Targeted at clinicians and residents, this series has already become a classic, with one volume published each year. The Advances section presents fields of neurosurgery and related areas in which important recent progress has been made. The Technical Standards section features detailed descriptions of standard procedures to assist young neurosurgeons in their post-graduate training. The contributions have been written by experienced clinicians and are reviewed by all members of the editorial board.

Vascular care has evolved from conservative therapy and open surgical therapy to a minimally invasive approach using endovascular techniques, laparoscopic or thoracoscopic techniques as well as hybrids of open and endovascular techniques. This volume provides up-to-the-minute information and details new developments and procedures.

Extensively revised with new illustrations, new clinical photos, and bonus videos from Dr. Blumgart's own collection, this two-volume classic text remains the most comprehensive and up-to-date resource on surgery of the hepatobiliary and pancreatic region. Dr. William Jarnagin and his team of internationally recognized surgeons continue the Blumgart's tradition of excellence, bringing you the latest advances in diagnostic and surgical techniques. You'll find updates on the newest minimally invasive surgeries, new interventional diagnostic techniques, and complete coverage of all relevant diseases, including those seen in the tropics. Considers all worldwide opinions and approaches to management, and includes key data on surgical outcomes to better inform your clinical decision-making. Includes bonus videos of surgeries from Dr. Blumgart's own archives, as well as operative videos from the Memorial Sloan Kettering video library, showing you how to proceed step by step for optimal patient outcomes. Covers exactly what you need to know, balancing basic science with information on clinical practice. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices. Presents cutting edge guidance on pathology, diagnostics, surgery and non-operative intervention of the liver, biliary tract, and pancreas in a single, comprehensive reference. Covers the most recent non-surgical therapies for pancreatic cancer, microwave ablation, and other emerging technologies. Brings you up to date with recent developments in transplantation, minimally invasive surgery, percutaneous devices, pre- and post-care, blood transfusion, and surgical techniques for the spleen. Features an extensively revised art and illustration program, with new anatomical line drawings (including hundreds now in color), more than 750 new clinical photos, more schematic diagrams that summarize information, and new graphs and algorithms throughout.

This book brings together current knowledge concerning all aspects of the treatment of osteoporosis and osteoporotic fractures in one volume.It covers both surgical and pharmacological treatment options: General Aspects on Osteoporosis and Fracture, Fracture Healing, Orthopedic Management Options, Non-Pharmacological Prevention of Osteoporotic Fractures, and Identification and Management of Secondary or Localized Bone Loss. Individual chapters cover diagnosis and prevention, as well as discussing the treatment of individuals who have already sustained various osteoporotic fractures.The book will be of great interest to all individuals involved with osteoporosis prevention and management programs, including orthopedic and trauma surgeons, rehabilitation professionals, physio- and occupational therapists, and trainees within these fields.

Intracranial injury, caused by a transorbital penetrating object, is a neglected topic in neurosurgery. With few exceptions, only occasional publications, often containing merely case histories, are present in the literature. Through a perusal of the world literature -- for the first time -- the author has collected and combined all available and relevant information, trying to give a thorough description of this rare, but extremely dangerous injury. This book is a major and definitive contribution to neurosurgery, but is also of importance to ophthalmology, neurology, traumatology, neuro-radiology and pediatrics.

This book is a practical revision aid for postgraduate junior doctors preparing for MRCS (Membership of the Royal College of Surgeons) examinations, as well as for undergraduate students preparing for medical finals examinations. Presented in the style of OSCE (Objective Structured Clinical Examination) format, the book describes 35 clinical examinations divided into chapters according to organ systems, including neurological; ear, nose and throat; cardiovascular and respiratory; gastroenterology; musculoskeletal; endocrine; and urogenital. The final chapter covers miscellaneous topics. This invaluable, unique text is authored by recognised experts based in Norfolk and Birmingham, UK. Key points Practical revision aid for candidates preparing for MRCS and medical finals examinations Describes 35 clinical examinations organised according to organ systems Presented in OSCE style format Highly experienced, expert author team

Endovascular Neurosurgery represents a unique collaboration between contributors from a number of specialties, all of whom are concerned with the management of cerebrovascular disease. This provides a balanced account of the efficacy of interventional endovascular techniques in this group of conditions. As a result, Endovascular Neurosurgery will prove an invaluable account of a relatively new specialty and will be essential reading for neurosurgeons, neurologists, neuroradiologists, neurophysiologists and neuroanaesthetists.

"Compensating for Quasi-periodic Motion in Robotic Radiosurgery" outlines the techniques needed to accurately track and compensate for respiratory and pulsatory motion during robotic radiosurgery. The algorithms presented within the book aid in the treatment of tumors that move during respiration.
In Chapters 1 and 2, the book introduces the concept of stereotactic body radiation therapy, motion compensation strategies and the clinical state-of-the-art. In Chapters 3 through 5, the author describes and evaluates new methods for motion prediction, for correlating external motion to internal organ motion, and for the evaluation of these algorithms' output based on an unprecedented amount of real clinical data. Finally, Chapter 6 provides a brief introduction into currently investigated, open questions and further fields of research.
"Compensating for Quasi-periodic Motion in Robotic Radiosurgery" targets researchers working in the related fields of surgical oncology, artificial intelligence, robotics and more. Advanced-level students will also find this book valuable."

The success of an operation depends not only on careful dures with direct visualisation techniques. Special inst- clarification of the indications, selection of the right time ments are only used for one specific purpose; a surgical for operating and technically neat operating techniques, needle today has its own anatomy. In addition, these but also on correct preoperative preparation and positio- aspects are joined by stricter safety conditions, increased ning of the patient. But this aspect in particular is fre- demands made by patients, with the threat of legal con- quently neglected, particularly by young surgeons, becau- quences if something should go wrong in terms of "nihil se technical details of the operation assume far greater nocere" ... attention, underestimating the contribution made by op- We have therefore made an attempt to illustrate a p- timum positioning to a time-saving operation which runs cedure which has proven successful over many years at the as perfectly as possible. How easy is it for an operation to Medical University Hannover. This does not mean that develop complications out of all proportion because the there are not other appropriate or even better suited surgeon forgot certain "minor matters" during preparati- procedures for specific situations, which would ideally ons! Anyone who has witnessed this themselves will ap- supplement the procedure described here. We felt it was preciate just how important exact preoperative planning important to describe safe, practical positioning tech- and preparation is before an operation takes place. ques to simplify each specific operation.

Plastic and Reconstructive Surgery, edited by Maria Siemionow and Marita Eisenmann-Klein, is the latest in a long line of highly valued texts found in the Springer Specialist Surgical Series. Plastic and Reconstructive Surgery brings an up-to-date comprehensive review of the basics of physiology and wound healing, and both standard and new techniques and technologies introduced in recent years to plastic surgery. It provides a fast and comprehensive overview of plastic surgery to help residents and young plastic surgeons to prepare for board exams in one succinct volume of plastic surgery knowledge. The book is divided into seven major categories. In each category, chapters related to anatomy, physiology and pathology are supplemented with chapters on treatment options including conventional surgical techniques as well as new technical approaches including endoscopic and minimally invasive surgery. The chapters are designed to address questions most often asked on the specialty boards. The book summarizes basic plastic surgery knowledge in the light of innovations and new technologies as well as research approaches as applied to general plastic, hand surgery, peripheral nerve surgery, microsurgery, breast surgery, esthetic surgery, and reconstructive surgery. Using a multidisciplinary approach, presentation of the basic plastic surgery knowledge encompasses areas worthy not only of attention from plastic surgeons but also hand, microsurgeons, head and neck specialists, and breast surgeons. Maria Z. Siemionow, MD, PhD, DSc, Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training, Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA. Marita Eisenmann-Klein MD, Deputy General Secretary of the International Confederation of Plastic Reconstructive and Aesthetic Surgery, Director, Department of Plastic and Aesthetic, Hand and Reconstructive Surgery, Caritas-Krankenhaus

Challenging histories of plastic surgery that posit a complete disappearance of Gaspare Tagliacozzi's rhinoplasty operation after his death in 1599, Rhinoplasty and the nose in early modern British medicine and culture traces knowledge of the procedure within the early modern British medical community, through to its impact on the nineteenth-century revival of skin-flap facial surgeries. The book explores why such a procedure was controversial, and the cultural importance of the nose, offering critical readings of literary noses from Shakespeare to Laurence Sterne. Medical knowledge of the graft operation was accompanied by a spurious story that the nose would be constructed from flesh purchased from a social inferior, and would drop off when that person died. The volume therefore explores this narrative in detail for its role in the procedure's stigmatisation, its engagement with the doctrine of medical sympathy, and its unique attempt to commoditise living human flesh. -- .

Modern Management of Cancer of the Rectum is intended to provide a comprehensive overview of all aspects of rectal neoplasms. It addresses epidemiology, biology, screening and chemoprevention, the role of imaging in diagnosis, staging and prognosis, radiation therapy, medical and surgical treatment, as well as new modalities of therapy, including laparoscopy, and transanal endoscopic surgery. A greater understanding of prognostic factors, patterns of spread and natural history has occurred during the past decade; together with new diagnostic modalities this has led to significant changes in the management of patients with rectal cancer. This book will be invaluable for all those who treat rectal cancer.

The purpose of this book is twofold: First, it provides an up-to-date overview of the field of surgical oncology for surgeons in training. Particular attention is devoted to the principles of surgery, but important aspects of radiation and medical oncology are also discussed. Furthermore, diagnostic, staging, and treatment algorithms are presented that will offer invaluable assistance in management decision making. The second aim of the book is to offer a comprehensive reference source on the role of surgery in curative and palliative management for medical and radiation oncologists (in practice and in training) and other healthcare professionals involved in the care of cancer patients. The full range of cancer types is covered in a practical, multidisciplinary approach, and additional chapters are devoted to pediatric malignancies, the role of new surgical technologies, and surgical emergencies. "

Peyronie's Disease: A Guide to Clinical Management is the first comprehensive book on this prevalent disorder in adult men (estimated range from 5-9 per cent) designed to clarify misconceptions and myths, provide an update on the etiology, pathophysiology and current research, provide useful information for clinical practice and hopefully stimulate further research into understanding the pathophysiology of this devastating problem. There will also be extensive attention to the current medical and surgical treatments with detail on surgical technique.

This book provides a comprehensive analysis of the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of a wide variety of pathologies. Sonography reliably identifies a wide range of diseases, and the efficacy of modern ultrasound has dramatically improved with contrast enhancement. This book covers almost all aspects of CEUS starting from basic principles and ending with features of its application in individual organs. In particular, it explores the diseases of abdominal, retroperitoneal, and pelvic organs as well as superficial structures, highlighting the characteristic features of typical findings. Focal lesions are discussed in depth, with attention to their early detection and differential diagnosis. Besides, a practical approach to the stratification of the risk of malignancies is provided. The authors summarized their own experience with CEUS in oncology, hepatology, gynecology, urology, endocrinology, and other fields of medicine. The role of CEUS in differential diagnosis of various disorders of the female reproductive system is comprehensively discussed as well. The presentation is clear and concise, and richly illustrated. The book will be a helpful tool for both residents and practitioners approaching ultrasound diagnostics, as well for more experienced radiologists and other professionals.

When doctors first look at sutureless anastomosis devices created by new technologies, the most frequent comment is how amazingly easy it is to create a vascular anastomosis and, as a direct consequence, they believe anybody could play the role of the cardiovascular surgeon. Pessimistic c- diovascular surgeons, on their side, think that creating a machine capable of perfectly reproducing their core activity, which consists in making an- tomosis, will kill their profession. Actually, no medical specialty's demise has been more often predicted and, at the same time, more greatly ex- gerated than that of cardiovascular surgery. According to its detractors, - ginning in the late 1980s with the angioplasty boom, continuing in the mid-1990s with the introduction of bare metal stents, and then more - cently with the introduction of drug-eluting stents, cardiovascular surgery has been on life support for nearly 15 years. This specialty's claimed collapse has generally been attributed to recent advantages in percutaneous procedures and devices that give the oppor- nity to non-surgeon doctors to accomplish the surgeon's work. The reality is different. Data suggest that cardiac surgery continues to survive and has not suffered the precipitous decline that was predicted. From the economical standpoint, CABG is much more of a mature market and the size of the opportunity remains impressive and relatively stable, with around 1,500,000 procedures performed annually worldwide, at a total cost approaching 2. 5 billion US$.

Sharmila Majumdar In the area of osteoporosis and skeletal changes, it is currently accepted that bone mineral density (BMD), widely used for screening, monitoring and assessing therapeutic efficacy, does not adequately explain the pathogenesis of osteoporosis, the process of aging, or the therapeutic efficacy of various treatments. In this context, trabecular micro- architecture has enormous potential to contribute to understanding the pathophysiology of osteopor.osis and therapy assessment. The use and value of noninvasive imaging and quantitative image analysis and processing of trabecular bone micro-architecture have increased dramatically due to recent advances in instrumentation and software. This emerging field is diverse, interdisciplinary, and encompasses many different imaging modalities. Interested researchers include those involved in technique development, basic science and animal studies, as well as clinical researchers and practicing physicians. With the growth of this area of research, a group of investigators at the 11th Interna- tional Workshop of Bone Densitometry, 1 concluded that a forum dedicated to this matter was urgently needed. With this agenda, Dr. Peter Ruegsegger organized the first sympo- 2 sium on conjunction with the 10th Conference of the European Society of Biomechanics. The symposium on Bone Architecture and Competence was a two-hourlong event which resulted in five chapters in Bone Research and Biomechanics, edited by G. Lowet, P. Ruegsegger, H. Weinans, and A. Meunier, published by lOS Press, 1997. The second symposium was held as a pre-symposium to the 12th Workshop on Bone Denistometry,3 and flourished as a daylong event.

This book aims to review all of the literature, including landmark papers and the most current published data, in regard to the management of non-malignant foregut diseases. A number of surgeons publish and focus in malignant diseases of the esophagus, but this text emphasizes the benign ones, their problems and how to face them with the new available resources and technology. This book describes the different diagnostic tools available, as well as the different therapies for the management of gastroesophageal reflux disease (GERD) and its potential complications like Barret's or strictures, and the associated anatomical abnormalities such as hiatal hernia or short esophagus, and more. Motility disorders of the esophagus, esophageal diverticula and perforations are also discussed. Different devices and approaches can be used to treat these diseases and they are covered and explained in different chapters of the book. Written by experts in the field, Benign Esophageal Disease provides surgeons and physicians with a concise and comprehensive summary of the current state of the field and will help guide patient management.

volume of conference proceedings reviews the general pathophysiological significance of the isoforms of cyclooxygenase, and the likely value of selective COX-2 inhibitors in the treatment of rheumatoid conditions. Also covered is the possible use of antibodies against cytokines and cell adhesion receptors in the treatment of inflammatory conditions.

Pediatric Urology: Evidence for Optimal Patient Management provides pediatric urologists the information needed for state-of-the-art patient care. Chapters are organized around pertinent clinical questions within major areas of pediatric urology, answered using the best available data while also reporting areas for which there is poor evidence. The text includes randomized controlled trials and prospective observational studies, tables that summarize important studies, and figures that illustrate algorithms with best options for management and their expected results. With an easy to use format not found in other volumes, Pediatric Urology: Evidence for Optimal Patient Management is an indispensible and unique resource for experienced pediatric urologists, pediatric surgeons, general urologists with an interest in pediatric urology, as well as fellows and residents in training.

This volume introduces engineers and healthcare professionals to the latest in neurosurgical robotic technology. The chapters in this book are organized into two parts and cover basic engineering concepts that underpin surgical robotics; various robotic platforms and how these systems make their way to the clinic; popular applications of surgical robots in neurosurgery within subspecialties; and a discussion on the future development of neurosurgical robotic systems. In the Neuromethods series style, chapters include the kind of detail and key advice from the specialists needed to get successful results in your clinic. Cutting-edge and thorough, Neurosurgical Robotics is a valuable resources for scientists and engineers interested in learning more about this fascinating and developing field.

The definitive interdisciplinary reference work for wound ballistics Basics The book begins by providing the necessary basic knowledge about physics, ballistics and ammunition and weapons. Then it describes the behaviour of projectiles in humans and animals (the physics of gunshot injuries) and introduces the experimental simulation of gunshot wounds, including the materials suitable for this purpose. Applications These basic principles can be applied in forensic medicine and criminalistics. The gunshot wound provides some forensic traces and the experimental reconstruction helps to understand the dynamic crime process. The wounding potential of non-lethal weapons can be determined. In emergency and war surgery, injuries caused by small arms bullets and fragments as well as by gas jets (of gas weapons) can be assessed. International conventions could be freed from undefined terms (such as "unnecessary suffering") with the help of physical quantities. Reference work Detailed tables as e. g. ballistic data of numerous cartridge types, also older ones, material properties, as well as many otherwise difficult to access data and a trilingual glossary of ballistic and technical terms in the languages German, English and French. NEW Wound Ballistics of European Police ammunition References to recent research results Partly coloured illustrations Due to the increase in terrorist and criminal activities worldwide, it is not only members of the armed forces who are affected. Surgeons, forensic doctors, police officers and criminalists also need to know and be able to assess the specifics of gunshot wounds.