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.

Despite enormous advances made in the development of external effector prosthetics over the last quarter century, significant questions remain, especially those concerning signal degradation that occurs with chronically implanted neuroelectrodes. Offering contributions from pioneering researchers in neuroprosthetics and tissue repair, Indwelling Neural Implants: Strategies for Contending with the In Vivo Environment examines many of these challenges, paying particular attention to how the healing of tissues surrounding an implant can impact the intended use of a device. The contributions are divided into four sections * Part one examines wound healing from the initial insertion trauma through the inflammatory and repair process, explaining how the action of healing varies throughout different areas of the body. * Part two considers various performance issues specific to particular implant components, including those that arise from the chemical, mechanical, thermal, and electrical impact on surrounding tissues. It discusses challenges that result from chronic tissue stimulation and heat effects that occur with on-chip and telemetric processing. * Part three presents both in vitro and in vivo approaches to assessing wound healing response to materials. It includes the contribution of the developer of a chronic hollow fiber membrane implant who explains how an in vivo model is used to assess molecular transport in brain tissue surrounding the implant. * The final section evaluates molecular and materials strategies for intervening in CNS wound repair and enhancing the electrical communication between the electrode surface and the surrounding tissue. It also presents novel approaches to nerve regeneration and repair.

Despite the rising popularity of the minimally invasive laparoscopic option, open nephron-sparing surgery is still seen by many experts as the 'gold standard' for open surgery for kidney tumors and should remain the first choice for many patients. This challenges the idea that less-invasive therapies are always more desirable than open surgery. While laparoscopic nephron-sparing surgery may be a more attractive option for treating small, easily accessible kidney tumors, for large tumors this is not always the case. Nephron-sparing surgery is a outstanding text that analyses all forms of surgery, open or laparoscopic, as well as providing a backdrop on renal cell carcinoma in general, and the complications and outcomes following surgery that both surgeon and patient will face. Featuring 100 colour photos, the text includes chapters on: Imaging renal masses: current status Open nephron-sparing surgery for renal cell carcinoma Minimally invasive approaches for renal cell carcinoma: an overview Laparoscopic partial nephrectomy Controversies in nephron-sparing surgery Renal cell carcinoma: long-term outcome following nephron-sparing surgery Dr Sasidharan and Professor Soloway have created a superb text covering all aspects of nephron-sparing surgery that should provide excellent guidance for all those who are just beginning to perform nephron-sparing surgery or act as an aide-memoire for those familiar with nephron-sparing surgery.

Supplemented with numerous tables and an abundance of up-to-date references, this source analyzes methods in preoperative, perioperative, and postoperative assessment on an organ-by-organ basis thoroughly discusses the evaluation and monitoring of GI physiology with a chapter by an acknowledged expert in the field provides an expert overview of the prediction of surgical outcomes spans the most recent advances in perioperative fluid management clearly outlines clinical procedures of anesthesia for oesophagectomy alongside relevant clinical trials demonstrates techniques in anesthesia for fast track colonic surgery explores the burgeoning area of regional anesthesia for abdominal surgery with a section by an acknowledged specialist on the topic This resource stands as the only authoritative text to specifically focus on developments and best practices in anesthesiology for procedures affecting the gastrointestinal tract and related appendages. This book provides in-depth coverage of topics such as risk assessment, stress response, and scoring, as well as spans anesthetic trends and practices for endoscopic and laparoscopic procedures, as well as a variety of invasive procedures including hepatobiliary, pancreatic, colorectal, colonic, and abdominal surgeries.

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.

Spinal manipulation under anesthesia (MUA) is a procedure intended for patients who suffer from musculoskeletal disorders in conjunction with biomechanical dysfunction. Performed using monitored anesthesia care, this technique is overcoming its controversial image and receiving regular use by a great number of practitioners. Manipulation Under Anesthesia is the first book to present the procedure from a historical perspective to present day use. Focusing on all aspects of MUA technique, the text provides an outline that represents this procedure from a scientific perspective, along with information concerning patient selection criteria, and documentation explaining outcomes from patient procedures. It discusses the protocols and standards by which the procedure should be incorporated into the facilities where it is being performed, features an overview of the generic procedure and policies for documenting results, and addresses the overall use of the procedure from pre-MUA through post-MUA rehabilitation. With justification for the procedure from both a clinical and patient management standpoint, this unique compilation of information is useful as both a reference and as an educational aid for doctors. It provides the necessary tools for investigating the procedure and incorporating it into any healthcare specialty.

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.

"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.

This book offers useful insight into the new dermatologic surgical applications of radiofrequency, besides elaborating the basic applications of the same exhaustively. This book will also provide invaluable practical inputs for the skillful management of surgery in Dermatology and Aesthetic practice.

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

This text covers tumescent liposuction and fat transfer techniques and how they have developed into extremely safe, reliable, and efficacious procedures. Thirty-five respected surgeons discuss the safety of tumescent liposuction techniques, an anatomical approach to tumescent liposuction surgery, and the latest and greatest surgical tips from the experts.

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.

Minimize postoperative complications Emphasizes the latest tools and step-by-step procedures to increase the safety, predictability, and long-term stability of LASIK procedures LASIK discusses in-depth preoperative patient evaluation, preparation, and selection the use of computerized videokeratography and wavefront technology for appropriate preoperative assessment and postoperative evaluation surgical strategies and techniques LASIK is a timely and authoritative source for refractive, corneal, and cataract surgeons; ophthalmologists; optometrists; ophthalmic surgeons; and upper-level undergraduate, graduate, and medical students in these disciplines.

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.

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.

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.

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.

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.

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.

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.

"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.

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The bestselling author of Complications reveals what you need to be a great surgeon - and shows how everyone can improve at what they doThe struggle to perform well is universal, but nowhere is this drive to do better more important than in medicine. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.His vivid stories take us to battlefield surgical tents in Iraq, to a polio outbreak in India and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine and recounts the astoundingly contentious history of hand-washing. Finally, he gives a brutally honest insight into life as a practising surgeon.Unflinching but compassionate, Gawande's investigation into medical professionals and their progression from good to great provides a detailed blueprint for success that can be used by everyone.

Resolving to expedite the recovery process, this reference describes a comprehensive multimodal approach to intraoperative regional anesthesia and postoperative analgesia in patients undergoing major lower extremity orthopedic surgery-spanning the entire selection of regional anesthesia equipment, strategies in pain management, and practical treatment guidelines for the management of inpatient and ambulatory peripheral nerve catheters. The authors' systematic approach to regional anesthesia and analgesia in patients undergoing total joint replacement has been recognized for its scientific and educational value by the American Academy of Orthopaedic Surgeons and the American Society of Anesthesiologists This guide helps readers by: -offering prudent, practical management guidelines for optimal medical care -describing needle redirection cues for each block -illustrating anatomical landmarks for selecting the needle insertion site -supplying detailed medical illustrations of proper positioning for the patient and proceduralist

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.