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This book focuses on standard operative techniques for important diseases in pediatric surgery, especially in neonates and infants, while also offering a wealth of schematic drawings and photographs to help readers understand the surgical techniques. Because of the rarity of the diseases and shortage of advising doctors, operative techniques for neonatal and infant surgery are difficult to learn. In order to understand essential operative procedures, schematic drawings and suitable intraoperative photographs are called for. Operative General Surgery in Neonates and Infants was written by leading experts in pediatric surgery with extensive experience in their respective fields. The contents provide detailed practical advice on the surgical procedures and perioperative management in neonates and infants. This book is a valuable guide for trainees and a helpful refresher text for specialized pediatric surgeons and can also be used to explain operative procedures to parents.
In conventional partial resection of parenchymatous organs significant bleeding is one of the main problems, especially in neonates and infants. The patients rapidly lose considerable amounts of their small blood volume. Laser light leads to photo thermal effects in tissue and causes coagulation, drying up, carbonization and evaporization, depending on the temperature. The neodymium Y AG laser emits nonvisible light in the near infrared with a wavelength of l. 0611m. This wavelength implies a relatively deep penetration into the tissue. This laser system, properly a coagulation laser, achieves its cutting effect by its high power density [9]. Because of thermal radiation in all directions, both sides of the section plane are coagulated as a positive side effect. Thus, in parenchymatous organs a combination of resection and sealing of the cut vessels and ducts, up to a limited diameter, is obtained. Laser Instruments We use a neodymium-YAG laser mediLas 2 (MBB-Medizintechnik, D-8012 Ottobrunn, Federal Republic of Germany), wavelength l. 0611m, maximal power output around 110 W (Fig. 1). Normally we prefer to work without tissue contact, Fig. l. The Nd-YAG laser system mediLas 2 with maximal power output around 100 W The Neodymium Y AG Laser in Surgery of Parenchymatous Organs 25 Fig. 2. The focusing handpiece with focal distance of 50 mm 1cm Fig. 3.
The eighth edition of the acclaimed text Operative Pediatric Surgery continues to provide a unique level of comprehensive detail on the full range of surgically treatable conditions presented in neonate and childhood as well as in utero. Written by expert international authors, all chapters cover both minimal access and open surgery, with operative techniques illustrated by both high-quality colour line artwork, operative photographs, and a library of video clips. Encompassing the full range of pediatric surgery operations that both trainee and experienced pediatric surgeons require, this established operative guide is the standard reference for the pediatric surgeon and will ensure that they can access the most up to date and authoritative information to benefit their clinical practice. • ensures authoritative coverage of all aspects of pediatric surgery •includes the latest operative techniques •reviews alternative surgical approaches •aids visualisation by the inclusion of over 1000 illustrations •establishes total confidence
This comprehensive, up-to-date reference on surgery in the neonate presents and explains the latest developments in the diagnosis and treatment of neonatal malformations and surgical pathologies. The coverage includes conditions involving the head and neck and the chest, disorders of the liver and biliary tract, gastrointestinal disorders, genitourinary conditions and malformations, anterior abdominal wall defects, tumors, and various other pathologies. For each condition, the pathogenesis and the most current and innovative surgical, and also medical, approaches are described with the aid of numerous illustrations. Minimally invasive strategies receive particular attention, and tips and tricks that will be of value in clinical practice are highlighted. The book includes a general part covering topics such as embryology, anatomy, prenatal diagnosis, and anesthesia and also provides detailed advice on pre- and postoperative care, with special consideration of nutritional problems. Neonatal Surgery will serve as an excellent guide for all pediatric and neonatal surgeons, whether in training or experienced
This book mirrors the progress that has been made in Endoscopic surgery in the past 15 years. It is an unparalleled reference work on endoscopic surgical techniques in children. It contains 111 chapters, starting with 8 basic chapters, to be followed by 20 chapters on thoracoscopic procedures, 41 chapters on endoscopic surgical gastrointestinal, hepatic, pancreatic and splenic procedures, and 30 chapters on endoscopic surgical urology and adrenalectomy. Further topics are covered and the book also deals with endoscopic surgery in oncological conditions and in trauma as well. This practical book is illustrated with about 1000 drawings and color photographs.
"Pediatric Surgery, Diagnosis and Management" features contributions by leading experts in pediatric surgery and pediatric urology who have unique experience in their respective fields. The text provides detailed practical advice on the diagnosis and management of congenital and acquired conditions in infants and children.
This is the second edition of a leading international reference on the surgical management of congenital and acquired conditions in infants and children. The editors have assembled outstanding pediatric surgeons and pediatric urologists from all five continents to analyze current practice and provide comprehensive details on both surgical techniques and pre- and postoperative management. The text is organized in a systematic manner, providing step-by-step, detailed practical guidance. Individual sections are devoted to the head and neck; esophagus; chest; abdomen; liver, pancreas, and spleen; spina bifida and hydrocephalus; tumors; and urology. The important advances that have occurred since the first edition in 2006 are all covered, with nine new chapters as well as more than 60 additional figures.The most unique feature of the book is the generous use of high quality color illustrations to clarify and simplify various operative techniques. This atlas will be an invaluable reference for pediatric surgeons, paediatric urologists and for general surgeons with a special interest in pediatric surgery.
The previous edition of this book was based on a simple but essential philosophy: provide a practical and up-to-date resource for the practicing surgeon detailing the specific needs and special considerations surrounding the surgical care of children. The second edition of Fundamentals of Pediatric Surgery stays true to the philosophy of the original with several significant enhancements. As well as encompassing the most up-to-date and practical clinical information for the experienced surgeon written in a straightforward narrative style, each chapter provides a rationale for the proposed approach based on the scientific evidence available in the literature and the author’s personal clinical experience, supplies a detailed algorithm or clinical protocol in a graphic format, initiates a discussion regarding unanswered questions and proposals for future studies, and includes a list of suggested readings. Chapters cover in great detail a broad range of pediatric general surgery topics, including disorders of all major organ systems of the abdomen and thorax, congenital anomalies presenting in the newborn period, and a variety of maladies germane to the growing field of fetal surgery. The authors also provide authoritative discussions of therapeutic methods and surgical techniques that range from the traditional to the modern, including time-honored open operations, contemporary minimally invasive interventions, and emerging technologies such as single-site and robotic surgery. Written by experts in the field, Fundamentals of Pediatric Surgery, Second Edition is a definitive source of readily available clinical information that residents, fellows or attending surgeons can use to take care of actual patients in real time.