In "Revision Sinus Surgery" the world's most prominent rhinologists illustrate their experience in diagnosing and managing recurrent sinus disease and skull base lesions. Starting with preoperative planning and medical management, these challenging cases are well-illustrated with the relevant surgical techniques. This invaluable resource is designed to prevent complications and improve the outcomes of revision sinus surgeries. Both practicing and in-training otolaryngologists can use this comprehensive volume as an all-in-one source for the evaluation and management of recurrent sinus disease and skull base pathology.

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.

Incisional hernia surgery has witnessed important advances over recent years, not only as far as the pathophysiological and etiopathogenetic aspects are concerned, but also from a technical point of view. This book provides an update on incisional hernia surgical techniques. It includes chapters on synthetic prostheses, biomaterials and robotics. Surgeons, surgical residents, and medical students will find the information in this volume very useful in their daily practice.

This book discusses the effects of emerging technologies on surgeons and surgical practice. The book opens with an overview of disruptive technologies, and their economic, scientific, ethical and social implications. Next comes a section describing how the Internet, virtual reality and simulation technology will change training and education. A section on Robotics covers computer-guided surgery, robotics and endoluminal therapies. Innovations in surgical instruments, including MEMS and Nanotechnology are outlined, as well. Next, the book reviews tissue engineering and artificial organs, genetic engineering, stem cells, emerging transplantation technologies and the brain-machine interface. A concluding section discusses ways of adapting to future technologies.

Progress in vitreo-retinal surgery is mercurial. Since this series is dedicated to new developments the reader is presented with a motley list of topics. The advancements described here may represent generally accepted progress in the field: New instruments, Macular hole surgery, Tumor biopsy. New ideas are set out to be tested for their benefit, for example: AMD surgery, Adjunctive pharmacotherapy. Reflections on incessant clinical problems in vitreo-retina surgery require superior scrutinization of established surgical techniques and indications: Posterior slippage, Inferior breaks, Subclinical retinal detachments. The editors will expand this list in future editions with topics like: new support for buckling surgery, enzyme assisted vitrectomy, new tamponades and other yet unknown fields of progress.

A compendium written by world leaders in laparoscopic urology from various teaching urological institutions in the US and UK who have contributed their tips and tricks in performing the various urologic procedures.

Each topic is limited to a few pages to produce a small and easy-to-read book. The book is extensively illustrated with line diagrams which are self-explanatory and greatly enhance the understanding various techniques, such as position of laparoscopic ports or technique of throwing a laparoscopic stitch.

Essential for urology residents, fellows, and practicing urologists, the book provides information that will be extremely useful in the performance of routine and advanced laparoscopic surgery, as well as when particular situations or difficult moments are encountered during surgery. While many journal articles may outline one authora (TM)s preference for a certain technique or trick, until now, there has been no compilation of the techniques of several authors. This handbook of tips and tricks from multiple specialists will be invaluable to residents and urologists already practicing laparoscopy.

When doctors first look at sutureless anastomosis devices created by new technologies, the most frequent comment is how amazingly easy it is to create a vascular anastomosis and, as a direct consequence, they believe anybody could play the role of the cardiovascular surgeon. Pessimistic c- diovascular surgeons, on their side, think that creating a machine capable of perfectly reproducing their core activity, which consists in making an- tomosis, will kill their profession. Actually, no medical specialty's demise has been more often predicted and, at the same time, more greatly ex- gerated than that of cardiovascular surgery. According to its detractors, - ginning in the late 1980s with the angioplasty boom, continuing in the mid-1990s with the introduction of bare metal stents, and then more - cently with the introduction of drug-eluting stents, cardiovascular surgery has been on life support for nearly 15 years. This specialty's claimed collapse has generally been attributed to recent advantages in percutaneous procedures and devices that give the oppor- nity to non-surgeon doctors to accomplish the surgeon's work. The reality is different. Data suggest that cardiac surgery continues to survive and has not suffered the precipitous decline that was predicted. From the economical standpoint, CABG is much more of a mature market and the size of the opportunity remains impressive and relatively stable, with around 1,500,000 procedures performed annually worldwide, at a total cost approaching 2. 5 billion US$.

Laparoscopic Colorectal Surgery, Second Edition is fully revised and updated and reflects an authoritative, team-oriented approach to the latest state-of-the-art laparoscopic colorectal procedures and surgical techniques. Written by pioneers in the field, this text will supply surgeons with all the information necessary to accomplish advanced laparoscopic procedures. Comprehensive discussions of positioning, instrumentation, cannulas, surgical techniques, special considerations, and considerations in cancer surgery are featured for a wide variety of major operative procedures.

This new Second Edition includes updated information on laparoscopic colorectal procedures, including hand-assisted laparoscopic procedures and new chapters on the physiology of pneumoperitoneum, laparoscopic anatomy of the colon and rectum, and evidence-based discussion of outcomes. The text is complemented by over 200 line drawings created exclusively for the textbook.

A definitive summary of novel techniques, this 1st volume in the New Technologies Series details the most current and multidisciplinary approach to new technologies used in general plastic, hand, peripheral nerve, microsurgery, breast, esthetic, and trauma surgery and provides an overview of the most important and clinically relevant plastic surgery research.

New surgical images of new surgical approaches are all accompanied with anatomical descriptions. In a novel way it contains endoscopic images from minimally invasive procedures and provides the most current overview of the leading trends in plastic surgery research.

Presenting newly developing clinically relevant techniques and technologies, this book aims to stimulate the reader to look at future advances and applications of research and their relevance to daily clinical practice.

Appropriate for different sub-specialties not only in plastic surgery but also in orthopedics and neurosurgery, this book will also be of great interest to trainee surgeons.

There are numerous textbooks detailing almost every aspect of the different laparoscopic procedures. However, in this era of evidence-based medicine, a text focusing on the controversies from the laparoscopic as well as the general surgeon's point of view is missing.

This book is not intended to be yet another textbook of laparoscopy; instead, its main purpose is to address unsettled issues of controversy. This will significantly enhance evidence-based knowledge of this developing field, stimulate thinking and discussions in rounds and meetings, assist surgeons in their decision making and stimulate further research.

This book is not aimed only at laparoscopic surgeons with their steadily increasing number but also at general surgeons and surgical trainees. It will define and sharpen points of controversy by internationally recognized authors, and thus provide 'state of the art' quality to each topic.

by S. GUASCHINO Dean, Trieste University School of Medicine The society we live in is in continual development and has a number of priori ties for improving the standards of communication. The scientific sector in par ticular thrives on the exchange of information, which is the foundation of progress itself. The channels through which this interaction takes place are many and are aimed at optimising teaching methodology. Researchers and scholars, research centres and the places of higher learning themselves are increasingly aware of the growing importance of universities, which, thanks to their intrinsic ability to renew themselves, have taken on a vital central and propulsive role. Communication develops as a result of free exchange, debate of the materials available and the study of the various references and analysis sources. With the advent. of information systems, the teaching methodology has assumed a decisive role, both in terms of the quantity of data available and the quality of the information. Distance learning is a new and important opportu nity for the immediate future. The Anaesthesia and Critical Care School of Trieste has promoted this inter esting and highly relevant initiative by drawing together teaching material from the academic year 2003/2004. Numerous international lecturers have con tributed to this valuable achievement. In addition, a large part of the material is the fruit of a real consortium between the various Italian Schools of Anaesthesia."

Drs. Guhl, Parisien, and Boynton have prepared a third edition of this successful volume, heretofore published by Slack (who no longer publishes books on orthopaedic surgery, only journals). The editors have invited a prestigious group of contributors, including such stellar names in the field as Ferkel, Lundeen, Tasto, etc. The new edition will address the most recent and valuable developments in foot and ankle arthroscopy, including the practical applications of instrumentation and technique in the clinical setting. Unique to this book are the imaging techniques, laser surgery, mid-foot arthroscopy, and most importantly - endoscopic surgery of the ankle and foot. Sections and chapters on anatomy, differential diagnosis, soft tissue pathology, rehabilitation, and again, unique to this volume, office and outpatient arthroscopy make this a comprehensive reference.

Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology focuses and highlights the pivotal role these two techniques play in modern obstetrics and gynaecology. Taking a problem-orientated approach, the book includes sections on menorrhagia, postmenopausal bleeding, endometrial malignancy, urogynaecology, ovarian masses, endometriosis, early pregnancy complications and infertility. A multi-contributed book with short, practical chapters, the book is well illustrated with more than 60 colour illustrations. Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology uniquely combines these two fields to demonstrate management of common gynaecological conditions based on accurate ultrasound diagnosis and minimal access treatment. An authoritative practical 'how-to' guide, this book will be invaluable for practitioners to learn and perfect both techniques and use them to their maximum potential.

The subject of this book is the study of the relative roles of CT and MRI for all tumors; by contrast comparison with clinical results, the respective indications for these techniques are clarified, in term of diagnosis treatment planning and survey with educational presentation of radiologic signs.

Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.

This book represents the definitive robotic thoracic surgery atlas, containing didactic material necessary to facilitate effective practice in thoracic surgery and to provide learning tools in these methods both to practicing surgeons and to those in training. It defines the complete operative pathway for each procedure for surgeons who wish to be a complete robotic cardiothoracic surgeon and includes hints and procedural pitfalls derived from the experiences of chapter contributors. The Atlas of Robotic Thoracic Surgery is illustrated with high quality illustrations and color photographs from surgical operations and contains expert analysis from leading surgeons who provide the key visual features of their chosen topics. Anesthetic and cardiopulmonary support preparation for each operation are included and selected references are provided to emphasize evidence-based outcomes.This book has been designed to augment Atlas of Robotic Cardiac Surgery edited by Ranny Chitwood, both being developed from these same concepts of simplicity and practical instruction. It will therefore be an important resource for all involved in thoracic robotic surgery or interested in learning more about the techniques involved.

With the growing age of the population, the proportion of elderly patients with diffuse coronary artery disease and severe comorbidities is increasing. The characteristics of these patients render them unsuitable for currently recognized revascularization procedures (CABG, PTCA). Therefore, there is an urgent need for new treatment modalities which could alleviate their symptoms and increase blood flow to the ischemic myocardium, while being less invasive for their fragile condition. The aim of this book is to provide an anatomical and physiological background as well as a complete review of the alternative methods of revascularization which are under development, namely transmyocardial laser revascularization, therapeutic angiogenesis and neurostimulation.

Embryoimplantationisaremarkableandcomplexprocess. Approachesde- velopedfromthefieldsofcellanddevelopmentalbiology,immunology, andmolecularbiologyhavegreatlyenhancedourabilitytostudythe sharedaswellasuniquefeaturesofembryo-uterineinteractions. Impres- siveandcriticalgroundworkhasbeenlaidbyalargeanddedicatedarray ofendocrinologists,reproductivebiologists,andanatomists. Thesestudies havesetthestagetoutilizesensitiveandsophisticatedtechniquestode- tectandmodulateproteinandgeneexpression. Justasthesymbiosisofmother andfetusiscriticalforthemaintenanceofpregnancy,soisthesynergyamong investigatorsfrommanydisciplines,bothinbasicandclinicalarenas,keyto unravelingthemysteriesofimplantationandplacentation. Alargegroupof contributorsinthisfieldhadtheopportunitytomeetanddiscussthestateof thisartwiththesupportofSeronoSymposiaUSA,Inc. Whileitisneverpos- sibletobringtogethereveryonewhohasplayedanimportantrole,itwas, nonetheless,bothexcitingandgratifyingtohavesomanycolleaguestogether forthisevent. Inthechaptersthatfollow,thehighlightsofthismeetingarepresented assummarizedbytheindividualpresentersofsevendifferentsessions. The topichasbeenconsideredfromthebroadsocialandethicalimplications ofmoderninvitrofertilizationandassistedreproductivetechnologiesto detailedmolecularcontrolsovereventsthatoccurduringembryonicdevel- opment,uterinepreparationforimplantation,andplacentalorganogenesis. Thesechaptersdemonstratethesignificantandrapidprogressbeingmade inthisfieldofbiologyandmedicine. Atthesametime,theyshowthat muchmoreneedstobedonetounderstandandfullyappreciatethispro- cess. Lessonslearnedfromthiseffortcanbeexpectedtocontinuetopro- videinsightsintoother,relatedfields. Ofthemanycontributorstoour understandingoftheprocessofimplantation,nonehavehadalargerim- pactthanourcolleague,AllenEnders. Dr. Endershasplayedaparamount roleindevelopingthebasicunderstandingofthecellbiologicalprocesses vii VIII Preface underlyingimplantationandplacentationinmanyspecies,includinghu- mans. Hecontinuestocontributeandguidethoughtintheseareas. The participantsofthissymposiumrecognizedDr. Enders'impressivecontribu- tionsbyholdingthiseventinhishonor. DANIELD. CARSON * Contents Preface vii Contributors xiii PartI. Development and Future ofHuman In Vitro Fertilization and Embryo Implantation I. ImplantationintheHumanasViewedbyCanonLaw, CivilLaw,andNaturalReason 3 HOWARDW. JONES, JR. , RICHARDA. MCCORMICK, AND SUSAN L. CROCKIN 2. TheImpactofMaternalAgeandOvarianAge onImplantationEfficiency...12 STEVEN SPANDORFER AND ZEV ROSENWAKS Part II. CellularAspects ofImplantation 3. VascularInvasionDuringImplantationandPlacentation 23 ALLEN C. ENDERS AND THOMASN. BLANKENSHIP 4. OxygenRegulatesHumanCytotrophoblastProliferation, Differentiation,andInvasion:Implicationsfor EndovascularInvasioninNormalPregnancy andPreeclampsia 39 OLGA GENBACEV,YAN ZHOU, MICHAEL T. McMASTER, JOHNW. LUDLOW, CAROLINEH. DAMSKY, AND SUSAN1. FISHER 5. Embryo-MaternalInteractionsafterDiapause inaMarsupial 54 MARILYNB. RENFREE AND GEOFFREY SHAW IX x Contents 6. CellularInteractionsandtheCysteineProteinases intheProcessofMouseImplantation 67 BRUCE BABIARZ, SUZANNE AFONSO, ANDLINDA ROMAGNANO Part III. HormonalRegulation 7. NovelSteroid-RegulatedMarkersofImplantation 83 INDRANIC. BAGCHI 8. MolecularSignalinginImplantation 92 SANJOYK. DAS, BIBHASHC. PARIA, AND SUDHANSU K. DEY 9. IdentificationofProgesterone-RegulatedGenes intheUterus 107 CINDEER. FUNK, BERTW. O'MALLEY, AND FRANCESCO1. DEMAYO PartIV. MolecularMarkersofReceptivity 10. MucinsProvideaBarriertoEmbryoImplantation 123 MARYM. DESOUZA, GULNARA. SURVEYOR, XINHUI ZHOU, JoANNE JULIAN, ANDDANIELD. CARSON II. PotentialInvolvementofTrophinin,Bystin, andTastininEmbryoImplantation 132 MICHIKON. FUKUDA, DAITA NADANO,NAO SUZUKJ, AND JUN NAKAYAMA 12. OsteopontininHumanEndometrium: ARoleinEndometrialReceptivityand EmbryoImplantation? 141 CHRISTOS COUTIFARJS,AKINYINKA OMIGBODUN, PIOTR ZIOLKIEWICZ, AND JOHN HOYER PartV. TrophoblastFactors 13. TheRabbitasaModelforImplantation: InVivoandInVitroStudies 151 LORENH. HOFFMAN,D. RACHEL BREINAN, AND GARETHL. BLAEUER 14. RegulationofTrophoblastEndocrineFunction: ThePlacentaDoesItsOwnThingTranscriptionally...161 JEROMEF. STRAUSSIII ANDLEE-CHUANKAo Contents XI 15. TranscriptionFactorsRegulatingtheDifferentiation oftheTrophoblastCellLineage 167 IANC. SCOTTANDJAMESC.

Post-Operative Recovery and Pain Relief describes the major problems that may be encountered during recovery from anaesthesia and suggest how they may be avoided by careful monitoring, vigilant nursing and sound organization. The behaviour of patients during recovery is influenced by their pre-operative medical condition, by drugs they may receive both pre- and intra-operatively and by the nature of the surgery they have undergone. This updated and revised version of Eltringham's "Post Anaesthetic Recovery" contains sections devoted to each of these areas which reflect the current best practice. Post-Operative Recovery and Pain Relief will be of interest not only to nursing staff working in operating theatres and post-operative care units but also to those working in surgical units, house officers and junior anaesthetists.

Gynaecological disorders are often treated through minimally invasive laparoscopic, or open abdominal access surgery, rather than through vaginal surgery. This book is a guide to vaginal hysterectomy for gynaecologists. Divided into seven sections, each further sub-divided into a series of case studies, topics cover vaginal hysterectomy in different disorders and circumstances, including uterine debulking, patients who have previously had a caesarean section, previous uterine surgery, adnexal pathology, nullipara, and endometrial cancer. The final section describes special cases. Authored by an internationally recognised team of experts in the field, the text is further enhanced by clinical photographs and diagrams. Key points Guide to vaginal hysterectomy (VH) for gynaecologists Presented as a series of case studies describing VH procedures for different disorders and circumstances Includes section on special cases Internationally recognised author team

This book introduces readers to modern micro ear surgery procedures employing 3-D methods. Divided into 5 chapters, it explores 43 micro ear surgery operations, while 418 pairs of stereoscopic images illustrate each procedure in 3-D detail. Using the operating microscope, which provides true stereo vision through its two-eye lens system, the authors present various micro ear surgeries, including mastoid and middle ear surgery, facial nerve surgery, inner ear surgery, and lateral skull base surgery. For each pair of stereoscopic images, readers can find the anatomic structures captured from two different angles, and will learn how to use stereoscopic 3-D methods to view the anatomic structures hidden deep in the temporal bone. As such, the book offers a valuable guide book and reference work for doctors specializing in otology, neurology and related fields.

Volume 1 of this edited book covers basics of endothelial keratoplasty and various surgical techniques currently in use. Chapters on DSAEK, DMEK, big bubble, air pump-assisted and endoilluminator assisted DMEK/PDEK, pre-Descemet's endothelial keratoplasty (PDEK), and Descemet's membrane endothelial transfer (DMET) complete the topics on various surgical procedures. Complex situations and complications have been covered in volume 2 of Mastering Endothelial Keratoplasty. Endothelial keratoplasty is a field of great interest to all corneal surgeons. It is an exciting and evolving field in corneal transplantation as the newer techniques of DSAEK, DMEK, E-DMEK and PDEK have inherent advantages that make them supersede the older techniques by far. Hence, in today's scenario with the clearly superior results that these techniques offer, it is imperative for all corneal surgeons to learn them and know everything about managing the patient from the pre-operative to the postoperative period. This two-volume book is a must-read for the beginner as well as the established ophthalmologist with interest in corneal transplantation. It is also a must-have for educational institutions, hospital- based libraries and for post-graduate students, fellows and residents who want to expand their knowledge.

The SAGES Manual of Robotic Surgery is designed to present a comprehensive approach to various applications of surgical techniques and procedures currently performed with the robotic surgical platform. The Manual also aligns with the new SAGES UNIVERSITY MASTERS Program. The Manual supplements the Robotic Surgery Pathway from Competency to Proficiency to Mastery. Whether it's for Biliary, Hernia, Colon, Foregut or Bariatric, the key technical steps for the anchoring robotic procedures are highlighted in detail as well as what the reader needs to know to successfully submit a video clip to the SAGES Facebook Channels for technical feedback. The initial chapters are dedicated to the anchoring procedures needed to successfully navigate through the Masters Program. Subsequent chapters then address preliminary issues faced by surgeons and staff , such as training and credentialing, as well as instrumentation and platforms commonly used for these procedures. Individual chapters will then focus on specifi c disease processes and the robotic applications for those procedures

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.