Generel kirurgi

An in-depth analysis of hand surgery principles from internationally renowned hand surgeons Hand surgery is a multidisciplinary pursuit that requires exceptional artistry, superb skills, and harmonious teamwork developed over decades of practice.  Reconstruction of the Thumb and Finger  is a unique resource that follows a Socratic approach to teaching in a world consumed by computers. It reflects 225 years of collective surgical effort by five prominent hand surgeons, who have practiced from the embryonic stages of pedicle flaps and digital transposition to revascularization and free tissue transfers. The differing goals, techniques, expectations, and collaborative approaches advocated by these masters are articulated throughout this exceptional book. The first chapter provides a comprehensive overview of anatomical and functional eloquence of the hand, including thorough descriptions of the musculoskeletal system, principles of thumb and digit reconstruction, and a detailed classification of defects. Traumatic loss and congenital differences of the thumb and finger are systematically divided into specific levels in 20 chapters. At each interval, various methods of reconstruction are presented with an emphasis on both new and older techniques. Chapter 20 covers elective incisions of the finger, hand, wrist, and forearm. Key Highlights A comparative digital defect indexing system (DDI) based on the surface involved, the critical zone of injury or loss, and a sum of tissue loss From simple to complex, each case includes the treatment rationale, functional/anatomical loss, reconstruction objectives, multiple treatment options, technical provisos, long-term outcomes, and clinical pearls Older clinical cases with long-term data bridge the gap from older to current microvascular techniques Pertinent anatomy is artfully illustrated by one of the recognized founding fathers of hand surgery, the late J. William Littler, including unpublished drawings and classic illustrations Reflecting many decades of research and collaboration, this authoritative medical reference is indispensable reading for novice to seasoned hand surgeons and microsurgeons. It also provides a robust teaching tool for medical students and allied health personnel.

Abdominal Wall Hernias is the most up-to-date, comprehensive reference available on all aspects of hernia repair. It includes state-of-the-art approaches to conventional open repairs using tissue-to-tissue techniques, the use of prosthetic mesh, minimally invasive approaches, the repair of recurrent and massive hernias, pertinent anatomy, basic science, and emerging biomaterials. The authors present a full spectrum of procedures to enable readers to gain a broad knowledge of the multifaceted repair of hernias. Richly illustrated, this book is a vital resource for all general surgeons and surgeons-in-training.

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.

This atlas demonstrates how to perform each available extraperitoneal hernia repair via a set of high-quality annotated images showing step-by-step guidance on how to perform the surgery. Robotic extraperitoneal hernia procedures are considered great teaching procedures especially with a dual teaching console. The book bridges the gap between traditional hernia and laparoscopic hernia texts by combining both approaches to create a book with a unique visual approach. Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy and layers of the abdominal wall during hernia procedures.Robotic Hernia Surgery provides a comprehensive, insightful and state-of-art review of this field, and serves as a valuable resource for surgeons, surgeons in training, and students with an interest in hernia and robotic hernia surgery.

Sie sind in der OTA-Ausbildung und wollen Ihr fachliches und berufsspezifisches Wissen nach den Kompetenzschwerpunkten überprüfen? Mit diesem Übungsbuch können Sie das systematisch und selbstständig: Anhand von unterschiedlichen Fragetypen - wie Zuordnungsfragen, Multiple-Choice-Fragen und Richtig-Falsch - wiederholen Sie Ihr Wissen und festigen das Gelernte. Zu tätigkeitsbezogenen Aufgaben im und außerhalb des OPs sowie zu relevanten rechtlichen Vorgaben, Qualitätsmanagement und zu Grundlagen der Kommunikation. Neu: Zuordnung der Lerninhalte nach den aktuellen Kompetenzschwerpunkten (APrV) und incl. SN FlashCards, zum Lernen per App zu jeder Zeit, an jedem Ort.Die ideale Ergänzung zum "OTA-Lehrbuch", so dass Sie optimal auf die Abschlussprüfung vorbereitet sind!

Das Buch soll einen ersten Überblick über die psychotherapeutische Begleitung von Patienten vor und nach bariatrischen chirurgischen Eingriffen geben. Es richtet sich an die therapeutischen Teams, die mit Adipositaspatienten vor und nach der Operation arbeiten, soll aber auch Chirurgen für das Thema sensibilisieren. Durch die zunehmende Zahl an entsprechenden Operationen steigt die Notwendigkeit, diese Patienten während des gesamten Prozesses zu begleiten.

Interdisziplinär ¿ DAS Werk zur WundballistikGrundlagenDas notwendige Grundwissen über Physik, Munition und Waffen, BallistikVerhalten von Geschossen im Menschen und im Tier (Physik der Schussverletzung)Experimentelle Simulation von Schussverletzungen und die dazu geeigneten MaterialienAnwendungenRechtsmedizin und KriminalistikDie Schussverletzung als kriminalistische Spur (Rekonstruktion des Tatablaufs, Schussdistanz)Nicht-letale Geschosse und ihre GefährlichkeitGefährdung durch GeschosseNotfall- und KriegschirurgieBewertung von Verletzungen durch Kleinwaffengeschosse und SplitterGasstrahlen (bei Schreckschuss- und Gaswaffen)Internationale KonventionenPhysikalische Maßzahlen für das Verletzungspotenzial (dieWirksamkeit) von Geschossen und SplitternNachschlagewerkTabellenwerk (ballistische Daten zahlreicher ¿ auch älterer ¿ Patronenarten, Materialeigenschaften, sowie viele sonst schwer zugängliche Daten)Dreisprachiges Glossar fachspezifischer Ausdrücke (deutsch, englisch, französisch)NEUWundballistik der PolizeigeschosseHinweise auf neuere ForschungsergebnisseFarbige AbbildungenDurch die Zunahme der terroristischen und kriminellen Aktivitäten weltweit sind nicht nur Armeeangehörige betroffen. Auch Chirurgen, Rechtsmediziner, Polizisten und Kriminalisten müssen die Besonderheiten der Schussverletzungen kennen und beurteilen können.

Testo maneggevole, conciso, agile, e da considerarsi una guida pratica, indispensabile alla gestione e conduzione delle urgenze addominali.Scritto e coordinato da un maestro della chirurgia mondiale con grande esperienza nel campo della chirurgia addominale d'urgenza, questo volume da ritenersi uno strumento essenziale e "e;salvavita"e; per il chirurgo di guardia, da avere sempre pronto ed a portata di mano.Come comportarsi di fronte ad una urgenza addominale (senza perdere tempo e brancolare nel buio)? Quali accertamenti sono necessari? Quali invece si possono evitare? Che atteggiamento chirurgico si deve intraprendere?In maniera chiara, semplice e puntuale, ogni dubbio viene qui affrontato e chiarito.

Incisional hernia surgery has witnessed an important progress over the last years, not only as far as the pathophysiological and etiopathogenetic aspects are concerned, but also from a technical point of view. Thanks to the recent findings on genetical disorders of the collagen, incisional hernia is today considered a true "disease of the abdominal wall". Surgeons need to be aware of all the different repairing techniques, in order to make an elective choice and to keep side effects and recidives under control. Today, on the basis of the most recent research on synthesis of collagen and collagenolysis, the treatment of the incisional hernia should not disregard the use of synthetic prostheses and of biomaterials, both in the routinal surgical practice and in the most complex clinical cases. Surgeons, surgical residents, and medical students will find this volume very useful in their daily practice.

Die zunehmende sportliche Betätigung auch im fortgeschrittenen Alter in Trendsportarten wie z. B. Tennis oder Golf geht mit einer gehäuften Inzidenz akuter Schulter- und Ellenbogenprobleme einher. Diese dokumentieren sich klinisch in Akutverletzungen, aber auch besonders in chronischen Überlastungsschäden. In diesem Buch, das aus ausgewählten Beiträgen des Jahreskongresses der Deutschen Vereinigung für Schulter- und Ellenbogenchirurgie 2004 entstanden ist, werden spezielle Problemkomplexe facettenreich aufgearbeitet.

While a surgeon many decades agotreated diseases from headtotoe, this concept has evolved, and today some degree of specialization is the rule worldwide. In many countries various boards for sub-specializations are designed, and after a broad training in general surgery, many young surgeons move on further into a specific field. Knowledge of anatomy and precise surgical technique remain the foundation of high quality surgery. A knowledgeable surgeon, equipped with excellent theore- cal and clinical skills, will only be accomplished when he or she masters the - erative techniques of the practice of surgery. The legacy of an academic surgeon or a surgical teacher relies in great part onthe transmission of his or her surgical abilities. Significant influence on the development in esophageal surgery arises from the surgical understanding of the anatomical and functional structures of the esophagus as well as the ongoing developments in the multidisciplinary m- agement in this challenging field of surgery. In bringing forth this atlas, we were motivated by the desire to create a comp- hensive and educational atlas on esophageal diseases, emphasizing all details of pathophysiologies, diagnostic strategies, pre- and postoperative management, and operative techniques covering minimally invasive and open procedures ranging fromstraightforward tomore complex procedures.