Generel kirurgi

In this issue of Surgical Clinics, guest editor Dr. Shimul Shah brings his considerable expertise to the topic of Liver Transplantation and Transplantation Oncology. Top experts in the field review the current status of liver transplantation in North America, outcomes involving living versus deceased donors, transplants for different liver diseases, machine perfusion, and immunotherapy. Contains 16 relevant, practice-oriented topics including outcomes of living donor liver transplantation compared to deceased donor liver transplantation; living donor liver transplantation: left lobe or right lobe; current status of liver transplantation in North America; current use of immunosuppression in liver transplantation; expanding the boundaries for liver transplantation for hepatocellular carcinoma; and more. Provides in-depth clinical reviews on liver transplantation and transplantation oncology, 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 is about the spleen, a mysterious organ, covering all aspects of its anatomy, physiology, and medical and surgical conditions affecting the spleen. It covers the most areas critical for decision making such as patient's presentation, diagnosis, and management. This book considers the recent developments in diagnosing and treating medical and surgical conditions affecting the spleen, including minimally invasive surgery. It is a quick reference book, well-illustrated, and easy to read and understand. This book should be helpful to medical consultants, surgeons, hematologists, and pediatric surgeons. It also benefits specialists, fellows, medical students, and nurses. The illustrations in this book are clear and include clinical, radiological, operative, pathological, and diagrammatic pictures. These illustrations are detailed, making them easy to grasp and understand.

The book provides up-to-date information on all aspects of colonic diverticular disease, particularly common in Western countries. Most people suffering from it remain asymptomatic, while about 20% develop symptoms without complications, experiencing the so-called "e;Symptomatic Non-Complicated Diverticular Disease"e; (SUDD). 10-25% of this last group eventually  develop diverticulitis, with or without complications. The incidence of diverticulitis and diverticular colon disease is increasing worldwide, and is becoming a significant burden for national health systems in terms of direct and indirect costs, also because its prevalence increases with age. Unfortunately, the disease pathogenesis is relatively unknown and several aetiological factors may play a role in its onset.The first parts of the book will deal with the disease epidemiology  and etiopathogenesis,  focusing  on the roles of inflammation and dysbiosis as part of the pathophysiology of diverticular disease. The clinical spectrum, the diagnostic approach and differential diagnosis,  medical and surgical treatments are described in the following sections.Written by experts in the field, the volume will be a unique and valuable resource for all clinicians, residents, and physicians involved in the management of this disease.

This book aims at filling a gap in relation to the pathophysiology of the inguinal region and the genesis of groin protrusions. While inguinal hernia is a widespread disease and hernia repair accounts for the most frequently performed surgical procedure, these two aspects have been unsatisfactorily investigated, so that to date there is no shared hypothesis on how visceral protrusion through inguinal barrier occur. Exact knowledge on the pathogenesis is fundamental for adequately managing a disease, otherwise all curative approaches would  not be  evidence-based, but merely empirically identified  and with uncertain outcomes carried out. Moreover, in absence of pathogenetic certainty, formulating guidelines simply results in an unjustified methodology harbinger of polemics and controversies. Previous studies concerning the pathogenesis of inguinal protrusions were mainly focused on the detection of biochemical changes, mostly related to collagen chains, metalloproteinase and similar elements. Nevertheless, despite decades of researches, a sure relationship between these ultrastructural modifications and visceral protrusion has not been proven. On the contrary, over the years very few investigations dealt with evidencing eventual modifications in the tissue structures of the herniated groin. An extensive research finalized to ascertain in patients and in cadavers structural changes of the tissue elements composing the groin was therefore carried out by the author and his researchers team. The findings of these studies resulted to be very useful for definitely evidencing the etiology of inguinal hernia disease. Overall, the proposed book scrutinizes and widens all emerging aspects related to pathogenesis, histology, physiology, surgical and functional anatomy of the inguinal area affected by hernia protrusion. It intends to be a reference guide to surgeons willing to better understand the structural modifications occurring in patients affected by this disease with the aim of improving treatment results.

In this issue, guest editors bring their considerable expertise to this important topic. Contains 14 relevant, practice-oriented topics including cannabis and pain control after total hip and knee surgery; postoperative pain control following shoulder arthroplasty: rethinking the need for opioids; perioperative pain management for distal radius fractures; wide awake anesthesia for foot and ankle surgery; perioperative pain management for the spine; and more.  Provides in-depth clinical reviews on perioperative pain management, 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 Surgical Clinics, guest editors Drs. Viren P. Punja and Paul J. Schenarts bring their considerable expertise to the topic of General Surgery Emergencies. Top experts discuss gastric, duodenal, and small bowel surgical emergencies; management of bariatric emergencies, surgical emergencies in patients with significant comorbid diseases; optimization of care for the elderly surgical emergency patient; damage control in and transfer of the emergency general surgery patient; palliative emergency general surgery; and more. Contains 15 practice-oriented topics including evaluation of abdominal emergencies; resuscitation and preparation of the emergency general surgery patient; thoracic emergencies for the general surgeon; surgical management of anorectal emergencies; general surgery during pregnancy and gynecologic emergencies; and more. Provides in-depth clinical reviews on general surgery emergencies, 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 comprehensive plastic surgery manual on breast reshaping explains in detail the various surgical procedures carried out towards increasing the aesthetic appearance of the breast. Today the surgical management of the breast crosses the lines of gender. Male breast or gynaecomastia is an equally vexing problem for the young as well as the old alike. This volume discusses the surgical management of this aesthetic nightmare in a step by step manner with photographs, illustrations, schematics and short videos. This book comprehensively covers the four major conditions requiring surgical breast reshaping. The first being a small breast, requiring solutions including fat grafting or a US FDA approved cohesive silicone gel implant. Needless to say this is a very gratifying procedure providing immediate results with little or no downtime. This volume also covers important topics such as breast reduction in young and older patients which are a very challenging operation for most surgeons¿ particularly recent graduates. This volume also deals with the complexities of this procedure taking into account all the factors that will help the reader have a successful outcome. It contains important chapters on the situation of post pregnancy when the women experience the ¿post-partum blues¿ secondary to dysmorphic changes to the body, particularly the Breast and its management. Additionally it also explains the commonly encountered complications, pitfalls and useful recommendations stemming from experienced authors. This Manual in Cosmetic Medicine and Surgery sets the standard for Doctors entering the field of aesthetic medicine and surgery. It is a reference book for people who are in practice as well as a step by step manual for students and young doctors wanting to pursue this field. Other five volumes are on: ¿ Nose procedures¿ Genital procedures ¿ NonInvasive procedures¿ Cosmetic procedures of the face¿ Body Contouring surgeries

With an emphasis on the “hows and whys” of contemporary surgery,Operative Techniques in Vascular Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Drawn from the larger Operative Techniques in Surgery, Second Edition, this concise, stand-alone surgical atlas, overseen by editor-in-chief Mary T. Hawn and meticulously edited by Dr. Kellie R. Brown, focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results.

In this issue, guest editors bring their considerable expertise to this important topic. Contains 10 practice-oriented topics including advances in endoscopic lung volume reduction; advanced endoscopic procedures; technical aspects of robotic first rib resection; uniportal robotic lung resection techniques; three dimensional printing applications in thoracic surgery; and more.  Provides in-depth clinical reviews of emerging technologies in thoracic 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.

In this issue, guest editors bring their considerable expertise to this important topic.Provides in-depth reviews on the latest updates in the field, providing 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 these timely topic-based reviews.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editors Drs. D. Nageshwar Reddy and Rupjyoti Talukdar bring their considerable expertise to the topic of Updates in Pancreatic Endotherapy. Leaders in the field highlight the evolution of pancreatic endotherapy and its progression to current procedures, covering the techniques, utility, and evidence-based efficacy of these procedures in daily practice. Contains 14 relevant, practice-oriented topics including endoscopy in gallstone pancreatitis; endoscopic necrosectomy; EUS-guided WON drainage; percutaneous endoscopic necrosectomy; management of disconnected pancreatic duct; prevention of post-ERCP pancreatitis; and more.  Provides in-depth clinical reviews on pancreatic endotherapy, 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.

Time is of the essence in the effective management of trauma patients, requiring quick evaluation, immediate lifesaving procedures, and a definitive treatment of a wide variety of injuries. Trauma Surgery Essentials: A Must-Know Guide to Emergency Management has been written and designed to provide need-to-know information in a visually appealing, easy-to-read format. Expert trauma surgeon Dr. Anil K. Srivastava has identified the essential trauma surgery facts and procedures you must know, based on authoritative textbooks, practice guidelines, and current peer-reviewed journals, and compiled all of this information into a handy guide, ideal for quick reference at the point of care. Covers the emergent evaluation and management of trauma patients, as well as the emergency management of specific injuries. Uses an easy-to-digest, bullet-point format to convey information in a way that's easy to follow and understand. Contains dozens of full-color illustrations that focus on surgical anatomy and surgical procedures, as well as numerous algorithms that aid in surgical decision making. A valuable resource for medical students, trainee surgical residents, trauma surgery fellows, general surgeons, trauma surgeons, ER physicians, and midlevel providers, as well as other non-surgical physicians who are interested in the management of trauma patients. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Fully updated throughout, the second edition of the Manual of Botulinum Toxin Therapy provides practical guidance on the use of Botox in a wide variety of disorders. New chapters have been added on the use of botulinum toxin in wound healing, in focal hand dystonia and in thoracic outlet syndrome, as well as others. There are new chapters on the use of botulinum toxins in conjunction with ultrasound guidance. Using clear line-drawings the Manual describes the relevant injection sites for each condition and gives comparative dosage tables for the various formulations of toxins used in different muscle groups. Throughout the emphasis is on technique and the book can be used as both a teaching aid and in bedside guidance. The manual will be of use to neurologists, otolaryngologists, urologists, ophthalmologists, dermatologists, internists, pain management specialists, rehabilitation specialists and plastic surgeons, and any other clinicians discovering the potential of botulinum toxin.

This book comprehensively covers minimally invasive laparoscopic and robotic surgical techniques suitable for use in abdominal operations. Chapters describe relevant techniques for abdominal wall reconstruction, esophageal, bariatric, hepatobiliary, and colorectal surgery. Detailed step-by-step procedural guidance is provided with relevant photographic illustrations.Techniques in Minimally Invasive Surgery is a vital resource for surgeons who perform minimally invasive gastrointestinal operations. The book is particularly addressed to trainees, fellows, and junior faculty.

"Social determinants of health¿ has been defined by the World Health Organization as the conditions in which people are born, grow, live, work, and age. These determinants can include factors such as housing, transportation, education, employment, and access to care. Social Determinants of Health: A Primer for the Practicing Surgeon provides a comprehensive, state-of-the art, definitive reference for the surgical community on this important topic, serving as an invaluable resource for surgeons, physicians, fellows, and residents. Offers unique, practical content from experts in the field, with up-to-date information from both national and world leaders. Covers various aspects of social determinants of health related to the surgical field, including internalization of social determinants of health; social determinants of health and disease initiation, progression, and outcomes; and social determinants of health from a research perspective. Contains chapters on a wide range of topics as social determinants of health in surgery, including intersectionality, insurance, stress, finances, neighborhood, healthcare access, community engagement, literacy, and more. Discusses study design and outcomes, interventions, and future directions in social determinants of health in surgery. Consolidates today's available information on this timely topic into a single, convenient resource.

The book covers all aspects of thyroid and parathyroid surgery, including history and examination, pre-operative workup, and how ancillary specialties like pathology, radiology, radiotherapy, and nuclear medicine impact the outcome of thyroid and parathyroid patients. It offers a step-by-step approach to help the readers manage their cases in their practice. It includes numerous color photographs, anatomical and operative line diagrams for easy understanding. Chapters include flow charts explaining the case management and the decision-making process. The book serves as a valuable resource to endocrine surgeons, general surgeons, endocrinologists, and internists. It also serves as reference material for the exit examination of masters of surgery and the super specialty entrance and exit exam for endocrine surgery. Additionally, it helps consultants and postgraduate students of radiology, pathology, nuclear medicine, and radiotherapy.

Multidisciplinary in scope and fully up to date with the latest advances in medical oncology and more, Bland and Copeland's The Breast, 6th Edition, covers every clinically relevant aspect of the field: cancer, congenital abnormalities, hormones, reconstruction, anatomy and physiology, benign breast disease, and more. In a practical, easy-to-use format ideal for today's busy practitioners, this truly comprehensive resource is ideal for surgical oncologists, breast surgeons, general surgeons, medical oncologists, and others who need to stay informed of the latest innovations in this complex and fast-moving area. Offers the most comprehensive, up-to-date information on the diagnosis and management of, and rehabilitation following, treatment for benign and malignant diseases of the breast.  Updates include an extensively updated oncoplastic section and extended medical and radiation oncology sections.  Delivers step-by-step clinical guidance highlighted by hundreds of superb illustrations that depict relevant anatomy and pathology, as well as medical and surgical procedures.  Reflects the collaborative nature of diagnosis and treatment among radiologists, pathologists, breast and plastic surgeons, radiation and medical oncologists, geneticists and other health care professionals who contribute to the management of patients with breast disease.  Includes access to procedural videos that provide expert visual guidance on how to execute key steps and techniques.  An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

¿The book covers the entire gamut of breast diseases including all necessary dimensions, such as radiology, pathology, surgery and oncology. It provides a complete spectrum from clinical scenario, imaging investigations and interventions, final histopathological diagnosis and complete treatment plan from medical, surgical and radiation to follow up protocols. It discusses about common and uncommon varied breast diseases encompassing all necessary specialties. It includes stepwise pictorial descriptions of ¿must know¿ in breast lesions. It presents high resolution images of the latest technologies in radiology and pathology based on typical case scenarios. The book features special chapters on recent updates and innovative technologies used in imaging, pathology and management of breast diseases. It contains line diagrams and flow charts for quick reading and easy understanding, to be practically implemented as and when required in any concerned specialties.The book is useful for consultants in radiology, pathology, general surgeons, onco-surgeons, super specialists and fellows in breast diseases, and postgraduates in these fields.

The book covers all aspects of lower limb oedema including aetiology, pathophysiology, clinical approach, investigations, differential diagnosis and management. It presents all the medical and surgical aspects of lower limb oedema in a well-illustrated manner for better understanding. It covers the lower limb oedema of different origins separately to highlight the different spectrums in their presentation and management. Separate chapters include special conditions like pregnancy, trauma and vascular malformations.The book augments the learning and knowledge for lower limb oedema management by illustrating all aspects of it. It suggests proceeding with every possible aetiology with a better understanding of pathophysiology and adequate designated investigations. It also includes clinical guidelines that help to solve the diagnostic dilemma in lower limb oedema management with infused points to reach a consensus in each and every possible cause. The book includes recent scientific literature and accepted guidelines adopted from the publications during the last ten years to provide latest knowledge in the field.The approaches discussed in the book with specific importance to clinical workup and meticulous investigation protocols will help the surgeons, physicians, primary care workers as well as surgical resident trainees to reach the correct diagnosis and proper management.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Tamas Gonda brings his considerable expertise to the topic of Advances in Diagnosis and Therapy of Pancreatic Cystic Neoplasms. Some estimates predict that over 2% of all patients 65 and older may have a pancreatic cyst and over 5% of those who undergo cross-sectional imaging will be found to have a cystic lesion. This issue provides an overview of current diagnostic approaches and emerging data on some of the novel imaging and biomarker strategies that improve accuracy. Top experts cover current guidelines for diagnosis and surveillance of pancreatic cystic lesions, high-risk individuals, the decision-making process, and much more. Contains 12 practice-oriented topics including burden of new pancreatic cyst diagnosis; next generation of radiologic assessment for pancreatic cystic neoplasms; endoscopic therapy for pancreatic cysts; surgical innovation for cystic neoplasms; and more.  Provides in-depth clinical reviews on advances in diagnosis and therapy of pancreatic cystic neoplasms, 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 Orthopedic Clinics, a team of eleven guest editors from the Campbell Clinic bring their considerable expertise to the topic of Managing Comorbidities. Top experts in the field cover key topics such as preventing the impact of hyperglycemia and diabetes on patients undergoing total joint arthroplasty; managing the patient with peripheral artery disease before TKA surgery; how to best utilize pediatric subspecialists; management of gout in the upper extremity; and more. Contains 12 relevant, practice-oriented topics including an update on the management and optimization of the patient with morbid obesity; managing comorbid conditions in geriatric orthopedic trauma patients; T1DM overview and perioperative management; what the orthopaedic surgeon should know about new trends in the medical management of diabetes; comorbidities in spine surgery: preoperative evaluation, treatment, and outcomes; and more. Provides in-depth clinical reviews on managing comorbidities, 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.

Hepatobiliary and Pancreatic Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher. The seventh edition has been edited and fully revised by respected experts in their fields, and provides a full list of current references and relevant resources. It covers the breadth of surgery of the liver, biliary system and pancreas, including perioperative care, the biology of hepatobiliary cancers, and transplantation. This volume is part of the Companion to Specialist Surgical Practice series, the pre-eminent reference for trainees in general surgery and those preparing for the FRCS examinations. Each volume summarises key issues within each surgical sub-specialty and provides evidence-based recommendations to support practice. Concise and easy to follow - ideal for exam revision or as a refresher aid Fully updated with latest evidence on recent developments, management issues and operative procedures Complete contemporary information on the investigation, diagnosis and management of hepatobiliary diseases High quality illustrations to highlight key areas Details of relevant investigations and evidence-based recommendations to support practice Key references to support content, plus a comprehensive list of references in the accompanying eBook Links to recommended online videos for further learning New chapters on perioperative care in hepatobiliary surgery and on the biology of hepatobiliary cancers All chapters significantly revised and updated

Vascular and Endovascular Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher. The seventh edition has been edited and fully revised by respected experts in their fields, and provides a full list of current references and relevant resources. It presents the main clinical updates from recent years in this evolving specialty, including new clinical trial data for aneurysm repair, lower limb revascularisation and venous interventions. This volume is part of the Companion to Specialist Surgical Practice series, the pre-eminent reference for trainees in general surgery and those preparing for the FRCS examinations. Each volume summarises key issues within each surgical sub-specialty and provides evidence-based recommendations to support practice. Concise and easy to follow - ideal for exam revision or as a refresher aid Fully updated with latest evidence on recent developments, management issues and operative procedures Provides an evidence-based rationale for contemporary clinical practice and guidelines in controversial areas of vascular surgical practice Details of relevant investigations and evidence-based recommendations to support practice Key references to support content, plus a comprehensive list of references in the accompanying eBook Links to recommended online videos for further learning Current evidence and recommendations on management of aortic aneurysms and the use of drug-eluting technologies for lower limb revascularisation New and up-to-date information on endovenous techniques New and expanded information on the medical management of underlying cardiovascular risk factors Major revisions of chapters on the management of people with vasospastic disorders and amputation

Pediatric Urology: Evidence for Optimal Patient Management provides pediatric urologists the information needed for state-of-the-art patient care. Chapters are organized around pertinent clinical questions within major areas of pediatric urology, answered using the best available data while also reporting areas for which there is poor evidence. The text includes randomized controlled trials and prospective observational studies, tables that summarize important studies, and figures that illustrate algorithms with best options for management and their expected results. With an easy to use format not found in other volumes, Pediatric Urology: Evidence for Optimal Patient Management is an indispensible and unique resource for experienced pediatric urologists, pediatric surgeons, general urologists with an interest in pediatric urology, as well as fellows and residents in training.

The Encyclopedia of Exercise Medicine is intelligently structured, easy accessible and user-friendly: A-Z format, clear, concise language and uniform essay structure as well as extensive cross references between keywords and related articles enables efficient searches in a user-friendly manner both for experts and newcomers. It is intended to be a comprehensive up-to-date data base on the adaptation of the human body to exercise and on the therapeutic use of exercise with up to 2,000 keywords. It covers all aspects within the full range of modern exercise medicine of each particular scientific discipline (cancer, parasitology, aging, etc.). This includes information on methodological approaches to measuring the principle components of motor fitness, and practical aspects of their enhancement by trainings regimes as well as by nutrition and the application of drugs. Such a wide range of entries, all written by leading experts in their respective fields, will therefore address both the basic/clinical scientist as well as the practitioner. Moreover, the Encyclopedia of Exercise Medicine is aimed at people in related fields, health care professionals, physiotherapists, trainers, students, informed athletes and interested laypersons. It is available both in print and as a fully searchable and hyperlinked electronic online edition.