In this first volume of the series Update in Plastic Surgery, internationally acknowledged experts give an up-to-date view of the clinical possibilities in plastic surgery which result from video-assisted microsurgery with the endoscope. Advantages and disadvantages are discussed, and reasons are presented why it can be assumed that this technique will be the standard in plastic surgery within a few years.

Venous valves rank among the smallest and most delicate organs of the human and animal bodies - so why devote an entire book to them? We were induced to do so by several reasons. First of all we would point out the clinical significance of venous valves. In the pathogenesis of a number of widespread diseases, such as varicose veins or the post-thrombotic syndrome, venous valves are involved as the underlying cause or at least a factor contributory to the symptoms. According to Taheri et al. these venous diseases occur ten times more frequently than arterial obliterations. Incompetence of venous valves also plays a causal role in varicocele, the most frequent cause of male infertility. But not only pathogenetic reasons induced us to write this book. In more recent times there has been a growing tendency to reconstruct functional valve disorders therapeutically; several surgical methods have been developed, which are critically reviewed in this book. It was our aim to sum up existing knowledge with respect to structure and function of venous valves and to expand that knowl edge by findings of our own. Examinations of semi-thin sections and unilayered en-face preparations have hardly been published so far, and systematic studies of the ultrastructure by electron-microscopy were not to be found in the literature. We are very grateful, therefore, to Dr. Silvana Geleff for having undertaken such a study upon our suggestion."

The International Symposium on Artificial Heart and Assist Devices has been held three times, first in 1985, then in 1987 and 1990. It is my great pleasure to present Artificial Heart 3 (Proceedings of the 3rd International Symposium on Artificial Heart and Assist Devices). The third symposium was held in Tokyo on February 16 and 17, 1990. Our original intention was to invite all the principal investigators from the major artificial heart research laboratories in the world, in the first three symposia. The numbers of investigators in the fields of the artificial heart, ventricular assist systems, and biomaterials, invited for the symposia, totalled 7 in 1985, 8 in 1987, and 13 in 1990. The program of the third symposium consisted of 41 papers; 13 invited lectures, 8 papers contributed upon request, with 2 from the United States, and 20 regular selected papers including 2 from the United States, ana 1 each from Australia, Germany, and South Korea. During the last three years, the state of clinical application of artificial hearts and assist devices has changed. In the case of pneumatically driven blood pumps, we have now stepped into the age of practical use in patients. Accordingly, in this symposium we gave a special emphasis to topics of clinical application, particularly the use of an artificial heart as a bridge to heart transplantation. Sessions on implantable artificial hearts, biomaterials for the artificial heart, and heart transplantation were also included.

Administering the National Health Service (NHS) is asking to navigate without reliable and sufficient information. It is amazing how a national service costing more than GBP15,OOOM (1984) and employing more than 1 million has existed since 1948. It is likely that with better appropriate data there could be economies and great efficiency and effectiveness. Paradoxically there is much data on the NHS, published and unpublished, that has remained unexploited and unused. In this book we have taken up the challenges of showing the availability of data and its presentation so that clinicians, adminis trators, committee members and politicians can better understand the state and needs of the NHS. Why this book? Because it is not possible to make decisions without facts. There is too much data around that is unrelated to the needs of clinicians, administrators, committee members and politicians. It can be brought together to provide bases for de cisions and, more important, to show the gaps that exist and the need for more information. What does it contain? It includes social and demographic data, NHS facts and figures, manpower data on the use of the NHS and some examples of how quality can be assessed and promoted.

A definitive, comprehensive text on the technological developments and clinical applications of this critical subject matter. Written for the entire heart surgery team, this volume covers the physiology of cardiopulmonary bypass, mechanics and components of the heart-lung machine, the conduct of cardiopulmonary bypass in cardiac surgery, non-cardiac applications of cardiopulmonary bypass, and mechanical assistance of the failing heart and lung. The authors also give special consideration to such areas as blood conservation in cardiac surgery, religions objections to blood transfusions, medical-legal aspects and cardiopulmonary bypass, as well as warm blood cardioplegia and normothermic cardiopulmonary bypass.

A comprehensive review the state-of-the-art in atherosclerosis of the arteries of the legs and feet. The authors discuss in detail the primary symptom-claudication-an intermittent pain in the leg or foot while walking, its predisposing factors, the current diagnostic methodologies, the impressive advances in the therapeutic armamentarium, and the need to screen for co-existing coronary artery disease. Additional chapters describe cutting-edge noninvasive angiography and vascular flow studies, specific drug therapy for claudication, regression of atherosclerosis therapy, gene therapy, and drug eluting stents for peripheral arterial disease. The authors also examine the epidemiology of LEAD, the effects of smoking and effective smoking cessation programs, its pathogenesis and its association with lipid abnormalities and hypertension, aggressive risk factor modification, and the need to measure the ankle brachial index of every patient over 45.

A comprehensive survey by leading basic and clinical researchers of the signal transduction mechanisms responsible for lung inflammation, including vascular hyperpermeability, white cell accumulation, and vascular remodeling. The authors cut across disciplines to bring together a broad-based presentation of inflammatory challenge, both in the initial phases of the inflammatory response, as well as in the more prolonged phase of genomic involvement. The book illuminates not only the processes of lung inflammation, but also the potential for developing new therapeutic strategies to combat inflammatory lung disease.

This text is a fully updated and revised third edition of a highly successful text. The format of this text is unique and has been very successful. A total of 286 short chapters organized into 24 Sections provide operative dictation templates for all of the common and the vast majority of the uncommon and even rare operations performed by general and vascular surgeons. Each chapter also provides a succinct synopsis of the operation through bullet-ed lists which include Indications, Essential Steps, Note these Variations, and Complications. The book thus serves two purposes: these operative dictation templates can be used verbatim when dictating the operative note for a procedure; and the book provides ready reference to the trainee going into the operating room to do the procedure for the first time, or to someone preparing for their Board examinations. Space for notes allows surgeons to personalize the book and turn it into a resource unique to their situation. Fully updated and expanded, Operative Dictations in General and Vascular Surgery, Third Edition includes significant additions that include flexible endoscopic procedures (now recognized as a core part of general surgery training and practice), single incision laparoscopic cholecystectomy, and robotic approaches to the rectum. The endovascular procedures have been significantly expanded, as have the approaches to venous disease and to A-V fistula creation. Operative Dictations in General and Vascular Surgery, Third Edition is intended for practicing surgeons, who may modify each template to reflect their own individual practice. It also serves as a concise reminder of essential steps in those operations that may be only rarely performed.

The Manual of Venous and Lymphatic Diseases constitutes a concise but comprehensive and contemporary description of the nature and management of venous and lymphatic diseases. This innovative book instructs the post-graduate trainee in phlebology and is also valuable to undergraduate students wishing to gain a broader knowledge than is available in general surgical texts. Addtionally, it is a useful reference for practising phelebologists, vascular surgeons and imaging specialists. The text covers basic principles, diagnosis and treatment of chronic venous disease, venous thrombo-embolism, lymphoedema and vascular malformations.

Das Buch hebt auch in der 2. komplett uberarbeiteten und aktualisierten Auflage den interdisziplinaren Charakter der Behandlung des diabetischen Fusssyndroms hervor. Nur in einem ausgewogenen Zusammenspiel von operativ und nicht-operativ tatigen AErzten sowie den entsprechenden medizinischen Assistenzberufen ist eine umfassende und die Extremitat erhaltende Therapie moeglich. Die Umsetzung des Gelesenen in die Praxis erleichtern die therapeutischen Algorithmen und die vielen Handlungsempfehlungen, die die Autoren geben. Zahlreiche Abbildungen/Bildserien veranschaulichen daruber hinaus die Inhalte.

Die "Gefasschirurgie" aus der renommierten Kirschnerschen Operationslehre - jetzt als Sonderausgabe. - Umfassend: Die gesamte Bandbreite der klassischen, konventionellen Gefasschirurgie - Unubertroffen anschaulich: UEber 600 erstklassige Abbildungen, viele davon als farbige Bilderfolgen zu den Operationsverfahren - Mit einem Vorwort von Prof. van Dongen zum aktuellen Stellenwert der beschriebenen Therapien Ein Klassiker von zeitlosem Wert - auch fur das 21. Jahrhundert!

The go-to resource for managing a full spectrum of clinical scenarios in acute ischemic stroke Ever-evolving technological advances have created a daunting number of emergent neurointerventional protocols and therapies for treating acute ischemic stroke. This has created an urgent need for reader-friendly, hands-on resources. Video Atlas of Acute Ischemic Stroke Intervention edited by renowned neuroinventional stroke experts Maxim Mokin, Elad I. Levy, Adnan H. Siddiqui, and esteemed contributors fills a void in education and knowledge with interactive, case-based guidance on mastering challenging stroke interventions. The atlas leverages current knowledge and decades of experience in acute stroke treatment and device innovations to familiarize clinicians at various career stages with a wide repertoire of techniques available in the neurointerventional suite. The book focuses on technical aspects of interventional stroke procedures including pitfalls and complications, an overview of the most useful tools of the trade, and discussion of pre- and post-procedural care. Eighteen chapters provide comprehensive coverage on the most common endovascular treatment approaches for acute stroke—aspiration and stent-retriever thrombectomy of proximal, distal, and tandem occlusions. Several cases focus on recognition and management of complications that clinicians may encounter during emergent procedures. Topics include the importance of arterial access, unmet need in current devices, and methods for overcoming these challenges. Key Highlights Thirty-eight individually narrated, high-definition videos describe angiographic and procedural cases, step by step High-quality illustrations emphasize and delineate key aspects of complex procedures Firsthand tips and tricks enhance the ability to manage highly challenging and less common pathologies, including arterial dissection, atherosclerosis, and venous strokes This must-have resource will benefit all practitioners involved in the interventional care of patients with acute ischemic stroke. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Das Buch gibt eine kompakte UEbersicht uber AEtiologie, Klinik, Diagnostik und Therapie der iliakalen Endofibrose, einer Sonderform der peripheren arteriellen Verschlusskrankheit. Es wendet sich an AErzte und Physiotherapeuten, die Ausdauersportler betreuen, aber auch an betroffene Athleten selbst. Das Krankheitsbild wurde 1985 erstmals bei einem Radrennfahrer beschrieben. Die Symptome sind meist belastungsabhangige Oberschenkelschmerzen, die die Karriere der oft ambitionierten Athleten gefahrden. Da der Untersuchungsbefund unter Ruhebedingungen regelhaft unauffallig ist, kann es zu jahrelanger Verzoegerung der Diagnosestellung kommen.

In this era of evidence-based medicine, clinicians treat common conditions according to guidelines and protocols derived from the results of randomised clinical trials. This book will help vascular specialists when they have to treat a patient with an unusual condition where they may have no experience and there is little published scientific information. The Joint Vascular Research Group has collected rare vascular conditions in a register for over a decade, and this book reviews the experience, together with the best information from the surgical literature. The authors give a practical guide on the diagnosis and management of rare vascular disorders. This book should be read by everyone who manages patients with vascular disease.

The need for dialysis access surgery is growing rapidly as the population of patients with end stage renal failure expands. This book is aimed at those healthcare professionals involved in the care of patients undergoing dialysis. "Vascular Access Simplified" gives a comprehensive review of all aspects of adult dialysis access with a specific emphasis on haemodialysis. The text highlights some of the difference in practises of physicians in Europe and the USA. The contributors are allied professionals, physicians, radiologists, vascular and transplant surgeons who have a specific interest and are all committed to improving the quality of dialysis access. The approach of each chapter is essentially practical with a few chosen references to aid further study rather than an exhaustive bibliography.

The aim of this book is to help clinicians to reduce the risk of complications after vascular and endovascular surgery. Whilst it is a surgical truism that the surgeon who does the most operations has the most complications (an acknowledgement of the fact that all vascular and endovascular procedures are potentially hazardous, and some extremely so), some surgeons seem to have more complications than others. This book is for all surgeons and radiologists who accept the challenge continually to improve their results. Each chapter is authored by an experienced (endo)vascular specialist who will have witnessed firsthand the perils and pitfalls of vascular procedures. They have seen all the complications, and even occasionally made errors of judgement. The chapters are full of information to help the reader avoid similar hazards in future. We live in a world of high patient expectation, where complications are seen as 'someone's fault'. Clinicians are familiar with innovations such as outcomes audit and assessment, procedural governance and quality improvement programmes. There is pressure to show progressive improvement. First class surgery is a combination of knowledge and skill and perhaps just a little luck, though as is oft quoted 'the more you practice, the luckier you get'. The information in this book will provide insights, protocols, and tips and tricks to minimise the risks of procedures in vascular and endovascular surgery. It is therefore essential reading for anyone who treats patients with vascular disease.

This volume is particularly valuable as a current standard reference. It covers all the major vascular operations - carotid endarterectomy, aortoiliac reconstructions and infrainguinal bypasses (in-situ and reversed vein, Dacron and PTFE prosthetic), thoracic and abdominal bypasses - matching each to its competing endovascular procedure. In addition, it provides excellent long-term data on such less common procedures as internal carotid bypass, vertebral artery revascularization, adjunctive procedures to enhance the patency of infrainguinal prosthetic bypass, and percutaneous intentional extraluminal revascularization. Finally, this framework is reinforced by in-depth chapters on current non-interventional management, surveillance programs to enhance long-term patency, and the ultimate challenge for all practicing vascular surgeons - the management of infected aortic grafts. Such clear, comprehensive, and current analysis should be of considerable and on-going value, both by helping vascular surgeons to make more effective decisions and to more knowledgeably discuss functional results, complication risks, life expectancy and surgical outcome issues with the patient and family.

Challenging Concepts in Interventional Radiology is a cased based guide to the most challenging aspects of interventional radiology and endovascular procedures. The 31 Cases have been selected to cover a wide-spectrum of scenarios, from the endovascular repair of thoracic and abdominal aortic aneurysms to the ablation of lung and kidney tumours. Cases are examined from a multidisciplinary approach with consideration of diagnosis, practical procedures, evidence base, and guidelines. Case commentaries from renowned experts in the field provide a useful and high level narrative across each case and compliment the clinical tips and evidence provided throughout. The collaboration of authorship between trainees and experts provides a unique insight into the management of the most complex and important cases in the radiology field. With a highly user friendly format, the textbook provides clinical tips and expert commentary for easy use in every day clinical practice. Suitable for candidates for the European Board of Interventional Radiology exam, fellows of Interventional Radiology, British Society of Endovascular Therapy fellows and radiologists, Challenging Concepts in Interventional Radiology appeals to a wide-ranging level of radiologists.

Part of the Neurosurgery by Example series, this volume on cerebrovascular neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within cerebrovascular neurosurgery, including aneurysms, ischemic/occlusive disease, arteriovenous malformation, dural arteriovenous fistula, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Cerebrovascular Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.

Moving beyond the science of hemodialysis access, this collection of clinical cases covers procedural and practical aspects of arteriovenous fistula, arteriovenous graft, dialysis catheter, draining veins, central veins, arterial interventions and hand ischemia. World experts in the disciplines of interventional nephrology, interventional radiology and surgery offer creative visions of their practice and provide insights on topics from routine access creation to advanced novel techniques. Dialysis Access Cases presents solutions to problems encountered in practice while capturing the art of this medical discipline and challenging procedure.

The first edition published in 1999, was described as a "longed for addition to the literature", and as a text that "cannot be compared with any other book on vascular surgery" (Lancet 2000; 355: 1918). At the time it was different; a book to help busy clinicians sift through surgical research and use it to make sensible decisions for their clinical practice. The challenge for this second edition is to produce something better still. The new edition is larger and more comprehensive, thanks to valuable suggestions from colleagues and reviewers. The text is as accessible as possible, with short chapters, recommendations for management, comprehensive referencing and full colour illustration. It belongs on the shelf, or in the briefcase of everyone who has to treat patients with vascular disease.

Die Gefasschirurgie wandelt sich. Neue Verfahren scheinen Altbewahrtes abzuloesen. Die medizinischen Strukturen erfahren entsprechende AEnderungen. Ist eine Kooperation zwischen der Gefasschirurgie und der Interventionellen Radiologie moeglich? Im Juni 1997 trafen sich namhafte Spezialisten auf dem Kongress fur Gefasschirurgie am AK Hamburg-Harburg. Neben einer Bestandsaufnahme der gegenwartigen Situation und ihren empirischen Wurzeln, wurden Perspektiven fur die Zukunft der Gefasschirurgie vorgestellt und diskutiert.

Die Mikrogefasschirurgie spielt bei Gewebetransplantationen eine immer groessere Rolle. Dieses Buch ist ein "Gewusst-wie"-Text uber die mikrovaskulare Rekonstruktionschirurgie, das vorwiegend von einem einzelnen Chirurgen geschrieben wurde. Es richtet sich sowohl an den erfahrenen als auch an den noch in der Ausbildung befindlichen Chirurgen. Das Buch ist in zwei Abschnitte gegliedert. Der erste beschreibt die operative Anatomie und Technik, die mit der Hebung jedes freien Gewebetransfers verbunden ist. Der zweite Teil behandelt die Anwendung dieser Transplantate fur die Rekonstruktion in drei anatomischen Regionen, in denen die rekonstruktive Mikrochirurgie bedeutende Ergebnisse geliefert hat: Kopf, Hals sowie obere und untere Extremitat. Das Buch ist ein aktuelles Nachschlagewerk fur jeden auf diesem Gebiet arbeitenden Chirurgen, Orthopaden und Traumatologen.