In this compilation, the authors begin with a focus on the indications for surgery in hepatocarcinoma and how to perform a liver resection. Long-term outcomes and different theories on the causes of recurrence after resection are also discussed.Most patients with hepatocarcinoma have underlying chronic liver disease and are thus at high risk for development of postoperative complications, which can sometimes be fatal. The authors propose that we may be able to prolong the overall survival of patients by using laparoscopic liver resection as a powerful local therapy, which can be applied repeatedly with minimal deterioration of liver function.Bronchoscopy has become an important procedure for diagnostic and therapeutic purposes, particularly in the context of lung cancer. As such, the medical and surgical advances in bronchoscopy are described herein.Post-operative pancreatic fistula is one of the most dreaded complications in any pancreatic operation given its associated morbidity and mortality. This collection examines how the amylase-rich fluid can cause inflammation, become infected, or cause serious bleeding from neighboring vasculature.The authors go on to discuss cystic fibrosis, the most common life-threatening autosomal recessive disorder affecting Caucasians. The indications of endoscopic sinus surgery in cystic fibrosis patients are discussed, drawing from personal experience in the diagnosis and treatment of cystic fibrosis-related sinus disorders.Following this, the origins of functional sinus surgery as it relates to the evolution of functional endoscopic sinus surgery and minimally invasive sinus technique are discussed. The rationale for our departure from Messerklingers functional concepts is also analyzed.Additionally, endoscopic sinus surgery complications should be distinguished in minor and major based on the treatment they need and the permanent sequelae they can cause. Over the years, the incidence of complications in endoscopic surgery has gone from 8% for the major and 21% for the minor to a percentage of 0 -1.5% and 1.1 - 20.8%, respectively.Sphenoid sinus is very close to important and vulnerable structures of the skull base and therefore a delayed diagnosis and treatment can be lethal. Thus, the authors provide a review of classification of transsphenoidal skull base approaches and show the main transnasal corridors to the sphenoid sinus based on the anatomical sphenoidal target and extension of pathology.Lastly, a synopsis of the pathophysiology of post-craniotomy temporomandibular dysfunction and a practical approach to its evaluation and treatment is provided. Several surgical procedures can be used to perform craniotomy, such as the classical pterional, pre-temporal and other fronto-temporal approaches. However, they are all based on the dissection of the temporal muscle, which can lead to a variety of negative side effects.

Obesity is a multifactorial global epidemic with associated risk factors for an array of vascular, metabolic, psychological and economical consequences. Bariatric surgery has revealed a significant link between gastrointestinal metabolism and obesity that extends to resolution of many metabolic diseases including type 2 diabetes and cardiovascular disease risk. Bariatric surgery offers the most effective results and Roux-en Y gastric bypass (RYGB) is the most commonly performed bariatric surgery worldwide. The effective weight loss achieved by RYGB is thought to be caused by the re-arrangement of the gastrointestinal tract leading malabsorption and restriction of the ingested nutrients, and consequently resulting in alterations in the gut hormone levels. The first chapter of this book briefly summarises the current literature on the changes in the gastrointestinal hormones following RYGB. Chapter Two studies the role of bariatric surgery in the resolution of obesity and type 2 diabetes. Chapter Three discusses how to treat a type 2 diabetes patient post-bariatric surgery. The last chapter discusses the recent findings of the relationship between gastric bypass and four different skin disorders.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The best way to prepare for the American Board of Anesthesiology's new ADVANCED Examination Anesthesiology Core Review: Part Two-ADVANCED Exam prepares you for the second of two new staged anesthesiology board certification exams. This is the first board review book tailored for the new ADVANCED examination.The book is divided into sections that match the blueprint provided by the American Board of Anesthesiology: Basic Science, Clinical Sciences, Organ-Based Sciences,Clinical Subspecialties, and Special Problems or Issues in Anesthesiology. Anesthesiology Core Review: Part Two-ADVANCED Exam is the single best way to take the stress out of this make-or-break exam. Short 2-4 page chapters provide critical information in an easily digestible and memorable format. Each chapter succinctly summarizes key concepts, covering the nearly 200 must-know topics found on the board exam outline. The pages are heavily illustrated to help you visualize key concepts, with space conveniently provided throughout the book to add notes from other study resources. Together with the first volume (Anesthesiology Core Review Part One-BASIC), this book provides an excellent, comprehensive resource for initial board certification.

Comprehensive and clinically focused, Refractive Surgery, 3rd Edition, brings you the knowledge and expertise of leading ophthalmology experts and refractive surgeons from around the world. Together they provide practical coverage of the latest advances in this fast-changing field, including improved optics and biomechanics, improved diagnostics, new surgical techniques, and more. Hundreds of high-quality photographs guide you from patient selection to mastery of surgical techniques. Offers step-by-step guidance on a wide range of common refractive procedures. Covers new topics such as management of LASIK complications; SMILE and management of SMILE complications; collagen cross-linking, including instrumentation and applications in keratoconus and ectasia; intracorneal lenses; and multifocal and accommodating IOLs. Contains a new chapter on Preoperative Evaluation of Keratoconus and Ectasia. Uses high-quality surgical video clips to demonstrate a variety of surgical techniques. Addresses initial as well as ongoing management of patients. Includes tables of indications, preferences, hot tips, and management of complications throughout, making guidance quick and easy to access. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

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

This book provides a comprehensive, evidence based and updated review of the role of laparoscopy in different surgical specialties. The following chapters are included: Access Techniques for Laparoscopic Surgery - Modified laparoscopic and open splenectomy and azygoportal disconnection for portal hypertension - Single incision laparoscopic splenectomy - Laparoscopic liver surgery - Single incision laparoscopic hepatectomy - Laparoscopic colorectal surgery - Role of Diagnostic Laparoscopy in Gastric Cancer Staging - Role of Laparoscopic Resection in Gastric Cancer Treatment - Laparoscopic Ventral Hernia Repair: Techniques and Complications - Analgesia in Robotic Laparoscopic Urological Procedures - Single-site port laparoscopic hysterectomy - Laparoscopy in pediatric surgery General complications of laparoscopic surgery - Intestinal complications in laparoscopic surgery. This book is written by international experts and it will prove to be a valuable resource for a broad spectrum of clinicians, healthcare professionals and students. This book also includes a good number of tables and images which make it informative and educational.

The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) is one of the largest purchasers of surgical implants, which include biological implants, such as skin and bone grafts, and non-biological implants, such as cardiac pacemakers and artificial joints. Surgical implants fall under VHA's definition of prosthetics, which includes all items that support or replace a body part or function. Federal law grants the Secretary of VA the authority to procure prosthetics and related necessary services in such manner as the Secretary may determine to be proper, without regard to any other provision of law. This book examines factors that influence clinicians' decisions to use particular implants when multiple, similar items are available; selected VAMCs' compliance with pertinent VHA requirements for documenting open- market purchases; and VA's and VHA's oversight of VAMC compliance with implant purchasing requirements.

The thyroid gland is located in the neck deep to the platysma. This is a broad sheet of muscle that crosses over the clavicle to cover the antero-lateral neck. Its anterior fibres interlace with the opposite side, finding an attachment to the mandible and the dermis of the lower part of the face. The platymsa covers the sternocleidomastoid and the strap muscles of the neck: sternothyroid, sternohyoid and omohyoid. In order to maximize aesthetics after thyroidectomy, surgeons use a transverse collar incision through the skin and platysma. This book discusses the surgical procedures taken during a thyroidectomy, and also explores the potential complications involved. Postoperative outcomes are also discussed.

This book represents a refreshing and broad view of the nature of allografts, as well as the challenges involved in their use as critical therapy for a variety of different health problems. It is the work of a group of very talented and experienced physicians representing different medical disciplines, but all of them intimately involved with the use of allografts, presenting their distilled experience. The notion of allografts is explored in specialty areas ranging from orthopaedics and thoracic surgery to kidney and liver transplantation, in an effort to identify certain common themes having to do with the immunological response to the allograft and the various methods to avoid rejection. Chapters in this book present current challenges in the use of bone allografts in complex orthopaedic procedures, in addition to dealing in depth with the use of hepatic and renal allografts in liver and kidney transplantation. Complex issues, such as the role of the immune system trying to deal with allograft acceptance or rejection on the one hand, and the presence of hepatitis B or C infection on the other hand, with the addition of the possibility of coexisting hepatocellular malignancy, are at the core of this book. The authors present the therapeutic problems seen in clinical practice and offer possible solutions, based on their extensive experience. This book will be a valuable resource to scientists involved in disciplines such as transplantation, immunology, and orthopaedics, as the themes that are analysed here cover a broad range of areas.

The field of surgery has seen significant changes over the last decade. New surgical techniques in thyroid, parathyroid and adrenal surgery characterized by reduced trauma of access and new technology have heralded minimally invasive techniques that have allowed surgeons to perform operations with results similar to traditional approaches whilst offering advantages in recovery time and cosmesis. This book focuses on topics of minimally invasive endocrine surgery; laparoscopic and robotic colorectal resection for cancer; the right anterolateral thoracotomy technique for patients with simple congenital heart disease; long-term clinical status, quality of life and functional outcomes after laparoscopic approach to achalasia; the evolution of component separation techniques for massive incisional hernias; the advances towards beating heart surgery; and finally, the operative techniques and outcomes of needlescopic surgery.

This book is a concise guide to minimally invasive spine surgery (MISS), with emphasis on techniques, procedures and equipment. Divided into five sections, the authors discuss MISS for different areas of the spine - cervical, thoracic and lumbar. Each section is presented with a step by step approach, with an introduction, clinical evaluation, intraoperative positioning, surgical techniques and potential pitfalls. The final sections discuss the instruments used for MISS and some special topics. Written by a highly experienced author team from the USA, this book covers all aspects of MISS, including tumours, trauma and deformity. Nearly 120 full colour images and illustrations are included to enhance learning. Key points Concise guide to minimally invasive spine surgery (MISS) emphasising techniques, procedures and equipment Covers all aspects of MISS (tumours, trauma and deformity) in all areas of the spine - cervical, thoracic and lumbar Highly experienced author team from the USA Includes nearly 120 full colour images and illustrations

Laparoscopic hernia repair is a relatively new surgical technique to fix tears in the abdominal wall using small incisions, a patch and special cameras to view inside the body. It frequently offers a more rapid recovery for the patient, less postoperative pain, and a quicker return to work and normal activities. (LapSurg.org). This concise guide discusses the latest procedures in laparoscopic hernia repair. Beginning with chapters on the history of hernia, imaging and equipment, the following sections discuss surgical procedures for different types of hernia. Nearly 400 colour images and illustrations are included, as well as two DVD ROMs demonstrating different laparoscopic procedures and discussing potential complications. Key points Guide to latest procedures in laparoscopic hernia repair Covers techniques for different types of hernia Nearly 400 colour images and illustrations Includes DVD ROMs demonstrating procedures and discussing complications

This new edition brings gynaecologic surgeons and postgraduate students fully up to date with the latest developments and techniques in vaginal surgery. Beginning with sections on surgical anatomy, preoperative care and anaesthesia, the following chapters discuss different surgical techniques. This comprehensive guide includes 880 full colour images and illustrations as well as two interactive DVD ROMs demonstrating many of the techniques discussed in the book. The previous edition of State-of-the-Art Vaginal Surgery published in 2007. Key points New edition bringing gynaecologic surgeons and postgraduate students up to date with latest techniques in vaginal surgery Includes two interactive DVD ROMs demonstrating procedures Features 880 full colour images and illustrations First edition published in 2007

Imaging-Guided Interventional Breast Techniques instructs the reader on the performance of invasive breast procedures and discusses issues related to the selection and purchase of equipment to perform these cutting edge techniques. This "how to" text will include the most up-to-date information on biopsy technology, including the advantages and disadvantages of biopsy probes. The book will also address issues of patient management and discuss the results of the latest stuides on problems in the histopathologic interpretation of tissue obtained during biopsies. Additionally, the book is designed to assist the physician in assessment of equipment in compliance with professional regulations. Enhanced by over 200 high quality images, this text is ideal for specialists who perform interventional breast procdures.

The fourth edition of this highly successful textbook discusses the practical applications of the various methods of regional anaesthesia, including ultrasound, as well as giving an account of their theoretical aspects. The well-established author team use their experience to provide a practical and stimulating book which reflects everyday clinical activity, supplemented by high definition ultrasound images and schematic diagrams. The book will also discuss the place of regional anaesthesia in current medical practice, particularly with regard to pain processes, ultrasound imaging, and patient outcomes. Regional anaesthesia is a rapidly expanding sub-speciality of anaesthesia: routine provision of long-lasting pain relief and the introduction of real-time ultrasound block has fuelled a demand for cadaver and ultrasound-based anatomy training courses. Thus, it is more important than ever to have a thorough grounding in this exciting subspecialty.

The much-anticipated revision of the second edition of The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, has been completely restructured, reorganized, and revised. The Manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions. These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both "gold standard" and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy. The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents.

"Management of Complications in Oral and Maxillofacial Surgery" is a comprehensive reference that covers the minor and major complications which may occur in all facets of oral maxillofacial surgery. Each chapter covers the potential complications encountered during the routine practice of oral and maxillofacial surgery, from the most commonly encountered complications, to those less frequent and more complex with which every competent oral and maxillofacial surgeon should be familiar.

Drs. Miloro and Kolokythas address possible complications in every aspect of OMS, including anesthesia, third molar surgery, implant surgery, maxillofacial trauma, orthognathic surgery, temporomandibular joint surgery, cleft lip and palate surgery, head and neck oncologic surgery, soft and hard tissue reconstruction, free tissue transfer, and cosmetic facial surgery. The contributors to this textbook, recognized experts in their specific topic due to their surgical experience and expertise, focus on the prompt recognition of each complication, and consider preventative measures as well as precise management strategies considering the already compromised clinical circumstances.

Cancer surgery of the mouth and throat can involve major incision wounds, tracheotomy, or necessitate the breaking of bones. Recognizing the benefits and success of robotic surgery in other areas of medicine, the authors present its use in head and neck surgery, resulting in less surgery, less deformity, and faster rehabilitation. In this new book, the authors describe the preoperative aspects of Transoral Robotic Surgery (TORS), including patient evaluation, instrumentation and set-up, moving on to diagnostic endoscopic and surgical techniques for tonsillectomy, laryngectomy, tongue base and glottic resection, and speech and swallowing considerations. They conclude with an examination of the potential for TORS in skull-base surgery, its future application and, importantly, telesurgery via the Internet. A pioneering book for a pioneering surgical technique in head and neck surgical technique and management, this should be on the shelf of every otolaryngology-head and neck surgeon. http://www.youtube.com/watch?feature=player_embedded&v=DTp7Mv9hkbI

Oxford Handbooks Clinical Tutor Study Cards are a new, innovative, and versatile aid to revision from the publishers of the famous Oxford Handbooks. Following the same portable format, each card covers a discrete topic, enabling students to revise in bite-sized chunks quickly and safely whilst on the move. These handy double-sided cards can also be used when carrying out an examination, containing the vital techniques and tips students need to know. They are split up into defined sections to allow the reader to find topics quickly, and are supplemented with full colour illustrations to aid quick and confident diagnoses.
This set of surgery cards takes a system and anatomical-based approach, covering all essential conditions and diseases in just 132 cards. Each card first looks at clinical examination, before covering the need-to-know essentials: background and epidemiology, presentation, differential diagnosis, and suitable investigations, followed by treatment or 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.