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Books > Medicine > Surgery > Surgical techniques
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.
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.
This atlas demonstrates how to perform each available extraperitoneal hernia repair via a set of high-quality annotated images showing step-by-step guidance on how to perform the surgery. Robotic extraperitoneal hernia procedures are considered great teaching procedures especially with a dual teaching console. The book bridges the gap between traditional hernia and laparoscopic hernia texts by combining both approaches to create a book with a unique visual approach. Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy and layers of the abdominal wall during hernia procedures. Robotic Hernia Surgery provides a comprehensive, insightful and state-of-art review of this field, and serves as a valuable resource for surgeons, surgeons in training, and students with an interest in hernia and robotic hernia surgery.
Colorectal Surgery, second edition, is the essential guide for general surgical trainees preparing for the FRCS examination, as well as a quick-reference for clinicians working in the field. Providing a concise and evidence-based overview of colorectal surgery, this resource covers the diagnosis, management, and treatment of colorectal conditions. Extensively updated to reflect recent innovations in surgical practice, this edition covers new topics such as robotic surgery, complete mesocolic excision, capsule colonoscopy, and the role of qFIT in lower GI investigations. The oncology and inflammatory bowel disease chapters have been revised to reflect new understanding of the genetic aspects of IBD as well as novel therapeutic agents. Management of benign colorectal disease has also been revised to reflect current approaches to rectal prolapse and haemorrhoidal disease including updated guidelines for functional bowel conditions.
State of the Art Surgical Coronary Revascularization is the most authoritative textbook ever dedicated to the art and science of surgical coronary revascularization, with 71 chapters, organized in 9 sections, and written by over 100 recognized world experts. It covers every aspect of the surgical management of coronary artery pathology and ischaemic heart disease. It provides extensive sections detailing pathophysiology, evaluation and medical and percutaneous management of ischaemic heart disease as well general outcomes and quality assessment for coronary artery bypass grafting (CABG). Pre-, intra- and postoperative management of CABG patients is emphasized in detail as are the core surgical principles in the conduct of CABG, with special focus on the selection of conduits and how to optimize the performance of both on- and off-pump surgery to reduce morbidity and mortality. There are detailed sections on how to improve outcomes with both arterial and venous bypass grafts. This comprehensive textbook also covers in detail less invasive approaches for CABG, CABG in special clinical situations and when CABG is combined with concomitant surgical procedures. In addition to underpinning all chapters with a strong and updated evidence basis, crucial practical surgical techniques are emphasised throughout, making this textbook the indispensable companion of all adult cardiac surgeons and allied health professionals interested in surgical coronary revascularization.
This book focuses on the design, development, and characterization of a compact magnetic laser scanner for microsurgical applications. In addition, it proposes a laser incision depth controller to be used in soft tissue microsurgeries. The use of laser scanners in soft tissue microsurgery results in high quality ablations with minimal thermal damage to surrounding tissue. However, current scanner technologies for microsurgery are limited to free-beam lasers, which require direct line-of-sight to the surgical site, from outside the patient. Developing compact laser micromanipulation systems is crucial to introducing laser-scanning capabilities in hard-to-reach surgical sites, e.g., vocal cords. In this book, the design and fabrication of a magnetically actuated endoscopic laser scanner have been shown, one that introduces high-speed laser scanning for high quality, non-contact tissue ablations in narrow workspaces. Static and dynamic characterization of the system, its teleoperation through a tablet device, and its control modelling for automated trajectory executions have been shown using a fabricated and assembled prototype. Following this, the book discusses how the laser position and velocity control capabilities of the scanner can be used to design a laser incision depth controller to assist surgeons during operations.
This book highlights electromagnetic actuation (EMA) and sensing systems for a broad range of applications including targeted drug delivery, drug-release-rate control, catheterization, intravitreal needleless injections, wireless magnetic capsule endoscopy, and micromanipulations. It also reviews the state-of-the-art magnetic actuation and sensing technologies with remotely controlled targets used in biomedicine.
Designed to provide all the information needed by residents during spine surgery rotations, this long-awaited second edition is your go-to source of essential information on every key aspect of spine surgery. Written by established and upcoming leaders and pioneers in the field, this single-volume resource can easily be read cover to cover during a rotation or used for quick reference before a patient workup or operation. Thoroughly revised and updated, it not only provides the high-yield information you must know, but also gives you a practical understanding of treatment options for a wide variety of spinal problems. Key Features: Brings you up to date with the latest information and innovative techniques in spine surgery, from world leaders in the field. Provides succinct, yet complete information on the wide variety of spinal conditions as well as the critical elements of examination, evaluation, and general knowledge. Features ample illustrations, algorithms, bulleted lists, charts, and tables throughout. Coverage includes: Examination and diagnostics Specific disorders such as trauma, infections, tumors, degenerative disorders, deformity, inflammatory disorders, sports injuries, and osteoporosis Nonsurgical treatments and surgical procedures Pain, bone grafting, biomechanics, and outcomes assessment Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use
This book, which describes in detail the most common procedures employed in inguinal hernia surgery, is exceptional in reflecting fully the most recent advances, as well as the most established techniques, in knowledge and practice. The role of recently developed and emerging technologies, including robotics, minimally invasive surgery, and biological meshes, is clearly explained, highlighting useful tips and tricks. The descriptions of traditional procedures, such as the Lichtenstein repair, are brought fully up to date and take into account the novel perceptions that professionals have of them, for example regarding the important role of nurses. The reader will also find guidance on established and new treatments for specific pain conditions, including postoperative chronic pain, the pubic inguinal pain syndrome, and obscure groin pain in women. The need for such an update on inguinal hernia surgery became clear at the 1st World Conference on Abdominal Wall Hernia Surgery, which highlighted the huge differences in the approaches adopted by scientists around the world and was chaired by the editor of this book. Inguinal Hernia Surgery will be a useful tool for all health care practitioners involved in hernia surgery.
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.
There is no standard textbook at this time on endovascular management of thoracic aortic pathologies. Atlas of Thoracic Aortic Endografting contains clinical case scenarios as well as controversies to highlight the use of this new technology. The various aortic pathologies are discussed, combining etiology, diagnostic tools like intravascular ultrasound (IVUS) and 64 slice CT scans which are all state of the art technologies, endovascular treatment, management of endoleaks, reinterventions combined with techniques of trouble shooting. This book highlights the new changes in the management of thoracic aortic diseases.
It is now 20 years since thoracoscopic surgery first entered everyday hospital practice, revolutionizing surgery and offering major benefits to patients. The intervening years have witnessed rapid progress, with the development of a variety of specialized techniques and equipment. This superbly illustrated book provides authoritative and comprehensive descriptions of the various minimally invasive techniques that are currently employed in thoracic and cardiac surgery. A wide range of thoracoscopic procedures are explained and discussed, and detailed attention is also paid to robotic and robot-assisted surgical techniques. Throughout, the emphasis is on clear description of procedures and identification of practical aspects of relevance in surgical practice. The authors are some of the world's most experienced thoracic and cardiac surgeons, and many of them have contributed greatly to the exploration and development of the field.
This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.
Vascular care has evolved from conservative therapy and open surgical therapy to a minimally invasive approach using endovascular techniques, laparoscopic or thoracoscopic techniques as well as hybrids of open and endovascular techniques. This volume provides up-to-the-minute information and details new developments and procedures.
Textbook of Laser Refractive Cataract Surgery is a comprehensive reference for the general ophthalmologist and cataract surgeon regarding the explosive new technology in femtosecond laser cataract surgery. Femtosecond laser allows extreme precision in surgery, and is used in refractive surgery and for 'cuts' in the cornea, leading to a more uniform treatment for the patient. Textbook of Laser Refractive Cataract Surgery is for cataract surgeons and all eye care providers managing or diagnosing cataracts who wish to be informed about this technology and its applications. Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery. Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery.
This book provides a concise, state-of-the art review of the surgical treatment of metabolic syndrome and diabetes mellitus. The volume reviews what current practices in surgery and metabolic syndrome and diabetes including the biohormonal effects of the different surgeries. Isolating the effects of the different procedures is critical to the decision tree for type of procedure selected for an individual patient. Specifically for diabetes, this textbook will provide a guide for practitioners to a tailored approach to the treatment. Areas of ongoing research that highlight the minimally invasive approach as well as incorporating what we know of the biochemical results of surgery are presented. Results of established weight loss procedures and ongoing trials are juxtaposed against some of the more novel techniques to ascertain a best practice. Metabolic Surgery and the Surgical Treatment of Diabetes serves as a very useful resource for physicians and researchers dealing with, and interested in, this rising epidemic of metabolic syndrome and diabetes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.
Designed to provide a highly visual reference for surgeons and other members of the patient management team, Atlas of Intestinal Stomas is based on the 1967 gold standard text, Turnbull and Weakly's Atlas of Intestinal Stomas. Additions include chapters on anatomy and physiology, biliary stomas, pediatric ostomies, the continent ileostomy, urostomy, laparoscopic stoma construction, stomas in trauma surgery, stomas for antegrade continence enema, percutaneous ostomies, and quality of life. There are also sections on ileostomy, colostomy, enterostomal therapy and on the management of complications of stomas such as management of the high output ostomy, enterocutaneous fistula, parastomal hernia, prolapse, and skin conditions. The Cleveland Clinic pioneered the entire practice of ostomies, beginning in 1858 and continuing to this day as the world's leading academic and clinical center. The editors and contributors are all current or former Cleveland Clinic physicians and instructors. The fundamental focus of the book is not only how to install ostomies, but how to avoid complications and how to treat complications when they arise. Atlas of Intestinal Stomas will be of great value to colorectal and general surgeons, both in practice and in training. |
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