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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
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Request a sales quoteCore 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.
- Covers relevant topics not found in other surgical textbooks – essential to improve surgical outcomes
- Concise and easy to follow – ideal for exam revision or as a refresher aid
- Fully updated with latest evidence on recent developments, management issues and operative procedures
- International authorship offers a world view
- Evidence-based recommendations to support practice
- Key references to support content, plus a comprehensive list of references in the accompanying eBook
- Links to recommended online videos for further learning
Higher surgical trainees preparing for the FRCS examinations. Surgical residents preparing for the board exams in specific specialties.
Students wishing to progress from Specialty Training (ST)1 through to ST3 need to pass their MRCS exams. Once these have been completed and their place in a surgical post secured they then go on to working on the necessary skills to pass the FRCS exam. This exam marks the completion of 6 years of higher surgical training. This series is designed primarily for those studying for the FRCS, but those still working on their MRCS exams will also find these useful.
Over 6000 UK and overseas doctors take the MRCS postgraduate surgical exams each year. MRCS is a 2 part exam – 5hrs of an MCQ exam then an OSCE clinical exam (18 manned, 9 minute long stations).
The FRCS (2 part MCQ exam / then patient based clinical examinations and scenario based structured interviews).
- 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
- No. of pages: 280
- Language: English
- Edition: 7
- Published: July 11, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780702084744
- eBook ISBN: 9780702084751
SP
Simon Paterson-Brown
Affiliations and expertise
Honorary Clinical Senior Lecturer, Clinical Surgery, The University of Edinburgh; Consultant General and Upper Gastrointestinal Surgeon, Royal Infirmary of Edinburgh, Edinburgh, UKHP
Hugh M. Paterson
Affiliations and expertise
Clinical Senior Lecturer Coloproctology, University of Edinburgh; Honorary Consultant Colorectal Surgeon,Western General Hospital, Edinburgh, UKOG
O. James Garden
Affiliations and expertise
Professor Emeritus, Clinical Surgery, Director, Edinburgh Surgery Online, University of Edinburgh, UKCD
Chris Deans
Affiliations and expertise
Consultant General & Upper Gastrointestinal Surgeon, Royal Infirmary of Edinburgh, and Part-time Senior Lecturer, University of Edinburgh, Edinburgh, Scotland