UID:
edocfu_9959235772502883
Format:
1 online resource (774 pages)
Edition:
Fourth edition.
ISBN:
1-910079-14-6
,
1-910079-12-X
Note:
SCHEIN'S COMMON SENSE: EMERGENCY Abdominal Surgery -- Title Page -- Copyright -- Contents -- Contributors -- Editors' note -- Preface -- Reviews of previous editions -- A sample of testimonials posted on amazon... -- PART I: General considerations -- Chapter 1: General philosophy: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron -- The 'best' management of an abdominal emergency -- General philosophy -- The inflamed patient -- Evidence -- Chapter 2: A brief history of emergency abdominal surgery: Harold Ellis -- Appendicitis -- The ruptured spleen -- Intestinal obstruction -- Perforated peptic ulcer -- Ruptured ectopic pregnancy -- Envoi -- PART II: Before the operation -- Chapter 3: The acute abdomen: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron -- The problem -- The acute abdomen: management menus and clinical patterns -- Who should look after the 'acute abdomen' and where? -- Chapter 4: Rational diagnostic procedures: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron -- Blood tests -- Chest X-ray (CXR) -- Plain abdominal X-ray (AXR) -- Abdominal ultrasound (US) -- Abdominal computed tomography -- A word of caution -- Contrast studies: barium vs. water-soluble contrast -- Unnecessary tests -- Diagnostic laparoscopy -- Chapter 5: Abdominal imaging: Moshe Schein and Hans Ulrich Elben -- Plain abdominal X-ray (AXR) -- Computed tomography in abdominal emergencies -- How to read and interpret the abdominal CT for an 'acute abdomen' -- Final words from Moshe… -- Chapter 6: Optimizing the patient: James C. Rucinski -- Why is pre-operative optimization necessary? -- What are the goals of optimization? -- Who needs optimization? -- Measurement of the severity of illness -- How I do it? -- Oxygenation -- Restoration of volume.
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Measurement of effectiveness of treatment -- Urine output -- Invasive monitoring -- Laboratory -- Blood and blood products -- Suggested steps in volume optimization -- When is enough enough? -- So finally to recap… -- Chapter 7: Pre-operative antibiotics: Moshe Schein -- When should you start antibiotics? -- Which antibiotics to use? -- To sum it up -- Chapter 8: Family, ethics, informed consent and medicolegal issues: James C. Rucinski -- Salesmanship -- Illustrate the problem -- The family -- Ethical problem solving -- Medicolegal considerations -- Avoid selling autopsies under anesthesia (AUA) -- Concluding remarks -- Chapter 9: Before the flight: pre-op checklist: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron -- The surgeon's checklist -- PART III: The operation -- Chapter 10: The incision: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron -- At what level must the midline incision start and how long should it be? -- When should you extend the incision into the thorax? -- Knife or diathermy? -- Pitfalls -- Chapter 11: Abdominal exploration: finding what is wrong: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron -- Abdominal exploration -- Intraperitoneal blood -- Primary survey -- Secondary survey -- Intraperitoneal contamination or infection -- The direction and practicalities of exploration -- Use your common sense -- What about retractors? -- Additional points: grading the severity of injury -- Chapter 12: The laparoscopic approach to emergency abdominal surgery: Danny Rosin -- General principles -- Potential advantages -- Potential flaws -- Setting the scene -- Technique -- Procedures -- Chapter 13: Peritonitis: classification and principles of treatment: Moshe Schein and Roger Saadia -- Nomenclature -- Classification of peritonitis.
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Management (secondary peritonitis) -- Aggressive modalities of management -- Need for peritoneal cultures? -- Chapter 14: The intestinal anastomosis (and stomata): Mark Cheetham, Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron -- 1. The intestinal anastomosis: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin, Jonathan E. Efron -- The ideal anastomosis -- Pros and cons -- The choice of anastomotic technique: international perspective -- Our recommendations -- The edematous bowel -- How we do it -- A few more words on staplers -- Testing the anastomosis -- When not to perform an anastomosis? -- So let us leave you with this... -- 2. Intestinal stomata: Mark Cheetham -- The emergency stoma: why and when -- How to make an emergency stoma -- Making a stoma - general principles -- End colostomy -- Loop colostomy -- End ileostomy -- Loop ileostomy -- Mucous fistula -- Ileocolostomy (double-barrel) -- Jejunostomy -- 'Blow-hole' colostomy and cecostomy -- Making a stoma in a fat person -- Postoperative care of a stoma -- Stoma ischemia -- High-output stoma -- Mucocutaneous separation -- Other stoma complications -- Final remarks -- Chapter 15: Esophageal emergencies: Brandon H. Tieu and John G. Hunter -- Esophageal perforation -- Etiology -- Some basics… -- Diagnostic work-up -- Management -- A few more basics… -- Perforations that permit a trial of conservative therapy -- Perforations that need operative intervention -- The operation: acute injuries and primary surgical repair -- Transendoscopic therapy -- Perforations: difficult clinical scenarios -- So the key points are… -- Esophageal foreign body ingestion or obstruction -- Key points… -- Chapter 16: Diaphragmatic emergencies: Danny Rosin -- Diaphragmatic hernia -- Diaphragmatic trauma -- Gastric volvulus in a paraesophageal hernia.
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Chapter 17: Upper gastrointestinal bleeding: Moshe Schein -- How common are operations for UGIB? -- What about bleeding esophageal varices? -- The problem -- Presentation -- Key issues: Is the hemorrhage 'serious'? When should you be alarmed? -- Stratification -- Approach -- What to do if you are taking care of the bleeding patient? -- How to proceed? -- Emergency endoscopy for UGIB -- Endoscopic management -- Post-endoscopy decision-making -- Conservative treatment -- The management of rebleeding -- Angiographic transarterial management? -- Operative management -- Specific sources of bleeding -- To recap… -- Chapter 18: Perforated peptic ulcer: Moshe Schein -- Natural history -- Diagnosis -- Philosophy of treatment -- Management -- Final words… -- Chapter 19: Acute pancreatitis: Ari Leppäniemi -- Natural history -- Clinical presentation and diagnosis -- Estimation of severity and classification -- The 4-week approach to the management of acute pancreatitis -- Indications and timing for interventions -- Treatment -- Let me conclude with some Finnish wisdom… -- Chapter 20: Gallbladder and biliary emergency surgery: Danny Rosin, Moshe Schein and B. Ramana -- 1: The acute gallbladder: Danny Rosin and Moshe Schein -- Acute cholecystitis -- Diagnosis -- Management -- The operation -- 2. Bile duct emergencies: Danny Rosin -- Obstructive jaundice -- Acute ('ascending') cholangitis -- 3. Biliary pancreatitis: B. Ramana -- Chapter 21: Small bowel obstruction: Moshe Schein and Danny Rosin -- The dilemma -- Definitions -- Clinical features -- Imaging -- Management -- Special circumstances -- Prognosis -- Chapter 22: Acute abdominal wall hernias: Paul N. Rogers -- Acute groin hernia -- Incisional/ventral hernias -- Chapter 23: Acute appendicitis: Roland E. Andersson -- 1. Acute appendicitis: Roland E. Andersson -- Diagnosis -- Treatment.
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2. Laparoscopic appendectomy: Danny Rosin -- Why laparoscopy? -- Why not laparoscopy? -- How to do it? -- Chapter 24: Acute mesenteric ischemia: Moshe Schein and Paul N. Rogers -- The problem -- Assessing the problem -- Computed tomography -- Mesenteric angiography -- Non-operative treatment -- Operative treatment -- Adjunctive vascular procedures -- To anastomose or not? -- Second-look operations? -- Mesenteric venous thrombosis -- To sum up… -- Chapter 25: Hepatic emergencies: Erik Schadde -- The 'liver patient' - chronically diseased hepatic parenchyma -- Liver trauma -- Emergencies arising from hepatic lesions -- To sum up… -- Chapter 26: Inflammatory bowel disease and other types of colitis: Bashar Safar and Jonathan Efron -- A few words on medical therapy -- When to operate? Severe colitis, fulminant colitis, and toxic colitis-megacolon -- The operation for severe colitis, fulminant colitis, or toxic megacolon -- Emergency surgery for Crohn's disease (CD) -- Clostridium difficile colitis (CDC - pseudomembranous colitis) -- Neutropenic enterocolitis -- Ischemic colitis -- Final words -- Chapter 27: Colonic obstruction: Jonathan E. Efron -- Clinical approach -- Differential diagnosis -- Management -- Volvulus of the colon -- Acute colonic pseudo-obstruction (Ogilvie's syndrome) -- To recap… -- Chapter 28: Acute diverticulitis: Jonathan E. Efron -- Diverticular emergencies -- What causes acute diverticulitis (surgical pathology)? -- Simple diverticulitis -- Complicated diverticulitis -- Pericolonic abscesses (Hinchey I & -- II) -- A few points on percutaneous drainage -- Peritonitis (Hinchey III & -- IV) -- The operations -- A few words about fistulas… -- Other forms of acute diverticulitis -- Final thoughts -- Chapter 29: Massive lower GI bleeding: Jonathan E. Efron -- Initial presentation - what to do in the emergency room?.
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Where to go from the emergency room?.
Additional Edition:
ISBN 1-910079-11-1
Language:
English
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