Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.
Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.
At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.
Complications is a 2002 National Book Award Finalist for Nonfiction.
We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.
In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.
An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.
Suffering a career-ending, potentially crippling injury to her back and right leg, a young dancer named Elaine Petrone tried everyone from orthopedists to yogis to turn her pain and prognosis around. Nothing worked--until she healed herself through a unique program of therapy and exercise based around the use of two small, squishy balls. From there she turned her passion into a mission that is helping the thousands of people who visit her classes conquer pain, stress, and injury.
Now, for relief for sufferers everywhere, comes The Miracle Ball Method. The work itself is simple. Take a sore back: By resting your aching back on grapefruit-sized balls and letting your body sink into them, you're unworking the muscles that hurt. Pain and tension drain out of the body. Petrone shows how proper breathing (which she demonstrates) works in conjunction with a range of unexercises that call for placing the balls under the back, head, knees, hip, elbow--wherever there's pain--and then resting, rolling, or rotating on them. She points out that relief can come in surprising ways: Lower back pain may be helped by placing the ball under your neck, or a bad knee might be helped by hip work. It's a revolutionary program of relief, from head to toe.
Imagine undergoing an operation without anesthesia performed by a surgeon who refuses to sterilize his tools—or even wash his hands. This was the world of medicine when Thomas Dent Mütter began his trailblazing career as a plastic surgeon in Philadelphia during the middle of the nineteenth century.
Although he died at just forty-eight, Mütter was an audacious medical innovator who pioneered the use of ether as anesthesia, the sterilization of surgical tools, and a compassion-based vision for helping the severely deformed, which clashed spectacularly with the sentiments of his time.
Brilliant, outspoken, and brazenly handsome, Mütter was flamboyant in every aspect of his life. He wore pink silk suits to perform surgery, added an umlaut to his last name just because he could, and amassed an immense collection of medical oddities that would later form the basis of Philadelphia’s Mütter Museum.
Award-winning writer Cristin O’Keefe Aptowicz vividly chronicles how Mütter’s efforts helped establish Philadelphia as a global mecca for medical innovation—despite intense resistance from his numerous rivals. (Foremost among them: Charles D. Meigs, an influential obstetrician who loathed Mütter’s "overly" modern medical opinions.) In the narrative spirit of The Devil in the White City, Dr. Mütter’s Marvels interweaves an eye-opening portrait of nineteenth-century medicine with the riveting biography of a man once described as the "P. T. Barnum of the surgery room."
Designed for portable prep, Dr. Pestana's Surgery Notes helps you refresh your knowledge in between cases. You'll get the most concise, up-to-date review that incorporates recent changes in medical guidelines, including HIV status, organ donation, urological emergencies, classification of shock, pelvic fracture, ARDS, and cardiothoracic surgery.
The Best Review
Concise high-yield review of core surgery material180 vignettes for self-testing, updated for more challenging and exam-like practice10 brief essays providing a surgical perspective on selected tools from the diagnostic and therapeutic armamentariumFeatures regional and institutional differences in surgical practice, and clarifies how the USMLE Step 2 CK and shelf exams will likely address these variationsExpert GuidanceRevised and full up-to-date content from distinguished surgery instructor Dr. Carlos PestanaFor over a decade, Dr. Pestana's Surgery Notes has helped med students excel on the surgery shelf exam and USMLE Step 2 CK
Understand the rationale behind the answers to each question with clear, illustrated explanations from Elsevier’s trusted surgical references including Cameron’s Current Surgical Therapy.
Master the latest need-to-know information in your field with abundant new chapters and updates throughout reflecting the latest surgical techniques and practices, as well as an increased emphasis on ethics to help you prepare for this increasingly important aspect of the boards.
Effectively manage special patient populations with a focus on pediatric, geriatric, and adult patients.
Master the ins and outs of a wide range of diseases, from common to rare, through detailed discussions of each disease’s unique features.Stay at the forefront of your field with the most updated information on each coexisting condition’s definition; current pathophysiology; significant pre-, intra-, and postoperative factors of the disease process; anesthetic judgment; and management.
Keep current with changing patient populations with a new chapter on managing morbidly obese patients.
Access the information you need quickly thanks to a disease-based organization.
Overcome the toughest challenges your with the latest guidelines and evidence integrated into each chapter.
Each procedure includes indications, contraindications, preparation, technique, postprocedure management, and prevention and management of complications. Simple line drawings demonstrate relevant anatomy and procedures. Coverage also includes risk management, nursing management, and drugs and dosages. The outline format helps readers find information quickly, and the compact pocket size enables residents and practitioners to carry all the information they need with them.
ABSITE-style question format familiarizes readers with the test’s presentation and content. This edition features twice the number of questions as in the previous edition, offering even more opportunities for self-paced review. Rationales for correct and incorrect responses help to identify the test-taker’s strengths and weaknesses. This book is ideal not only for those preparing for the ABSITE, but also for surgeons and residents studying for the general surgery qualifying exam and for all surgical residents seeking to review key topics during rotations.
Designed to be used in conjunction with medical textbooks and other study guides, Passing the General Surgery Oral Board Exam, Second Edition prepares candidates to think on their feet and answer exam questions confidently and accurately. It is an essential guide for surgical residents, fellows across the surgical subspecialties, and practicing surgeons who are board eligible.
The AJCC Cancer Staging Atlas, 2nd Edition, is an official publication of the American Joint Committee on Cancer, the recognized international leader in state-of-the-art information on cancer staging. This Atlas has been created as a companion to the updated 7th Edition of the AJCC Cancer Staging Manual, which continues to disseminate the importance of anatomical and pathological staging in the management of cancer. This state-of-the-art, invaluable 2nd Edition includes a CD containing PowerPoint slides of all illustrations, additional color, and a user-friendly, easy-to-read layout. The AJCC Cancer Staging Atlas, 2nd Edition will serve as an indispensable reference for clinicians, registrars, students, trainees, and patients.
Includes companion downloadable files
LANGE Q&A: Surgical Technology Examination, 6e delivers 1,700 Q&As covering topics found on the national certification examination. The book includes detailed answer explanations and covers all major areas of surgical technology curriculum. The Sixth Edition has been updated to cover the latest surgical techniques, instruments and procedures.
FeaturesCompanion files enable you to customize your exams and keep track of your scores Organized into six core sections: Fundamental Knowledge, Infection Control, Concepts of Patient Care, Preoperative Preparation, Intraoperative and Postoperative Procedures, and Technology in the Operating Room NEW chapters on robotics and endoscopic surgery Update your surgical know-how with the latest information on specific procedures such as orthopedics, plastic surgery, and emergency procedures NEW instrument chapter with more than 60 photos Great for use during coursework and for intensive exam preparation
Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field.
Get the depth of coverage you need in an easily accessible, single volume organized by organ and along traditional lines beginning with principles common to surgical specialties including fluid and electrolyte management, metabolic support, and wound healing. Subsequent sections review the management of injury, transplantation, oncology, breast, endocrine, and abdominal procedures.
Explore topicsencountered by general surgery residents in training as well as in-depth coverage of subspecialty areas including head and neck, thoracic, vascular, urology, neurosurgery, pediatrics, and gynecology.
Visually grasp and retain difficult conceptsthanks to a full-color design featuring an abundance of illustrations, intraoperative photographs, and tables as well as more schematic diagrams that facilitate the comprehension of surgical techniques and procedures. Glean all essential, up-to-date, need-to-know information about the latest surgical perspectives and approaches to treatment including innovations in minimally invasive surgery and percutaneous devices.
Streamline clinical decision makingwith an increased number of schematic diagrams and key data on surgical outcomes.
2009 PROSE Awards (awarded by Association of American Publishers for professional and scholarly excellence)Finalist/Honorable Mention, Clinical MedicineFeatures 1200 easy-to-follow, step-by-step anatomic drawings that clearly depict the full spectrum and breadth of surgical techniques—both open and minimally invasive.
Covers hot topics such as Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy, Hernia Repair, Exploration of Neck for Trauma, and Subclavian Artery Stab.
Provides step-by-step instructions for each procedure in a highly consistent format that makes applying techniques easy.
Highlights pearls and pitfalls at the end of each chapter so you know what to expect before entering the operating room.
Presents the detailed guidance of authorities on what you need to know about common and challenging procedures.
Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field.
Prepare for tests and exams with review questions and answers online.Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas.
Weigh your options by reviewing the most recent outcomes data and references to the most current literature.
Each topic includes a list of all potential causes of the condition, colour coded to indicate common, occasional or rare causes. Important geographical variations are also highlighted.
Two sections cover the differential diagnosis of biochemical and haematological disorders which provide a ready check when reviewing abnormal results
The text includes a targeted guide to the relevant general and specific follow-up investigations which should be carried out as appropriate.
At the end of each topic a box highlights important learning points, or indicates symptom and signs suggestive of significant pathology which require urgent action.Eighty colour photographs of key clinical presentations have been added to assist symptom recognition.
Two new chapters on Hypotension and Photophobia.
Concentrates on the main principles behind the use of the surgical techniques
"Key Points" boxes throughout provide hints and tips to reinforce the main aspects of each technique.Now presented in full colour with all illustrations redrawn to add detail and clarity and to bring all the information fully up to date.
A comprehensively updated text takes account of new developments in surgical techniques and equipment.
A new final chapter on surgical craftsmanship brings the skills all together for the surgeon in the operating theatre, uniting and applying the relevant factors in the correct sequence and focussing on getting it right first time.
Make the most of new antibioticsto improve control of surgical infection, learn to use new antifungal agents, and implement innovative therapies to combat both methicillin- and oxacillin-resistant organisms.
Benefit from tremendous recent advancesin the field (often as a result of experience gained by military and civilian surgeons), including the development of damage control.
Covers only material required by The Academy of Medical-Surgical Nurses (AMSN):
Patient Problems by Physiological Systems :
Gastrointestinal, Pulmonary, Cardiovascular, Diabetes (types 1 & 2) and other Endocrine, Genitourinary, Renal, and Reproductive, Musculoskeletal and Neurological ,Hematological, Immunological, and Integumentary.
Domains of Nursing Practice:
Diagnostic and patient monitoring function, Administering/monitoring therapeutic interventions, Helping role, Teaching/coaching function,
Effective management of rapidly changing situations, Monitoring and ensuring quality of health care practices, Organizational and work-role competencies
334 pages, fluff free study guide
General surgery continues to evolve. Procedures are added and many operations are done through new minimal access approaches. However, as a surgeon may be called upon to perform an operation that has become rare, Chassin’s unique “legacy” material has been retained for reference. In addition, 17 new chapters have been added, including 4 new chapters on colorectal surgery. Over 1100 elegant illustrations and new radiographs accompany detailed textual explanations. More than ever, Chassin’s Operative Strategy in General Surgery: An Expositive Atlas, Fourth Edition is an indispensable reference for all surgical residents and practicing surgeons.
More than 1,500 peer-reviewed questionsmirror standardized test blueprints.
Single best answer formatprovides a realistic exam simulation.
Questions are followed by answers and explanations, with rationales backed up by references to leading texts and references. Ideal for residents in training, surgeons preparing for certification or recertification exams, and experienced clinicians who need to stay up to date with current practices and recent advances.Written by one of the premier general surgery departments in the U.S., with a new editorial team led by Dr. Jonathan A. Myers.
Discusses the hottest topics in thoracic surgery, including lung-volume reduction surgery, video-assisted thoracoscopic surgery, and laparoscopic approaches to many procedures.
Presents more than 200 full-color illustrations and step-by-step intraoperative photographs for expert visual guidance.
Discusses pearls and pitfalls to help you avoid complications.
Uses a consistent, easy-to-follow chapter format that includes clinical anatomy, pre-operative considerations, operative steps, and post-operative care to make reference easy.
Visually master a wide range of operative techniques, with authoritative guidance
Know what to do and expectwith comprehensive coverage of almost every procedure you might need to perform.
Find answers fastthanks to a consistent and logical chapter structure. (Indications, Surgical Anatomy, Preoperative Considerations, Operative Steps, Postoperative Considerations, Pearls & Pitfalls, and References)
Review key techniquesprior to performing surgery. Clinical images capture key moments in procedures including: surgical repair of a suprarenal aortic aneurysm; surgical repair of thoracoabdominal aortic aneurysm; endovascular treatment of aneurysms of the juxtarenal and pararenal aorta; surgical exposure and harvest of the femoropopliteal vein; and endovascular treatment of aortic arch vessels, subclavian and axillary artery.
Visualize every procedurethanks to more than 1,000 full-color illustrations; including procedural photos and beautifully illustrated drawings that highlight the relevant anatomy and techniques in specific treatments.
Prevent and plan for complications prior to a procedurethanks to a step-by-step approach to each procedure accompanied by relevant imaging studies.
Glean all essential, up-to-date, need-to-know information abouthot topics including: management of peripheral arterial disease; aortic aneurysms/aortic dissection; lower extremities/critical limb ischemia; and infra-inguinal occlusive disease.
The chapters have a uniform reader-friendly format starting with ‘key points’ to allow rapid reference to the information included in the chapter. Illustrated with photos and line drawings, each chapter contains sections on: Surgical indications, Instrumentation and equipment, Surgical technique, Complications and future challenges.
Those who will benefit greatly from this excellent book include ophthalmic surgeons with widely varying levels of experience, from the resident to the experienced surgeon.
general principles of aortic diseases
neurologic protection strategies
options for aortic repair
surgical treatment of specific problems
Abundant illustrations demonstrate significant imaging study findings and depict key techniques and strategies.
With its detailed descriptions and thorough explanations of a wide variety of approaches to imaging, brain protection and monitoring, and aortic reconstruction, Aortic Arch Surgery: Principles, Strategies and Outcomes gives practicing and prospective thoracic and cardiovascular surgeons access to the full armamentarium of management options. Anesthesiologists, perfusionists, neurologists, radiologists, and others who have a special interest in treating patients with thoracic aortic disease will also find this book an invaluable source of dependable information.
Surgical Innovations in Glaucoma is the only book of its kind written by the top experts in the field, from inventors, clinical trial investigators, and top specialists experienced with the new devices. Written for general ophthalmologists who perform glaucoma surgery, the text walks the reader through the what, where, when, and how of the new glaucoma surgical tools, and includes supplementary online how-to videos for those interested in seeing the latest glaucoma procedures performed with these devices.
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 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’s extensive use of original illustrations, boxes and tables emphasises important concepts and will aid revision.
The principles of operative surgery and perioperative 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 revision of the text has taken full account of the progressive evolution of surgery and includes new concepts that have advanced medical understanding.
New topics have been added to ensure the book’s contents match the curriculum of the UK Intercollegiate MRCS examination, including patient safety, surgical ethics, communication, consent, clinical audit and principles of research.
The broad experience of surgical teaching and training of two new authors has brought a fresh perspective on the book’s contents and its presentation.
New consensus guidelines for managing common disorders have been incorporated where appropriate.
'A comprehensive and attractively presented 4-colour textbook of surgery aimed primarily at medical students but also of use to junior doctors and surgical technicians. The book has two key features: firstly, it provides students with coverage of every aspect of surgery; secondly, it has been designed and written to be the 'surgical companion' to Kumar & Clark's Clinical Medicine. This new edition will also offer an online version to all purchasers of the book - the first surgical textbook in the UK to make an electronic version available.'A comprehensive account of surgery - students only need to buy one textCovers general issues such as wound healing and pain control in the first section. By grouping these issues into one section at the beginning, students are immediately given an overview of what makes surgery differentA regional approach is adopted for the largest section - section 2 - this reflects the way in which surgeons talk about surgery to each otherThe third section covers surgical specialities - paediatrics, endocrinology, urology - and also includes specialities such as ophthalmology, ENT and orthopaedics. These are often omitted from competing books to save spaceThe logical arrangement of the three sections makes the book easy to use and refer to in clinical practiceThe arrangement of contents is straightforward and easily understoodText boxes are used throughout to highlight and isolate important informationIncludes over 350 four-colour images and line drawings original to this book and greatly praised by studentsAlso includes over 100 black and white and approximately 50 full-colour clinical photographs, X-rays and scansDesigned to complement Kumar and Clark's highly successful Clinical Medicine textbook so that students can have 'matching' texts in these complementary areasWritten by an expert team of contributors Your purchase of this book entitles you to online access to the text at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other Elsevier online titles. Content clipping for your handheld. An interactive community center with a wealth of additional resources. The more Elsevier titles you buy, the more resources you can access online! New edition of a prize-winning textbook.
Completely revised throughout to reflect recent changes in surgical practice.
New chapter on bariatric surgery for the treatment of morbidly obese patients.
Covers the increasing use of minimally invasive surgical techniques, including robotic surgery.
Emphasises the increasing impact of multimodality therapy, in particular for the treatment of cancer.
Covers improvements in imaging technology and impact on surgical decision making.
Principles of Neurophysiological Assessment, Mapping, and Monitoring is designed for use as a text in academic courses or in corporate training programs. It also provides a concise refresher for experienced clinicians and for physicians, neurophysiologists, and technologists preparing for board exams.
Master all common conditions and their treatments.
Identify key facts using the "Top 100 Secrets".
Review material quickly thanks to bulleted lists, tables, and short answers.
Apply memory aids and "secrets" from experts in the field.Get an overall enhanced learning experience from the new PLUS format, with an expanded size and layout for easier review, more information, and full-color visual elements.
Stay current on the latest standards in medical care thanks to extensive updates, including new chapters on Spinal Cord Stimulation and Implantable Drug Delivery Systems, Special surgical Techniques for the Growing Spine, Pathophysiology of Degenerative Disorders of the Spine, Discogenic Low Back Pain, Treatment Options for Osteoporotic Vertebral Compression Fractures, and Disorders Affecting the Spinal Cord and Nerve Roots.
See a clearer picture of what you encounter in practice through larger, detailed images and illustrations.
Find information quickly and easily with additional color that enhances tables, legends, key points, and websites.
Surgical Emergencies in Clinical Practice is a compact resource which allows any clinician, without previous surgical knowledge, to be able to make an accurate diagnosis and have a treatment plan for the whole spectrum of surgical emergencies. The essential steps of initial management of all surgical emergencies is outlined in a manner that can be used on a day-to-day basis for clinical management.
Written by experts in the field, Surgical Emergencies in Clinical Practice is a valuable tool for all junior doctors and medical students in the UK, Europe, Asia and North America. It will also be of interest to nurse practitioners, general practitioners and allied health professionals managing these patients.
A question-and-answer format, Key Points boxes, bulleted lists, mnemonics, and a two-color page layout make information remarkably easy to reference and review.
Practical tips from the authors provide valuable insights into best practices.
The book's portable size lets you carry it comfortably in your lab coat pocket.Thorough updates throughout equip you with the most up-to-date information on all areas of anesthesia, including the most current standards of care.
Make the most effective use of today’s best open and minimally invasive techniques, including single-site umbilical laparoscopic surgery, with guidance from internationally recognized experts in the field.
Focus on evidence-based treatments and outcomesto apply today’s best practices. Stay current with timely topics thanks to brand-new chapters on Choledochal Cyst and Gallbladder Disease, Tissue Engineering, and Ethics in Pediatric Surgery, plus comprehensive updates throughout.
Hone and expand your surgical skillsby watching videos of minimally invasive procedures for recto urethral fistula, biliary atresia, laparoscopic splenectomy, uterine horn, and more.
Grasp the visual nuances of surgeryfrom over 1,000 images depicting today’s best surgical practices.