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Outcomes . . .familiar in medicine fields, but only in recent decades becoming more of an issue for surgeons . . .the highly subspecialized nature of the surgical profession and breadth of procedures along with variance in patient population creates a challenge in achieving useful, informative outcomes. Here, in this issue of Clinics in Plastic Surgery, the focus is on evidence-based practice and outcomes in plastic surgery, spanning the major areas of cosmetic and reconstructive surgery. Outcomes as guidance for the surgeon's decision regarding approaches and techniques for procedures is the approach. Some of the topics covered are: Measuring Outcomes in Aesthetic Surgery; Measuring Outcomes in Craniofacial and Pediatric Surgery; Measuring Outcomes in Hand Surgery; How to Link Outcomes Data to Quality Initiatives in Plastic Surgery; along with How to Use the Outcomes Questionnaire, Pearls and Pitfalls; among others. Guest Editors Kevin Chung and Andrea Pusic lead this review. Dr. Chung is involved with structuring evidence-based practice and research in hand surgery to derive the best evidence to guide treatment for upper extremity conditions and he developed the Michigan Hand Outcomes Questionnaire. Dr Pusic developed the BREAST-Q, which measures satisfaction and quality-of-life outcomes among breast reconstruction patients. Out of the BREAST-Q has come the FACE-Q, which provides a clinically useful patient-reported outcome measure of satisfaction and quality of life following elective surgical and non-surgical facial rejuvenation.
This issue of Clinics in Podiatic Medicine and Surgery is the second of two dealing with Total Ankle Replacement, guest edited by Dr. Thomas Roukis. Article topics include: Modes of failure of current total ankle replacement systems, Peri-prosthetic aseptic osteolysis: cause and management, Revision of the infected total ankle replacement, Fusion following failed total ankle replacement, Tibiotalocalcaneal arthrodesis with retrograde intramedullary compression nail fixation for salvage of failed total ankle replacement: A systematic review, Management of the failed AgilityT ankle replacement, Management of the failed INBONET ankle replacement, and Outcomes following cyst curettage and bone grafting for the management of peri-prosthetic cystic changes after AEST Total Ankle Replacement.
A comprehensive and important issue devoted to multidisciplinary breast management Topics will include neoadjuvant chemotherapy, pathology of invasive breast disease, management of high risk lesions, genetic predisposition syndromes, radiation therapy, surgical management of the breast-mastectomy and breast conservation, management of the axilla, management of ductal carcinoma in situ, breast reconstruction, adjuvant therapy, screening, imaging, and image guided biopsy techniques for breast cancer, benign breast disease, and much more
The field of interventional bronchoscopy is rapidly expanding and has emerged as a new and exciting subspecialty in pulmonary medicine. To date, the impact of interventional bronchoscopy procedures has been felt in diagnosis, staging, and management of lung cancer, the most lethal cancer worldwide. Interventional Bronchoscopy: A Clinical Guide provides a state-of-the art description of interventional bronchoscopy procedures, addressing the scientific basis, indications, techniques, results, complications, and cost issues. Chapters address the current status, the advantages of new techniques and, most importantly, when to choose new techniques over the existing techniques. Each chapter will discuss the future of these procedures. Interventional Bronchoscopy: A Clinical Guide is an essential resource for a successful interventional pulmonology service and will be useful for the bronchoscopist, anesthesiologist, radiologist, thoracic surgeon and oncologist as well as practicing pulmonologists who do not perform these procedures but have to make decisions regarding appropriate referral of their patients to advanced airway centers.
While some of the topics in the preliminary table of contents will expand upon and update past issues and papers on trauma or sports injuries, others have barely been touched upon in literature and will make a great impact on the amount of information the Clinics offers on foot and ankle injury. Some of these topics include information for treating dancers (ballet, mostly) injuries, new non-surgical treatments, "pre-hab? techniques, and one chapter contributed by a non-surgical podiatrist working for the GB Olympic, soccer and rugby teams, debating the need for orthoses given new technologies in turf and shoe design.
This issue of Clinics in Podiatric Medicine and Surgery focuses on Forefoot Surgery advances. Guest edited by Dr. Charles Zelen, article topics include: Digital surgery and alternative fixation methods, Absorbable fixation in forefoot surgery, Alternative methods in fixation for capital osteotomies in hallux valgus surgery, Base wedge osteotomies in hallux valgus correction: are anatomical plates the answer?, First metatarsophalangeal joint (MTPJ) Arthrodesis; What's the best fixation option?, Implants versus first MTPJ arthroplasty techniques, New Techniques and alternative fixation for the Lapidus Arthrodesis, and Advances in the operative treatment of forefoot trauma.
"Regenerative Medicine Applications in Organ Transplantation" illustrates exactly how these two fields are coming together and can benefit one another. It discusses technologies being developed, methods being implemented, and which of these are the most promising. The text encompasses tissue engineering, biomaterial sciences, stem cell biology, and developmental biology, all from a transplant perspective. Organ systems considered include liver, renal, intestinal, pancreatic, and more. Leaders from both fields have contributed chapters, clearly illustrating that regenerative medicine and solid organ transplantation speak the same language and that both aim for similar medical outcomes. The overall theme of the book is to provide insight into the synergy between organ transplantation and regenerative medicine. Recent groundbreaking achievements in regenerative medicine have
received unprecedented coverage by the media, fueling interest and
enthusiasm in transplant clinicians and researchers. Regenerative
medicine is changing the premise of solid organ transplantation,
requiring transplantation investigators to become familiar with
regenerative medicine investigations that can be extremely relevant
to their work. Similarly, regenerative medicine investigators need
to be aware of the needs of the transplant field to bring these two
fields together for greater results.
This book explores comorbidity in patients with rheumatic diseases and details both care and treatment options in standard clinical practice. Patients with rheumatic diseases are clinically complex, and the interplay of their disease activity with associated conditions may lead to increased morbidity and mortality. Recently there have been major advances in the management of rheumatic diseases, however, without addressing the potential comorbid conditions, including cardiovascular disease; pulmonary disease; and depression; outcomes remain poor. With its 19 chapters, covering the management of major rheumatic diseases (e.g. rheumatoid arthritis, systemic lupus erythematosus , and osteoarthritis), potential comorbidities and treatment recommendations, as well as possible interactions between conditions; this book addresses the gap between textbook medicine and day to day patients' care. Authors also discuss the new hot issue of the comorbidity index, comparing the standard tools to the recently developed indices and how they can assist the rheumatologists in determining disease burden, prognosis, and comorbidity probability. This book is an ideal clinical guide and reference that enables rheumatologists, internal medicine physicians, and residents to address the full clinical expression of these rheumatic diseases with views towards prevention or early management of comorbid conditions.
Make optimal use of the latest coronary stenting techniques and adjunctive devices with well-rounded guidance from Coronary Stenting, a companion volume to Dr. Topol s Textbook of Interventional Cardiology. This comprehensive, up-to-date interventional cardiology book keeps you abreast of the latest trial data on efficacy and safety as well as cutting-edge clinical applications in coronary stenting. "This book guides you through everything in percutaneous intervention that you need to know." Reviewed by Perfusion, Apr 2015 Achieve optimal outcomes and minimize complications with expert guidance from the foremost teachers and writers in the field of interventional cardiology. Implement the latest knowledge on cutting-edge topics such as drug-eluting stent design; appropriate interpretation of randomized clinical trials and comparative effectiveness studies of coronary stents; the use of fractional flow reserve, intravascular ultrasound and optical coherence tomography to optimize lesion selection and stent implantation; anterograde and retrograde approaches to chronic total occlusions; and percutaneous revascularization of diabetics and patients with left main or multivessel disease. Quickly and easily find the coronary stenting information you need thanks to highly templated chapters and high-quality full-color illustrations that incorporate the latest clinical trial data into recommendations for proper patient and device selection. Access the fully searchable text online, download images, and more at Expert Consult.
Microsurgery for Fertility Specialists is an invaluable resource for physicians who specialize in the surgical treatment of male and female infertility. This practical text explains the basics of microsurgery and provides detailed operative descriptions of surgical procedures such as vasectomy reversal, sperm retrieval, tubal reanastomosis, and penile surgery. An exceptional cadre of reproductive specialists shares valuable knowledge of the current state of microsurgery, its role in infertility procedures, and the latest advances in the field --including some non-infertility microsurgical techniques. The book is an essential educational guide for those with a more advanced knowledge of microsurgical practice as it includes chapters that will help them mentor residents and fellows, and inspire future generations of reproductive surgeons.
With approximately 13.8 million minimally-invasive cosmetic surgeries performed in the United States, and approximately 12.2 million minimally invasive cosmetic treatments performed in 2011, most of these are undertaken in surgeons group practice or surgery center locations. The most common as well as the most dreaded complications are presented along with articles presenting best practice for cosmetic surgery centers. Each topic presents Anesthesia, Infection control, Complication avoidance and management, along with technique video. Some of the topics include: Patient Selection in Outpatient Surgery; Airway Management in the Outpatient Setting; Deep Venous Thrombosis - Prevention and Management; Intravenous Sedation from the Surgeon s Perspective; Postoperative Nausea and Vomiting; among other relevant issues to the surgeon. Guest Editors are Geoffrey Keyes and Robert Singer, both involved with the Association for Accreditation of Ambulatory Surgery and fervent about certified surgeons running ambulatory facilities for best outcomes and avoidance of mortalities and severe morbidities. "Outpatient Plastic Surgery is a clear, handy reference not only for the young plastic surgeon but also as a resource for those well established in practice." Reviewed by Aesthetic Surgery Journal., May 2015
This issue of the Surgical Oncology Clinics of North America, Guest Edited by Dr. Greg Masters, will highlight the multi-disciplinary approach to a variety of common malignancies, focusing on how surgical oncologists work together with medical oncologists and radiation oncologists to provide the most up-to-date management for many different malignancies. It will focus on the latest data from updates in basic science and clinical trials, including the importance of new technology and surgical techniques, new radiation techniques and the latest in chemotherapy, biologic, and targeted drug development in the multidisciplinary care of cancer patients.
This issue will provide a comprehensive overview of OCD, from the perspective of the Foot and Ankle surgeon. Topics to be covered include basic biology, advances in synthetic cartilage technology, surgical approaches, pediatric care, allografts, and the use of other surgical revision technology.
This issue, focusing on Osteoporosis and Fragility Fractures, will open with a general overview of fragility fractures, common treatments, and costs involved. The issue then focuses on a variety of different topics, like new therapies, atypical and extraordinarily complex fractures, and an update on treatment protocols. Because of the very nature of fragility fractures, much of the content is focused on the geriatric patient, though not all.
Techniques on facial reconstruction are presented with videos demonstrating many of the procedures. Topics include: 3D imaging and modeling for treatment planning in facial trauma; Intraoperative Use of CT Imaging; Contemporary management of traumatic fractures of the frontal sinus; Surgical treatment of traumatic injuries of the cranial base; Surgical management of complex mid facial fractures; Current management of condylar and subcondylar fractures; Management of Pediatric mandible fractures; Management of dental injuries associated with maxillomandibular trauma; Injuries of the eye and periorbital structures; Managing the facial nerve after trauma; Reconstruction of the avulsed auricle after trauma; Secondary repair of acquired enophthalmos; Secondary management of telecanthus; Improving post traumatic facial scars; Potential application of Face transplantation in massive traumatic tissue loss; Potential application of autologous free tissue transfer in massive traumatic tissue loss. Guest Editors leading this publication are Kofi Boahene of Johns Hopkins, whose practice and teaching encompasses corrective surgery for congenital facial defects, cleft lip and palate repair, craniofacial surgery, minimally invasive and endoscopic skull base surgery, microsurgery, reconstruction of cancer patients and extensive post-traumatic deformities, among others and Anthony Brissett of Baylor University, whose research and teaching include craniofacial surgery and wound healing, among other reconstructive and cosmetic surgeries.
Patients with rare diseases, affecting less than 1 in 2000 persons, frequently experience delays or errors in diagnosis, sometimes with tragic consequences. Even after the diagnosis has been established, the quality of health care delivered is often poor. This book, which is both textbook and atlas, covers the full range of rare congenital genitourinary anomalies encountered in males and females, many of which have previously been described only in sporadic case reports. In the case of the more established anomalies, variants are presented. For each anomaly, information is provided on incidence, similar cases, clinical presentation, diagnosis, possible management and outcome. Informative supporting illustrations are presented for each anomaly, and the book will serve as an excellent reference for all pediatricians, urologists and surgeons who are responsible for the care of such patients.
"Arthroplasty Around the Wrist, ? by Marwan Wehbe, MD, will cover many of the procedures involved with wrist replacement and some techniques that don't require implants. One article, "Thumb CMC Arthroplasty without Implants, from Anchovy to LRTI? reviews all methods to correct thumb arthritis, (anchovy is actually a rolled tendon that looks like an anchovy). Another article details a new way to fix thumb arthritis without any implants. I'll encourage Dr. Wehbe and contributors to submit videos of procedures
The Adult ACL world is constantly changing and is in need of continual updates; approximately 60,000-75,000 ACL reconstructions are performed annually in the United States. Dr. Freddie Fu just held a world-wide symposium on this topic and is considered the expert. In the Clinics survey sent in the fall of 2010, survey takers were most interested in seeing an issue on ACL repair and injury prevention.
Guest Editor John Campbell presents a comprehensive look at pathologic conditions. The issue will cover tumors of the tongue base and hypopharynx, keratocystic odontogenic tumors, third molar pathology, sinus grafting, oral cancer, burning tongue, parotid pathology, verrucous hyperkeratosis and verrucous carcinoma, osteonecrosis, fluorescent intraoperative angiography, neuropathic pain, and more.
This issue of Surgical Oncology Clinics devoted to Laparoscopic Approaches in Oncology is Guest Edited by Dr. James Fleshman from the Washington University in St Louis, Missouri.? Article topics in this issue include: Lap Colectomy for Colon Cancer; Lap Proctectomy for Rectal Cancer; Lap Resection of Liver for Cancer; Lap Pancreatectomy; Lap Whipple for Pancreatic Cancer; Lap Gastrectomy; Lap Adrenalectomy; Lap Nephrectomy; Lap Prostatectomy; Laparoscopic Robotic Thyroidectomy; and VATS for Lung Cancer.
This issue will include papers on the following: Biomechanics of the normal and pathological ankle joint, Ankle arthrodesis versus ankle replacement, The concept of ankle joint preserving surgery, What are the issues in treatment of patients with rheumatoid arthritis when planning and performing ankle replacement?, Mobile and fixed bearing prostheses, Techniques and pitfalls with the Salto prosthesis, The Hintegra prosthesis: Techniques and pitfalls, The Mobility Total Ankle Replacement: Techniques and pitfalls, Treatment of the arthritic valgus ankle, Treatment of the arthritic varus ankle, Revision total ankle replacement, Salvage arthrodesis after failed total ankle replacement, Managing specific complications related to total ankle replacement, The New Zealand total ankle registry.
"Emerging Concepts in Upper Extremity Trauma? will appeal to orthopaedic surgeons inundated with care of orthopaedic upper extremity injuries. Since many dedicated hand panels in the United States have disappeared, care of upper extremity trauma is now a required part of care for any orthopaedic patient.
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