Chirurgia

"Churchill's Pocketbook of Clinical Practical Procedures for Junior Doctors" provides an instruction manual for common, essential ward-based practical procedures. The book is aimed at those in their foundation years, as well as being useful for those starting their subsequent specialist training years. Many of these procedures are not taught at medical school, yet are expected to be routinely implemented as a junior doctor. Furthermore, the competency-based assessment structure being implemented as part of the 'Modernizing Medical Careers' program has highlighted and defined the need for professional guidance and teaching with such procedures. The book covers all major ward-based practical procedures (including all of those covered in the Foundation Program syllabus), with chapters for related procedures being grouped under relevant sections. Each chapter is set out under a standard set of headings, including the indications for the procedure, the anatomy underlying the procedure, details of how to perform the procedures, post-procedure care, potential complications and their management, and relevant investigations. The style is concise and to the point in the form of a quick reference guide, and the methodology reads as if performing the procedure in person on the ward. Numerous clinical photographs and diagrams complement the text at key steps of the procedure. Every chapter has a number of helpful 'Tips' boxes providing practical advice and experience in an easy-to-read manner. Current recommendations are included from the National Institute for Clinical Excellence (NICE) and the National Patient Safety Agency (NPSA), together with procedural guidelines issued by the British Thoracic Society (BTS) and the British Society of Gastroenterology (BSG).

Musculosketal infections are potentially devastating for the patient, his family and the health care services, as they may lead to functional impairment, long lasting disability, or even permanent handicap. This problem may also have socioeconomic implications. Infection commonly results in prolonged use of antibiotics, multiple operations, complications, extended rehabilitation and long lasting follow-up visits with additional costs for the health care provider. The 2nd International Arthroplasty Symposium "The Infected Implant" brought together international experts and will concentrate on infections: development, microbiology, diagnostics, statistics and therapy of the infected implant. Concerning microbiological diagnostics, a major challenge is the differentiation between septic and aseptic prosthesis loosening. Biofilm formation at low grade infections will therefore be one of our main topics at the event in 2008. Furthermore, the issue of antibiotic resistances, which is always a hot topic,will be discussed, based on new clinical and epidemiological data.These days, a number of options for the therapy of the infected implant are available. Lectures about the rational use of antibiotic medication and theapplication of antibiotic containing spacers will represent key topics of this meeting. The question whether revision surgery should be cemented or not will be another subject of the panel discussion, where clinicians of different countries worldwide will present their revision cases. A third part of the symposium will cover consequences and economical aspects of infected implants. The speakers will focus on the different European Arthroplasty Registers, but the issue of reimbursement practices within the EU will also be discussed.

Over the past 35 years, stem cell and bone marrow transplantation have evolved from experimental therapies to well-established and widely used treatments for a variety of malignant and nonmalignant conditions. This book is a practical pocket manual for all members of the stem cell and bone marrow transplant team, based on a popular in-house handbook used at the Dana-Farber Cancer Institute. The manual covers all aspects of the transplantation process, from stem cell processing through management of transplant-related complications. Evaluation and counseling of patients and donors, preventative care, and conditioning regimens are also covered, making this an ideal resource for nurses as well. The text is handily arranged in outline format to maximize the usefulness and convenience of this resource.

The Atlas of General Surgery is a highly practical, how-to reference for the most frequently performed operations. For precise and quick orientation, each surgical chapter presents a brief introduction to surgical preparation, anesthesia, positioning, relevant anatomy, risks, complications, and postoperative care, and then illustrates the operative technique through excellent drawings and detailed legends. Key features: * Covers all common surgeries any general surgeon needs to know * Step-by-step guide to each operative procedure * More than 1,200 high-quality drawings demonstrate surgical anatomy and technique, with each illustration showing one operative step * Didactic page layout allows for easy comprehension of the material * Practical tips, tricks, and pitfalls highlight crucial information Ideal for all surgeons in training the Atlas of General Surgery is a handy, one-volume text that provides an overview of this broad field. It also serves as a valuable reference for the bookshelf of practicing surgeons who would like to consult a rapid review before surgery.

Il testo è stato suddiviso in tre sezioni: -La metodologia che comprende una serie di capitoli con le nozioni fondamentali di semeiotica e sistematica utili a preparare l'esame analogo, a sua volta inserito nei rispettivi corsi integrati delle diverse malattie di apparato. -La patologia sistematica in cui vengono presentate le malattie di interesse chirurgico ivi comprese quelle di patologia vascolare, renale e toracica. Dopo brevi richiami di epidemiologia e fisiopatologia utili a comprendere meglio le diverse presentazioni cliniche delle malattie, segue il ragionamento diagnostico che si conclude con un pratico e aggiornato algoritmo. Sono presentate le indicazioni e i principi generali delle più comuni tecniche chirurgiche con le relative complicanze, la fisiopatologia del paziente operato e i risultati. Il quadro viene completato dalle alternative terapeutiche, sia mediche che parachirurgiche, e da una breve sequenza di casi clinici con modalità di presentazione tipica o atipica che possono aiutare lo studente a inquadrare correttamente le nozioni presentate nella pratica clinica. -La Clinica chirurgica che risulta incentrata su un serie di capitoli aventi come argomento le grandi sindromi cliniche. Queste sono state sviluppate seguendo il concetto dell'apprendimento attivo, che privilegia un approccio per problemi, allo scopo di consentire allo studente il continuo esercizio dell'integrazione, della gestione e dell'applicazione di conoscenze e competenze tra loro correlate.

L'opera "Emostatici Topici, Adesivi e Sigillanti in Chirurgia" è il frutto di un accurato e paziente lavoro di analisi critica in un settore terapeutico ed economico-sanitario del tutto "emergente" e sinora mai trattato in forma organica. Basato sull'esperienza chirurgica pluriennale in ambito elettivo e di urgenza e sulla minuziosa verifica dell'eterogeneo panorama delle sostanze con effetto topico emostatico-adesivo, il manuale si propone come un valido ausilio per il Clinico, ma forse ancor più per l'Operatore Sanitario aziendale. Prendendo in esame le varie categorie di sostanze e prodotti sotto il profilo fisiopatologico e applicativo, l'opera si configura come uno strumento essenziale per le Unità Operative Chirurgiche e per le Unità Farmaceutiche in un momento storico particolarmente critico per i problemi di costo e di costo-beneficio della spesa sanitaria. L'opera, arricchita da un ampio apparato iconografico, contiene la descrizione di 32 prodotti esistenti in commercio.

La chirurgia videoendoscopica, dalla sua concezione nel ringiovanimento della regione frontale ad opera del creativo Dott. Luis Vasconez, viene sempre più applicata ad altre aree della chirurgia estetica e ricostruttiva del viso e del corpo.Attualmente la chirurgia plastica endoscopica ha compiuto tredici anni di esistenza e, per celebrare questo importante evento, la collega e amica Dott.ssa Ana Zulmira Badin ci delizia con questa eccellente opera.Questo testo, Chirurgia Videoendoscopia per il Body Contouring e procedure complementari, presenta una completa revisione degli aspetti più importanti collegati alle tecniche endoscopiche corporali ed introduce nuovi concetti e applicazioni chirurgiche. In questa valida e opportuna contribuzione della Dott.ssa Badin sono stati riuniti brillanti collaboratori e tra questi vari pionieri nel campo della chirurgia plastica endoscopica.Quando citiamo il concetto di formazione in videoendoscopia il mio omaggio va ad una eccellente maestra, presente in questo progetto, la Dott.ssa Lydia Masako Ferreira, che ha rivoluzionato il concetto d’insegnamento, organizzando, nel 2004, un corso miliare, della durata di otto mesi, che ha permesso la formazione di decine di chirurghi plastici brasiliani.I capitoli di questo libro illustrano una grande varietà di applicazioni della chirurgia estetica e ricostruttiva della mammella, addome, glutei, estremità inferiori oltre che le tecniche per la preparazione dei lembi e l’espansione dei tessuti.C‘è un capitolo innovativo, dedicato alle applicazioni dell’endoscopia nella chirurgia del palato.La parte finale dei procedimenti ancillari è una sorpresa gratificante per il lettore. Infatti gli autori presentano nuovi concetti complementari alla videoendoscopia e alla liposuzione.Dall’introduzione della videoendoscopia nel 1993, molte sono state le innovazioni. Alcune di queste tecniche sono sopravvissute al test del tempo e oggi risultano “tecniche di riferimento“ in chirurgia plastica e ricostruttiva.L’endoscopia rispetto al concetto originale, di essere una chirurgia “dalle piccole cicatrici”, si è evoluta e oggi offre risultati simili alle tecniche convenzionali, diventando un’opzione di trattamento in più per il paziente.Questo libro introduce il mondo dell’endoscopia ai nuovi chirurghi plastici ed offre anche una ricca fonte di nuovi concetti ai colleghi che già utilizzano queste tecniche da più di una decade.Ringrazio la dott.ssa Ana Zulmira Badin e il suo gruppo di collaboratori per il privilegio datomi di eseguire la revisione di questo prezioso contributo, il che rafforza la mia ammirazione per Ana Zulmira, un’esponente instancabile della chirurgia plastica, creatrice di opere di meritata fama e successo.

"The Operation Primer" provides excellent photographic step-by-step guidance to the surgical procedure. It has been produced to describe the operation in the simplest manner possible without over-symplifying. The core of the "Operation Primer" is the section on the Nodal Points where the surgical key steps are described in detail. This surgical guide book proves essential reference material to surgeons wishing to update in this specific area. "The Operation Primer Laparoscopic Cholecystectomy" provides one means of understanding and learning the now largely standardized procedure of laparoscopic cholecystectomy through a series of clearly defined individual steps (the so-called Nodal Points). Following this systematic procedure is an important step towards the avoidance of complications.

Surgical Anatomy and Technique: A Pocket Manual, consistently places in the top 10 bestsellers for Springer. The third edition will ensure its continued place on the list. The authors know exactly what makes this book popular: expansive scope; concise descriptions of anatomy and technique; illustrations on nearly every page; and its compact, portable size. The challenge, then, is in the very careful selection of topics and the need to be restrained in spite of the many surgical innovations that beg to be included but that have not yet stood the test of time. Toward that end, the third edition of Surgical Anatomy and Technique includes a limited amount of new material: 3 vascular procedures (abdominal aortic aneurysm, femoropopliteal bypass, and carotid endarterectomy) and 2 gynecologic procedures commonly performed by general surgeons (hysterectomy and oopherectomy). In addition, all of the existing chapters will be updated to reflect current surgical approaches and instrumentation. Third-year medical students, surgical residents and practicing surgeons will find this handbook to be one of their most-frequently-used resources.

"Crash Course" is a complete revision guide designed specifically to save you time by providing everything you could be asked in the exam in one place. Each book in the series has been specially written by either senior medical students or junior doctors - carefully supervised by faculty advisors - to ensure that it exactly matches your needs by having been prepared by someone who has just been in the exam situation. New to the series, this book is a guide to the modern OSCE and covers the core part of the OSCE assessments from the first year of medical school through to 'finals'. Designed as a 'dip-in' guide to help you perfect your skills, "Crash Course: OSCEs in Medicine and Surgery" contains over 50 'stations' grouped by body system. Each section covers history and examination and explores special requirements relating to that body system, including data interpretation and practical skills such as preparing discharge summaries. Take the stress out of study with "Crash Course" - the easier way to achieve exam success!

This first of its-kind reference shows you how to perform today's laparoscopic procedures using videos demonstrating the step-by-step how-to's you need to know. Nearly 30 videos on DVD - each 10-20 minutes long, with narration - describe the key steps for all of the commonly-performed minimally invasive procedures. In addition to the procedures on DVD, a full-color standard operative atlas is included - illustrated with nearly 400 photos and line drawings addressing the key portions of each surgical procedure - providing complete details on the technical considerations of each operation. Inclusion of cutting-edge technology helps you incorporate these advances into your repertoire. Coverage by top experts in the field - including Dr. Frantzides and Dr. Carlson, leading authorities on laparoscopic procedures - ensures guidance you can trust.