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Advances in Surgery, E-Book

Advances in Surgery, E-Book

John L. Cameron

(2015)

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Book Details

Abstract

Each year, Advances in Surgery reviews the most current practices in general surgery. A distinguished editorial board, headed by Dr. John Cameron, identifies key areas of major progress and controversy and invites preeminent specialists to contribute original articles devoted to these topics. These insightful overviews in general surgery bring concepts to a clinical level and explore their everyday impact on patient care.

Table of Contents

Section Title Page Action Price
Front Cover Cover
ADVANCES IN\rSurgery i
Volumes 1 through 44 (out of print) iii
Volume 48 iii
Volume 47 iv
Volume 46 v
Volume 45 vi
Copyright ix
Editor-in-Chief xi
Associate Editors xi
CONTRIBUTORS xiii
CONTENTS xvii
Associate Editors xvii
Contributors xvii
What Are the Indications for Resection After an Episode of Sigmoid Diverticulitis? xvii
Hospital Readmissions: Are They Preventable? xvii
Recent Advances in Intestinal and Multivisceral Transplantation xviii
Which Is Best for Abdominal Aortic Aneurysms Treatment with Chronic Renal Insufficiency: Endovascular Aneurysm Repair or Op ... xviii
What Is the Optimal Treatment of Papillary Thyroid Cancer? xviii
Does Diet Make a Difference Following Colon Surgery? xix
Principles in Management of Soft Tissue Sarcoma xix
Hospital Accreditation and Bariatric Surgery: Is It Important? xix
Trainee Participation in Emergency Surgery: What Are the Consequences? xix
Laparoscopic Pancreaticoduodenectomy: Is It an Effective Procedure for Pancreatic Ductal Adenocarcinoma? xx
Bariatric Surgery versus Intensive Medical Weight Management for Type 2 Diabetes xx
Should Steroids Be Used During Endovascular Aortic Repair? xx
Are Higher Hospital Venous Thromboembolism Rates an Indicator of Better Quality?: Evaluation of the Validity of a Hospital ... xxi
Fluid Restriction During Pancreaticoduodenectomy: Is It Effective in Reducing Postoperative Complications? xxi
Is There a Relationship Between Patient Satisfaction and Favorable Surgical Outcomes? xxi
Does Volume Affect Outcome with Severe Trauma? xxi
Hyperparathyroidism: What Preoperative Imaging Is Necessary? xxii
Abscess After Appendectomy: Predisposing Factors xxii
What Are the Indications for Resection After an Episode of Sigmoid Diverticulitis? 1
Key points 1
THE EVOLUTION OF SURGERY FOR DIVERTICULITIS IN THE TWENTIETH CENTURY 1
PARADIGM SHIFT IN THE TWENTY-FIRST CENTURY 2
INDICATIONS FOR SIGMOID RESECTION 3
RECURRENT UNCOMPLICATED DIVERTICULITIS 3
Assumption 1: recurrence is common after successful medical treatment of uncomplicated diverticulitis 3
Assumption 2: recurrent attacks are more severe and lead to more complicated disease and need for emergency surgery 4
Assumption 3: surgical resection is curative 5
COMPLICATED ACUTE DIVERTICULITIS 7
Hinchey III and IV diverticulitis: Hartmann procedure versus primary anastomosis 7
Hinchey III diverticulitis: laparoscopic peritoneal lavage 8
Hinchey I and IIA diverticulitis 9
SUMMARY 10
References 10
Hospital Readmissions 15
INTRODUCTION 15
SURGICAL READMISSIONS 16
TRACKING READMISSIONS 18
VARIABLES ASSOCIATED WITH READMISSION 18
HEPATOBILIARY READMISSIONS 20
COLORECTAL READMISSIONS 20
VASCULAR READMISSIONS 22
PREDICTING PATIENTS AT RISK FOR READMISSION 23
DEFINING PREVENTABLE 23
PREVENTING READMISSIONS 24
SUMMARY: READMISSIONS—PENALTIES, PROGRESS, PREVENTION 26
References 27
Recent Advances in Intestinal and Multivisceral Transplantation 31
INTRODUCTION 31
CURRENT CLINICAL PRACTICE 32
Nomenclature 32
Indications 35
Gut rehabilitation 35
New trends 36
Early transplantation 37
Retransplantation 40
Contraindications 40
Waiting list management 41
Global activities 42
ADVANCES IN SURGICAL TECHNIQUES 43
Donor techniques 43
Recipient operation 43
Abdominal wall reconstruction 45
EVOLUTION OF IMMUNOSUPPRESSION 46
POSTOPERATIVE MANAGEMENT 47
GRAFT-VERSUS-HOST DISEASE 49
LONG-TERM OUTCOME 49
Survival 49
Graft function 51
Quality of life 51
Controversies 55
Challenges with new insights 56
SUMMARY 58
References 58
Which Is Best for Abdominal Aortic Aneurysms Treatment with Chronic Renal Insufficiency 65
INTRODUCTION 65
THE MECHANISMS OF POSTOPERATIVE DECLINE IN RENAL FUNCTION AFTER ABDOMINAL AORTIC ANEURYSM REPAIR 66
THE COMPARISON BETWEEN OPEN REPAIR AND ENDOVASCULAR ANEURYSM REPAIR IN PATIENTS WITH CHRONIC RENAL INSUFFICIENCY 67
STRATEGIES TO AVOID SHORT-TERM NEPHROTOXICITY AND LONG-TERM DECLINE IN RENAL FUNCTION AFTER ENDOVASCULAR ANEURYSM REPAIR 69
SUMMARY 74
References 75
What Is the Optimal Treatment of Papillary Thyroid Cancer? 79
BACKGROUND 79
PREOPERATIVE EVALUATION 80
EXTENT OF SURGERY 82
MANAGEMENT OF REGIONAL LYMPH NODES 84
RADIOACTIVE IODINE ABLATION 86
SURVEILLANCE 87
MANAGEMENT OF RECURRENT DISEASE 88
SYSTEMIC THERAPY 89
SUMMARY 90
References 90
Does Diet Make a Difference Following Colon Surgery? 95
INTRODUCTION 95
Malnutrition in colorectal surgical patients 96
Traditions and dogmas 96
What about providing nutrition in the form of total parenteral nutrition? 97
Safety concerns with early enteral feeds 98
The current clinical evidence on early enteral feeding 99
Providing early solids from day 1 100
Does immunonutrition enteral supplementation make a difference? 101
SUMMARY 102
References 102
Principles in Management of Soft Tissue Sarcoma 107
SOFT TISSUE SARCOMA 107
DIAGNOSIS AND MANAGEMENT OF EXTREMITY SARCOMAS 109
SURGICAL RESECTION OF SOFT TISSUE TUMORS IN THE EXTREMITY 111
ADJUVANT THERAPY FOR SARCOMA OF THE EXTREMITY 113
PROGNOSIS AND MANAGEMENT OF RECURRENT DISEASE 115
MANAGEMENT OF ABDOMINAL AND RETROPERITONEAL TUMORS 117
SUMMARY AND CONCLUSIONS 119
References 120
Hospital Accreditation and Bariatric Surgery 123
INTRODUCTION 123
Relationship between volume and outcomes in bariatric surgery 124
HISTORY OF ACCREDITATION 125
Components of accreditation 126
Data regarding accreditation 126
Data supporting accreditation 126
Data against accreditation 127
SUMMARY 128
References 128
Trainee Participation in Emergency Surgery 131
INTRODUCTION 131
SUMMARY OF THE “RESIDENT EFFECT” ON SPECIFIC OUTCOMES AND DISCUSSION 132
Effect of resident participation on operative time and postoperative morbidity 132
Effect of trainee involvement on mortality 137
Effect of resident participation on hospital length of stay and associated costs 138
Issues with current research and summary 138
References 139
Laparoscopic Pancreaticoduodenectomy 143
INTRODUCTION 143
Evolution of laparoscopic pancreaticoduodenectomy 143
Technique of laparoscopic pancreaticoduodenectomy 144
DISCUSSION 147
Safety of laparoscopic pancreaticoduodenectomy 147
Oncologic benefits of laparoscopic pancreaticoduodenectomy 150
Implications and future directions 154
References 154
Bariatric Surgery versus Intensive Medical Weight Management for Type 2 Diabetes 157
INTRODUCTION 157
DIAGNOSIS AND TREATMENT OF TYPE 2 DIABETES MELLITUS 158
Nutritional interventions alone 160
Weight loss medications 160
BARIATRIC SURGERY 161
Secondary and long-term outcomes after bariatric surgery 161
SUMMARY OF COMPARATIVE TRIALS OF MEDICAL WEIGHT MANAGEMENT VERSUS BARIATRIC SURGERY IN PATIENTS WITH TYPE 2 DIABETES MELLITUS 166
DISCUSSION 167
Pathophysiology of bariatric surgery in the treatment of type 2 diabetes mellitus 167
Hindgut hypothesis 167
Foregut hypothesis 167
Additional hypotheses 167
EARLY INTERVENTION AND LOW BODY MASS INDEX 168
SUMMARY 169
References 169
Should Steroids Be Used During Endovascular Aortic Repair? 173
INTRODUCTION 173
Treatment options for abdominal aortic aneurysms 173
The systemic inflammatory response related to endovascular aortic repair 174
Late implications of the postimplantation syndrome 175
Preoperative glucocorticoids 175
Timing of steroid administration in relation to surgery 177
Steroids during endovascular aortic repair 177
DISCUSSION 178
SUMMARY 180
References 181
Are Higher Hospital Venous Thromboembolism Rates an Indicator of Better Quality? 185
INTRODUCTION 185
SURVEILLANCE BIAS IN VENOUS THROMBOEMBOLISM MEASUREMENT 187
MEASURING VENOUS THROMBOEMBOLISM PREVENTION 195
POTENTIAL SOLUTIONS 197
SUMMARY 201
References 201
Fluid Restriction During Pancreaticoduodenectomy 205
INTRODUCTION 205
PHYSIOLOGY AND APPROACH TO FLUID RESTRICTION 206
HYPERTONIC THEORY AND EVIDENCE 209
PANCREAS-SPECIFIC EVIDENCE 210
SUMMARY 216
References 217
Is There a Relationship Between Patient Satisfaction and Favorable Surgical Outcomes? 221
INTRODUCTION 221
NATIONAL IMPACT OF SATISFACTION SURVEYS 223
CORRELATING HOSPITAL CHARACTERISTICS AND SURGICAL OUTCOME MEASURES WITH PATIENT SATISFACTION 224
Measures that correlate with patient satisfaction 225
Hospital and surgical volume 221
Risk-adjusted mortality 225
Nonpredictors of patient satisfaction 226
Clinical process measure compliance 226
Postoperative complications 226
Patient safety indicators 226
Length of stay 227
Postoperative readmissions 227
Correlation between patient outcomes and provider, hospital systems, and environmental hospital consumer assessment of heal ... 227
ADDITIONAL PATIENT AND HOSPITAL FACTORS THAT INFLUENCE PATIENT SATISFACTION 227
Proxy and nonresponse bias 227
Health care use 229
Hospital characteristics 229
The value of feedback in improving patient satisfaction scores 229
Pain management 230
Communication training 230
Provider incentives 230
Patient and team communication 230
Devotion of additional hospital resources 231
SURGEONS AS LEADERS IN PATIENT SATISFACTION 231
SUMMARY 232
References 232
Does Volume Affect Outcome with Severe Trauma? 235
INTRODUCTION 235
IS CASE VOLUME RELATED TO OUTCOME IN HEALTH CARE? 236
IS CASE VOLUME RELATED TO OUTCOME IN TRAUMA CARE? 239
OUTCOME FOLLOWING SEVERE TRAUMA: DOES CASE VOLUME MATTER? 242
References 244
Hyperparathyroidism 247
Key points 247
ULTRASONOGRAPHY 247
SESTAMIBI SCAN 251
SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHY 255
MAGNETIC RESONANCE IMAGING 256
COMPUTED TOMOGRAPHY 256
FOUR-DIMENSIONAL COMPUTED TOMOGRAPHY SCAN 256
VENOUS SAMPLING 258
SUMMARY 260
References 260
Abscess After Appendectomy 263
INTRODUCTION 263
NONPERFORATED VERSUS PERFORATED APPENDICITIS 264
Clinical factors: adults 265
Clinical factors: children 265
Predisposing factors for complications after appendectomy 266
Racial disparities 266
Obesity 263
Young age 266
Old age 267
Laboratory data predictive of intra-abdominal abscess formation 267
Time to the operating room 267
Operative technique 268
Three-incision laparoscopy versus open surgery 268
Single-incision laparoscopic appendectomy 269
Natural orifice translumenal endoscopic surgery 269
Technique for appendiceal stump closure 269
Routine drain placement versus no drain 272
Peritoneal irrigation versus no irrigation 272
Antibiotic duration-nonperforated appendicitis 272
Antibiotic duration-perforated appendicitis 273
Diagnosis and treatment 273
SUMMARY/DISCUSSION 274
References 276