Principles And Practice Of Surgery

Two new chapters have rationalised and amalgamated information on the Metabolic response to injury and Ethics and pre-operative considerations to avoid repetition. Throughout the text has been altered to reflect changes in understanding, evidence and practice, and to keep the contents in line with undergraduate and postgraduate surgical curricula A substantial number of new illustrations have been added to give better consistency and improved image quality. The evidence-based revision boxes that focus on major international guidelines have been thoroughly updated. if (window['_OC_autoDir']) {_OC_autoDir('search_form_input');}Preview this book » What people are saying - Write a reviewReviews aren't verified, but Google checks for and removes fake content when it's identifiedUser Review - Flag as inappropriatedear editors thanks for this standaed books(tool) as it is apriciateable, so how can i get access to the copywright of the whole book for my own

The most striking feature of this impressive book is the very large number of images reproduced from the historical collections of the Wellcome Library. Every page is filled with vivid illustrations of surgical instruments and every conceivable surgical procedure, including many that readers may find difficult to imagine. Barnett provides an informative and engaging account of the emergence of the surgery that is recognized today. Highly recommended.

Lacrimal disorders are one of the very common conditions encountered not only by the oculoplastic surgeons but also by the general ophthalmologists in their daily practice. Written by global experts in the field of dacyrology, this book is a comprehensive, updated practical guide on evaluation and management of patients with lacrimal diseases. This up-to-date reference work covers all aspects of the field including the basic anatomy and underlying pathology, evaluation of a patient, and all surgical procedures currently used in managing various disorders in an organized fashion. Surgical modalities including the endoscopic approaches are thoroughly and succinctly reviewed with ample illustrations for better understanding. Since familiarity with a surgical technique is incomplete without the knowledge of risk factors and red flags, an emphasis on dealing with surgical complications and failure has received priority in this treatise. Controversial topics and treatment dilemmas have been discussed in detail with the objective of reviewing the present consensus among the experts.

Copyright: © 2017 Al-Himdani, Jessop, Al-Sabah, Combellack, Ibrahim, Doak, Hart, Archer, Thornton and Whitaker. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

A thorough knowledge of the principles of antibiotic stewardship is a crucial part of high-quality orthopaedic surgical care. These principles include (1) determining appropriate indications for antibiotic administration, (2) choosing the correct antibiotic based on known or expected pathogens, (3) determining the correct dosage, and (4) determining the appropriate duration of treatment. Antibiotic stewardship programs have a multidisciplinary staff that can help guide antibiotic selection and dosage. These programs also perform active surveillance of antimicrobial use and may reduce Clostridium difficile and other drug-resistant bacterial infections by providing expert guidance on judicious antibiotic usage. The emergence of antibiotic-resistant pathogens, the geographical diversity of these infecting pathogens, and the changing patient population require customization of prophylactic regimens to reduce infectious complications. A multidisciplinary approach to antibiotic stewardship can lead to improved patient outcomes and cost-effective medical care.

The book takes a succinct and practical approach to the understanding of surgical disease and care of the surgical patient. It offers comprehensive coverage of the key surgical specialties and includes emerging issues around patient safety and the critical importance of clinical human factors in surgical practice.

Founded to provide opportunities for the continuing education of surgeons, the American College of Surgeons has had a deep and effective concern for the improvement of patient care and for the ethical practice of medicine. The ethical practice of medicine establishes and ensures an environment in which all individuals are treated with respect and tolerance. Discrimination or harassment on the basis of age, sexual preference, gender, race, disease, disability, or religion, are proscribed as being inconsistent with the ideals and principles of the American College of Surgeons.

Applicants for Fellowship are evaluated for professional conduct, established reputation, and ethical standing. At the organizational meeting of the College in 1913, the assemblage strongly endorsed a resolution that Fellows of the College must practice in strict honesty and must avoid any and all forms of fee splitting. Since then, applicants have been denied Fellowship because of unacceptable financial practices or other unethical behavior. Furthermore, Fellows have been disciplined or expelled for violation of the Fellowship Pledge and the Bylaws of the College.

As Fellows of the American College of Surgeons, we treasure the trust that our patients have placed in us because trust is integral to the practice of surgery. During the continuum of pre-, intra-, and postoperative care, we accept the following responsibilities:

In those instances in which no appropriately trained surgeon is available to perform a necessary procedure, it may be necessary for the surgeon to engage in practice outside of his or her specialty limits. Appropriate consultation and/or assistance should be obtained whenever possible. These decisions must be dictated by what is in the best interests of the patient.

The medical staff and the governing body of hospitals should periodically review the quality, number, and variety of surgical procedures being performed, as well as the surgical referral policies of the staff, to ensure that the practice pattern of the community does not discourage properly trained and qualified surgeons from applying for staff membership. Performance of surgical procedures by those individual who are lacking the proper training should not be a frequent or continuing practice.

The surgical team involved in an operation is dependent on the type of facility where the operation is performed and on the complexity of the surgical procedure. At a freestanding outpatient surgery center, many procedures are performed solely by the primary attending surgeon with no assistant. In contrast, a complex procedure at an academic medical center may involve multiple qualified medical providers in addition to the primary attending surgeon. As part of the preoperative discussion, patients should be informed of the different types of qualified health care professionals who will participate in their operation (assistant attending surgeon, fellows, residents and interns, physician assistants, nurse practitioners, and so forth) and their respective role should be explained. If an urgent or emergent situation arises that requires the surgeon to leave the operating room unexpectedly, the patient should be informed subsequently.

The practice of the primary surgeon initiating and participating in another operation when he or she has completed the critical portions of the first procedure and is no longer an essential participant in the final phase of the first operation. These are by definition surgical procedures where key or critical portions of the procedure are occurring at different times.

The surgeon will ensure that the surgical patient receives appropriate continuity of care. An ethical surgeon should not perform elective surgery at a distance from the usual location where he or she operates without personal determination of the diagnosis and of the adequacy of preoperative preparation. Postoperative care should be rendered by the operating surgeon unless it is delegated to another physician who is equivalently qualified to continue this essential aspect of total surgical care.

Emergency surgery performed in locations unusual for the surgeon may be necessary on occasion, but habitual or even frequent performance of operations under these circumstances cannot be condoned. If the condition of the patient permits and additional skills are required, the patient should be transported to a medical center where adequate resources and appropriately trained health care professionals are available.

Fellows of the College are urged to hold to the traditional principles of ethics and compassion in providing patient care and must not participate in any arrangements that encourage unnecessary operations or referrals made primarily for reasons other than optimal patient care.

The ethical practice of medicine establishes and ensures an environment in which patients, staff, colleagues, students, residents, and all other individuals are treated with respect and tolerance. Discrimination, harassment, or creation of a hostile working environment on the basis of personal attributes, including but not limited to age, sexual preference, gender, race, disease, disability, or religion, is inconsistent with the ideals and principles of the American College of Surgeons. 781b155fdc