Kirurgiske teknikker

Mød velforberedt op på operationsstuen.Både som læge og sygeplejerske stifter man tidligt i karrieren bekendtskab med aktiviteten på operationsstuen, men det kan være vanskeligt at navigere i de hundredevis af kirurgiske instrumenter med forskellige navne samt de strenge hygiejniske forholdsregler."Kirurgiske instrumenter" er en gennemillustreret og opslagsvenlig guide til de mange instrumenter, der benyttes på forskellige kirurgiske specialer.Bogen indeholder:• Foto og beskrivelse af de mest brugte kirurgiske instrumenter generelt samt instrumenter til specialerne gastrointestinal kirurgi, urologi, gynækologisk kirurgi, plastikkirurgi og ortopædkirurgi. • En vejledning i adfærd og procedurer på operationsstuen, såsom steril påklædning og kirurgisk håndvask. Målgruppen for bogen er både læger og plejepersonale på operationsstuen.OM FORFATTERNEKristoffer Andresen Cand.med., ph.d. Kristoffer Andresen forsker i behandlingen af lyskebrok med fokus på kroniske smerter og gener. Han har skrevet flere tidsskriftartikler inden for kirurgi. Jacob Rosenberg Cand.med., dr.med. Jacob Rosenberg er professor i kirurgi ved Københavns Universitet og overlæge ved Herlev/Gentofte Hospital. Han forsker i forskellige aspekter af kirurgiske sygdomme med fokus på optimering af kirurgiske behandlinger og patientforløb.

Hermed foreligger den reviderede 3. udgave af den populære lærebog "Kirurgi"! Alle bogens kapitler er fagligt opdaterede med et øget fokus på de pædagogiske elementer, så studievenligheden er bedre end nogensinde før.Bogen er endnu engang opdateret og gennemrevideret, så den præsenterer den væsentligste viden inden for alle de store kirurgiske specialer, som er samlet i den afsluttende eksamen til lægestudiet. På en pædagogisk og overskuelig måde gennemgår bogen således de 8 hovedområder: traumatologi, abdominalkirurgi, urologi, thoraxkirurgi, karkirurgi, ortopædkirurgi, neurokirurgi og plastikkirurgi. Samtlige kapitler er blevet opdateret med nyeste viden og guidelines, og der er findes både faktabokse og spørgsmål/svar."Kirurgi" er oplagt for den studerende gennem hele studietiden fra den første prækliniske kontakt med patienter til den afsluttende eksamen i kirurgi - og efterfølgende som opslagsværk i arbejdet som læge. Bogen er tilstræbt pensumdækkende for medicinstudiet i København, Aarhus, Odense og Aalborg.Bogens redaktører og forfattere er alle kirurgiske eksperter fra hele landet og blandt de undervisere, som den medicinstuderende vil møde i løbet af uddannelsen.

ORTOPÆDISK KIRURGI9. udgaveOver 1.000 illustrationer!Hermed foreligger 9. udgave af lærebogen ORTOPÆDISK KIRURGI. Bogen markerer næsten 40 års udgivelse af standardværket, der for længst er blevet en klassiker inden for faget.Bogen giver en grundig indføring i ortopædkirurgiens diagnostik og behandling og omfatter også en systematisk gennemgang af både de generaliserede og de topografisk afgrænsede lidelser i bevægeapparatet.Den nye udgave er grundigt revideret med faglig viden inden for alle ortopædkirurgiske subspecialer og tværfaglige krydsfelter, bl.a. ortogeriatri, reumatologi, smertebehandling og troboseprofylakse. Bogen er rigt illustreret, og lettilgængelige tabeller og kliniske fotos understøtter patientundersøgelser og teknik inden for hver anatomisk region.ORTOPÆDISK KIRURGI er skrevet af førende danske eksperter, og lærebogen egner sig for medicinstuderende og postgraduate yngre læger under ortopædkirurgisk speciallægeuddannelse. Herudover kan fysioterapeuter og sygeplejersker anvende den som opslagsværk.

This book aims to provide readers with the latest information on application of hysteroscopy in diagnosis and treatment of gynaecological diseases. The first chapters systematically review current status, equipment and instruments, applied anatomy, preoperative treatment and anesthesia for hysteroscopic surgery. In the following chapters, details in aspect of hysteroscopy from diagnostic to hysteroscopic surgery are explained with clinical cases. After that, advanced techniques in hysteroscopy combined with laparoscopy and ultrasound monitoring hysteroscopic surgery are introduced with high-resolution illustrations. Written by experts with wealthy experience in the field, this book will be a valuable reference for gynecologists at hysteroscopy units, reproductive units, gynecological and oncological units.

Biportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches.  Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding. 

The book covers the recent developments in various aspects of minimal access surgery (laparoscopic and robotic surgery), which is fairly a new branch of surgery that has advanced tremendously in last few years. This is the first volume of the set of books on recent concepts in minimal access surgery. It provides step-by-step descriptions accompanied by numerous helpful photographs and anatomical drawings. It also includes the controversies and gives a cumulative opinion on the recent changes developing in minimal access surgery (MAS). It includes system wise topics and separate chapters on the different topics within the system with the meta-analysis of recent topic or their controversies.The book is useful for practitioners and young faculties as well as residents, trainees and fellows of surgery and minimal access surgery.

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. 

This book presents a basic introduction of the role of robotics in neurological surgery in a systematic organized manner. The work provides thorough explanations of the history, types, uses, application, current practice, and future directions of robotics in each division of the field of neurosurgery. The book is written in clear understandable language, making it suitable for medical students, interns, residents, specialists, consultants, and professors.

Endoscopic microsurgery is a developing technique in plastic surgery. There are many advantages over traditional methods: improved access to difficult and hidden areas, better mobility, one optical instrument for endoscopic dissection and the microsurgical part, reduced overall costs, and a possibility to develop new procedures supported by the use of the endoscope. In the first volume of the series "e;Update in Plastic Surgery"e; 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.

A vast number of children in the United States are evaluated and treated for urologic conditions by urologists practicing general urology due to the relatively few fellowship-trained pediatric urologists. Pediatric Urology: A General Urologist's Guide is written specifically for general urologists as a concise and comprehensive reference of the more common pediatric urologic conditions. Other health practitioners (i.e. pediatrician, family practitioner, residents, medical students, and mid-level providers) will also find this book a key reference. Written by well-respected pediatric urologists, this volume will assist the health care provider to rapidly review the essential aspects of the physical examination, evaluation, diagnostic testing, and management while the patient is still in the office. The chapters are arranged into four sections to allow for easier access to the information: office urology, genitalia, urinary tract, and miscellaneous topics. Furthermore, the first chapter of the book will be dedicated to facts and figures (ex. normal penile and renal lengths based on age, dosing of common medications, and grading system for vesicoureteral reflux) that serves as a single source for this information. Pediatric Urology: A General Urologist's Guide offers the reader the essential information to assist them in the care of children.

Introduction The Robot of tomorrow will be the effective result of the research work of today. Robotics advancement is going on in almost all technological areas. Especially for mobile robots, a similar trend is happening for computer systems, the transition from mainframe computing via workstations to PCs, which will probably continue with handheld devices for many applications. In the past, mobile robots were controlled by heavy, large, and expensive computer systems that could not be carried and had to be linked via cable or wireless devices. Today, however, we can build small mobile robots with numerous actuators and sensors that are controlled by inexpensive, small, and light embedded computer systems that are carried on-board the robot. There has been a tremendous increase of interest in mobile robots. Not just as interesting toys or inspired by science fiction stories or movies, but as a perfect tool for engineering education, mobile robots are used today at almost all universities in undergraduate and graduate courses in Computer Science/Computer Engineering, Information Technology, Cybernetics, Electrical Engineering, Mechanical Engineering, Electronics Science and Mechatronics. A robot is a tangible, self-contained piece of real-world hardware. Tasks to be solved involving a robot are of a practical nature and directly make sense to the user. All problems involving real-world hardware such as a robot are in many ways harder than solving a theoretical problem. The perfect world which often is the realm of pure software systems does not exist here. Any actuator can only be positioned to a certain degree of accuracy, and all sensors have intrinsic reading errors and certain limitations. Therefore, a working robot program will be much more than just a logic solution coded in software. It will be a robust system that takes into account and overcomes inaccuracies and imperfections. Mobile robot programming is enjoyable and an inspiration. The fact that there is a moving system whose behavior can be specified by a piece of software is a challenge,

This special topic issue of 'Visceral Medicine' contains contributions discussing the subject in-depth. 'Visceral Medicine' is a well-respected, international peer-reviewed journal in surgery. Special topic issues are included in the subscription.

At present most intracranial gliomas are considered incurable with current treatment strategies, and the search for new modalities that may effectively control tumor growth continues. The chapters in this volume describe basic principles and therapeutic possibilities of several innovative techniques, including photodynamic therapy, laser-induced interstitial thermotherapy, stereotactic cryodestruction, high-intensity focused ultrasound ablation, boron neutron capture therapy, proton and carbon ion irradiation, targeted therapy, immunotherapy, gene therapy, local chemotherapy, and alternating electric fields therapy. Potential applications of extracellular vesicles and nanotechnology for management of gliomas are highlighted as well. Many of these methods have already demonstrated antitumor efficacy in clinical testing, whereas others are still under development. The materials presented in this book are mainly directed at clinicians treating patients with brain tumors, as well as clinical and basic researchers working in the field of neuro-oncology.

Treatment of patients with intracranial gliomas, especially high-grade neoplasms, usually requires postoperative adjuvant therapy. Significant progress in the understanding of tumor biology, technological advances in irradiation delivery, and development of novel antitumor drugs have led to an expansion of the therapeutic arsenal in neuro-oncology. This publication provides a unique review of the various options for adjuvant therapy. Special emphasis is on current evidence-based treatment standards and guidelines, and on perspectives of further improvement in long-term outcomes. Chapters review the histopathological and molecular features of gliomas and describe basic principles and clinical results of fractionated radiotherapy, stereotactic radiosurgery, brachytherapy, use of radiosensitizers, systemic chemotherapy and antiangiogenic therapy. Particular attention is paid to treatment of pediatric patients and to physical and psychological rehabilitation and supportive care at the end of life. This book and its accompanying volumes are mainly directed at neuro-oncologists, radiation oncologists, and other clinicians treating patients with brain tumors.

Aggressive surgical removal is generally considered the main initial management option for most intracranial gliomas. It often results in resolution or alleviation of neurological symptoms and signs, normalizes intracranial pressure, facilitates characterization of the neoplasm, creates optimal conditions for adjuvant therapy and neurorehabilitation, and leads to prolongation of progression-free and overall survival of patients. Leading experts in neurosurgical oncology have contributed to this volume, highlighting modern principles of surgery for both newly-diagnosed and recurrent intracranial gliomas in adult as well as pediatric patients. The first of a three-volume set, it details epidemiological aspects, defines the importance of preoperative imaging, and describes current perioperative adjuvant needs. In addition, contemporary methods of intraoperative neurophysiological monitoring, the value of brain mapping for functional preservation, tips to prevent complications, and postoperative results are presented and discussed. This book and its accompanying volumes are mainly directed at neurosurgeons, neuro-oncologists and other clinicians treating patients with brain tumors.

Keyhole surgery has been made possible through the rapid development of various medical technologies, first pioneered in the 1970s. Revolutionary in the way it reduced the risk, surgical complications, healing time and scarring compared to open surgery, keyhole surgery soon became the preferred method throughout many surgical specialities.

This fully revised new edition provides a comprehensive, concise, and practical guide to all common operative equipment, techniques, procedures, and surgical management of the patient.