Kirurgi

All over the world, hysterectomy is the most commonly performed major gynecological procedure after cesarean section. With such a high prevalence, it is necessary to study as many aspects of this surgical intervention as possible. This book provides a comprehensive overview of hysterectomy.

This atlas provides a comprehensive overview of the current techniques practised in a leading cardiac surgical institution. It offers an up-to-date review of procedures, authored by foremost surgeons in each specialist area. Richly illustrated, its aim is to serve as an appealing ¿go-tö text for training and practising cardiac surgeons.

Gute Leistung muss gut bezahlt werdenEinheitlicher Bewertungsmaßstab mit aktuellen Punktangaben, Eurobeträgen mit dem erhöhten neuen Orientierungswert, Hinweisen auf entsprechende Leistungen in der GOÄ. Stand des EBM nach KBV mit den zahlreichen Änderungen der letzten 4 Quartale aus 2023 inklusive der Anhebung des Orientierungswerts zum 1. Januar 2024 auf 11,9339 Cent je Punkt. Alle relevanten Informationen für die erfolgreich optimierte Abrechnung im Praxisalltag: korrekt, verlässlich, vollständig.Aus dem Inhalt Kommentierung der einzelnen Leistungspositionen mit Ausschlüssen: Aktuelle Gerichtsurteile zur Gebührenordnung und vertragsärztlichen Tätigkeit. Praktische Abrechnungstipps, Auslegungshinweise, Beschlüsse, Richtlinien u.a. von KBV und regionalen KVen; G-BA; Sozialgesetzbuch (SGB). Plus: kurze Richtlinien und Übersichtstabellen einzelner Leistungsbereiche.

In diesem Buch werden die wichtigsten rechtlichen Begriffe, die der ärztliche Gutachter kennen sollte, übersichtlich, kompakt und vor allem präzise erläutert. Derselbe Begriff kann in Medizin und Rechtswissenschaft durchaus unterschiedlich verstanden werden. So ist die interdisziplinäre Kommunikation zwischen ärztlichen Sachverständigen und Gerichten/Verwaltung/Versicherungen eine schwierige Aufgabe für alle Beteiligten. Viele Streitfragen könnten allerdings vermieden werden, wenn man gerade bei diesen von Juristen und Medizinern gemeinsam benutzten Begriffen nicht aneinander vorbeireden würde. Hier setzt das Buch an: Für alle nachvollziehbar und dennoch mit höchster Präzision werden die wichtigsten Begriffe ¿ sortiert von A ¿ Z ¿ definiert. Stolpersteine ¿ ¿Cave¿ ¿ werden thematisiert und hervorgehoben. Darüber hinaus runden Hinweise auf die Pflichten des ärztlichen Gutachters und zahlreiche Tipps für die Erstellung und Abrechnung von ärztlichen Gutachten das Werk ab.Der Schwerpunkt der Erläuterungen betrifft den orthopädisch-unfallchirurgischen Bereich, den Herr Dr. Ludolph vertritt.In der 3. Auflage werden folgende Neuerungen berücksichtigt:· Zum 01.01.2024 ist das SGB XIV mit neuen Anspruchsgrundlagen und bisher in der Sozialgesetzgebung nicht bekannten Beweiserleichterungen in Kraft getreten· Ab 2021 wurde das Justizvergütungs- und Entschädigungsgesetz geändert. Die Vergütung des ärztlichen Sachverständigen, die auch Grundlage zahlreicher Vergütungsregelungen außerhalb des Gesetzes ist, wurde erhöht, die Zuordnung der Leistungen des ärztlichen Sachverständigen zu den einzelnen Vergütungsgruppen (M1 bis M3) wurde geändert.· Zum 01.07.2023 wurde die Vergütung von Gutachten für Berufsgenossenschaften und Unfallkassen erhöht (UV-GOÄ).· Entfallen ist zum 01.01.2021 der Unterlassungszwang. 9 der 80 Berufskrankheiten sahen als Tatbestandsvoraussetzung die Unterlassung der als ursächlich für die Erkrankung zu diskutierende Tätigkeit voraus. Ersetzt wurde dieser durch Mitwirkungspflichten. · Berücksichtigt wurden zudem eine Vielzahl rechtlicher Änderungen und aktuelle Gerichtsentscheidungen.

Adolescence is a phase of life where transformation fromchildhood to adulthood takes place. Puberty, as the marker of thisphase, presents a significant opportunity to lay a foundation forreproductive health of young people. Pubertal development affectsfemale adolescents differently to their male counterparts. Withinthis period, the young female will experience significant changes inher body and will start her reproductive journey. It is essential thatyoung females are prepared to ensure a smooth transition and apositive puberty experience. However, little is known about youngfemales' knowledge of reproductive health during puberty or theirsources of information about reproductive health during this criticaltime. Globally, research focuses on adolescents aged 15 years andabove, and there is limited data on early adolescents, specificallyyoung female adolescents age 12 to 15 years. Studies conducted withIndonesian adolescents tend to focus on sexual behaviour as a poorreproductive health outcome and fail to consider the importance ofexploring adolescents' knowledge of reproductive health duringpuberty. This PhD study was designed to address these gaps in theliterature by providing an exploration into young females' knowledgeof reproductive health and the sources of information regardingreproductive health during puberty.

Greetings my new friend!It is a pleasure to meet you and hopefully help you. If you are reading this, it means that either you yourself, or a loved one that you care for, needs help. Furthermore, you also need to know how to get that help and what your options are? Especially if you find yourself in a situation needing an organ transplant or ma-jor surgery like I was in. If this sounds like you or the person you are advocating for, please keep reading as the following information can save lives.The key to navigating a hospital is recognizing going in that hospital scares even the biggest and strongest of people. Let's start with my situation. I had four heart attacks, mainly due to high blood pressure. After diet, exercise, a passed psyche exam, and most importantly, having the proper team in place to support me, I was approved to receive both, a heart and kidney transplants on the same day, and ultimately given a new lease on life. Not bad, considering the first doctor I had assigned to me, basically issued me a death certificate. Fortunately for me, I wanted to live and I believed in myself more than that doctor ever did, and I stuck with it, figured out how to navigate the healthcare system, learned what options were available to me, found doctors with compassion at Cedars and the VA, who did believe in me, and now I'm here to empower you on how you can do it too.

Written and edited by leading international authorities in the field, this book provides an in-depth review of knowledge of the incidental findings of the nervous system, with emphasis on asymptomatic brain and spinal lesions that have the potential to cause illness. It includes very informative chapters, organized into four main groups: first, incidental findings of the brain and cranium, including intracranial, intraventricular and skull base lesions, infarcts and calcification; secondly, incidental findings of the spine and spinal cord, including spinal cord tumors, syringomyelia, arteriovenous malformations and craniovertebral junction anomalies; thirdly, incidental findings of the spinal nerves and peripheral nerves, including tumors of the plexi and peripheral nerves; and fourthly, other lesions, including acquired incidental lesions of the brain and spine as well as the medicolegal and psychiatric aspects related to these lesions. The uniqueness of this compilation lies in the fact that several abnormalities exist in the nervous system that have the potential to cause life threatening illness; yet because they are asymptomatic and incidental, this leads to major management dilemmas related to whether or not to surgically the lesion. The proponents of an early surgical management subscribe to the philosophy that getting rid of an entity earlier on when it is asymptomatic, leads to an early cure and obviates any risk of it becoming aggressive and incurable later on; those opting for a ¿wait and watch¿ policy subscribe to the view that no intervention (as well as subjecting the patient to the risk of surgery) is mandated until the lesion becomes symptomatic. This may subject a person to a lifetime of anxiety related to how that lesion is going to evolve, when in all likelihood, the subject may remain asymptomatic throughout his/her life. The psychological aspects of the patient who is extremely disturbed by the presence of this incidental lesion; and, who cannot adjust to the reality that the treating doctor actually does not have a well-defined plan for it, are issues that are adequately addressed with clinical illustrations and examples. This comprehensive reference book will be an ideal source for neuroscientists at all levels, from graduate students to researchers in specific disciplines studying this region, including neurosurgeons, neurologists, neuroradiologists, neuropathologists and psychiatrists, who seek both basic and more advanced information regarding the incidental findings of the nervous system.

This book is focused on a clinical-based diagnostic approach of autonomic dysfunctions, highlighting main diagnostic tools and pharmacological and non-pharmacological therapies available nowadays. The autonomic nervous system (ANS) is a subcomponent of the peripheral nervous system (PNS) and dysfunction of one or more subdivisions of the ANS, when accompanying other diseases, is linked to a worse prognosis of the latter. In some circumstances or when severe, dysfunction of ANS itself results in symptoms and disability. A myriad of factors can cause autonomic dysfunction and more than one can concur even in the same patient; due to the expansive nature of the ANS, patients can be affected by a wide range of conditions. Each chapter is characterized by a similar structure and is devoted to a different dysfunction. For each pathology, the book offers the essential information on mechanisms of action, treatments and outcomes. Written by experts in the research of these disorders, the volume addresses primarily Neurologists, but will be a useful tool also for Gastroenterologists, Ophthalmologists, Urologists, Cardiologists and Internal medicine specialists.

"e;Thinking as a specialist, acting as an ER doctor"e;The emergency setting remains one of the most important parts of daily clinical practice for surgeons. Moreover, the triage surgeon may be faced with complicated patients, who are often suffering from a wide range of diseases and emerging conditions. To this end, the emergency surgeon must know how to interpret the symptoms/signs of each condition and initiate appropriate management before directing the patient to the most correct path and specialist.  Although several books have been published concerning a specific surgical field (e.g. emergencies in vascular, thoracic or general surgery), this book provides a concise and quick point of view describing the clinical and instrumental surgical pictures in all vascular, thoracic, and general surgical emergencies. This approach can be useful in gaining a practical understanding of different clinical scenarios in order to adopt a correct management and treatment. It offers a simple guide to discriminating between urgent and non-urgent conditions, avoiding unnecessary diagnostic and interventional workup. This book would like to be a practical help also for general practitioners and emergency physicians to learn more about primary management of life threatening pathologies.

Advances in Oncology reviews the year’s most important findings and updates within the field in order to provide practicing oncologists with the current clinical information they need to improve patient outcomes. A distinguished editorial board, led by Dr. Leonidas C. Platanias, identifies key areas of major progress and controversy and invites preeminent specialists to contribute original articles devoted to these topics. These insightful overviews in oncology inform and enhance clinical practice by bringing concepts to a clinical level and exploring their everyday impact on patient care.Contains 26 articles on such topics as management of locoregional melanoma; surgery for recurrent ovarian cancer; advances in pediatric cancer with big data: the Pediatric Cancer Data Commons; advanced imaging in gliomas; approach to minimal residual disease for acute myeloid leukemia; treatment options for HER2-expressing gastroesophageal cancers; and more.Provides in-depth, clinical reviews in oncology, providing actionable insights for clinical practice.Presents the latest information in the field under the leadership of an experienced editorial team. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

This is the first of a three-volume project aimed at providing unique case reports (20 cases per volume) of a large number of supraventricular and ventricular arrhythmias encountered in clinical practice. The book is focused on the treatment of supraventricular arrhythmias, namely focal atrial tachycardias, typical and atypical AVNRT and accessory pathways (both manifest and concealed). All presented-cases were performed using the CARTO electro-anatomical mapping system, which allows the reader to better understand the arrhythmia features due to the     high number of images provided.A large number of high-quality figures, which represent the core of the authors' work, enrich the contents: all cases are built around suggestive figures acquired during the patients' hospitalization, which clearly illustrate important concepts used in catheter ablation of cardiac arrhythmias. The figures are not only related to the catheter ablation procedure, but also to the patient history, thus helping the reader to place the invasive treatment of the arrhythmias into clinical context: electrocardiograms, Holter ECGs, signal-averaged ECGs, chest X-Rays, transthoracic and transesophageal echocardiography images, MRI, CT scans, coronary angiography images are provided when considered relevant, in order to better present the patient's condition.  Short videoclips with activation maps of the atria or the ventricles during the studied arrhythmia complete the information provided.Teaching-oriented, all chapters include questions and answers and key messages at the end of each case. For this reason, it will be an invaluable tool for cardiologists, clinical cardiac electrophysiologists, and interventional cardiac electrophysiologists in training, but also for all those interested in learning more about the subject.

Endoscopic spinal surgery has become popular due its procedure-related benefits. The biportal endoscopic surgery is a recent technique, which has gained popularity in Asia, Europe, and Latin America since it can be applied to treat many diseases of the whole spine as cervical, thoracic, lumbar and sacral.Divided into thirty-four chapters, this first-ever book on unilateral biportal endoscopic spine surgery presents the technique history review and its current applications; the currently available technology and basic principles of this surgery: anesthesia, position, and operative room setup; endoscopic instruments, hydrostatic pressure, and intraoperative radiology; as well as anatomical considerations of basic approaches. It also details the techniques to resolve lumbar, cervical and thoracic spine diseases.Written by the world's most influential groups that perform the method, Unilateral Biportal Endoscopy of the Spine: An Atlas of Surgical Techniques will certainly be widely accepted by all surgeons interested to improve their daily practice in minimally invasive spine surgery.

This book comprehensively discusses existing controversies in orthopedic and trauma surgery of the upper limb, i.e. of the shoulder, humerus, elbow, wrist and hand. Real-world examples by experts from leading institutions equip the reader with the necessary knowledge and insights to address controversial issues and clinical presentations.The volume is subdivided into 5 sections, each of which discusses the most relevant controversies related to each joint, such as surgical versus conservative interventions, resection vs. prosthetic arthroplasty and more generally if, when and how to intervene in diverse pathologic conditions.This comprehensive guide is a valuable resource for all orthopedic surgeons, residents and fellows practicing in the field of upper limb surgery.

This book comprehensively covers the techniques available for robot- assisted prostatectomy.  Chapters feature detailed descriptions of how to successfully perform a variety of relevant techniques including the reconstruction of continence mechanisms and the use of the transperitoneal RALP anterior approach. Potential complications, preoperative and postoperative management strategies are also discussed, enabling the reader to develop a thorough understanding of how to apply a range of relevant methodologies into their day-to-day clinical practice and avoid commonly encountered pitfalls.Robot-Assisted Radical Prostatectomy: Advanced Surgical Techniques provides a practically applicable resource for all practicing  and trainee urologists seeking a detailed overview of the latest advances in robot-assisted surgical procedures and current management strategies applicable to prostatectomy. 

In this issue of Thoracic Surgery Clinics, guest editor Dr. Erin A. Gillaspie brings her considerable expertise to the topic of Surgical Conditions of the Diaphragm. Top experts provide up-to-date coverage of managing the diaphragmatic injuries of congenital defects, hiatal hernia, and trauma. This issue also includes articles on imaging, pediatrics, and anatomy and physiologyContains 9 relevant, practice-oriented topics including reconstructive techniques for diaphragm resection; management of congenital hernias in adults: foramen of Morgagni hernia; management of traumatic diaphragmatic injury; management of diaphragmatic paralysis and eventration; congenital hernias in adults: Bochdalek hernias; and more.Provides in-depth clinical reviews on surgical conditions of the diaphragm, 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 Urologic Clinics of North America, guest editor Dr. John T. Stoffel brings his considerable expertise to the topic of Updates in Neurourology. Top experts in the field provide important clinical updates to help you manage patients with a range of therapies for neurogenic bladder, including medical management, bladder augmentation, Botox therapy, and sacral neuromodulation. Other key articles address racial and economic disparities and the multidisciplinary team involved in care.Contains 14 relevant, practice-oriented topics covering urologic updates from various neurologic conditions; understanding physiology; tools of neurourologic care; and social factors regarding neurourologic care.Provides in-depth clinical reviews on neurourology, 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 first edition of Dallas Rhinoplasty: Nasal Surgery by the Masters published in 2002 compiled the knowledge and concepts developed in large part by the original faculty of the Dallas Rhinoplasty Symposium led by Jack P. Gunter, MD. Now in its fourth edition, this widely acclaimed textbook has become the global educational rhinoplasty source and Nose Bible for Rhinoplasty! Edited by world-renowned rhinoplasty surgeon Rod J. Rohrich, with Jamil Ahmad and William P. Adams, Jr., the completely new edition features advances and innovations in rhinoplasty-from preservation to precision structural rhinoplasty finesse and techniques to proven problem-solving methods to get the best and most consistent results in rhinoplasty"--

A comprehensive guide to neck rejuvenation techniques from multidisciplinary expertsA lifetime of facial expression, elastosis, gravitational forces, and tissue atrophy have a significant impact on the appearance of the neck. As such, neck rejuvenation is one of the most commonly performed aesthetic surgical procedures in the world, with more than 160,000 performed in the U.S. alone in 2020. Neck Rejuvenation: Surgical and Nonsurgical Techniques edited by Samuel J. Lin and Sumner A. Slavin reflects many decades of surgical and patient management experience, with contributions from distinguished surgeons across three specialties and many countries.Successful rejuvenation of the neck and its supporting structures requires in-depth anatomical knowledge, solid comprehension of the aesthetic principles of the neck, mastery of surgical and nonsurgical approaches, and an understanding of patient goals. The book starts with a chapter summarizing major surgically relevant anatomical structures pertinent to rejuvenation of the neck and its supporting tissues. Throughout the subsequent 14 chapters, internationally renowned specialists present a full spectrum of patient-targeted treatments focused on restoring a youthful neck appearance.Key Highlights- Cutting-edge surgical procedures utilized by leaders in plastic surgery, facial plastic surgery, and dermatology to improve neck contour and skin quality- Nonsurgical solutions tailored to address each patient's unique issues, including cosmeceuticals, lasers and energy-based devices, neuromodulators, dermal fillers, deoxycholic acid, and cryolipolysis- Complication prevention and management strategies for hematoma, skin necrosis, infection, nerve injury, dystonia, and scars- Advanced treatments for neck rejuvenation demonstrated in 13 intraoperative videos This unique resource provides seasoned and trainee aesthetic surgeons with the foundation to personalize surgical and nonsurgical approaches, thereby enhancing the ability to deliver optimal results while minimizing complications.This book includes complimentary access to a digital copy on https://medone.thieme.com.Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product

"A popular biography of brain surgery told by one of its preeminent practitioners"--

Bile duct injuries (BDI) are considered the most serious surgical complication associated with cholecystectomy. According to different reports, its incidence has remained constant over the years, ranging from 0.1% to 0.9%. BDI is associated with a greater risk of perioperative morbidity and mortality, a reduction in the quality of life, and a decrease in long-term survival. Also, this complication is a concern to surgeons since its progression is uncertain and may lead to demands on professional responsibility ("e;malpractice"e;) and emotional and physical consequences ("e;second victim"e;).Given that injuries in a high percentage of patients are initially unsuspected, the postoperative recovery may be prolonged, and the possibility of a successful repair reduced. Several surgical, endoscopic, and percutaneous procedures may be necessary to manage the lesions and to treat coexisting complications. BDI patients often undergo several repair attempts before successful resolution. This affects their quality of life and has a high psychological, physical, and mental impact due to the prolonged, complex, and unexpected nature of the injury. This currently represents a frequent problem in specialized referral centers or hepatobilopancreatic surgery units, where patients arrive with the sequelae of previous inadequate treatments. Usually, these patients require more elaborate procedures such as reoperations, liver resections and liver transplantation. The prevention, early diagnosis, and adequate treatment in the first approach is of crucial importance to ensure good long-term results. Therefore, this book is an essential resource for surgeons who perform cholecystectomy or treat BDI patients. It provides practical information and a comprehensive review on prevention and proper management, including complex cases. Readers will find contributions by experienced authors from a multidisciplinary and reference team in the management of BDI patients.

This second edition is primarily dedicated to MR-Enterography, an imaging modality whose reliability for intestinal assessment in patients suffering from inflammatory bowel diseases has gained increasing consensus.The performance of this technique has been significantly enlarged over the last years, due to its undoubted advantages in terms of exhaustive evaluation of the abdominal cavity and safeness due to the lack of radiation exposure. The first part is focused on MR-Enterography standard protocol. Nevertheless, additional sequences, technical novelties and common pitfalls are reported and discussed.  In the second section, the typical intestinal and extra-intestinal findings related to Crohn's disease are described in detail. In this edition, more emphasis has been put on practical topics, useful in the daily clinical practice: anatomical changes after surgical procedures, structured reporting and emerging clinical applications over inflammatory bowel diseases.Another part is dedicated to Magnetic Resonance Imaging of the anal canal, including technical aspects and clinical implications.The text is largely complemented by diagnostic images. Nonetheless, at the end of the book 30 illustrated cases show different clinical scenarios evaluated with MR-Enterography and Magnetic Resonance Imaging of the anal canal.

This account of the heroic efforts to operate meaningfully within the deformed heart constitutes one of the greatest stories ever told. The surgeons were deemed psychopaths, the body count enormous. Yet with persistence and innovation those surgeons and their heart-lung machines ultimately triumphed. Professor Stephen Westaby trained with, then worked alongside, these pioneers on both sides of the Atlantic allowing him to write the most accurate, most exclusive, most insightful history of this taxing specialty.

Dieser Ratgeber hilft allen Menschen, die unter Schulterproblemen leiden. Hier erfahren sie mehr über ihre Krankheit, verstehen damit die Zusammenhänge besser und können empfohlene Behandlungen nachvollziehen. Darüber hinaus lernen Betroffene, was sie selbst gegen die Beschwerden tun können, denn gerade bei Schultererkrankungen kann und sollte der Patient vieles selbst tun, um die Belastbarkeit zu verbessern und Beschwerden entgegenzuwirken. Ein Video-gestütztes Trainingsprogramm dient als Information und Schulung; die enthaltenen Videos zeigen Übungen und geben Tipps für richtige Verhaltensmaßnahmen und ein gezieltes Training. Patienten sprechen immer wieder Fragen und Probleme an - auch darauf geht dieser Ratgeber gezielt ein. Mittels der Prinzipien der Schulterschule ist es heute möglich, mit Verhaltensmaßnahmen und gezielten Übungen eine Vielzahl von Beschwerden ohne Operation erfolgreich zu behandeln. Alle Übungen können Sie ohne spezielle Geräte einfach und sicher zuHause durchführen.Der Autor und seine Arbeitsgruppe sind mit dem höchst dotierten Preis für Prävention in Deutschland ausgezeichnet worden.Empfohlen vom Berufsverband für Orthopädie und Unfallchirurgie, vom VDB-Physiotherapieverband ¿ Berufs- und Wirtschaftsverband der Selbständigen in der Physiotherapie und dem Deutschen Verband für Physiotherapie (ZVK) e.V.

This book provides a complete overview of Crohn¿s disease and ulcerative colitis for the general reader. Written for patients, their friends and families, and any medical or non-medical persons who wish to learn more about Inflammatory Bowel Disease (IBD), it explains the science in clear, accessible language. The book covers the most current and comprehensive information about potential causes, clinical features, diagnosis, and treatment of IBD, including surgical options. Individual chapters are dedicated to special patient populations like pediatric patients, pregnant women, and the elderly. It also includes information about alternative therapies, as well as guidance regarding managing treatment costs for patients with financial or insurance difficulties. Featuring hand-drawn illustrations, references for further reading, and other useful resources, this book is a must-read for patients and others seeking to understand inflammatory bowel disease.