For its third edition, this handbook has been fully revised and rewritten for the renowned Oxford Medical Handbook series. Including comprehensive coverage of all common surgical specialties and operations, it fully integrates practical advice on pre-operative procedure, equipment, step-by step surgical procedures, common techniques, and tips and tricks from over thirty experienced specialist surgeons. With over three hundred detailed practical diagrams and images to assist your understanding and packed with step-by-step, concise, and clear expert advice, you can be confident that this handbook will be your essential guide to all aspects of operative surgery. Providing an overview of modern operative surgical practice the Oxford Handbook of Operative Surgery will enable all surgeons, whether they are just starting out or posessing many years' experience, to prepare fully and be confident in observing, assisting or performing across the wide variety of surgical operations. Fully up to date and reflecting current practice and guidelines, it provides an essential complement to the highly successful Oxford Handbook of Clinical Surgery.

In Surgeons and the Scope, James R. Zetka Jr. describes the impact of the video laparoscope on the work lives of contemporary surgeons. The video laparoscope allows surgeons to peer into the inner abdomen with a miniaturized camera, thereby enabling them to perform complex operations without large incisions through small ports punched into the abdominal wall. This technological innovation revolutionized surgery as we know it. Zetka blends rich interview and archival data into a compelling account of an important technological development. He shows how the new laparoscopic technology challenged surgeons to rethink their approaches to surgery, to relearn basic hand-eye coordination, to master complex machinery, and to shift from individualistic to team-based work strategies. Zetka then explains how and why general surgeons embraced this disruptive technology by examining the breakdown of the division of labor between general surgeons and gastroenterologists in response to the unintended and unanticipated outcomes of the scope technology. In Surgeons and the Scope, Zetka weaves cultural, structural, and political economic developments into a sophisticated account of technological change. By viewing the advent of laparoscopic surgery within the context of the history, culture, and ideology of medicine, Zetka provides a deeper understanding of the politics of technology, particularly its effects on job skills, occupations, and worker control.

The new second edition of Refractive Eye Surgery provides a comprehensive text on the history, evolution, and current status of refractive eye surgery, written entirely by one author, a pioneer in the field.

Surgical methods and patient workup are included in separate chapters describing each surgical technique. Among the surgeries described are lamellar, laser, and intraocular refractive surgery, radial keratotomy, surgery for astigmatism, and scleral shortening. The book also discusses complications, shortcomings of techniques, and results of surgery.

Extensive colour illustrations describing the techniques, as well as the optical properties of the cornea and its surface topography make this a valuable surgical atlas. Methods of measuring and analyzing the corneal surface, the derivation of the corneal shape factor, and base topics such as ametropia, myopia, hyperopia, and astimatism are also covered.

Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 Imaging in Cardiovascular Disease provides the vital information clinicians need to accurately assess the complex array of cardiovascular imaging modalities and to determine their appropriate, cost-effective applications in clinical cardiology. The first section examines every major imaging technology--ultrasound-based methods, radionuclide-based methods/nuclear cardiology, X-ray methods, and magnetic resonance-based methods, as well as analytic approaches to cost-effectiveness and outcomes measurement. A major portion of the book describes the role of specific techniques in diagnosing specific disorders, thus providing a useful guide to choosing the right imaging test for a given clinical situation. The concluding section discusses the implications of managed care and other health care reforms for imaging applications. More than 600 illustrations complement the text. SPECIAL PRICE OFFER ! Please note that a Special Price for this title of u95.00 / 153.00 Euros is available until the 1st May 2002 . Normal price is u117.00 / 204.00 Euros

In todays technology-driven disciplines, laser surgery is fast becoming the treatment of choice for many dermatologists and other physicians performing cosmetic procedures. It gains the maximum results with the minimum scarring. Written by 16 experts in their field, "Cosmetic Laser Surgery", is a practical, how-to guide extensively illustrated with before and after images, procedural photographs and supporting explanatory artworks. For each procedure the text offers you: the recommendations regarding techniques; the risks associated with certain procedures; and, the results that can be expected.

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.

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.

"An impressive book. An important book."--Jamie Lee Curtis"I blame mirrors. If it weren't for them we wouldn't need plastic surgeons. In the meantime, anyone tempted to re-shape face, body and mind by means of knife should first read Blum's intelligent, persuasive and absorbing book. Both enticed and alarmed, the reader will at least know what she's doing and more importantly why. This is a book that takes you and shakes you by the throat, and leaves you the better for it."--Fay Weldon, author of "The Life and Loves of a She-Devil"An eye-opening look at the dangers, both physical and emotional, of plastic surgery and of the power of beauty in all of our lives. Blum's book is an impressive interweaving of observation, oral interviews, cultural studies, and historical sources. An absorbing read, this is a scholarly book that general readers can enjoy."--Lois Banner, author of "American Beauty"A provocative and thoroughly persuasive argument that we live in a culture of cosmetic surgery where identity is sited on the shifting surfaces of the body. "Flesh Wounds brilliantly explores the link between the seductions of surgical self-fashioning and the star system, drawing on a stunning array of materials ranging from interviews with plastic surgeons, psychoanalytic theory, and the novel to the visual media of digital photography, film, and television."--Kathleen Woodward, author of "Aging and Its Discontents: Freud and Other Fictions

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.

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.

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 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.

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 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.

Tissue is frequently damaged or lost in injury and disease. There has been an increasing interest in stem cell applications and tissue engineering approaches in surgical practice to deal with damaged or lost tissue. Tissue engineering is an exciting strategy being explored to deal with damaged or lost tissue. It is the science of generating tissue using molecular and cellular techniques, combined with material engineering principles, to replace tissue. This could be in the form of cells with or without matrices. Although there have been developments in almost all surgical disciplines, the greatest advances are being made in orthopaedics, especially in cartilage repair. This is due to many factors including the familiarity with bone marrow derived mesenchymal stem cells and cartilage being a relatively simpler tissue to engineer. Unfortunately significant hurdles remain to be overcome in many areas before tissue engineering becomes more routinely used in clinical practice.

A unique "survival manual" for clinicians new to the operating room This one-of-a-kind resource answers all the questions that newbie clinicians , nurses, and allied health workers have about the Operating Room but are afraid to ask. It is a complete and candid explanation of the sights, sounds, technologies, personalities, and culture that readers will experience when they enter that complex, stress-inducing world. Introduction to the Operating Room delivers the practical, real-world guidance newcomers need to ensure patient safety and their own career success. The book is logically divided into two sections: Part 1 discusses the people of the Operating Room and includes companion video interviews that clarify roles and expectations. This section also delves into the politics and culture of the Operating Room. Part 2 is devoted to the equipment of the Operating Room. * The first book to combine a description of OR people/culture/rules with discussion of equipment/technology * Includes a valuable glossary of "Operating Speak" that translates the language of the Operating Room to everyday language * A great resource to help readers impress the attendings and staff of the Operating Room

The purpose of this book is to define the basis of telemicrosurgery, a new discipline at the border of robotics and microsurgery. After the history of robotics and microsurgery, the robots and their instrumentation will be described. The chapters will explain the training in telemicrosurgery and then propose some experimental paradigms. The first clinical applications for various specialties will be explored. In closing, potential future applications will be discussed.

This book provides a practical, step-by-step guidance on modern workhorse flaps for plastic and reconstructive surgeons in training or in their early career. The 50 chapters cover everything from surgical fundamentals to preconditions of microsurgical techniques, but also covers pre-operative planning, steps of microsurgical dissection and management of complications in a straightforward, explanatory style, and are supplemented by over 600 clinical illustrations and cadaveric images. Further videos demonstrations with pertinent steps in flap dissection, anatomical nomenclature and long-term outcomes are also demonstrated. For each flap a detailed discussion of key papers concerning its origin, pitfalls, technical refinements and tips for success are also included. Thanks to specific notes on common reconstructive challenges and complications, this book offers a valuable reference tool and would be unquestionably an integral reference guide for every surgeon interested in reconstructive microsurgical techniques, especially during their early microsurgical career.

This latest book in the Management of Urology Series provides insight into how to appropriately manage patients undergoing pelvic robotic urological surgery for renal cancer. Extensive guidance is provided on how to perform a range of procedures including the retroperitoneal renal approach along with information on how to utilize the latest robots effectively. Cases are also presented on how to best manage complications associated with partial nephrectomy. Each chapter also contains learning objectives to assist the reader in extrapolating the key information covered.Robotic Surgery for Renal Cancer is an up-to-date overview of the latest techniques utilized in this field along with potential management strategies for these patients, making it a critical resource for urologists, oncologists, and specialist nurses.

Minimally invasive surgery has emerged as the standard treatment for many gynecologic diseases and conditions. In the past decade, numerous studies have demonstrated the superiority of laparoscopic approaches over standard open procedures in terms of improved quality of life for patients. Innovations in minimally invasive surgical technology-such as multichannel ports, articulating instruments, and flexible high-definition endoscopes-have made it possible for laparoscopic surgeons to perform increasingly complicated gynecologic surgeries through smaller incisions. As such, since the first edition of the atlas published in 2014, technologies and techniques once considered novel have become standard. This second edition, with five new chapters and content updated throughout to reflect the latest evolutions in the field, serves as a guide in robotic, conventional, and single-port laparoscopic surgery, presenting invaluable, up-to-date information about instrumentation, surgical technique, port systems, and the current research and development in robotics. Chapters address unique challenges associated with each technique, such as lack of haptic feedback or articulation and instrument crowding, and describe the advanced laparoscopic skills required to safely and efficiently perform procedures, such as how to move and control a flexible camera or use the robot. Specific topics include conventional laparoscopic myomectomy, adnexal surgery, total and supracervical hysterectomy, and excision of endometriosis excision, as well as related techniques in gynecologic oncology, urogynecology and pelvic reconstructive surgery, tubal surgery and ectopic pregnancy, isthmocele repair, and trachelectomy for early cervical cancer. For single-port laparoscopic techniques, chapters are presented on adnexal surgery, hysterectomy, and gynecologic oncology, while the section on robotic surgery offers guidance on instrumentation, platforms, and basic principles; robotic-assisted laparoscopic myomectomy, total hysterectomy for benign disease, endometriosis management, and total hysterectomy for cancer; as well as techniques for robotic adnexal surgery, urogynecology/pelvic reconstructive surgery, tubal surgery, and complication management, concluding with a review of new and emerging technologies. For students, residents, fellows, operating room personnel, and practicing gynecologic surgeons, the editors share experience amassed while developing novel surgical instrumentation and collaborating on presentations for numerous worldwide events. Internationally renowned experts contribute as well to this practical, illustrated resource on current minimally invasive techniques in gynecologic surgery.

This fifth edition of Chassin's Operative Strategy in General Surgery is a major revision that strives to remain faithful to the purpose and tone of Dr. Chassin's original text. This unique textbook provides an emphasis on surgical strategy that is unmatched by other textbooks of surgical technique. The text explains the conceptual basis of each operation, outlines strategies to avoid common pitfalls, and carefully describes and beautifully illustrates the technical steps of each operation. The fifth edition preserves the unique qualities of its previous edition while providing a comprehensive update. This updated volume also features a vast amount of richly detailed artwork and operative photographs, which help depict operative techniques step-by-step. No other text so successfully combines operative technique with the concept of strategy - that is, key governing principles that dictate safe surgery and avoidance of complications. There are books of technique, there are books about complications, and there are books about the rationale involved in the treatment of various kinds of surgical pathology. Chassin's combines all three. Chassin's Operative Strategy in General Surgery: An Expositive Atlas Fifth Edition comprehensively covers all non-vascular operations commonly performed by general surgeons. This edition expands this comprehensive general surgery reference while remaining true to the special character of the work. The revision expands upon procedures not covered in the previous edition and incorporates new techniques into many other chapters.

This book comprehensively covers minimally invasive laparoscopic and robotic surgical techniques suitable for use in abdominal operations. Chapters describe relevant techniques for abdominal wall reconstruction, esophageal, bariatric, hepatobiliary, and colorectal surgery. Detailed step-by-step procedural guidance is provided with relevant photographic illustrations. Techniques in Minimally Invasive Surgery is a vital resource for surgeons who perform minimally invasive gastrointestinal operations. The book is particularly addressed to trainees, fellows, and junior faculty.