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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.
A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.
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.
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 provides a detailed guide to neonatal surgery and its related disciplines including: fetal medicine, fetal surgery, radiology, newborn anaesthesia, intensive care, neonatal medicine, medical genetics, pathology, cardiac surgery, and urology. The book aims to cover all the latest advances in newborn surgery, with contributions from the basic sciences and laboratory research to reflect the steady progress in our current working knowledge and understanding of many neonatal surgical disorders. As huge advances have been made in neonatal surgery in the past decades, ethical issues, long term outcomes, and quality of life are also emphasised. This book is an authoritative reference for surgical residents in training, consultant surgeons, general surgeons with an interest in paediatric surgery, neonatologists, paediatricians, intensive care specialists, and nursing staff.
This book provides a precise description of safe and reliable procedures for regional anesthesia in children. It covers the advantages and disadvantages, specific features related to the pediatric range of ages, and the practical importance of the described procedures. Written in two main parts, emphasis is placed on scientific basis and technical approach. It includes both anatomical and psychological aspects of pain, as well as detailed viewpoints of parents, children, surgeons, and anesthetists. This book is a must for all anesthesiologists and will be particularly useful to students of medicine and anesthesiology and nurses working with intensive care units.
Provides a clinically relevant and easy-to-read review of all key topics, written and edited by leading pediatric anesthesiology physicians.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
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.