Essential Surgery E-Book , livre ebook

Churchill Livingstone - Simon J.F. Harper , Kourosh Saeb , Parsy

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1302 pages

English

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Essential Surgery is a comprehensive and highly illustrated textbook suitable for both clinical medical students as well junior surgical trainees, preparing for postgraduate qualifications in surgery such as the MRCS. Covering general surgery, trauma, orthopaedics, vascular surgery, paediatric surgery, cardiothoracic surgery and urology, it incorporates appropriate levels of basic science throughout. The book is ideal for modern clinical courses as well as being a practical manual for readers at more advanced levels. Its main aim is to stimulate the reader to a greater enjoyment and understanding of the practice of surgery.

Essential Surgery incorporates a problem-solving approach wherever possible, emphasising how diagnoses are made and why particular treatments are used.

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.

Informations

Publié par	Churchill Livingstone
Date de parution	06 août 2013
Nombre de lectures	0
EAN13	9780702054839
Langue	English
Poids de l'ouvrage	26 Mo

Informations légales : prix de location à la page 0,0196€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

Essential Surgery
Problems, Diagnosis and Management
FIFTH EDITION
Clive R.G. Quick, MB, BS(London), FDS,
FRCS(England), MS(London), MA(Cambridge)
Consultant General and Vascular Surgeon, Hinchingbrooke Hospital, Huntingdon and
Addenbrooke's Hospital, Cambridge; Associate Lecturer in Surgery, University of
Cambridge
Former Examiner for FRCS and current Examiner in Basic Sciences and Clinical Surgery
for MRCS(England), Royal College of Surgeons of England, London, UK
Joanna B. Reed, BMedSci(Hons), BM
BS(Nottingham), FRCS(Eng)
Clinical Director for Surgery and Consultant Laparoscopic and Upper Gastrointestinal
Surgeon, Hinchingbrooke Hospital, Huntingdon, UK
Simon J.F. Harper, MB, ChB, BSc, FRCS, MD
Consultant Hepatopancreatobiliary and Transplant Surgeon at the University of Cambridge
and Addenbrooke's Hospital, UK
Kourosh Saeb-Parsy, MA, MB, BChir, FRCS, PhD
University Lecturer and Consultant Transplant Surgeon, Department of Surgery, University
of Cambridge, UK
Philip J. Deakin, BSc(Hons), MBChB(Sheffield)
General Medical Practitioner, Sheffield, UKTable of Contents
Cover image
Title page
Publisher's note about the authors
Copyright
Foreword
Preface
Acknowledgements
Section 1: Principles of Surgical Care
Chapter 1: Mechanisms of surgical disease and surgery in practice
A short history of surgery
Approaches to surgical problems
Principal mechanisms of surgical disease
Disease processes
Chapter 2: Managing physiological change in the surgical patient
Systemic responses
Fluid, electrolyte and acid–base management
Common fluid and electrolyte problems
Acid–base disturbances (see Fig. 2.4 and Table 2.4)
Nutritional management in the surgical patientChapter 3: Immunity, inflammation and infection
Immune responses
Inflammation
Infection
Bacteria of particular surgical importance
Viruses of particular surgical importance
Sepsis (see also http://www.survivesepsis.org/)
Chapter 4: Shock and resuscitation
A scheme for managing the acutely ill or shocked patient
Diagnostic techniques
Chapter 5: Imaging and interventional techniques in surgery
General Principles of Radiology
Vascular Radiology (Angiography)
Urography
Medical Ultrasound
Cross-Sectional Imaging
Interventional Radiology
Radionuclide Scanning
Flexible Endoscopy
Chapter 6: Screening for adult disease
Principles of screening
Screening for cancer
Screening for cardiovascular disease
Section 2: Perioperative Care
Chapter 7: Preoperative assessment
Essentials of preoperative assessmentPreparation for major operation
Chapter 8: Medical problems
Cardiac and cerebrovascular disease
Respiratory diseases
Gastrointestinal disorders
Hepatic disorders
Renal disorders
Diabetes mellitus
Thyroid disease
Disorders of adrenal function
Musculoskeletal and neurological disorders
Haematological disorders
Psychiatric disorders
Obesity
Chronic drug therapy
Chapter 9: Blood transfusion
Principles of blood transfusion
Laboratory aspects of blood transfusion
Blood transfusion in clinical practice
Reducing the need for bank blood transfusion
Hazards and complications of blood transfusion
Chapter 10: Principles and techniques of operative surgery including neurosurgery and
orthopaedics
Principles of asepsis
Basic surgical techniques
Soft tissue surgery
Surgery involving infected tissues
Principles of plastic surgeryLaparoscopic surgery
Principles of neurosurgery
Orthopaedic surgery
Orthopaedic disorders
Elective orthopaedics
Chapter 11: Diagnosis and management of common postoperative problems
Postoperative pain
Pyrexia (see Fig. 11.3)
Tachycardia
Cough, shortness of breath and tachypnoea
Collapse or rapid general deterioration
Nausea and vomiting
Other disorders of bowel function
Poor urine output
Changes in mental state
Jaundice
Chapter 12: Complications of surgery
Complications of anaesthesia
General complications of operations
Complications of any surgical condition
Complications of operations involving bowel
Chapter 13: Principles of cancer management
Treatment of malignant tumours
Surgery for cancer
Radiotherapy
Chemotherapy
Hormonal manipulation
Targeted therapiesPalliative care
Chapter 14: Principles of transplantation surgery
Transplant immunology
Practical problems of transplantation
Specific organ transplants
Section 3: Principles of Accident Surgery
Chapter 15: Major trauma
Pre-hospital assessment and intervention
Preliminary hospital management of multiple and serious injuries
Abdominal injuries
Chest injuries
Vascular trauma
Orthopaedic trauma
Paediatric trauma
Chapter 16: Head and maxillofacial injuries
Head injuries
Management of head injuries
Maxillofacial injuries
Common ENT emergencies
Chapter 17: Soft tissue injuries and burns
Soft tissue injuries
Burns
Section 4: Symptoms, Diagnosis and Management
Abdomen, general principles
Chapter 18: Non-acute abdominal pain and other abdominal symptoms and signsPain
Dysphagia and odynophagia
Weight loss, anorexia and associated symptoms
Anal and perianal symptoms
Change in bowel habit, rectal bleeding and related symptoms
Iron deficiency anaemia
Obstructive jaundice
Abdominal mass or distension
Chapter 19: The acute abdomen and acute gastrointestinal haemorrhage
Disorders and diseases causing the acute abdomen
Upper gastrointestinal and hepatobiliary
Chapter 20: Gallstone diseases and related disorders
Structure and function of the biliary system
Pathophysiology of the biliary system
Investigation of gall bladder pathology
Clinical presentations of gallstone disease
Management of gallstone disease
Chapter 21: Peptic ulceration and related disorders
Pathophysiology and epidemiology of peptic disorders
Investigation and clinical features of peptic disorders
Presenting features of peptic ulcer disease
Chapter 22: Disorders of the oesophagus
Carcinoma of the oesophagus
Hiatus hernia and reflux oesophagitis
Achalasia
Pharyngeal pouch
Oesophageal webGastro-oesophageal varices
Chapter 23: Tumours of the stomach and small intestine
Carcinoma of stomach
Gastric polyps
Gastrointestinal stromal tumours (GIST)
Gastric and small bowel lymphomas
Carcinoid tumours
Other tumours of the small intestine
Chapter 24: Tumours of the pancreas and hepatobiliary system; the spleen
Carcinoma of the pancreas
Endocrine tumours of the pancreas
Biliary and periampullary tumours
Carcinoma of the gall bladder
Primary sclerosing cholangitis
Liver tumours and abscesses
The spleen
Chapter 25: Pancreatitis
Acute Pancreatitis
Recurrent and Chronic Pancreatitis
Coloproctology
Chapter 26: Appendicitis
Anatomy of the appendix
Pathophysiology of appendicitis
Clinical features of appendicitis
Making the diagnosis of appendicitis
AppendicectomyChapter 27: Colorectal polyps and carcinoma
Colorectal Polyps
Adenocarcinoma of Colon and Rectum
Stomas
Chapter 28: Chronic inflammatory disorders of the bowel
Ulcerative Colitis
Crohn's Disease
Other Chronic Inflammations of the Colon
Chapter 29: Disorders of large bowel motility, structure and perfusion
Modern diet and disease
Irritable bowel syndrome
Constipation
Sigmoid volvulus (Fig. 29.1)
Diverticular disease
Colonic angiodysplasias
Ischaemic colitis
Chapter 30: Anal and perianal disorders
Anatomy of the anal canal
Haemorrhoids
Anal fissure
Anorectal abscesses
Anal fistula
Pilonidal sinus and abscess
Rectal prolapse
Faecal incontinence (Table 30.1)
Anal warts (condylomata accuminata)
Squamous cell carcinoma of the anus
Proctalgia fugaxPruritus ani
Thoracic surgery excluding cardiac
Chapter 31: Thoracic surgery
Investigative techniques
Therapeutic procedures
Specific thoracic disorders
Groin and male genitalia
Chapter 32: Hernias and other groin problems
Lumps in the groin
Inguinal hernia
Femoral hernia
Enlarged inguinal lymph nodes
Saphena varix
Femoral artery aneurysm
Chronic groin pain
Ventral hernias
Chapter 33: Disorders of the male genitalia
Disorders of the scrotal contents
Male sterilisation
Disorders of the penis
Urology
Chapter 34: Symptoms, signs and investigation of urinary tract disorders
Symptoms of urinary tract disease
Approach to the diagnosis of urinary symptoms
Investigation of suspected urinary tract diseaseChapter 35: Disorders of the prostate
Anatomy
Benign prostatic hyperplasia
Acute urinary retention and its management
Indwelling catheters and their management
Carcinoma of the prostate
Prostatitis
Chapter 36: Tumours of the kidney and urinary tract
Renal cell carcinoma
Urothelial carcinoma (transitional cell carcinoma)
Chapter 37: Stone disease of the urinary tract
Pathophysiology of stone disease
Clinical features of stone disease
Investigation and management of suspected urinary tract stones
Management of acute ureteric colic
Long-term management of urological stone disease
Chapter 38: Uri