This book is a tribute to early pioneers and later innovators in applications of surgical principles for biliary stone disease. It is written as a challenge to all surgeons applying these principles to approach the biliary system with the safest and most appropriate technical support. This book is also written as a challenge to all those involved in the training of future generations of surgeons in the hope that critical standards in biliary surgical management will be promulgated and highlighted. The text contains knowledge from surgical leaders who played a vital part in the modern management of biliary stone disease. These contributions include their perceptions, wisdom and recommendations for the future. In doing so, the authors aim to discover ways to make the surgical management of biliary stone disease even better. This volume, thoughtfully curated by two eminent surgical scholars, provides perhaps the most complete history of the field. Dr. Berci and Dr. Greene enlisted a remarkable panel of distinguished colleagues from around the world to discuss every important element of surgical practice. These elements include: The resourcefulness of developing novel optics and instruments on “the fly”, the integration of new imaging capabilities into pre-operative assessments and intraoperative management, the challenge of educating prideful senior surgeons who were ill at ease with the distance imposed by a laparoscope, and the introduction of progressively more elegant ex vivo modules to train inexperienced juniors with limited open operative experience. Finally, it also discusses the never-ending task of ensuring the safety of one of the most common operations performed in the world, yet one with a persistent, if small, risk of life altering injury to the biliary ducts. No Stones Left Unturned aims to build on a classic surgical text and then discusses the issues faced by surgeons performing biliary surgery in the modern era. It serves as a valuable resource for surgeons, practicing clinicians, surgical residents, and fellows that wish to apply this knowledge and improve upon the current standards of biliary surgical management.
2. Stone extraction via the T-tube 89 3. Endoscopic method 89 4. Preparation for stone extraction 90 5. Technique 90 6. Results 91 7. Complications 91 8. Discussion 91 Index of Subjects 99 CHAPTER 1 INTRODUCTION This book was conceived as a descriptive atlas of most reliable indication for common bile duct ex routine biliary surgery i. e. , cholecystectomy and ploration. The cholangioscope allows a visual ex exploration of the common bile duct. For the pro ploration of the biliary tree and permits the re ject the two authors worked together for one week moval of common bile duct calculi and other as biopsy under direct visual con at Ninewells Hospital and Medical School, Dundee procedures such on a series of patients with biliary tract disease trol. Both procedures have been described in detail especially selected for the exercise. With the con with emphasis on the practical aspects of their use. sent of the Tayside Health Board and the patients The era of blind bilary surgery is over and the concerned, all the operations and peri-operative sooner this message is received by all concerned, procedures were filmed by the photographic mem the better the outcome of biliary surgical practice bers of the team, Mr. and Mrs. Paz-Partlow. Ad overall. ditional case material has been obtained from It has not been our intention to produce a com Cedars Sinai Medical Center, Los Angeles.
Significant changes in surgical training have occurred over the past decade, with the inevitable progress towards specialization in the various surgical specialties. The current edition of Essential Surgical Practice: Higher Surgical Training in General Surgery reflects these latest developments with a new structure that accurately mirrors current surgical training. This new edition excludes surgical specialties that are distinct from general surgery, allowing an increased focus on topics of direct relevance to trainees in higher surgical training. Over 31 chapters, the book provides detailed information on those specialties of which the general surgeon is required to have a working knowledge, and highlights core information for revision and quick reference. Topics include: Surgical biology and pathology Surgical craft approaches and technologies Perioperative care Cardiovascular, pulmonary and renal pathophysiology Surgical infections Interventional radiology Trauma and head injuries Disorders of the thyroid and adrenal glands Disorders of the stomach, liver, spleen, colon and pancreas Bariatric surgery This book can be used with confidence by those enrolled in local courses and is also consistent with the scope and level of information required for international postgraduate examinations, such as the Joint Surgical Colleges’ Fellowship Examination. To enhance the book’s utility, the print edition includes complimentary access to a VitalSource ebook online and offline on your PC or Mac, iPhone®/iPod Touch®/ iPad®, Kindle Fire or AndroidTM device.
The Rivals and Polly Honeycombe revolve around young women who wish the world would conform to novelistic convention. Unlike most eighteenth-century heroines keen on novel reading, however, Lydia Languish and Polly Honeycombe are neither deluded nor in any real danger. Rather, they inhabit a world in which everyone is engaged in some sort of quixotic performance; the more appealing characters are just willing to admit it. Both farcical and wise, these plays teasingly celebrate the perennial appeal of fiction, while never letting us forget how much it relies upon the everyday rituals of performance. The introduction to this Broadview edition explores the interrelations between print and performance in the eighteenth century, including a detailed and well-illustrated account of what it was like to go to the theater. Appendices include material on the original casts, the often dubious reputation of novel reading and circulating libraries, Sheridan’s high-profile elopement with Elizabeth Linley (which made him a celebrity before he ever staged a word), and the narrative possibilities conjured up by setting The Rivals in the resort city of Bath.
Written by international experts in a style that's concise, practical and to the point, Airway Management in Emergencies covers all the options -- both medical and surgical -- for managing any patient's airway in an emergency. Here, you'll find the core knowledge and accompanying management protocols necessary to assess, oxygenate, intubate, and monitor patients requiring emergency airway management. In each chapter, this high-yield coverage is supported by evidence-based algorithms, synoptic tips, and real-world case studies that show you how to resolve any difficult airway scenario you would likely encounter in clinical practice.
Hunangofiant y prifardd o sir Benfro, Eirwyn George. Cyfrol hwyliog a difyr yn olrhain hanes y gAur diwylliedig a hynaws a fu'n driw i'w fro enedigol yng ngogledd sir Benfro.
Learn the clinical skills necessary to treat any emergency airway problem Written by international experts in a style that's concise, practical and to the point, Airway Management in Emergencies covers all the options -- both medical and surgical -- for managing any patient's airway in an emergency. Here, you'll find the core knowledge and accompanying management protocols necessary to assess, oxygenate, intubate, and monitor patients requiring emergency airway management. In each chapter, this high-yield coverage is supported by evidence-based algorithms, synoptic tips, and real-world case studies that show you how to resolve any difficult airway scenario you would likely encounter in clinical practice. Features: Highlighted key points in each chapter Skill-sharpening review of “core knowledge” More than 100 figures that include a combination of original art work, fluoroscopy and Airwaycam® images. A practical overview of both established and newer emergency airway equipment Far-reaching coverage addressing both the anticipated and unanticipated difficult airway, the uncooperative patient, and the "failed" airway. Chapters on treating a range of patient populations and clinical presentations, including an approach to the pediatric, the elderly, and the critically ill patient Perspectives on when and how to perform both "awake" and rapid sequence intubations and effectively administer post-intubation care A closing chapter on the interrelationship between human performance and patient safety -- and how to optimize both in caring for patients requiring acute airway management
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