Intraductal papillary mucinous neoplasms (IPMNs) represent an opportunity to treat pancreatic tumors before they develop into aggressive, hard-to-treat cancers. Beginning with morphological classification and its clinical significance, natural history, and malignant change of both main duct and branch duct IPMNs, this book covers the whole field of IPMNs of the pancreas. It reviews the various methods of investigation: imaging, diagnostic investigation of cyst fluid, and those using pancreatic juice; and also examines aspects ranging from the development of malignancy to the timing and method of resection, focusing on both main duct and branch duct IPMNs.

Aimed at residents, clinical fellows, and pancreatologists who treat patients with this common disease of the pancreas, this book is a landmark in the current understanding and future perspectives of IPMNs of the pancreas.

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Guest Editor Adam Landsman covers the broad spectrum of advances in wound healing in podiatric medicine. Topics include: "An update on advanced products used to aid in the wound and bone healing," "A histologic analysis of soft tissue interactions with collagen bioscaffolds; are they all the same?" " The role of collagen bioscaffolds, foamed collagen and living skin equivalents in wound healing," "Augmentation of Atrophic Plantar Soft-Tissue with an Acellular Regenerative Dermal Allograft: A Case Series Review," and more!

The Epidemiology, Clinical features and Natural History of Emphysema; The National Emphysema Treatment Trial (NETT); 'Rationale and Experience for Staged Lung Volume Reduction Surgery' Rationale and Experience for Staged Lung Volume Reduction Surgery; Lung Volume Reduction Surgery for Non-Heterogenous Emphysema; Lung Volume Reduction Surgery for Alpha-1-Antripsin Emphysema; Concomitant Lung Cancer Resection and Lung Volume Reduction Surgery; Concomitant Cardiac Surgery and Lung Volume Reduction Surgery; Decision Making in the Management of Secondary Pneumothorax in Patients with Severe Emphysema; Intraoperative and Postoperative Management of Pulmonary Alveolar Air Leaks in Thoracic Surgery; Airway Bypass Treatment of Severe Homogenous Emphysema; Treatment of Heterogenous Emphysema Using The Spiration IBV Intrabronchial Valves; Treatment of Heterogenous Emphysema Using The Emphasys Zephyr EBV Endobronchial Valves; Update on Donor Assessment, Resuscitation and Acceptance Criteria; Update on Lung Transplantation for End Stage Emphysema

Topics include: Evaluation and initial management of the patient with facial skin cancer; Nonmelanomatous skin cancer; Mohs, Malignant melanoma; Local flaps - bilobed, rhombic, forehead, melolabial; Options for the management of scalp defects; Defects of the nose; Eyelid defects; Ear defects; Defects of the lips; Cheek defects; Secondary procedures to improve flap appearance.

This issue of Clinics in Plastic Surgery takes a critical look at several new treatment methods. The aim of the issue is to view each technique from a factual, scientific point of view and to let surgeons know where each technique stands in regard to indications, contraindications, choosing a patient, how the technique is done, results, and complications. The techniques included are Lipodissolve, Surgisis, Smartlipo, Thermage, fat injection, Juvista, and Aptos thread.

This book provides an in-depth review of state-of-the-art orthopaedic techniques and basic mechanical operations (drilling, boring, cutting, grinding/milling) involved in present day orthopaedic surgery. Casting a light on exploratory hybrid operations, as well as non-conventional techniques such as laser assisted operations, this book further extends the discussion to include physical aspects of the surgery in view of material (bone) and process parameters. Featuring detailed discussion of the computational modeling of forces (mechanical and thermal) involved in surgical procedures for the planning and optimization of the process/procedure and system development, this book lays the foundations for efforts towards the future development of improved orthopaedic surgery. With topics including the role of bone machining during surgical operations; the physical properties of the bone which influence the response to any machining operation, and robotic automation, this book will be a valuable and comprehensive literature source for years to come.

Utilizing a practical, high-yield presentation, this textbook is a comprehensive review of the most common shoulder and elbow diagnoses and management strategies. It allows easy access to pertinent information for residents and fellows while preparing for rounds, the clinic and the operating room and also aides residents studying for their yearly in-training exam (OITE). Each topic is organized in a consistent, bulleted format so that the information flows in a logic manner: history, physical examination, imaging (when and what to order), and the most appropriate treatment algorithm. The most common classification systems are emphasized and illustrated, and treatment algorithms are further organized into non-operative and operative and include surgical approaches as well as the risks and complications of surgical intervention. The shoulder and elbow are covered in their own exclusive sections, with each chapter discussing the unique diagnostic considerations for each anatomic structure and the types of injuries to expect. Topics in the shoulder section include osteoarthritis, rotator cuff arthropathy and tears, instability, stiffness, SLAP tears and biceps tendinitis, and fractures of the clavicle and scapula. Topics in the elbow section include biceps and triceps rupture, lateral and medical epicondylitis, instability and stiffness, and elbow fractures - distal humerus, Monteggia, the terrible triad and more. Case material, key points and takeaways, and question-and-answer elements are included to enhance the text's overall utility. There is currently no textbook on the shoulder and elbow tailored specifically for orthopedic residents, fellows and senior medical students. The Resident's Guide to Shoulder and Elbow Surgery therefore provides a much-needed resource for early-career clinicians and surgeons.

The Hip-a volume in the new Arthritis and Arthroplasty series-offers expert guidance on everything from patient selection and pre-operative planning to surgical approaches and techniques. Clear, evidence-based coverage details which technology and methodology used for total Hip arthroplasty (THA), reconstruction or revision is best for each patient. Access discussions of debates on minimally invasive surgery; component material and bearing options; cemented vs. uncemented fixation of the components; and more. Explore alternatives to THA in younger arthritic patients and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates on outcome data, component materials, and surgical techniques-online at expertconsult.com. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques. Covers periacetabluar osteotomy, neurovascular injury, and other hot topics to keep you abreast of the latest developments in the specialty. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, surgical approach and techniques, bearing surfaces and component materials, disease specific options, the management and avoidance of complications, salvage and revision THA strategies, and more. Discusses variations in technique, including cemented vs. cementless fixation, resurfacing or more radical removal of bone, and minimally invasive technique where the exposure is more limited so you can choose which is most effective for each patient. Explores alternatives to THA in younger arthritic patients such as arthroscopy, arthrodesis, osteotomy, and resurfacing. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should online access to the web site be discontinued.

This volume of Hand Clinics will be devoted to the increasingly important and relevant topic of Evidence Based Medicine or the more inclusive term Evidence-based Practice (EBP). EBP is the integration of individual clinical expertise with the best available external clinical evidence from systematic research and the integration of patients' values and expectations. It is now recognized worldwide as a foundation of quality care and all surgeons and therapists must embrace the concepts and learn the methods. In order to help you become an evidence-based practitioner, this issue will help you develop new skills in find and appraise the best evidence embedded within the volumes of good and bad information available. The issue will focus on how to apply these methods to hand surgery and rehabilitation. The Centers for Medicaid and Medicare Services (CMS), health insurers, and certification boards will provide the impetus for all of us to put into action evidence-based practice. This approach to practice will lead to changes in our behavior. CMS introduced a pay-for-performance (P4P) initiative to promote high quality medical care based on evidence-based medicine by reimbursing top performing hospitals at a higher level than poor performing hospitals. The primary objectives of this program include increasing clinical quality and saving lives. A secondary objective is to improve the cost-effectiveness of health care delivery. Governmental programs like these along with practice guidelines will lead to new expectations on your practice. Whoever controls these initiatives and guidelines, controls medicine and ultimately the flow of money. You don't want to be left behind. This issue will provide you with the basics to get started on your way to practicing evidence-based medicine.

Biomedical Optics in Otorhinolaryngology: Head and Neck Surgery gives an overview of current technology in biomedical optics relevant to the field of Otorhinolaryngology and head and neck surgery. It provides a comprehensive source of knowledge for researchers and active clinicians seeking information on the principles and practical use of novel diagnostic and therapeutic technology. While most books focus exclusively on laser surgery, which has been largely unchanged for the past 15 years, optical diagnostics and head and neck PDT (photodynamic therapy) are usually entirely overlooked. This book contains a basic introduction into the physics of light and its propagation, lasers and low-coherent light sources, and photon-tissue interaction in relation to therapeutic and diagnostic use. The principles of various imaging techniques are also discussed ( i.e. optical coherence tomography in its variations), as well as the principles and practice of lasers for surgical use on the therapeutic side.

"Surgical Education: Theorising an Emerging Domain" delineates surgical (as opposed to medical) education as a new and emerging field of academic enquiry. This reflects profound changes in healthcare training and practice on an international basis. As such, this book introduces, examines and explores the contribution of selected concepts and theories to surgical learning and practice. The first four chapters consider core facets of surgical education, such as simulation, while subsequent chapters take a key idea, often well known in another field, and examine its relevance to surgical education.

Of course, performing invasive procedures is no longer the exclusive preserve of 'traditional' surgeons. Boundaries between surgery and the interventional specialties (radiology, cardiology, intensive care) are becoming increasingly blurred, especially as technology continues to expand. Changing work patterns and explosive technological development mark this out as a major growth area. New educational approaches (e.g. the use of simulation) are emerging. And all clinical practice is a team activity, where clinicians from many specialties (medicine, nursing, allied professions) come together with shared goals. For all the above groups, and their patients, education (teaching, training, learning and assessment) is of crucial importance.

Yet the unique characteristics of surgical education have not previously been addressed from an educational perspective, nor have its possibilities as a new research domain been mapped. The domain needs to be theorised and its epistemological foundations established. There is thus both a need and a market for a definitive work in this area, aimed at surgeons, other clinicians, non-clinicians, educators, and others interested in this new domain.

Liver Transplantation: Challenging Controversies and Topics grew out of a need I perceived within the fields of transplant hepatology and liver transplantation. Liver transplantation has rightly gained recognition as an established therapy for end-stage liver disease. Few would argue that liver transplantation is one of the few truly lifesaving and life-altering treatments within medicine and surgery. Not many realize that 20 years passed from the time of the first human liver transplantation in 1963 to its acceptance as therapy by the 1983 NIH Consensus Conference on Liver Transplantation. In 2008, 25 years will have passed since the 1983 NIH conference-a mere 25 years for a field that has provided patients hope, doctors options, and to some the "gift of life. " Many issues in liver transplantation involve indications, patient selection, and outcomes after transplantation-these are standard topics, covered by textbooks of hepatology and transplantation. In contrast, the field of liver tra- plantation is young, evolving, dynamic, and issues and decisions are often controversial. Thus, Dr. Trotter and I, as well as our colleagues at the University of Colorado, felt that a text with a different focus was required, one that highlighted controversy and challenged dogma. Out of this perceived need emerged Liver Transplantation: Challenging Controversies and Topics. To meet the transplant community's need for emerging information about liver transplantation, Dr. Larry Chan, Dr. Igal Kam, and I initiated the Controversies in Transplantation Conference.

Utility of PET in the mediastinum; Diagnostic strategies for mediastinal tumors and masses; Infections of the mediastinum; Genetic markers of mediastinal diseases; Mediastinal tumors and cysts in the pediatric population; Multimodality treatment of germ cell tumors of the mediastinum; Surgical approaches to the thymus in patients with MG; Multimodality treatment of thymoma; Vascular lesions of the mediastinum; Combined cervico - thoracic approaches for complex mediastinal masses; Intraoperative strategy in patients with extended involvement of mediastinal structures; The role of surgical resection for locally recurring mediastinal tumors; Modern Radiotherapy for Mediastinal Disease; Surgery of the mediastinum -historical notes.

This book focuses on the exciting recent progress in restorative neurology and neuroscience. The book includes chapters on major neurodegenerative disorders of the brain and the visual system, including Parkinson's disease, Alzheimer's disease, amyotrophic lateral sclerosis, Huntington's disease, macular degeneration, retinitis pigmentosa, glaucoma, spinal cord trauma, and multiple sclerosis. The primary goal of the book is to give an overview of new developments in translational research and in potential therapeutic strategies, including stem cell therapy, immunotherapy, gene therapy, pharmacotherapy, neuroprostheses and deep brain stimulation.
* Provides the reader with a unique overview over all aspects of new advances in the therapy of neurological and psychiatric disorders
* Covers all levels of biological organization including novel molecular and cellular targets, electrophysiological, anatomical and behavioural substrates of neurodegeneration and the application of whole brain in vivo imaging
* Broad focus with contributions by the top scientists worldwide in the respective disciplines

There are growing questions regarding the safety, quality, risk management, and costs of PCC teams, their training and preparedness, and their implications on the welfare of patients and families. This innovative book, authored by an international authorship, will highlight the best practices in improving survival while paving a roadmap for the expected changes in the next 10 years as healthcare undergoes major transformation and reform. An invited group of experts in the field will participate in this project to provide the timeliest and informative approaches to how to deal with this global health challenge. The book will be indispensable to all who treat pediatric cardiac disease and will provide important information about managing the risk of patients with pediatric and congenital cardiac disease in the three domains of: the analysis of outcomes, the improvement of quality, and the safety of patients.

Dr. Ramsis Ghaly is a Christian, a physician, a surgeon, and a humanitarian. This is the fourth book by Dr. Ghaly, bringing his philosophy on patient care and the medical profession to patients, their families, and healthcare providers. This book honors his patients. It includes their stories, told by them in interviews. The book represents the voice of the patients, written for fellow patients, to give them faith, hope and courage as they face their own illness journey. It is Dr. Ghaly's hope that you will be better prepared to embark on an illness journey with the words for his book. As you embark upon the illness journey, it is important for the patient and his family to seek quality care, asking questions and demanding only compassionate and professional healthcare from all involved. Dr. Ghaly hopes this book will provide insight into the illness journey, comfort for the difficult times, hope for the future, and faith that with God's help, all will be right. Here are the stories of 100 of his patients. They include many who have gone on to live healthy lives, as well as some who have passed on. Dr. Ghaly has included his comments on most of the cases, and on the medical conditions they faced.

Guest editor Jerome Steck takes a comprehensive look at Revisional Foot and Ankle Surgery with topics such as: "The First Ray," "Flatfoot," "Hindfoot arthrodesis hindfoot," "Charcot," "Ankle Fractures" and more!

In All About Fibromyalgia, the authors provide a thoroughly revised and updated version of the highly successful Making Sense of Fibromyalgia, which was endorsed by the Arthritis Foundation, Southern California Chapter. This new volume continues to provide a comprehensive guide - for both patients and professionals - to this little known and poorly understood syndrome. It has now also been completely updated with the current understanding of the disease, and includes information on the latest drug treatments.

Presenting a multidisciplinary approach to the prevention and management of injuries to young tennis players, this unique book considers multiple factors contributing to the increasing numbers of such sports-related injuries, such as increased young athlete participation in tennis, the pre-professionalization of younger players and misconceptions surrounding treating children in the same manner as adults. Beginning with the essentials for developing tennis players and their physical and mental growth with the sport, the text then turns to prevention and management techniques and strategies covering the upper and lower extremities, shoulder and elbow, hip and knee, and spine, as well as other acute medical conditions. Further consideration is given to proper nutrition, strength and conditioning, and rehabilitation and return to play. Edited by clinicians directly involved in the care of young tennis players and including contributions from physical therapists, nutritionists, sports psychologists, and physicians, it is an invaluable and comprehensive resource for any professional seeing and treating young tennis players.