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Advances in Surgery [Kietas viršelis]

(The Alfred Blalock Distinguished Service Professor, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD, USA)
  • Formatas: Hardback, 240 pages
  • Serija: Advances 40
  • Išleidimo metai: 01-Jan-2006
  • Leidėjas: Mosby
  • ISBN-10: 1416033238
  • ISBN-13: 9781416033233
Kitos knygos pagal šią temą:
  • Formatas: Hardback, 240 pages
  • Serija: Advances 40
  • Išleidimo metai: 01-Jan-2006
  • Leidėjas: Mosby
  • ISBN-10: 1416033238
  • ISBN-13: 9781416033233
Kitos knygos pagal šią temą:
Associate Editors ix
Contributors xi
Laparoscopic Versus Open Appendectomy: A Prospective, Randomized, Double-Blind Study
Namir Katkhouda
Rodney J. Mason
Shirin Towfigh
Material and methods
2(5)
Inclusion criteria
2(1)
Exclusion criteria
2(1)
Randomization
2(1)
Technique
3(1)
Open appendectomy
3(1)
Operating room set-up and port placement for laparoscopic appendectomy
3(1)
Exposure of the appendix
4(1)
Transsection techniques
4(1)
Specimen retrieval
5(1)
Postoperative course
5(1)
Outcome parameters
5(1)
Statistical methods
6(1)
Results
7(3)
Demographics
7(1)
Morbidity
7(1)
Clinical outcomes
8(1)
Pathology
8(1)
Postoperative pain
9(1)
Activity
10(1)
Quality of life
10(1)
Discussion
10(11)
Current Management of Biliary Leaks
Nicholas J. Zyromski
Keith D. Lillemoe
Etiology and incidence
21(3)
Clinical presentation
24(1)
Diagnosis
24(3)
Treatment--general
27(1)
Management of minor bile leaks
28(4)
Management of major bile duct injury
32(2)
Biliary leak after liver resection
34(4)
Biliary leak after liver transplantation
38(3)
Biliary leak after liver trauma
41(2)
Summary
43(5)
The Importance of Insulin Administration in the Critical Care Unit
Pamela A. Lipsett
Why is hyperglycemia harmful?
48(1)
Cardiac disease
48(1)
Specific noncardiac surgical patient populations
49(2)
Vascular surgery
49(1)
Esophageal surgery
50(1)
Head injury/stroke/critical illness polyneuropathy
50(1)
Infection
51(1)
Critical care
52(2)
Summary
54(5)
Laparoscopic Colon Resection for Cancer
Luca Stocchi
Heidi Nelson
Oncologic concerns
59(14)
Possible survival advantages after laparoscopic colectomy
62(1)
Multicenter prospective, randomized trials
62(1)
The clinical outcome of surgical therapy trial
62(2)
The medical research council conventional versus laparoscopic-assisted surgery in colorectal cancer trial
64(1)
The colon cancer laparoscopic or open resection trial
65(1)
Recovery benefits
66(2)
Morbidity and mortality
68(3)
Cost analysis
71(1)
Quality of life
71(2)
Credentialing
73(1)
Summary
73(4)
Adjuvant Therapy for Patients Who Have Node-Positive Breast Cancer
Quyen D. Chu
John C. McDonald
Benjamin D.L. Li
Outcome with surgery alone
77(1)
Outcome with adjuvant chemotherapy
78(2)
Outcome with taxanes
80(2)
Outcome with trastuzumab
82(3)
Outcome with endocrine therapy (tamoxifen and aromatase inhibitors)
85(5)
The arimidex, tamoxifen alone or in combination trial
87(1)
Italian tamoxifen anastrozole trial
87(2)
Intergroup exemestane study
89(1)
National cancer institute of canada clinical trials group MA.17 trial
89(1)
Breast international group 1-98 study
90(1)
Current status of aromatase inhibitors
90(1)
The role of postmastectomy radiotherapy in node-positive patients
90(4)
Summary
94(6)
Can Bariatric Surgery Be Done as an Outpatient Procedure?
Todd M. McCarty
History
100(1)
Important components of outpatient bariatric surgery
101(1)
Procedure type
101(1)
Laparoscopy
101(1)
Managing patient expectations
102(1)
Important medical comorbidities
102(3)
Sleep apnea
102(1)
Pain management
102(1)
Deep vein thrombosis and pulmonary embolism prevention
102(1)
Managing postoperative nausea
103(1)
Gastrointestinal leak
103(1)
Early ambulation
103(1)
Discharge criteria
104(1)
Outpatient laparoscopic RYGB
104(1)
Summary
105(3)
Pancreatic Necrosis: Paradigm of a Multidisciplinary Team
Mehran Fotoohi
L. William Traverso
Objective
108(1)
Definitions
108(2)
Pancreatic necrosis
110(1)
Peripancreatic fluid collections, pseudocyst, and pancreatic abscess
110(1)
Caveats for imaging and using these definitions
110(1)
Treatment goal is single-digit mortality through decreased need of necrosectomy
111(1)
Percutaneous catheter necrosectomy: review of recent literature
112(1)
Percutaneous endoscopic necrosectomy: review of recent literature
113(2)
The modern open pancreatic necrosectomy with postoperative radiologic assistance: technique
115(2)
Incision
115(1)
Omental preservation
115(1)
Keep instruments simple
115(1)
Use the CT scan as a map
115(1)
Percutaneous drains need to be maintained
116(1)
Concomitant cholecystectomy
117(1)
Summary
117(2)
Management of Acute Gastrointestinal Hemorrhage
Michael F. McGee
Michael J. Rosen
Jeffrey L. Ponsky
Initial evaluation and resuscitation of gastrointestinal hemorrhage
119(2)
Upper gastrointestinal hemorrhage
121(1)
Etiology of upper gastrointestinal hemorrhage
121(8)
Esophagus
121(1)
Esophageal varices
121(2)
Esophageal erosions
123(1)
Mallory-Weiss tears
123(1)
Stomach
123(2)
Peptic ulcer disease
125(1)
Gastric mucosal erosive disease
126(1)
Dieulafoy's lesions
127(1)
Portal hypertensive gastropathy
127(1)
Gastric varices
128(1)
Duodenum
128(1)
Peptic ulcer disease in the duodenum
128(1)
Aortoenteric fistulae
128(1)
Presentation of upper gastrointestinal hemorrhage
129(1)
Diagnosis of upper gastrointestinal hemorrhage
129(1)
Treatment of upper gastrointestinal hemorrhage
130(6)
Medical therapy
130(2)
Endoscopic therapy
132(1)
Interventional angiography
133(1)
Surgery
134(1)
Operative techniques: gastroduodenal hemorrhage
135(1)
Lower gastrointestinal hemorrhage
136(1)
Etiology of lower gastrointestinal hemorrhage
136(5)
Diverticular disease
137(1)
Colonic arteriovenous malformations
137(1)
Colitis
138(1)
Neoplasia
139(1)
Coagulopathy
139(1)
Benign anorectal disease
140(1)
Colonic ischemia
140(1)
Small intestinal sources
140(1)
AIDS
140(1)
NSAIDs
141(1)
Diagnosis of lower gastrointestinal hemorrhage
141(4)
Colonoscopy
141(1)
Radiolabeled red blood cell scanning
142(1)
CT
143(1)
Angiography
144(1)
Selective mesenteric arteriography
144(1)
Provocative angiography for continued obscure bleeding
144(1)
Treatment of lower gastrointestinal bleeding
145(15)
Endoscopic therapy
145(1)
Angiographic therapy
146(1)
Surgical therapy
146(14)
Hepatic Resection in the Treatment of Hilar Cholangiocarcinoma
David M. Nagorney
Michael L. Kendrick
Pathology and patterns of spread
160(1)
Stage
160(1)
Preoperative evaluation
161(1)
Preparation of the patient
162(1)
Resection
163(1)
Outcomes after hepatic resection for hilar cholangiocarcinoma
164(4)
Adjuvant therapy
168(1)
Summary
168(5)
Management of Intrathoracic Leaks Following Esophagectomy
Linda W. Martin
Wayne Hofstetter
Stephen G. Swisher
Jack A. Roth
Predisposing factors for anastomotic leak
173(5)
Detection
178(1)
Intraoperative maneuvers
178(1)
Postoperative monitoring and diagnostic studies
178(1)
Asymptomatic patients
178(1)
Symptomatic patients
179(1)
Management
179(8)
Leak definitions
180(1)
Contained leak management
180(1)
Uncontained leak management
181(4)
Reinforcing tissue flaps
185(1)
When to divert
185(1)
Nutrition
186(1)
Alternative management strategies
187(1)
Results
187(1)
Summary
188(3)
Defining the Role of Endovascular Therapy in the Treatment of Abdominal Aortic Aneurysm: Results of a Prospective Randomized Trial
Marcus J. Brooks
Louise C. Brown
Roger M. Greenhalgh
UK Registry for Endovascular Treatment of Aortic Aneurysms
191(1)
European Collaborators on Stent/graft Techniques for Aortic Aneurysm Repair
192(1)
Timing a randomized controlled trial
192(1)
Endovascular aneurysm repair study design
192(2)
Endovascular aneurysm repair study results
194(5)
Endovascular Aneurysm Repair Trial 1
195(1)
Short-term results
196(1)
Mid-term results
196(1)
Endovascular aneurysm repair trial 2
197(2)
Comparable data
199(1)
Discussion
200(2)
Summary
202(3)
Carotoid Stenting: A Surgical Procedure?
Mark K. Eskandari
William H. Pearce
Clinical trial data
205(2)
Stents and embolic protection devices
207(1)
Stents
207(1)
Embolic protection devices
207(1)
Procedural techniques
208(2)
Percutaneous approach
208(1)
Transcervical approach
208(2)
Role of surgeons
210(9)
Do We Need Neurosurgical Coverage in the Trauma Center?
Thomas J. Esposito
Fred A. Luchette
Richard L. Gamelli
Summary
219(4)
Current Status of Fine Needle Aspiration for Thyroid Nodules
Jennifer B. Ogilvie
Eli J. Piatigorsky
Orlo H. Clark
Fine needle aspiration of the thyroid gland
223(3)
Incidence of palpable thyroid nodules and nonpalpable thyroid incidentalomas
223(1)
Development of fine needle aspiration of the thyroid
224(1)
Fine needle aspiration versus core needle biopsy
225(1)
Technique and complications of fine needle aspiration biopsy of the thyroid
226(1)
Sensitivity of fine needle aspiration: the diagnosis of thyroid malignancy
227(2)
Ultrasound-guided fine needle aspiration in the detection of thyroid carcinoma
228(1)
Medullary thyroid carcinoma: the role of adjuvant calcitonin testing
229(1)
Specificity of fine needle aspiration: the diagnosis of benign thyroid nodules and appropriate treatment recommendations
229(2)
Indeterminate fine needle aspiration of thyroid nodules
231(2)
Follicular neoplasms: potential tumor markers
231(2)
Suspicious or atypical fine needle aspiration: follicular variant of papillary thyroid carcinoma
233(1)
Nondiagnostic fine needle aspiration of the thyroid: the role of ultrasound-guided fine needle aspiration
233(1)
Summary
234(5)
When not to perform fine needle aspiration of a thyroid nodule
234(5)
Early Rectal Cancer: Transanal Excision or Radical Surgery
Kamran Idrees
Philip B. Paty
Lymph node metastasis in early rectal cancer
239(2)
Preoperative staging
241(1)
Treatment results of transanal excision and radical resection
242(3)
Strategies to improve the effectiveness of local excision
245(1)
Summary and current management guidelines
246(4)
Simulation: A New Frontier in Surgical Education
Sanjeev Dutta
Thomas M. Krummel
Simulation and simulators
250(1)
Different types of simulators
250(1)
Educational psychology and the problem with the Halsted model
251(2)
The promise of simulation
253(1)
Current applications of simulation in surgery
254(1)
Simulators for skills training
254(1)
Simulators for certification
255(1)
Simulators for patient-specific rehearsal
255(1)
Future directions for surgical simulation
255(3)
Hybrid simulation
256(1)
Simulation of open operations
256(1)
Simulation in industry
257(1)
Simulation at home and over networks
257(1)
Current surgical simulation research
258(2)
Mannequin-based simulators
258(1)
Video box trainers
258(1)
Virtual reality simulators
259(1)
Summary
260(5)
Management of Gallstone Pancreatitis
Shawn D. Larson
William H. Nealon
B. Mark Evers
Epidemiology
265(1)
Pathogenesis
266(1)
Presentation and diagnosis
266(3)
Diagnostic approach
266(1)
Laboratory data
267(1)
Radiology
267(2)
Prediction of severity
269(4)
Management of acute biliary pancreatitis
273(4)
General management principles
273(1)
Role of antibiotics
273(1)
Role of enteral nutrition
274(1)
Role of endoscopic retrograde cholangiopancreatography
275(1)
Role of cholecystectomy
276(1)
Recommended treatment algorithm
277(3)
Severe pancreatitis
278(1)
Mild pancreatitis
279(1)
Summary
280(5)
The Management of Complicated Diverticulitis
Jennifer R. Chapman
Bruce G. Wolff
Complicated diverticulitis
285(1)
Clinical presentation and examination
286(1)
Diagnosis
287(1)
Diverticulitis associated with abscess or phlegmon
287(3)
Diverticulitis associated with perforation
290(1)
Diverticulitis associated with fistula
291(1)
Diverticulitis associated with obstruction
292(2)
Diverticulitis associated with bleeding
294(1)
Guidelines
295(4)
Surgical Management of Inguinal Hernia
Brian Reuben
Leigh Neumayer
History
299(2)
Classification systems
301(1)
Techniques of hernia repair
301(12)
Open anterior approach
301(2)
Open posterior approach
303(1)
Evolution of the laparoscopic repair
304(2)
Open versus laparoscopic trials
306(4)
Additional considerations in open versus laparoscopic repairs
310(1)
Bilateral hernias
310(1)
Recurrent hernias
310(1)
Costs
311(1)
Patient-reported outcomes
311(2)
Anesthesia
313(1)
Summary
313(6)
Index 319