Pass the Surgical Technology Certification (CST) exam with ease! Featuring more than 1,700 Q&As, online practice tests, and summaries of important points for each chapter, this valuable resource provides the most complete review available for the surgical technology certification (CST) exam. The book is divided into six core sections to facilitate more effective studying and review. LANGE Q&A Surgical Technology Examination, Eighth Edition includes detailed answer explanations and covers all major areas of the surgical technology curriculum. This is an essential resource for students preparing for the certification exam as well as surgical technologists looking for the latest information on specific procedures such as orthopedics, plastic surgery, and emergency procedures. 1,700+ exam-style questions with detailed answer explanations prepare you for what you will actually see on the exam Online practice tests help you assess your knowledge and hone your test-taking skills Organized into six core sections for the most effective study possible: Fundamental Knowledge, Infection Control, Concepts of Patient Care, Preoperative Preparation, Intraoperative and Postoperative Procedures, and Technology in the Operating Room Chapter synopses summarize key topics, terms, and objectives in quick-read bulleted text Thorough coverage of cutting-edge topics such as robotics and endoscopic surgery Ideal for use during coursework and for intensive exam preparation

Handbook of Robotic and Image-Guided Surgery provides state-of-the-art systems and methods for robotic and computer-assisted surgeries. In this masterpiece, contributions of 169 researchers from 19 countries have been gathered to provide 38 chapters. This handbook is 744 pages, includes 659 figures and 61 videos. It also provides basic medical knowledge for engineers and basic engineering principles for surgeons. A key strength of this text is the fusion of engineering, radiology, and surgical principles into one book.

With obesity rising at alarming rates in the U.S., UK, and developed countries around the world--so much that the U.S. Department of Health has officially classified obesity as an "illness" and the World Health Organization has dubbed it a "pandemic"--weight-loss surgery is also on the rise. Traditional weight-loss programs such as diet, exercise, and pharmaceuticals, are only effective for significant and sustained weight loss for about 10 percent of all people who try. The results are even more dismal for the obese aiming to lose not just a few pounds, but 50, 75, or more. Yet, the health of these individuals lies in the balance, because obesity or morbid obesity (100 pounds or more overweight by medical standards) increases by 50 to 100 percent their risk of developing heart disease, high blood pressure, diabetes, and certain cancers. Weight-loss surgery, however, is effective in bringing 80 percent of obese people to or close to average weight for their height, explains Dr. Hamilton, an Instructor at Harvard Medical School. Even more impressive, most sustain that weight loss for at least 10 years. Hamilton doesn't perform such surgeries, but this Tufts-educated doctor has more than general medical insight. She had the surgery herself six years ago, reducing from the size 20 she was then to the size 8 she is now. "Surgical weight loss is unequivocally more effective than any other method," she says. Certainly there are complexities, risks, and some "grueling decisions" involved. But life as an obese person can be more risky to health and more grueling to mental health, she adds. The National Institutes of Health apparently agree, as NIH has issued recommendations for morbidly obesepeople to have weight-loss surgery. In the United States alone weight-loss surgeries have risen from 12,700 in 1988 to more than 78,000 in 2005. "Still, fewer than one percent of the patients who fit the requirements for weight-loss surgery are ever referred to such a specialist," says Hamilton. "And in blacks, where the prevalence of obesity is even higher, the referral rates are even lower," she adds. Hamilton makes clear the rewards, and the risks, of surgery that reduces stomach size or removes a piece of the intestine so calories cannot be absorbed. This book includes interviews with previously obese males and females who've had the surgery, as well as descriptions of the procedures, recovery times, costs, and insurance issues.

Gynaecological practice has changed fundamentally in the last three decades and a large proportion of major pelvic operations has been replaced by minimally invasive approaches. This book will cover minimally invasive approaches in all aspects of gynaecology including general gynaecology, oncology, urogynaecology and reproductive medicine. The chapters are written at a level appropriate for trainees/residents and general gynaecology specialists but enough details and additional resources will be provided for those who require further information. Specific aim of the book is to provide direct to the point surgical pearls which can be adapted to the daily practice instantly by the target audience. The book includes chapters on relevant surgical anatomy, principles of MIS, management of camera systems, video/image editing, initiating a successful MIS practice, improving efficiency of current MIS program, how to develop successful teaching techniques in academic setting, avoiding & managing MIS related surgical complications and preoperative/postoperative care before covering MIS for individual conditions including intensive care managements. Chapters are written by world renown authorities. ACOG guideline recently published a statement recommending vaginal hysterectomy and endoscopic hysterectomy should be considered as a first step of surgical choice. Current practice has been shifting from open cases to laparoscopic/ robotic assisted cases while vaginal cases stays steady. This shift has created an urge among gynaecologists to learn, improve or adapt laparoscopic/ robotic techniques in their practice.

With the success of organ transplantation and the declining number of heart beating cadaver doctors, the number of patients awaiting a transplant continues to rise. This means that alternative sources of donors have been sought, including donors after cardiac death. Such donors sustain rapid damage to their organs due to ischaemia, and as a consequence, some organs do not work initially and some none at all. The proportion of such transplants has increased dramatically in recent years--25% of kidney transplants in the UK were from such donors in 2006, highlighting how much progress has been made.
Written by international experts, this book lays out the moral, legal, and ethical restraints to using such donors for organ transplant together with the techniques that have been adpoted to improve their outcome. The different approaches and results of renal transplant according to country are covered together with the procedures and outcomes adopted to use other organs, notably the liver and lungs.

Designed to provide a highly visual reference for surgeons and other members of the patient management team, Atlas of Intestinal Stomas is based on the 1967 gold standard text, Turnbull and Weakly's Atlas of Intestinal Stomas. Additions include chapters on anatomy and physiology, biliary stomas, pediatric ostomies, the continent ileostomy, urostomy, laparoscopic stoma construction, stomas in trauma surgery, stomas for antegrade continence enema, percutaneous ostomies, and quality of life. There are also sections on ileostomy, colostomy, enterostomal therapy and on the management of complications of stomas such as management of the high output ostomy, enterocutaneous fistula, parastomal hernia, prolapse, and skin conditions. The Cleveland Clinic pioneered the entire practice of ostomies, beginning in 1858 and continuing to this day as the world's leading academic and clinical center. The editors and contributors are all current or former Cleveland Clinic physicians and instructors. The fundamental focus of the book is not only how to install ostomies, but how to avoid complications and how to treat complications when they arise. Atlas of Intestinal Stomas will be of great value to colorectal and general surgeons, both in practice and in training.

Responding to the growing demand for minimally invasive procedures, this book provides a comprehensive overview of the current technological advances in image-guided surgery. It blends the expertise of both engineers and physicians, offering the latest findings and applications. Detailed color images guide readers through the latest techniques, including cranial, orthopedic, prostrate, and endovascular interventions.

Aimed at consultant colorectal surgeons and those in training who wish to expand their practice into pelvic floor pathology- a complex and developing area of surgery- Pelvic Floor Disorders for the Colorectal Surgeon provides a modern, thought-provoking approach to pelvic floor disorders written by emerging young leaders in the field. These conditions are of high importance and interest to colorectal surgeons, but also gynaecologists, gastroenterologists and general gastrointestinal surgeons.
The layout of the text book is in 3 sections. The first provides an organizational and diagnostic approach to pelvic floor problems that is conceptual in scope, the second details the patho-anatomical and physiological entities that this diagnostic approach will bring to light and describes their management, while the third is more technical, covering key new diagnostic and therapeutic procedures and their results. The textbook aims to encourage the reader to critically analyze some of their own cherished views, and those more widely established, on colorectal pelvic floor practice.

Laparoscopic Colorectal Surgery, Second Edition is fully revised and updated and reflects an authoritative, team-oriented approach to the latest state-of-the-art laparoscopic colorectal procedures and surgical techniques. Written by pioneers in the field, this text will supply surgeons with all the information necessary to accomplish advanced laparoscopic procedures. Comprehensive discussions of positioning, instrumentation, cannulas, surgical techniques, special considerations, and considerations in cancer surgery are featured for a wide variety of major operative procedures.

This new Second Edition includes updated information on laparoscopic colorectal procedures, including hand-assisted laparoscopic procedures and new chapters on the physiology of pneumoperitoneum, laparoscopic anatomy of the colon and rectum, and evidence-based discussion of outcomes. The text is complemented by over 200 line drawings created exclusively for the textbook.

Minimally Invasive Gynecologic Surgery provides a complete, practical and timely review of the minimally invasive surgical techniques used to treat gynaecologic diseases and conditions. Recent advances in technology and instrumentation, particularly the use of robot-assisted surgery, mean that minimally invasive approaches have become increasingly established as alternatives to traditional open surgeries. This book describes the full range of minimally invasive procedures in current gynaecologic practice, with discussion of the indications and contraindications and a summary of available evidence. The book opens with a section describing instrumentation, electrosurgery, how to avoid and manage complications and single port surgery. Subsequent sections cover procedures for benign and malignant conditions and relevant robotically assisted surgeries. Highly structured chapters provide practical guidance to key steps of each procedure, alternative management options; contraindications and available evidence Stellar contributors from leading centers in the USA, Brazil, Chile, Canada, France, Italy and Belgium ensure coverage reflects global best practice

Master new procedures and improve outcomes with Operative Techniques in Vitreoretinal Surgery. This easy-to-read, "how-to" surgical atlas offers expert, step-by-step guidance on how to successfully perform basic retina and vitreous surgery as well as more involved complex and advanced procedures. Edited by Abdhish R. Bhavsar, MD, this unique resource focuses on the essentials of operative technique, helping both the novice and advanced retina surgeon make the most of the latest, most effective procedures in this fast-moving field. Covers commonly performed and more complex vitreoretinal surgical techniques as well as surgical approaches to specific disorders-all using up-to-date methods and technology. Contains more than 300 high-quality clinical photographs and illustrations with clear explanations. Includes key topics such as scleral buckle surgery, vitrectomy surgery including 27 gauge, managing intraocular tumors, iris and scleral fixation of dislocated intraocular lenses, including the Yamane technique, the latest ROP surgical management, and modern vitreous implant surgical approaches. Discusses the latest techniques for repairing very large or failed macular holes, robotic retina and vitreous surgery, artificial retinal prosthesis surgery, and delivery of subretinal gene therapy. Highlights clinical pearls, pitfalls, and potential complications throughout. Features more than 60 video clips that demonstrate key procedures and techniques. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Hepatobiliary and pancreatic surgery is a relatively new specialty and the vast majority of patients present initially outside tertiary referral centres. Many conditions such as gallstones, acute and chronic pancreatitis, obstructive jaundice and malignancies of the liver, biliary tract and pancreas are still managed outside specialist centres or are not suitable for referral. Many general surgeons continue to manage these problems and in some parts of the world the geography and distances involved makes referral for specialist care difficult or impossible. The relative scarcity of specialist centres for the management of these difficult conditions also means that the majority of trainees do not get sufficient exposure prior their definitive appointment to equip them with the tools needed to confidently manage many of the problems they may face.
Operative Solutions in Hepatobiliary and Pancreatic Surgery combines clearly written, practical text with over 200 illustrations and numerous flow charts which take the reader through the management of all the commonly encountered hepatobiliary and pancreatic pathologies and procedures. All aspects of hepatobiliary and pancreatic surgery are discussed in a clear and consistent style, while the flow charts are designed to be modified by the reader to adapt them to local practice and the facilities and expertise available. This book is invaluable for the senior trainee or newly appointed specialist who requires clear, practical advice on how to manage the wide range of problems that present to surgeons outside specialist centres.

This publication is intended as a guide to common diagnostic, operative and percutaneous techniques used in creating and maintaining vascular access for hemodialysis. When writing the text, the authors have focused on surgeons in training, fellows, interventional radiologists and clinically active nephrologists. Dialysis nurses and other clinicians involved in the care of end stage renal disease and dialysis patients will also greatly benefit from this handbook. This 2nd edition of the text contains expanded sections on ESRD, access surveillance and surgical and diagnostic devices, as well as new sections on peritoneal and dual lumen catheter placement, commonly used drugs and dialysis, hemo- and peritoneal dialysis techniques and CPT and ICD coding for statistical and billing purposes. These changes reflect the highly technical nature of clinical management in this evolving specialty.

Destined to be the definitive reference in this complex surgical area, Endoscopic Craniosynostosis Surgery is the first single resource to offer complete coverage of techniques, outcomes, complications, and results when treating patients with craniosynostosis endoscopically. Dr. David F. Jimenez, a pioneer in the field who has developed minimally invasive endoscopic surgeries to treat very young infants with this condition, provides all appropriate data and detailed guidance on every aspect of the management of craniosynostosis using endoscopic techniques. Covers the surgical management of every type of single suture synostosis as well as multiple and complex synostosis. Presents surgical techniques in depth, with a complete review of short- and long-term outcomes and results. Provides detailed information on patient anesthesia and how to set up the operating room for surgery. Includes detailed descriptions of helmets and their management. Features hundreds of radiographs, clinical photos, and procedural illustrations, as well as procedural videos. Discusses complication avoidance, provides surgical pearls throughout, and supplies patient information online. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access bonus images plus all of the text, figures, and references from the book on a variety of devices.

This is the illustrated official field manual used by US Army doctors and soldiers in the field. It offers profession, proven advice on dealing with infections, head injuries, fractures, burns, and more. For active-duty soldiers, first-responders, and anyone who might find themselves in a survival situation, it is a remarkable resource. Military surgeons must assume a leadership role in combat casualty care in circumstances that are far less than ideal. This handbook provides much of the information needed to tackle these issues and features state-of-the-art principles and practices of forward trauma surgery as used by military physicians in far flung locations around the globe. Subjects include: Hemorrhage Control Shock and Resuscitation Vascular Access Anesthesia Face and Neck Injuries Thoracic Injuries Wounds and Injuries of the Spinal Column and Cord Amputations Radiological Injuries Biological Warfare Agents Chemical Injuries And much more! Featuring nearly 200 illustrations demonstrating proper techniques, Emergency War Surgery is the most trusted and up-to-date manual offered by the Department of Defense for military medical personnel in the field.

Embryoimplantationisaremarkableandcomplexprocess. Approachesde- velopedfromthefieldsofcellanddevelopmentalbiology,immunology, andmolecularbiologyhavegreatlyenhancedourabilitytostudythe sharedaswellasuniquefeaturesofembryo-uterineinteractions. Impres- siveandcriticalgroundworkhasbeenlaidbyalargeanddedicatedarray ofendocrinologists,reproductivebiologists,andanatomists. Thesestudies havesetthestagetoutilizesensitiveandsophisticatedtechniquestode- tectandmodulateproteinandgeneexpression. Justasthesymbiosisofmother andfetusiscriticalforthemaintenanceofpregnancy,soisthesynergyamong investigatorsfrommanydisciplines,bothinbasicandclinicalarenas,keyto unravelingthemysteriesofimplantationandplacentation. Alargegroupof contributorsinthisfieldhadtheopportunitytomeetanddiscussthestateof thisartwiththesupportofSeronoSymposiaUSA,Inc. Whileitisneverpos- sibletobringtogethereveryonewhohasplayedanimportantrole,itwas, nonetheless,bothexcitingandgratifyingtohavesomanycolleaguestogether forthisevent. Inthechaptersthatfollow,thehighlightsofthismeetingarepresented assummarizedbytheindividualpresentersofsevendifferentsessions. The topichasbeenconsideredfromthebroadsocialandethicalimplications ofmoderninvitrofertilizationandassistedreproductivetechnologiesto detailedmolecularcontrolsovereventsthatoccurduringembryonicdevel- opment,uterinepreparationforimplantation,andplacentalorganogenesis. Thesechaptersdemonstratethesignificantandrapidprogressbeingmade inthisfieldofbiologyandmedicine. Atthesametime,theyshowthat muchmoreneedstobedonetounderstandandfullyappreciatethispro- cess. Lessonslearnedfromthiseffortcanbeexpectedtocontinuetopro- videinsightsintoother,relatedfields. Ofthemanycontributorstoour understandingoftheprocessofimplantation,nonehavehadalargerim- pactthanourcolleague,AllenEnders. Dr. Endershasplayedaparamount roleindevelopingthebasicunderstandingofthecellbiologicalprocesses vii VIII Preface underlyingimplantationandplacentationinmanyspecies,includinghu- mans. Hecontinuestocontributeandguidethoughtintheseareas. The participantsofthissymposiumrecognizedDr. Enders'impressivecontribu- tionsbyholdingthiseventinhishonor. DANIELD. CARSON * Contents Preface vii Contributors xiii PartI. Development and Future ofHuman In Vitro Fertilization and Embryo Implantation I. ImplantationintheHumanasViewedbyCanonLaw, CivilLaw,andNaturalReason 3 HOWARDW. JONES, JR. , RICHARDA. MCCORMICK, AND SUSAN L. CROCKIN 2. TheImpactofMaternalAgeandOvarianAge onImplantationEfficiency...12 STEVEN SPANDORFER AND ZEV ROSENWAKS Part II. CellularAspects ofImplantation 3. VascularInvasionDuringImplantationandPlacentation 23 ALLEN C. ENDERS AND THOMASN. BLANKENSHIP 4. OxygenRegulatesHumanCytotrophoblastProliferation, Differentiation,andInvasion:Implicationsfor EndovascularInvasioninNormalPregnancy andPreeclampsia 39 OLGA GENBACEV,YAN ZHOU, MICHAEL T. McMASTER, JOHNW. LUDLOW, CAROLINEH. DAMSKY, AND SUSAN1. FISHER 5. Embryo-MaternalInteractionsafterDiapause inaMarsupial 54 MARILYNB. RENFREE AND GEOFFREY SHAW IX x Contents 6. CellularInteractionsandtheCysteineProteinases intheProcessofMouseImplantation 67 BRUCE BABIARZ, SUZANNE AFONSO, ANDLINDA ROMAGNANO Part III. HormonalRegulation 7. NovelSteroid-RegulatedMarkersofImplantation 83 INDRANIC. BAGCHI 8. MolecularSignalinginImplantation 92 SANJOYK. DAS, BIBHASHC. PARIA, AND SUDHANSU K. DEY 9. IdentificationofProgesterone-RegulatedGenes intheUterus 107 CINDEER. FUNK, BERTW. O'MALLEY, AND FRANCESCO1. DEMAYO PartIV. MolecularMarkersofReceptivity 10. MucinsProvideaBarriertoEmbryoImplantation 123 MARYM. DESOUZA, GULNARA. SURVEYOR, XINHUI ZHOU, JoANNE JULIAN, ANDDANIELD. CARSON II. PotentialInvolvementofTrophinin,Bystin, andTastininEmbryoImplantation 132 MICHIKON. FUKUDA, DAITA NADANO,NAO SUZUKJ, AND JUN NAKAYAMA 12. OsteopontininHumanEndometrium: ARoleinEndometrialReceptivityand EmbryoImplantation? 141 CHRISTOS COUTIFARJS,AKINYINKA OMIGBODUN, PIOTR ZIOLKIEWICZ, AND JOHN HOYER PartV. TrophoblastFactors 13. TheRabbitasaModelforImplantation: InVivoandInVitroStudies 151 LORENH. HOFFMAN,D. RACHEL BREINAN, AND GARETHL. BLAEUER 14. RegulationofTrophoblastEndocrineFunction: ThePlacentaDoesItsOwnThingTranscriptionally...161 JEROMEF. STRAUSSIII ANDLEE-CHUANKAo Contents XI 15. TranscriptionFactorsRegulatingtheDifferentiation oftheTrophoblastCellLineage 167 IANC. SCOTTANDJAMESC.

A collection of 25 thought provoking Essays which create a bridge between the Classical personification of values and link them to current training and education in Western Medicine. This readable and erudite text provides a framework for modern clinical values - with a particular emphasis on anesthesiology - set in the context of ageless dilemmas facing each generation of physicians. Medicine as a profession carries some specific obligations.The qualities of empathy, knowledge, generosity, respect, and scholarship provide a "family" of values that was personified by the Ancients in the family of Asklepios, and which form the basis of professional values today. Moreover, a substantial amount of professional growth should come from reflection based on the experience of caring for real patients - an appreciation of the human condition. Each essay within this beautifully crafted book illustrates the importance of expertise, skill, focus, mindfulness, and collaboration, all of which are integral to professionalism in medicine, and in particular to those working in the field of anesthesiology. Anesthesiologists, Certified Registered Nurse Anesthetists and Anesthesia Assistants will find much to enhance their professional understanding within this text. The principles, values and traits of professionalism are relevant to all medical specialties and these essays provide a lyrical understanding of the traits required for professional development.

1. Clinical cases set out as questions that are mapped directly to the curriculum and following the order of the RCoA curriculum 2. A focus on clinical anaesthesia with common cases, that can be used in the clinical environment either for teaching or as a refresher 3. Short, quick-fire cases that enable learning and retention of information with a summary of key points to remember for each question

Keyhole surgery has been made possible through the rapid development of various medical technologies, first pioneered in the 1970s. Revolutionary in the way it reduced the risk, surgical complications, healing time and scarring compared to open surgery, keyhole surgery soon became the preferred method throughout many surgical specialities.Here, John Wickham, the 'godfather' of robotic surgery, reflects on a life spent in research, discovery and struggle for innovation in order to make keyhole surgery widespread, accessible and available to patients. An Open and Shut Case tracks the evolution of surgery in the later parts of the 20th century, from initial surgical training in the 1960s to the rapid growth in the field of minimally invasive techniques throughout the 1970s and 80s in many specialities, precursors to the techniques used today. It concludes with a look at the effect of the National Health Service on the practice of medicine and nursing in the UK throughout this time.Perfect for surgeons and those interested in the history of surgery and surgical techniques, it also focusses on lessons learnt, both good and bad, when dealing with the management of public health.

Keyhole surgery has been made possible through the rapid development of various medical technologies, first pioneered in the 1970s. Revolutionary in the way it reduced the risk, surgical complications, healing time and scarring compared to open surgery, keyhole surgery soon became the preferred method throughout many surgical specialities.Here, John Wickham, the 'godfather' of robotic surgery, reflects on a life spent in research, discovery and struggle for innovation in order to make keyhole surgery widespread, accessible and available to patients. An Open and Shut Case tracks the evolution of surgery in the later parts of the 20th century, from initial surgical training in the 1960s to the rapid growth in the field of minimally invasive techniques throughout the 1970s and 80s in many specialities, precursors to the techniques used today. It concludes with a look at the effect of the National Health Service on the practice of medicine and nursing in the UK throughout this time.Perfect for surgeons and those interested in the history of surgery and surgical techniques, it also focusses on lessons learnt, both good and bad, when dealing with the management of public health.

In dem Buch sind alle relevanten Verfahren der laparoskopischen Chirurgie beschrieben: mit detaillierten Anleitungen und Farbfotografien zu jedem Operationsschritt, prägnanten Informationen zu Indikation, Operationsvorbereitung und Nachsorge. Auch Single-Port-Verfahren, Operationsvarianten, technische Besonderheiten sowie spezielle Komplikationen und ihre Therapie werden berücksichtigt. Die 3. Auflage enthält zusätzliche Abbildungen, sie wurde aktualisiert und um Abschnitte zur Versorgung von Narbenhernien und zu neuen OP-Verfahren erweitert.