Core Topics in General and Emergency Surgery

A Companion to Specialist Surgical Practice

7th Edition - July 11, 2023
Editors: Simon Paterson-Brown, Hugh M. Paterson, O. James Garden, Chris Deans
Language: English
Hardback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 4 7 4 - 4
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 4 7 5 - 1

Core Topics in General & Emergency Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher… Read more

Core Topics in General and Emergency Surgery

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Core Topics in General & Emergency Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher.

The seventh edition has been edited and fully revised by respected experts in their fields, and provides a full list of current references and relevant resources. It covers a range of topics relevant to all areas of surgical practice – beyond surgical knowledge – that are essential for enhanced patient outcomes. These include quality improvement in emergency surgery, evaluation of new technology, evaluation of surgical literature, and human factors.

This volume is part of the Companion to Specialist Surgical Practice series, the pre-eminent reference for trainees in general surgery and those preparing for the FRCS examinations. Each volume summarises key issues within each surgical sub-specialty and provides evidence-based recommendations to support practice.

Instructions for online access
Cover image
Title page
Table of Contents
Copyright
Series Editors’ preface
Editors’ preface
Evidence-based practice in surgery
Contributors
1. Evaluation of surgical evidence
Introduction to surgical evidence
Changing the world with evidence
Formulating a clinical question
Finding the evidence
Evidence-based medicine organisations
Critical appraisal
Simple statistics
2. Perioperative care and enhanced recovery
Introduction
Before the operation
Immediate preoperative period
Intraoperative care
Perioperative fluid balance, blood pressure, oedema and diuresis
Postoperative care
3. Organisation and quality improvement in emergency general surgery
Introduction
Specialisation in emergency and acute care surgery
Organisation of elective and emergency surgery care
Outcomes of subspeciality care in emergency general surgery
Facilities and resources
Quality improvement initiatives
Summary
4. Patient assessmentand surgical risk
Introduction
Why is assessing risk important?
What are we aiming to identify in risk assessment?
How do we assess risk in the elective setting?
Nutritional state, sarcopenia and body composition analysis
How can we assess risk in the emergency setting?
Summary
5. Perioperative and intensive care management of the surgical patient
Introduction
How big is the problem?
Why do patients die after surgery?
What is a high-risk surgical patient?
Variables associated with postoperative complications and death
Strategies to improve outcomes
Royal College of Surgeons Recommendations
6. Surgical nutrition
INTRODUCTION
Consequences and significance of malnutrition
Nutrition screening: preop clinic
Nutritional assessment
Metabolic response to feeding, trauma and sepsis
Routes of access for enteral nutritional support
Nutrient solutions available for enteral nutrition
Enteral nutrition delivery and complications
Parenteral routes of access
Nutrients used in parenteral feeding solutions
Delivery and administration of parenteral nutrition
Nutritional support in the perioperative period
7. Abdominal hernias
Introduction
Aetiology
Classification of hernias
Mesh
Primary ventral hernias
Epigastric hernia
Spigelian, lumbar and other primary ventral hernias
Inguinal hernias
Femoral hernia
Incisional hernia
Parastomal hernia
Emergency hernia surgery
Port site hernia
Antibiotic prophylaxis in hernia surgery
‘Prophylactic’ hernia surgery
Management of an infected mesh
RECOMMENDED VIDEOS
8. Neck surgery for the general surgeon
Introduction
Diagnostic approach to neck masses
Thyroid mass
Congenital masses
Parathyroid disease
Conclusion
9. Human factors and patient safety in surgery
The scale of medical error
Adverse events in surgery
Human factors
Non-technical skills in surgery
Situation awareness
Decision-making
Teamwork and communication
Leadership
Conclusion
10. Principles of organ donation and transplantation
Introduction
Principles of organ donation
Principles of abdominal organ transplantation
General Surgery in the Transplant Patient
11. Early assessment of the acute abdomen
Conditions associated with abdominal pain
Initial assessment: history, examination and simple tests
Initial investigations
Special populations
Pathways/guidelines for assessment
12. Perforations of the upper gastrointestinal tract
Overview
Epidemiology and pathogenesis
Peptic ulcer disease
Other causes of gastric and duodenal perforation
New and future developments
13. Acute non-variceal upper gastrointestinal bleeding
Introduction
Aetiology
Initial assessment and triage
Scoring systems
Initial management
Endoscopy
Management of bleeding due to causes other than peptic ulceration
Endoscopic management of bleeding peptic ulcers
Pharmacological management of bleeding peptic ulcers
Surgical management of bleeding peptic ulcers
Management of recurrent bleeding
Helicobacter pylori eradication
Use of non-steroidal anti-inflammatory drugs
Summary
14. Pancreatico-biliary emergencies
Introduction
Gallstones
Cholecystolithiasis and associated complications
Acalculous acute cholecystitis
Choledocholithiasis and associated complications
Acute pancreatitis
Technical considerations for procedures used in acute biliary disease
15. Acute conditions of the smallbowel and appendix
Introduction
Small-bowel obstruction
Peritonitis
Haemorrhage
Appendicitis
16. Colonic emergencies
Introduction
Colonic obstruction
Inflammation/infection
Perforation
Haemorrhage
Ischaemia
17. Anorectal emergencies
Introduction
Anorectal abscesses
Fistula-in-ano
Management of secondary perianal sepsis
Pilonidal abscess
Acute anal fissure
Haemorrhoids
Anorectal haemorrhage
Anorectal trauma
Irreducible rectal prolapse
Future developments
RECOMMENDED VIDEOS
18. Paediatric surgical emergencies
Introduction
Neonatal period
Infancy
Children
19. Management of trauma for the general surgeon
Introduction
Evaluation of the injured patient
Regional injuries
Future developments
20. Abdominal sepsis and abdominal compartment syndrome
Introduction
Definition of sepsis
Pathophysiology of sepsis
The slippery slope of sepsis
Systematic assessment
Antimicrobial therapy in abdominal sepsis
Imaging in abdominal sepsis
Early source control in abdominal sepsis
Aims of treatment in abdominal sepsis
Abdominal sepsis in the ICU
Assessment in the ICU
Re-operating in abdominal sepsis
Damage control laparotomy
Second-look (planned) re-laparotomy
Leaving the abdomen open (laparostomy)
The National Emergency Laparotomy Audit
Abdominal compartment syndrome
Enterocutaneous fistulas
21. Complications of bariatric surgery presenting to the general surgeon and considerations for the general surgeon when operating on the obese patient
Introduction
Causes of obesity
Mechanisms of weight loss surgery
Bariatric operations
Complications of bariatric surgery
Considerations when operating on the obese patient
22. Introduction of new technologies into surgical practice
Introduction
Minimally invasive and robotic-assisted surgery
Imaging, virtual reality and augmented reality
Conclusion
INDEX

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Core Topics in General and Emergency Surgery

A Companion to Specialist Surgical Practice

Purchase options

Save 50% on book bundles

Institutional subscription on ScienceDirect

Simon Paterson-Brown

Hugh M. Paterson

O. James Garden

Chris Deans