Kirurgi

In this issue of Hand Clinics, guest editors Drs. Jerry I. Huang and Erin A. Miller bring their considerable expertise to the topic of Malunions and Nonunions in the Forearm, Wrist, and Hand. Top experts in the field provide up-to-date guidance on these complex fractures, keeping you current with the most effective techniques and management strategies for optimal outcomes and safe restoration of proper function.Contains 14 relevant, practice-oriented topics including principles and evaluation of bony unions; forearm nonunions: from Masquelet to free vascularized bone grafting; distal radius nonunions; a rare entity?; the role of 3D guides in management of forearm and wrist malunions; and more.Provides in-depth clinical reviews on malunions and nonunions in the forearm, wrist, and hand, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Oral and Maxillofacial Surgery Clinics, guest editors Drs. Srinivasa R. Chandra and Sanjiv Nair bring their considerable expertise to the topic of Molecular, Therapeutic, and Surgical Updates on Head and Neck Vascular Anomalies. Proper recognition and sequential management are vitally important in the management of vascular lesions-and most vascular lesions are present in the head and neck area. In this issue, top experts cover key topics such as genetic testing and current updates in vascular anomaly testing; lasers and therapeutic modalities for vascular lesions; virtual surgical planning; and much more.Contains 12 relevant, practice-oriented topics including terminology and classifications of vascular lesions based on molecular identification; orbital and skull base vascular lesions: surgical approaches and management; management of midfacial and skull vault osseous vascular lesions; airway considerations in vascular lesions; virtual surgical planning in maxillofacial vascular lesions; and more.Provides in-depth clinical reviews on molecular, therapeutic, and surgical updates on head and neck vascular anomalies, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Facial Plastic Surgery Clinics, guest editor Dr. Sherard A. Tatum brings his considerable expertise to the topic of Pediatric Facial Plastic and Reconstructive Surgery. Top experts cover key topics such as vascular lesions; definitive cleft rhinoplasty; primary cleft palate repair; velopharyngeal insufficiency surgery; microtia; and more.Contains 15 relevant, practice-oriented topics including facial skeletal trauma; cleft lip/nose repair and revision; soft tissue repair and reconstruction; otoplasty; syndromic craniofacial disorders; ERAS and pain management; and more.Provides in-depth clinical reviews on pediatric facial plastic and reconstructive surgery, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The book offers in a single resource the whole coverage of different diseases and lesions, congenital or acquired, of the tongue, along with a complete spectrum of surgical techniques that can be used to achieve the best functional and aesthetic results.In addition to tongue embryology, surgical anatomy, histology and physiology, the book explores the differential diagnosis of congenital anomalies of the tongue and lingual lesions, as well as the most recent advances in surgical management (resection, reconstruction and surgical management of the neck in patients with tongue cancer).The volume includes unique chapters about tongue replantation and tongue allo-transplantation. Richly illustrated, this book provides an indispensable source of knowledge to all specialists and trainees entrusted with the care of patients suffering from tongue lesions.

This book is the result of thousands of encounters with tube-fed infants and their families over the past four decades. The ailing and fragile children, suffering from a myriad of medical conditions acted as muses and mentors teaching more than could be expected. This book is addressed to medical professionals, early interventionists, pediatricians, child surgeons, nurses, dieticians, occupational therapists, speech and language pathologists (SLPs), feeding specialists, psychologists, physiotherapists, infant psychiatrists as well as parents. The medically fragile child (MFC) is the subject of the authors' work when it is concerned with enteral nutrition support (ENS) by means of a feeding tube (ENT). As pediatricians and psychotherapists, they have been treating eating and feeding disorders of children since 1986 and with this book they pass on knowledge they have garnered over three decades. Over 5,000 children have been weaned off their feeding tubes. Tube weaning requires the evaluation of medical, nutritional, sensory, developmental, metabolic and growth-related findings. The review of the literature around this subject has provided a source of inspiration as well as critical self-reflection; the authors wish to offer their insight and ideas on how to approach child-led tube-management and tube-weaning to all healthcare professional involved in the management of these children.

75% of patients who die from trauma have injuries to the chest. The care of the chest trauma patient can be incredibly complex, require multiple specialty and sub-specialty services, and may require interventions available only at quaternary referral centers.This book provides a comprehensive, state-of-the-art overview of chest trauma. The text reviews all aspects of chest wall, intra-thoracic organ, and great vessel injury management, with each section of the book structured anatomically to explore specific treatment options.The first section of the book contains an overview and introduction to the topic, discussing the definition and significance of chest trauma, initial resuscitation of the chest trauma patient, and centers of excellence, health systems, and regionalization. The following section is focused on chest wall injury, with chapters on acute rib fractures, sternal fracture, clavicle and scapula fractures, non-surgical aids in fracture healing, and anesthesia considerations. The next section spotlights thoracic organ injury, specifically focusing on cardiac injury, aorta and great vessel injury, esophageal injury, tracheal and pulmonary injury, and thoraco-abdominal and combined injuries.Since injury care alone is insufficient in guiding the totality of care, the fourth section is dedicated to inpatient critical care. Topics covered in this section include principles of ICU resuscitation, coagulopathy management, ICU monitoring, ventilator management, and advanced acute pain management. With the increase in violent extremism around the world, including the use of non-conventional weapons, as well as the plethora of natural and man-made disasters, disaster and mass casualty events is the timely subject of the book's final section. Specific topics tackled in this section include blast injury, blast lung, pulmonary aspiration, thoracic crush injury after natural and man-made disasters, toxic agent exposures, the role of the local facility during a national disaster, and the ethics of resource of allocation. The text also features over 100 high-yield illustrations, photographs, and tables. 

This book provides knowledge and instruction about thread procedures that are the current state of the art in the United States. The book offers a comprehensive overview of the threads available and in favor of use in the US. The chemical and biological activity of the threads also will be explained. Chapters will discuss research that support the theory and clinical efficacy of the threads, thus laying the foundation for understanding the purpose of the threads. Chapters discuss the different types, sizes and styles of threads in current use. The various areas and procedures that are possible with the threads will be described in detail to allow practitioners a greater comfort level when learning these procedures. The book will also include tips to help practitioners succeed with these procedures as it is generally not as straight forward as some other aesthetic procedures. In addition, the book compares and contrasts thread procedures with other current modalities. This will delineate the advantages of threads over other treatments for aesthetic treatment including surgery. The book also contains multiple videos that show the use of threads in various procedures.Non-Surgical Thread Procedures is a must-have resource for clinicians and physicians that practice minimally invasive aesthetic procedures as well as those interested in thread procedures.

The modern field of total knee arthroplasty began over 50 years ago in the 1970s when the FDA approved cement for implant fixation, and durable plastic that replaced the meniscus became available. Simultaneously, alignment evolved into two opposing and contentious philosophies, the anatomic approach (forefather of kinematic alignment, ) and the 'cookie-cutter' or mechanical alignment. In 2006, the concept of personalized surgery initiated a paradigm shift away from the philosophy of mechanical alignment to calipered kinematic alignment total knee replacement. Dr. Howell, a professor of biomedical engineering and a sports medicine surgeon, developed the kinematic alignment technique. To perform the surgery, he created the first commercially made patient-specific guides designed to assist the surgeon in setting the components coincident to the patient's pre-arthritic joint lines, which is the kinematic alignment target.In 2007, early adopters' clinical experience, particularly Dr. Meade, persuaded over 300 surgeons to perform more than 20,000 kinematically aligned total knee replacements by 2011. Between 2011 and 2020, many worldwide studies reported that kinematic alignment improves patient satisfaction, function, ease of recovery, soft tissue balance, flexion, and joint-line and limb alignment compared with mechanical alignment. It is a winning approach.This primer uses the familiar concept of the Ten Commandments and selects ten topics for the surgeon to follow. The success of kinematic alignment requires caliper measurements of bone resections and intraoperative recording of verification steps. These recommendations reduce the risk of complications, a topic of great interest to the patient! Patients that research options in total knee replacement surgery will come across the kinematic and mechanical alignment philosophies. The mechanical alignment technique is a 'cookie-cutter' approach that places the components the same way in everybody regardless of their legs' shape. Because the method changes the patient's joint lines, the healthy ligaments are released, making the replaced knee feel unnatural. Kinematic alignment restores the patient's knee alignment before arthritis developed and preserves healthy ligaments, promoting patient satisfaction and high function.We hope this primer is useful for those investigating knee replacement surgery. Those who chose kinematic alignment, ask your surgeon whether they use the caliper and intraoperative verifications to position your new knee optimally!

This book is a practical guide to the evaluation and management of surgical problems associated with the ankle. Divided into six thematic sections, it opens with general considerations for the ankle, including discussion of the anatomy, physiology and biomechanics of the ankle joint, along with relevant radiography and evaluation of ankle pain. The subsequent sections focus on specific injury types, from soft tissue injuries of tendons and ligaments, to classification and management of the various types of ankle fractures, to diabetic and Charcot neuropathy and chronic problems such as infections, post-traumatic arthritis and osteochondral disorders. Detailed descriptions of surgical algorithms are complemented with intraoperative photos and radiographs, providing a well-rounded presentation utilizing the most up-to-date evidence and clinical guidelines.Written by experts in the field, Evaluation and Surgical Management of the Ankle will be an excellent resource for orthopedic and podiatric surgeons, residents, nurse practitioners and physician assistants.

This book offers an update on several basic and clinical problems in neurosurgery compiled by internationally recognized experts.  This multi-thematic volume  will touch on a variety of topics: from  the role of women neurosurgeons in the last hundred year of the specialty history, to the pathogenesis of spinal dysraphism, to the convection-enhanced delivery of intracerebral antineoplastic drugs in children, through a review of methods and applications. The intraoperative cerebral blood flow monitoring in neurosurgery will be also discussed, offering again a comprehensive review of contemporary technologies and emerging perspectives.  As for the  technical standards, the book will describe the multimodality approach to cerebral gliomas, the management of thalamic tumors, the intracavitary treatment of craniopharyngiomas, the long term results of spasticity treatments,  the surgical treatment of  spinal vascular malformations, the management of idiopathic and refractory syringomyelia, offering at the same time an update of peripheral nerve surgery. All the chapters have to be considered an advance in the relative fields,  in cerebral pathophysiology and in clinical management.   Approaching the issue of technical standards  in the everyday clinical practice of neurosurgery,  this book is of great interest for neurosurgeons, neurologists and orthopaedists.

Now more than ever, you cannot grow an Aesthetics business without a Black Belt Level understanding of Digital Marketing. Most aesthetics practice owners start their ventures because they're good at something quite specific: the treatment bit of the job! Very few want to become accountants, marketers or anything else at the back end of the business. And that's a problem: digital marketing has become indispensable in today's fast-paced, interconnected world, and the aesthetics industry is no exception. With potential patients searching for solutions to their aesthetic problems online more than ever before, it is crucial that your clinic stands out in the digital realm. Investing time and resources into a robust online presence can help you reach more people, build trust and credibility, and ultimately, increase your client base.