Essential Surgery: Problems, Diagnosis and Management

 

Description:

Essential Surgery is well-established as one of the leading textbooks of surgery for medical students, core surgical trainees and those in professions allied to medicine. Covering general surgery, trauma, orthopaedics, vascular surgery, urology, paediatric surgery, cardiothoracic surgery, neurosurgery, maxillofacial surgery and ENT, it also incorporates appropriate levels of basic science throughout. The book is ideal to accompany clinical courses, as well as being a practical manual for readers at more advanced levels requiring a revision aid for exams. Its main aim is to stimulate the reader to a greater enjoyment and understanding of the practice of surgery.

The uniformity of the writing style and the clarity of elucidation will encourage continued reading, while the emphasis on the principles of surgery will enable a real understanding of the subject matter.

The book incorporates a problem-solving approach wherever possible, emphasising how diagnoses are made and why particular treatments are used.

The pathophysiological basis of surgical diseases is discussed in relation to their management, acting as a bridge between basic medical sciences and clinical problems.

The book’s extensive use of original illustrations, colour photographs, radiology images, boxes and tables emphasises important concepts and will promote easy revision of topics.

The principles of operative surgery and pre-, peri- and postoperative care are explained together with outlines of common operations, enabling students and trainee surgeons to properly understand procedures and to participate intelligently in the operating department.

A major and comprehensive revision of the text has taken full account of the progressive evolution of surgery and includes new scientific and clinical concepts that have advanced medical understanding.

Ensuring the book’s contents are aligned to the curriculum of the UK Intercollegiate MRCS examination has resulted in the addition of new topics including an emphasis on peri-operative care optimisation, enhanced recovery programmes, antibiotic use and resistance, updated cancer staging, minimally invasive surgery, and the evolving role of interventional radiology.

Additional essential governance and management topics are covered, including patient safety, surgical ethics, communication, consent, clinical audit and principles of research.

The broad experience of surgical teaching and training of two new editors and many new contributors, all with sub-specialist expertise, have brought a contemporary perspective on the book’s contents and its presentation.

New national and international guidelines for managing common disorders have been incorporated where appropriate, including major haemorrhage management pathways and trauma.

There are new dedicated chapters on major trauma management and elective orthopaedics.

Table of Contents:

 

Section A. Principles of Surgical Care

1. Mechanisms of Surgical Disease and Surgery in Practice

Approaches to Surgical Problems

Principal Mechanisms of Surgical Disease

Medical Ethics and Confidentiality

Communication

Evidence-Based Medicine and Guidelines

Consent to Treatment

Clinical Governance and Clinical Audit

Research in Surgery

Patient Safety

Disease Processes

2. Managing Physiological Change in the Surgical Patient

Systemic Responses

Systemic Inflammatory Responses and Sepsis (See Ch. 3)

Fluid, Electrolyte and Acid–Base Management

Nutritional Management in the Surgical Patient

3. Immunity, Inflammation and Infection

Immune Responses

The Gut Microbiome

Inflammation

Infection

Bacteria of Particular Surgical Importance

Mycobacteria

Viruses of Particular Surgical Importance

Sepsis

4. Shock and Resuscitation

The Pathophysiology of Shock

Early Recognition of Shock

Types of Shock

Clinical Features of Shock

Specific Treatments for Shock

Resuscitation of the ‘Collapsed’ Nontrauma Patient

A Scheme for Managing the Acutely Ill or Shocked Patient

Diagnostic Techniques

5. Imaging and Interventional Techniques in Radiology and Surgery

Introduction

Plain Radiology

Safety in Departments of Medical Imaging

General Principles of Radiology

Contrast Radiology

Biliary Radiology

Vascular and Interventional Radiology

Imaging Techniques

Interventional Radiology

Radionuclide Scanning

Flexible Endoscopy

6. Screening for Adult Disease

Principles of Screening

Screening for Cancer

Screening for Cardiovascular Disease

Section B. Perioperative Care

7. Preoperative Assessment and Management of Postoperative Problems

Preoperative Assessment

Preparation for Major Operation

Postoperative Management

8. Medical Problems

Introduction

Cardiac and Cerebrovascular Disease

Respiratory Diseases

Gastrointestinal Disorders

Hepatic Disorders

Renal Disorders

Diabetes Mellitus

Thyroid Disease

Disorders of Adrenal Function

Musculoskeletal and Neurological Disorders

Haematological Disorders

Psychiatric Disorders

Obesity

Chronic Drug Therapy

9. Blood Transfusion

Principles of Blood Transfusion

Reducing the Need for Bank Blood Transfusion

Laboratory Aspects of Blood Transfusion

Blood Transfusion in Clinical Practice

Adverse Effects of Blood Transfusion

10. Principles and Techniques of Operative Surgery Including Neurosurgery

Introduction

Principles of Asepsis

Basic Surgical Techniques

Soft Tissue Surgery

Surgery Involving Infected Tissues

Principles of Plastic Surgery

Laparoscopic Surgery

Principles of Neurosurgery

11. Elective Orthopaedics

Introduction

Children’s Orthopaedic Surgery

Infection in Orthopaedics

Orthopaedic Surgery and Neurological Problems Outside the Spine

Somatisation

Bone Tumours

Regional Orthopaedics

12. Complications of Surgery

Introduction

Complications of Anaesthesia

General Complications of Operations

Complications of Any Surgical Condition

Complications of Operations Involving Bowel

13. Principles of Cancer Management

Introduction

Neoplasia

Treatment of Malignant Tumours

Surgery for Cancer

Radiotherapy

Chemotherapy

Hormonal Manipulation

Targeted Therapies

Palliative Care

14. Principles of Transplantation Surgery

Introduction

Transplant Immunology

Organ Donation and Preservation

Specific Organ Transplants

Section C. Principles of Trauma Surgery

15. Major Trauma

Injury Epidemiology

Trauma Systems

Prehospital Trauma Care

Initial Assessment in Hospital

Abdominal Injuries

Injuries to Specific Solid Organs

Chest Injuries

Vascular Trauma

Special Patient Groups

Emergency Transfer

Rehabilitation

Orthopaedic injuries

Dislocations and Subluxations

Initial Management of Fractures in Polytrauma Victims: Damage Control (Also See Chapter 5)

Ligament Injuries

Muscle Injuries

16. Head and Maxillofacial Injuries

Head Injuries

Management of Head Injuries

Maxillofacial Injuries

Common Ear, Nose and Throat Emergencies

17. Soft Tissue Injuries and Burns

Soft Tissue Injuries

Burns

Symptoms, Diagnosis and Management

Abdomen, General Principles

18. Nonacute Abdominal Pain and Other Abdominal Symptoms and Signs

Introduction

Pain

Dysphagia and Odynophagia

Weight Loss, Anorexia and Associated Symptoms

Anal and Perianal Symptoms

Change in Bowel Habit, Rectal Bleeding and Related Symptoms

Iron Deficiency Anaemia

Obstructive Jaundice

Abdominal Mass or Distension

19. The Acute Abdomen and Acute Gastrointestinal Haemorrhage

Introduction

Basic Principles of Managing the Acute Abdomen

Disorders and Diseases Causing the Acute Abdomen

Upper Gastrointestinal and Hepatobiliary

20. Gallstone Diseases and Related Disorders

Introduction

Structure and Function of the Biliary System

Pathophysiology of the Biliary System

Investigation of Gall Bladder Pathology

Clinical Presentations of Gallstone Disease

Management of Gallstone Disease

21. Peptic Ulceration and Related Disorders

Introduction

Pathophysiology and Epidemiology of Peptic Disorders

Investigation and Clinical Features of Peptic Disorders

Presenting Features of Peptic Ulcer Disease

22. Disorders of the Oesophagus

Introduction

Carcinoma of the Oesophagus

Hiatus Hernia and Reflux Oesophagitis

Achalasia

Pharyngeal Pouch

Oesophageal Web

Gastrooesophageal Varices

23. Tumours of the Stomach and Small Intestine

Introduction

Carcinoma of Stomach

Gastric Polyps

Gastrointestinal Stromal Tumours

Gastric and Small Bowel Lymphomas

Carcinoid Tumours

Other Tumours of the Small Intestine

24. Tumours of the Pancreas and Hepatobiliary System; the Spleen

Introduction

Carcinoma of the Pancreas

Endocrine Tumours of the Pancreas

Biliary and Periampullary Tumours

Carcinoma of the Gall Bladder

Primary Sclerosing Cholangitis

Liver Tumours and Abscesses

The Spleen

25. Pancreatitis

Introduction

Acute Pancreatitis

Recurrent and Chronic Pancreatitis

Coloproctology

26. Appendicitis

Introduction

Anatomy of the Appendix

Pathophysiology of Appendicitis

Clinical Features of Appendicitis

Making the Diagnosis of Appendicitis

Appendicectomy

27. Colorectal Polyps and Carcinoma

Introduction

Colorectal Polyps

Adenocarcinoma of Colon and Rectum

Stomas

28. Chronic Inflammatory Disorders of the Bowel

Introduction

Ulcerative Colitis

Crohn Disease

Other Chronic Inflammations of the Colon

29. Disorders of Large Bowel Motility, Structure and Perfusion

Introduction

Modern Diet and Disease

Irritable Bowel Syndrome

Constipation

Sigmoid Volvulus (See Fig. 29.1)

Diverticular Disease

Colonic Angiodysplasias

Ischaemic Colitis

30. Anal and Perianal Disorders

Introduction

Anatomy of the Anal Canal

Haemorrhoids

Anal Fissure

Anorectal Abscesses

Anal Fistula

Pilonidal Sinus and Abscess

Rectal Prolapse

Faecal Incontinence (Table 30.1)

Anal Warts (Condylomata Accuminata)

Squamous Cell Carcinoma of the Anus

Proctalgia Fugax

Pruritus Ani

Thoracic Surgery Excluding Cardiac

31. Thoracic Surgery

Introduction

Investigative Techniques

Therapeutic Procedures

Specific Thoracic Disorders

Groin and Male Genitalia

32. Hernias and Other Groin Problems

Introduction

Lumps in the Groin

Inguinal Hernia

Femoral Hernia

Enlarged Inguinal Lymph Nodes

Saphena Varix

Femoral Artery Aneurysm

Chronic Groin Pain

Ventral Hernias

33. Disorders of the Male Genitalia

Disorders of the Scrotal Contents

Male Sterilisation

Disorders of the Penis

Urology

34. Symptoms, Signs and Investigation of Urinary Tract Disorders

Introduction

Symptoms of Urinary Tract Disease

Approach to the Diagnosis of Urinary Symptoms

Investigation of Suspected Urinary Tract Disease

35. Disorders of the Prostate

Introduction

Anatomy

Benign Prostatic Hyperplasia

Acute Urinary Retention and Its Management

Indwelling Catheters and Their Management

Carcinoma of the Prostate

Prostatitis

36. Tumours of the Kidney and Urinary Tract

Introduction

Renal Cell Carcinoma

Urothelial Carcinoma (Transitional Cell Carcinoma)

37. Stone Disease of the Urinary Tract

Introduction

Pathophysiology of Stone Disease

Clinical Features of Stone Disease

Investigation and Management of Suspected Urinary Tract Stones

Renal ultrasonography

Management of Acute Ureteric Colic

Long-Term Management of Urological Stone Disease

38. Urinary Tract Infections

Introduction

Bacterial Infections of the Lower Urinary Tract

Upper Urinary Tract Infections

Genitourinary Tuberculosis

Schistosomiasis

Urethral Infections and Strictures

39. Congenital Disorders and Diseases Secondarily Involving the Urinary Tract

Congenital Urinary Tract Disorders

Diseases Secondarily Involving the Urinary Tract

Cardiovascular Disorders

40. Pathophysiology, Clinical Features and Diagnosis of Vascular Disease Affecting the Limbs

Introduction

Vascular Insufficiency of the Limb (Table 40.1)

Symptoms and Signs in the Limb

41. Managing Lower Limb Arterial Insufficiency, the Diabetic Foot and Major Amputations

Introduction

Chronic Lower Limb Ischaemia

Acute Lower Limb Ischaemia

The Diabetic Foot

Lower Limb Amputation

42. Aneurysms and Other Peripheral Arterial Disorders

Aneurysms (Table 42.1)

Upper Limb Problems (See Table 40.5, P. 514)

Extracranial Cerebral Arterial Insufficiency

Arterial Insufficiency in Other Organs

Complications of Arterial Surgery

Long-Term Follow Up After Arterial Surgery

43. Venous Disorders of the Lower Limb

Venous Thrombosis and the Post-thrombotic Limb

Axillary Vein Thrombosis

Varicose Veins

44. Cardiac Surgery

Introduction and Cardiopulmonary Bypass

Assessing Risk in Cardiac Surgery

Congenital Cardiac Disease

Acquired Heart Disease

Disease of the Thoracic Aorta

Pulmonary Embolism

Advanced Heart Failure

Disorders of the Breast and Skin

45. Disorders of the Breast

Introduction to Breast Disease

Anatomy of the Female Breast

Symptoms and Signs of Breast Disease

Investigation of Breast Disorders

Breast Cancer

Benign Breast Disorders

Male Breast Disorders

46. Disorders of the Skin

Introduction

Overview of the Skin

Signs and Symptoms of Skin Disorders

Lesions Originating in the Epidermis

Lesions Originating in the Dermis

Lesions of the Hypodermis and Deeper Tissues

Inflammatory and Infective Lesions

Lesions of Vascular Origin

Lesions Derived From Skin Appendages

Disorders of the Nails

Disorders of the Head and Neck

47. Lumps in the Head and Neck and Salivary Calculi

Introduction

History and Examination in the Head and Neck

Tumours of Salivary Glands

Salivary Gland Stone Disease (Sialolithiasis)

Inflammatory Disorders of Salivary Glands

Salivary Retention Cysts

Lymph Node Disorders of the Head and Neck

Miscellaneous Causes of a Lump in the Neck

48. Disorders of the Mouth

Disorders of the Oral Cavity (Excluding Salivary Calculi)

Miscellaneous Disorders Causing Intraoral Swelling

49. Disorders of the Thyroid, Parathyroid and Adrenal Glands

Introduction

Thyroid Disorders

Disorders of Parathyroid Glands

Adrenal Glands

Neonatal and Paediatric Surgery

50. Acute Surgical Problems in Children

Introduction

Physiological Differences Between Infants and Adults

Managing Surgery in Infants

Surgical Emergencies in the Neonate

Abdominal Emergencies in Infants and Young Children

Abdominal Emergencies in Older Children

51. Nonacute Abdominal and Urological Problems in Children

Introduction

Problems With the Groin and Male Genitalia

Renal, Vesical and Urethral Abnormalities

Hypospadias and Epispadias

Posterior Urethral Valves

Abdominal Problems

Index

 

 

 

An aparitie	4 Jan. 2020
Autor	Clive R. G. Quick MB BS, FDS FRCS, MS(London) MA(Cambridge)
Dimensiuni	21.59 x 3.18 x 27.31 cm
Editura	Elsevier
Format	Paperback
ISBN	9780702076312
Limba	Engleza
Nr pag	712