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Surgery an essentially manual exercise in its early days, has progressively grown richer in complementary techniques helping the surgeon to perfect his movements and increase efficiency. This is particularly the case with digestive surgery, which has been thoroughly transformed by radiology, endoscopy and extemporaneous examinations effected during surgical intervention. Such methods make it possible for surgeons to develop subtle nuances in operative techniques and to specify indi cations more and more precisely. Ultrasonography must now be included among such techniques. It supplements them and can sometimes even replace them. For these reasons, this work devoted to the use of ultrasound by the surgeon during surgical intervention is of great interest. Two general conditions had to be met before ultrasonography could be em ployed in abdominal surgery: the method and apparatus had to be adapted to its surgical utilization, and the surgeon had to adapt to a nonsurgical technique. The first condition has been fulfilled for all purposes. Intraoperative sonograms can be generated at a very high rate and are proving to be more and more useful. The miniaturization of probes permits their application almost everywhere with opti mal results. Of course, the costs are still high, but one can expect them to decrease.
This book is intended as a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. Full account is taken of the emergence of novel clinical applications and recent technical advances, with extensive coverage of the impact of developments such as improved probe technology, fusion imaging and virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. Basic principles of ultrasound are elucidated in order to assist in the optimal use of IOUS and clear guidance is provided on the interpretation of imaging findings in various pathologies. Informative comparisons are also made of the use of techniques such as fusion imaging and contrast-enhanced ultrasound in general radiology and neurosurgery. The aim of the authors is to enhance the general knowledge regarding intra-operative ultrasound brain imaging, standardizing its use and exploring new techniques, leading in some way toward compensating the lack of specific training in the application of ultrasound among the neurosurgical community. IOUS is a sensitive tool that can improve surgical precision and help to reduce morbidity.
Edited by two preeminent leaders in the use of ultrasound in surgical practice, this volume is a state-of-the-art guide to preoperative and intraoperative applications of ultrasound. The book familiarizes surgeons with current equipment, scanning techniques, and interventional instrumentation and provides detailed instruction on diagnostic and interventional ultrasound for specific surgical diseases in each anatomic region. A major portion of the book focuses on intraoperative, laparoscopic, and endoscopic ultrasound in abdominal organs. Coverage also includes ultrasound in trauma and acute care settings. Hundreds of ultrasound images complement the text. Line drawings are used to clarify the images where necessary.
Surgery an essentially manual exercise in its early days, has progressively grown richer in complementary techniques helping the surgeon to perfect his movements and increase efficiency. This is particularly the case with digestive surgery, which has been thoroughly transformed by radiology, endoscopy and extemporaneous examinations effected during surgical intervention. Such methods make it possible for surgeons to develop subtle nuances in operative techniques and to specify indi cations more and more precisely. Ultrasonography must now be included among such techniques. It supplements them and can sometimes even replace them. For these reasons, this work devoted to the use of ultrasound by the surgeon during surgical intervention is of great interest. Two general conditions had to be met before ultrasonography could be em ployed in abdominal surgery: the method and apparatus had to be adapted to its surgical utilization, and the surgeon had to adapt to a nonsurgical technique. The first condition has been fulfilled for all purposes. Intraoperative sonograms can be generated at a very high rate and are proving to be more and more useful. The miniaturization of probes permits their application almost everywhere with opti mal results. Of course, the costs are still high, but one can expect them to decrease.
Operative ultrasound, which permits direct We have divided the material into three placement of the probe on the organ to be principal sections: hepatic surgery, biliary studied during surgery, has been in existence surgery, and the surgery of portal hyperten for over 20 years. Early experiences with its sion. Our experience with operative ultra use in urologic [15] and biliary surgery [7, 8, sound in pancreatic disease is not adequate 9] were limited by technical difficulties but for discussion in this manual, although many the evolution of B-mode, real-time ultra useful applications have been suggested. sound has made possible the broad applica Each chapter includes an anatomical review tion of ultrasound in the operating room. and a presentation of the basic sonographic The goal of operative ultrasound is to signs to clarify the diagnosis and therapy of provide the surgeon with information about a pathologic conditions. Emphasis has been solid organ which is not obvious from its ex placed on the practical applications of opera ternal morphology. What is the nature of the tive ultrasound. lesion? What is its precise localization within With most of the ultrasound images (all the organ? What vascular and anatomical are presented on a black background) two constraints limit its surgical treatment? Mod schematic diagrams are shown: ern ultrasound technology, which produces The first indicates the position of the probe an image faithful to the true anatomy, per on anterior and lateral projections.
All the guidance you need to enhance your understanding and clinical application of ultrasound Includes DVD with video of key techniques Surgical and Interventional Ultrasound offers a thorough survey of image-guided treatments in the OR, in the endoscopy suite, and at the bedside. This one-stop clinical companion spans virtually every kind of surgical and interventional specialty that utilizes ultrasound and delivers high-yield perspectives on using these techniques to ensure accurate clinical decision making. FEATURES: An all-in-one primer for ultrasound--packed with valuable how-to's and insights that take you through the basic exam and the full scope of interventions Essential content for residents that supplements training in surgery residency programs--from the Focused Assessment with Sonography for Trauma (FAST) exam, to intraoperative ultrasound and ultrasound-guided procedures such as breast biopsy or radiofrequency ablation Up-to-date, multidisciplinary focus on surgical and interventional ultrasound covers the array of procedures for which ultrasound is increasingly utilized Full-color illustrations with hundreds of ultrasound images Valuable opening chapter on the physics of ultrasound, which enables better quality images and a better understanding of image interpretation Important chapter on advanced technologies highlights 3D ultrasound imaging and contrast ultrasound, drawing attention to their safe and effective implementation in surgical practice Emphasis on ultrasound-guided anesthesia explains how ultrasound can enhance the precision of regional anesthetic procedures Instructive companion DVD features clips of key diagnostic and interventional techniques
In 1983 and 1984, I had the pleasure of being invited to Europe for the Cour se of Hepatobiliary Surgery started by Professor Hepp and continued by Pro fessor Bismuth. In these courses, I demonstrated many slides and movies of intraoperative echography that Makuuchi, one of my staff members, had made using the transducer that he was the first to develop. The topic of Intraoperative Echography had an enormous impact on the audience, and its use has since spread rapidly over the European countries, by virtue of the first Italian edition of Professor Gozzetti's book on Intra operative Echography and Professor Bismuth's monograph on the same top ic. I had been, therefore, unwittingly a very fortunate transmitter of intra operative echography to Europe by means of Makuuchi's slide file. I am extremely honoured that the Italian Edition written by Gozzetti, Maz ziotti and Bolondi has been dedicated to me. Also in this English Edition, Professor Gozzetti very kindly asked me to write a few words. It is an extra ordinary pleasure for me to emphasize how this book is easy to read and understand, maybe by virtue of the profound Italian tradition of artistic expression since the Renaissance. On the other hand, a variety of series of intraoperative echographic images as well as resected specimens are arranged in an excellent manner.
This unique book is written specifically for surgeons. But that's not all. Edited by a surgeon and a gastroenterology specialist, it’s relevant to both these disciplines. What's more, it's comprehensive and detailed: it covers everything from the technical basics, to emergency surgical ultrasound, to possible further diagnostic procedures. A truly practical guide Over 850 high-quality illustrations help to put the theory into practice. And explanatory drawings next to each ultrasound picture make it easy for even the inexperienced eye to interpret images. Clear, concise -- and easy to use Information is broken down into clear sections. Each section focuses on the surgical ultrasound of a specific organ system, and is written by a proven expert in the field. Topics include: The acute abdomen Thoracic and abdominal trauma Endoscopic ultrasound Doppler and color-coded Duplex ultrasound Transplantation ultrasound Intraoperative ultrasound
This book combines orthopedists’ and radiologists’ perspectives to provide a comprehensive overview of the rapidly expanding use of ultrasound in orthopedic surgery. It also highlights the growing awareness of the potential of this non-invasive and portable, real-time imaging tool, which has led to its inclusion in the minimally invasive toolkit of upper limb surgeons. The book is divided into five parts – shoulder, elbow, forearm, hand and wrist and fingers. Each part focuses on a particular anatomic region or joint, carefully analyzing the sonoanatomy of its nerves, tendons and bones. For each region, experienced experts illustrate how to perform specific techniques under ultrasound control, ranging from classic procedures, like carpal tunnel release, to the treatment of less common conditions. Covering all the basic and practical aspects of this innovative, multi-disciplinary approach, as well as future perspectives, this unique book is a must-read for all orthopedists, radiologists, sports physicians and physiotherapist wanting to gain insights into this promising field.