Surgical treatment of hemorrhoids is one of the most important coloproctological procedures. The second edition of Surgical Treatment of Hemorrhoids covers this important and common disorder, offering a comprehensive critical analysis of advantages and disadvantages of recognized treatment options, covering both recent advances and traditional treatments in the field. The topics covered include essential elements of diagnosis, surgical technique and after-care for the main operations used in hemorrhoid surgery. Providing authoritative in-depth presentations of all perspectives and latest techniques available, the individual procedures are each described by an internationally recognized expert, and the full range of treatment options is covered. The chapters have been revised, with some additions and updates, including stapled hemorrhoidectomy and office management, and also hemorrhoidectomy with several concomitant comorbidities.

This uniquely comprehensive guide is essential reading for all practicing and trainee colorectal and general surgeons.

Essential reference for current techniques in joint-preserving knee surgery Written by leading surgeons with expertise in performing osteotomies around the knee, this book is an essential reference for the current techniques in joint-preserving knee surgery. The book opens with a thorough discussion of physiology, pathophysiology, clinical evaluation, and imaging. It then describes the indications and basic principles of treatment and provides a detailed planning algorithm for high-tibial osteotomy. Separate chapters cover various clinical applications, addressing important topics ranging from the effects of osteotomies on cartilage pressure in the knee to management for failed osteotomies around knee. The book also discusses the latest technological developments in the field, such as computer-assisted navigation and the development of plate fixators. Features: Clinical insights and practical tips from experts in the field Detailed presentation of surgical techniques Numerous high-quality images and illustrations demonstrating key concepts Discussion of how to manage complications after high-tibial open-wedge osteotomy

An illustrated atlas of anatomical aspects important for combinations of microsurgical and endoscopic approaches. The basis for Professor Seeger 's renowned drawings has been anatomical preparations, cadaver dissections and intraoperative pictures. The correct proportions are derived by measuring the distances of anatomical landmarks of cranial preparations and from CT and MR Images. A concise text supports the understanding of the anatomical figures. Numerous common anatomical variants are demonstrated with reference to their impact for the surgical technique.

Phaco emulsification is the most common technique used in cataract removal surgery. It requires dispersal of the content of the cataract by breaking it down using ultrasound and then sucking out the matter, leaving the clear lens capsule in place. "Phaco Without The Phaco" describes the latest cataract removal techniques which extract the whole lens, and the techniques for subsequent replacement lens insertion. It explores a number of techniques all aimed at the same objective - to safely remove the whole contents of the lens through the smallest possible incision - without requiring any machine other than the surgeon's brain, hands and simple instruments. This volume contains contributions from the biggest names worldwide in eye surgery, and to quote Dr David McIntyre "This is the book that has begged to be produced! More than any other, this volume should be required reading for ophthalmic surgeons."

This textbook embraces most aspects of gynaecological laparoscopy and hysteroscopy and it aims to present a comprehensive coverage of gynaecological minimal access surgeries with excellent medical illustrations. The reader is taken on a journey that includes the history of minimal access surgery, instrumentation and ergonomics required to progress in the field, capturing practical learning steps and navigating the reader through the diagnostic and therapeutic applications. In addition, it describes the latest technological advancement in the field, backed with high current best evidence. The authors are practicing specialists drawn from five continents who brought their wealth of experience and expertise to bear in this book. This textbook targets a global audience of practicing and trainee doctors in general gynaecology, subspecialists, and those with relevant special interests in gynaecological endoscopy surgery.

This is an open access book. The book focuses mainly on the surgical technique, OR setup, equipments and devices necessary in minimally invasive surgery (MIS). It serves as a compendium of endolaparoscopic surgical procedures. It is an official publication of the Endoscopic and Laparoscopic Surgeons of Asia (ELSA). The book includes various sections covering basic skills set, devices, equipments, OR setup, procedures by area. Each chapter cover introduction, indications and contraindications, pre-operative patient's assessment and preparation, OT setup (instrumentation required, patient's position, etc.), step by step description of surgical procedures, management of complications, post-operative care. It includes original illustrations for better understanding and visualization of specific procedures. The book serves as a practical guide for surgical residents, surgical trainees, surgical fellows, junior surgeons, surgical consultants and anyone interested in MIS. It covers most of the basic and advanced laparoscopic and thoracoscopic surgery procedures meeting the curriculum and examination requirements of the residents.

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.

The fully updated 2nd edition of this textbook continues to serve as a comprehensive guide for information dealing with the ever-evolving field of bariatric surgery. The chapters are written by experts in the field and include the most up-to-date information, including new sections on quality in bariatric surgery, endoscopic surgery, and management of bariatric complications. This new edition continues to cover the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities, and improvement in quality of life. Other special emphasis is given to the topics of metabolic surgery and surgery for patients with lower BMI. In addition, new endoscopic bariatric procedures including the gastric balloons, endoscopic revisional procedures, and newer pharmacotherapy for obesity are reviewed.The ASMBS Textbook of Bariatric Surgery Second Edition will continue to be a leading source of scientific information for surgeons, physicians, residents, students, and integrated health members today and for years to come.

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.

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.

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

This authoritative, highly illustrated text and color atlas provides a systematic guide to commonly performed minor surgical and dermatology procedures. Accompanied by video clips, this critical resource on skin and minor surgery is designed for all trainees and practitioners, including experienced surgeons, dermatologists, family doctors, nurses, and the supporting healthcare team.

Divided into four main color-coded sections, the book covers essential background information including postoperative management and aftercare, the key knowledge required for diagnosis and management, and the skills necessary to perform procedures step by step.

Comprehensive coverage Learn to perform a whole range of procedures from small skin surgical procedures to vasectomy

Step-by-step techniques See how to perform each technique with numerous color illustrations, animations and video clips

Practical advice, boxes, tables, warnings, and indications of difficulty level Achieve success and avoid common pitfalls

Authoritative yet contemporary Gain wisdom from this long-established, trusted book brought completely up to date by today s practitioners"

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 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.