Kirurgi

 This atlas offers a step-by-step approach to Thoracoscopic surgery for Congenital Pulmonary Malformation (CPAM) in each major lung resection.  This technique is still a matter of debate and is used approxmately by 50% of the surgeons in Europe.   The apprehension of the thoracoscopic approach is complicated firstly by  the small size of the child to whom it is proposed and secondly by the risks of perioperative or postoperative complications. Furthermore, the pulmonary malformations object of this investigation are rare, thus  making this technique difficult to learn and reproduce  The volume - the result of a surgical experience acquired since 2007 in this field -  offers a step-by-step approach to the procedure in each major lung resection and is  illustrated by numerous intraoperative photos, short video clips and even complete resection videos; tips and tricks are presented to facilitate surgery, to make it reproducible and accessible by all surgeons, whether they are young surgeons in training or experienced surgeons. This atlas aims to complement and not to replace the direct observation in the operating room, or the procedure learning by the reader. It offers essential guide for practitioners, trainees and thoracoscopic surgeons interested in CPAM.

In this issue of Anesthesiology Clinics, guest editors Drs. Zdravka Zafirova and Richard D. Urman bring their considerable expertise to the topic of Preoperative Patient Evaluation. Top experts in the field discuss this important opportunity to identify co-morbidities that may lead to patient complications during the anaesthetic, surgical, or post-operative period, including anticoagulation preop management and regional anesthesia recent updates/guidelines; marijuana use and vaping; enhanced recovery pathways: preoperative considerations in children; management of preoperative anemia; and more.Contains 17 relevant, practice-oriented topics including what¿s new in preop cardiac testing; virtual preoperative evaluation process: a new paradigm; newer hypoglycemic medications; new therapies for heart failure and pulmonary hypertension; preoperative management of the adult patient with cancer; and more.Provides in-depth clinical reviews on preoperative patient evaluation, 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.

This book provides a state-of-the art review of this field and demonstrates the basic applications of robotic surgery in the field of neurosurgery, exposing its basic principles, practical technical nuances, and advantages and limitations related to the technology. It also provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.  All chapters are written by experts in their fields and include the most up to date scientific and clinical information.  Robotics in Neurosurgery: Principles and Practice will serve as a valuable resource for clinicians, surgeons, engineers and researchers dealing with, and interested in, this challenging and promising field in robotics applied to neurosurgery.

This book provides an overview of emerging CSF management systems that filter or clear cerebrospinal fluid (CSF) as a therapeutic approach for several CNS conditions. While the term "liquorpheresis" most accurately refers to extracorporeal procedures that filter CSF (similar to plasmapheresis), this book covers any method based on devices that -either alone or in combination with drugs- can clear CSF or enhance its turnover, which in turn dilutes toxins.The book begins with an overview of CSF anatomy and physiology, followed by a discussion of the role of CSF clearance and flow dysfunction in various CNS conditions. The next section describes the different CSF management systems and procedures that are currently available or under development. The book then reviews the potential applications of these systems for treating subarachnoid hemorrhage, CNS infections, meningeal carcinomatosis, autoimmune encephalitis, polyradiculomyelitis, and neurodegenerativediseases. Finally, a chapter discusses future advances in liquorpheresis systems and applications. This book is intended for clinicians, neuro-researchers, academics, and students who are interested in the development and application of CSF management systems. It is also relevant to the medical device industry, particularly those that develop apheresis and CSF management devices, and the drug-delivery industry.

This heavily revised third edition gives an essential textbook which provides a comprehensive guide to robotic surgical techniques in urology. Extensively updated chapters cover general aspects of surgery such as aspects of operating room preparation and anesthesia. Instructions on how to use a variety of the latest techniques for procedures associated with the kidney, prostate, bladder and testicle are covered. Detailed information on how to improve outcomes, avoid potential complications and pitfalls is also provided. Instructive video clips assist the reader in being able to visualize how to enhance their methodologies further.Robotic Urologic Surgery is a detailed up-to-date resource that includes contributions from leading robotic urologic surgeons from around the world.  It assists readers in refining their surgical technique and improving their patient care. Therefore, it is a critical resource for all practicing and trainee physicians involved in the care of these patients.  

The heavily revised second edition of this essential textbook describes how to utilize a range of surgical techniques applicable to pediatrics. Chapters contain flowcharts to facilitate rapid assessment and decision-making. In addition, learning objectives and review questions are contained within each chapter to reinforce the key points covered. Topics covered include routinely encountered adolescent problems and neoplasms in children.Pediatric Surgery: Diagnosis and Treatment concisely describes how to apply a range of diagnostic and treatment techniques that are applicable to the pediatric patient in a variety of surgical scenarios for a range of diseases. Furthermore, it is an ideal resource for trainees and active practitioners taking board examinations.

Historically, communication was described as a secondary, or 'soft skill' for surgeons. Now, astute communication, both with patients and with colleagues, forms a fundamental element of holistic surgical practice and comprises a core component of the 'Non-Technical Skills for Surgeons' that are increasingly recognised in modern surgical practice.Good communication is required during each patient interaction: history taking, explanation, consent, breaking bad news, and managing difficult encounters such as the demanding or angry patient. Good communication with patients improves patient trust, compliance and overall satisfaction, reduces complaints and malpractice claims.High quality communication is also fundamental when interacting with colleagues: in theatre, on the ward, whilst making referrals and organising special tests. In the busy schedules of medical professionals, such communication must be succinct and relevant. Team structures must empower all members to speak up, so as to prevent harm being done. Suboptimal communication is a root cause for the majority of serious adverse events. Furthermore, good communication reduces job stress and enhances satisfaction for the surgeon.Good communication is not an inborn behaviour; it is a learned skill that is based on key principles. Studies have clearly demonstrated that education in communication improves patient outcomes and satisfaction. Several frameworks have been described, to facilitate good communication in certain scenarios: SPIKES for breaking bad news, SBAR for handover, surgical briefs and de-briefs, to name a few. This textbook will be aimed towards medical students, surgical trainees and surgical consultants internationally. It is relevant to every-day practice, examinations and OSCEs, such as medical finals, MRCS, FRCS and international equivalents, and interviews where role play is often featured.

"Easy to understand and richly illustrated, this essential guide introduces the basics of critical care EEG, including continuous EEG monitoring, to acute care providers of all backgrounds and skill levels, enabling them to harness the full potential of this technique for the benefit of patients"--

In this issue of Foot and Ankle Clinics, guest editor Dr. Mark Easley brings his considerable expertise to the topic of Updates on Total Ankle Replacement. Top experts in the field cover total ankle arthroplasty outcomes assessed through gait analysis; total ankle arthroplasty in younger patients; outcomes of lateral transfibular approach for total ankle replacement; outcomes of staged versus simultaneous total ankle replacement; outcomes of total ankle arthroplasty after reoperation; and more.Contains 15 relevant, practice-oriented topics including interpreting outcomes measures in total ankle research; results of total ankle arthroplasty versus ankle arthrodesis; diagnosing and managing infection in total ankle replacement; complications in total ankle replacement; outcomes of revision total ankle replacement; and more.Provides in-depth clinical reviews on total ankle replacement, 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.

This handy volume illustrates the basics of clinical three-dimensional (3D) printing, addressing the practical aspects of establishing a simple and effective 3D printing service in a medical facility. No longer confined to makers and workshops, this very recent technology has been fast developing and rapid prototyping has proven its potential in the clinical field as well, leading to new approaches. The declared aim of this work is enabling medical professionals to create bespoke anatomical models from a series of CT or MRI images, and assisting them in choosing the best suited 3D printers and materials for each specific clinical need. The text includes original, full-color step-by-step photos for better guidance, and a complete review of related publications in literature. Single chapters devoted to specific areas of 3D printing application, such as rhinoplasty, ear reconstruction, oculoplasty, maxillofacial surgery, as well as for surgical simulations.Contents are completed by a review of the legal aspects and the safety and quality considerations, as well as a thorough examination of the variety of 3D printers, compatible materials as filaments and resins, and including the available online resources. Plastic, Ophthalmologic and Maxillofacial surgeons, and professionals dealing with surgical reconstruction, will find this guide to be a valuable companion for the understanding of 3D printing in clinical practice.

The neurosurgical, surgical and medical training and practice models have to keep up with the technological revolution in the 21st Century as our lives changed on a swift base. Making bioethics and metacognition a cornerstone in medical education and practice will flourish our humane societies.Metacognition is thinking about one's thinking, to plan, monitor and assess one's understanding and performance. By adherence to medical ethics and Values-Based Medicine (VsBM) as guiding principles, we can develop benevolent medical practice. To enhance knowledge application, skills, and character qualities in realms beyond the immediate context in which they were learned. In this book, we developed a framework on how to evolve medical education and training by utilizing hi-tech. We divided the book into five principal components; Current and traditional root analysis of the learning process, Ethics and metacognition of education, learning and career development, Obstacles, difficulties and setbacks in learning and career development process, Learning in the digital era, and Mentorship.The author believes we are entering a new era of information technology, which will have a significant impact on the education, sciences, strategies and philosophy. Therefore, in preparation for this colossal transformation, the author brings together the best brains in the neurosurgical field from around the globe. Twenty distinguished Professors of Neurosurgery and educators from Canada, the USA, Colombia, the UK, Italy, the Netherland, India, Japan, China, Rwanda, Egypt and Saudi Arabia gathered their experiences and thoughts in this book to shade light on an evolving world that will be the norm in near future.

Enriched by original anatomical artworks this atlas comprehensively presents the diverse orthopaedic approaches to lower limb surgery. Combining  clear visual information with a consistent and concise structure, including tips, tricks and pitfalls, this manual presents all the most used approaches in orthopaedic prosthetic surgery and traumatology.Ranging from the hip to the ankle each chapter includes a clear presentation of the joint' s anatomy, with particular emphasis on vessels, nerves and other relevant anatomic structures. Beautiful water-colour illustrations realized by one of the authors accompany the reader step-by-step through each of the approaches described.This atlas offers a timely and up-to-date resource for both practicing and fellow orthopaedic surgeons with an interest in lower limb surgery.

This book developed from the experience of the ISAMMS team (Institut Sud Aquitain de la Main et du Membre Superieur), that has been treating hand and wrist pathologies for over 20 years. Hand and wrist require specific care from a multidisciplinary staff. The patient has to be treated efficiently from injury in order to be able to return to work and sports activities.The book presents the most validated clinical examination, clinical reasoning, rehabilitation techniques and orthoses allowing the therapist to maximize their efficiency in treating patients with hand and wrist pathologies.This publication is intended for physiotherapists and occupational therapists, surgeons and practitioners specialized in physical rehabilitation, as well as for the students in these fields.

Når man er blevet ramt af en hjertesygdom, skal man reorientere sig og finde en ny måde at leve på. Det handler ikke kun om at lære diagnose og medicin at kende, men også om at tilpasse sig alle de forandringer i hverdagen, der ledsager en hjertesygdom. Med HVAD ER HJERTESYGDOMME? får du, hvad end du er patient eller pårørende, en hjælpende hånd til at tilpasse dig din nye virkelighed.Bogen er rigt illustreret og inddelt i 18 velformidlede kapitler, som byder på både faktuel viden, bonusinformation og fun facts. Bliv f.eks. klogere på:Hvad hjertet er, og hvordan det fungererForskellige hjertesygdomme, bl.a. iskæmisk hjertesygdom, hjertesvigt, hjerteklapsygdom og hjerterytmeforstyrrelserForebyggelse af hjertesygdomSymptomerUndersøgelser, procedurer og behandlingerRehabiliteringPsykiske følgerRollen som pårørendeI flere af bogens kapitler finder du løbende samtaler med mennesker, der deler deres relevante perspektiver på emnet, f.eks. patienten, den pårørende, hjertelægen, psykiateren og psykologen.

Patients often seek advice in the doctor's office whose complaints are of a functional nature and cannot be directly assigned to an organ disease via laboratory or imaging. Many of these disorders such as pain, dizziness, tinnitus, lumpiness or the "heel spur" originate from the fascial organ, which is only now slowly being understood as such.Fascia connects all parts of our body mechanically but more important, all our receptors for intro-and extroception and for the regulation of homeostasis are embedded in fascia. If you take this system into account in the differential diagnosis, you can spare your patients invasive, stressful diagnostics and offer an accurate and successful therapy.Understand causes of fascial pain and dysfunction: fascial knots, principals of fascial disorders, flash tests, fascial chains, trigger points, interaction between cause and location of pain or other symptoms like fixed eczema and othersUnderstand causes of myofascial pain and dysfunction: myofascial knots, fascial chains, trigger points, interaction between cause and location of pain. fascial slackness and blockages Clinic, symptoms Recognize fascial syndromes and pain patterns correctly Causal and permanently effective treatment approaches Therapy of the fascial system Causes of fascial disorders Cooperation doctor - physiotherapistThe authors - a general practitioner and a physiotherapist - complement each other perfectly in their knowledge and skills. A plausible, practice-relevant, pathophysiological concept, which was created on the basis of many years of experience and success, as well as scientific studies (where available) and comes up with new - sometimes provocative - theses. For general practitioners, internists, orthopedists, physiotherapists and all physicians who are willing to enrich their diagnostic and therapeutic concepts with a myofascial approach.The translation was done with the help of artificial intelligence. A subsequent human revision was done primarily in terms of content.

This book includes 35 vertigo cases, which covers typical cases, difficult cases and rare cases from the department of otorhinolaryngology, neurology, emergency department, geriatrics, ophthalmology, and other disciplines. In each case, it has uniform structure, which includes summary of medical records, case study and case view.This book starts from peripheral vertigo, which is the most common vertigo disease, and belong to vestibular vertigo. It also covers non-vestibular vertigo, which is rare and might be ignored to get timely diagnosis and treatment. In addition, it introduces the patient who have multiple vertigo diseases, which are difficult to diagnosis and treatment, but also easy to be missed or misdiagnosed.This book will be helpful to deeply understand vertigo diseases and improve the diagnosis and treatment of vertigo diseases.The translation was done with the help of artificial intelligence (machine translation by the service DeepL.com). A subsequent human revision was done primarily in terms of content.

Pioneer Surgery in Kentucky: A Sketch, a classical book, has been considered essential throughout the human history, and so that this work is never forgotten we at Alpha Editions have made efforts in its preservation by republishing this book in a modern format for present and future generations. This whole book has been reformatted, retyped and designed. These books are not made of scanned copies of their original work and hence the text is clear and readable.

Gute Leistung muss gut bezahlt werdenAlle relevanten Informationen für die erfolgreiche Abrechnung im Praxisalltag zu UV-GOÄ, Arbeitsunfällen und Berufskrankheiten: korrekt, verlässlich, vollständig.Aus dem InhaltZuständigkeit auf einen Blick: Tabellen/Adressen der UV-Träger, BGs - nach Branchen geordnet.Alle praxisrelevanten Kommentierungen, inklusive ausgewählten Arbeitshinweisen der UV-Träger, Beschlüssen der ständigen Gebührenkommission, aktuelle Gerichtsurteile.Abrechnung mit den Honorarerhöhungen ab 1.10.2023; kommentierte Gebührenpositionen mit den aktuellen Honoraren der allgemeinen und besonderen Heilbehandlung; Angabe der Ausschlüsse. Übersichtstabellen erleichtern bei schwierigen Abrechnungsfällen die korrekte Zuordnung zu entsprechenden Gebührenordnungspositionen.Inklusive Verletzungsartenverzeichnis; ¿Berufskrankheiten¿: Definition, Was ist zu tun? Erläuterungen zur ärztlichen Anzeige bei begründetem Verdacht einer Berufskrankheit, Liste der anerkannten Berufskrankheiten, die von den UV-Trägern vorgeschriebene Diagnostik, Checkliste zur Meldung einer Berufskrankheit, Begutachtungsempfehlungen. Gebührenverzeichnis ¿Einbindung von ärztlichen und psychologischen Psychotherapeuten in das Heilverfahren der UV-Träger¿; Gebührenverzeichnis niedergelassener Physio- und Ergotherapeuten; Änderungen der ständigen Gebührenkommission zur Höhe der Vergütung und der Leistungsbeschreibung verschiedener Gebührenpositionen.

This practical, unique textbook provides a foundation for the essential elements of patient safety and quality improvement (QI) for orthopaedic trainees, though the content covered will be of interest to veteran clinicians as well. Currently, there are few existing resources and didactics focused on this crucial yet often overlooked area of medical practice, which makes this the first true textbook on the subject within the field of orthopaedic surgery.   Utilizing a user-friendly approach including generous figures, tables, and bulleted key points, the text presents comprehensive background information on QI principles, models, and patient safety. More specifically, it focuses on orthopaedic concerns, such as biologics and implants, registries, checklists, surgical site infection risk reduction, use of evidence-based medicine and care maps, simulation to improve care, and shifting from volume to value, among others. Related topics such as diversity and inclusion, provider wellness strategies, leadership strategies to develop an efficient and safe work culture, and innovation are also presented. Throughout, the aim is to demonstrate that QI is a multidisciplinary goal that can only flourish in an environment of supportive accountability. With contributions by leaders in the field, Quality Improvement and Patient Safety in Orthopaedic Surgery provides trainees and surgeons in the field a valuable and pragmatic toolkit for successful and sustainable clinical practice. 

Comprised exclusively of clinical cases, this concise, practical casebook provides clinicians and surgeons with current reconstructive techniques for complicated manifestations of foot and ankle injuries as a result of trauma, neuromuscular disease and deformity. Presenting unique cases in forefoot, midfoot, rearfoot, and ankle surgery, it is sensibly divided into six sections: forefoot maladies, the varus foot and ankle, the valgus foot and ankle, Charcot neuropathy, tendinopathies, and ankle joint revision. Each section demonstrates the surgical techniques chosen in each case, supported by generous, detailed surgical and radiographic slides and diagrams. A consistent chapter format, outlining the case presentation, diagnosis, management, and pearls and pitfalls, ensures its utility and accessibility.Pragmatic and reader-friendly, Challenges in Foot and Ankle Reconstruction Surgery: A Case-based Approach is an excellent resource for foot and ankle surgeons, podiatrists and all clinical staff treating these common yet challenging conditions.

This book is a multidisciplinary guide to head and neck cancer.Head and neck cancer remains one of the most technically complex cancer subsites to manage. This field involves highly specialized, multidisciplinary management and collaboration amongst surgeons, radiation oncologists, medical oncologists, radiologists, pathologists, and other health disciplines. The clinical and research landscape for head and neck oncology continues to evolve at a rapid pace.This multidisciplinary book provides the latest updates in the contemporary understanding and management of these tumors. The text incorporates updates in surgical techniques (minimally invasive and robotic techniques, reconstructive approaches), radiation medicine (new data on dose and fields, oligometastatic/oligoprogressive disease, retreatment), medical oncology (targeted, immunotherapy and molecular agents), in addition to other overarching topics such as side effects, biomarkers/nanotechnology, and epidemiology. Written by experts in their respective fields, chapters include the most up to date scientific and clinical information with perspectives from each relevant subspeciality. These sections are concise and accessible, yet comprehensive. Palliative medicine, pathologic and imaging principles, and health systems/economics considerations are also described.This book is an ideal resource for clinicians, trainees, and researchers dealing with, and interested in, this challenging malignancy. 

A layman's guide to understanding the medical science of knee pain