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.

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.

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.

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.

The 24th volume of this highly successful series includes new contemporary topics such as corrosive injuries of the oesophagus, post-gastrectomy complications, advances in imaging of inflammatory bowel disease, unusual presentations of gallstones, gall bladder cancer with jaundice, minimally invasive pancreatic surgery, and enhanced recovery after surgery. Finally, the chapter on advances in GI surgery, like in each past volume, reviews important new developments in the field. The GI Surgery Annual 24th Volume provides an overall roundup of selected topics that were deemed particularly relevant and topical by the series editors.

Concise, thorough, and superbly illustrated, Atlas of Laparoscopic and Robotic Urologic Surgery, 4th Edition, is an ideal resource for learning new techniques or briefly reviewing before a case. Written and edited by renowned experts in the field of laparoscopic and robotic surgery, this practical text covers today's best minimally invasive approaches using the surgical systems, equipment, and robotic devices in use today. More than three hours of video instruction, an increased focus on robotics and new urologic procedures, and step-by-step illustrations help you sharpen your skills in this high-demand area. Contains new chapters on Post Operative Management: Pain and Other Considerations for Enhanced Recovery after Surgery (ERAS); Bladder Reconstruction in Children; Sacrocolpopexy; Applications for Infertility Surgeries; and Surgery of the Spermatic Cord. Includes new and updated information on nephrectomy, adrenalectomy and partial adrenalectomy, urinary diversion, and partial cystectomy and diverticulectomy. Offers new content on camera and lens systems, instrumentation, the da Vinci surgical system, pyelo/ureterolithotomy, robotic-assisted and laparoscopic simple prostatectomy, and more. Covers radical robotic prostatectomy, innovative approaches to treat ureteral strictures, up-to-date surgical care of malignancies, and novel pediatric surgeries. Features more than 30 high-quality videos online (many are new) including robotic retroperitoneal lymph node dissection, robotic assisted kidney transplantation, robotic simple prostatectomy, robotic cystectomy and robotic neobladder evolution, laparoscopic partial adrenalectomy, and many more. Provides clinical pearls, tips and tricks, and complications boxes throughout. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

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."

This atlas describes and illustrates in detail the surgical procedures employed in laparoscopic anatomical liver resection, according to tumor location. The surgical approach and techniques are explained for each type of laparoscopic liver resection based on the involved anatomical segment, section, and hemi-liver. Attention is also drawn to potential complications and the means of preventing and managing them. Beyond anatomical liver resection, guidance is provided on non-anatomical resections that do not pay regard to segmental, sectional, or lobar anatomy. The coverage is completed by the inclusion of useful information on instruments and energy devices as well as the basic skills required for laparoscopic liver resection. In presenting a clear practical approach to each laparoscopic anatomical major and minor resection, the Color Atlas of Laparoscopic Liver Resection will be an invaluable guide for trainees. In addition, it will equip more experienced surgeons with much useful information that will enable them to further improve their technique.

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.

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.

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 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.

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

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.

The range of topics which you may be questioned on during a final ENT Viva exam can be very varied. Viva Training in ENT ensures you can answer any question confidently and comprehensively, this book provides you with over 430 examples, mirroring exactly the format of the examination questions and covering all the relevant areas of the curriculum. Dedicated chapters on topics such as rhinology, head and neck, otology and paediatrics take you through the types of scenarios that you are likely to face, often presenting you with a clinical example and asking you a range of questions to test not only your diagnostic skills, but also your supporting knowledge. Three further chapters cover the clinical section of the exam involving patients, and the operative surgery and communication skills stations. These chapters provide both example scenarios and general advice on how to impress the examiners, giving you a thorough grounding in how best to communicate your knowledge and complete tasks calmly and methodically. For each question, detailed model answers and explanatory notes are provided, along with links to relevant websites and key journal articles for further reference. Questions are supplemented with over 85 illustrations and photographs, allowing you to review real examples of the conditions about which you will be questioned. For any candidate wishing to complete the FRCS (ORL-HNS) or the DOHNS Viva with professionalism and a real depth of knowledge, this book's detail and variety of information will be invaluable. Its clear layout and topical structure also make it ideal for surgeons wishing to refresh their clinical knowledge.

Maxillary sinus elevation, followed by placement of a wide variety of grafting materials, has been the generally accepted surgical protocol for the development of bone in the sinus cavity. Over the years, various techniques have been proposed for maxillary sinus elevation, which differ in surgical approach, bone graft materials, and advanced technology application for hard tissue and soft tissue management. Dr. Kao and a team of experts begin by discussing anatomy, radiographic image applications and limitations, and then provide step-by-step clinical procedures for the lateral window technique, including piezosurgery, and the trans-alveolar methods, including balloon and controlled hydostatic sinus elevation. Also included are chapters on post-operative care and complication management.