
Advances in Surgery 2013
Description
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Each year, Elsevier's Advances in Surgery reviews the latest techniques, data, and evidence in general surgery. A distinguished editorial board, led by Dr. John L. Cameron of Johns Hopkins, identifies current areas of major progress and controversy, and invites specialists from around the world to contribute comprehensive, detailed reviews on these topics.
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Content
- Cover image
- Title page
- Table of Contents
- Contributors
- Repair of Giant Ventral Hernias
- Key points
- Introduction
- Surgical anatomy
- Definition of giant ventral hernia
- Cause
- Classification
- Clinical presentation
- Preoperative workup
- Prosthetic material
- Operative approaches
- Component separation technique
- Endoscopic component separation
- Other surgical options
- Medialization
- Role of progressive pneumoperitoneum preceding ventral hernia repair
- Role of flaps and grafts
- Tissue expansion
- Resection of intra-abdominal viscera
- Complications of giant ventral hernia repair
- Summary
- Laparoscopic Colon Resection
- Key points
- Complex versus simple laparoscopy
- The first step: proving outcomes of laparoscopic surgery are equivalent to open surgery
- Other benefits of laparoscopy
- Assessments of nationwide trends in use
- Factors affecting use
- Current roadblocks to the widespread adoption of laparoscopic colectomy
- Controversies
- The future of laparoscopic colectomy
- Summary
- Safety of Surgical Resident Training
- Key points
- Introduction
- Safety of resident participation in surgical procedures
- Safety of resident participation in laparoscopic surgery
- Resident work restriction and safety
- Continuation of care and hand-offs
- Impact of stress on performance of residents
- Summary
- Current Management of the Zollinger-Ellison Syndrome
- Characteristics
- Gastrinoma localization
- Treatment
- What Laboratory Tests Are Required for Ambulatory Surgery?
- Current data for use of specific tests
- Factors Affecting Readmission After Pancreaticoduodenectomy
- Key points
- Introduction
- Methods
- Summary of the literature
- Summary of Central Pancreas Consortium
- Does fast tracking increase readmission rates?
- Improving outcomes
- Summary
- Should Peritoneal Lavage Be Used with Suction During Laparoscopic Appendectomy for Perforated Appendicitis?
- Key points
- Historical debate
- Basic science of irrigation
- Clinical data from open era
- Current clinical data
- Appendicitis
- Management advances and controversies
- Readmission After Abdominal Aortic Aneurysm Repair
- Key points
- Introduction
- Frequency of early readmission after AAA repair
- Reasons for readmission
- Predictors of readmission
- Consequences of readmission
- Conceptual models of readmission and efforts to prevent readmission
- Summary
- Duodenal Switch for Morbid Obesity
- Strategy 1: USC dataset
- Strategy 3: California SID: long-term outcomes and readmissions
- Discussion
- Is Propranolol of Benefit in Pediatric Burn Patients?
- Propranolol administration during acute hospitalization
- Methods
- Assessments
- What Is the Optimal Means of Staging Colon Cancer?
- Key points
- Introduction
- Historical staging
- General considerations for current staging of colon cancer
- AJCC and its limitations
- Lymph node yield for improved staging
- Lymph node ratio
- Ultrastaging
- Sentinel lymph node biopsy
- Isolated tumor cells
- Alternative models
- Summary
- The Effect of Do-Not-Resuscitate Status on Postoperative Mortality in the Elderly Following Emergency Surgery
- Key points
- Incidence of preoperative do-not-resuscitate orders among elderly emergency general surgery patients
- Characteristics of elderly emergency general surgery patients with preexisting DNR orders
- Why do elderly patients with DNR orders consent to emergency operation?
- Outcomes associated with emergency operation among elderly patients with preexisting DNR orders
- Explaining the excess mortality of elderly emergency general surgery patients with preexisting DNR orders
- Summary
- Incidental Gall Bladder Cancer
- Management
- General Surgery Residency Training Issues
- Key points
- Introduction
- Environmental and technological change in disease management
- Impact of laparoscopic surgery
- Impact of the 80-hour workweek
- Variable quality of residency programs
- Resident opinion
- American board of surgery examination performance
- Graded responsibility, autonomy, and independent functioning in residency
- Addressing the issues
- Summary
- Is the Abdominal Aortic Aneurysm Rupture Rate Decreasing?
- AAA determinants of rupture
- Stress-induced Hyperglycemia
- Hyperglycemia: impact and approach to treatment
- Improvement in the Diagnosis of Appendicitis
- Key points
- Evidence for improvement
- Strategies for improvement
- Summary
- Index
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