With the introduction of cardiac surgery more than five decades ago and the use of the heart-lung machine for open heart surgical procedures granting the surgeon unlimited time in which to operate inside the heart, a complex task has been given to the Perfusionist. With a pairing of a perfusionist and a surgeon for each chapter, this book is an essential collection of techniques and protocols to aid in decision making in the operating room.

With obesity rising at alarming rates in the U.S., UK, and developed countries around the world--so much that the U.S. Department of Health has officially classified obesity as an "illness" and the World Health Organization has dubbed it a "pandemic"--weight-loss surgery is also on the rise. Traditional weight-loss programs such as diet, exercise, and pharmaceuticals, are only effective for significant and sustained weight loss for about 10 percent of all people who try. The results are even more dismal for the obese aiming to lose not just a few pounds, but 50, 75, or more. Yet, the health of these individuals lies in the balance, because obesity or morbid obesity (100 pounds or more overweight by medical standards) increases by 50 to 100 percent their risk of developing heart disease, high blood pressure, diabetes, and certain cancers. Weight-loss surgery, however, is effective in bringing 80 percent of obese people to or close to average weight for their height, explains Dr. Hamilton, an Instructor at Harvard Medical School. Even more impressive, most sustain that weight loss for at least 10 years. Hamilton doesn't perform such surgeries, but this Tufts-educated doctor has more than general medical insight. She had the surgery herself six years ago, reducing from the size 20 she was then to the size 8 she is now. "Surgical weight loss is unequivocally more effective than any other method," she says. Certainly there are complexities, risks, and some "grueling decisions" involved. But life as an obese person can be more risky to health and more grueling to mental health, she adds. The National Institutes of Health apparently agree, as NIH has issued recommendations for morbidly obesepeople to have weight-loss surgery. In the United States alone weight-loss surgeries have risen from 12,700 in 1988 to more than 78,000 in 2005. "Still, fewer than one percent of the patients who fit the requirements for weight-loss surgery are ever referred to such a specialist," says Hamilton. "And in blacks, where the prevalence of obesity is even higher, the referral rates are even lower," she adds. Hamilton makes clear the rewards, and the risks, of surgery that reduces stomach size or removes a piece of the intestine so calories cannot be absorbed. This book includes interviews with previously obese males and females who've had the surgery, as well as descriptions of the procedures, recovery times, costs, and insurance issues.

This is a Great Guide for Practicing Physicians and Residents. This book looks at serious questions regarding your practice no one ever taught you. Dr. Schultz explores and helps answer these important questions and adds a bit of humor to the process. Examples of questions include: Where to start a practice? - Doctor friendly states Is Workman's Compensation business worth it? Need more capital? Is bedside manner more important than skill? What kind of partnership is right for you? Is that patient making you sick? - Weeding out "bad" patients Is managed care here to stay? Is the dirty "M" word malpractice or money? What is the best for you: solo or partnership? Are there any winners in divorce? Is it ok for doctors to advertise?

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

As technology advances, practicing or training otolaryngologists register in educational courses to refresh their surgical skills and stay abreast of these changes. While information is becoming available in several journals, there is a definite need for a single surgical atlas-like book that contains precise descriptions of the surgical techniques used in rhinology and sleep apnea surgery. Each chapter was written by surgeons with extensive experience in each topic who have already published on the specific procedure described. Each chapter contains diagrammatic or illustrative descriptions of surgical techniques and provides tips and pearls of wisdom to avoid complications when the procedures are performed. This comprehensive work of surgical information serves as a valuable resource for otolaryngologists in training to augment their surgical education and for practicing otolaryngologists as a review source to best approach the surgical pathologies they encounter in their practice of rhinology and treatment of sleep apnea.

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.

Ophthalmic Microsurgical Suturing Techniques is a reference text for both the novice and the accomplished ophthalmic surgeon. In 15 richly illustrated chapters this book imparts basic information on tissue tactics and knot tying and demonstrates the applicability of these techniques to various microsurgical situations, in both the anterior and the posterior segment of the eye.

The chapters have a uniform reader-friendly format starting with key points to allow rapid reference to the information included in the chapter. Illustrated with photos and line drawings, each chapter contains sections on: Surgical indications, Instrumentation and equipment, Surgical technique, Complications and future challenges.

Those who will benefit greatly from this excellent book include ophthalmic surgeons with widely varying levels of experience, from the resident to the experienced surgeon."

There are many superb books on how to do operations but there are few or none on how to assist at them, and none written either by or for medical students or doctors. Therefore, the skills that make an expert surgical assistant are difficult to acquire. Normally, they can only be learnt in a haphazard way, by spending years in the operating theatre. This book describes those skills in a concise and systematic way, in surgery in general, and in ten different speciality areas. Although intended mainly for clinical-level medical students and junior doctors, other people who assist at surgical operations, including general practitioners, nurse assistants and surgical technologists, will also find it useful. Whether planning a career in surgery, or simply aiming for high marks in a surgical rotation, there are few better ways to impress a surgeon than by skilfully assisting at surgical operations.

A symptom-based version of the critically-acclaimed Norton/Surgery: Basic Science and Clinical Evidence, Learning Surgery provides a ready reference to those in third and fourth year residencies. Essential algorithms and case presentations meet with clerkship learning objectives as outlined by the Association of Surgical Education in their ASE Manual. Two sections include Introduction to Clinical Surgery in the Surgical Clerkship Setting and Management of Surgical Diseases During the Clerkship. Chapters include: Stroke, Hypertension, Abdominal Masses, Head Injuries, and Burns. Written by leading clinicians and educators, both surgery residents and medical students will find LEARNING SURGERY indispensible in their rotations and clerkships. Surgeons who train residents will also find the text a valuable ajunct to their teaching.

Performing a surgical operation could be compared to na- gating inside the human body. Two essential requirements are necessary for a successful apprenticeship: ? A perfect understanding of the roadmap, the anatomy ? Regular training with expert surgeon teachers showing str- egies, tactics, manoeuvres, and gestures to make the journey safe, efficient and fast For decades this was the way taken by apprentice-surgeons and also by surgeons already in practice concerned about upd- ing their knowledge. For years their only travelling companions were books, drawings, and pictures. However, printed medium cannot satisfactorily and properly reproduce the movements of a manoeuvring surgeon. In open surgery, only the two first - sistants can precisely capture by direct vision what is happ- ing in the depth of the operating field. Therefore, the duration of apprenticeship is long and restricted to a small number of people per teacher. The introduction of movie cameras into the operating rooms improved the quality of surgical education. But filming in open surgery is not so easy. The cameraperson has to be well trained to catch good takes in the depth of a pit between the heads, shoulders, and fingers of the surgeon and assistants. Most of the time, those constraints disturb the op- ator's manoeuvres, altering their pedagogical value. With the introduction of laparoscopic surgery (LS), using a video camera providing images in real time on a television screen, everything changed.

A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates.

In questo volume dedicato al polso, viene sottolineata l'importanza di un'attenta valutazione delle problematiche legate a questa complessa articolazione, che per anni e stata trascurata come entita funzionale e che presenta ancora oggi aspetti sconosciuti. Luigi Pederzini, in collaborazione con i piu prestigiosi Autori italiani estranieri, ha messo a fuoco le varie patologie del polso, chiarendo l'importante ruolo dell'artroscopia nel trattamento delle lesioni. Il volume rappresenta un prezioso strumento di approfondimento e consente agli specialisti di analizzare la tecnica artroscopica con maggiore competenza.

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.

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 is the first of four volumes that together elaborate on an advanced minimally invasive neurosurgery (MIN) technique for cerebral hemorrhages, which makes it possible to prevent secondary injury by the hematoma and to preserve neurological function and accelerate neuropsychological recovery after the evacuation. It describes in detail the theoretical, technical and training procedures necessary to carry out successful intracerebral hemorrhage evacuations using MIN techniques. A combination of mouth-tracked microsurgery, neuro-sonography, neuro-endoscopy, LASER and sealing makes highly effective, minimally invasive evacuation of all types of hematomas possible. The MIN Key Concept, an advanced new model based on the Keyhole Concept and MIN techniques is also presented. Lastly, the scientific basics of MIN are discussed and summarized. A historical curriculum vitae is included in memory of the main pioneer of innovative MIN techniques, Prof. Axel Perneczky, to whom this book is dedicated.

This book provides detailed information in foot and ankle arthroscopy and endoscopy. It explores and introduces these surgical techniques for the treatment of foot and ankle diseases, which have better surgical outcome, lesser surgical morbidity over conventional open surgery. In each chapter, it includes extensive cases and techniques' illustration about arthroscopy, tendoscopy and endoscopy. Case demonstration with well-illustrated arthroscopic and endoscopic photos for common clinical conditions was provided. It is also written in the same structure and style for each techniques. Step-by-step procedures are complied with pictures and illustrations for easy reference, particularly for surgeons in their clinical practice.

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 easy-to-consult guide describes new minimally invasive procedures for the treatment of spinal instability that are accompanied by fewer complications and side-effects, reduce the risks of anesthesia, and lower costs. Clear accounts of a range of CT, X-ray, and MRI guided techniques are provided, including radiofrequency ablation in facet syndrome, cervical spine fusion, posterior and anterior lumbar spine fusion, and lumbosacral fusion. A brief but comprehensive introduction is included on biomechanics, relevant clinical syndromes, and diagnostic imaging. Like other books in the Springer series New Procedures in Spinal Interventional Neuroradiology, this practice-oriented volume will fill a significant gap in the literature and meet the need expressed by a large number of specialists (interventional neuroradiologists and radiologists, neurosurgeons, and orthopedists) for a topical and handy guide that specifically illustrates the presently available materials and methods.

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"

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.

Cataracts are a very common condition whereby the lens of the eye becomes cloudy causing blurred vision. Over time, a cataract can get worse, eventually leading to blindness if untreated. Cataracts are the most common cause of blindness worldwide. Phacoemulsification surgery is the most widely used method for cataract management. Simplified Phacoemulsification is a step by step guide to the complete technique of phacoemulsification. Beginning with an introduction to the anatomy and development of the lens, patient selection and the phacoemulsification machine used in the procedure, the following chapters describe the complete process from anaesthesia, suturing and incision, through the different basic and technical aspects of the technique. The final section examines instruments used for phaco surgery. Written in an easy to read, short note format, this comprehensive manual includes more than 280 full colour images and figures to enhance learning. Key points Step by step guide to phacoemulsification Covers complete process from basic anatomy and development, to anaesthesia and suturing, and technical aspects of the procedure Easy to read, short note format Includes more than 280 full colour images, figures and illustrations

Natural Orifice Transluminal Endoscopic Surgery (or a ~NOTESa (TM)) is the latest advancement with surgery and is causing many shockwaves throughout the industry, as well as attracting much attention from the outside media. Within the industry, everybody is talking about it and keen to get involved, with societies springing and other surgeons desperate to learn the practices. NOTES is a definite growth industry and since a reasonable amount has already occurred in the field, it is a development that is here to stay.

With such exponential growth in the field already, it's only a matter of time before someone publishes the first comprehensive title on this subject as, to date, nothing exists currently. The quick release of such an important book will distinguish Springer as truly being on the cutting-edge of clinical medicine, and establish us as publishing pioneers in a rapidly growing field.

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.

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.