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A practical, procedure-by-procedure guide to patient positioning for about 50 of the most common surgical procedures.
Compartment syndrome is a complex physiologic process with significant potential harm, and though an important clinical problem, the basic science and research surrounding this entity remains poorly understood. This unique open access book fills the gap in the knowledge of compartment syndrome, re-evaluating the current state of the art on this condition. The current clinical diagnostic criteria are presented, as well as the multiple dilemmas facing the surgeon. Pathophysiology, ischemic thresholds and pressure management techniques and limitations are discussed in detail. The main surgical management strategy, fasciotomy, is then described for both the upper and lower extremities, along with wound care. Compartment syndrome due to patient positioning, in children and polytrauma patients, and unusual presentations are likewise covered. Novel diagnosis and prevention strategies, as well as common misconceptions and legal ramifications stemming from compartment syndrome, round out the presentation. Unique and timely, Compartment Syndrome: A Guide to Diagnosis and Management will be indispensable for orthopedic and trauma surgeons confronted with this common yet challenging medical condition.
Here's the fully updated and revised edition of the most comprehensive core reference and technique manual available for the management of patient positioning during anesthesia and surgery. Separate chapters cover the physiology, the technique, and the possible complications of each position. Specific problems and subgroups of patients also receive full-chapter coverage. It's the only book of its kind currently available!
An innovative guide to the practice of pelvic exenterative surgery for the management of advanced pelvic neoplasms Exenterative surgery plays an important role in the management of advanced pelvic cancer. However, while a large body of evidence regarding outcomes following pelvic exenteration now exists, practical strategies and management options remain unclear. Surgical Management of Advanced Pelvic Cancer addresses this problem by assembling world-leaders in the field to provide insights into the latest techniques and best practices. It includes detailed coverage of: Surgical anatomy Operative approaches and exenterative techniques Reconstruction options Current evidence on survival and quality of life outcomes Featuring essential information for those managing patients with advanced pelvic neoplasms, Surgical Management of Advanced Pelvic Cancer consolidates the latest data and practical advice in one indispensable guide.
This Oxford Specialist Handbook is a concise, practical yet comprehensive guide to ophthalmic anaesthesia, covering anatomy, specific anaesthetic techniques and principles, and recent changes in the field.
The success of an operation depends not only on careful dures with direct visualisation techniques. Special inst- clarification of the indications, selection of the right time ments are only used for one specific purpose; a surgical for operating and technically neat operating techniques, needle today has its own anatomy. In addition, these but also on correct preoperative preparation and positio- aspects are joined by stricter safety conditions, increased ning of the patient. But this aspect in particular is fre- demands made by patients, with the threat of legal con- quently neglected, particularly by young surgeons, becau- quences if something should go wrong in terms of »nihil se technical details of the operation assume far greater nocere« ... attention, underestimating the contribution made by op- We have therefore made an attempt to illustrate a p- timum positioning to a time-saving operation which runs cedure which has proven successful over many years at the as perfectly as possible. How easy is it for an operation to Medical University Hannover. This does not mean that develop complications out of all proportion because the there are not other appropriate or even better suited surgeon forgot certain »minor matters« during preparati- procedures for specific situations, which would ideally ons! Anyone who has witnessed this themselves will ap- supplement the procedure described here. We felt it was preciate just how important exact preoperative planning important to describe safe, practical positioning tech- and preparation is before an operation takes place. ques to simplify each specific operation.
This second edition presents core clinical neuroanesthesia and neurointensive care knowledge in a practical, user-friendly format.
This heavily revised second edition provides a practical guide to the treatment of a range of common knee pathologies, using tried and tested solutions from the Lyon School of Knee Surgery. Extensively revised chapters focus on equipping the reader with a solid foundation in the areas of sports, degenerative and patellofemoral surgery. New chapters cover robotic arthroplasty and strategies in total knee arthroplasty, along with a collection of more unusual cases, enabling the reader to develop their confidence in dealing with a range of clinical scenarios. Surgery of the Knee systematically reviews a range of knee surgery indications and techniques. It represents a timely and valuable resource for both trainee orthopaedic specialists, and practising surgeons who seek to develop a deeper understanding of how to approach treating their patients.
There are relationships that exist between neuroanesthesia, neurosurgical procedures, individual patient pathology and the positioning of a patient for said procedure. A comprehensive examination of these relationships, their association with patient morbidity/mortality and how to approach these issues in an evidence-based manner has yet to become available. Positioning related injuries have been documented as major contributors to neurosurgical/neuroanesthesiology liability. This text examines these relationships. It provides considerations necessary to the correct positioning of a patient for a neurosurgical procedure for each individual patient and their individual pathology. In other words, this text will demonstrate how to construct the necessary surgical posture for the indicated neurosurgical procedure given the individual constraints of the patient within the environment of anesthesia and conforming to existing evidence-based practice guidelines. Sections will address physiological changes inherent in positioning in relation to anesthesia for neurosurgical procedures, assessment of patient for planned procedure, as well as considerations for managing problems associated with these relationships. Additional sections will examine the relationship between neurosurgical positioning and medical malpractice and the biomechanical science between positioning devices and neurosurgical procedures. Neurosurgery and its patient population are in a constant state of change. Providing the necessary considerations for the neurosurgical procedure planned under the anesthesia conditions planned in the position planned, often in the absence of multicase study literary support, without incurring additional morbidity is the goal of this text.
This is a user-friendly reference on all aspects of office-based anorectal surgery for general surgeons and surgeons in training. Well-illustrated, this practical manual shows step-by-step procedures for commonly performed anorectal procedures. The book includes ancillary considerations of ambulatory surgery with timely chapters on set-up of the facility, anesthetic considerations, selection of patients, pre-op and post-op management, nursing aspects, and coding and billing.