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.

In "Revision Sinus Surgery" the world's most prominent rhinologists illustrate their experience in diagnosing and managing recurrent sinus disease and skull base lesions. Starting with preoperative planning and medical management, these challenging cases are well-illustrated with the relevant surgical techniques. This invaluable resource is designed to prevent complications and improve the outcomes of revision sinus surgeries. Both practicing and in-training otolaryngologists can use this comprehensive volume as an all-in-one source for the evaluation and management of recurrent sinus disease and skull base pathology.

Written by renowned experts from Australia, Canada, the United States, Asia, and Europe, Telesurgery explains technical issues, digital information processing, and provides collective experiences from practitioners in different parts of the world who perform a wide range of telesurgery applications. This includes transatlantic telesurgery and telesurgery for urology, brachytherapy, Heller myotomy, etc. There are numerous graphics and clinical photographs throughout, which illustrate and illuminate the text well, providing high-quality visual reference material.

Telesurgery lays the foundation for the globalization of surgical procedures, making possible the ability of a surgeon located in one part of the world to operate on a patient located in another.

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.

The second half of the twentieth century saw vascu- agree or disagree, but will be stimulated to question lar surgery develop from a necessity for hemostasis their surgical management and explore possible - to a mature reconstructive art. However, this was ac- ternatives. companied by increasing patient expectations and The only certainty of the future is that it will bring the introduction of the alternative techniques of dila- change. An essential requirement for facing that tation and stenting. These factors have helped sur- change is multidisciplinary teamwork, and within geons to focus attention on the need for clinical audit that framework to define the roles of endovascular and to define clearly the limitations and standards of and invasive procedures, as well as the place of m- excellence that should be achieved in the specialty. ical management in the prevention and modification Vascular disease remains an extensive problem in of vascular disease.

Incisional hernia surgery has witnessed important advances over recent years, not only as far as the pathophysiological and etiopathogenetic aspects are concerned, but also from a technical point of view. This book provides an update on incisional hernia surgical techniques. It includes chapters on synthetic prostheses, biomaterials and robotics. Surgeons, surgical residents, and medical students will find the information in this volume very useful in their daily practice.

A compendium written by world leaders in laparoscopic urology from various teaching urological institutions in the US and UK who have contributed their tips and tricks in performing the various urologic procedures.

Each topic is limited to a few pages to produce a small and easy-to-read book. The book is extensively illustrated with line diagrams which are self-explanatory and greatly enhance the understanding various techniques, such as position of laparoscopic ports or technique of throwing a laparoscopic stitch.

Essential for urology residents, fellows, and practicing urologists, the book provides information that will be extremely useful in the performance of routine and advanced laparoscopic surgery, as well as when particular situations or difficult moments are encountered during surgery. While many journal articles may outline one authora (TM)s preference for a certain technique or trick, until now, there has been no compilation of the techniques of several authors. This handbook of tips and tricks from multiple specialists will be invaluable to residents and urologists already practicing laparoscopy.

by S. GUASCHINO Dean, Trieste University School of Medicine The society we live in is in continual development and has a number of priori ties for improving the standards of communication. The scientific sector in par ticular thrives on the exchange of information, which is the foundation of progress itself. The channels through which this interaction takes place are many and are aimed at optimising teaching methodology. Researchers and scholars, research centres and the places of higher learning themselves are increasingly aware of the growing importance of universities, which, thanks to their intrinsic ability to renew themselves, have taken on a vital central and propulsive role. Communication develops as a result of free exchange, debate of the materials available and the study of the various references and analysis sources. With the advent. of information systems, the teaching methodology has assumed a decisive role, both in terms of the quantity of data available and the quality of the information. Distance learning is a new and important opportu nity for the immediate future. The Anaesthesia and Critical Care School of Trieste has promoted this inter esting and highly relevant initiative by drawing together teaching material from the academic year 2003/2004. Numerous international lecturers have con tributed to this valuable achievement. In addition, a large part of the material is the fruit of a real consortium between the various Italian Schools of Anaesthesia."

The subject of this book is the study of the relative roles of CT and MRI for all tumors; by contrast comparison with clinical results, the respective indications for these techniques are clarified, in term of diagnosis treatment planning and survey with educational presentation of radiologic signs.

Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.

Safe Hands: a Handbook of Surgical Techniques is a concise guide to all basic surgical operations carried out in the operating theatre. It has been written by experts in each surgical discipline, and edited by two young surgeons who are well aware of the priorities for surgical trainees and assistants. As well as the description of procedure for each operation, the book also gives personal tips of encouragement and care, and warnings of potential problems. This book is an outstanding resource for all aspiring surgeons who are just setting out on their career, and can also serve as a handy reference for experienced practitioners.

Post-Operative Recovery and Pain Relief describes the major problems that may be encountered during recovery from anaesthesia and suggest how they may be avoided by careful monitoring, vigilant nursing and sound organization. The behaviour of patients during recovery is influenced by their pre-operative medical condition, by drugs they may receive both pre- and intra-operatively and by the nature of the surgery they have undergone. This updated and revised version of Eltringham's "Post Anaesthetic Recovery" contains sections devoted to each of these areas which reflect the current best practice. Post-Operative Recovery and Pain Relief will be of interest not only to nursing staff working in operating theatres and post-operative care units but also to those working in surgical units, house officers and junior anaesthetists.

Ideal for any on-call professional, resident, or medical student, this best-selling reference by Drs. Gregg A. Adams, Stephen D. Bresnick, Jared Forrester, and Graeme Rosenberg covers the common problems you'll encounter while on call without direct supervision in the hospital. On Call Surgery, 4th Edition, fits perfectly in your pocket, ready to provide key information in time-sensitive, challenging situations. You'll gain speed, skill, and knowledge with every call - from diagnosing a difficult or life-threatening situation to prescribing the right medication. Highlights medications, doses, and critical information in a second color for fast reference. Features a logical, highly templated format so you can locate key information quickly. Delivers consistent, easy-to-follow coverage of the most common on-call problems and approaches, including what to do from the initial phone call, questions you should ask to assess the urgency of each situation, "Elevator Thoughts," how to immediately identify major threats to life, what to do at the bedside, and how to avoid common mistakes for every call. Provides updated content and references, as well as an up-to-date drug formulary, keeping you on the cutting edge of current, evidence-based information. NEW! Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Natural Orifice Translumenal Endoscopic Surgery (NOTES) has the potential to change the practice of surgery as we know it. Proponents say advantages over laprascopic surgery include lower anesthesia requirements, faster recovery and shorter hospital stays, avoidance of transabdominal wound infections, less immunosuppression, better postoperative pulmonary and diaphragmatic function, and the potential for "scarless" abdominal surgery. In this text/video set, the leading world expert in NOTES shares his experience. Three sections cover fundamentals, current clinical applications and techniques, and future perspectives.

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.

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.

This book continues the tradition of providing a concise, accessible, and generously illustrated refresher for both novice and experienced clinicians. It contains thoroughly revised chapters and dozens of new richly colored illustrations, which make it much easier to follow the technique and better appreciate the anatomy. This fifth edition now includes robotic techniques for each relevant chapter. All the existing chapters have been updated to reflect current surgical approaches and instrumentation as well as a section on anatomical complications. Three new chapters on sports hernia, ablative techniques for venous disease, and on the kidney and ureter have also been added to help surgeons learn more about these structures. The fifth edition of Surgical Anatomy and Technique: A Pocket Manual provides the gold standard in correlating clear, practical anatomy with the correct technique in the pursuit of the best possible patient outcomes and remains a "must have" for every resident and general surgeon.

Surgical OSCEs for Medical Students offers readers nearly 70 stations showing how to address surgical problems in a consistent way, using a step-wise approach. Each case provides a structured step-by-step approach: Differential diagnoses History Examination - general and targeted Investigations required Diagnosis with pathophysiological explanation Management The book offers readers: Concise presentation of information to ensure rapid access to important facts Stimulating coverage of common surgical topics often encountered in OSCE examinations, such as abdominal distension, dysphagia, muscle weakness and sudden weight loss Valuable and trusted input from junior doctors who have successfully passed and supervised OSCEs

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.

Tales about organ transplants appear in mythology and folk stories, and surface in documents from medieval times, but only during the past twenty years has medical knowledge and technology been sufficiently advanced for surgeons to perform thousands of transplants each year. In the majority of cases individuals diagnosed as "brain dead" are the source of the organs without which transplants could not take place. In this compelling and provocative examination, Margaret Lock traces the discourse over the past thirty years that contributed to the locating of a new criterion of death in the brain, and its routinization in clinical practice in North America. She compares this situation with that in Japan where, despite the availability of the necessary technology and expertise, brain death was legally recognized only in 1997, and then under limited and contested circumstances. "Twice Dead" explores the cultural, historical, political, and clinical reasons for the ready acceptance of the new criterion of death in North America and its rejection, until recently, in Japan, with the result that organ transplantation has been severely restricted in that country. This incisive and timely discussion demonstrates that death is not self-evident, that the space between life and death is historically and culturally constructed, fluid, multiple, and open to dispute.
In addition to an analysis of that professional literature on and popular representations of the subject, Lock draws on extensive interviews conducted over ten years with physicians working in intensive care units, transplant surgeons, organ recipients, donor families, members of the general public in both Japan and North America, and political activists in Japan opposed to the recognition of brain death. By showing that death can never be understood merely as a biological event, and that cultural, medical, legal, and political dimensions are inevitably implicated in the invention of brain death, "Twice Dead" confronts one of the most troubling questions of our era.

The Viva Voce is a particularly difficult element of the MRCS exam since candidates will be tested across a broad range of topics in surgery, pathology, critical care and basic science, and also as candidates are unsure what to expect, or how to prepare for such an exam. Questions for the MRCS Viva is an essential guide to sitting and passing the Viva Voce part of the MRCS exam. Each subject area offers 20-30 questions, which follow a conversational pattern where new questions follow logically from previous answers - exactly as one would expect in the exam itself. Written by recently qualified surgeons who are now actively involved in the teaching and support of new trainees, this book is the closest a candidate will get to being a fly on the wall in a Viva Voce examination.

Aligned to the topics within the Intercollegiate Surgical Programme (ISCP) curriculum, this case-based volume covers the common clinical presentations encountered across general surgery. With its clear 'elective' and 'emergency' structure and its question-and-answer format, it offers both a comprehensive overview of general surgical training and evidence-based discussions of specific subspecialties. Oxford Case Histories in General Surgery covers upper gastrointestinal/HPB, colorectal, breast, endocrine and emergency surgery. Each section includes clinically relevant images and detailed descriptions of the radiological and pathological features. The individual case histories outline the key essentials for investigation, diagnosis and management in a wide variety of clinical scenarios. As a part of the Oxford Case Histories series, this book is an important educational tool for those embarking on surgical rotations at final year undergraduate and postgraduate foundation level. It is also an essential reference for the surgical care practitioner and early years core surgical trainee.

Caesarean Section has become the most common major operation in the world, and with the increasing number there are many serious and long-term healthcare implications for gynaecology, general surgery, neonatology, and epigenetics. A full perspective of the procedure and its consequences is therefore essential for practitioners, residents, and trainees alike. The Textbook of Caesarean Section is the key textbook on this subject, and is an informative and practical tool for clinicians performing this procedure in all areas of the world. The accompanying professional medical videos demonstrate in clear and expert detail the two alternative procedures for caesarean section, ensuring that readers of this book gain an in-depth understanding of the techniques involved, and supporting blended learning in postgraduate education globally. Written by a distinguished team of expert contributors, this book carefully describes current best practice for caesarean section alongside key chapters on the history of caesarean section, and other important and related issues that obstetricians must be aware of, such as anaesthesia, prevention of complications of surgery, reproduction after C-section, and perinatal outcomes. The text is extensively illustrated with colour images, and fully referenced throughout, providing all the information essential for the reader to perform the optimal caesarean delivery procedures, and diagnose and manage the short- and long-term complications associated with different methods of caesarean sections.

Pediatric Surgery, 7th Edition - edited by Arnold G. Coran, Anthony Caldamone, N. Scott Adzick, Thomas M. Krummel, Jean-Martin Laberge, and Robert Shamberger - features comprehensive, up-to-date guidance on all aspects of childhood surgery, including congenital malformations, tumors, trauma, and urologic problems. Apply the latest developments in fetal surgery, adolescent bariatric surgery, minimally invasive surgery in children, and tissue engineering for the repair of congenital anomalies, such as the separation of conjoined twins. you can also access the fully searchable text online at www.expertconsult.com, making this definitive resource more accessible than ever. Get comprehensive coverage of cutting-edge technology in pediatric surgical diseases, including imaging concepts, minimally invasive techniques, robotics, diagnostic and therapeutic advances, and molecular biology and genetics. Find information quickly and easily with an intuitive organization by body region and organs. Apply the guidance of world-renowned experts in pediatric surgery. Access the fully searchable text online at www.expertconsult.com. Stay current on recent developments in fetal surgery, adolescent bariatric surgery, minimally invasive surgery in children, and tissue engineering for the repair of congenital anomalies, such as the separation of conjoined twins. Master the latest surgeries available for fetal and neonatal patients and provide life-saving options at birth. Tap into the expertise of new editors who bring fresh perspectives to cutting-edge techniques. A comprehensive text of cutting-edge surgeries in pediatrics

Cancer surgery of the mouth and throat can involve major incision wounds, tracheotomy, or necessitate the breaking of bones. Recognizing the benefits and success of robotic surgery in other areas of medicine, the authors present its use in head and neck surgery, resulting in less surgery, less deformity, and faster rehabilitation. In this new book, the authors describe the preoperative aspects of Transoral Robotic Surgery (TORS), including patient evaluation, instrumentation and set-up, moving on to diagnostic endoscopic and surgical techniques for tonsillectomy, laryngectomy, tongue base and glottic resection, and speech and swallowing considerations. They conclude with an examination of the potential for TORS in skull-base surgery, its future application and, importantly, telesurgery via the Internet. A pioneering book for a pioneering surgical technique in head and neck surgical technique and management, this should be on the shelf of every otolaryngology-head and neck surgeon. http://www.youtube.com/watch?feature=player_embedded&v=DTp7Mv9hkbI