Principles and Practice of Surgery

8th Edition - March 28, 2022
Editors: O. James Garden, Rowan W Parks, Stephen J. Wigmore
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 2 5 2 - 8
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 2 5 1 - 1

This comprehensive textbook is the surgical companion to the international bestseller, Davidson’s Principles and Practice of Medicine. It provides an overview of core surgical… Read more

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This comprehensive textbook is the surgical companion to the international bestseller, Davidson’s Principles and Practice of Medicine. It provides an overview of core surgical topics encountered in an integrated medical curriculum and, later, in the clinical setting.

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.

Fully updated to reflect changes in understanding and evidence-based practice, this is a text that keeps the student up to date and that no trainee surgeon should be without.

Cover image
Title page
Table of Contents
Copyright
Preface
Preface
Contributors
Acknowledgements
Section 1. Professional capabilities in surgical practice
1. Professional and ethical responsibilities
Introduction
Principles of Medical Ethics
Summary
2. Patient safety and clinical human factors
Introduction
History of Patient Safety in Surgery
Methods to detect harm
Clinical Human Factors
Nontechnical Skills
Practical tools to enhance surgical safety
Conclusion
3. Evidence-based surgery
Introduction
Formulating a clinical question
Finding the evidence
Critical appraisal
BIAS
Research in practice
Summary
Section 2. Principles of perioperative care
4. Management of shock, fluid management and blood transfusion
Fluid and electrolyte balance
Shock
Blood transfusion
5. Nutritional support in surgical patients
Introduction
Assessment of nutritional status
Assessment of nutritional requirements
Causes of inadequate intake
Methods of providing nutritional support
Refeeding Syndrome
Monitoring of nutritional support
6. Infections and antibiotics
Introduction
Infection prevention and control in surgery
Antimicrobial stewardship in surgery
Approach to a patient with a possible or probable infection
Infection syndromes encountered in surgical practice
7. Preoperative considerations, anaesthesia and analgesia
Preoperative considerations
Perioperative implications of chronic disease
Day surgery
Anaesthesia and the Operation
Postoperative analgesia
8. Principles of the surgical management of cancer
The biology of cancer
The management of patients with cancer
9. Trauma and multiple injury
Introduction
Mechanisms of injury
Injury severity and scoring systems
Trauma systems, centres and teams
Shock
Resuscitation
Imaging
Critical Decision Making
Surgery for trauma
10. Practical procedures and patient investigation
Introduction
General principles of practical procedures
Common practical procedures
11. Postoperative care and complications
Introduction
Immediate postoperative care
Complications of anaesthesia and surgery
Section 3. Gastrointestinal surgery
12. The abdominal wall and hernia
Umbilicus
Disorders of the rectus muscle
Abdominal hernia
13. The acute abdomen
Introduction
Aetiology
Pathophysiology of abdominal pain
Pathogenesis
Clinical assessment
Peritonitis
Acute appendicitis
Nonspecific abdominal pain
Gynaecologic causes of the acute abdomen
14. The oesophagus, stomach and duodenum
Surgical anatomy
Surgical physiology
History and symptoms
Examination
Investigations
Diagnosis and management: oesophagus
Tumours of the oesophagus
Diagnosis and management: gastroduodenal
Management of uncomplicated peptic ulcer disease
Gastric neoplasia
Miscellaneous disorders of the stomach
Miscellaneous conditions of the duodenum
15. The liver and biliary tract
The liver
The gallbladder and bile ducts
16. The pancreas and spleen
The pancreas
The spleen
17. The small and large intestine
Introduction
Surgical anatomy and physiology
Clinical assessment of the small and large intestine
Principles of operative intestinal surgery
Disorders of the appendix
Inflammatory bowel disease
Disorders of the small intestine
Small and large bowel obstruction
Nonneoplastic disorders of the large intestine
Intestinal stoma and fistula
Polyps and Polyposis Syndromes of the Large Intestine
Malignant tumours of the large intestine
18. The anorectum
Introduction
Applied Surgical Anatomy
Miscellaneous Benign Perianal Lumps
Anal Cancer
Rectal Prolapse
Anal Incontinence
Pruritus Ani
Pilonidal Disease
Section 4. Surgical specialties
19. Plastic surgery, including common skin and subcutaneous lesions
Introduction
Structure and Function of the Skin
Wounds
Burns
Skin and Soft Tissue Lesions
20. Breast surgery
Anatomy and physiology of the breast
Assessment of the patient with breast symptoms
Radiologic assessment
Benign breast conditions
Breast cancer
Male breast cancer
Breast cancer in pregnancy
Breast reconstruction
Follow-up
Breast screening
Psychological aspects
Recurrent breast cancer (Fig. 20.39)
Metastatic breast cancer (Fig. 20.40)
21. Endocrine surgery
Introduction
Thyroid gland
Parathyroid glands
Pituitary gland
Adrenal gland
Functioning adrenal cortical adenomas
Other surgical endocrine syndromes
22. Vascular and endovascular surgery
Introduction
Pathophysiology of Arterial Disease
Chronic Lower-Limb Arterial Disease
Arterial Disease of the Upper Limb
Mesenteric Artery Disease
Acute Limb Ischaemia
Venous Disease
Venous Thromboembolism
Other Forms of Venous Thrombosis
Lymphoedema
Vascular Access for Haemodialysis
23. Cardiothoracic surgery
Introduction
Symptoms of cardiothoracic disease
Cardiac surgery
Thoracic surgery
24. Urological surgery
Assessment
Upper urinary tract (kidney and ureter)
Infections of the kidney
Lower urinary tract (bladder, prostate and urethra)
Disorders of micturition: incontinence
External genitalia
25. Neurosurgery
Introduction
Surgical anatomy and physiology
Blood supply
Intracranial pressure
Investigations
Cerebrovascular disease
Neurotrauma
Intracranial infections
Intracranial tumours
Spinal dysraphism
Hydrocephalus
Malformations of the skull
Functional neurosurgery
Vertebral column
Peripheral nerve lesions
26. Transplantation surgery
Introduction
Transplant immunology
Organ donation
Renal transplantation
Pancreas transplantation
Pancreatic islet transplantation
Heart and lung transplantation
27. Ear, nose and throat surgery
Ear
Nose
Paranasal sinuses
Nasopharynx
Oral cavity
Oropharynx
Hypopharynx
Larynx
Neck
28. Orthopaedic surgery
Introduction
History
Examination
Description of deformity
Investigations
Osteoarthritis: degenerative disease of the joints
Inflammatory disorders
Bone and joint infection
Orthopaedic procedures
Paediatric orthopaedic surgery
Metabolic bone diseases
Musculoskeletal tumours
The upper limb
The lower limb
Trauma and fractures
29. Global surgery and anaesthesia
Defining Global Surgery
The Importance of Surgery and Anaesthesia in Global Health and Universal Health Coverage
Measuring Global Surgery and Anaesthesia
Quality Improvement and Implementation
National Surgical, Obstetric and Anaesthetic Planning
Ethics in Global Surgery and Anaesthesia
Appendix. Laboratory reference ranges
Index

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Principles and Practice of Surgery

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O. James Garden

Rowan W Parks

Stephen J. Wigmore