Category: General Surgery

Robotic-Assisted Minimally Invasive Surgery: A Comprehensive Textbook

Robotic-Assisted Minimally Invasive Surgery: A Comprehensive Textbook

Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority.

The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources.

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General Surgery

Wide Awake Hand Surgery and Therapy Tips 2nd Edition

Wide Awake Hand Surgery and Therapy Tips 2nd Edition

WALANT (Wide Awake Local Anesthesia No Tourniquet) eliminates the need for preoperative testing, sedation, intravenous insertion, and monitoring in upper and lower limb surgery. Coupled with minimal pain injection techniques using pure local anesthesia with lidocaine and epinephrine, this technique has significantly improved hand surgery for patients and surgeons in many ways. Wide Awake Hand Surgery and Therapy Tips, Second Edition, provides readers with the best and latest WALANT advances from Donald H. Lalonde and an impressive group of hand surgeons from 15 countries that have incorporated this groundbreaking technique into practice to benefit their patients. Each richly illustrated chapter encompasses evidence-based benefits, step-by-step guidance, patient education tips, detailed injection directions, surgery and therapy tips and tricks, postsurgical management, and related videos.

WALANT produces better outcomes in flexor and extensor tendon repair, tendon transfer, tenolysis, tendon grafts, and finger fracture surgery because unsedated patients can easily move reconstructed parts during surgery. This allows surgeons to make required adjustments and teach patients uninterrupted while they are awake. Eliminating sedation also decreases risks, increases patient safety, and reduces pain associated with intravenous insertion. Simple surgeries such as trigger finger and carpal tunnel release no longer require costly main operating rooms. Instead, they can be performed in minor procedure rooms with evidence-based sterility, resulting in lower costs and reduced waste.

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General Surgery

Ear Surgery Illustrated: A Comprehensive Atlas of Otologic Microsurgical Techniques

Ear Surgery Illustrated: A Comprehensive Atlas of Otologic Microsurgical Techniques

Ear Surgery Illustrated

In order to envision a three-dimensional picture of the surgical space and ultimately to master surgery, surgeons need thorough visual and clinical knowledge of anatomy. Ear Surgery Illustrated: A Comprehensive Atlas of Otologic Microsurgical Techniques by renowned surgeon Robert Jackler and illustrator Christine Gralapp reflects more than three decades of collaboration.

The color illustrations herein communicate a wealth of surgical anatomy and technique with exceptional clarity and precision. Succinct, insightful text paired with the drawings delineate key landmarks, define crucial relationships, and elucidate complex concepts. Fifteen chapters encompass the broad spectrum of modern otological surgery practice — from commonplace procedures to complex tertiary-quaternary operative care. The appendix features helpful educational handouts surgeons can give to patients.

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Bridwell and DeWald’s Textbook of Spinal Surgery 4th Edition

Bridwell and DeWald’s Textbook of Spinal Surgery 4th Edition

Written by experts from around the world, the latest edition of this leading reference features contributions from both neurosurgeons and orthopaedic surgeons. Presenting the full scope of spinal surgery, chapters discuss anatomy, biomechanics, complications, instrumentation, preoperative and postoperative care, and other core topics for surgeons. And numerous illustrations and clinical video clips provide critical visual context.

New chapters detail current surgical techniques for idiopathic scoliosis procedures.
Over half of the authors are new—bringing fresh perspectives and approaches to surgical preparation and techniques.
Technical procedures are written in an easy-to-follow, step-by-step format.
Covers a wide spectrum of spinal deformities, degenerative disorders, injuries, and traumatic conditions.
Now with more than 4,000 illustrations—including figures that accurately depict anatomy and procedures, and tables and algorithms for absorbing information quickly.

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Advanced Craniomaxillofacial Surgery: Tumor, Corrective Bone Surgery and Trauma

Advanced Craniomaxillofacial Surgery: Tumor, Corrective Bone Surgery and Trauma

Featuring more than 1,300 expertly drawn illustrations and images, the Advanced Craniomaxillofacial Surgery book is the comprehensive, highly anticipated follow-up to the original work on Principles of Internal Fixation of the Craniomaxillofacial Skeleton that was published in 2012.

With detailed contributions from more than 80 renowned international authors, Advanced Craniomaxillofacial Surgery significantly builds on the solid foundation laid by the previous textbook. The new book comprises sophisticated techniques in skeletal and soft-tissue analysis for the disciplines of craniomaxillofacial, trauma, tumor, orthognathic surgery, as well as facial and esthetic surgery.

The focused expertise of seven disciplines is synthesized together to offer comprehensive and unique interdisciplinary perspectives, necessary to create the “team” approach fundamental to achieving the progress required and expected in high-level medical centers: oral and maxillofacial surgery, plastic and reconstructive surgery, otolaryngology, neurosurgery, ophthalmology, oculoplastic surgery, and head and neck surgery. Nowhere else has there been such a thorough and comprehensive multispecialty approach presented in the head and neck region.

The advent of microvascular surgery, skeletal analysis, computerized surgical planning, personalized implant creation, and comprehensive radiographic analysis have given rise to new principles, techniques and possibilities, which are explored extensively in this new textbook. Advanced Craniomaxillofacial Surgery should be part of every surgeon’s library.

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General Surgery

Endoscopic Surgery of the Orbit: Anatomy, Pathology, and Management

Endoscopic Surgery of the Orbit: Anatomy, Pathology, and Management

The use of endoscopic orbital surgery is rapidly expanding in modern day rhinology and oculoplastic practice. In the past two decades, endoscopic techniques have been adapted for lacrimal and orbital surgery. Significant advances have been made in endoscopic endonasal and periocular approaches to the orbital apex and skull base, especially in the last 3 years. There has been no book dedicated to these recent surgical innovations until Endoscopic Surgery of the Orbit: Anatomy, Pathology, and Management by Benjamin Bleier, Suzanne Freitag, and Raymond Sacks filled this void.

This landmark text and its accompanying videos bring together the global experience of thought leaders and pioneers with multidisciplinary backgrounds. The collective expertise shared throughout 20 chapters codifies the current state of endoscopic orbital surgery and sets the stage for future developments. The opening chapters cover anatomy, physiology, and radiologic aspects pertaining to the orbit, paranasal sinuses, and surrounding structures. Subsequent chapters detail evaluation and endoscopic management of a full spectrum of pathologies utilizing orbital and optic nerve decompression, reconstruction, transorbital approaches, and anesthetic techniques.

Key Features

State-of-the-art evidence-based medicine including the pros and cons of different treatment approaches
Management of operative complications such as sinusitis and iatrogenic intraorbital injury, and postoperative challenges
Pathology-specific topics including congenital and acquired lacrimal obstruction, thyroid-related eye disease, trauma, orbital neoplasms, and skull-base neoplasms with orbital involvement
138 original illustrations help elucidate complex anatomy
High definition, narrated surgical videos delineate specific surgical techniques

This is a must-have resource for otolaryngologists in rhinologic and general practice and ophthalmologists in general and oculoplastic practice. It will also benefit neurosurgeons and plastic & reconstructive surgeons. The comprehensive text, clinical pearls, and accompanying videos facilitate incorporating these techniques into practice, whether one is a surgical trainee or veteran practitioner.

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The ASCRS Textbook of Colon and Rectal Surgery 4th Edition

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The ASCRS Textbook of Colon and Rectal Surgery 4th Edition

This book serves as a valuable resource for surgeons and health care providers at all stages of their career caring for patients with colorectal disease. This edition provides all newly written chapters, organized around the “pillars” of colorectal disease: perioperative (including endoscopy); anorectal disease; benign disease (including inflammatory bowel disease); malignancy; pelvic floor disorders; and a “miscellaneous” section that covers aspects both inside and beyond the operating room. Chapters are formatted to follow that of a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind a proposed treatment strategy.

By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides operative technical details and perioperative “tips and tricks” that are utilized in the management of these complex surgical challenges. Chapters also include the assessment of risk and methods utilized to minimize perioperative complications. In addition, the book incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Written by experts in the field from around the world, The ASCRS Textbook of Colon and Rectal Surgery 4th Edition exposes the many critical gaps in our knowledge base and inspires the next generation to answer them through thoughtful and high level scientific inquiry.

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General Surgery

Navigation and Robotics in Spine Surgery

Navigation and Robotics in Spine Surgery

Navigation and Robotics in Spine Surgery

The past decade has seen major advances in image-guided spine surgery techniques, with robotically assisted approaches emerging in the last five years. While early adopters of this technology paved the way for more widespread use of navigated and robotic systems, barriers still exist. Navigation and Robotics in Spine Surgery by master spine surgeon Alexander Vaccaro and esteemed co-editors Jaykar Panchmatia, I. David Kaye, and Srinivas Prasad addresses existing issues such as the perception of increased upfront costs, intrusion on current workflow, and a lack of understanding about the potential ways these technologies can enhance the surgical experience and improve patient outcomes.

Organized into six sections, the book starts with evidence-based fundamentals of navigated spine surgery and robotics including discussion of instrumentation and mechanics. Sections 2-5 serve as a surgical handbook for spine surgeons who wish to introduce these technologies into practice or augment their current repertoire with more complex techniques. Topics range from more routine procedures such as navigated and robotic minimally invasive TLIF to complex approaches like intraoperative ultrasound guided intradural spinal tumor resection. The final section looks at future directions and potential new applications for these technologies.

Key Highlights

An impressive group of international spine surgeons who pioneered navigation and robotic surgery techniques share invaluable tricks of the trade
Discussion of fluoroscopy- and intraoperative CT-based platforms, applications for intraoperative sonography, and radiation exposure and minimization strategies
Special topics include OR set-up and workflow, surmounting the learning curve, artificial intelligence, and lessons learned from other industries
Procedural videos demonstrate the benefits of computer-assisted navigation and robotic techniques

This book is essential reading for orthopaedic surgery and neurosurgery residents and spine fellows who wish to learn about and incorporate these technologies into practice. Seasoned spine surgeons seeking to expand the scope of their navigated/robotic practice will benefit from chapters detailing advanced approaches.

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Problems in Periorbital Surgery: A Repair Manual

Problems in Periorbital Surgery: A Repair Manual

Problems in Periorbital Surgery: A Repair Manual

The field of periorbital surgery has expanded exponentially in recent decades. With its rise in popularity, however, comes a rise in complications. Finally there is a comprehensive guide to repairing the problems encountered in periorbital surgery, compiled by masters in the art of periorbital surgery!

This unique resource for plastic, facial plastic and oculoplastic surgeons offers several key features:

A thorough discussion on the history and examination for the evaluation of the eyelid
Stepwise guidance for correcting a range of complications in periorbital surgery, including infection and bleeding, blindness and motility disorders, specific upper and lower eyelid problems including lid retraction, chemosis, and adverse results from fillers and resurfacing
Several chapters, presenting different approaches, devoted to the challenging problem of lid retraction and its multifactorial etiology
A case-report format that provides detailed discussions of all possible complications
Expert techniques from renowned surgeons providing multiple perspectives on the same problems
More than 300 color photographs and beautifully detailed surgical illustrations
Multiple video clips showing details of eyelid evaluation and corrective techniques
Both print and electronic formats for easy access everywhere

To meet the ever-increasing patient demand for these youth-restoring procedures, all surgeons undertaking eyelid surgery and committed to prevent and treat complications of periorbital surgery should have this resource in their collection!

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General Surgery

Hand Surgery: Tricks of the Trade

Hand Surgery: Tricks of the Trade

Hand Surgery: Tricks of the Trade

Hand surgery requires precision, in-depth expertise, and versatility in order to perform a wide variety of operations on fractures, tendon and nerve conditions, soft tissue injuries, rheumatoid deformities, and congenital defects. Hand Surgery: Tricks of the Trade by renowned Rothman Orthopaedic Institute hand surgeon Pedro Beredjiklian and an impressive group of contributors provides a clear road map on how to perform common hand surgery procedures. Concise step-by-step text enables readers to quickly read, review, and understand the most salient points for each approach.