Surgical Decision Making, 6e

 

Description:

Using a proven, practical, algorithmic approach, Surgical Decision Making summarizes evidence-based guidelines and practice protocols in an easy-to-follow format. Designed to sharpen the decision-making skills of both trainees and practicing surgeons, the 6th Edition directs your focus to the critical decision points in a wide range of clinical scenarios, helping you determine optimal evaluation and management to secure the best possible patient outcomes. Algorithms are accompanied by annotations that explain all critical factors affecting decisions in a concise, readable manner.

Reflects the scope of practice of today’s general surgeon, with fresh, expert perspectives from new editor Dr. Richard Schulick and numerous new contributors.

Contains 58 new chapters and thoroughly revised content throughout.

Includes new coverage of Preoperative Evaluation of the Geriatric Patient, Pancreatic Cystic Neoplasm, Familial Breast Cancer, Resuscitative Endovascular Balloon Occlusion of the Aorta, Blunt Cerebrovascular Injury, and much more.

Uses an easy-to-follow, consistent format, with an algorithm on one page and short descriptions explaining the various steps in the decision-making process on the opposite page.

Includes explanatory notes that summarize presenting signs and symptoms, laboratory investigation, diagnostic modalities, surgical therapies, and adjuvant therapies for each condition.

Encompasses both general surgery and surgical subspecialties―helping you directly manage a broad range of problems.

Emphasizes information that frequently appears on board exams.

 

Table of Contents:

 

Part I Perioperative Care

Chapter 1 Preoperative Laboratory Evaluation

References

Chapter 2 Preoperative Cardiac Evaluation

References

Chapter 3 Preoperative Pulmonary Evaluation

Conclusions

References

Chapter 4 Bleeding Disorders in Surgical Patients

References

Chapter 5 Hypercoagulable Patient

References

Chapter 6 Postoperative Fever

References

Chapter 7 Bridge Anticoagulation

References

Chapter 8 Intraabdominal Infection

References

Chapter 9 Preoperative Evaluation of the Geriatric Patient

Geriatric Patients

Establishing Advance Directives

Preoperative High-Risk Screening

Patient-Centered Operative Decision Making

Tailoring of Surgical Recommendations

Preoperative Optimization

References

Part II Critical Care

Chapter 10 Cardiopulmonary Resuscitation

References

Chapter 11 Perioperative Arrhythmia

History and Physical

Preoperative Evaluation and Testing

Cardiovascular Implantable Electronic Device (CIED)

Tachyarrhythmias

Bradyarrhythmias

References

Chapter 12 Perioperative Myocardial Ischemia and Infarction

References

Chapter 13 Shock

Introduction

References

Chapter 14 Goal-Directed Resuscitation

References

Chapter 15 Pulmonary Embolism

References

Chapter 16 Ventilator-Associated Pneumonia

References

Chapter 17 Nutritional Support

References

Chapter 18 Acute Respiratory Failure

Noninvasive Ventilation

Invasive Mechanical Ventilation

Systemic and Hemodynamic Treatment

Sedation and Pain Control

Protocolized Ventilator Weaning

Consider Extubation

Tracheostomy

Low-Tidal-Volume Ventilation

High-PEEP Open Lung Strategy

Restrictive Fluid Strategy

Neuromuscular Blockade

Inhaled Nitric Oxide

Prone Position

Recruitment Maneuvers

Esophageal Pressure, High-Frequency Oscillatory Ventilation, and Airway Pressure-Release Ventilation

Extracorporeal Membrane Oxygenation

References

Chapter 19 Acute Hypoxic Event

References

Chapter 20 Acute Renal Failure

Introduction

Conclusions

References

Chapter 21 Acid–Base Disorders

References

Chapter 22 Sodium Disorders

Introduction

Conclusion

References

Chapter 23 Potassium Disorders

References

References

Chapter 24 Calcium Disorders

References

Chapter 25 Hypothermia

References

Part III Head & Neck

Chapter 26 Neck Mass

References

Chapter 27 Nonmelanoma Skin Cancer of the Face

References

Chapter 28 Management of Melanoma of the Head and Neck

Suspicious Cutaneous Lesions of the Head and Neck

Palpable Mass in the Parotid Gland or Neck in Patient With Cutaneous Melanoma

Benign Lesions

Premalignant Lesion

Early-Stage Melanoma—Tis and T1

Invasive Melanoma > 1 mm Thick

Positive FNAB

Negative FNAB

Nondiagnostic FNAB

Sentinel Lymph Node Biopsy

Sentinel Node Negative

Positive Sentinel Node

References

Part IV Thoracic

Chapter 29 Lung Nodule

References

Chapter 30 Mediastinal Tumors

Introduction

References

Chapter 31 Pleural Effusion and Empyema

References

Part V Alimentary Tract

Chapter 32 Achalasia

References

Chapter 33 Esophageal Motility Disorders (Other Than Achalasia)

References

Chapter 34 Esophageal Perforation

References

Chapter 35 Caustic Ingestion

References

Chapter 36 Gastroesophageal Reflux Disease

References

Chapter 37 Barrett's Esophagus

References

Chapter 38 Esophageal Diverticulum

References

Chapter 39 Paraesophageal Hiatal Hernia

Initial Assessment

Surgical Management

References

Chapter 40 Gastric Ulcer

References

Chapter 41 Duodenal Ulcer

References

Chapter 42 Morbid Obesity

References

Chapter 43 Upper GI Bleeding

References

Chapter 44 Bleeding Esophageal Varices

References

Chapter 45 Jaundice

References

Chapter 46 Obstructive Jaundice

References

Chapter 47 Cholelithiasis

References

Chapter 48 Choledocholithiasis

References

Chapter 49 Hepatic Abscess

References

Chapter 50 Cystic Liver Disease

References

Chapter 51 Solid Liver Lesion

References

Chapter 52 Acute Pancreatitis

References

Chapter 53 Chronic Pancreatitis

References

Chapter 54 Pancreatic Pseudocysts

References

Chapter 55 Pancreas Divisum

History and Physical Examination

Differential Diagnosis

Physical Findings, Imaging, and Labs

Pancreatic Divisum

Asymptomatic/Incidental Finding

Symptomatic

Mild Symptoms Without Pancreatitis

Severe Acute Pancreatitis and Abdominal Pain

Chronic Pancreatitis and Abdominal Pain

Treatment: Endoscopic Approach

Treatment: Surgical

Postprocedure Management

Surgical Postoperative Management

References

Chapter 56 Small Bowel Obstruction

Introduction

References

Chapter 57 Acute Mesenteric Vascular Occlusion

References

Chapter 58 Short Bowel Syndrome

References

Chapter 59 Enterocutaneous Fistula

References

Chapter 60 Crohn's Disease of the Small Bowel

References

Chapter 61 Right Lower Quadrant Pain

References

Chapter 62 Volvulus

References

Chapter 63 Diverticulitis

References

Chapter 64 Lower Gastrointestinal Bleeding

References

Chapter 65 Ulcerative Colitis

References

Chapter 66 Ischemic Colitis

Introduction

References

Chapter 67 Toxic Megacolon

References

Chapter 68 C. dif Colitis

References

Chapter 69 Large Bowel Obstruction

References

Chapter 70 Rectal Prolapse

References

Chapter 71 Constipation

Introduction

References

Chapter 72 Appendicitis

References

Chapter 73 Anorectal Abscess and Fistula-in-Ano

References

Chapter 74 Hemorrhoids

References

Chapter 75 Pilonidal Disease

References

Chapter 76 Anal Fissure

References

Chapter 77 Groin Hernia

References

Chapter 78 Ventral Hernia

References

Part VI Oncology

Chapter 79 Cancer of Unknown Primary

References

Chapter 80 Esophageal Cancer

References

Chapter 81 Gastric Cancer

References

Chapter 82 Cholangiocar­cinoma

References

Chapter 83 Hepatocellular Carcinoma

References

Chapter 84 Gallbladder Carcinoma

References

Chapter 85 Gastrointestinal Stromal Tumors (GISTs)

References

Chapter 86 Pancreatic Neuroendocrine Tumors

References

Chapter 87 Periampullary Carcinoma

References

Chapter 88 Pancreatic Cystic Neoplasms

References

Chapter 89 Pancreatic Mass

References

Chapter 90 Retroperitoneal Mass

References

Chapter 91 GI Lymphoma

Introduction

References

Chapter 92 Colon Polyp

References

Chapter 93 Colon Cancer

References

Chapter 94 Rectal Cancer

References

Chapter 95 Anal Cancer

References

Chapter 96 Metastatic Colorectal Carcinoma

References

Chapter 97 Breast and Soft Tissues

References

Chapter 98 Gynecomastia

References

Chapter 99 Palpable Breast Mass

References

Chapter 100 Nonpalpable Breast Lesions

References

Chapter 101 Early Breast Cancer

References

Chapter 102 Advanced Breast Cancer

References

Chapter 103 Recurrent Breast Carcinoma

References

Chapter 104 Familial Breast Cancer

Hereditary Breast and Ovarian Cancer Syndrome Testing Criteria

Cancer Genetics in the Era of Multigene Testing

Clinical Guidelines for Patients With a Known Genetic Predisposition to Breast Cancer

References

Chapter 105 Breast Reconstruction

References

Chapter 106 Soft Tissue Masses of the Extremities

Introduction

Clinical Assessment

Biopsy and Imaging

Staging

Tumor Biology Determines Resectability and Management

References

Chapter 107 Cutaneous Melanoma

References

Chapter 108 Nonmelanoma Skin Cancer

References

Part VII Endocrine

Chapter 109 Thyrotoxicosis

References

Chapter 110 Thyroid Nodule

Introduction

References

Chapter 111 Well-Differentiated Thyroid Cancer

References

Chapter 112 Medullary Thyroid Carcinoma

References

Chapter 113 Hypercalcemia and Hyperparathyroidism

References

Chapter 114 Hypoglycemia and Insulinoma

References

Chapter 115 Zollinger-Ellison Syndrome

References

Chapter 116 Adrenal Incidentaloma

References

Chapter 117 Pheochromocytoma

References

Chapter 118 Cushing's Syndrome

References

Chapter 119 Primary Aldos­teronism

References

Part VIII Trauma

Chapter 120 Initial Evaluation and Resuscitation

Primary Survey

Adjuncts

Assess Need for Resuscitation

Secondary Survey

Begin Resuscitation

Control Hemorrhage

Restore Blood Oxygen-Carrying Capacity and Correct Coagulopathy

Serial Complete Blood Counts

Serial Thromboelastograms

Correct Metabolic Derangements

Reassessment

References

Chapter 121 Airway Management

References

Chapter 122 Cervical Spine Injury

Introduction

References

Chapter 123 Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)

References

Chapter 124 Emergency Department Thoracotomy

References

Chapter 125 Penetrating Neck Trauma

References

Chapter 126 Blunt Cerebrovascular Injury

References

Chapter 127 Rib Fractures

References

Chapter 128 Hemo-Pneumothorax

References

Chapter 129 Blunt Thoracic Aortic Injury

Introduction

Mechanism of Injury

Diagnostic Imaging—CTA Chest

Grading of Injury

Medical Management of Grade I Injuries

Semi-Elective TEVAR for Grade II or III Injuries

Emergency TEVAR for Grade IV Injuries

Coverage of Left Subclavian Artery Management

Follow-Up Imaging

References

Chapter 130 Blunt Cardiac Injury

References

Chapter 131 Annotations to Thoracoabdominal Trauma

References

Chapter 132 Blunt Abdominal Trauma

References

Chapter 133 Penetrating Abdominal Injury

References

Chapter 134 Blunt Splenic Injury

References

Chapter 135 Liver Injury

References

Chapter 136 Abdominal Vascular Injuries

References

Chapter 137 Pancreatic Injury

References

Chapter 138 Duodenal Injury

References

Chapter 139 Penetrating Injury of the Colon

References

Chapter 140 Penetrating Rectal Injury

References

Chapter 141 Damage-Control Laparotomy

References

Chapter 142 Abdominal Compartment Syndrome

References

Chapter 143 Traumatic Hematuria

References

Chapter 144 Renal Injury

References

Chapter 145 Ureteral Injuries

References

Chapter 146 Bladder and Urethral Trauma

References

Chapter 147 Pelvic Fractures

References

Chapter 148 Closed Head Injury

References

Chapter 149 Cervical Spine Fractures

Cervical Spine Precautions

Fracture Anatomy

Neurologic Status

Stability

Disposition

References

Chapter 150 Spinal Cord Injury

Introduction

Special Considerations

Conclusion

References

Chapter 151 Popliteal Artery Injury

References

Chapter 152 Burns

References

Chapter 153 Acute Frostbite

Prehospital or Emergency Department Management

Rapid External Rewarming

Thrombolytic Therapy

Contraindications to the Thrombolytic Protocol

Post-Rewarming Management

References

Chapter 154 Electrical Burn Injury

Potential Complications After Electrical Injury

References

Index

 

 

An aparitie	1 Mar. 2019
Autor	Robert C. McIntyre MD, Richard Schulick MD
Dimensiuni	21.59 x 2.29 x 27.31 cm
Editura	Elsevier
Format	Hardcover
ISBN	9780323525244
Limba	Engleza
Nr pag	508