Designed to sharpen the decision-making skills of both trainees and practicing surgeons, the 6th Edition directs your focus to the critical decision points in a wide range of clinical scenarios, helping you determine optimal evaluation and ...
Author: Robert C. McIntyre
Publisher: Elsevier Health Sciences
Using a proven, practical, algorithmic approach, Surgical Decision Making summarizes evidence-based guidelines and practice protocols in an easy-to-follow format. Designed to sharpen the decision-making skills of both trainees and practicing surgeons, the 6th Edition directs your focus to the critical decision points in a wide range of clinical scenarios, helping you determine optimal evaluation and management to secure the best possible patient outcomes. Algorithms are accompanied by annotations that explain all critical factors affecting decisions in a concise, readable manner. Reflects the scope of practice of today’s general surgeon, with fresh, expert perspectives from new editor Dr. Richard Schulick and numerous new contributors. Contains 58 new chapters and thoroughly revised content throughout. Includes new coverage of Preoperative Evaluation of the Geriatric Patient, Pancreatic Cystic Neoplasm, Familial Breast Cancer, Resuscitative Endovascular Balloon Occlusion of the Aorta, Blunt Cerebrovascular Injury, and much more. Uses an easy-to-follow, consistent format, with an algorithm on one page and short descriptions explaining the various steps in the decision-making process on the opposite page. Includes explanatory notes that summarize presenting signs and symptoms, laboratory investigation, diagnostic modalities, surgical therapies, and adjuvant therapies for each condition. Encompasses both general surgery and surgical subspecialties―helping you directly manage a broad range of problems. Emphasizes information that frequently appears on board exams.
Clear algorithms and concise accompanying explanations offer a quick and efficient way to review the key issues and make effective clinical decisions. 34 of the topics in this 5th Edition are either entirely new or have been completely ...
Author: Robert C. McIntyre
Publisher: W B Saunders Company
The thoroughly updated New Edition of this best-selling resource uses an algorithmic approach to facilitate the evaluation and management of 162 common surgical problems. Clear algorithms and concise accompanying explanations offer a quick and efficient way to review the key issues and make effective clinical decisions. 34 of the topics in this 5th Edition are either entirely new or have been completely rewritten, to reflect the latest developments in the field. Encompasses both general surgery and surgical subspecialtieshelping readers to directly manage a broad range of problems, rather than referring them to specialists. Emphasizes information that frequently appears on board exams. Offers brand-new coverage of special issues in geriatric surgery Â· issues in surgical patients with HIV Â· obesity surgery Â· groin hernia Â· deep vein thrombosis Â· organ donation Â· blunt abdominal pediatric trauma Â· inguinal and scrotal conditions in children Â· anal fissure Â· and much more. Presents greatly expanded information on acute myocardial infarction and angina. Features completely new sections on Head & Neck and Trauma, collecting all of the topics relevant to these subspecialties together for greater ease of reference. Includes contributions from a new EditorRobert C. McIntyre, MDas well as many new authors, to ensure that the book covers the material that surgeons need to know today. With 150 contributing experts
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 ...
Author: Kimberly A. Davis
Unique book provides comprehensive discussion of MIS versus traditional techniques in modern 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 The quintessential resource on contemporary Acute Care Surgery practice, this is a must-read for residents, junior faculty, and practicing surgeons in this discipline.
They will need to learn the basic surgical and other major decision-making in
managing our oldest population. While there are other books in the field, this is a
unique book that will deal with surgical decision-making and other elements in ...
Author: Rifat Latifi
Publisher: Springer Nature
This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.
This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process.
Author: Rifat Latifi
This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process. These include patient’s anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's own physiologic and mental status, training and experience, and many other factors such as creativity, leadership skills, and overall "biochemistry" of the environment. The text reviews theoretical as well as objective information that surgeons use to make intraoperative decisions in situations, often with very limited data; decisions that will decide between a patient's living or dying, such as in trauma surgery and other complex surgeries. How surgeons choose one technical approach over another in these situations is covered. This book fills a critical need for resource materials on these topics and includes both theoretical as well as practical presentations of many typical patients seen in operating rooms around the world. Surgical Decision Making: Beyond the Evidence Based Surgery is written by academic and clinical practicing surgeons that face intraoperative decision situations on a daily basis and therefore provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical or research practice.
Purpose: The aim of this study was to explore the perceived difficulties in surgical decision making and related factors among elective surgical patients. Methods: This was a cross-sectional correlational study.
ABSTRACT: Background: Respect for the autonomy of patients is essential in life-threatening medical decisions such as surgery. Even if a patient has the competency to make decisions, many obstacles exist that may influence his or her willingness to participate in the surgical decision-making process. Purpose: The aim of this study was to explore the perceived difficulties in surgical decision making and related factors among elective surgical patients. Methods: This was a cross-sectional correlational study. A convenience sampling method was used to recruit patients from a medical center in southern Taiwan. Patients who had received elective surgery, were older than 20 years old, and were competent to make medical decisions were invited to participate. A structured questionnaire was developed by the researchers to collect demographic data, decision patterns, and perceived difficulties in surgical decision making. Acceptable validity and reliability of the questionnaire were confirmed before data collection. Results: Over 80% of the participants made the surgical decision by themselves or in collaboration with their family or physician. Less than 15% expected to make the surgical decision by themselves. Illness-related suffering was the greatest difficulty that participants faced. The patients who tended toward passive decision making faced greater difficulties in the dimensions of "do not understand information, " "physician's lack of concern, " and "difficulty in freely communicating with the physician" than their active decision-making peers. Male participants reported having more difficulty in communicating with their physician than their female peers. Age, education, and marital status were not significantly associated with perceived difficulties in surgical decision making. Conclusions: Family participation in the medical decision-making process is expected by most patients. Although less than 20% of the participants in this study were categorized as passive decision makers, this group reported more difficulties than the active decision-making group. Healthcare professionals should be more active in communicating with patients who are largely silent during the decision-making process to elicit their preferences and needs with regard to surgical decisions.
This book will be particularly useful for senior surgical residents and recent graduates as they prepare for the American Board of Surgery oral examination.
Author: Justin B. Dimick
Publisher: Lippincott Williams & Wilkins
Clinical Scenarios in Surgery: Decision Making and Operative Technique presents 125 cases in all areas of general surgery: GI, breast, hepatobiliary, colorectal, cardiothoracic, endocrine, vascular, trauma, pediatric, critical care, and transplant. Each full-color case begins with a patient presentation and proceeds through differential diagnosis, diagnosis and treatment, surgical procedures, postoperative management, and a case conclusion. Each case includes key technical steps, potential pitfalls, take-home points, and suggested readings. The patient stories in these clinical scenarios provide context to faciliate learning the principles of safe surgical care. This book will be particularly useful for senior surgical residents and recent graduates as they prepare for the American Board of Surgery oral examination.
"Using a highly readable, case-based format, Clinical Scenarios in Surgery: Decision Making and Operative Technique, Second Edition, presents more than 130 cases that take readers step by step through the principles of safe surgical care.
Author: Justin B. Dimick
"Using a highly readable, case-based format, Clinical Scenarios in Surgery: Decision Making and Operative Technique, Second Edition, presents more than 130 cases that take readers step by step through the principles of safe surgical care. Ideal for senior surgical residents who are preparing for the oral boards, this updated resource presents today's standards of care in all areas of general surgery, including abdominal wall, upper GI, emergency general surgery, hepatobiliary, colorectal, breast, endocrine, thoracic, vascular, pediatric, skin and soft tissue, trauma, critical care, transplant, and head and neck surgeries"--Provided by publisher.
Filled with clear, easy-to-follow decision trees for 75 common scenarios in vascular surgery, this resource presents helpful explanatory text and current references for every step of each algorithm.
Author: Jack L. Cronenwett
Filled with clear, easy-to-follow decision trees for 75 common scenarios in vascular surgery, this resource presents helpful explanatory text and current references for every step of each algorithm. This practical approach highlights the key decision points in vascular surgery practice and considers their applications to individual patients. Both experienced practitioners and trainees in vascular surgery will find this title extremely useful for comparing their management strategies with experts in the field. Provides the basis for systematic, step-by-step clinical management Written and edited by top authorities Thorough reference to provide validation of recommendations Logical, concise flow diagrams make complex decisions easier to understand and implement in practice An excellent quick reference for clinicians who desire current, expert opinions on specific clinical scenarios, as well as a useful review tool for exam preparation Larger clinical areas are broken down into several separate algorithms, covering different aspects of diagnosis or treatment, or significantly different scenarios requiring different approaches Algorithms can serve as the basis for clinical pathways and other approaches to cost-effective management
This book will help guide decision-making in surgery using biologic and surgical principles to assist the planning and execution of surgery with available resources.
Author: Richard W. Kruse
Osteogenesis imperfecta (OI), also known as brittle bone disease, is a genetic disease involving primarily the skeleton but affecting all organ systems. It is an extremely multifarious condition causing frequent fractures and limb and spinal deformity, which can often be severe. While there are described surgical procedures to treat these patients, due to the variety of the deformities and the fragility of the bone, the orthopaedic surgeon is often forced to adapt or modify a plan during an operation to achieve success. Surgical experience with the disease worldwide is often limited and variable, and due to constraints on medical equipment and surgical implants in resource-constrained countries, alternate methods of achieving the similar surgical endpoints are possible. This book will help guide decision-making in surgery using biologic and surgical principles to assist the planning and execution of surgery with available resources. It will then provide the surgeon with background knowledge of the genetic, medical and surgical principles necessary to formulate a comprehensive treatment plan, illustrated by varied and complex patient cases from experienced surgeons and clinicians worldwide. Beginning with an introduction to osteogenesis imperfecta and the general care of the patient, the book is divided into thematic sections covering general surgical considerations, principles of extremity surgery, and surgical cases on the pelvis, upper and lower extremities, and the spine, it will incorporate aspects of surgical decision-making, including cultural and geographic factors, to give a truly global perspective on the care of these complex patients.
Presented in an algorithmic approach, this book is a practical guide to thoracic surgery. Beginning with discussion on preoperative physical examination, the following sections cover surgery for different regions of the thoracic system, based on step by step evaluation of patient history, physical examination, investigation and diagnosis, leading to a decision on the appropriate surgical procedure. The text covers the chest wall, pleura, mediastinum, trachea, lung, and oesophagus, with a final section on lung donation and transplantation. Authored by recognised, US-based experts from Loyola University Health System, Maywood, IL and Mayo Clinic, Jacksonville, FL, the text is further enhanced by clinical photographs, diagrams and tables. Key points Practical guide to decision making in thoracic surgery Presented in a step by step, algorithmic approach Includes section on lung transplantation Recognised, US-based author team
Author: Subhasis Roy ChoudhuryPublish On: 2018-03-01
This book covers all the common surgical diseases affecting children, reflecting the latest available information. In addition, it discusses recent advances in pediatric surgery, including fetal interventions and minimally invasive surgery.
Author: Subhasis Roy Choudhury
This book covers all the common surgical diseases affecting children, reflecting the latest available information. In addition, it discusses recent advances in pediatric surgery, including fetal interventions and minimally invasive surgery. The text is presented in a concise and reader-friendly style and complemented by numerous photographs and illustrations to aid in comprehension. Each chapter is structured in a systematic uniform pattern, examining the embryology, incidence, and approach to diagnosis and management, along with flow charts and algorithms where appropriate. The book is primarily intended for fellows-in-training and surgeons in pediatric surgery and pediatric specialties. In addition to familiarizing readers with common pediatric surgical conditions and helping them plan simple approaches to their management, it also offers an essential on-the-go guide.
The text is formatted as both a “how-to” manual as well as an algorithm-based guide allowing the reader to understand the thought process behind the proposed treatment strategies.
Author: Scott R. Steele
Publisher: Springer Science & Business Media
Complexities in Colorectal Surgery: Decision-Making and Management provides a unique, modern, practical guide that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert Colorectal Surgeons caring for patients with complex problems—whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The text is formatted as both a “how-to” manual as well as an algorithm-based guide allowing the reader to understand the thought process behind the proposed treatment strategies. By making use of evidence-based recommendations, each chapter will include not only diagnostic and therapeutic guidelines, but also a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. This test includes chapters on the assessment of risk and nutritional intervention methods utilized to minimize perioperative complications. In addition, sections on medical and surgical therapies for abdominal, pelvic and anorectal disease are incorporated. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is to provide pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. The text also goes beyond the technical aspects of Colorectal Surgery and includes special sections highlighting the essence of a surgeon. These include chapters describing the importance of the first encounter, building patient rapport, and demonstrating confidence and competence while showing humility and avoiding arrogance. Additionally, aspects involving the medical-legal, ethical, and economic challenges confronting surgeons are covered.
This book describes the recommended ideal approach, rather than customary care, in selected clinical situations. Brief chapters are devoted to a specific question or decision in general thoracic surgery that is difficult or controversial.
Author: Mark K. Ferguson
Publisher: Springer Science & Business Media
This book describes the recommended ideal approach, rather than customary care, in selected clinical situations. Brief chapters are devoted to a specific question or decision in general thoracic surgery that is difficult or controversial. The chapters contain both evidence-based recommendations and descriptions of surgeons’ personal practices. Chapters are organized around clearly identified recommendations, making possible the identification of useful material at a glance. Over 50 different topics are presented. This book is a valuable reference source for practicing surgeons, surgeons in training, and educators.
This second edition is an all-inclusive textbook with a unique algorithm-based approach to the evaluation and management of colorectal surgery disease.
Author: Scott R. Steele
This second edition is an all-inclusive textbook with a unique algorithm-based approach to the evaluation and management of colorectal surgery disease. It examines the thought processes, technical tricks, and decision-making strategies for specific clinical situations. The book aims to utilise the experience its contributors have gained caring for patients with a wide range of colorectal diseases. The technical challenges of managing complex patients and the technical details that make these situations challenging are covered, and evidence and experience-based solutions are offered for surgeons of all levels. This book focuses on providing pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through an algorithmic approach.
Abstract: In industrialized countries, more than two thirds of the population suffers from low back pain (LBP) in their lifetime. LBP associated with lumbar disc herniation, stenosis, and instability is a well-known and documented entity.
Abstract: In industrialized countries, more than two thirds of the population suffers from low back pain (LBP) in their lifetime. LBP associated with lumbar disc herniation, stenosis, and instability is a well-known and documented entity. On the other hand, the lumbar discogenic pain and facet syndrome are difficult to be clearly identified, and they are not always detectable by imaging. This article describes the causes of these painful syndromes, which are typically without radicular component, explains the modern diagnostic procedures, and provides guidelines for surgical decision making.
-- Provides a single, rapid-access source for information on surgical conditions for the busy clinician -- Organized by chief complaint with guidelines regarding the need and urgency for surgical consultation -- Provides concise surgical ...
Author: Robert A. Kozol
Publisher: F A Davis Company
-- Provides a single, rapid-access source for information on surgical conditions for the busy clinician -- Organized by chief complaint with guidelines regarding the need and urgency for surgical consultation -- Provides concise surgical information within the context of a medical problem that could turn surgical -- Rapid access to information by disease or diagnosis (if known) is available in the index -- Most chapters are coauthored by a surgeon and a primary care physician, both with extensive experience in the care of patients with the specified disorders
The two groups did not significantly differ in age or education. The mean transformed 9SDMQ scores for the groups of non-surgical disorders and surgical disorders were 58.10 (SD=8.54) and 68.74 (SD=17.83), respectively.
IntroductionDuring a pilot cross-sectional study, the 9- Item Shared Decision Making Questionnaire (9SDMQ), which measures the participation of patients in medical decisions, and the 8-Item Client Satisfaction Questionnaire (8CSQ), which measures satisfaction from services, is being administered in two groups of patients, one (N=60) suffering from surgical diseases and one (N=60) from non-surgical diseases. ObjectivesWe present preliminary findings based on the recruitment of the first 35 patients. MethodsThe primary outcome is the difference on the 9SDMQ scores (transformed in a 1-100% scale) in patients suffering from surgical versus non-surgical disorders. One of the secondary outcomes is the correlation of 9SDMQ with 8CSQ scores.ResultsA total of 35 patients (20 patients with non-surgical disorders and 15 with surgical disorders) with a mean age of 51.51 years (range: 15-87 years, SD= 20.55 years) were recruited. The two groups did not significantly differ in age or education. The mean transformed 9SDMQ scores for the groups of non-surgical disorders and surgical disorders were 58.10 (SD=8.54) and 68.74 (SD=17.83), respectively. The difference in the mean 9SDMQ scores between the groups was significant (t=-2.34, df=33, p=0.025). The group of surgical disorders also scored better on the 8CSQ (mean=24.65, SD=3.1 versus mean=27, SD=2.85, t=-2.295, df=33, p=0.028). The transformed 9SDMQ scores and the 8CSQ scores were significantly correlated (Pearson r=0.444, p=0.008).ConclusionsPatients with surgical disorders participate more on medical decisions compared with those with non-surgical medical disorders. Higher participation in shared decision making is associated with higher satisfaction from health services.
Focusing on reestablishing masticatory function and the best options for improving esthetics, the book provides a full understanding of all aspects of implant dentistry.
Author: Mauro Tosta
Publisher: John Wiley & Sons
Decision Making in Dental Implantology: Atlas of Surgical and Restorative Approaches offers an image-based resource to both the surgical and restorative aspects of implant therapy, presenting more than 2,000 color images with an innovative case-by-case approach. Takes a highly pictorial approach to all aspects of implant dentistry Discusses both the surgical and restorative aspects of implant therapy in a single resource Describes a wide range of clinical scenarios likely to be encountered in daily practice Covers anterior, posterior, and full-mouth restorations Presents more than 2,000 color images showing the basic concepts and clinical cases