Textbook of Surgery
Description
The book focuses on the principles and techniques of surgical management of common diseases. Great emphasis is placed on problem-solving to guide students and junior doctors through their surgical training.
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THE EDITORS
JULIAN A. SMITH is Professor of Surgery and Head, Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Australia.
ANDREW H. KAYE is Professor of Surgery and Head, Department of Surgery, The University of Melbourne, Australia.
CHRISTOPHER CHRISTOPHI is Professor and Head of Surgery, Austin Health, The University of Melbourne, Australia.
WENDY A. BROWN is Professor of Surgery and Head, Department of Surgery, Central Clinical School, Alfred Health, Monash University, Australia.
Content
Contributors viii
Preface xiii
Acknowledgements xiv
Section 1 Principles of Surgery
1 Preoperative management 3
Julian A. Smith
2 Assessment of surgical risk 13
Benjamin N.J. Thomson
3 Anaesthesia and pain medicine 19
David Story
4 Postoperative management 25
Peter Devitt
5 Surgical techniques 35
Benjamin N.J. Thomson and David M.A. Francis
6 Management of surgical wounds 45
Rodney T. Judson
7 Nutrition and the surgical patient 49
William R.G. Perry and Andrew G. Hill
8 Care of the critically ill patient 57
Jeffrey J. Presneill, Christopher MacIsaac and John F. Cade
9 Surgical infection 65
Marcos V. Perini and Vijayaragavan Muralidharan
10 Transplantation surgery 75
Michael A. Fink
11 Principles of surgical oncology 87
G. Bruce Mann and Robert J.S. Thomas
12 Introduction to the operating theatre 93
Andrew Danks, Alan C. Saunder and Julian A. Smith
13 Emergency general surgery 109
Benjamin N.J. Thomson and Rose Shakerian
Section 2 Upper Gastrointestinal Surgery
14 Gastro-oesophageal reflux disease and hiatus hernias 115
Paul Burton and Geraldine J. Ooi
15 Tumours of the oesophagus 123
Ahmad Aly and Jonathan Foo
16 Peptic ulcer disease 133
Paul A. Cashin and S.C. Sydney Chung
17 Gastric neoplasms 143
John Spillane
18 Obesity and bariatric surgery 151
Yazmin Johari and Wendy A. Brown
Section 3 Hepatopancreaticobiliary Surgery
19 Gallstones 163
Arthur J. Richardson
20 Malignant diseases of the hepatobiliary system 173
Thomas J. Hugh and Nigel B. Jamieson
21 Liver infections 191
Vijayaragavan Muralidharan, Marcos V. Perini and Christopher Christophi
22 Pancreatitis 199
Peter S. Russell and John A. Windsor
23 Pancreatic tumours 209
David Burnett and Mehrdad Nikfarjam
24 Portal hypertension and surgery on the patient with cirrhosis 219
Michael A. Fink
Section 4 Lower Gastrointestinal Surgery
25 Principles of colorectal and small bowel surgery 229
Ian Hayes
26 Physiology of small and large bowel: alterations due to surgery and disease 237
Jacob McCormick and Ian Hayes
27 Small bowel obstruction and ischaemia 243
Ian Hayes and the late Joe J. Tjandra
28 The appendix and Meckel's diverticulum 249
Rose Shakerian and the late Joe J. Tjandra
29 Inflammatory bowel disease 255
Susan Shedda, Brit Christensen and the late Joe J. Tjandra
30 Diverticular disease of the colon 267
Ian Hastie and the late Joe J. Tjandra
31 Colorectal cancer 273
Ian T. Jones and the late Joe J. Tjandra
32 Large bowel obstruction 285
Raaj Chandra
33 Perianal disorders I: excluding sepsis 293
Ian Hayes and Susan Shedda
34 Perianal disorders II: sepsis 301
Ian Hayes and the late Joe J. Tjandra
Section 5 Breast Surgery
35 Breast assessment and benign breast disease 309
Rajiv V. Dave and G. Bruce Mann
36 Malignant breast disease and surgery 317
Rajiv V. Dave and G. Bruce Mann
Section 6 Endocrine Surgery
37 Thyroid 331
Jonathan Serpell
38 Parathyroid 339
Jonathan Serpell
39 Tumours of the adrenal gland 345
Jonathan Serpell
Section 7 Head and Neck Surgery
40 Eye injuries and infections 353
Helen V. Danesh-Meyer
41 Otorhinolaryngology 359
Stephen O'Leary and Neil Vallance
42 Tumours of the head and neck 369
Rodney T. Judson
Section 8 Hernias
43 Hernias 381
Roger Berry and David M.A. Francis
Section 9 Skin and Soft Tissues
44 Tumours and cysts of the skin 397
Rodney T. Judson
45 Soft tissue tumours 403
Peter F. Choong
46 Infection of the extremities 415
Mark W. Ashton and David M.A. Francis
47 Principles of plastic surgery 423
Mark W. Ashton
Section 10 Trauma
48 Principles of trauma management 431
Scott K. D'Amours, Stephen A. Deane and Valerie B. Malka
49 Burns 443
Ioana Tichil and Heather Cleland
Section 11 Orthopaedic Surgery
50 Fractures and dislocations 457
Peter F. Choong
51 Diseases of bone and joints 465
Peter F. Choong
Section 12 Neurosurgery
52 Head injuries 483
Andrew H. Kaye
53 Intracranial tumours, infection and aneurysms 493
Andrew H. Kaye
54 Nerve injuries, peripheral nerve entrapments and spinal cord compression 511
Andrew H. Kaye
Section 13 Vascular Surgery
55 Disorders of the arterial system 527
Raffi Qasabian and Gurfateh Singh Sandhu
56 Extracranial vascular disease 537
Raffi Qasabian and Gurfateh Singh Sandhu
57 Venous and lymphatic diseases of the limbs 545
Hani Saeed and Michael J. Grigg
58 Endovascular therapies 553
Timothy Buckenham
Section 14 Urology
59 Benign urological conditions 565
Anthony J. Costello, Daniel M. Costello and Fairleigh Reeves
60 Genitourinary oncology 577
Homayoun Zargar and Anthony J. Costello
Section 15 Cardiothoracic Surgery
61 Principles and practice of cardiac surgery 587
James Tatoulis and Julian A. Smith
62 Common topics in thoracic surgery 603
Julian A. Smith
Section 16 Problem Solving
63 Chronic constipation 617
Kurvi Patwala and Peter De Cruz
64 Faecal incontinence 625
Andrew Bui
65 Rectal bleeding 633
Adele Burgess
66 Haematemesis and melaena 637
Wendy A. Brown
67 Obstructive jaundice 643
Frederick Huynh and Val Usatoff
68 The acute abdomen, peritonitis and intra-abdominal abscesses 649
Paul Cashin, Michael Levitt and the late Joe J. Tjandra
69 Ascites 659
David A.K. Watters, Sonal Nagra and David M.A. Francis
70 Neck swellings 667
Rodney T. Judson
71 Acute airway problems 675
Stephen O'Leary
72 Dysphagia 679
Wendy A. Brown
73 Leg swelling and ulcers 685
Alan C. Saunder, Steven T.F. Chan and David M.A. Francis
74 Haematuria 693
Kenny Rao and Shomik Sengupta
75 Postoperative complications 699
Peter Devitt
76 Massive haemoptysis 707
Julian A. Smith
77 Epistaxis 711
Robert J.S. Briggs
78 Low back and leg pain 715
Jin W. Tee and Jeffrey V. Rosenfeld
79 Acute scrotal pain 727
Anthony Dat and Shomik Sengupta
80 Post-traumatic confusion 735
John Laidlaw
81 Sudden-onset severe headache 745
Alexios A. Adamides
82 The red eye 749
Christine Chen
83 Double vision 757
Christine Chen
Answers to MCQs 763
Index 767
Contributors
Alexios A. Adamides
BMedSci, BMBS, MRCS (Edin), MD, FRACS
Clinical Senior Lecturer, University of Melbourne
Neurosurgeon, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Ahmad Aly
MBBS, MS, FRACS
Clinical Associate Professor of Surgery, University of Melbourne
Head, Upper Gastrointestinal Surgery, Austin Health
Melbourne, Victoria, Australia
Mark W. Ashton
MBBS, MD, FRACS
Clinical Professor of Surgery, University of Melbourne
Plastic Surgeon, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Roger Berry
MBBS, FRACS
Senior Lecturer in Surgery, Monash University
Upper Gastrointestinal and Hepatobiliary Surgeon, Monash Health
Melbourne, Victoria, Australia
Robert J.S. Briggs
MBBS, FRACS, FACS
Clinical Professor of Surgery, University of Melbourne
Clinical Executive Director of Otolaryngology; Head, Otology and Medical Director, Cochlear Implant Clinic, Royal Victorian Eye and Ear Hospital
Melbourne, Victoria, Australia
Wendy A. Brown
MBBS (Hons), PhD, FRACS, FACS
Head, Department of Surgery (Central Clinical School, Alfred Health), Monash University
Director, Centre for Obesity Research and Education (CORE), Monash University
Melbourne, Victoria, Australia
Timothy Buckenham
MBChB, FRANZCR, FRCR, FCIRSE, EBIR
Professor of Vascular Imaging and Intervention, Monash University
Head, Vascular Services, Department of Imaging, Monash Health
Melbourne, Victoria, Australia
Andrew Bui
MBBS, MSc, FRACS
Lecturer in Surgery, University of Melbourne
Colorectal Surgeon, Austin Health
Melbourne, Victoria, Australia
Adele Burgess
BMedSci (Hons), MBBS, FRACS
Senior Lecturer in Surgery, University of Melbourne
Head, Colorectal Surgery, Austin Health
Melbourne, Victoria, Australia
David Burnett
BSc, MBBS, FRACS
Hepatopancreaticobiliary SurgeonJohn Hunter Hospital
Newcastle, New South Wales, Australia
Paul Burton
MBBS(Hons), PhD, FRACS
Senior Lecturer in Surgery, Monash University
Upper Gastrointestinal Surgeon, Alfred Health
Melbourne, Victoria, Australia
John F. Cade AM
MD, PhD, FRACP, FANZCA, FCICM
Professorial Fellow, Department of Medicine, University of Melbourne
Emeritus Consultant in Intensive Care, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Paul A. Cashin
MBBS, FRACS
Clinical Associate Professor of Surgery, Monash University
Director of General Surgery, Monash Health
Melbourne, Victoria, Australia
Steven T.F. Chan
MBBS, PhD, FRACS
Professor of Surgery, University of Melbourne
Upper Gastrointestinal Surgeon, Western Health
Melbourne, Victoria, Australia
Raaj Chandra
MBBS, BMed Sci, MEd, FRACS
Adjunct Senior Lecturer in Surgery, Monash University
Colorectal Surgeon, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Christine Chen
MBBS, PhD, FRANZCO
Clinical Associate Professor of Surgery, Monash University
Head, Department of Ophthalmology, Monash Health
Melbourne, Victoria, Australia
Peter F. Choong
MBBS, MD, FRACS, FAOrthA, FAAHMS
Professor of Surgery, University of Melbourne
Director of Orthopaedics, St. Vincent's Hospital
Chair, Bone and Soft Tissue Sarcoma Service Peter MacCallum Cancer Centre
Melbourne, Victoria, Australia
Britt Christensen
BSc, MBBS(Hons), MPH, FRACP
Head, Inflammatory Bowel Disease Unit, Department of Gastroenterology, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Christopher Christophi AM
MBBS (Hons), MD, FRACS, FRCS, FACS
Head of Surgery (Austin Health), University of Melbourne
Melbourne, Victoria, Australia
S.C. Sydney Chung
MD, FRCS (Edin), FRCP (Edin)
Formerly Dean, Faculty of Medicine, Chinese University of Hong Kong
Senior Consultant in Surgery, Union Hospital
Hong Kong
Heather Cleland
MBBS, FRACS
Director, Victorian Adult Burns Service and Plastic Surgeon, Alfred Health
Melbourne, Victoria, Australia
Anthony J. Costello AM
MBBS, MD, FRACS, FRCSI (Hon)
Professorial Fellow, University of Melbourne
Head, Department of Urology, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Daniel M. Costello
MBBS, DipSurgAnat
Surgical Resident, St. Vincent's Hospital
Melbourne, Victoria, Australia
Scott K. D'Amours
BSc, MDCM, FRCSC, FRACS, FRCS(Glasg), FACS
Conjoint Senior Lecturer in Surgery, University of New South Wales
Director, Department of Trauma Services, Liverpool Hospital
Sydney, New South Wales, Australia
Helen V. Danesh-Meyer
MBChB, MD, PhD, FRANZCO
Professor of Ophthalmology, School of Medicine, University of Auckland
Auckland, New Zealand
Andrew Danks
MBBS, MD, FRACS
Associate Professor of Surgery, Monash University
Head, Department of Neurosurgery, Monash Health
Melbourne, Victoria, Australia
Anthony Dat
MBBS, MS
Urology Registrar, Eastern Health
Melbourne, Victoria, Australia
Rajiv V. Dave
MBChB, FRCSEd, MD, BSc(Hons)
Fellow in Oncoplastic Breast and Endocrine Surgery, Royal Melbourne Hospital
Melbourne, Victoria, Australia
The Nightingale Centre, Manchester University NHS Foundation Trust
Manchester, UK
Stephen A. Deane AM
MBBS, FRACS, FACS, FRCSC, FRCSEd (ad hom), FRCSThailand (Hon)
Associate Dean, Clinical Partnerships, Macquarie University, Sydney
Conjoint Professor of Surgery, University of Newcastle
Honorary Consultant Surgeon, Hunter and New England Local Health District
New South Wales, Australia
Peter De Cruz
MBBS, PhD, FRACP
Senior Lecturer in Medicine, University of Melbourne
Gastroenterologist and Director, Inflammatory Bowel Disease Service, Austin Health
Melbourne, Victoria, Australia
Peter Devitt
MBBS, MS, FRCS, FRACS
Associate Professor of Surgery, University of Adelaide
General and Upper Gastrointestinal Surgeon, Royal Adelaide Hospital
Adelaide, South Australia, Australia
Michael A. Fink
MBBS, MD, FRACS
Senior Lecturer in Surgery, University of Melbourne
Hepatopancreatobiliary and Liver Transplant Surgeon, Austin Health
Melbourne, Victoria, Australia
Jonathan Foo
MBChB, DipGrad(Arts), PhD, FRACS
Upper Gastrointestinal Surgery Fellow, Austin Health
Melbourne, Victoria, Australia
David M.A. Francis
BSc (Med Sci), MS, MD, PhD (Arts), FRCS (Eng), FRCS (Edin), FRACS
Renal Transplant Surgeon, Department of Urology, Royal Children's Hospital, Melbourne, Victoria, Australia
Visiting Professor of Surgery and Renal Transplant Surgeon, Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Michael J. Grigg
AM, MBBS, FRACS
Professor of Surgery, Monash University
Director of Surgery, Eastern Health
Melbourne, Victoria, Australia
Ian Hastie
MBBS, FRACS
Senior Lecturer in Surgery, University of Melbourne
Colorectal Surgeon, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Ian Hayes
MBBS, MS, MEpi, FRCS(Gen Surg), FRACS
Clinical Associate Professor of Surgery, University of Melbourne
Head, Colorectal Surgery Unit, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Andrew G. Hill
MBChB, MD, EdD, FRACS, FACS
Professor of Surgery, University of Auckland
Colorectal Surgeon, Middlemore Hospital
Auckland, New Zealand
Thomas J. Hugh
MD, FRACS
Professor of Surgery, University of Sydney
Head, Upper Gastrointestinal Surgery Unit, Royal North Shore Hospital
Sydney, New South Wales, Australia
Frederick Huynh
BSc(Hons), MBBS(Hons), FRACS
ANZHPBA Fellow, Alfred Health
Melbourne, Victoria, Australia
Nigel B. Jamieson
MBChB, BSc(Hons), FRCS, PhD
Lecturer in Surgery and Cancer Research UK Clinician Scientist, University of Glasgow
Honorary Consultant in HPB Surgery, Glasgow Royal Infirmary
Glasgow, UK
Yazmin Johari
MBBS(Hons)
General Surgery Registrar, Alfred Health
Melbourne, Victoria, Australia
Ian T. Jones
MBBS, FRCS, FRACS, FASCRS
Clinical Professor of Surgery, University of Melbourne
Colorectal Surgeon, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Rodney T. Judson
MBBS, FRACS, FRCS
Associate Professor of Surgery, University of Melbourne
Head of Trauma Service, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Andrew H. Kaye AM
MBBS, MD, FRACS
Head, Department of Surgery, University of Melbourne
Neurosurgeon, Royal Melbourne Hospital
Melbourne, Victoria, Australia
John Laidlaw
MBBS, FRACS
Clinical Associate Professor of Surgery, University of Melbourne
Neurosurgeon, Royal Melbourne Hospital
Melbourne, Victoria, Australia
Michael Levitt
MBBS, FRACS
Colorectal Surgeon, St. John of God Healthcare, Subiaco
Perth, Western Australia, Australia
Jacob McCormick
BMedSci, MBBS, FRACS
Colorectal Surgeon, Royal Melbourne Hospital and Peter MacCallum Cancer Centre
Melbourne, Victoria, Australia
Christopher MacIsaac
MBBS (Hons), PhD, FRACP, FCICM
Associate Professor in Medicine
Director, Intensive Care...
