Infections in Surgery: Prevention and Management

Infections in Surgery: Prevention and Management

Although most clinicians are aware of the problem of antimicrobial resistance, most also underestimate its significance in their own hospital. The incorrect and inappropriate use of antibiotics and other antimicrobials, as well as poor prevention and poor control of infections, are contributing to the development of such resistance.

Appropriate use of antibiotics and compliance with infection prevention and control measures should be integral aspects of good clinical practice and standards of care. However, these activities are often inadequate among clinicians, and there is a considerable gap between the best evidence and actual clinical practice.

In hospitals, cultural determinants influence clinical practice, and improving behaviour in terms of infection prevention and antibiotics-prescribing practice remains a challenge. Despite evidence supporting the effectiveness of best practices, many clinicians fail to implement them, and evidence-based processes and practices that are known to optimize both the prevention and the treatment of infections tend to be underused. Addressing precisely this problem, this volume offers an essential toolkit for all surgeons and intensivists interested in improving their clinical practices.

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Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice 21st Edition

Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice 21st Edition

For more than 80 years, Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice has been the go-to text for trainees and surgeons at all levels of experience for definitive guidance on every aspect of general surgery. As the oldest continuously published textbook of surgery in North America, this fully revised 21st Edition continues to provide the key information, essential teaching pearls, and completely updated content needed to make the most informed surgical decisions and achieve optimal outcomes for patients. Concisely written and evidence based throughout, it covers the breadth of material required for certification and practice of general surgery, highlighted by detailed, full-color intraoperative illustrations and high-quality video clips.

  • Follows a clear, consistent progression 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.
  • Covers key topics such as emerging surgical technologies and devices, regenerative medicine, the latest concepts in cancer biology and treatments, and evidence-based management and treatment.
  • Emphasizes the most up-to-date minimally invasive techniques and the use of robotics when indicated.
  • Features more than 2,000 superb illustrations and intraoperative photographs and 25 procedural videos that facilitate quick comprehension of surgical techniques.
  • Includes more schematic diagrams, summary tables, boxes, and algorithms that provide a rich resource for reviewing surgical techniques and preparing for in-training and board exams.
  • Shares the expertise of dozens of new authors and includes two new chapters on robotic surgery and fetal surgery.
  • Contains fully updated content on topics encountered 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.
  • Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

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Surgical Suture for Beginners: A complete step-by-step guide

Surgical Suture for Beginners: A complete step-by-step guide

Surgical Suture for Beginners teaches you everything you need to know about the most common knots and suturing techniques you will encounter in your medical career. This book is a complete step-by-step guide for doctors, nurses, paramedics on techniques that are used in the emergency room and surgery.

Before the advent of anesthesia, doctors were forced to use very primitive suturing techniques due to the fact that they did not have the time to implement more sophisticated and effective sutures. Now that medical professionals have the ability to create the most effective knots in sutures they can truly do miraculous things and aid individuals in healing from injuries and illnesses that previously would have been fatal. A comprehensive knowledge of suturing techniques is essential for any healthcare professional.

A surgical suture is a medical instrument used during an injury or surgery to tie body tissues together. In general, the application requires the use of a needle with an attached thread length.

Over the centuries of its history, a variety of different shapes, sizes, and thread materials have been created. Usually, surgeons, psychiatrists, dentists, podiatrists, eye doctors, professional nurses and all qualified nursing professionals, physicians, skilled pharmacists, and veterinarians participate in suturing. To protect the sutures, surgical knots are used. Therefore, doctors, nurses, and paramedics need to be familiar with both suture techniques and knots.

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Pediatric Endoscopic Endonasal Skull Base Surgery

Pediatric Endoscopic Endonasal Skull Base Surgery

Today, expanded endonasal approaches (EEA) have revolutionized the surgical treatment paradigm for pediatric central skull base lesions. Specially adapted micro-instruments have been developed to permit passage through the narrow sinonasal pathways in children, enabling access to the entire midline skull base, from the crista galli to the cervico-medullary junction.

Pediatric Endoscopic Endonasal Skull Base Surgery by Harminder Singh, Jeffrey Greenfield, Vijay Anand, and Theodore Schwartz is the first textbook focused solely on endoscopic endonasal management of cranial base pathologies in children. The book reflects in-depth expertise from an extraordinary group of international contributors from five continents, who share extensive knowledge on this emerging field. Thirty chapters are presented in three comprehensive sections.

Key Features

  • Core topics including anatomy, rhinological and anesthetic considerations, patient positioning and OR set-up, instrumentation, and endonasal corridors and approaches
  • Fifteen chapters detail endoscopic treatment of a full spectrum of pediatric pathologies, such as craniopharyngioma, meningoencephalocele, basilar invagination, and benign and malignant tumors, among others
  • Discussion of multiple skull-base closure techniques, managing complications, and neurosurgical and otolaryngological postoperative care
  • Visually rich, the succinct text is enhanced with more than 200 high-quality surgical illustrations and intraoperative photographs, as well as procedural videos

 

This unique reference is essential reading for neurosurgical and otolaryngology residents and fellows, as well as veteran surgeons, nurse-practitioners, and physician-assistants who treat and care for pediatric patients with skull-base conditions.

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The Surgical Handbook

The Surgical Handbook

The Surgical Handbook by Michael Karsy and esteemed colleagues addresses training gaps by exposing early trainees, medical students, residents, advanced practice providers, and non-specialists to a diverse array of surgical subspecialty diseases and acute management topics. The impressive breadth of content presented in this resource reflects multidisciplinary contributions. The text covers far more than existing medical handbooks, while featuring concise distillation of key points conducive to learning.

The book is organized by 16 sections starting with general perioperative and operative management of topics that apply to all surgeons, such as critical care, trauma, and general surgery. Subsequent chapters encompass a full spectrum of surgical specialties—from vascular and cardiothoracic—to neurosurgery and orthopaedics, as well as handy evidence-based reference guides. The focused collection of topics within each section serves as a useful resource for learning about management of specific diseases and also a starting point for self-directed learning.

Key Highlights

  • Bullet points, illustrations, diagrams, and figures enhance rapid acquisition of knowledge
  • Tables on acute diagnosis and management of common inpatient scenarios such as electrolyte and acid/base disturbances provide easy-to-use tools
  • Clinical references include practice pearls on trauma management, key medications for common inpatient conditions, acute patient events (e.g. cardiac and stroke), anesthesia and intubation medications, and preoperative and post-anesthesia issues

 

This backpack companion will benefit medical students and junior surgical residents during rotations and clerkships and help early-career clinicians gain insights into timely disease recognition, initial management, surgical risks, and when to make referrals.

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Problems in Hand Surgery: Solutions to Recover Function

Problems in Hand Surgery: Solutions to Recover Function

Problems in Hand Surgery: Solutions to Recover Function

The intricate balance of the intrinsic and extrinsic soft tissue structure and bony scaffold of the hand, coupled with 31 articulating services in the hand and wrist, can lead to significant surgical challenges. Providing surgeons with technical pearls to overcome these challenges is the primary focus of Problems in Hand Surgery: Solutions to Recover Function by internationally renowned hand surgeons Michael W. Neumeister and Michael Sauerbier, and an impressive group of contributors.

Organized by 29 sections and 90 chapters, this comprehensive book focuses on secondary hand surgeries to optimize hand form and function in patients with challenging trauma- and disorder-related hand issues. Among the many topics addressed are problems associated with nonunion, malunion, dysvascular limbs, trauma-related degenerative changes, stiffness, tendon dysfunction, joint disruption, nerve injury, neuropathy, vasospasm, fractures, and osteoarthritis.

  • Unique approaches for stiff fingers, recurrent cubital tunnel and ulnar neuropathy, suboptimal bone healing/avascular necrosis in the hand and wrist, and more
  • High-quality videos provide insightful guidance on various surgical techniques
  • Over 1,100 color illustrations and preoperative, intraoperative, and postoperative images help readers visualize the steps involved in each operative procedure

 

The extraordinary clinical tools in this step-by-step surgical resource will help orthopaedic surgery residents and experienced orthopaedic and plastic surgeons manage difficult cases and achieve optimal patient outcomes.

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Surgical Decision Making in Acute Care Surgery

Surgical Decision Making in Acute Care Surgery

 

The combination of a surgeon shortage and poor access to emergency surgical care led to establishment of the Acute Care Surgery paradigm and subspecialty in 2003. Concurrently, minimally invasive approaches revolutionized surgical practice in the 21st century. In the U.S., acute care surgeons stand at the front line of patient care for emergency general surgery, trauma, and surgical critical care, and thus are positioned to positively impact healthcare delivery and costs. Surgical Decision Making in Acute Care Surgery by renowned surgeons Kimberly Davis and Raul Coimbra is the first text that comprehensively discusses when to use minimally invasive techniques and advanced technology versus traditional open procedures in acute traumatic and non-traumatic surgical emergencies.

The text begins with three opening chapters covering the background of the Acute Care Surgery subspecialty, anatomic and physiological considerations, and the impact of acute surgical illness on pre- and post-operative critical care decisions. Subsequent chapters outline surgical approaches for commonly encountered acute conditions. Trauma chapters cover interventions for cervical, blunt and penetrating abdominal, and thoracic injuries. Emergency general surgery topics run the gamut from appendicitis to emergency management of paraesophageal hernias and esophageal perforations. An impressive group of senior surgeons and younger rising stars in American surgery share their expertise throughout the book.

Key Highlights

  • Disease-specific chapters include epidemiology, pathogenesis, diagnostic tools, treatment strategies, surgical techniques, cost analyses, complications, and national guidelines where available
  • Subchapters feature expert commentary on preceding chapters, including clinical pearls and controversies (e.g. operative vs. nonoperative management)
  • In-depth discussion of surgical decision making encompasses the type of surgical approach, as well as indications and contraindications for MIS
  • The roles of MIS procedures such as laparoscopy, thoracoscopy, radiology-based percutaneous techniques, as well as endovascular surgery are examined

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Clinical Pediatric Surgery: A Case-Based Interactive Approach

Clinical Pediatric Surgery: A Case-Based Interactive Approach

Clinical Pediatric Surgery: A Case-Based Interactive Approach

Written in a unique and innovative style, this book presents pediatric surgery in an interactive clinical context. Each chapter is built upon a specific disease or group of diseases, beginning with a typical case, presented interactively, just as it would be in encountered in clinical practice. These are actual cases that have been encountered by the author and are likely to be managed on any pediatric surgical service. The discussion that follows presents the most relevant issues pertaining to the topic, drawing on the index case, as well as multiple other cases that depict the entire spectrum of the disease or anomaly. The carefully selected suggested readings emphasize sentinel papers, high-quality reviews, and the best and most recent evidence published on the subject. A large number of illustrations help bring the clinical concepts to light. A number of high-quality videos provide a dynamic atlas of common procedures. The book is useful to the entire range of pediatric surgical trainees and practitioners, from the medical student or resident rotating on pediatric surgery, to the fellow preparing for certification, to the seasoned surgeon looking for an update on a particular subject or preparing for recertification. A large number of other physicians will find this book very useful, including general surgeons who evaluate and treat childhood surgical diseases, paediatricians and pediatric hospitalists who co-manage patients with surgeons, and obstetricians, pathologists, and radiologists who work closely with pediatric surgeons.

  • Provides a hands-on guide to the management of typical clinical scenarios for all pediatric surgery trainees and other professionals involved in the care of childhood surgical disease
  • Presents more than 300 cases, covering the whole spectrum of pediatric surgery, illustrated in full-color and with an accompanying e-book
  • Allows the reader to apply their knowledge to real-life situations and assess their level of expertise by the use of a case-based Q&A format

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Oral and Maxillofacial Radiology: A Diagnostic Approach Second Edition

Oral and Maxillofacial Radiology: A Diagnostic Approach Second Edition

Oral and Maxillofacial Radiology

Oral and Maxillofacial Radiology: A Diagnostic Approach, Second Edition is a fully updated and revised edition of this richly illustrated reference to the wide range of diagnostic imaging modalities available for investigating lesions affecting the face and jaws.

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  • Provides extensive flowcharts detailing the steps of diagnosis and decisions
  • Features more than 450 clinical images, including many multi-part figures, demonstrating the concepts discussed, with more images covering cone beam computed tomography, positron emission tomography, and interventional procedures
  • Discusses differences in the demographic, clinical and radiological presentations, and outcomes of treatment due to ethnicity
  • Presents practical approaches firmly grounded in the scientific literature, focusing on the most common and important lesions
  • Includes perspectives from experts in various specialty areas, including medical radiologists, oral and maxillofacial radiologists, functional imaging specialists, and radiation oncologists

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