This handbook provides surgeons with updated information about the current status, perspectives and controversies for staging and treating cancer through minimal access procedures. The authors discuss the biology of minimal access, techniques, the equipment used, the perspectives and controversies surrounding the procedures in cancer management.

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.

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.

First written by Philip Stell and Arnold Maran in 1972, Stell & Maran's Textbook of Head and Neck Surgery and Oncology has been revised in both content and approach over the years to reflect the enormous progress made in the area. Now in its fifth edition, the book remains a key textbook for trainees in otolaryngology and head and neck surgery. Written with a strong multidisciplinary approach, the book has expanded considerably to include the expertise of international editors and contributing authors from a wide variety of backgrounds, including ENT, radiotherapy, plastic surgery, and maxillofacial surgery. Key Features: An international team of editors and contributors from a variety of different specialties Thoroughly updated to include recent advances in molecular biology and diagnostic imaging A greatly expanded section on reconstruction to reflect the importance of this area An improved balance of content to enhance the multidisciplinary approach Full-colour photos and illustrations throughout As a first text for trainee head and neck and ENT surgeons or as a reference source for practitioners in a variety of related fields, Stell & Maran's Textbook of Head and Neck Surgery and Oncology remains the best-illustrated and most up-to-date volume in its field. Print Versions of this book also include access to the ebook version.

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.

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.

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.

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 atlas is unique in comparing the two disciplines of dental implant surgery and tooth-preserving surgery with respect to common procedures, problems, and failures and in providing excellent guidance on the prevention and management of complications. The etiology of a wide variety of implant-related and non-implant-related complications and failures is carefully explained. Since many complications have their roots in oral and periodontal surgical maneuvers, these maneuvers are themselves discussed and extensively illustrated. The most frequently used tooth preservation procedures are also fully described, with emphasis on correct surgical technique as a means to avoid complications. The use of these procedures is constantly weighed against the effects of tooth removal and insertion of dental implants. The text is complemented by the inclusion of a substantial number of helpful references. While the atlas is intended primarily for dentists involved in outpatient implant dentistry and oral surgery, oral and maxillofacial surgeons will also find the descriptions of innovative techniques or maneuvers to be of interest, including those relating to the selection of incision and flap design and the sinus floor elevation techniques.

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"

Both the number of pediatric surgeons using minimally invasive surgery (MIS) and the number of operations involving MIS are increasing. This atlas of anatomy and operative techniques provides a thorough outline of the procedures commonly used in laparoscopic and thoracoscopic pediatric surgery. Step-by-step operative photographs are accompanied by explanatory text, and line diagrams are used to highlight the important anatomy as seen endoscopically. Alternative techniques, instruments, and steps are described when appropriate, and attention is drawn to highlights and pitfalls. While each chapter includes some basic background on the condition in question, the focus is very much on the operative procedures. This atlas will be of special benefit to those establishing a laparoscopic practice as well as to those in training who wish to embark on MIS. It will also serve as a supplementary atlas of anatomy and surgical technique for younger surgeons and medical students.

Despite enormous advances made in the development of external effector prosthetics over the last quarter century, significant questions remain, especially those concerning signal degradation that occurs with chronically implanted neuroelectrodes. Offering contributions from pioneering researchers in neuroprosthetics and tissue repair, Indwelling Neural Implants: Strategies for Contending with the In Vivo Environment examines many of these challenges, paying particular attention to how the healing of tissues surrounding an implant can impact the intended use of a device. The contributions are divided into four sections * Part one examines wound healing from the initial insertion trauma through the inflammatory and repair process, explaining how the action of healing varies throughout different areas of the body. * Part two considers various performance issues specific to particular implant components, including those that arise from the chemical, mechanical, thermal, and electrical impact on surrounding tissues. It discusses challenges that result from chronic tissue stimulation and heat effects that occur with on-chip and telemetric processing. * Part three presents both in vitro and in vivo approaches to assessing wound healing response to materials. It includes the contribution of the developer of a chronic hollow fiber membrane implant who explains how an in vivo model is used to assess molecular transport in brain tissue surrounding the implant. * The final section evaluates molecular and materials strategies for intervening in CNS wound repair and enhancing the electrical communication between the electrode surface and the surrounding tissue. It also presents novel approaches to nerve regeneration and repair.

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.

From the Preface Surgical tissue adhesives are an ancient idea, going back to the beginnings of recorded history. The concept of adhering, rather than suturing, packing, or stapling planes of tissue is attractive, in that it is fast-acting and assures complete closure. Numerous technologies have been tried; some with limited success, others outright failures. In short, the perfect adhesive does not exist. Limitations occur in a number of areas: strength, toxicity, degradation, and safety. It is also important to keep in mind that "one size fits all" does not apply to adhesives in surgical applications any more than it does in day-to-day application. As one would not use paper glue to seal a bathtub, one would presumably not apply an adhesive onto tendons, which is suitable for sealing corneas. The properties required of an adhesive for each indication are quite different. Over the last twenty-five years, advances have been made in a wide range of technologies targeting some embodiment of a practical and safe adhesive. Foremost and successful among these are cyanoacrylates, marine adhesive proteins, and fibrin-based sealants. Another promising adhesive technology is laser solders, a mixture of polypeptides and proteoglycans, which integrates with the repair site when laser energy is applied. In light of these advances in the field, the Symposium for Surgical Tissue Adhesives was organized and held at the Atlanta Hyatt from October 8-10, 1993. The goal was to bring together these far-flung technologies in a comprehensive and cohesive manner. Presentations by investigators from around the world described the history of adhesives in medicine, current technologies, laboratorycharacterizations, and application developments, as well as regulatory aspects and clinical applications. We felt that as many viewpoints as possible, however conflicting, were important to present in order to give the most complete picture of the state of the art of surgical adhesives.

Laparoscopy is increasingly being used as an alternative to more invasive surgical techniques. This book details newly revealed anatomical dynamics of the lower abdominal wall and introduces the reader to laparoscopic repair of the inguinal hernia. Provides a thorough discussion of the etiology of hernias while stressing the importance of the functional shutter mechanism in preventing hernias.

AVM of the Brain, Clinical Considerations, General and Special Operative Techniques, Surgical Results, Non-operated Cases, Cavernous and Venous Angiomas, Neuro-anesthesia

Clinical Considerations, Surgery of the Intracranial Aneurysma and Results

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.

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.

The diagnosis and management of gastrointestinal bleeding is multidisciplinary by nature involving surgeons, gastroenterologist and radiologists. Due to various pathologies, it involves upper gut, lower gut and occult bleeding. Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management covers all aspects of bleeding in a systemic approach organized by the site of bleeding. Elective and emergent bleeding is also covered. This volume provides a practical text for the practitioner in addressing patient issues in their practice, with a step by step approach through appropriate diagnosis and management strategies including surgical, endoscopic, medical and angiographic techniques, making this a truly multidisciplinary and disease based text.. Specific sections in the book are crafted by experts in each topic.

Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management provides a ready reference that will help physicians understand and work through diagnostic and therapeutic dilemmas and will be of great value to full range of practitioners that manage patients with bleeding including surgeons, gastroenterologist and radiologists as well as residents and fellows in these subspecialties.

This atlas is composed of 31 chapters with authoritative commentaries and illustrations in a number of surgical procedures amenable to laparoscopic techniques. The Atlas is a tool that will simplify and organize surgical thought for the advanced laparoscopist.

This complete, comprehensive, and current compendium presents diagnosis and treatment of the entire spectrum of anorectal diseases. The focus is almost exclusively on anorectal conditions, leaving colonic diseases to other texts. This emphasis is necessary as anorectal pathology is often more complex and challenging than colonic pathology, for the surgeon. The text reviews anorectal anatomy, physiology, and embryology as a foundation to a detailed description of preoperative, intraoperative and postoperative patient management. All surgical procedures are shown in step-by-step detail by world-renowned surgeons and gastroenterologists.

This timely and clinically oriented book uniquely addresses the entire spectrum of treatment for severe obesity and diabetes. It thoroughly examines all aspects from robotic surgery to cell therapy, from the latest antidiabetic drugs to endoscopic procedures and devices, from appetite-inhibiting signals and nutrients to gastric arterial embolization. It offers objective and authoritative information for practicing professionals; not only are successful interventions discussed and updated, but cutting-edge and experimental pathways are also anticipated. Obesity is the foremost nutritional challenge worldwide. Its companion is type-2 diabetes, the most prevalent metabolic disease. Together they represent the diabesity epidemic, which is draining resources, overwhelming healthcare facilities, and impacting life expectancy and quality of life everywhere. No country has been spared, and most medical specialties have been affected. Many books focus on the surgical options for obesity and diabetes, namely bariatric and metabolic operations. Information on the clinical and pharmacological treatment is also available, conveyed by standard texts on internal medicine and endocrinology. Yet endoscopic maneuvers and prostheses, cell therapy for diabetes, and other innovative approaches are hard to come by, as conventional texts overlook such therapies. This timely publication bridges the gaps between all different therapeutic options, also covering advances in the conservative, surgical and parasurgical domains. This book will appeal to seasoned specialists, students and healthcare professionals in training alike.

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.

A novel textbook describing current state-of-the-art shoulder arthroscopy. All authors are involved in a successful and established course on practical arthroscopy skills held twice yearly in the UK and this book is an extension of the course. There are two sections within the book, the first of which covers instrumentation and the second covers applications. The instrumentation section will include chapters on arthroscopic equipment, implants and materials, and knots and suture management. The applications section will cover diagnostic aspects (anatomy, theatre organisation, diagnostic routine), therapeutic aspects (subacromial decompression, ACJ resection, capsular release, debridement, calcific tendonitis) and reconstructive techniques (anterior labral repair, superior labral repair, posterior labral repair, capsulorraphy, cuff repair, biceps tenodesis].