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.

Radical prostatectomy involves the surgical removal of the entire prostate gland and the seminal vesicles. Recently the open operation has been challenged by laparoscopic and robotic techniques. However, making the transition to this new technology is not an easy option. Avoiding surgical complications such as incontinence and ensuring continued erectile function following the procedure requires good surgical technique by whatever means. The editors and their distinguished team of contributors from around the world offer the reader their guidance based on personal experience and best surgical practice. Radical Prostatectomy is required reading for all those performing radical prostatectomy by open, laparoscopic or robotic techniques.

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.

Contains over 500 detailed photographs, drawings and tables that illustrate and clarify operative techniques in step-by-step detail
This detailed reference supplies the latest and most comprehensive information available on new and innovative methods and techniques of cutaneous scar revision and removal.
Written by more than 40 contributors who address one of the most important problems facing dermatologists and surgeons, Surgical Techniques for Cutaneous Scar Revision
offers recommendations for the prevention of postoperative complications
discusses information on the biomechanical properties of skin
advises on planning elective incisions, excisions, and scar revisions
describes recent advances such as laminal dermal reticulotomy, scalpel sculptural technique, subcutaneous incisionless technique, and laser treatment
gives an overview of scar tissue formation
considers problems caused by an overgrowth of scar tissue
explores types of wounds and individual peculiarities that influence scarring
emphasizes careful study of an unsatisfactory scar and accurate scar analysis
stresses scar prevention and minimization by properly managing the initial wound
covers the cultural and psychological aspects of skin defects
and more
Responding to patient demand for more specialized and comprehensive treatment, Surgical Techniques for Cutaneous Scar Revision is an invaluable reference for dermatologic surgeons; dermatologists; reconstructive, plastic, and cosmetic surgeons; general surgeons; otolaryngologists; ophthalmologists; orthopedic surgeons; family physicians; and medical students in these disciplines.

Within the past twenty years, the field of robotics has been finding many areas of applications ranging from space to underwater explo rations. One of these areas which is slowly gaining popularity among the users group is the notion of service robotics. This book is an in vestigation and exploration of engineering principles in the design and development of mechanisms and robotic devices that can be used in the field of surgery. Specifically the results of this book can be used for designing tools for class of Minimally Invasive Surgery (MIS). Generally, Minimal Invasive Surgery (MIS), e. g. laparoscopic surgery, is performed by using long surgical tools, that are inserted through small incisions at the ports of entry to the body (e. g. abdominal wall) for reaching the surgical site. The main drawback of current designs of en doscopic tools is that they are not able to extend all the movements and sensory capabilities of the surgeon's hand to the surgical site. By im proving surgical procedures, training, and more practice, it is possible for surgeons to reduce completion time for each task and increase their level of skill. However, even in the best cases the level of performance of a surgeon in Minimally Invasive Surgery is still a fraction of the con ventional surgery. Any dramatically improvement is usually driven by introduction of new tools or systems that in turn bring totally new pro cedures and set of skills."

Whether you're an experienced surgical technologist, or operating room personnel or just starting out in the field, SURGICAL MAYO SETUPS, 2nd Edition is the reliable, detailed resource you need for success in any operating room Newly revised with more than 130 Mayo-stand and back-table setups, this handy pocket reference is smartly organized with tabs according to surgical specialty, which helps you find the right set-up quickly and easily. A new introductory section on setup methods provides variations and photos for reference depending on specialty, procedure, facility, OR layout and personal preference. Each of the 12 surgery sections includes a brief overview, key considerations, and an alphabetical procedure list, along with a detailed guide to the instruments and equipment required for the procedure. Selected illustrations throughout the guide show the general Mayo-stand and back-table setup for more complicated procedures--to increase your confidence as your experience grows

This is a practical guide to using lasers in the Eye clinic and includes all commonly performed Lasers for a range of ocular conditions. It uses multiple illustrations of real-life fundus photographs, FFA images, OCT images and digitally modified retinal images to simplify learning the fundamentals of laser physics and physiology, laser safety and an overview of the variety of ophthalmic lasers in current use. It standardizes Laser procedures and serves as a reference guide for Ophthalmic trainees learning the technique that can be transferred to their clinical practice. The book simplifies understanding of Ophthalmic Lasers and answers common questions of how and why things are done. Key Features * Emphasizes on Nd-YAG Laser, Lasers in Glaucoma and Photothermal Lasers for Retinal Pathology, with clarity on techniques and pearls on dealing with common laser related issues that come with experience. * Provides content in a Q&A format which is ideal as a lesson from trainer to trainee and answers all the doubts and laser related questions a trainee may have and aids their learning and progression to performing Lasers safely and independently. * Uses digitally modified images with bullet points and reference text boxes, making the content user friendly and easy to understand.

Single Incision Laparoscopic and Transanal Colorectal Surgery provide a comprehensive and state-of-the art review of single incision laparoscopic and transanal colorectal surgery. The text concentrates on surgical techniques and tricks in single incision laparoscopic and transanal surgery with detailed descriptions of the techniques, as well as indications and limitations of the procedures. The newly available evidence on these procedures is emphasized and all procedures are richly illustrated with diagrams and photos. Written by experts in their fields, Single Incision Laparoscopic and Transanal Colorectal Surgery is valuable resource for general surgeons, colon and rectal surgeons, laparoscopic GI surgeons, surgical residents and fellows in training interested in these two rapidly developing fields in colorectal surgery.

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

This volume provides a comprehensive review and detailed description of surgical techniques for prostate cancer surgery. All aspects are covered, including surgical anatomy and methods of transrectal ultrasound guided prostate biopsies, step-by-step approach techniques for radical prostatectomy, and the latest data on outcomes. Furthermore, limitations as well as tips and tricks are detailed in addition to management of common complications. Lastly, with the increasing use of ablative therapy and brachytherapy, the mechanism of action as well as the keys to obtaining optimal outcomes are illustrated. Surgical Techniques for Prostate Cancer is a concise and valuable resource to surgeons that documents the different approaches to prostate cancer surgery.

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.

Performing a surgical operation could be compared to na- gating inside the human body. Two essential requirements are necessary for a successful apprenticeship: ? A perfect understanding of the roadmap, the anatomy ? Regular training with expert surgeon teachers showing str- egies, tactics, manoeuvres, and gestures to make the journey safe, efficient and fast For decades this was the way taken by apprentice-surgeons and also by surgeons already in practice concerned about upd- ing their knowledge. For years their only travelling companions were books, drawings, and pictures. However, printed medium cannot satisfactorily and properly reproduce the movements of a manoeuvring surgeon. In open surgery, only the two first - sistants can precisely capture by direct vision what is happ- ing in the depth of the operating field. Therefore, the duration of apprenticeship is long and restricted to a small number of people per teacher. The introduction of movie cameras into the operating rooms improved the quality of surgical education. But filming in open surgery is not so easy. The cameraperson has to be well trained to catch good takes in the depth of a pit between the heads, shoulders, and fingers of the surgeon and assistants. Most of the time, those constraints disturb the op- ator's manoeuvres, altering their pedagogical value. With the introduction of laparoscopic surgery (LS), using a video camera providing images in real time on a television screen, everything changed.

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

This is a comprehensive discussion of the ethical issues involved in i nforming patients of their rights and participation in medical treatme nt and research. The 30 chapters provide reference on a subject of maj or importance in medical ethics.

Addressing the need of pediatricians and pediatric surgeons for a one-stop, comprehensive text on pediatric surgery, Complications in Pediatric Surgery covers each case a physician may encounter upon treating the pediatric surgical patient, from fetus to adolescent. Complications in Pediatric Surgery provides separate and concise chapters, each of which concentrates on a specific area of the body. The chapters highlight common surgical errors and complications, as well as the approaches and techniques to be used in the face of such complications. Including key expert opinions in each section, this text explores following therapeutic areas: head and neck surgery thoracic and chest wall surgery extracorporeal life support fetal surgery abdominal wall and hernia surgery intestinal and vascular access esophageal surgery stomach, duodenum, and small intestine colon and anorectal surgery appendicitis hepatobiliary surgery surgery of the spleen oncologic surgery laparoscopic and thorascopic surgery pediatric trauma transplantation urologic surgery

Part of the Neurosurgery by Example series, this volume on pain neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within pain neurosurgery, including trigeminal neuralgia, postherpetic neuralgia, occipital neuralgia, percutaneous cordotomy for cancer-associated pain, chronic lumbar radiculopathy, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Pain Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.

With an emphasis on the "how and why" of contemporary surgery, Operative Techniques in Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Meticulously edited by Drs. Mary T. Hawn, Aurora D. Pryor, Steven J. Hughes, Michael S. Sabel, Kellie R. Brown and Amy J. Goldberg, this comprehensive, two-volume surgical atlas focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results. Coverage includes open as well as laparoscopic, robotic, endoscopic, and endovascular procedures in gastrointestinal, thoracic, esophageal, colorectal, hepatobiliary, breast, endocrine, dermatologic, vascular, and trauma surgery New, comprehensive section on trauma surgery, helmed by trauma expert Dr. Amy J. Goldberg New section editors for esophageal and foregut surgery and vascular surgery, Dr. Aurora D. Pryor minimally invasive surgery leader and Kellie R. Brown, expert in vascular surgery. New videos, personally selected by contributing authors and editors, accompany numerous chapters throughout the book Extensive updates throughout, including new coverage of the American Board of Surgery's SCORE Curricula for General Surgery and for Complex General Surgical Oncology Each procedure follows the same format: differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Thinking about a surgical career? About to start surgical training? Do you know what to expect and how to thrive? The Hands-on Guide to Surgical Training is the ultimate, practical guide for medical students and junior doctors thinking about taking the plunge into surgery, and also for surgical trainees already in training. It's full of invaluable, practical information and career guidance to ensure you get the most out of your surgical career. It offers general guidance and advice on surgical training, together with detailed information on each of the nine surgical subspecialties, each written by seniors and consultants, as you make both clinical and career-based choices. Undoubtedly one of the most comprehensive resources for surgical trainees available, The Hands-on Guide to Surgical Training will be essential reading throughout your training and surgical career. Take the stress out of surgical training with The Hands-on Guide

This book constitutes the refereed joint proceedings of the First International Workshop on OR 2.0 Context-Aware Operating Theaters, OR 2.0 2018, 5th International Workshop on Computer Assisted Robotic Endoscopy, CARE 2018, 7th International Workshop on Clinical Image-Based Procedures, CLIP 2018, and the First International Workshop on Skin Image Analysis, ISIC 2018, held in conjunction with the 21st International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2018, in Granada, Spain, in September 2018. The 11 full papers presented at OR 2.0 2018, the 5 full papers presented at CARE 2018, the 8 full papers presented at CLIP 2018, and the 10 full papers presented at ISIC 2018 were carefully reviewed and selected. The OR 2.0 papers cover a wide range of topics such as machine vision and perception, robotics, surgical simulation and modeling, multi-modal data fusion and visualization, image analysis, advanced imaging, advanced display technologies, human-computer interfaces, sensors. The CARE papers cover topics to advance the field of computer-assisted and robotic endoscopy. The CLIP papers cover topics to fill gaps between basic science and clinical applications. The ISIC papers cover topics to facilitate knowledge dissemination in the field of skin image analysis, as well as to host a melanoma detection challenge, raising awareness and interest for these socially valuable tasks.

This is the first book to cover all currently available methods to manage pre-, intra- and post-lacrimal sac stenosis. Comprehensive multidisciplinary approaches in adults and children are described. International experts provide a stepwise analysis and describe the clinical management of these patients with detailed medical and surgical treatment plans. With this guide's highly structured and reader-friendly format, the reader will be able to solve any problem that may occur with the reconstruction of a disturbed or damaged lacrimal system.

Soft and Stiffness-controllable Robotics Solutions for Minimally Invasive Surgery presents the results of a research project, funded by European Commission, STIFF-FLOP: STIFFness controllable Flexible and Learn-able manipulator for surgical Operations. In Minimally Invasive Surgery (MIS), tools go through narrow openings and manipulate soft organs that can move, deform, or change stiffness. There are limitations on modern laparoscopic and robot-assisted surgical systems due to restricted access through Trocar ports, lack of haptic feedback, and difficulties with rigid robot tools operating inside a confined space filled with organs. Also, many control algorithms suffer from stability problems in the presence of unexpected conditions. Yet biological "manipulators", like the octopus arm can manipulate objects while controlling the stiffness of selected body parts and being inherently compliant when interacting with objects. STIFF-FLOP robot is an innovative soft robotic arm that can squeeze through a standard MIS, reconfigure itself and stiffen by hydrostatic actuation to perform compliant force control tasks while facing unexpected situations. Technical topics discussed in the book include: - Soft actuators - Continuum soft manipulators - Control, kinematics and navigation of continuum manipulators - Optical sensors for force, torque, and curvature - Haptic feedback and human interface for surgical systems - Validation of soft stiffness controllable robots

Developed by the American Society for Metabolic and Bariatric Surgery (ASMBS), The ASMBS Textbook of Bariatric Surgery provides a comprehensive guide of information dealing with the ever evolving field of bariatric surgery. Volume II: Integrated Health is divided into 3 sections: bariatric medicine, psychosocial and nutritional aspects of bariatric surgery. The first section deals with the psychosocial issues associated with morbid obesity. The second section deals with the role of bariatric physicians in preoperative and postoperative support of the bariatric patients. The nutritional section discusses the preoperative and postoperative nutritional support for the bariatric patient. The ASMBS Textbook of Bariatric Surgery will be of great value to surgeons, residents and fellows, bariatric physicians, psychologists, psychiatrists and integrated health members that manage the morbidly obese.

This book will enable the reader to gain a sound understanding of contemporary and futuristic evidence-based interventions and assessment procedures for pelvic floor disorders. It gathers the experiences of some of the most important experts on electrical stimulation techniques, offering a multidisciplinary and problem-oriented approach organized according to therapeutic goals. Interventions are recommended that are consistent with theory and display clinical efficacy for specific disorders, including urinary incontinence or retention, fecal incontinence, constipation, pelvic pain, sexual dysfunction and neurological diseases involving the pelvic floor. All of the surgical or rehabilitative techniques requiring electrical stimulation for the treatment of these disorders are explored and essential background information is provided on functional anatomy, neurophysiology and concepts in electrotherapy. This volume will be a very useful tool for urologists, general or colorectal surgeons, gynecologists and anesthesiologists and also physiotherapists and alternative medicine practitioners (a specific chapter focuses on electroacupuncture). It will assist in their clinical practice as they seek to help the very many patients who suffer from any of the wide range of functional pelvic floor disorders.

The increasing prevalence of morbid obesity has led the World Health Organization to coin the descriptive term "globesity" to reflect the worldwide nature of the problem. Providing health care to these patients, especially when surgery is required, can be extremely challenging owing to the specific needs in respect of logistics, facilities, and professional expertise. Appropriate care has to date often been unachievable and unaffordable outside of established bariatric centers, but such centers themselves usually have insufficient capacity and resources to cope with the demand among the general population. This book therefore provides a wealth of guidance and helpful tips and tricks on how to deal with obese patients within a general surgery setting. Importantly, it highlights the need for global rethinking on public health as regards resource allocation and patterns and standards of care, with the ultimate goal of improving outcomes through greater affordability.