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.

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

Although frozen section diagnosis has been an integral part of surgical pathology for decades, this is the first textbook that offers a comprehensive clinicopathologic approach to the challenges of intraoperative consultation. Intraoperative diagnosis is challenging because of time constraints, sampling limitations, and the inability to perform a wide range of ancillary tests. Intraoperative Consultation in Surgical Pathology emphasizes the importance of clinical information, highlights the value of close collaboration with surgeons, and provides clear guidelines for the best way to examine specimens intraoperatively. Pathologists are then able to minimize error and diagnose with greater confidence. Most chapters in this book are co-authored by surgeons to ensure that their interests are represented. Essential reading for practising surgical pathologists, residents and fellows in pathology, this book will also be of value to fellows and surgeons in various surgical specialties who request intraoperative consultation.

This book presents an updated perspective on spinal implants currently used in thoraco-lumbar spine surgery, leading to a rigid or dynamic spine fusion. The development of new surgical devices and techniques is mostly focused on a spinal fusion for lumbar instability due to trauma, tumours or degenerative or infectious diseases. Pedicle-screw fixation and fusion are currently considered to be the gold standard for most of the above-mentioned pathologies, and modern implants are designed to improve the accuracy of pedicle-screw placement and to allow the use of new surgical techniques and minimally invasive approaches. The content is relevant for surgeons, orthopaedic specialists, neurosurgeons, physiotherapists and osteopaths.

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.

This second edition is written by renowned experts in neurosurgery, neurology, physics, and radiation oncology, many of whom are pioneers of radiosurgery. Throughout more than 30 detailed chapters, the authors share their vast expertise on this highly precise, minimally invasive form of radiation therapy. The first few chapters lay a foundation for understanding the differentiations in types of SRS technology: Leksell Gamma Knife, Novalis, Linac and Proton Beam Radiosurgery, and Cyberknife, followed by an explanation on the physics and radiobiology of SRS. The remaining chapters provide a detailed discussion of all pathologies and disorders currently treated. Highlights: Radiosurgical procedures for a wide range of intracranial conditions/diseases including arteriovenous malformations, meningiomas, pituitary adenomas, trigeminal neuralgia, obsessive-compulsive disorder, epilepsy, ocular disorders, pediatric brain tumors, and gliomas. Important updates on skull base tumors, functional disorders, and brain metastases. Evidence-based findings covering indications, patient selection, benefits, limitations, outcomes, potential complications, and alternative treatment modalities. This updated reference tool is an invaluable, comprehensive guide to current concepts in SRS. It is a must-have resource for neurosurgeons, radiation oncologists, neuro-radiologists, and medical physicists, from residents to advanced clinicians.

With an increase in the use of laparoscopic techniques for the treatment of abdominal wall hernias, this comprehensive book provides a detailed description of the most up-to-date techniques used in the laparoscopic repair of inguinal and ventral incisional hernias. Advances in Laparoscopy of the Abdominal Wall Hernia takes the reader step-by-step through two laparoscopic techniques used in inguinal hernia correction: Extraperitoneal (TEP) and Transabdominal (TAPP), and guides the reader through the fundamentals of ventral hernia repair. The authors aim to show methods of dealing with rarer hernias and those of atypical location. This book will also inform the reader of the various kinds of meshes used and provides knowledge on how to fix them, as well as the advantages, disadvantages and indications of this type of prosthesis. Written by experts in the field, Advances in Laparoscopy of the Abdominal Wall Hernia is a valuable reference tool to surgeons and medical practitioners working in this field.

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!

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

A comprehensive guide on current clinical management options for pituitary tumors -- including state-of-the-art endoscopic techniques Thieme congratulates Theodore H. Schwartz on being chosen by New York magazine for its prestigious 'Best Doctors 2015' list. Offering the unique dual perspective of neurosurgeons and otolaryngologists, Endoscopic Pituitary Surgery: Endocrine, Neuro-Ophthalmologic and Surgical Management describes both cutting-edge endoscopic techniques and tried-and-true decision-making methodologies that lead to the most successful outcomes. From choosing the right surgical or non-surgical approach for individual patients, to managing complex endocrine and neuro-ophthalmologic issues, this is the first major reference in the field in nearly a decade, making it the go-to guide for all interdisciplinary specialists who treat pituitary tumors. Special Features: Step-by-step descriptions of the newest endoscopic pituitary and skull base procedures, ensuring that specialists have full mastery of techniques for different tumor types in this surgically challenging area The clinical wisdom and perspectives of the masters of pituitary surgery, who share insights on patient selection, endoscopic versus open procedures, medical management, and much more Operative pearls from both neurosurgeons and otolaryngologists Compelling discussions of the pros and cons of various procedures (e.g., the utility of intraoperative MRI in pituitary surgery cases) Inclusion of detail-revealing 3D endoscopic images (complete with 3D glasses) Rationale for a collaborative neurosurgery--otolaryngology team approach to developing and implementing the most innovative endoscopic and skull base techniques Enhanced by hundreds of images, decision-making algorithms, and clinical pearls from experts on each tumor type, Endoscopic Pituitary Surgery is a comprehensive guide representing the current palette of available treatment options. It is indispensable for residents in training as well as for practicing neurosurgeons and otolaryngologists who are making the transition to the newest minimally invasive endoscopic procedures in the treatment of pituitary lesions.

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.

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.

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.

In the past, liver resections and liver transplantations were performed by different surgical teams, with very little interplay between the two. However, the evolution toward more complex operations called for an increasingly intense interaction between these surgical techniques: split liver and living donor liver transplantation have become popular in the transplant community, utilizing the Coinaud segmental anatomy in a very sophisticated way, while portal and arterial resection and reconstruction have become indispensable methods for treating Klatskin tumors infiltrating the hepatic hilum. This book offers a complete overview of the connections between liver transplantation and hepatobiliary surgery. It focuses on ex situ techniques for resection of tumors at the suprahepatic confluence, with or without venous reconstruction, and on total vascular exclusion of the liver with the aid of a venovenous bypass that should be a surgical option for referral centers in hepatopancreatobiliary surgery. By taking into consideration the development of minimally invasive liver surgery, it will introduce readers to a variety of new perspectives such as: vascular exclusion techniques with or without extracorporeal circulation, hemodynamic implications and lessons learned from liver transplant surgery, and technical details on pediatric transplantation and its informative role in modern biliary tract surgery.

Illustrated with hundreds of outstanding endoscopic images and corresponding drawings, this successfully established step-by-step guide to endoscopic sinus and skull base surgery is ideal for all specialists who need to stay current in the field. In this expanded second edition, practitioners will not only find basic and advanced procedures in endoscopic sinus surgery (including key criteria for patient selection), but also four entirely new chapters on anterior skull base surgery that reflect important recent developments. Special features of the second edition: Superbly illustrated, presenting over 1400 endoscopic images, photographs, and drawings Covers the latest techniques for removal of skull base tumors and repair of skull base defects Includes new chapters on pathophysiology of rhinosinusitis, sense of smell, applied anatomy, the endoscopically assisted bimanual operating technique, transorbital surgery, interdisciplinary teamwork, and more Offers online access to 34 videos of endoscopic surgical procedures and patient interviews, for an excellent review and refresher Provides Information for Patients leaflets that can also be downloaded From diagnosis and preoperative counseling to evidence-based procedures, complication avoidance, and postoperative management, this book covers the gamut of topics clinicians face in everyday practice. All otolaryngologists, neurosurgeons, and maxillofacial surgeons will find it essential when making diagnostic and treatment decisions involving the paranasal sinuses and skull base.

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.

This book is a comprehensive guide to caesarean section for practising obstetricians. Divided into four sections, the text begins with an overview of anatomy and physiology in childbirth, followed by discussion on diagnosis in clinical obstetrics and use of a partograph to record key data on both the mother and baby during labour. Section three covers the complete process of caesarean section, describing indications for the operation, anaesthesia, and the actual procedure. A chapter is dedicated to perimortem and post-mortem caesarean delivery. Postoperative recovery and potential complications are also explained. The final section of the book examines alternatives to caesarean section surgery. With a highly experienced team of authors, this practical guide is further enhanced by more than 300 illustrations and tables. Key points Comprehensive guide to caesarean section for practising obstetricians Covers complete procedure, from indications and anaesthesia, to operating techniques and complications Includes chapter on perimortem and post-mortem caesarean delivery Final section covers alternatives to caesarean section surgery

The prevalence of obesity is increasing day-by-day and is the epidemic of the 21st century. In a recent analysis by WHO, it was found that 1.9 billion people aged 18 years or more were overweight, out of which 600 million were obese. The world obesity population has doubled over the last two decades. Obesity is associated with many diseases. Some of them are diabetes, hypertension, hyperlipidemia, asthma, degenerative bone disease, obstructive sleep apnea, which cause debilitating problems in the obese and add to the cost of health care. Increased body mass index (BMI), abdominal fat and weight gain are important risk factors associated with the development of type II diabetes mellitus (T2DM). About 90% of people with T2DM are obese. Bariatric surgery is now a well-established procedure for treating morbid obesity and its associated comorbidities. Sleeve gastrectomy is becoming the most popular procedure to date owing to its technical simplicity and less malnutrition. This book reviews surgical techniques, clinical outcomes and potential complications of sleeve gastrectomy.

Sole reference in the field of orthopedic surgery

The last twenty years have seen significant strides in radiosurgical care, much of which was made possible by the CyberKnife technology. With an ever-increasing number of CyberKnife stereotactic radiosurgery units installed across the globe and thousands of physicians using them on a daily basis, the field of CyberKnife technology has grown rapidly. As minimally invasive, frameless, stereotactic radiosurgery gains popularity, this formal reference will soon become indispensable in understanding the application of CyberKnife SRS. This text provides a comprehensive reference for the treatment of various pathologies; it is meant to serve as manual for both new and experienced clinicians alike. Some of the most experienced CyberKnife users from around the world have contributed their knowledge and experience using CyberKnife. Each chapter covers a different disease process, focusing on various spinal pathologies. The content specifically highlights how the current use of CyberKnife relates to other radiosurgical modalities and treatment options by discussing advantages, disadvantages, dosing, complications, and efficacy. We hope that this text will serve as a reference, guiding clinicians in the application of an emerging technology.

Refinements in the neurosurgical armamentarium continue to push the borders of neurosurgery forward. Lesions considered inoperable a few years ago can now be resected, especially in the region of the skull base. These new developments, plus rapid technological innovations in microneurosurgery, have dramatically altered the scope of modern neurosurgery. Now, with Volume 2 of the acclaimed Color Atlas of Microneurosurgery, the distinguished authors provide detailed descriptions of surgical anatomy and the major neurosurgical approaches to cerebrovascular lesions. You will find coverage of aneurysms, arteriovenuous malformations, cerebrovascular malformations, and vascular compression - all derived from a wide range of etiologies. Divided into three sections on anatomy, surgical approaches, and underlying pathology, the book demonstrates the most innovative new techniques, procedures and approaches as performed in hundreds of clinical cases. The result is the most detailed and comprehensive microneurosurgical atlas ever compiled, an ideal reference for practicing neurosurgeons and residents-in-training.

Volume IVB describes surgical approaches, strategies, and management techniques for specific tumors in their typical locations, surgical outcomes and results, instruments, and laboratory training. It covers also the related disciplines neuroradiology and neuroanesthesia. The last installment in this well–known series.

Mini-invasive surgery deserves increasing attention to lower post-operative stays in hospitals and to lessen fall-off complications. This new book is devoted to surgical robotics, with a focus on technology and design issues of the remote-mode operation assistants. The investigation leads to define the technical characteristics of a CRHA, co-robotic handling appliance, to be purposely developed, to support the duty-split approach surgical planner.

The national withdrawal rate from medical school averages about 1%, but withdrawal from surgical residency programs is much higher, roughly 16%. The drop out risk is greater for white women and minorities than for white males. Getting Cut examines the factors which lead to resignation from these graduate residency programs by observing the dynamic interplay between the institution and individual residents. Professor O'Connell analyzes the current shortcomings in the process of selection, and looks at how the culture, structure, and organization of these educational programs affect the drop out rate once residents have been accepted. An analysis of the "old boy's network" culture of these surgical programs exposes the greater risk of withdrawal among female and minority residents. Further examination of the process of resident evaluation reveals that in addition to being graded on cognitive knowledge and critical judgment, residents are also evaluated on personal characteristics, the most important being "honesty." Professor O'Connell demonstrates how the medical faculty's subjective assessment of these elusive and contestable qualities not only aid in identifying the morally deficient among the technically proficient, but also how these practices promote discrimination as well.