adult population in developed countries. Heart failure is the result of the hypertension's effects on the heart and it represents a growing public health problem. In this context the international scientific community is continuously struggling to develop better strategies in screening, diagnosing and treating hypertension and its deleterious effects. Thus, this field is continuously changing, with new important information being added constantly. This volume will offer both insights into the intimate mechanisms of transition from hypertension to heart failure and clinical practice advice on the prevention and treatment of heart failure in hypertensive population. The mechanisms which explain the progression from hypertension to heart failure will be also covered exhaustively by offering two chapters referring to the diagnosis of heart failure in hypertensive population and one regarding echocardiography which is the most frequently used imaging method in clinical practice. The reader will be also provided with information on cardiovascular magnetic resonance which has the unique advantage of differentiating hypertensive heart failure from other pathologies associated with increased myocardial thickness. This book is a useful tool for clinicians but also to the research community interested in heart failure and consequences of hypertension on heart who want to be up-to-date with the new developments in the field.

The first comprehensive overview of an emerging field, Metabolic Medicine and Surgery introduces a new paradigm in patient management that crosses existing subspecialty boundaries. This approach is necessitated by the challenges of treating patients with obesity, metabolic syndrome, cardiovascular disease and prediabetes, as well as those with maldigestion, malabsorption, malnutrition and nutritional deficiencies. This book teaches physicians and surgeons what they need to know about clinical nutrition, metabolism and the metabolic effects of bariatric surgery. It is also applicable to those in primary care, including physicians, residents, medical students, nurses and nurse practitioners, physician assistants and dietitians who are on the front lines of treating patients with obesity, diabetes and cardiovascular disease. The book is presented in four sections: 1. An Overview of Metabolic Medicine and Surgery; 2. Metabolic Syndrome, Insulin Resistance and Obesity; 3. Diseases of Undernutrition and Absorption; 4. A Nutritional Relationship to Neurological Diseases. It contains chapters from world-renowned experts who are widely published in major medical journals. The book also benefits from the contributions of clinicians with extensive experience and perspective in the field, including many who have been witness to its major developments. This book's strength lies in the cross-specialty consensus created by the collaboration of the editors and further developed by their renowned contributors. It demonstrates how medicine, surgery, therapeutics, and nutrition can be combined synergistically to impact patient outcomes. It crystallizes the efforts of a multitude of physicians and scientists trying to control the linked pandemics of obesity, type-2 diabetes and cardiovascular disease. This book helps you develop comprehensive solutions to diseases afflicting vast numbers of patients worldwide.

This revised and expanded second edition discusses the assessment and treatment of patients recovering from coma and disorders of consciousness. Besides diagnostic, prognostic and ethical issues, this book describes well-established techniques and procedures, and also techniques under development. New chapters include consciousness theories, issues relating to long-term care, and neuromodulation treatments. Coma and Disorders of Consciousness, Second Edition is a comprehensive review of the field for clinicians and researchers, regardless of whether they are already familiar with the difficult but exciting field of disorders of consciousness.

Fully revised and updated in light of the changes to the format of the MRCS examination, this second edition of Get Through MRCS: Anatomy provides candidates with the knowledge and practice necessary for excelling at the challenging MRCS part B OSCE examination. The updated new edition of the highly-praised Get Through MRCS: Anatomy Vivas Fully revised in accordance with the changes to be focussed on the OSCE format Detailed model answers and full explanations to ensure thorough understanding of how to get the best results Plentiful illustrations and high-quality photographs in full colour throughout Written by the experienced author of the highly successful first edition, Simon Overstall has extensive knowledge of the exam, both in teaching offline courses and authoring MRCS revision texts. Get Through MRCS: Anatomy is essential reading for MRCS candidates wanting to achieve expert anatomical knowledge and to ultimately earn high results within their postgraduate examinations.

Designed for trainees at all levels, ENT and Head and Neck Procedures: An Operative Guide provides concise, step-by-step instructions to the core otolaryngology, head and neck, and facial plastics procedures that surgeons are likely to encounter in daily practice. Convenient and portable, this guide provides enough information to allow trainees to perform the operations themselves under appropriate supervision. Concise surgical steps for each procedure are followed by detailed explanations. Clear diagrams and photographs demonstrate the important stages of each operation. Surgeons' tips bridge the gap between the theory and what actually works on the operating table. The book also includes an easy reference table of complications that should be discussed with the patient when obtaining consent. The authors have used their wealth of experience to write a practical guide that that will give trainees the skills as well as the confidence they will need in the surgical arena.

Colorectal Surgery has continued to experience tremendous growth in both the community and academic settings over the past few years. The recent increase in demand for colorectal specialists has been fueled by an overwhelming number of applications to fellowship training programs, resulting in some of the most coveted and competitive positions. Furthermore, the accumulation of experience, knowledge, and wisdom from pioneers in the field, combined with major recent technological advances, has transformed the clinical management of diseases of the colon and rectum. Colorectal Surgeons have embraced advances ranging from minimally invasive approaches for complex problems to novel training methods for future generations. Additionally, we have spearheaded innovations in the management of colorectal cancer, pelvic floor disorders, diverticulitis, inflammatory bowel disease, and anorectal conditions. Despite these improvements, there remains a seemingly never-ending mixture of complex patient disease processes and complications resulting from the care of these patients. Even in cases where the technical challenges were managed successfully, complications or poor function may result in dramatic life-long consequences, reduced quality of life, as well as having economic implications. The American Society of Colon and Rectal Surgeons (ASCRS) is the premiere professional organization of Colon and Rectal Surgeons. Three editions of the ASCRS Textbook of Colon and Rectal Surgery have been published and have proved to be extremely valuable for their wealth of general information and knowledge, providing not only background information, but also specifics regarding the more complex situations that surgeons who treat patients with colorectal disease experience on a regular basis. An ASCRS manual was produced in in 2009 and 2014, each accompanying their original textbooks. This has been formed by abstracting the textbook into a bullet format; all figures and most tables were retained. The 3rd edition of the Textbook (published by Springer) included completely new chapters and authors. This 3rd edition of the Manual is indicated to conform to the new edition of the Textbook and incorporate newer information in the field of colon and rectal surgery. This Manual will serve as a very useful resource for physicians and researchers dealing with diseases of the colon and rectum. It will provide a concise yet comprehensive summary of the current status of the field that will help guide education, patient management and stimulate investigative efforts. All chapters were written and abstracted by experts in their fields and will include the most up to date scientific and clinical information.

This book will offer for the first time a step-by-step description of the posterior retroperitoneoscopic adrenalectomy, a minimally invasive technique, moving the gold standard of laparoscopic adrenalectomy towards the retroperitoneoscopic approach. Detailed information about the technique, the advantages over other approaches, the technical steps, the potential complications and how to solve them, outcomes, and robotics, will be offered to readers. This practical guide will be of great interest for all general surgeons and urologists already performing adrenal surgery, and for those that wish to start performing adrenalectomy.

Updated and expanded, this comprehensive new edition captures the considerable evolution in the anesthetic management of patients requiring anesthesia for non-cardiac intrathoracic diagnostic and therapeutic procedures. Major advances addressed include the expanded role of ultrasound beyond trans-esophageal echocardiography, the role of extra-corporeal membrane oxygenation in thoracic anesthesia, and postoperative pain management for thoracic surgery. Chapters are authored by prominent anesthesiologists and feature cases commonly encountered in clinical practice. Authoritative and the leading text in the field, this book will serve as an indispensible guide to practitioners of thoracic anesthesia at all levels.

Surgical care is increasingly recognized as a critical component of global health, and strong surgical skills, teamwork, and poise under pressure become even more imperative during conflict or disaster. When faced with hospital bombings or devastating earthquakes, healthcare personnel must develop special techniques and abilities to ably care for patients despite limited resources and a disrupted health system. In Operation Crisis, Dr. Adam L. Kushner brings together 22 medical experts from around the world to recount their experiences in the field when disaster struck. These candid firsthand accounts from both local and international aid surgeons provide clinicians and public health practitioners with insightful lessons for effectively treating surgical patients under the most grueling of circumstances. Moving from conflict settings that include war zones in Afghanistan, the Democratic Republic of the Congo, Syria, and South Sudan, Operation Crisis also touches on post-earthquake Haiti and Nepal and post-tsunami Indonesia. Individual themed chapters cover mass casualty training, burn care, obstetric care, sexual violence, and landmine injuries. Combining personal stories with lessons learned and possible interventions, these vivid and affecting essays detail the immediate aftermath of conflict and disaster while pointing the way to improving care for future victims of crisis. Intended to spark further discussion and function as an advocacy tool while highlighting situations where surgical care can save lives and reduce disability, this book is a valuable resource for medical professionals, students, policy makers, international aid organizations, and philanthropic donors. Contributors: Kapendra Shekhar Amatya, Samer Attar, Jeffrey A. Bailey, Lucas C. Carlson, James C. Cobey, Dattesh R. Dave, Dan L. Deckelbaum, Richard A. Gosselin, Shailvi Gupta, Edna Adan Ismail, Thaim B. Kamara, T. Peter Kingham, Adam L. Kushner, Judy M. Lee, Maria "Tane" Pilar Luna, Brijesh Mishra, Kyle N. Remick, Lauri J. Romanzi, Michael Sinclair, Barclay T. Stewart, Marten van Wijhe, Evan G. Wong

Since publication of the first edition of this book, new treatments have become available in acute intervention for stroke and new evidence has been uncovered regarding prevention and neurorehabilitation. Designed for the entire team at any stroke center, including physicians, nurses, therapists, and administrators, The Stroke Center Handbook: Organizing Care for Better Outcomes, Second Edition delivers a timely update of the latest developments in this critical area. Exploring best practice management protocols, the content covers initial presentation, rapid response and emergency interventions, clinical and administrative procedures, and neuro-critical care. Highlights of the second edition include: The significant contribution of telemedicine to stroke treatment Improved organization of EMS systems to route patients directly to stroke centers New devices available for intra-arterial thrombectomy The impact of CT and MR perfusion and angiography on case selection for advanced therapy New pharmaceutical therapies for the prevention of stroke in patients with atrial fibrillation Advances in stroke rehabilitation techniques The authors of the book are pioneers in developing stroke centers and regional networks that have provided diagnosis and treatment to thousands of patients. Their expertise enables practitioners to establish and efficiently manage a facility and to participate more effectively as part of a multidisciplinary care team-providing stroke victims with the best possible outcome.

Revised, expanded, and updated, Orthopaedic Biomaterials in Research and Practice, Second Edition introduces materials science and applies it to medical research and treatment. This book incorporates math and engineering, which makes it accessible to trainees and others working in the industry who are lacking primary mathematical and engineering training. What's New in the Second Edition: In the second edition, the new material includes regeneration, hybrid and replant materials, tissue engineering, electrical stimulation for tissue growth and repair, modeling of material behavior in service, and long-term function of materials in patients. It explores tools for non-destructive and destructive analysis of explanted devices, and provides updates on all material classes including shape memory and degradable alloys, fracture-resistant ceramics, and bioabsorbable polymers. It provides a compendium for implant host response including in-depth discussion of metallosis and hypersensitive response. It also adds new case studies, worked problems, and a complete self-evaluation test with annotated answers. Includes focused, practical study questions after each chapter Presents extensive, detailed figures accompanying example problems and concepts Provides a one-stop reference for understanding all biomaterials that are used in contemporary orthopaedic surgery and beyond Introduces key concepts of relevance in each chapter Orthopaedic Biomaterials in Research and Practice, Second Edition serves as a textbook for orthopaedic residents. It can also serve as a review for the Orthopaedists In-Training Examination (OITE), the Orthopaedic Self-Assessment Examination, or the Orthopaedic Board Examination.

Manual of Total Mesorectal Excision is the authoritative manual for the trainee and qualified surgeon, covering every aspect of total mesorectal excision for rectal cancer.

• Written by the surgeons who pioneered and popularized TME
• Includes high-quality colour illustrations to detail the multidisciplinary management of rectal cancer
• Endorsed by the Pelican Foundation, the leading organization for research on bowel cancer surgery
• Incorporates state-of-the-art pre-operative staging, optimal surgical excision by TME surgery, and quality control and audit of outcomes by detailed pathological assessment of the resected specimen

The first book dedicated to this procedure, Manual of Total Mesorectal Excision is an invaluable resource for all medical professionals with an interest in the management of rectal cancer.

Complications in Surgery and Trauma, Second Edition provides practical information on the incidence, management, and avoidance of complications encountered during and after surgical procedures. The book offers detailed guidance and techniques for recognizing and controlling complications in the operating room, emergency ward, or intensive care unit. It spans the vast array of complications related to preoperative, intra-operative, and postoperative events. The coverage is comprehensive and includes many surgical sub-specialties including critical care, endocrine, cardiothoracic, vascular, burns and wound healing, orthopedic, pediatric, and transplant. A key feature of this new edition is the addition of succinct summary tables that list the most common complications related to each area of surgery or trauma and how to avoid them. Nine new chapters are included, and all previous chapters have been updated, making it a completely up-to-date reference for surgical residents, general surgeons, critical care surgeons, and those in training.

There is an increasing need for medical thoracoscopy performed by pulmonologists, which may be video assisted and has the advantage of being very cost-effective. This book is a comprehensive and up-to-date guide to thoracoscopy for pulmonologists that documents the considerable progress in endoscopic telescopes and instrumentation. Clear practical guidance is provided on technique, and diagnostic, therapeutic, and interventional applications of thoracoscopy are all carefully examined with the aid of high-quality illustrations. Although medical thoracoscopy is much less invasive than thoracotomy, complications can occur in a small number of cases; these are discussed and advice on prevention is provided. The concluding section examines the future of the field, covering developments such as mini thoracoscopy, autofluorescence thoracoscopy, and flexi-rigid thoracoscopy.

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Step-by-Step, Color Presentation of CGIP in Everyday Clinical Practice Computer-guided implant placement (CGIP) helps clinicians precisely implement a treatment plan and accurately place implants with the use of three-dimensional interactive imaging software. The software enables the direct link between anatomic interpretation, surgical and prosthetic treatment planning, and precise surgical execution. Bone preparation, in relation to the position, angle, and depth of the implant, is guided through computerized digital procedures and patient-specific surgical guides are developed to obtain the optimum result of the insertion of implants in predetermined, prosthetically acceptable positions. In color throughout, Clinical Application of Computer-Guided Implant Surgery covers the practical application of CGIP in a simple but detailed manner. Step by step, the book guides you on diagnosis and treatment planning, applying the specialized software, and using the necessary instruments and surgical guides. It also explores the strengths and weaknesses of CGIP and discusses literature related to the accuracy and clinical relevance of CGIP. Using numerous images from clinical cases, this color book helps you understand the treatment pathway, radiographic guides, virtual teeth, imaging techniques, and computer software used for CGIP. The authors-experts in periodontics and image-guided surgery-describe this new philosophy in a way that you can incorporate in your daily clinical practice.

Implement TMR with Your Patients and Improve Their Quality of Life

Developed by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantages over other neural-machine interfaces for the improved control of artificial limbs. Targeted Muscle Reinnervation: A Neural Interface for Artificial Limbs provides a template for the clinical implementation of TMR and a resource for further research in this new area of science.

After describing the basic scientific concepts and key principles underlying TMR, the book presents surgical approaches to transhumeral and shoulder disarticulation amputations. It explores the possible role of TMR in the prevention and treatment of end-neuromas and details the principles of rehabilitation, prosthetic fitting, and occupational therapy for TMR patients. The book also describes transfer sensation and discusses the surgical and functional outcomes of the first several TMR patients. It concludes with emerging research on using TMR to further improve the function and quality of life for people with limb loss.

With contributions from renowned leaders in the field, including Drs. Kuiken and Dumanian, this book is a useful guide to implementing TMR in patients with high-level upper limb amputations. It also supplies the foundation to enable improvements in TMR techniques and advances in prosthetic technology.

This highly illustrated book explains the effects of scars and adhesions on the body through the lens of biotensegrity, a concept that recognizes the role of physical forces on their formation, structure and treatment. It includes contributions from specialists in the fields of fascial anatomy, biotensegrity, movement, surgery and other manual therapies. It takes a comprehensive approach to providing a better understanding of these complex issues and will be valuable to every hands-on practitioner. The text is supported with online videos demonstrating five ScarWork therapeutic techniques.

Ancient Egyptian medicine employed advanced surgical practices, while the prevention and treatment of diseases relied mostly on natural remedies and magical incantations. In the first of three volumes, The Medicine of the Ancient Egyptians explores these two different aspects, using textual sources and physical evidence to cast light on the state of ancient medical knowledge and practice and the hardships of everyday life experienced by the inhabitants of the land on the Nile. The first part of the book focuses on ancient Egyptian surgery, drawing mainly on cases described in the Edwin Smith papyrus, which details a number of injuries listed by type and severity. These demonstrate the rational approach employed by ancient physicians in the treatment of injured patients. Additional surgical cases are drawn from the Ebers papyrus. The chapters that follow cover gynecology, obstetrics, and pediatric cases, with translations from the Kahun gynecological papyrus and other medical texts, illustrating a wide range of ailments that women and young children suffered in antiquity, and how they were treated. Illustrated with more than sixty photographs and line drawings, The Medicine of the Ancient Egyptians is highly recommended reading for scholars of ancient Egyptian medicine and magic, as well as for paleopathologists, medical historians, and physical anthropologists.

This book is intended as a definitive, state of the art guide to robotic surgery that summarizes the field for surgeons at all levels. More specifically, its goals are threefold: to review the basics of robotic surgery, including fundamental principles, technology, operating room setup, and workflow; to describe and illustrate the procedures most commonly performed in a robotic operating room; and to discuss key issues relating to cost, adoption, and training. Procedures from many surgical disciplines are included, which will aid robotic surgeons in supervising and assisting colleagues in these disciplines and simultaneously heighten their awareness of the tricks and tools used in other disciplines that can be retasked for their own purposes. In addition, the future prospects for robotic surgery, including anticipated developments in equipment, are discussed. The Textbook and Atlas of Robotic Surgery will be an excellent aid for residents and fellows entering the field, as well as a welcome update on recent progress for practicing robotic surgeons and an ideal primer for senior surgeons adapting these new technologies to their current practice.

Neurointerventional Management: Diagnosis and Treatment, Second edition has been re-titled from the original Interventional Neuroradiology reflecting the revolutionary changes occurring in this rapidly advancing field. Since the publication of the first edition, interest in neurointerventional therapy has developed at an increasing pace. New device development has expanded the range of disorders amenable to neurointerventional treatment and additional emphasis is present within medical and surgical specialities on subspecialisation in neurointerventional therapy. Physicians from all specialities involved in the care of disorders of the head, neck, and central nervous system, including neurosurgery, neuroradiology and neurology, are currently specializing in neurointerventional therapy. Neurointerventional Management: Diagnosis and Treatment, Second edition is written by a panel of today's leading experts in the field of neurointerventional therapy and edited by two neuroendovascular practitioners whose training and experience represents all three major specialties involved in neurointerventional therapy. The book is intended to provide the clinical practitioner with background information and specific descriptions of the anatomy, techniques, disorders, procedures, and decisions more commonly encountered in this field. Each chapter is illustrated with scientifically concise images, depicting pertinent neuroanatomy, imaging, neuroendovascular techniques, and related procedures. The new edition includes more diagnostic aspects of cerebrovascular disease of neurointerventional interest and discusses the treatment of disorders not covered in the first edition. Nine new chapters address increased interest in the field and provide in-depth focus on a range of new topics including normal cerebrovascular variants, non-shunting cerebrovascular malformations, the endovascular aspects of cerebrovascular disease in pregnancy, neurocritical care