This first guide devoted to this burgeoning topic, this authoritative reference presents the current understanding of the phenomenon of aseptic loosening of total joint replacements from the molecular and cellular mechanisms of periprosthetic bone loss to the clinical presentation and management strategies-reviewing the properties of ceramic, metal, and polymer materials used in the replacement of joints, as well as current research on bone remodeling, wear resistance, the long-term care of implants, and emerging developments in gene therapy and tissue engineering.

Atlas of Robotic General Surgery is a state-of-the-art reference in the rapidly changing field of robotic general surgery. It presents a comprehensive overview of current options across the entire spectrum of general surgery, with contributions by key opinion leaders in their respective fields. This unique text-atlas describes the latest trends and detailed technical modifications from the routine to the most complex procedures, highlighted by step-by-step, vividly illustrated instructions, intraoperative color photographs, and a unique narrated video collection. Atlas of Robotic General Surgery is an invaluable resource to residents, fellows, and practicing surgeons to help them successfully implement and apply robotics in their training and/or everyday practice. Provides detailed instruction on robotic procedures of the abdominal wall, foregut, bariatric, hepatobilliary, colorectal, and endocrine surgeries, for a unique, all-in-one surgical resource. Offers vividly illustrated guidance on all current robotic procedures through step-by-step instructions, intraoperative color photographs, and expertly edited, narrated video clips. Highlights the common technical pitfalls of each procedure as well as prevention and management of common perioperative complications. Features expert contributions from key foregut, bariatric, oncologic, hepatobiliary, and colorectal surgeons. Includes up-to-date coverage of the appropriate pathways for mastering robotics, practice optimization, and programmatic viability, as well as resident training curricula. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

"Engineering for Patient Safety: Issues in Minimally Invasive Procedures" is a brief study of how human factors engineers have worked with medical personnel to improve patient safety and reduce medical error in the newest minimally invasive surgical procedures. In traditional surgery, surgeons had the advantages of three-dimensional vision and hands-on feedback as a result of direct contact with instruments and tissue. While the new surgical techniques have cost benefits and generally reduce patient trauma and recovery time, a whole new cast of potential problems has been introduced and there are greater risks of medical error.
This book features:
*an explanation of new technologies to improve minimally invasive procedures, starting with task analysis, problem assessment, instrument design, and evaluation of the new technologies;
*examples from laparoscopy, arthroscopy, virtual colonoscopy, and cardiovascular catheter interventions; and
*future projects and research fields.
This study is of interest to human factors researchers who focus on health care, designers and manufacturers of medical equipment, and surgeons and technicians.

Microwave ablation is a simple, affordable, and highly precise technique. After its successful application in treating liver tumors, it is now widely used to combat renal tumors, adrenal tumors, thyroid nodes, uterine fibroids and other solid tumors. This book presents 40 successful cases of treating these diseases. A series of picture before treatment, after treatment and from different angles is provided for each kind of tumor treatment. In each chapter, step by step operative techniques and illustrations are included. This book also examines CT, NMR and ultrasonography to evaluate the effect of microwave ablation. Editor Ping Liang, is the Director and Professor at Dept. of Interventional Ultrasound, General Hospital of PLA, Beijing, China. Editor Xiaoling Yu is Professor and Chief physician, Editor Jie Yu is Associate Chief physician at the same department.

This beautifully illustrated book provides a practical step-by-step guide to all the laparoscopic and hysteroscopic procedures performed by gynecologists. Each procedure is described in detail and fully illustrated with color photographs. The potential complications are described, and the circumstances in which a procedure is contraindicated are examined. The Third Edition of the "Manual of Laparoscopic and Hysteroscopic Techniques" has been expanded and extensively updated with new chapters including: transvaginal hydrolaparoscopy, laparoscopy radical trachelectomy, laparoscopic abdominal cerclage, and hysteroscopy sterilization. "Manual of Laparoscopic and Hysteroscopic Techniques" is an invaluable resource for busy practicing gynecologists who want to learn step-by-step techniques of a surgical procedure.

Thoroughly discussing the varied elements of meniscal damage and repair, Meniscal Injuries: Management and Surgical Techniques includes the insights and expertise of over 20 leading surgeons and researchers on topics ranging from meniscal anatomy, physical examination, innovative resection and repair techniques, gene therapy, and tissue regeneration. This treatise offers wisdom aimed at assessing true surgical candidates, exploring the intricacies of meniscal composition and function, an overview of meniscal scaffolds and replacements, and patient examination pearls. Also discussed in depth is cutting edge research concerning meniscal repair enhancement, nanofiber technology as a means of meniscal replacement, and biologic agents directed toward chondral protection. All the science presented will direct the sports medicine practitioner to state-of-the-art treatment aimed at knee preservation. Meniscal repair and regeneration is a rapidly evolving science - early attempts at meniscal restoration or repair resulted in short-term gains which often sacrificed long-term joint integrity. Now, the practitioner is afforded numerous means of retaining or restoring meniscal tissue. Breakthroughs in scaffold and allograft replacement, as featured herein, offer the promise of articular cartilage preservation like never before. In addition, tissue regeneration and gene therapy techniques, featured throughout, offer a glimpse into emerging technologies aimed at preserving or replacing meniscal tissue in previously considered "hopeless" cases. As such, Meniscal Injuries will be an indispensible resource to orthopedic surgeons and sports medicine practitioners interested in providing the absolute most contemporary and evidence-based care to their patients.

This book on spinal restabilization techniques is an anatomical, biomechanical, clinical, radiological, and surgical overview of the diagnostic methods and newest treatment options for use in patients presenting with degenerative disc disease associated with spinal instability. Edited by a Neurosurgeon and a Neuroradiologist with extensive experience in these areas, it covers the most current information in the field of modern spinal corrective surgery. The varied therapeutic options are presented by many of the primary inventors and first users of the wide array of newly developed and individually unique intersegmental stabilization devices, interbody disc fusion appliances and intervertebral disc replacement implants. This international collection of chapters is intended to be of interest not only to spine surgeons, but also to any physician involved in the diagnosis and treatment of degenerative disc disease and spinal instability that is resistant to conservative management.

This book describes the current applications of the robotic system in general surgery, focusing on the technical aspects of the procedures most commonly performed by this means. It provides a comprehensive overview of the state of the art in robotic surgery and presents the most recently available evidence as documented in the literature. The opening chapters review robotic platforms, discuss the general advantages, limitations, and strategies of robotic surgery, and identify challenges and critical elements when setting up a robotic program. The full range of applications of the robotic system is then covered, encompassing thoracic, esophageal, gastric, hepatobiliopancreatic, splenic, colorectal, endocrine, and transplantation surgery. Detailed attention is also paid to innovative applications and future trends in the robotic platform, with inclusion of a special chapter on fluorescence imaging during robotic procedures. The book closes by considering aspects related to credentialing and privileging, such as mentoring, proctoring, and teaching modules for residents and fellows. Against the background of increasing acceptance of the robotic surgery system across the globe, this book will be invaluable for all general surgeons. There is no doubt that within general surgery the system will continue to flourish on account of its undoubted technical advantages, which minimize most of the intrinsic shortcomings of laparoscopy.

Minimally invasive procedures are increasingly utilized and are replacing open surgery to reduce scarring and pain, enhance patient recovery, and minimize cost. This guide provides step-by-step guidance, expert instruction, and detailed illustration of the most recent minimally invasive orthopedic spine procedures. With a variety of chapters covering critical developments in the field including the utilization of biologic materials, image-guided surgery, and bone fusion, this guide delves into discussions of indications, methods for preoperative planning, complication avoidance strategies, and patient outcomes.

Molecular Bases of Anesthesia provides a clear overview of the state of knowledge about anesthetic mechanisms at the molecular level of occurrence and focusing on the latest state-of-the-art techniques that relate to how anesthetic drugs cause unconsciousness.

With contributions by leading experts, this timely book includes chapters on how to evaluate theories of anesthesia in general and includes discussion of some of the techniques, such as genetics, that can be used to address problems. Also discussed are anesthetic actions at major brain targets with a special emphasis on ion channels and areas of controversy in the field.

This reference provides a broad survey of anesthetic actions, including hyperbaric pressure and anesthesia; volatile anesthetic interactions with proteins; and structure activity relationships of volatile anesthetics. Molecular Bases of Anesthesia stands alone as an in-depth, authoritative guide.

The validation and radiation sterilization process for biomaterials and medical devices requires careful planning to ensure regulatory compliance followed by precise accuracy in execution and documentation. This in-depth guide details all steps from prevalidation planning to final report and ongoing monitoring and control. Sterilization Validation & Routine Operation Handbook: Radiation provides a framework for the validation and routine operation of an irradiation sterilization process. The guidance presented complies with ANSI/AAMI/ISO 11137: 1994, Sterilization of health care product-Requirements for validation and routine control-Radiation sterilization and the newly published AAMI substantiation of 25 kGy using VDmax procedure. The author discusses methods to aid in comprehending the requirements in these standards. She also provides practical procedures for the validation and routine monitoring and control of specific gamma and electron beam radiation sterilization processes.

As technology advances, practicing or training otolaryngologists register in educational courses to refresh their surgical skills and stay abreast of these changes. While information is becoming available in several journals, there is a definite need for a single surgical atlas-like book that contains precise descriptions of the surgical techniques used in rhinology and sleep apnea surgery. Each chapter was written by surgeons with extensive experience in each topic who have already published on the specific procedure described. Each chapter contains diagrammatic or illustrative descriptions of surgical techniques and provides tips and pearls of wisdom to avoid complications when the procedures are performed. This comprehensive work of surgical information serves as a valuable resource for otolaryngologists in training to augment their surgical education and for practicing otolaryngologists as a review source to best approach the surgical pathologies they encounter in their practice of rhinology and treatment of sleep apnea.

Knee ligament injuries are very common and are frequently sports related, although they may arise from trauma experienced during everyday activities. This book provides in-depth descriptions of the extra articular surgical techniques that may be employed when performing ligament reconstruction in patients with injuries involving the posterolateral and posteromedial corners of the knee. It is intended as a practical, "how to" manual that will be of value for both the trainee and the more experienced surgeon. Many of the techniques relate to the central pivot of the knee, i.e. the anterior and posterior cruciate ligaments. For each technique, indications, presurgical planning, postsurgical follow-up and complications are discussed in addition to the surgical details. Numerous tips and pearls are provided and the techniques are clearly depicted in informative high-quality illustrations.

This is a book about the psychological journey women make when they become pregnant, give birth and adjust to life after childbirth. The focus of the book is on three main issues: The experience for women, their families and caregivers, the psychologicalneeds of women and their families at this time and the best way for caregivers to meet these psychological needs. The contributions in this book should provoke thought, discussion and debate about the psychological side of maternity care, and ultimately enhance the psychological care that is given to women and their families before, during and after childbirth.Multidisciplinary approach to subject Includes key points for caregivers in each chapter Includes new researdch findings fron qualitative and quantitative studies Includes comprehensive reviews of current literature

This unique reference in laparoscopic colorectal surgery starts by looking at the establishment of the Lapco training programme in the UK. It then goes on to provide a comprehensive technical manual of operative and patient care for laparoscopic colorectal surgery, offers insight into training and assessment methodology and finally looks to the future and where we may be going. It shares knowledge of a unique training programme which healthcare systems worldwide are trying to emulate, and provides an up-to-date manual of know-how from some of the world's most experienced laparoscopic colorectal trainers.

Advances
J. Maarrawi, P. Mertens, R. Peyron, L. Garcia-Larrea, M. Sindou: Functional exploration for neuropathic pain. - Z. H. Rappaport: The neuroscientific foundations of free will. - A. Hejcl, P. Jendelova, E. Sykova: Experimental reconstruction of the injured spinal cord. - M. Visocchi: Advances in video-assisted anterior surgical approach to the craniovertebral junction.
Technical Standards
N. Akalan: Myelomeningocele (Open spina bifida): Surgical management. - M. Stoffel, C. St er, F. Ringel, B. Meyer: Treatment of infections of the spine. - I. Massimi, F. Novegno, C. di Rocco: Chiari Type 1 malformation in children.

Minimally Invasive and Robotic Thyroid and Parathyroid Surgery is the first textbook which includes a comprehensive review of both minimally invasive and robotic thyroid and parathyroid techniques. Over the last several years there has been a rapid expansion in the number of different surgical approaches available to patients undergoing thyroid and parathyroid surgery. This book consolidates these in one source and focuses on both the philosophy and techniques of these procedures. For thyroid surgery, the text covers the full range of minimally invasive procedures and several of the most widely adopted remote access techniques. Several related procedures are also discussed, including minimally invasive approaches to central and lateral neck dissection. For parathyroid surgery, several minimally invasive techniques are covered, including radio-guided surgery. Written by experts in the field of thyroid and parathyroid surgery, Minimally Invasive and Robotic Thyroid and Parathyroid Surgery serves as a critical resource for both experienced and less experience surgeons, fellows, residents, and students interested in understanding the breadth of this field or learning the specific steps of a particular technique.

Compiled by two experts in Reproductive Medicine, with contributions from internationally respected specialists, this innovative text lets the whole team in Reproductive Medicine get literally on the same page. Taking a cook-book approach to the operational procedures in the laboratory and in the clinic, it details what needs to be prepared in advance, what needs to be prepared earlier the same day, and what steps to take before, during, and after the procedure itself. This is an essential tool for ensuring all staff - whether experienced or starters - can be confident in their tasks and are in touch with what is expected of them and their colleagues.

Biportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding.

"Textbook of Laser Refractive Cataract Surgery "is a comprehensive reference for the general ophthalmologist and cataract surgeon regarding the explosive new technology in femtosecond laser cataract surgery. Femtosecond laser allows extreme precision in surgery, and is used in refractive surgery and for cuts in the cornea, leading to a more uniform treatment for the patient. "Textbook of Laser Refractive Cataract Surgery "is for cataract surgeons and all eye care providers managing or diagnosing cataracts who wish to be informed about this technology and its applications.

Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery.

Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery.

"

This book provides an authoritative overview of the global development of surgical paediatrics. Biographical accounts of key people who developed this relatively new specialty, many of whom are now household names, are presented. The compendium also acknowledges the enormous contribution of imaging (ultrasound/MRI and PET scans), minimal invasive surgery, and fetal surgery, as well as the role of related journals and associations, in the progress of surgical paediatrics. Many of the contributors have been instrumental to the development of surgical paediatrics in their respective countries, and have considerable worldwide influence on the management of children requiring surgical care. Through their valuable insight and first-hand experience, this book not only shines a light on the past achievements of previous generations of paediatric surgeons, but also serves as a model to encourage future generations to do likewise.

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.

This book, written by expert surgeons, offers a comprehensive and up-to-date overview of all aspects of laparoscopic cholecystectomy. Coverage includes the indications for surgery, anesthesia, surgical technique, and the prevention and management of complications, with extensive reference to the latest clinical evidence and assessment of the benefits of the laparoscopic approach, for example in terms of outcomes and day surgery. New technologies, including SILS, NOTES, robotic surgery, and miniaturized instruments, are reviewed. The learning curve and training are also extensively discussed, and an individual chapter is devoted to the views of international experts in the field. Readers will find the book to be an ideal guide to this gold standard technique, which continues to evolve some 20 years after the National Institutes of Health Consensus Conference first published recommendations regarding indications for laparoscopic cholecystectomy.

Drs. Guhl, Parisien, and Boynton have prepared a third edition of this successful volume, heretofore published by Slack (who no longer publishes books on orthopaedic surgery, only journals). The editors have invited a prestigious group of contributors, including such stellar names in the field as Ferkel, Lundeen, Tasto, etc. The new edition will address the most recent and valuable developments in foot and ankle arthroscopy, including the practical applications of instrumentation and technique in the clinical setting. Unique to this book are the imaging techniques, laser surgery, mid-foot arthroscopy, and most importantly - endoscopic surgery of the ankle and foot. Sections and chapters on anatomy, differential diagnosis, soft tissue pathology, rehabilitation, and again, unique to this volume, office and outpatient arthroscopy make this a comprehensive reference.

An All-Inclusive Guide to Surgical Techniques on Rats

The design of an adequate surgical model, like the choice of the animal model itself, is extremely important for obtaining reliable valuable data. Experimental Surgical Models in the Laboratory Rat summarizes a series of techniques that were applied in the Bone Biology Laboratories, School of Medicine, Rosario National University, Argentina.

Stopping just short of an exhaustive analysis of the techniques, this manual describes the basics of each surgical technique, the necessary materials, precautions to consider, the methodology to apply, and the possible results to be obtained in similar experiments.

CD-ROM: 250 Illustrations of Surgery Techniques with Step-by-Step Instruction

With succinct descriptions, color photographs, and easy-to-follow steps, the attached CD-ROM is a practical, full-color roadmap for performing various surgery techniques, such as catheterization, tracheostomy, intramuscular injection, subcutaneous injection, intraperitoneal injection, and oral intubation. This definitive work provides technical and practical data including volumes and concentrations of solutions, catheters used, equipment, and biological variables on the rat. Experimental Surgical Models in the Laboratory Rat is a complete reference for today's biomedical sciences investigator.