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.

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.

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.

The first edition laid out the foundation with laparoscopic and robotic surgery utilizing the Da Vinci SI platform. Since then, many new advances in equipment and surgical techniques are becoming more popular. This second edition expands upon laparoscopic and endoscopic techniques and robotic surgery with the use of the new Da Vinci XI platform. This book bridges the gap between the practicing community of surgeons and the surgical innovators and provides a foundation for all classic and new techniques in minimally invasive colorectal surgery. By enhancing the surgical toolbox, the surgeon is able to progress from the novice to the master. Rather than describing the entire operative procedure by an individual author, this book compares operative steps of various technical difficulties throughout different chapters, thereby allowing the surgeon to tailor surgery to patient and surgeon`s own comfort level and experience. Chapters are written by a myriad of renowned experts in the field and discuss the major advances in advanced laparoscopic and endoscopic, robotic, and transanal minimally invasive surgical techniques. Great emphasis is placed on transanal total mesorectal excision (TaTME), which is dramatically changing the surgical approach to rectal resections. The second edition of Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery serves as a valuable resource to general surgeons, colon and rectal surgeons, minimally invasive surgeons, as well as residents and fellows.

This edition of the SAGES Manual of Hernia Surgery aligns with the current version of the new SAGES University MASTERS Program Hernia Surgery pathway. This manual serves as a curriculum for participants in the MASTERS Program as well as a modern text on hernia surgery for all learners. Hernia surgery is one of the fastest developing fields in general surgery today. There have been rapid advancements in hernia techniques in recent years, making most prior texts on the subject obsolete. These advancements involve significant evolution in both the techniques and strategies for hernia repairs, as well as the tools used to achieve these means. This text thoroughly addresses the multiple component separation techniques and options for locations of mesh repairs. It also discusses the revolution of hernia repair being facilitated by robotic surgery, which allows increased access to minimally invasive techniques for surgeons and thus increased access to minimally invasive surgical repairs for patients. This manual will be a valuable resource for interested surgeons to understand the variety of potential approaches to individual hernias, and to individually tailor the care of the hernia patient.

This book is not only a compilation of the knowledge and experiences of the best robotic surgeons around the world, but it has also incorporated the recent advances and updates in Gynaecological surgery. It is designed to provide a detailed guide to common robotic Gynaecologic procedures for the purpose of helping novice surgeons in their transition to robotic surgery and seasoned robotic surgeons to refine their surgical technique and expand their repertoire of robotic procedures. The descriptive, step-by-step, text is complimented by figures, intraoperative photographs and videos detailing the nuances of each procedure. Emphasis is placed on operative setup, instrument and equipment needs and surgical techniques for both the primary surgeon as well as the operative assistant. This volume will provide unique insights into robotic Gynaecologic surgery and reduce the learning curve of accomplishing these increasingly popular procedures.

This book is a surgical manual, intended to present and discuss the use of robotic surgery for abdominal wall hernia repair. It comprises the most important surgical approaches in the field, presenting step by step procedures in a clear and didactic way. Abdominal wall hernias are very common conditions, easily identifiable in clinical practice and that usually require a surgical intervention as treatment. However, the choice for the right surgical procedure to treat those conditions may vary, provided the diversity on possible techniques, clinical presentations and complexity. Robotic surgery has emerged in recent years as an important tool to increase the number of surgical approaches for the surgeon who faces abdominal wall hernias. Video-assisted and robotic surgery may represent a consistent improvement in options available for the surgeon involved in wall hernia repair. Current robotic surgical techniques present several of the benefits of common laparoscopic surgery features (such as low invasiveness and fast recovery), and adds some other specific benefits, such as more dynamic and precise movements and a much better view of the operatory field. Robotic Surgery for Abdominal Wall Hernia Repair is intended to help surgeons to manage this disease from another point of view and to choose the best procedures in each case, pushing medical practice to another level of decisions, investigation and follow up, considering the use of new technologies in robotic surgery. It intends to be a reference manual to medical practitioners who has surgical skills in their backgrounds, but that are not familiar with the use of minimally invasive procedures for abdominal wall complex defects.

Sole reference in the field of orthopedic surgery

The cornerstone text on obstetrical procedures - completely updated to reflect today's practice Since its first edition, Operative Obstetrics has provided clinicians with clear, step-by-step, detailed guidance for every major surgical procedure performed in current obstetrical practice. Emphasizing the scientific underpinnings of clinical obstetrics, this trusted classic is enhanced by more than 670 illustrations (most in full color and new to this edition), including sonograms, magnetic resonance images, photographs, and micrographs. This Third Edition has been completely updated and redesigned with a more streamlined presentation that incorporates current guidelines from respected professional and academic organizations such as the American College of Obstetricians and Gynecologists, The Society for Maternal-Fetal Medicine, and The Centers for Disease Control and Prevention. Much of this data is presented in newly created tables specifically designed to make the information easy to read and apply. Here's why this is the leading text of obstetrical procedures: * Logically organized in four sections: (1) General Considerations, which includes valuable surgical basics such as needle and suture selection, knots, surgical instruments, anatomy, and incisions and closures; (2) Antepartum, which describes management of first-trimester pregnancy-related complications, fetal diagnosis and therapy, and preparation of the gravida for surgery; (3) Intrapartum, which presents complex vaginal and cesarean deliveries; and (4) Postpartum, which offers guidance on obstetrical hemorrhage, surgical complications, and puerperal sterilization * Coverage spans every aspect of operative obstetrics * Updated to include timely new material on laparoscopy, placenta accreta, fetal therapy, perioperative radiological imaging, and clinical simulation * NEW full-color surgical illustrations provide visual guidance for both simple and complex procedures

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.

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.

The Encyclopedia of Medical Robotics combines contributions in four distinct areas of Medical robotics, namely: Minimally Invasive Surgical Robotics, Micro and Nano Robotics in Medicine, Image-guided Surgical Procedures and Interventions, and Rehabilitation Robotics. The volume on Minimally Invasive Surgical Robotics focuses on robotic technologies geared towards challenges and opportunities in minimally invasive surgery and the research, design, implementation and clinical use of minimally invasive robotic systems. The volume on Micro and Nano robotics in Medicine is dedicated to research activities in an area of emerging interdisciplinary technology that is raising new scientific challenges and promising revolutionary advancement in applications such as medicine and biology. The size and range of these systems are at or below the micrometer scale and comprise assemblies of micro and nanoscale components. The volume on Image-guided Surgical Procedures and Interventions focuses primarily on the use of image guidance during surgical procedures and the challenges posed by various imaging environments and how they related to the design and development of robotic systems as well as their clinical applications. This volume also has significant contributions from the clinical viewpoint on some of the challenges in the domain of image-guided interventions. Finally, the volume on Rehabilitation Robotics is dedicated to the state-of-the-art of an emerging interdisciplinary field where robotics, sensors, and feedback are used in novel ways to re-learn, improve, or restore functional movements in humans.Volume 1, Minimally Invasive Surgical Robotics, focuses on an area of robotic applications that was established in the late 1990s, after the first robotics-assisted minimally invasive surgical procedure. This area has since received significant attention from industry and researchers. The teleoperated and ergonomic features of these robotic systems for minimally invasive surgery (MIS) have been able to reduce or eliminate most of the drawbacks of conventional (laparoscopic) MIS. Robotics-assisted MIS procedures have been conducted on over 3 million patients to date - primarily in the areas of urology, gynecology and general surgery using the FDA approved da Vinci (R) surgical system. The significant commercial and clinical success of the da Vinci (R) system has resulted in substantial research activity in recent years to reduce invasiveness, increase dexterity, provide additional features such as image guidance and haptic feedback, reduce size and cost, increase portability, and address specific clinical procedures. The area of robotic MIS is therefore in a state of rapid growth fueled by new developments in technologies such as continuum robotics, smart materials, sensing and actuation, and haptics and teleoperation. An important need arising from the incorporation of robotic technology for surgery is that of training in the appropriate use of the technology, and in the assessment of acquired skills. This volume covers the topics mentioned above in four sections. The first section gives an overview of the evolution and current state the da Vinci (R) system and clinical perspectives from three groups who use it on a regular basis. The second focuses on the research, and describes a number of new developments in surgical robotics that are likely to be the basis for the next generation of robotic MIS systems. The third deals with two important aspects of surgical robotic systems - teleoperation and haptics (the sense of touch). Technology for implementing the latter in a clinical setting is still very much at the research stage. The fourth section focuses on surgical training and skills assessment necessitated by the novelty and complexity of the technologies involved and the need to provide reliable and efficient training and objective assessment in the use of robotic MIS systems.In Volume 2, Micro and Nano Robotics in Medicine, a brief historical overview of the field of medical nanorobotics as well as the state-of-the-art in the field is presented in the introductory chapter. It covers the various types of nanorobotic systems, their applications and future directions in this field. The volume is divided into three themes related to medical applications. The first theme describes the main challenges of microrobotic design for propulsion in vascular media. Such nanoscale robotic agents are envisioned to revolutionize medicine by enabling minimally invasive diagnostic and therapeutic procedures. To be useful, nanorobots must be operated in complex biological fluids and tissues, which are often difficult to penetrate. In this section, a collection of four papers review the potential medical applications of motile nanorobots, catalytic-based propelling agents, biologically-inspired microrobots and nanoscale bacteria-enabled autonomous drug delivery systems. The second theme relates to the use of micro and nanorobots inside the body for drug-delivery and surgical applications. A collection of six chapters is presented in this segment. The first chapter reviews the different robot structures for three different types of surgery, namely laparoscopy, catheterization, and ophthalmic surgery. It highlights the progress of surgical microrobotics toward intracorporeally navigated mechanisms for ultra-minimally invasive interventions. Then, the design of different magnetic actuation platforms used in micro and nanorobotics are described. An overview of magnetic actuation-based control methods for microrobots, with eventually biomedical applications, is also covered in this segment. The third theme discusses the various nanomanipulation strategies that are currently used in biomedicine for cell characterization, injection, fusion and engineering. In-vitro (3D) cell culture has received increasing attention since it has been discovered to provide a better simulation environment of in-vivo cell growth. Nowadays, the rapid progress of robotic technology paves a new path for the highly controllable and flexible 3D cell assembly. One chapter in this segment discusses the applications of micro-nano robotic techniques for 3D cell culture using engineering approaches. Because cell fusion is important in numerous biological events and applications, such as tissue regeneration and cell reprogramming, a chapter on robotic-tweezers cell manipulation system to achieve precise laser-induced cell fusion using optical trapping has been included in this volume. Finally, the segment ends with a chapter on the use of novel MEMS-based characterization of micro-scale tissues instead of mechanical characterization for cell lines studies.Volume 3, Image-guided Surgical Procedures and Interventions, focuses on several aspects ranging from understanding the challenges and opportunities in this domain, to imaging technologies, to image-guided robotic systems for clinical applications. The volume includes several contributions in the area of imaging in the areas of X-Ray fluoroscopy, CT, PET, MR Imaging, Ultrasound imaging, and optical coherence tomography. Ultrasound-based diagnostics and therapeutics as well as ultrasound-guided planning and navigation are also included in this volume in addition to multi-modal imaging techniques and its applications to surgery and various interventions. The application of multi-modal imaging and fusion in the area of prostate biopsy is also covered. Imaging modality compatible robotic systems, sensors and actuator technologies for use in the MRI environment are also included in this work., as is the development of the framework incorporating image-guided modeling for surgery and intervention. Finally, there are several chapters in the clinical applications domain covering cochlear implant surgery, neurosurgery, breast biopsy, prostate cancer treatment, endovascular interventions, neurovascular interventions, robotic capsule endoscopy, and MRI-guided neurosurgical procedures and interventions.Volume 4, Rehabilitation Robotics, is dedicated to the state-of-the-art of an emerging interdisciplinary field where robotics, sensors, and feedback are used in novel ways to relearn, improve, or restore functional movements in humans. This volume attempts to cover a number of topics relevant to the field. The first section addresses an important activity in our daily lives: walking, where the neuromuscular system orchestrates the gait, posture, and balance. Conditions such as stroke, vestibular deficits, or old age impair this important activity. Three chapters on robotic training, gait rehabilitation, and cooperative orthoses describe the current works in the field to address this issue. The second section covers the significant advances in and novel designs of soft actuators and wearable systems that have emerged in the area of prosthetic lower limbs and ankles in recent years, which offer potential for both rehabilitation and human augmentation. These are described in two chapters. The next section addresses an important emphasis in the field of medicine today that strives to bring rehabilitation out from the clinic into the home environment, so that these medical aids are more readily available to users. The current state-of-the-art in this field is described in a chapter. The last section focuses on rehab devices for the pediatric population. Their impairments are life-long and rehabilitation robotics can have an even bigger impact during their lifespan. In recent years, a number of new developments have been made to promote mobility, socialization, and rehabilitation among the very young: the infants and toddlers. These aspects are summarized in two chapters of this volume.

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"

Recent advances not only in the creation of new polymers but also in their processing and production have ushered in huge strides in a variety of biomedical and clinical areas. Orthopedics and dentistry are two such areas that benefit immensely from developments in polymer science and technology. Polymers for Dental and Orthopedic Applications examines the most current topics in this expanding field with an emphasis on technological evolution and clinical impacts.

Surveying major progress in polymer science and technology for dental, maxillofacial, and orthopedic applications, this book provides a unique illustration of the conceptual development of novel biomaterials and processes designed to meet targeted clinical needs. Two preeminent scientists lead a close-knit team of international experts with extensive experience in product development, bioengineering, education, and clinical applications. Ranging from polymeric materials for dental and maxillofacial application to joint repair and replacement, polymeric composites, and tissue engineering, the book also examines topics that are common to both dental and orthopedic fields, such as osseointegration and infection management.

Explore the current status and future possibilities of polymeric biomaterials in Polymers for Dental and Orthopedic Applications. A unique blend of technical information and practical insight, this reference fosters the continued growth of a critically important field.

This unique reference in laparoscopic colorectal surgery starts by looking at the establishment of the Lapco training programme in the UK. It then goes on to provide a comprehensive technical manual of operative and patient care for laparoscopic colorectal surgery, offers insight into training and assessment methodology and finally looks to the future and where we may be going. It shares knowledge of a unique training programme which healthcare systems worldwide are trying to emulate, and provides an up-to-date manual of know-how from some of the world's most experienced laparoscopic colorectal trainers.

This book provides new research in breast reconstruction surgery. Chapter One discusses the reconstruction of the nipple-areolar complex. Chapter Two examines the effect of post-mastectomy radiotherapy on the outcome of implant-based immediate breast reconstruction with or without a cellular collagen matrix. Chapter Three presents tips for safe maneuvering of deep inferior epigastric perforator (DIEP) flaps, as well as the implementation status of 3D imaging technology and its utility with regard to breast reconstruction using DIEP flaps. Chapter Four examines what to do after a free flap failure for breast reconstruction. Chapter Five highlights risk factors leading to higher rates of complications, early signs of complications, ways to monitor postoperative patients, and a systematic approach to treatment for breast reconstruction. Chapter Six reviews how to manage complications in free flap breast reconstruction. The last chapter studies patient satisfaction following autologous or heterologous breast reconstruction.

Visual Tracking in Conventional Minimally Invasive Surgery introduces the various tools and methodologies that can be used to enhance a conventional surgical setup with some degree of automation. The main focus of this book is on methods for tracking surgical tools and how they can be used to assist the surgeon during the surgical operation. Various notions associated with surgeon-computer interfaces and image-guided navigation are explored, with a range of experimental results. The book starts with some basic motivations for minimally invasive surgery and states the various distinctions between robotic and non-robotic (conventional) versions of this procedure. Common components of this type of operation are presented with a review of the literature addressing the automation aspects of such a setup. Examples of tracking results are shown for both motion and gesture recognition of surgical tools, which can be used as part of the surgeon-computer interface. In the case of marker-less tracking, where no special visual markers can be added to the surgical tools, the tracking results are divided into two types of methodology, depending on the nature and the estimate of the visual noise. Details of the tracking methods are presented using standard Kalman filters and particle filters. The last part of the book provides approaches for tracking a region on the surgical scene defined by the surgeon. Examples of how these tracking approaches can be used as part of image-guided navigation are demonstrated. This book is designed for control engineers interested in visual tracking, computer vision researchers and system designers involved with surgical automation, as well as surgeons, biomedical engineers, and robotic researchers.

This program is part of a series of multimedia surgical teaching tools edited by Dr. James C. Rosser, Jr., of Yale University School of Medicine. Laparoscopic Cholecystectomy provides interactive, hands-on training in Cholecystectomy from a laparoscopic perspective. Each CD-ROM in the series features engaging interactive design, incorporating 3-D images and animation, video and audio, creating a virtual operating room for the user. Detailed video/still images of anatomical structures familiarize the user with the stepped procedures of each stage of operation. Room Set-up is re-enacted demonstrating correct orientation of surgical/visualization equipment and surgical personnel. Procedure section walks the user through all phases of the operation. Users can exit one phase, and jump to another out of sequence, allowing for independent review. Indications/Contraindications are discussed, as well as Complications.