Heart operations today are quite common and relatively low-risk, but in the beginning it was just the opposite. Cardiac operations were reserved for desperately ill patients. The author documents this dramatic transition with profiles of 38 surgeons who were active between 1940 and 1985.

The profiles are edited transcripts of interviews videotaped between 1996 and 2004. They tell of the development of new techniques such as the "blue baby operation," the first heart-lung machine, the first artificial heart valve, and the first coronary bypass operation. They also tell the unusual life stories of the surgeons and allude to professional and institutional rivalries. A particularly valuable part of the book is the author's brief history of cardiac surgery, designed to orient the reader for reading the profiles that follow.

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.

Key Techniques in Orthopaedic Surgery, 2nd Edition, by Steven Stern, Matthew Saltzman, and Christopher Bono provides a fully updated, easy-to-follow orthopaedics reference. The book encompasses a full spectrum of core orthopaedic procedures impacting pediatric to adult patients. Unlike dense orthopaedic tomes, the straightforward, streamlined approach makes this reference the ideal operating room companion. For each of the 60 procedures, the authors include numbered, step-by-step guidance. This is augmented with more than 300 high-quality black and white line drawings illustrating techniques. In addition to consistently formatted surgery procedures, each chapter includes indications; contraindications; preoperative preparation; special instruments, position, and anesthesia; clinical tips and pearls; pitfalls to avoid; postoperative care issues; and suggested reading. From the foot and ankle to the cervical spine, procedures cover a wide range of acquired and degenerative conditions. Key Features Open and arthroscopic shoulder approaches including rotator cuff repair, Latarjet, Bankart, hemiarthroplasty/reverse shoulder arthroplasty for proximal humerus fractures, and total shoulder arthroplasty Management of arm, elbow, and hand conditions including compartment syndrome of the forearm, carpal tunnel syndrome, olecranon and radial head/neck fractures, thumb metacarpal fractures, and distal radius fractures Essential techniques for treating hip fractures, hybrid and uncemented total hip arthroscopy, hemiarthroplasty,and pediatric hip aspiration Core knee and leg procedures including ACL repair, total and medial unicompartmental knee arthroplasty, and repair of tibial shaft, femoral shaft, and patella fractures The use of pedicle screws, fusions, decompression, disc arthroplasty, discectomy, and vertebrectomy, for cervical and lumbar spine pathologies The succinct, reader-friendly format emphasizes technique and is designed to allow readers to quickly review and absorb salient procedural steps. Orthopaedic residents and surgeons alike will benefit from this must-have rounds and OR resource.

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 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.

In this book, the authors present current research in the study of the procedures, benefits and potential complications of prostatectomies. Topics discussed include suprapubic prostatecomy for benign prostatic hyperplasia; management of post-prostatectomy incontinence; biochemical recurrence following radical prostatectomy; techniques for neuro-vascular bundle preservation; and extraperitoneal endoscopic radical prostatectomy techniques.

Silicone prosthesis-based breast augmentation has shown year-on-year increases in popularity in both the USA and UK, but as surgical and implant technologies improve, adverse capsular contracture (ACC) has become a key determinant of outcome. ACC is the term given to the abnormal soft tissue reaction to a foreign body leading to constrictive fibrosis. Constrictive fibrosis refers to the poorly understood phenomenon by which the capsule that normally envelops an implant shrinks in size. The formation of a capsule around any foreign material entering the body is a normal response of the organism, which is not normally pathological in nature. This book discusses this adverse capsule and its role in breast augmentation.

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.

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.

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 manual covers all aspects of endoscopic surgery of the lacrimal drainage system. Step-by-step descriptions are provided of endoscopic dacryocystorhinostomy (DCR) and its use in revision surgery, accompanied by numerous helpful photographs and anatomical drawings. In addition, clear flow charts are included to aid in diagnostic and surgical decision making and identify surgical indications. Essential information is provided on anatomy, physiology and pathology and an individual chapter is devoted to imaging of the lacrimal drainage system. Further topics include lacrimal probes and stents, potential complications of surgery, and endoscopic DCR in the pediatric age group. This book will assist the practitioner in negotiating the steep learning curve involved in gaining the skills needed to perform endoscopic surgery of the lacrimal drainage system, which offers significant advantages in terms of avoidance of external incisions and maintenance of the lacrimal pump.

Female Cosmetic Genital Surgery: Concepts, Classifications, and Techniques Interest in the field of female genital rejuvenation, once neglected by physicians, has received increasing prominence as a result of media coverage of the topic. Women worldwide have learned that there are options to enhance the appearance of their external genitalia, which may have altered over time from childbirth or the effects of aging. To increase their self-confidence and sense of attractiveness, women are more frequently requesting aesthetic vaginal surgery. The editors have created this timely, unique, comprehensive resource for the field of female aesthetic vulvovaginal surgery. The book offers the following for surgeons adding these increasingly popular procedures to their armamentarium: Applied anatomy and classification of variations in shape and morphology Stepwise guidance for performing a range of reduction and augmentation procedures, including fat grafting, as well as hymenoplasty, perineoplasty, and vaginoplasty Discussion of culturally defined concepts of genital beauty Exciting new advances, such as the O-Shot (R) and vaginal rejuvenation with fractional erbium laser and transcutaneous temperature-controlled radiofrequency techniques More than 350 color photographs and beautifully detailed surgical illustrations Multiple fully narrated video clips showing details of surgery Both print and electronic formats for easy access everywhere To meet the ever-increasing patient demand for these updated procedures, all surgeons desiring to enhance their knowledge of and skills in female cosmetic genital surgery will want this valuable resource on their shelf!

Lavishly illustrated second edition of the classic text on acoustic neurinoma microsurgery Authored by pioneers in the field, Acoustic Neurinoma Microsurgery -- now in a fully updated second edition -- provides step-by-step descriptions of the most common surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors' own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications. Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more. Features: New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2 In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up 1,034 high-quality images -- including more than 900 full-color intraoperative photographs -- precisely display each step of the different procedures Multiple cases in each chapter prepare the reader for clinical situations Reflecting the latest technical advancements in acoustic neurinoma microsurgery, this visual guide will develop the surgical skills of every otolaryngologist and neurosurgeon that performs this delicate and complicated form of surgery. Dr. Sanna is part of The Gruppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.

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.

Experimental surgery is an important link for the development in clinical surgery, research and teaching. Experimental surgery was part of the most important surgical discoveries in the past century. Since 1901 nine Nobel Prizes have been awarded to the pioneers had remarkable achievements in the basic or practical surgery. In recent 20 years, experimental surgery has achieved new advances, like laparoscopic and robotic surgery, tissue engineering, and gene therapy which are widely applied in clinic surgery. The present book covers wide experimental surgery in preclinical research models subdivided in two volumes. Volume I introduces surgical basic notions, techniques, and different surgical models involved in basic experimental surgery and review the biomechanical models, ischemia/reperfusion injury models, repair and regeneration models, and organ and tissue transplantation models, respectively. Volume II introduces several specific experimental models such as laparoscopic and bariatric experimental surgical models. The second volume also introduces graft-versus-host disease, and other experimental models. Review the advances and development of recent techniques such as tissue engineering, organ preservation, wound healing and scarring, gene therapy and robotic surgery. The book documents the enormous volume of knowledge we have acquired in the field of experimental surgery. In this book, we have invited experts from the United States, Canada, France, Germany, China, Japan, Korea, UK, Sweden, Netherland, Hungary and Turkey to contribute 36 chapters in the fields of their expertise. These two volumes are the compilation of basic experimental surgery and updated advances of new development in this field that will be invaluable to surgeons, residents, graduate students, surgical researchers, physicians, immunologists, veterinarians and nurses in surgery.

The book encompasses the different concepts and designs using magnets for surgical purposes. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. The text reviews new data about interventions in all medical and surgical fields. Written by experts in their fields, topics focus on endoluminal and laparoscopic operations, techniques from vascular and GI anastomosis. The book demonstrates the use of magnets to treat a variety of diseases such as reflux, back pain, and fecal incontinence. The reader will learn how to retract and gain exposure, dissect tissue planes, achieve hemostasis, and create anastomosis in a totally different way. Physical properties of external surface and internal magnets are discussed. The authors emphasize the importance of partnering with industry leaders to develop novel surgical tools. By harnessing the power of attraction, the energy and might of magnets, Magnetic Surgery serves as a valuable resource for clinicians, surgeons and researchers in biomedical engineering interested in this form of energy and physical metal properties. In utilizing these properties, the book seeks to improve surgical outcomes of patients worldwide.

Dedicated guide to the lumbar plexus provides invaluable anatomical and surgical insights Thorough knowledge of the lumbar plexus and its branches is crucial to achieving positive patient outcomes, especially with newer surgical approaches. Many of the nerve branches are formed within the psoas major muscle and careful dissection is necessary to free them during surgery to prevent damage. Moreover, the iliac vessels are medial to some of the larger branches of the plexus, such as the femoral and obturator nerves. In the retroperitoneal space, the kidney and ureter are nearby. In addition, due to the overlying peritoneal cavity and its contents, accessing the lumbar plexus presents considerable challenges. Surgical Anatomy of the Lumbar Plexus is the only book on the market devoted to the lumbar plexus and its branches, focusing on anatomy and clinical applications, pathology, surgery, and imaging. Internationally known authors R. Shane Tubbs, Marios Loukas, Amgad Hanna, Rod Oskouian and a cadre of esteemed specialists provide unique insights, clinical pearls, knowledge based on thousands of spine surgeries, and a well-rounded multidisciplinary perspective. Key Highlights Nine separate chapters dedicated to impacted nerves: subcostal, iliohypogastric, ilioinguinal, lateral femoral cutaneous, genitofemoral, femoral, obturator, furcal, and accessory obturator History and overview of dermatomal anatomy of branches derived from the lumbar plexus Anesthetic blockade of the femoral, lateral femoral cutaneous, iliohypogastric, ilioinguinal, and genitofemoral nerves Tips for preventing complications and achieving positive outcomes for lateral transpsoas approaches to the lumbar spine and other procedures More than 100 novel illustrations provide clarity and understanding of a complex anatomical area as it relates to surgery involving the lumbar plexus and branches This one-of-a-kind resource provides crucial surgical and anatomical information on the lumbar plexus. It is a must-have reference for neurosurgeons, orthopaedic surgeons, and general surgeons. Reading it cover-to-cover will ultimately benefit patients undergoing lumbar spine surgery. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This atlas demonstrates how to perform each available extraperitoneal hernia repair via a set of high-quality annotated images showing step-by-step guidance on how to perform the surgery. Robotic extraperitoneal hernia procedures are considered great teaching procedures especially with a dual teaching console. The book bridges the gap between traditional hernia and laparoscopic hernia texts by combining both approaches to create a book with a unique visual approach. Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy and layers of the abdominal wall during hernia procedures. Robotic Hernia Surgery provides a comprehensive, insightful and state-of-art review of this field, and serves as a valuable resource for surgeons, surgeons in training, and students with an interest in hernia and robotic hernia surgery.