The Mont Reid Surgical Handbook: Mobile Medicine Series, 7e

 

Description:

Essential reading for residents and medical students, this popular handbook is a must-have resource for convenient, quick access to information on managing common surgical problems. Written by current surgery residents at the University of Cincinnati, the completely updated 7th Edition focuses on the surgical treatments, guidelines, procedures, and topics you need to know.

New chapters cover Surgical Risk Assessment, Head and Neck Malignancy, Mediastinal Tumors, Dialysis Access, and Robotics.

Rapid References section offers handy formulas and charts in one easy-access location.

Thoroughly revised content throughout ensures that you stay up to date.

 

 

Table of Contents:

 

 

 

Part I. Perioperative Care

 

Introduction

1. Surgical History and Physical Examination

I. Introduction and Initial Contact

II. History

III. Physical Examination

2. Fluids and Electrolytes

I. Basic Physiology

II. Electrolyte Disturbances

III. Parenteral Replacement Fluid Therapy

IV. Acid-Base Disorders

3. Nutrition

I. Nutrition Basics

II. Determination of Caloric Needs

III. Nutritional Assessment

IV. Preoperative Nutritional Supplementation

V. Postoperative Nutritional Supplementation

VI. Enteral Nutrition

VII. Short-Term Supplementation

VIII. Long-Term Supplementation (>6 Weeks)

IX. Products

X. Complications of Enteral Feeding

XI. Parenteral Nutrition

XII. Basic Composition of Formulations

XIII. Central Formulas

XIV. Peripheral Parenteral Nutrition

XV. Infusion

XVI. Monitoring

XVII. Complications

XVIII. Immunonutrition

XIX. Nutrients/Macrominerals/Micronutrients/Vitamins

4. Wound Healing

I. Phases of Wound Healing

II. Factors That Affect Wound Healing

III. Wound Preparation

IV. Types of Wound Closure

V. Management of Wound Complications

VI. Hypertrophic Scars and Keloids

5. Surgical Risk Assessment

I. Risks and Benefits of Surgery

II. Surgical Risk Assessment

III. Preoperative Preparation

IV. Postoperative Care

6. Suture Types, Needle Types, and Instruments

I. Suture Material

II. Needles

III. Instruments

Part II. Anesthesia

Introduction

7. Local Anesthesia

I. Injectable Agents

II. Techniques

III. Topical Agents

8. Conscious Sedation

I. Introduction

II. Preprocedural Evaluation

III. Monitoring

IV. Availability of Emergency Medical Equipment and Personnel

V. Training in Airway Management

VI. Medications

VII. Reversal Medications

VIII. Recovery and Discharge

9. General Anesthesia

I. Preoperative Assessment and Preparation

II. Intraoperative Management

III. Pharmaceuticals

IV. Postoperative Management

Part III. Surgical Critical Care

Introduction

10. Surgical Infection

I. Background and Scope of Problem

II. Most Common Infections Affecting Surgical Patients

III. Sepsis

11. Hemorrhage and Coagulation

I. General Topics

II. Laboratory Tests and Reference Values

III. Specific Blood Products

IV. Massive Transfusion And Damage Control Resuscitation

V. Transfusion Reactions

VI. Surgical Coagulopathy—General Considerations

VII. Congenital Bleeding Disorders

VIII. Acquired Bleeding Disorders

IX. Medications

12. Shock

I. Pathophysiology

II. hemodynamic Considerations

III. Organ Response to Shock

IV. Multiorgan Dysfunction Syndrome

V. Shock States

VI. Vasoactive Agents

13. Cardiopulmonary Monitoring

I. Cardiac Monitoring

II. Pulmonary Monitoring

III. Important Formulas

14. Mechanical Ventilation

I. Determining Need for Mechanical Ventilation

II. Ventilation Versus Oxygenation

III. Noninvasive Positive Pressure Ventilation

IV. Conventional Mechanical Ventilation

V. Effects on Cardiac Performance

VI. Need for Tracheostomy

VII. Ventilator Cautions

VIII. Pearls

Part IV. Trauma Surgery

Introduction

15. Primary and Secondary Survey

I. Epidemiology

II. Management of the Trauma Patient

III. Pediatric Trauma

IV. Trauma And Pregnancy

V. Penetrating Neck Trauma

16. Abdominal Trauma

I. Pathophysiology

II. Diagnosis

III. Treatment

IV. Organ-Specific Injury Management

V. Special Circumstances

17. Thoracic Trauma

I. Epidemiology of Thoracic Trauma

II. Physical Examination of the Chest

III. Adjuncts to the Physical Examination

IV. Pathophysiology of Thoracic Trauma

V. Blunt Chest Trauma

VI. Penetrating Chest Trauma

VII. Resuscitative Thoracotomy

VIII. Other Thoracic Procedures in the Face of Trauma

IX. Postoperative Care of the Patient with a Chest Injury

X. Complications of Thoracic Trauma

18. Extremity Trauma

I. Evaluation of the Injured Limb

II. Open Fractures

III. Compartment Syndrome

IV. Pelvic Fractures

V. Vascular Injury in Extremity Trauma

19. Burn Care

I. Causative Factors

II. Indications for Hospital Admission

III. Initial Management

IV. Pathophysiologic Changes Associated with Burn Injuries

V. Burn Wound Care

VI. Supportive Care

VII. Management of Infection in the Burn Patient

VIII. Electrical Injuries

IX. Chemical Injuries

X. Outpatient and Clinic Treatment

XI. Complications of Burn Injuries

20. Neurosurgical Emergencies

I. Evaluation and Management of the Neurotrauma Patient

II. Cranial Trauma

III. Spinal Trauma

IV. Peripheral Nerve Trauma

V. Traumatic Cerebrovascular Injuries

Part V. Gastrointestinal Surgery

Introduction

21. Acute Abdomen

I. Physiology of Abdominal Pain

II. History

III. Physical Examination

IV. Laboratory Examination

V. Radiographic Evaluation

VI. Initial Treatment and Preoperative Preparation

22. Abdominal Wall Hernias

I. Historical Perspective

II. Terminology

III. Natural History

IV. Anatomic Considerations

V. Classification of Hernias

VI. Causative Factors

VII. Diagnosis

VIII. Preoperative Considerations

IX. Inguinal/Femoral Hernia Repair

X. Ventral/Umbilical/Incisional Hernia Repair

XI. Postoperative Complications

23. Gastrointestinal Bleeding

I. History

II. Physical Examination

III. Initial Management

IV. Laboratory Evaluation

V. Investigative and Diagnostic Procedures

VI. Nonsurgical Treatment

VII. Disease-Specific Therapy

24. Intestinal Obstruction

I. Terminology

II. Causative Factors

III. Presentation

IV. Imaging

V. Management

VI. Outcomes

25. Peptic Ulcer Disease

I. Occurrence

II. Presentation and Evaluation

III. Pathogenesis

IV. Helicobacter Pylori

V. Treatment of Uncomplicated Disease

VI. Treatment of Complicated Disease

VII. Details of Surgical Options

26. Inflammatory Bowel Disease

I. Inflammatory Bowel Disease

II. Extraintestinal Manifestations

III. Ulcerative Colitis

IV. Crohn Disease

V. Indeterminate Colitis

27. Benign Esophageal Disease

I. Anatomy

II. Physiology

III. Motility Disorders

IV. Diverticula

V. Gastroesophageal Reflux

VI. Benign Tumors of the Esophagus

VII. Esophageal Rupture and Perforation

VIII. Caustic Injury

28. Benign Colorectal Disease

I. Anatomy

II. Hemorrhoids

III. Anal Fissure

IV. Anorectal Abscess

V. Fistula in Ano

VI. Pilonidal Disease

VII. Anal and Perianal Infections

VIII. Pruritus ANI

IX. Anal Neoplasm

X. Rectal Prolapse

XI. Anoscopy

XII. Rigid Sigmoidoscopy

29. Appendix

I. Overview

II. Epidemiology

III. Pathophysiology

IV. Presentation

V. Differential Diagnosis

VI. Complications

VII. Treatment

VIII. Special Circumstances

IX. Appendiceal Tumors

30. Benign Pancreatic Disease

I. Anatomy

II. Acute Pancreatitis

III. Chronic Pancreatitis

31. Surgical Diseases of the Spleen

I. Anatomy

II. Function

III. General Indications for Splenectomy

IV. Surgical Techniques

V. Postsplenectomy Considerations

32. Bariatric Surgery

I. Epidemiology of Morbid Obesity

II. Comorbidity Associated with Morbid Obesity

III. Medical Therapy For Morbid Obesity

IV. Types of Procedures

V. Preoperative Work-up

VI. Surgical Procedures for the Bariatric Patient

VII. Results of Bariatric Surgery

Part VI. Surgical Oncology

Introduction

33. Tumor Biology, Syndromes, and Genetic Mutations

I. Self-Sufficiency in Growth Signals

II. Insensitivity to Growth-Inhibitory Signals

III. Evasion of Programmed Cell Death

IV. Limitless Replicative Potential

V. Sustained Angiogenesis

VI. Tissue Invasion and Metastasis

VII. Genetic Instability

VIII. Familial Cancer Syndromes

IX. Pharmacotherapy

X. Chemotherapeutic Agents: Mechanisms, Uses, and Important Toxicities

34. Head and Neck Malignancy

I. Epidemiology

II. Work-Up of a Neck Mass

III. Neck Dissection

IV. Treatment of Cancer by Site

V. Neck Dissection Indications for Salivary Gland Malignancy

35. Esophageal Malignancy

I. Esophageal Anatomy

II. Epidemiology

III. Histology and Risk Factors

IV. Diagnosis and Staging

V. TNM Staging System

VI. Treatment Planning

VII. Esophagectomy

VIII. Esophagectomy Approaches

IX. Endoscopic Therapies

X. Chemotherapy and Radiotherapy

XI. Palliative Care

36. Gastric Malignancy

I. Adenocarcinoma of the Stomach

II. Gastric Lymphoma

III. Gastrointestinal Stromal Tumors

37. Small Bowel Malignancy

I. Epidemiology

II. Diagnosis

III. Staging

IV. Management

38. Malignant Colorectal and Perianal Disease

I. Colorectal Cancer: Epidemiology

II. Risk Factors

III. Signs and Symptoms

IV. Screening Guidelines for Colorectal Cancer

V. Polyps

VI. Pathogenesis

VII. Preoperative Evaluation

VIII. Treatment of Colon Cancer

IX. Rectal Cancer

X. Postoperative Follow-Up

XI. Anal Cancer

XII. Tumors of the Anal Canal

XIII. Signs and Symptoms

XIV. Screening

XV. Anatomy and Characterization

XVI. Tumors of the Anal Canal

XVII. Tumors of the Anal Margin

XVIII. Malignant Melanoma of the Anal Margin/Canal

39. Malignant Pancreas Disease

I. Pancreatic Adenocarcinoma

II. Premalignant Cystic Neoplasms of the Pancreas

40. Diseases of the Breast

I. Anatomy And Physiology

II. History

III. Physical Examination

IV. Radiographic Studies

V. Evaluation of Breast Mass

VI. Benign Breast Disease

VII. Breast Cancer

41. Malignant Skin Lesions

I. Basal Cell Carcinoma

II. Squamous Cell Carcinoma

III. Malignant Melanoma

IV. Merkel Cell Carcinoma

Part VII. Hepatobiliary Surgery

Introduction

42. Benign Gallbladder and Biliary Tree

I. Anatomy

II. Cholelithiasis

III. Symptomatic Cholelithiasis

IV. Choledocholithiasis

V. Cholangitis

VI. Acalculous Cholecystitis

VII. Other Disorders of the Gallbladder

VIII. Medical Treatments

IX. Laparoscopic Cholecystectomy

43. Malignant Gallbladder and Biliary Tree

I. Gallbladder Cancer

II. Bile Duct Cancer (Cholangiocarcinoma)

44. Benign Liver Disease, Cirrhosis, and Portal Hypertension

I. Pathophysiology

II. Morphology

III. Etiology

IV. Diagnosis

V. Classification

VI. Consequences of Cirrhosis

VII. Hepatic Syndromes

45. Liver Tumors

Part VIII. Transplant Surgery

Introduction

46. Renal Transplantation

I. General Considerations

II. Evaluation of Candidates for Transplantation

III. Kidney Donation

IV. Specific Operative Considerations

V. Postoperative Considerations

VI. Outcomes

47. Liver Transplantation

I. General Considerations

II. Specific Operative Considerations

III. Postoperative Considerations

48. Pancreas Transplantation

I. General Considerations

II. Specific Operative Considerations

III. Postoperative Considerations

IV. Islet Cell Transplantation

V. Pancreas Versus Islet Cell Transplantation

Part IX. Endocrine Surgery

Introduction

49. Thyroid

I. Embryology

II. Anatomy

III. Physiology

IV. Work-Up of Thyroid Disease

V. Hyperthyroidism

VI. Hypothyroidism

VII. Thyroiditis and Nontoxic Goiters

VIII. Thyroid Nodules

IX. Thyroid Neoplasms

50. Parathyroid

I. Parathyroid Embryology and Anatomy

II. Primary Hyperparathyroidism

III. Secondary Hyperparathyroidism

IV. Tertiary Hyperparathyroidism

V. Parathyroid Carcinoma

51. Adrenal Gland

I. Embryology and Anatomy

II. Zona Glomerulosa—Mineralocorticoids

III. Zona Fasiculata—Glucocorticoids

IV. Zona Reticularis—Androgens

V. Adrenocortical Cancer

VI. Adrenal Medulla

VII. Incidentaloma

VIII. Adrenal Insufficiency

IX. Adrenal Surgery

52. Neuroendocrine Tumors

I. Neuroendocrine Tumors

II. Gastrinoma

III. Insulinoma

IV. Glucagonoma

V. Vasoactive Intestinal Polypeptidoma, Vipoma

VI. Somatostatinoma

VII. Pancreatic Polypeptidomas

Part X. Vascular Surgery

Introduction

53. Thromboembolic Disease

I. Introduction

II. Methods of Prophylaxis and Treatment of Deep Venous Thromboses and Pulmonary Emboli

III. An Approach to Prophylaxis

IV. Approach to the Patient with Pulmonary Embolus

54. Aneurysms

I. Epidemiology

II. Pathology

III. Natural History

IV. Clinical Presentation

V. Diagnostic Studies

VI. Elective Management of Abdominal Aortic Aneurysm

VII. Open Abdominal Aortic Aneurysm Repair

VIII. Complications

IX. Endovascular Abdominal Aortic Aneurysm Repair

X. Operative Mortality

XI. Ruptured Abdominal Aortic Aneurysm

XII. Abdominal Aortic Aneurysm Screening

55. Peripheral Vascular Disease

I. Definitions

II. Peripheral Arterial Disease

III. Management of Atherosclerotic Peripheral Arterial Disease

IV. Renal Artery Disease

V. Lower Extremity Aneurysm Disease

VI. Chronic Venous Insufficiency

56. Carotid Disease

I. Background: Stroke

II. Diagnosis

III. Differential Diagnosis of Stroke/Transient Ischemic Attacks

IV. Management

V. Postoperative Complications

VI. Postoperative Care

57. Mesenteric Ischemia

I. Anatomy and Physiology

II. Epidemiology

III. Acute Mesenteric Ischemia

IV. Chronic Mesenteric Ischemia

V. Mesenteric Venous Thrombosis

VI. Median Arcuate Ligament Syndrome (Celiac Artery Compression Syndrome)

58. Dialysis Access

I. Introduction

II. General Overview of Dialysis Access Types

III. Dialysis Catheters

IV. Arteriovenous Fistulas and Grafts

V. Arteriovenous Fistula Maturation

VI. Complications of Arteriovenous Fistulas and Grafts

VII. Peritoneal Dialysis

59. The Diabetic Patient

I. Definitions

II. Medical Therapies

III. Glycemic Control in the Critically Ill Patient

IV. Complications of Diabetes

V. Diabetic Foot Ulcers

Part XI. Cardiothoracic Surgery

Introduction

60. Benign Tumors of the Lung

I. Overview

II. History

III. Physical Examination

IV. Initial Evaluation

V. Imaging

VI. Biopsy Options

VII. Epithelial Tumors

VIII. Mesenchymal Tumors

IX. Miscellaneous Tumors

X. Other Tumors

XI. Inflammatory Pseudotumors

XII. Other Benign Tumors

61. Malignant Tumors of the Lung

I. Epidemiology

II. Etiology

III. Screening

IV. Solitary Pulmonary Nodule

V. Clinical Features

VI. Pathology

VII. Adenocarcinoma—40%

VIII. Squamous Cell Carcinoma—20%

IX. Large Cell Carcinoma—10%

X. Neuroendocrine Carcinoma—20%–25%

XI. Other—5%–10%

XII. Diagnosis

XIII. Treatment

XIV. The Future

62. Thymus and Mediastinal Tumors

I. Anatomy and Embryology

II. Assessment of Mediastinal Masses

III. Anterior Mediastinal Masses

IV. Visceral Mediastinal Compartment Masses

V. Posterior Mediastinal Masses

63. Cardiac Surgery

I. Preoperative Evaluation

II. Operative Procedures

III. Postoperative Care

IV. Postoperative Complications

V. Pharmacology

64. Cardiac Transplantation

I. History

II. Indications

III. Contraindications

IV. Preoperative Evaluation

V. Listing Criteria

VI. Listing Status According to Whom It May Concern: Organ Procurement and Transplantation Network Policies

VII. Medical and Mechanical Bridges to Transplant

VIII. Donor Selection, Evaluation, and Management

IX. Donor Heart Procurement

X. Operative Technique for Cardiac Transplantation

XI. Postoperative Management

XII. Immunosuppression and Long-Term Management

XIII. Prevention of Opportunistic Infection

XIV. Survival

Part XII. Surgical Subspecialties

Introduction

65. General Pediatric Surgery

I. Fluids And Nutrition

II. Lesions of the Head and Neck

III. Thoracic Disorders

IV. Esophageal Anomalies

V. Gastrointestinal Tract

VI. Abdominal Wall Defects

VII. Anorectal Malformations

VIII. Neoplasms

66. Neurosurgery

I. Cranial Urgencies and Emergencies

II. Spinal Urgencies and Emergencies

III. CNS Tumors

IV. CNS Infectious Urgencies and Emergencies

V. Other Neurosurgical Urgencies/Emergencies

VI. Herniation Syndromes and Brain Death

67. Orthopedic Surgery

I. Assessment of the Orthopedic Patient

II. Orthopedic Emergencies

68. Plastic Surgery: Breast Reconstruction

I. Introduction

II. Relevant Anatomy for Reconstruction

III. Preoperative Evaluation

IV. Techniques

V. Oncoplastic Surgery

VI. Postreconstruction Follow-Up

Part XIII. Future of Surgery

Introduction

69. Robotics and Newer Surgical Technologies

I. Single-Incision Laparoscopic Surgery

II. Robotic Surgery

III. Natural Orifice Transluminal Endoscopic Surgery

IV. Endoluminal and Endovascular Surgery

Part XIV. Procedures

Introduction

70. Procedures

I. Indications for an Artificial Airway

II. Nonsurgical Techniques

III. Surgical Airway Options and Methods

IV. Alternate Airway Methods

V. Arterial Catheterization

VI. Bladder Catheterization

VII. Central Venous Lines

VIII. Enteral Access

IX. Focused Assessment with Sonography in Trauma (Fast Examination)

X. Pulmonary Artery (Swan-Ganz) Catheterization

XI. Abscess Drainage

XII. Thoracentesis

Part XV. Rapid References

Introduction

71. Rapid References

Index

 

An aparitie	12 Dec. 2017
Autor	The University of Cincinnati Residents (Author), Amy Makley MD
Dimensiuni	10.92 x 2.79 x 18.8 cm
Editura	Elsevier
Format	Paperback
ISBN	9780323529808
Limba	Engleza
Nr pag	1088