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Books > Medicine > Surgery > Surgical techniques
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.
Part of the Neurosurgery by Example series, this volume on pain neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within pain neurosurgery, including trigeminal neuralgia, postherpetic neuralgia, occipital neuralgia, percutaneous cordotomy for cancer-associated pain, chronic lumbar radiculopathy, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Pain Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.
The EAES Manual of Endoscopic Surgery provides surgeons and surgical residents with the best practical knowledge currently available on commonly performed minimally invasive abdominal and thoracic procedures. Expert European surgeons share their career-long experience by dissecting operative procedures step by step and highlighting potential technical and anatomical hazards. Authors instruct the reader in a fashion similar to the conversations that take place between master surgeons and their apprentices while scrubbing for surgery. Uniform full color illustrations complete the detailed descriptions of minimally invasive surgeries. In addition to the operative instructions, a key component of the manual is the provision of information on patient selection, choice of operative approach, special needs for minimally invasive procedures, and the early diagnosis and treatment of complications after surgery.
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.
Introducing the most essential all-in-one MIS tutorial and atlas for 21st-century practice A Doody's Core Title for 2022! If you are a laparoscopic surgeon who strives to be at the vanguard of clinical practice, your atlas has arrived. Overflowing with nearly 1,000 beautifully rendered, medically accurate illustrations, The Atlas of Minimally Invasive Surgical Operations is the definitive laparoscopic surgery procedural primer and visual roadmap. This indispensable, one-stop resource delivers easy-to-follow procedural guidance that builds on the vital work of laparoscopic surgery pioneers at OHSU and other leading academic centers in the United States who have adapted common open operations to an MIS environment. Accompanying this skill-sharpening content are detailed illustrations that take you through each step to consider while performing current minimally invasive techniques. The Atlas of Minimally Invasive Surgical Operations begins with a review of general surgical considerations and principles of access, while subsequent sections survey the full scope of surgical interventions. Mirroring the latest clinical perspectives, research, and technologies that drive procedure evolution, this is the one atlas that should be part of your surgical library. Nearly 1,000 state-of-the-art illustrations-all created by esteemed professors of medical illustration at Johns Hopkins University-are designed to help surgeons visualize the procedure as they step to the operating table Comprehensive coverage encompassing 62 must-know procedures, each of which is fully explained with high- yield text and accompanying illustrations Consistent format includes Indications, Preoperative Preparation, Anesthesia, Position, Incision and Exposure, Closure, and Postoperative Care Section on minimally invasive pediatric surgery examines the latest procedural approaches to this critical surgical area
This text is a fully updated and revised third edition of a highly successful text. The format of this text is unique and has been very successful. A total of 286 short chapters organized into 24 Sections provide operative dictation templates for all of the common and the vast majority of the uncommon and even rare operations performed by general and vascular surgeons. Each chapter also provides a succinct synopsis of the operation through bullet-ed lists which include Indications, Essential Steps, Note these Variations, and Complications. The book thus serves two purposes: these operative dictation templates can be used verbatim when dictating the operative note for a procedure; and the book provides ready reference to the trainee going into the operating room to do the procedure for the first time, or to someone preparing for their Board examinations. Space for notes allows surgeons to personalize the book and turn it into a resource unique to their situation. Fully updated and expanded, Operative Dictations in General and Vascular Surgery, Third Edition includes significant additions that include flexible endoscopic procedures (now recognized as a core part of general surgery training and practice), single incision laparoscopic cholecystectomy, and robotic approaches to the rectum. The endovascular procedures have been significantly expanded, as have the approaches to venous disease and to A-V fistula creation. Operative Dictations in General and Vascular Surgery, Third Edition is intended for practicing surgeons, who may modify each template to reflect their own individual practice. It also serves as a concise reminder of essential steps in those operations that may be only rarely performed.
This is a reference text for both the novice and the accomplished ophthalmic surgeon. The book imparts basic information on tissue tactics and knot tying and demonstrates the applicability of these techniques to various microsurgical situations, in both the anterior and the posterior segment of the eye. Illustrated with photos and line drawings, each chapter contains sections on: Surgical indications, Instrumentation and equipment, Surgical technique, Complications and future challenges.
This timely and clinically oriented book uniquely addresses the entire spectrum of treatment for severe obesity and diabetes. It thoroughly examines all aspects from robotic surgery to cell therapy, from the latest antidiabetic drugs to endoscopic procedures and devices, from appetite-inhibiting signals and nutrients to gastric arterial embolization. It offers objective and authoritative information for practicing professionals; not only are successful interventions discussed and updated, but cutting-edge and experimental pathways are also anticipated. Obesity is the foremost nutritional challenge worldwide. Its companion is type-2 diabetes, the most prevalent metabolic disease. Together they represent the diabesity epidemic, which is draining resources, overwhelming healthcare facilities, and impacting life expectancy and quality of life everywhere. No country has been spared, and most medical specialties have been affected. Many books focus on the surgical options for obesity and diabetes, namely bariatric and metabolic operations. Information on the clinical and pharmacological treatment is also available, conveyed by standard texts on internal medicine and endocrinology. Yet endoscopic maneuvers and prostheses, cell therapy for diabetes, and other innovative approaches are hard to come by, as conventional texts overlook such therapies. This timely publication bridges the gaps between all different therapeutic options, also covering advances in the conservative, surgical and parasurgical domains. This book will appeal to seasoned specialists, students and healthcare professionals in training alike.
Since the introduction of laser devices to the medical sciences this technology has created great interest. Specifically, the laser's unique physical properties and precise bio-tissue interactions render this versatile source of biologic energy an attractive tool for multiple therapeutic purposes in cardiovascular medicine. Over the course of the last 2 decades the utilization of laser technology has become an important component for the management of patients with complex cardiovascular diseases. During this time period, cutting edge laser technology including a variety of wave length generators, newly designed catheters, and a selection of advanced optic fibers have been introduced and applied in the cardiovascular circulation. Improved lasing techniques in the cardiac catheterization suites and operation rooms have been implemented for treatment of ischemic coronary syndromes, peripheral arterial occlusive disease and other atherosclerotic thrombotic conditions. Moreover, during this 20 year time frame, several multicenter and single center clinical studies have been published focusing on the role and utilization of lasers in coronary and peripheral revascularization. And within the rapidly expanding field of interventional cardiac electrophysiology, laser technology has recently revolutionized the management of fractured, abandoned and malfunctioning leads of cardiac pacemakers and automatic defibrillators. Consequently, replacing a notoriously cumbersome and high risk open heart surgery with safe and markedly efficient percutaneous laser based extraction. This textbook will provide the most authoritative, comprehensive and contemporary information covering technological progress, clinical experience and pertinent aspects of laser applications in cardiovascular medicine. It will be of interest to cardiologists, vascular surgeons and interventional radiologist as well as medical students, scientists, biomedical engineering students and graduates.
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.
Heart disease in children has a number of diagnostic traps for the unwary, and all of us involved in the specialty have been caught at one time or another. For example, it is sometimes very difficult to differentiate between respiratory and cardiac disease in infants and between neurological and cardiac conditions in older children, and the consequences of taking the wrong path can be significant. This book is a collection of cases highlighting situations which can ensnare even the best cardiologist. Although they illustrate the importance of taking a good history and performing a thorough examination, the most important lesson is learning to keep an open mind and develop the ability to think laterally. As clinicians we need to have the confidence to make a decision for our patients but also the humility to be able to acknowledge that we don't always get it right first time, and it is imperative that we learn from the experience. We hope the reader will find these short chapters interesting and while they are not evidence-based medicine in the true sense, they do represent a wide range of clinical experience from which we can all learn.
This book provides an in depth review of the current practice in treating elderly patients with coronary artery disease (CAD) as well as an update of the existing literature. It is intended to reflect the current science of elderly patients with stable angina, acute coronary syndromes and those patients who are forwarded for CAGB procedures. Evidence in the elderly patient group is often limited and/or non-existent therefore the main challenge, even for further research, will be to define the role of geriatric preconditions and its impact on outcome. A second topic will be to clarify how, if ever, existing cardiological outcome values like mortality can be applied to elderly patients or if other values like improvement of functional status or quality of life are more suitable parameters to measure interventional success in elderly patients. The role of pharmacotherapy in advanced age has to be discussed. These topics will be embedded in epidemiological, pathophysiological and ethical aspects of interventional treatment of CAD in older age.
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.
Although lymphoscintigraphy was originally introduced into clinical routine for identification of the cause of peripheral edema, more recently it has been widely applied for radioguided biopsy of the sentinel lymph node in patients with solid cancers. The procedure is now considered crucial for adequate planning of oncologic surgery in a growing number of cancers. This atlas presents a collection of richly illustrated teaching cases that demonstrate the clinical relevance and impact of lymphoscintigraphy in different pathologic conditions. After introductory chapters on the anatomy, physiology, and pathophysiology of lymphatic circulation, the role of lymphoscintigraphy in differential diagnosis of peripheral edema and characterization of intracavitary lymph effusions is addressed. The principal focus of the book, however, is on the use of lymphoscintigraphic mapping for radioguided sentinel node biopsy in cutaneous melanoma and cancers at a range of anatomic sites. The most commonly observed lymphoscintigraphic patterns are depicted, and anatomic variants and technical pitfalls of the procedure receive careful attention. The role of tomographic multimodality imaging is also considered. The atlas will be an excellent learning tool for residents in nuclear medicine and other specialists with an interest in the field.
The first laparoscopic cholecystectomy, performed by Prof. Philippe Mouret in 1987 and described by himself in the first chapter of this book, was an event that revolutionized surgery in the past few decades. Although the majority of surgeons today are unfamiliar with the his- ry of early minimally invasive surgery developments, it is important to realize that the advent of laparoscopy led not only to new surgical te- niques, but also to a change in the doctrine of medical care, by streng- ening the concept of minimal invasiveness. This is particularly the case for biliary lithiasis, for which laparoscopy has provided major benefits in terms of both diagnosis and surgical tre- ment. However, our understanding of the etiology of this disease, as well as the availability of effective medical therapies, have remained subst- tially unchanged over time. The application of the innovative approach has not been, in routine practice, without problems: between 1990 and 2000, the rate of serious complications from laparoscopic cholecystectomy were four times higher than those observed with open surgery. Even initial attempts at lapa- scopic treatment of biliary common bile duct stones resulted in excessive complications and associated medico-legal problems. Nonetheless, today, most indications have been stated, techniques have been standardized, and a new aspect to the treatment of biliary lithiasis has appeared.
Minimally invasive joint replacement has become one of the hottest topics in the orthopedic world. In the case of the knee, however, this concept has been widely misunderstood. All too frequently it is taken to mean keyhole surgery in which traditional components are implanted with a shorter surgical time. Such an approach in fact has few benefits and various possible dangers. In this book, international experts discuss truly minimally invasive knee reconstruction techniques that involve tissue-sparing surgery and small implants and permit preservation of both the anterior and the posterior cruciate ligament. These techniques have the key advantage of respecting the physiological joint biomechanics. They also entail minimal removal of bone tissue from the tibia and only a small skin incision that avoids damage to the extensor apparatus. All of the most innovative techniques used in uni- and bicompartmental knee reconstruction are covered in detail, including computer-assisted procedures. Long-term results are reported, and pitfalls, highlighted. The reader will learn how, with careful selection of patients and rigorous surgical technique, compartmental reconstruction offers a valid alternative to total knee replacement.
The recent widespread application of minimally invasive techniques has had a profound impact on the diagnosis and therapy of thoracic disorders, including in the pediatric age group. This book is intended as a practical guide to the current approaches in pediatric thoracic surgery. Up-to-date information is provided on the surgical techniques employed for diagnosis and therapy in a wide range of congenital and acquired thoracic pathologies from the prenatal age to adolescence. Among the disorders considered in detail are cystic malformations of the lung, chest wall deformities, diaphragmatic hernias, esophageal anomalies, mediastinal tumors, laryngeal anomalies, and thoracic infections. The authors are distinguished experts in the field from across the world. Pediatric Thoracic Surgery will be of value not only for pediatric thoracic surgeons but also for adult thoracic surgeons, pediatric anesthetists, and pediatric respiratory physicians.
This book details the current status of cervical MISS for expert surgeons, young surgeons or clinicians, and residents and fellows with little or no experience on this field of surgery. Because of the involvement of different and highly trained specialists from all over the world, the aim of this book is to satisfy the requirements for knowing the most advanced surgical techniques and their application. Also included are the indications and surgical techniques involving an open standard approach, giving a most exhaustive knowledge of the cervical spine surgery. Due to the difficulty of finding books with both minimal invasive cervical spine surgery and more conventional standard "open" surgery, the benefit of this book is to permit the surgeons and residents and medical doctors, to have a more complete and immediate knowledge of the topics. Due to the scientific multidisciplinary nature of the MISS, several professionals such as orthopedic surgeons, neurosurgeons, radiologists, anesthesiologists and pain management specialists, have been involved in order to create a book in which all the aspects of MISS have been treated.
This handy book offers a complete overview of current minimally invasive techniques for the management of endocrine diseases of the neck, reflecting how, in the past few years, the development of various ultrasound-guided procedures and endoscopic/video-assisted surgical techniques has changed the approach to thyroid and parathyroid diseases. The book opens by describing the main diagnostic tools for thyroid, parathyroid and cervical lymph nodes, focusing especially on the new technologies for tissue characterization. The different minimally invasive treatment procedures involving either a percutaneous approach (ethanol injection, laser thermal ablation, radiofrequency thermal ablation, high-intensity focused ultrasound) or minimally invasive surgery are then described in detail. The volume is intended for all clinicians and surgeons with an interest in the field of endocrinology and neck surgery. It provides a synthetic but clear description of the various available techniques from a technical point of view and discusses the main issues concerning each of them, permitting comparative evaluation in order to identify the best option in a particular case. It also reports the evidence available in the current literature.
This book is based on the latest comprehensive data about molecular mechanism of acute pancreatitis, chronic pancreatitis and pancreatic cancer. The diagnostic techniques including histology, radiology, sonography etc. are based on the sensitivity and specificity of the respective methods. Special focus is given to the indication and contraindication to surgical techniques. The book contains specific treatment modality and results for the first time after long-term outcome evaluation. There is detailed description of diagnosis and treatment, and the book is abundantly illustrated with approximately 300 color illustrations.
Operative urology has evolved in recent years to include laparoscopic and robot-assisted surgical procedures, which have resulted in significant improvements in quality of life-related outcome. Nevertheless, training methods in urologic laparoscopy and robot-assisted surgery vary considerably, and a structured training scheme is required to enable the modern urologist to adapt to and make optimal use of these techniques. Accordingly, the main goal of this surgical atlas is to guide the urologist carefully through all the standard laparoscopic and robot-assisted procedures. Each procedure is presented in detail with numerous supporting endoscopic images and diagrams. The reader is thereby acquainted with the different surgical steps and will acquire the knowledge necessary for reliable reproduction of the techniques in clinical practice.
Femoral neck fractures occur primarily in the elderly population, and nowadays arthroplasty is chosen most frequently as a treatment solution. This illustrated atlas provides a comprehensive monograph of femoral neck fractures. It has more than 800 representative figures, x-rays and drawings, and describes in detail non-invasive internal fixation. By means of presenting minimally invasive technique step-by-step, and their own results, the aim is to persuade the reader that the ratio of complications can be remarkably diminished by urgent surgery, based on selective indication criteria.
Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters provides a comprehensive review of the role of and technical considerations regarding robotic surgery for conditions of the kidney and associated conditions of the upper urinary tract. In addition to serving as a reference regarding indications, preoperative and postoperative management, complications, and evidence-based outcomes, this text also serves as a practical guide for surgeons in how to perform the complete array of robotic kidney and upper tract surgery. Included are detailed descriptions of positioning, instrumentation, and surgical steps for the surgeon newly adopting robotic surgery or for those refining their techniques. All chapters are written by recognized and published experts in the various techniques, creating an authoritative text on the subject. Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters will be of great value to urologists, robotic surgeons, fellows in urologic oncology or endourology as well as urology residents in training and surgical nurses and other surgery team members involved in these 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. |
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