Endoscopy And Microsurgery

In this first volume of the series Update in Plastic Surgery, internationally acknowledged experts give an up-to-date view of the clinical possibilities in plastic surgery which result from video-assisted microsurgery with the endoscope. Advantages and disadvantages are discussed, and reasons are presented why it can be assumed that this technique will be the standard in plastic surgery within a few years.

Cancer of the rectum continues to be a significant health problem in industrialized co- tries around the world. Relative 5-year survival rates in the USA for cancer of the rectum from 1995 to 2001 improved to 65%, a 15% improvement over 20 years (American Cancer Society, 2007). The reasons for this dramatic improvement include more accurate pr- perative staging, aggressive neoadjuvant therapy and improved surgical technique as well as specialty-trained surgeons. Despite advances in nonoperative techniques of radiation therapy, chemotherapy and immunotherapy, surgical extirpation continues to be the cornerstone of curative treatment of this potentially lethal disease. Radical cancer excision with total mesorectal excision has become the preferred surgical procedure for even early-stage cancers of the rectum. Over the past decade the enthusiasm for local excision (and other local treatments) has given way to persuasive (predominantly retrospective) evidence that the incidence of locoregional recurrence due to unsuspected lymphatic metastases and positive lateral margins is un- ceptably high even for stage T tumors. Vigorous attempts to find characteristics of the 1 tumor that would allow successful local treatments are ongoing.

This highly illustrated volume provides step-by-step guidance to the performance of endoscopic techniques in infants and children. The text is well structured throughout, with all operative chapters written according to a standard template for authority and consistency, and to ensure that the procedures described can be followed easily by the trainee as well as experienced surgeon. In addition to the explanatory text, procedures are depicted through a series of high-quality black and white surgical line diagrams supplemented with clinical photographs where appropriate. Potential pitfalls and problems, and their solutions, are an important feature of this book, and complications are highlighted throughout. As well as describing established procedures, the book also refers to experimental, but potentially significant, procedures in relevant parts of each chapter. Where more than one established procedure exists for a condition, each is described separately and their relevant advantages detailed to help the reader to make an informed and appropriate choice. The first volume devoted to this important topic, it will be essential reading for trainee and qualified pediatric surgeons undertaking endoscopy and/or endoscopic surgery for thoracic, gastrointestinal, general abdominal, urological and other conditions in infants and children, and a useful reference for adult surgeons with some degree of pediatric practice.

This is a new reference edited by two leading authorities in the field of minimally invasive surgery that differentiates itself from other similar titles by providing a stronger emphasis on incorporating newer technologies. The book discussed the incorporation of flexible endoscopy into surgical practice, harvesting the expertise of gastroenterologists and surgical endoscopists. It also discusses minimally invasive operative procedures such as laparoscopically assisted vaginal hysterectomy.

Written by the authorities in endoscopic surgery, this text presents all diagnostic and therapeutic endoscopic procedures in a single volume. The book covers all applications of this technology with particular emphasis on the role of endoscopy in the care of the individual patient and how the technique complements routine surgical practice. Well illustrated, with over 400 color photographs to aid in the interpretation of the procedures.

The book provides a thorough, practical review of the latest advances in minimally invasive modalities in general surgery. The organisation follows a systems/disease model approach and has a select group of world renowned contributors.

Each chapter of this new book on advanced lower GI endoscopy and endoluminal surgery focuses on the thought process and step-wise technical approach to the condition and procedure listed. By using this unique method, practitioners ranging from surgeons-in-training, gastroenterologists-in-training and those early in their career to senior colorectal specialists and gastroenterologist who want to incorporate or improve their advanced endoscopic skills will be able utilize techniques and learn from this gathering of experts. The guiding principle of this work is to create a resource for surgeons and gastroenterologists that extends beyond the currently available texts, and that surgeons and gastroenterologists can turn to when wanting to “brush up” on techniques, find a useful “tip or trick” for a complex patient, or simply learn a reproducible methods for advanced endoscopic procedures. This unique book highlights current knowledge, demonstrates standards of medical care, and provides clear step-by-step reproducible techniques even for the most advanced procedures. Beyond the simple application of technical knowledge the book addresses the deeper questions about the optimal “next step” in dealing with more complex patients (i.e., difficult polyps, gastrointestinal bleeding, IBD). International experts also address future challenges and innovations in lower gastrointestinal endoscopy. Finally, it focuses on specific “tips and tricks” that experts in the field have learned. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. Throughout the text, each author provides an ongoing narrative of his/her individual techniques along with color illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos will give the reader an up-front look into technical aspects of EMR, ESD, endoscopic stent placements, CELS, as well as NOTES. The editors and contributors to this book are those with nationally and internationally recognized expertise in lower gastrointestinal endoscopic and endoluminal interventions, have taught many international courses, and have numerous peer-reviewed publications. This book will be useful to colorectal surgeons, general surgeons, and gastroenterologists who want to learn or improve their skills in lower gastrointestinal endoscopy and advanced endoscopic interventions. Furthermore, this book will be of particular interest to the surgeons-in-training, and gastroenterologist-in-training that are often called upon to manage a variety of colorectal conditions through an endoscopic approach. This would ultimately serve as an invaluable reference for any physician or surgeon with a vested interest in caring for patients with simple or complex colorectal disease.

This 4th edition of Mastery of Endoscopic and Laparoscopic Surgery presents both the common procedures residents must master as well as the more challenging procedures required of fellows and practitioners.