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OXFORD MEDICAL PUBLICATIONS Saude Direta
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OXFORD MEDICAL PUBLICATIONS,Oxford Handbook of,Clinical Surgery. Published and forthcoming Oxford Handbooks,Oxford Handbook for the Foundation Programme 3e. Oxford Handbook of Acute Medicine 3e,Oxford Handbook of Anaesthesia 3e. Oxford Handbook of Applied Dental Sciences,Oxford Handbook of Cardiology 2e. Oxford Handbook of Clinical and Laboratory Investigation 3e. Oxford Handbook of Clinical Dentistry 5e,Oxford Handbook of Clinical Diagnosis 2e.
Oxford Handbook of Clinical Examination and Practical Skills. Oxford Handbook of Clinical Haematology 3e, Oxford Handbook of Clinical Immunology and Allergy 3e. Oxford Handbook of Clinical Medicine Mini Edition 8e. Oxford Handbook of Clinical Medicine 8e,Oxford Handbook of Clinical Pathology. Oxford Handbook of Clinical Pharmacy 2e,Oxford Handbook of Clinical Rehabilitation 2e. Oxford Handbook of Clinical Specialties 9e,Oxford Handbook of Clinical Surgery 4e. Oxford Handbook of Complementary Medicine,Oxford Handbook of Critical Care 3e.
Oxford Handbook of Dental Patient Care 2e,Oxford Handbook of Dialysis 3e. Oxford Handbook of Emergency Medicine 4e,Oxford Handbook of Endocrinology and Diabetes 2e. Oxford Handbook of ENT and Head and Neck Surgery,Oxford Handbook of Epidemiology for Clinicians. Oxford Handbook of Expedition and Wilderness Medicine. Oxford Handbook of Gastroenterology Hepatology 2e,Oxford Handbook of General Practice 3e. Oxford Handbook of Genetics, Oxford Handbook of Genitourinary Medicine HIV and AIDS 2e.
Oxford Handbook of Geriatric Medicine, Oxford Handbook of Infectious Diseases and Microbiology. Oxford Handbook of Key Clinical Evidence,Oxford Handbook of Medical Dermatology. Oxford Handbook of Medical Imaging,Oxford Handbook of Medical Sciences 2e. Oxford Handbook of Medical Statistics,Oxford Handbook of Nephrology and Hypertension. Oxford Handbook of Neurology,Oxford Handbook of Nutrition and Dietetics 2e.
Oxford Handbook of Obstetrics and Gynaecology 2e,Oxford Handbook of Occupational Health 2e. Oxford Handbook of Oncology 3e,Oxford Handbook of Ophthalmology 2e. Oxford Handbook of Oral and Maxillofacial Surgery,Oxford Handbook of Paediatrics 2e. Oxford Handbook of Pain Management,Oxford Handbook of Palliative Care 2e. Oxford Handbook of Practical Drug Therapy 2e,Oxford Handbook of Pre Hospital Care.
Oxford Handbook of Psychiatry 3e,Oxford Handbook of Public Health Practice 2e. Oxford Handbook of Reproductive Medicine Family Planning. Oxford Handbook of Respiratory Medicine 2e,Oxford Handbook of Rheumatology 3e. Oxford Handbook of Sport and Exercise Medicine 2e,Oxford Handbook of Tropical Medicine 3e. Oxford Handbook of Urology 3e,Oxford Handbook of,Fourth edition. Greg McLatchie,Consultant Surgeon,Hartlepool General Hospital.
Hartlepool UK,Neil Borley,Consultant Colorectal Surgeon. Cheltenham General Hospital,Cheltenham UK,Joanna Chikwe. Associate Professor Department of Cardiothoracic,Surgery Mount Sinai Medical Center. New York United States,Great Clarendon Street Oxford OX2 6DP. United Kingdom, Oxford University Press is a department of the University of Oxford.
It furthers the University s objective of excellence in research scholarship. and education by publishing worldwide Oxford is a registered trade mark of. Oxford University Press in the UK and in certain other countries. Oxford University Press 2013, The moral rights of the authors have been asserted. First Edition published 1990,Second Edition published 2002. Third Edition published 2007,Fourth Edition published 2013. Impression 1, All rights reserved No part of this publication may be reproduced. stored in a retrieval system or transmitted in any form or by any means. without the prior permission in writing of Oxford University Press. or as expressly permitted by law or under terms agreed with the appropriate. reprographics rights organization Enquiries concerning reproduction. outside the scope of the above should be sent to the Rights Department. Oxford University Press at the address above, You must not circulate this book in any other binding or cover and you must.
impose the same condition on any acquirer,British Library Cataloguing in Publication Data. Data available,ISBN 978 0 19 969947 6 exicover alk paper. Printed in China by,C C Offset Printing Co Ltd, Oxford University Press makes no representation express or implied that the drug. dosages in this book are correct Readers must therefore always check the product. information and clinical procedures with the most up to date published product. information and data sheets provided by the manufacturers and the most recent. codes of conduct and safety regulations The authors and the publishers do not. accept responsibility or legal liability for any errors in the text or for the misuse or. misapplication of material in this work Except where otherwise stated drug dosages. and recommendations are for the non pregnant adult who is not breastfeeding. Preface to the fourth, Sometimes we have to look backward to look forward Since 1990 sur. gery has witnessed cataclysmic changes In our Trust the rst laparoscopic. cholecystectomy was performed in 1992 and has now become the pro. cedure of choice for most gall bladder disease and many other surgical. operations in the western world With the expansion of laparoscopic. surgery we have encountered a whole new range of complications with. an escalation in the demise of general surgery as the result of hyperspe. cialization There are many surgical trainees who have scant experience. of open surgery and who have due to European directives limited time. exposure to surgical procedures In fact most technical training is now. obtained from emergency on call such that a new speciality of emergency. surgery is developing A recent British Medical Journal BMJ article recom. mended a training programme for surgeons wishing to work in remote. and rural surgery not only in the Developing World but in remote and. isolated communities in the United Kingdom General surgery may largely. have gone but it should not be forgotten Most countries in the world do. not have access to these recent innovations and there is still a case in the. developed world for experience in open and general surgery to be incor. porated in the formal training programmes of junior surgeons. G R McLatchie,Hartlepool September 2012,Preface to the third.
This the third edition of the Oxford Handbook of Clinical Surgery re ects. the changes which have occurred in general surgery over the 17 years. since the rst edition was published, Firstly we have recruited the services of two new editors a stark con. trast to the original which was written by a single author with the assis. tance of a surgical registrar, Secondly each chapter has been written by a specialist consultant or. registrar in the subject and therefore presents a modern state of the art. treatise on each topic, Again each condition is covered in the original two page format with. blank pages for accompanying notes, I am particularly grateful for the commitment that Jo Chikwe and Neil. Borley have made and also wish to thank staff at Oxford University Press. for their support and patience I am also grateful for the contribution and. support given by many colleagues,G R McLatchie,Hartlepool March 2007.
Preface to the rst, The idea of this book was rst suggested by Mr Gordon McBain consult. ant surgeon at the Southern General Hospital Glasgow We have received. considerable support from the staff of Oxford University Press and are. also indebted to Mr J Rhind and Dr J Daniel for their contributions and. our surgical teachers especially Mr J S F Hutchison Mr M K Browne. Mr J Neilson Mr D Young Mr A Young and the late Mr I McLennan. whose practical advice and anecdotes pepper the pages. G R McLatchie,S Parameswaran,Dedications,For Ross Cameron Ailidh Claire and Calum. For Alexander Christopher and Jennifer,Acknowledgements. We are grateful to the support of our colleagues and Oxford University. Press and to Mrs Pamela Lines for her diligent support in the nal editing. of the manuscript,Detailed contents xi,Contributors xxiii. Symbols and abbreviations xxv,1 Good surgical practice 1.
2 Principles of surgery 23,3 Surgical pathology 141. 4 Practical procedures 185,5 Head and neck surgery 221. 6 Breast and endocrine surgery 239,7 Upper gastrointestinal surgery 271. 8 Liver pancreatic and biliary surgery 311,9 Abdominal wall 335. 10 Urology 353,11 Colorectal surgery 391,12 Paediatric surgery 423.
13 Paediatric orthopaedic 457,14 Major trauma 477,15 Orthopaedic surgery 489. 16 Plastic surgery 589,17 Cardiothoracic surgery 619. 18 Peripheral vascular disease 641,19 Transplantation 675. 20 Surgery in tropical diseases 701,21 Common operations 729. 22 Eponymous terms and rarities 757, Anatomy and physiology key revision points index 777.
This page intentionally left blank,Detailed contents. Contributors xxiii,Symbols and abbreviations xxv,1 Good surgical practice 1. Duties of a doctor 2,Communication skills 4,Evidence based surgery 6. Critical appraisal 10,Consent 14,End of life issues 18. Clinical governance 20,2 Principles of surgery 23,Terminology in surgery 24.
History taking and making notes 26,Common surgical symptoms 28. Examination and investigation of the patient,Evaluation of breast disease 30. Evaluation of the neck 32,Evaluation of the abdomen 34. Abdominal investigations 36,Evaluation of pelvic disease 38. Evaluation of peripheral vascular disease 40, Evaluation of the skin and subcutaneous tissue disease 42.
Surgery at the extremes of age 44,Day case and minimally invasive surgery 46. Preoperative care,Surgery in pregnancy 48,Surgery and the contraceptive pill 50. Surgery in endocrine disease 52,xii DETAILED CONTENTS. Surgery and heart disease 54,Surgery and respiratory disease 58. Surgery in renal and hepatic disease 60,Surgery in neurological disease 62.
Pre optimization of the patient,Fluid optimization 64. Nutrition in surgical patients 66,Enhanced recovery after surgery 68. Perioperative care,Getting the patient to theatre 70. Prophylaxis antibiotics and thromboprophylaxis 72,In theatre preparation 74. Positioning the patient 76,Sterilization disinfection and antisepsis 78.
Scrubbing up 79,Surgical instruments 80,Incisions and closures 82. Knots and sutures 86,Post operative,Post operative management 88. Drain management 90,Fluid management 92,Acid base balance 94. Blood products and procoagulants 96,Transfusion reactions 98. Post operative haemorrhage 102,Wound emergencies 104.
Cardiac complications 106,Respiratory complications 108. Renal complications 110,Urinary complications 112,Gastrointestinal complications 114. Neurological complications 116,Haematological complications 118. Deep venous thrombosis and pulmonary embolism 120,Risk scoring 122. DETAILED CONTENTS xiii,Critical care 124,Commonly used terms in ITU 126.
Invasive monitoring 128,Ventilation and respiratory support 130. Circulatory support 132,Renal support 134,Enteral support 136. Sepsis SIRS MODS and ALI 138,3 Surgical pathology 141. Cellular injury 142,In ammation 144,Wound healing 146. Ulcers 148,Cysts sinuses and stulas 150,Atherosclerosis 152.
Thromboembolic disease 154,Gangrene and capillary ischaemia 158. Tumours 160,Carcinogenesis 162,Screening 164,Grading and staging 168. Tumour markers 170,Surgical microbiology 172,Surgically important organisms 174. Soft tissue infections 176,Blood borne viruses and surgery 178. Bleeding and coagulation 180,Anaemia and polycythaemia 182.
4 Practical procedures 185,Endotracheal intubation 186. Cardioversion 188,De brillation 190,Venepuncture 192. Intravenous cannulation 194,Arterial puncture and lines 196. Insertion of central venous catheter 198,xiv DETAILED CONTENTS. Chest drain insertion 200,Management of chest drains 202.
Pericardiocentesis 204,Cricothyroidotomy 206,Nasogastric tube insertion 208. Urethral catheterization 210,Suprapubic catheterization 212. Paracentesis abdominis 214,Rigid sigmoidoscopy 216. Local anaesthesia 218,Intercostal nerve block 220,5 Head and neck surgery 221. Thyroglossal cyst sinus and stula 222,Branchial cyst sinus and stula 224.
Salivary calculi 226,Acute parotitis 228,Salivary gland tumours 230. Head and neck cancer 232,Facial trauma 234,Neck space infections 236. 6 Breast and endocrine surgery 239,Breast cancer 240. Surgical treatment of breast cancer 242,Breast cancer screening 244. Benign breast disease 246,Acute breast pain 248,Goitre 250.
Thyrotoxicosis 252,Thyroid tumours types and features 254. Thyroid tumours diagnosis and treatment 256,Post thyroid surgery emergencies 258. Primary hyperparathyroidism 260,Multiple endocrine neoplasia 262. Cushing s syndrome 264,Conn s syndrome 266,Phaeochromocytoma 268. Oxford Handbook of Oral and Maxillofacial Surgery Oxford Handbook of Paediatrics 2e Oxford Handbook of Pain Management Oxford Handbook of Palliative Care 2e Oxford Handbook of Practical Drug Therapy 2e Oxford Handbook of Pre Hospital Care Oxford Handbook of Psychiatry 3e Oxford Handbook of Public Health Practice 2e Oxford Handbook of

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