Pathophysiology and Surgical Treatment of Unilateral Vocal Fold Paralysis
All laryngologists, especially general ENT doctors who see patients with paralytic dysphonia, as well as speech pathologists, will benefit from this book’s coverage of many basic and clinical aspects of reinnervation in retrieving patients’ normal voices.
Phonosurgical treatment for paralytic dysphonia was first established in the late 1970s in the form of arytenoid adduction and medialization laryngoplasty. It made possible the improvement of patients’ post-op voices, but it was difficult to regain patients’ own pre-paralysis voices. It has recently been established that immediate reconstruction of the recurrent laryngeal nerve during tumor extirpation is effective in recovery of their original voices in patients with unilateral vocal fold paralysis (VFP). The activity of the thyroarytenoid muscle is needed to recover normal voices. Nerve–muscle pedicle (NMP) flap implantation with a refined technique to the thyroarytenoid muscle is a novel method for that purpose. NMP flap implantation combined with arytenoid adduction was applied by the author to patients suffering from dysphonia and most patients did recover their nearly normal voices after surgery.
This book provides readers with (1) what the currently prevalent surgical procedures are, (2) unsatisfactory results of these conventional procedures, (3) results of immediate recurrent laryngeal nerve reconstruction during tumor extirpation, (4) the outcome of delayed reinnervation combined with arytenoid adduction in patients with VFP and further, (5) the scientific basis that explains the reasons why the author’s method is effective in the recovery of patients’ own pre-paralysis, normal voices.
Surgical Diseases of the Pancreas and Biliary Tree
This book provides an evidence-based approach to the diagnosis and surgical management of the diseases of the pancreas and biliary tree, highlighting the most recent findings. The chapters are designed to accompany the reader on a step-by-step approach to the patient, providing the latest evidence to justify each recommendation. Wherever feasible and indicated, emphasis is placed on the use of tables and algorithms to simplify decision-making.
The information contained in this well-referenced book is thus relevant not only to practicing pancreatobiliary and general surgeons, but also offers valuable guidance for surgical trainees.
This book covers 14 diseases of the pancreas and biliary tree, from the more common gallstones and common bile duct stones, acute and chronic pancreatitis, to more complex benign conditions such as biliary fistulae and strictures, as well as cystic tumors of the pancreas, and finally the major malignancies include gallbladder cancer, pancreatic cancer and hilar cholangiocarcinoma.
Practical Medical and Surgical Management of Chronic Rhinosinusitis
This book is a comprehensive compendium on the medical and surgical treatment of chronic rhinosinusitis (CRS), with or without polyposis. Detailed coverage is provided of a wide range of topics, including medical and surgical management of CRS and its subsets, medical therapy in the pre- and postoperative period and specific medical therapeutic classes currently employed in CRS patients. Each chapter highlights key aspects of specific therapies, including mechanism of action, indications, dosages, side-effects and available clinical efficacy data and emphasizes practical management pearls and pitfalls. Operative techniques for endoscopic sinonasal procedures for CRS are also outlined. The book will be a valuable resource for practicing general otolaryngologists, rhinologists and allergists as well as residents and fellows in training. It will also serve as a reference guide for physician assistants, nurse practitioners and nurses involved in the care of CRS patients.
Te Linde’s Operative Gynecology, Twelfth Edition, remains your authoritative resource on the comprehensive perioperative care of gynecologic patients. New features in this edition include a primer on anesthesia, a chapter on positioning for pelvic surgery, a practical review of pediatric gynecology, and a section on the use of surgical instruments. All chapters have been updated to reflect contemporary gynecologic practice and the latest minimally invasive surgical approaches. New illustrations are included and each chapter includes step-by-step descriptions of surgical techniques. Today’s best surgeons and teachers offer a readable, intuitive, and concise reference for trainees as well as the experienced gynecologist.
- A completely restructured table of contents that reflects the needs of today’s novice and experienced surgeons – ideal for quick reference and as a clinical refresher.
- An intuitive, chronological structure, covering relevant topics from preoperative preparation through postoperative care, as well as an expansive section on gynecologic procedures and surgical management of selected conditions.
- The same readable, easy-to-digest presentation you’ve come to expect from Te Linde’s.
- Expanded “Steps in the Procedure” boxes are supplied for all surgical chapters – a favorite feature that provides clear, easy-to-follow roadmaps for each procedure.
- More than 1,300 color illustrations, photographs and line drawings.
This comprehensive, up-to-date textbook of modern cervical spine surgery describes the standard and advanced techniques recommended by the Cervical Spine Research Society – European Section (CSRS-E) with a view to enabling both young and experienced surgeons to further develop their skills and improve their surgical outcomes. Success in cervical spine surgery depends on the surgeon’s awareness of the main challenges posed by distinct cervical spine diseases, theoretical understanding of treatment concepts, and knowledge of technical options and the related potential for complications. It is the surgeon who has to merge theory and practice to achieve the desired outcome, in each case appraising the details of surgical anatomy and weighing the challenges and complications associated with a surgical technique against the skills that he or she possesses. This excellently illustrated book, written by key opinion makers from the CSRS-E with affiliated surgeons as co-authors, presents the full range of approaches and techniques and clearly identifies indications, precautions, and pitfalls. It will be a superb technical reference for all cervical spine surgeons, whether orthopaedic surgeons or neurosurgeons.
This book demonstrates why oncoplastic and reconstructive surgery represents such an exciting tool for surgeons who undertake breast surgery. Fundamental principles and basic concepts are clearly outlined, and numerous techniques are presented by acknowledged experts from across the world. The emphasis is very much on a “how to do” approach, with detailed guidance and advice on the various techniques. The informative text is supported by a wealth of color illustrations, and accompanying videos of procedures can be accessed via the publisher’s website.
This second edition of Oncoplastic and Reconstructive Breast Surgery has been completely revised and updated. More than 25 additional chapters have been included, and new videos of surgeries made available, with the aim of making this already very successful book truly comprehensive, and the most complete reference on the subject – a true classic. The new edition entails close collaboration between some of the most important centers for breast cancer treatment and research worldwide. It will be an ideal resource for surgical fellows and specialists wishing to learn about indications and the selection of patients, to master technical skills, and to manage complications effectively.
This volume provides an overview of the current evidence-based medical and surgical practice in emgerency conditions in colorectal cancer patients. It offers a multidisciplinary perspective, taking into account the specific characteristics of colorectal cancer patients, the necessary pre-operative assessment, the endoscopic and radiological management, and the surgical treatments. Each chapter is supplemented with tables, figures, key-point boxes, schematic representations, and decision-making trees that serve as easy-to-use tools to apply in the different scenarios requiring acute care. Recommendations for best practice and the main reference articles are included for each topic, as well as numerous illustrated clinical cases with cilnical and empirical evidence regarding the surgical management of colorectal cancer. Specific technical aspects of the different surgical interventions and approaches (e.g., open surgery, laparoscopy, and robotics) are also detailed.
This book is intended for residents and emergency surgeons, as well as all practictioners who treat colorectal cancer patients, such as gastroenterologists, oncologists, and radiologists.
The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature. Surgeons need to be able to understand what they read before applying the conclusions of a surgical article to their practice. As most surgeons do not have the extra training in health research methodology, understanding how the research was done, how to interpret the results and finally deciding to apply them to the patient level is indeed a difficult task.
Chapters explain the methodological issues pertaining to the various study designs reported in the surgical literature. Most chapters begin with a clinical scenario
with uncertain course of action with which most surgeons are struggling. Readers are taught how to search the literature for the best evidence that will answer the surgical problem under discussion. An identified article that seems relevant to the problem you are investigating can be appraised by addressing 3 key questions: 1). Is the study I am reading valid? 2). What are the results of this study? 3). Can I apply these results to my patients?
While the primary goal of Evidence-Based Surgery is to teach surgeons how to appraise the surgical literature, an added benefit is that the concepts explained here may help research-minded surgeons produce higher quality research.
This book describes practical, contemporary, and evidence-based surgical approaches for the treatment of diseases and conditions affecting the periodontium, including advanced forms of periodontal disease, gingival recession, and complex cases requiring interdisciplinary management. The book opens by identifying key considerations in periodontal surgery, for example with regard to diagnosis and prognosis, and by presenting decision trees that will be useful in daily practice. Cutting-edge resection and regeneration techniques for the treatment of periodontitis and mucogingival surgical procedures for the management of soft tissue deficiencies are then described and illustrated in detail, highlighting important tips and tricks as well as potential difficulties and complications. The final part of the book is devoted to interdisciplinary care, which is of key importance when periodontal surgery is indicated in the management of cases requiring orthodontic, endodontic, and restorative therapy. Advances in Periodontal Surgery will be of value for practitioners at all levels of experience as well as for students entering the field.
This book presents different patient-oriented perspectives from surgeons, economic evaluation and management researchers, and business companies active in the healthcare sector, striking a balance between the appropriateness/effectiveness of treatment and efficiency/cost. It does not include technical surgical details, but instead provides the necessary knowledge regarding different groups of patients to help economic and management researchers make accurate evaluations.
Although partially based on the specific case of abdominal wall surgery in the Italian health system, the book defines a model that can, with the necessary adaptations, be applied in other national contexts. It also analyzes different reimbursement systems and methods of data collection. This approach supports the evolution from evidence-based medicine (EBM) to the future of real-world data (big data analysis). Further, it highlights the critical issue of “silos” reimbursement, which is the pillar of DRG, and proposes methodology to evaluate the direct and indirect benefit and costs of surgery (for example quality of care, costs incurred in cases of surgical complications due to the use of inappropriate, low-cost material or due to surgical procedure.