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.

Comprehensive Video Atlas of Laparoscopic Surgery in Infertility and Gynecology is an extensive video atlas featuring 74 videos which provide instruction on a wide range of laparoscopic procedures. The video atlas is divided into twelve sections, beginning with a general guide to laparoscopic surgery which includes instructions for setting up the operating room. Subsequent sections include videos on adnexal surgery, endometriosis, infertility, myomectomy, total laparoscopic hysterectomy (TLH), pelvic floor repair, and ectopic pregnancy. Comprehensive Video Atlas of Laparoscopic Surgery in Infertility and Gynecology includes nearly ten hours of video across eight DVDs, with later videos covering special surgery topics such as microsurgery and robotic surgery, and the emerging field of cosmetic gynaecology, making this an ideal resource for gynaecologic laparoscopic surgeons. Key Points Extensive video atlas providing visual instruction on a wide range of laparoscopic procedures Includes guidance on setting up the operation room Special video sections on cosmetic, robotic and microsurgery procedures 74 videos, 8 DVDs, duration 9 hours 36 minutes

Minimal Access Skull Base Surgery - Open and Endoscopic Assisted Approaches is a highly illustrated guide to a range of approaches in ENT surgery, edited by Kofi Boahene and Alfredo Quinones-Hinojosa from the John Hopkins Medical Institute, Baltimore, USA. The book focuses on minimal access approaches to skull base compartments using an endoscope, via natural and secondary openings into the head. Comprised of 31 chapters, across seven sections, the book begins with a general introductory section which covers imaging of the skull base, surgical pathology of the skull base and anaesthetic requirements for skull base surgery. Further sections cover approaches to surgery via particular anatomical areas, including transorbital, supraorbital, transnasal, infratemporal fossa, and transoral approaches. The concluding sections cover the management of selected skull base lesions, skull base reconstruction and postoperative management. Minimal Access Skull Base Surgery - Open and Endoscopic Assisted Approaches is enhanced by 428 images and illustrations and an accompanying DVD featuring practical guidance on several procedures. This is an essential resource for neurosurgeons, otolaryngologists, head and neck surgeons, and any health care providers involved in these minimal access procedures. Key Points Comprehensive guide to minimal access procedures in skull base surgery Covers minimal access skull base surgery via nose, mouth, eye socket and infratemporal fossa 428 images and illustrations Instructional DVD for several skull base procedures Edited Kofi Boahene and Alfredo Quinones-Hinojosa based at John Hopkins Medical Institute, Baltimore, USA

Laparoscopic Entry: Traditional Methods, New Insights And Novel Approaches discusses traditional methods of laparoscopic surgery, new devices, laparoscopic entry in difficult patients, robotic assisted surgery access, single port entry, gasless access, transvaginal entry and natural orifice surgery. This book illustrates, through the presentation of techniques, methods, photos, images, drawings and pictures, all the possible methods of laparoscopic entry for endoscopic surgeons, either for laparoscopy or for robotics. Laparoscopic Entry: Traditional Methods, New Insights And Novel Approaches describes problems and criticisms of each method and highlights common and rare complications.Written by experts in the field, this book also includes tips and tricks, which can be tailored to each patient, making it a valuable reference tool for gynecologists, urologists, vascular and general surgeons.

The majority of the obese population still does not take advantage of the available surgical possibilities. Clinical research should be oriented towards less invasive procedures that could be accepted by the mainstream. In 2012, most non-invasive bariatric techniques are still not standardized or sufficiently assessed, but they are being constantly upgraded. The purpose of this book is to spark a discussion between experts from around the world, and to gather relevant information on new technologies that will make it possible to enlarge the vision of bariatric care to a growing number of morbid obese and non-morbid obese patients.

This text provides a state of the art overview of tools for guiding surgeons in the modern operating room. The text explains how many modalities in the current armamentarium of radiologic imaging have been brought to the operating room for real time use. It also explains the current use of near infrared, fluorescent, and chemo-luminescent imaging to guide minimally invasive and open surgery to improve outcome. The book is separated into two sections. The first, discusses the biologic principles that underlie novel visualization of normal organs and pathology. The currently available equipment and equipment anticipated in the near future is covered. The second section summarizes current clinical applications of advanced imaging and visualization in the OR. Novel means of visualizing normal anatomic structures such as nerves, bile duct, and vessels that enhance safety of many operations are covered. Novel biologic imaging using radio-labeled and fluorescent-labeled molecular probes that allow identification of inflammation, vascular abnormalities, and cancer are also discussed.Authored by scientists who pioneer research in optics and radiology, tool makers who use this knowledge to make surgical equipment, and surgeons who innovate the field of surgery using these new operative tools, Imaging and Visualization in the Modern Operating Room is a valuable guide for surgeons, residents and fellows entering the field.

Essentials of Robotic Surgery is designed to present a comprehensive and state-of-the-art approach to robotic surgery within the broad confines of general surgery. Sections address preliminary issues faced by surgeons who may be initially undertaking robotics. These areas include training, basic techniques and setup, as well as general troubleshooting. Subsequent chapters focus on specific disease processes and the robotic applications for those procedures. Written by experts in the field, each of these sections addresses patient selection, preoperative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on other robotic platforms beyond the only current FDA approved device (Intuitive Surgical) as well as future directions, including single-site, enhanced imaging, 3-D modeling, and tele-proctoring, including to and distant site surgery. Extensive illustrations and links to video make this an interactive text that will be of great value to general surgeons and associated sub-specialists, trainees including residents and fellows, fully trained surgeons looking to start a robotic surgery practice, and experienced robotic surgeons looking to expand the types of procedures that they currently perform robotically.

This book focuses on a novel series of minimally invasive surgeries performed without gas insufflation and through a single port using the RoboSurgeon system. The concept of RoboSurgeon surgery involves a degree of "robotization" of the operator and participants. The operator, wearing a head-mounted display, uses robot-like handheld instruments. The endoscope is controlled by the movement of the operator's head using a gyro-sensor system. All participants wearing head-mounted displays can see the same images as the operator does. Although this surgery is mainly intended for urological cancers, it may also be applicable for various operations concerning other urological diseases, as well as for the treatment of diseases in different medical fields. The system has the potential to become the new standard in robotic surgery. This solution may be a boon to many patients around the world, especially in the aging societies many countries are now facing.

The future of surgery is intrinsically linked to the future of computational sciences: the medical act will be computer assisted at every single step, from planning to post-surgery recovery and through the surgical procedure itself. Looking back at the history of surgery, surgery practice has changed drama- cally with the extensive use of revolutionary techniques, such as medical imaging, laparoscopy, endoscopy, sensors and actuators, and robots. This trend is dependent on the use of computer processing, computational method, and virtualization. Computational surgery will not only improve the ef?ciency and quality of surgery, but will also give new access to very complex operations that require extreme precision and minimum intrusion. Such examples are today's inoperable cancer tumors that have invaded critical tissues or nervous centers. In order for this milestone to be reached quicker and more ef?ciently, surgeons will have to become very familiar with computing methods, such as image analysis, augmented re- ity, and/or robotics. It will be critical for surgeons to assimilate computers in their training, understand how computers work, understand the limitations/advantages of these computer tools, and be able to interpret computer imaging and simulations.

In this book, world-renowned experts describe the latest advances in minimally invasive gynecologic surgery and explain why endoscopy is of key importance in so many conditions. Hysteroscopic instrumentation is described and the application of hysteroscopic techniques in patients with polyps, fibroids, malformations and infertility is explained and evaluated. Individual chapters are devoted to the current minimally invasive treatment of endometriosis, endometrial polyps and adenomyosis. The role of laparoscopy in gynecologic oncology and the laparoscopic approach to hysterectomy are fully discussed. Various other applications of laparoscopy are considered, with coverage of techniques including traditional straight stick laparoscopy, barbed suture and robotic and single port surgery. Neurophysiology and the use of laparoscopic therapy to restore vital function are discussed and complications of laparoscopic surgery are also addressed.

In the age of the World Wide Web, informed patients continue to surprise oncologists with detailed questions about popular tumor therapies. Although minimally invasive tumor therapies (MITT) have become daily clinical practice for palliative treatment of liver tumors, the acceptance of these palliative modalities still varies enormously. This book gives an up-to-date overview of the popular techniques and clinical results of MITT, with a clarification of the actual indications including the size, tumor entities, and clinical benefits. Moreover, the book focuses on the prospectives and limitations of imaging methods used for MITT.

Endovascular neurosurgery is a recently introduced but rapidly evolving medical field, which uses minimally invasive interventions to treat major life-threatening vascular lesions of the Central Nervous System. Although its history counts less than 15 years of worldwide acceptance, it has rapidly displaced the traditional open neurosurgical techniques, being nowadays the first treatment choice for brain aneurysms and vascular malformations. Thus, the experience of each neuroendovascular center and performer is invaluable, offering the base for learning and teaching the new generation of interventionalists as well as for the evolvement of the method itself. This book presents the basic principles of endovascular neurosurgery starting from clinical cases. Through this close-to-clinical-reality-process, the reader will be able to more thoroughly understand the pathophysiology of the brain and spine vascular lesions as well as the decision-making strategy, related to the indications, endovascular methods and results, finding suggestions and solutions to his/her clinical questions and problems. Besides chapters devoted to CNS vascular embryology and anatomy, clinical cases organized in groups based on the treated lesions are introduced: ruptured and unruptured cerebral aneurysms of the anterior and posterior circulation, side-wall and bifurcation aneurysms, arteriovenous malformations (AVM), dural arteriovenous fistulae (dAVF), arterial stenosis and angioplasty as well as spinal vascular lesions. A separate chapter is devoted to the organization and necessary equipment of the angio room and the department offering neuroendovascular service. This volume will be of interest to neurosurgeons, interventional neuroradiologists, vascular surgeons, neurologists and ICU physicians as well as health care providers who are involved in the diagnosis and management of the vascular lesions of the brain and spine.

Responding to the growing demand for minimally invasive procedures, this book provides a comprehensive overview of the current technological advances in image-guided surgery. It blends the expertise of both engineers and physicians, offering the latest findings and applications. Detailed color images guide readers through the latest techniques, including cranial, orthopedic, prostrate, and endovascular interventions.

Chronic venous disorders are a major health problem due to their wide prevalence and socio-economic considerations. This book is a comprehensive manual providing state- of- the- art information on the diagnosis and management of these common problems. Till recently venous disorders have been getting secondary attention as compared to their arterial counterpart. However, the last two decades witnessed major technological advancements and therapeutic strategies for these problems. Written with a surgical perspective, this monograph covers the latest developments and recommended procedures in an easy-to-read format guiding the surgeon to prepare a rational treatment plan. Supplemented with numerous figures and illustrations, the chapters update the readers with how to evaluate such patients in their practices, selection criteria for appropriate procedures and how to manage the complications. The book includes basics of venous disorders, primary varicose veins and recurrence after surgery, chronic venous insufficiency, venous ulcers and congenital venous malformations. Detailed coverage of endo-venous procedures such as radio-frequency ablation, laser ablation and foam sclerotherapy are additional essential features of this book. Primarily intended for the practicing general surgeon, this volume is also relevant for residents in general surgery and vascular surgery.

Microsurgery for Fertility Specialists is an invaluable resource for physicians who specialize in the surgical treatment of male and female infertility. This practical text explains the basics of microsurgery and provides detailed operative descriptions of surgical procedures such as vasectomy reversal, sperm retrieval, tubal reanastomosis, and penile surgery. An exceptional cadre of reproductive specialists shares valuable knowledge of the current state of microsurgery, its role in infertility procedures, and the latest advances in the field --including some non-infertility microsurgical techniques. The book is an essential educational guide for those with a more advanced knowledge of microsurgical practice as it includes chapters that will help them mentor residents and fellows, and inspire future generations of reproductive surgeons.

This volume focuses on the biomechanical modeling of biological tissues in the context of Computer Assisted Surgery (CAS). More specifically, deformable soft tissues are addressed since they are the subject of the most recent developments in this field. The pioneering works on this CAS topic date from the 1980's, with applications in orthopaedics and biomechanical models of bones. More recently, however, biomechanical models of soft tissues have been proposed since most of the human body is made of soft organs that can be deformed by the surgical gesture. Such models are much more complicated to handle since the tissues can be subject to large deformations (non-linear geometrical framework) as well as complex stress/strain relationships (non-linear mechanical framework). Part 1 of the volume presents biomechanical models that have been developed in a CAS context and used during surgery. This is particularly new since most of the soft tissues models already proposed concern Computer Assisted Planning, with a pre-operative use of the models. Then, the volume addresses the two key issues raised for an intra-operative use of soft tissues models, namely (Part 2) "how to estimate the in vivo mechanical behavior of the tissues?" (i.e. what are the values of the mechanical parameters that can deliver realistic patient-specific behavior?) and (Part 3) "how to build a modeling platform that provides generic real-time (or at least interactive-time) numerical simulations?"

Gastrointestinal bleeding is an age-old problem. The original description of g- trointestinalbleedingmayhavebeenfromGalenandhisworkconnectingdyspepsia andmelanoticstool. Thechangesinourmanagementofgastrointestinalbleeding overthecenturieshavebeendrivenbynaturalalterationsinthespectrumofdiseases, expanding our understanding of these diseases and the never ending advances in technologyandpharmacologythathaveoccurredrelativetoGIdiseases. Academic interestingastrointestinalbleedingpeakedinthelasthalfofthetwentiethcentury withtheexpandingroleofsurgery,thediscoveryofacid-basedpepticulcerthe- pies,andtheriseof?exibleendoscopyandculminatedinthedescriptionofh. pylori as a causative agent for ulcer disease. More recently there has been a decrease incidenceinbleedingdiseasesofthegutandthereforeadecreasinginterestinthe scholarlywritingaboutthesediseases. Therehasnotbeenamajortextbookwritten aboutgutbleedinginover10yearsandthereforetheintentionofthistextbookisto ?llthatvoidbyprovidingareviewofacomprehensiveapproachtouppergut,mid, andlowergutbleeding. CliniciansatDukeUniversitywhohaveacommoninterestinthegastrointes- naltracthavecollaboratedintheconstructionofthistext. Thisefforthasbrought together surgeons, gastroenterologists, and radiologists, to carefully chronicle the presentation, diagnosis, and management of modern day causes of gastrointes- nal bleeding. These co-authors concentrate on some of the latest innovations in the endoluminal and minimally invasive techniques that characterize the current approaches to these diseases. Emphasis has been placed on capsule endoscopy, double-balloon endoscopy, laparoscopic peptic ulcer surgery, and angiographic diagnosis and management techniques. The text has been written in such a way thatthereadercanquicklyreviewaspeci?ccauseofGIbleedingpriortomanaging ofsuchapatient. Weexpectthistextwillbeusedwiththesameimmediacyasthe diseasespresent. Wehopethatthistextprovidesafoundationforlearningformedicalstudents, interns,residents,andpractitionerswhoencounterthesecriticallyillanddif?cultto managepatients. Durham,NC,USA AuroraD. Pryor Durham,NC,USA TheodoreN. Pappas Durham,NC,USA MalcolmStanleyBranch v Acknowledgment TheeditorswouldliketothankMs. VirginiaCashforherhelpinthepreparation andcoordinationofthetext. vii Contents Part I Upper GI Bleeding Stabilization of Patients Presenting with Upper Gastrointestinal Bleeding. ..3 ErrolL. BushandMarkL. Shapiro Urgent Workup for Upper Gastrointestinal Bleeding...13 LorettaErhunmwunseeandSandhyaA. Lagoo-Deenadayalan Management of Esophageal Variceal Bleeding ...23 KekiBalsaraandLisaPickett Management of Dieulafoy's Lesions ...31 SerainaK. Faes,BrianR. Untch,ClaireEdwards,JohnTurner, MartinPoleski,andDouglasS. Tyler Management of Bleeding Peptic Ulcer Disease ...39 JamesC. PadussisandTheodoreN. Pappas Management of Unusual Sources of Upper GI Bleeding...65 ElisabethTracyandJanetTuttle-Newhall Mallory-Weiss Syndrome...79 JacobN. SchroderandMalcolmS. Branch Management of Bleeding Small Bowel Tumors...85 KeriE. LunsfordandAuroraD. Pryor Management of Bleeding from the Bile Duct ...103 CarlosE. MarroquinandBridgetM. Marroquin Management of Bleeding from the Pancreas...

Musculoskeletal foot pathology is endemic in patients with rheumatological conditions, with up to 90% of patients reporting current foot pain. However, foot pathology is often trivialised, despite the strong body of evidence showing foot problems are associated with reduced quality of life. The Foot and Ankle in Rheumatology is a unique, comprehensive, and detailed guide to all aspects of the management of foot and ankle pathologies in rheumatic conditions. Written by a team of leading experts, this title provides international perspectives and current state of the art information on foot and ankle pathology across a range of conditions. With over 170 colour images and photographs, practical diagnostic and management techniques are clearly explained with references to the latest guidelines. Rheumatology is a fast-evolving field, with major advances in treatment and management strategies. As the effective management of rheumatological foot and ankle disorders requires and integrated, disease-stage approach across a multidisciplinary team, the Foot and Ankle in Rheumatology has been designed to provide clear, practical, and evidence-based advice for a wide range of health professions, from podiatrists, rheumatologists, and orthopaedic surgeons to occupational therapists and physiotherapists.

The field of minimally invasive surgery (MIS) has now taken centre stage in modern clinical practice. With ever changing technologies in the field of MIS, such as robotics, there is now the need to train the surgeon to the next degree. Training by simulation, whether virtual, hybrid, or real, allows the surgeon to rehearse, learn, improve or maintain their skills in a safe and stress free environment.

"Simulation Training in Laparoscopy and Robotic Surgery" gives a true insight into the latest educational and learning techniques for new technologies in surgery. Written by an international team of experts, this illustrated text provides advice on specialised team training, non technical skills and simulation.

"Simulation Training in Laparoscopy and Robotic Surgery" is an important training aide for surgeons and residents interested in developing skills in this field.

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Robotic Surgery of the Head and Neck is the first comprehensive guide for otolaryngologists who wish to perform robotic head and neck surgery. Edited by leaders in the field, this book focuses on how improved access, visualization, and flexibility of the technology have greatly expanded the capabilities of the head and neck surgeon to treat diseases transorally or through small incisions in the skin. Starting with an overview of minimally invasive surgery in the head and neck, and moving to discussions of anatomic considerations for these procedures and the future applications of robotic surgery for otolaryngologists, Robotic Surgery of the Head and Neck explores the exciting progress of robotic technologies, bringing physicians closer to achieving the benefits of traditional surgery with the least amount of disruption to the patient.

Laparoscopic colectomy has been introduced in the early 90ies as a new technique with proven improvement in short and long term outcome. Despite significant patient benefits the overall adoption rate remains low. On the other hand significant more advanced techniques such as single incision laparoscopy, robotics and transanal access surgery have been introduced in the last several years and are rapidly evolving. Therefore a significant gap between the practicing community surgeon and innovator seems to exist. Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery bridges that gap and provides a foundation summarizing and organizing all classic and new techniques in minimally invasive colorectal surgery available in literature and from masters within the field.It provides tips and tricks that allow the user to move up the learning curve, manage difficult scenarios, overcome challenges, increase the utilization of minimal invasive techniques and decrease the conversion to open surgery. By enhancing the surgical tool box the surgeon will be able to progress from the novice to the master. Rather than describing operative procedures which may be very biased by an individual author, the guide provides alternative building blocks of various difficulty for different procedures which can be then tailored to the patient and surgeon`s own comfort level and experience. Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery will serve as a inspirational guide for the innovator of the future. It will allow surgeons of all levels to better adapt to inevitable changes in future techniques and will be of great value to general surgeons, colon and rectal surgeons, minimally invasive surgeons as well as residents and fellows.

This book presents a review from diagnosis to management on the innovative use of the Da Vinci Robot in gynaecology (including both benign and gynaecological oncology). The authors of this book present and review important data on different chapters as: preface, history of robotics, evolution of robotics in medicine, the console -- the robot -- instruments used by the robot, use of energy by robotic instruments -- siting of ports - docking, positioning of the patient, role of bedside assistant, anaesthetising for robotic pelvic surgery, applications in gynaecology, non-gynaecological applications of the robot, simple hysterectomy, sacrocolpopexy, endometriosis, tubal surgery, radical hysterectomy, radical trachelectomy, nerve sparing techniques, pelvic lymphadenectomy - para-aortic lymphadenectomy, sentinel nodes, omentectomy, appendicectomy, pelvic exenteration, pelvic side wall recurrence surgery, robotic surgery during pregnancy and early pregnancy complications, role of the robot in elderly and obese patients, suturing, accessory instruments to facilitate robotic pelvic surgery, post-operative care after robotic surgery, cost of robot. Finally, the authors suggest fields for possible future research.

Advances: H. Duffau: Subpial dissection and subcortical mapping with vasculature and white matter pathways preservation in surgery for brain (low grade) gliomas. - F. Scholtes, G. Brook, D. Martin: Spinal cord injury and its treatment: current management and experimental perspectives. - M. Sindou, M. Messerer, J. Alvernia, G. Saint-Pierre: Percutaneous Biopsy through the Foramen Ovale for Parasellar lesions: Surgical anatomy, Method and Indications. - Technical Standards: C. Raftopoulos, F. Waterkeyn, E. Fomekong, T. Duprez: Percutaneous pedicle screw implantation with robotic intraoperative 2D/3D fluoroscopy for refractory low back pain. I. Zemmoura, S. Velut, P. Francois: The choroidal fissure: anatomy and surgical implications. I. Timofeev, T. Santarius, A.G. Kolias, P.J.A. Hutchinson: Decompressive craniectomy operative technique and perioperative care. - S Fauser, J Zentner: Management of complex cortical dysplasia in epilepsy

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