The introduction of a new technology in a consolidated field has the potential to disrupt usual practices and create a fertile ground for errors. An example is robotic surgery that is now used in most surgical specialties, pushed by technology developers and enthusiastic surgeons. To analyze the potential impact of robotic surgery on patient safety, a consortium of major European Universities started the project SAFROS whose findings are summarized and further elaborated in the three parts of this book. Part one describes safety in complex systems such as surgery, how this may disrupt the traditional surgical workflow, how safety can be monitored, and the research questions that must be posed. Part two of the book describes the main findings of this research, by identifying the risks of robotic surgery and by describing where its ancillary technologies may fail. This part addresses features and evaluation of anatomic imaging and modeling, actions in the operating room, robot monitoring and control, operator interface, and surgical training. Part three of the book draws the conclusions and offers suggestions on how to limit the risks of medical errors. One possible approach is to use automation to monitor and execute parts of an intervention, thus suggesting that robotics and artificial intelligence will be major elements of the operating room of the future.

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.

Fundamentals of Surgical Simulation explains in detail, from a behavioural science/human factors perspective, why modern image guided medicine such as surgery, interventional cardiology and interventional radiology are difficult to learn and practice. Medicine is currently at a tipping point in terms of how physicians in procedural based medicine are trained. Fundamentals of Surgical Simulation helps drive this change and is a valuable resource for medical trainers and trainees alike. For trainers, this book gives explicit theoretical and applied information on how this new training paradigm works thus allowing them to tailor the application of simulation training to their program, no matter where in the world they work. For the trainee, it allows them to see and understand the rules of this new training paradigm thus allowing them to optimize their approach to training and reaching proficiency in as efficient a manner as possible. For the simulation researcher, engineer and medical profession Fundamentals of Surgical Simulation poses some difficult questions that require urgent unambiguous and agreed answers.

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.

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

This text is part of the Color Atlas and Synopsis of Clinical Ophthalmology which was developed at Philadelphia's famed Wills Eye Institute. The beauty of this series is the powerful combination of illustrative photographs and a summary approach to the text. While the seven ophthalmic subspecialties in this series, Cornea, Retina, Glaucoma, Oculoplastics, Neuroophthalmology, Pediatrics, and Uveiti, employ varying levels of visual recognition, a relatively standard format for the text is used for all volumes. The goal of the series is to provide an up-to-date clinical overview of the major areas of ophthalmology for students, residents, and practitioners in all the healthcare professions. Oculoplastics, Second Edition, presents unmistakable guidelines for the differential diagnosis and treatment of the full range of oculoplastic conditions. This book is a unique combination of text, quick reference, and color atlas, with over 250 full color illustrations throughout. A short, succinct format includes: Epidemiology and Etiology, History, Physical Examination, Differential Diagnosis, Laboratory and Special Examinations, Diagnosis, Prognosis, and Management.

The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them.
This highly practical book is the only guide needed to the procedures and techniques commonly used in anesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use.
This book will be used by all junior trainees in anesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

The A-Z of Plastic Surgery is a quick reference guide to the ever expanding specialty of plastic surgery. The succinct bullet pointed entries will enable the reader to rapidly assimilate the essentials of each topic, cross referencing links enable them to research related entries. It will be particularly relevant to trainees in plastic surgery as a working reference book and as an invaluable resource during preparation for final exams.

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

The book presents an overview of available Computer Assisted Orthopaedic Surgery (CAOS) solutions to assist with adult reconstructive hip and knee procedures. The benefjits of CAOS in clinical practice include improved planning, increased accuracy, intraoperative information and guidance, and
the potential to enable less or minimally invasive surgery without loss of accuracy.
The book reflects the current state of the art in computer integrated surgery, with the emphasis on clinically tested systems and procedures. The application of technologies such as surgical navigation and robotic surgery, medical imaging, surgical planning and stimulation in total or partial hip
and knee reconstruction procedures is presented. The range of currently employed approaches is covered, spanning from active robotics to navigation based medical images - either preoperative or inreoperative, and image-free navigation.
The first part of the book offers the clinical rationale for the use of CAOS procedures and describes the basic technological building blocks of such procedures and systems. The second part of the book describes specific applications in total hip replacement, total and unicompartmental knee
replacement, osteotomies around the hip and knee, knee ligament reconstruction and hip and knee trauma. The clinical goal, the technological approach, and the clinical results are outlined for every application.
The book is intended for practicing orthopaedic surgeons, fellows, residents-in-training and medical students interested in the latest technological developments in computer assisted surgery as well as for engineers and developers interested in learning more about theinteraction of advanced
technology with orthopaedic clinical practice.

Abnormal or deficient capsular anatomy creates numerous surgical challenges and predisposes eyes to IOL complications. Literally dozens of different approaches have been devised to implant IOLs in the face of compromised capsular support. However, a comprehensive compendium of the most important surgical strategies has not existed, until now. Advanced IOL Fixation Techniques: Strategies for Compromised or Missing Capsular Support provides this much-needed resource with more than 70 different chapters that cover the wide array of surgical approaches. Among the contributors are many of the original innovators of the most important technologies and methodologies. In addition to teaching a specific surgical technique, these authors cover its history, rationale, and clinical results. Editor Dr. David F. Chang is well known and acclaimed for 2 best-selling cataract textbooks-Mastering Refractive IOLs and Phaco Chop and Advanced Phaco Techniques. Along with associate editors Drs. Bryan S. Lee and Amar Agarwal, Dr. Chang has now tackled this new major subject area-how to best fixate IOLs when capsular support is compromised or absent. Part One covers capsular fixation with either zonulopathy or following posterior capsule rupture. Topics include using conventional and modified capsular tension rings, capsular tension segments or capsular anchors, standard and reverse optic capture with anterior capsulorrhexis, sulcus fixation, posterior capsulorrhexis, and capsular membrane suture fixation. Part Two covers noncapsular fixation. Topics include anterior chamber IOLs, iris claw IOLs, iris and transscleral suture fixation of posterior chamber IOLs, and intrascleral haptic fixation using the Yamane double-needle or glued IOL methods. Part Three covers miscellaneous topics such as anterior vitrectomy, IOL power calculation for noncapsular IOLs, and sliding slip knots and suture pupilloplasty. To facilitate skills transfer, most chapters present detailed, step-by-step descriptions of the different techniques. The maneuvers are illustrated by over 1,100 diagrams and high-resolution surgical images. Finally, nearly every chapter is accompanied by narrated instructional videos. Combining over 150 videos, schematic diagrams, surgical images, and detailed written descriptions, Advanced IOL Fixation Techniques provides the most effective way to learn advanced surgical techniques. With its comprehensive and practical approach to covering the gamut of strategies and devices, Advanced IOL Fixation Techniques: Strategies for Compromised or Missing Capsular Support will be an indispensable resource for cataract surgeons at all levels of experience.

The purpose of this book is to give an overview of controversies that orthopaedic surgeons might have to consider when carrying out all levels of hip surgery.

Contributions cover such important paediatric problems as developmental dysplasia of the hip, Perthes disease, slipped capital femoral epiphysis and hip problems associated with neurological diseases. Traumatic conditions of the hip, including acetabular fractures and femoral neck fractures are covered in detail. Considerable emphasis is given to the field of both primary and revision total hip replacement, with special emphasis on the differences which occur in Europe and North America. Like every other aspect of hip disease, the field of total hip arthroplasty is continuously changing to improve both the quality and durability of the clinical result. Finally, post-operative complications and their avoidance are covered, particularly in the fields of deep vein thrombosis prophylaxis and management of the infected total hip arthroplasty.

The contributions in this volume are from an international array of experts in the field of hip surgery.

This volume thoroughly describes the fundamentals of a new multidisciplinary field of study that aims to deepen our understanding of the human body by combining medical image processing, mathematical analysis, and artificial intelligence. Multidisciplinary Computational Anatomy (MCA) offers an advanced diagnosis and therapeutic navigation system to help detect or predict human health problems from the micro-level to macro-level using a four-dimensional, dynamic approach to human anatomy: space, time, function, and pathology. Applying this dynamic and "living" approach in the clinical setting will promote better planning for - and more accurate, effective, and safe implementation of - medical management. Multidisciplinary Computational Anatomy will appeal not only to clinicians but also to a wide readership in various scientific fields such as basic science, engineering, image processing, and biomedical engineering. All chapters were written by respected specialists and feature abundant color illustrations. Moreover, the findings presented here share new insights into unresolved issues in the diagnosis and treatment of disease, and into the healthy human body.

The Ilizarov device has revolutionized the treatment of non-healing fractures and the correction of deformities. This book supplies all the information required in order to use the Ilizarov and other external fixation devices optimally; it will serve as an indispensable manual for both trainee and experienced orthopedic surgeons. Biomechanical principles, preoperative preparation, and the use of a system of coordinates to allow safer insertion of K-wires and half pins are thoroughly discussed. External fixation of a variety of fractures in different pathologic settings is then clearly explained in a series of detailed chapters with the aid of high-quality illustrations. Numerous case reports are included to illustrate the results of different treatment methods. In addition, postoperative management and treatment of complications are described. Since the first edition the text has been thoroughly updated, with inclusion of contributions from leading world experts.

Updated and expanded, this Second Edition of Refractive Cataract Surgery: Best Practices and Advanced Technology is a practical guide for cataract surgeons and general ophthalmologists who wish to take their practices to a new level by offering refractive solutions to their cataract patients. All chapters have been updated to provide the latest information on premium surgery, including how-to chapters on extended depth-of-focus implants, intraoperative aberrometry, and femtosecond laser surgery. Both well-established and cutting-edge implants and techniques are presented in chapters that are organized by topic and detailed step-by-step. Dr. John A. Hovanesian and his contributors include enhancement strategies such as piggyback lenses, laser enhancement, and incisional surgery which are presented as separate and complete solutions. In addition to surgical strategies, Refractive Cataract Surgery, Second Edition explains the psychology of creating a premium practice. Non-technical matters such as patient screening, ethics, communicating the value of lenses, and managing the unhappy patient are thoroughly presented with easy-to-adopt ideas. New in the Second Edition: •Intraoperative aberrometry •Femtosecond laser cataract surgery •Diagnostic and management tools for ocular surface disease •Extended depth-of-focus implants •Updated information on Tecnis toric, Trulign, and other accommodating IOLs •Advice on various pricing models Refractive Cataract Surgery: Best Practices and Advanced Technology, Second Edition explores every angle of premium surgery and practice and offers improvements for all levels of surgeons, from the resident to the experienced physician, resulting in a top experience and a lifetime of premium vision for the patient.

This book is a first-of-its-kind unique atlas that synthesizes a full review of both upper and lower extremity reconstructive options in one text. While there are books that concentrate on local soft tissue coverage and other books that discuss all types of free flaps, this book features a full scope and provides the full spectrum of reconstructive options. It features high-quality pictures and made-just-for-this-text illustrations created by reconstructive surgeons with intimate knowledge of the procedures. This atlas includes a detailed description of each flap and presents high-quality pictures and graphics explaining relevant anatomy. Each chapter offers case presentations accompanied by explanations that describe why doctors select specific reconstructive options; this guides the readers on how to discern which flap to choose in which situation. Comprehensive Atlas of Upper and Lower Extremity: From Primary Closure to Free Tissue Transfer offers a comprehensive tool for plastic surgeons, orthopedic surgeons, and some general surgeons who perform simple soft tissue coverage.

This is the third edition of a comprehensive book covering all aspects of perioperative and peripartum anaesthesia. Previous editions have been very well received (see reviews of the first two editions below) and this book builds on their success to be an essential purchase for all trainee and practising anaesthetists, as well as providing a valuable resource for other hospital and particularly theatre-based personnel such as surgeons, obstetricians, operating department practitioners, theatre nurses, midwives, etc. The sections on medical disorders and anaesthestic problems, and on emergency conditions arising during anaesthesia or the immediate postoperative period have been expanded to include over 30 new entries and rare and unusual syndromes have been incorporated into these two main sections for ease of quick reference. The book also features a valuable list of abbreviations and a fully updated appendix containing useful addresses, telephone numbers and website details.

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 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 book encompasses the different concepts and designs using magnets for surgical purposes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. The text reviews new data about interventions in all medical and surgical fields. Written by experts in their fields, topics focus on endoluminal and laparoscopic operations, techniques from vascular and GI anastomosis. The book demonstrates the use of magnets to treat a variety of diseases such as reflux, back pain, and fecal incontinence. The reader will learn how to retract and gain exposure, dissect tissue planes, achieve hemostasis, and create anastomosis in a totally different way. Physical properties of external surface and internal magnets are discussed. The authors emphasize the importance of partnering with industry leaders to develop novel surgical tools. By harnessing the power of attraction, the energy and might of magnets, Magnetic Surgery serves as a valuable resource for clinicians, surgeons and researchers in biomedical engineering interested in this form of energy and physical metal properties. In utilizing these properties, the book seeks to improve surgical outcomes of patients worldwide.

There are many superb books on how to do operations but there are few or none on how to assist at them, and none written either by or for medical students or doctors. Therefore, the skills that make an expert surgical assistant are difficult to acquire. Normally, they can only be learnt in a haphazard way, by spending years in the operating theatre. This book describes those skills in a concise and systematic way, in surgery in general, and in ten different speciality areas. Although intended mainly for clinical-level medical students and junior doctors, other people who assist at surgical operations, including general practitioners, nurse assistants and surgical technologists, will also find it useful. Whether planning a career in surgery, or simply aiming for high marks in a surgical rotation, there are few better ways to impress a surgeon than by skilfully assisting at surgical operations.

This Atlas comprehensively covers minimally invasive operative techniques for benign and malignant cancer surgery of the esophagus and stomach. It provides easy-to-follow instructions accompanied by a range of pictures and illustrations, as well as a collection of interactive videos to aid the reader in developing a deeper understanding of each surgical procedure. Techniques covered include minimally invasive surgical treatment for esophageal and gastric cancer including different approaches such as thoracoscopic, transhiatal, laparoscopic, and robot-assisted resections. These chapters include different types of cervical and intrathoracic anastomoses after esophageal resections, and different anastomoses and reconstructions after gastrectomy. Moreover, the Atlas includes an extensive description of minimally invasive procedures in bariatric surgery including sleeve resection, gastric bypass, biliopancreatic diversion, and others. Minimally invasive approaches for other benign pathologies such as benign tumors and treatment of gastroduodenal ulcer complications are also depicted. All chapters, written by a renowned and experienced international group of surgeons and their teams, are focused on practical step-by-step description of the techniques. Atlas of Minimally Invasive Techniques in Upper Gastrointestinal Surgery systematically describes the most frequently performed surgical procedures of the esophagus and stomach and is a valuable resource for all practicing surgeons and trainee general surgeons dedicated to upper gastrointestinal surgery, such as bariatric and surgical oncologists.

This book aims to review all of the literature, including landmark papers and the most current published data, in regard to the management of non-malignant foregut diseases. A number of surgeons publish and focus in malignant diseases of the esophagus, but this text emphasizes the benign ones, their problems and how to face them with the new available resources and technology. This book describes the different diagnostic tools available, as well as the different therapies for the management of gastroesophageal reflux disease (GERD) and its potential complications like Barret's or strictures, and the associated anatomical abnormalities such as hiatal hernia or short esophagus, and more. Motility disorders of the esophagus, esophageal diverticula and perforations are also discussed. Different devices and approaches can be used to treat these diseases and they are covered and explained in different chapters of the book. Written by experts in the field, Benign Esophageal Disease provides surgeons and physicians with a concise and comprehensive summary of the current state of the field and will help guide patient management.

This book describes current and emerging techniques in hip surgery, providing the essential, up-to-date knowledge that will be required by the orthopaedic surgeon who plans to become a specialist hip surgeon. The opening chapter offers a concise overview of the surgical anatomy, with particular attention to details relevant to the surgical techniques outlined in the book. The increasingly popular anterior minimally invasive approach to the hip and a microinvasive variation of this approach are then described. Subsequent chapters present surgical approaches to developmental disorders of the hip, including dysplasia and femoroacetabular impingement, and promising hip preservation techniques for avascular necrosis of the hip - an often neglected but internationally relevant disease that can mutilate the hip in young patients. Finally, the latest techniques and implants for primary and revision hip arthroplasty are discussed in depth. The international author team consists of recognized leaders in the field, many of whom have developed the described classifications and new surgical techniques.

This book describes the latest minimally invasive approaches in endodontics and explains the principles that guide them. The advantages and limitations of these approaches are critically analyzed with the intention of defining new endodontic gold standards. The trend toward the use of more conservative procedures within endodontics reflects the wider adoption of minimally invasive dentistry in general and is being fostered by the introduction of new materials, devices, instruments, and techniques as well as the use of magnification and advanced three-dimensional diagnostic imaging technologies. In this book, readers will find clear explanation of these advances and their impacts. Minimally invasive access to the root canal system is described, and detailed attention is devoted to the application of novel strategies in root canal instrumentation and disinfection, root canal filling, coronal restoration, retreatment, and endodontic surgery. Minimally invasive alternatives to complete endodontic treatment, such as vital pulp therapies, and to dental extraction and implant placement, including surgical extrusion, intentional replantation, and tooth autotransplantation, are also discussed. Minimally Invasive Approaches in Endodontic Practice will be of value for endodontists at all levels of experience.