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This text  is designed to provide a comprehensive and state-of-the-art overview of the major issues specific to technological  advances the field trauma, critical care and many aspects of surgical science and practice.  Care of these patients and clinical conditions can be quite complex, and materials have been collected from the most current, evidence-based resources.  The sections of the text have been structured to review the overall scope of issues dealing with trauma, critical care and surgery, including cardiothoracic surgery, vascular surgery, urology, gynecology and obstetrics, fetal surgery and orthopedics. This volume represents the most comprehensive textbook covering a wide range of topics and technological advances including genomics and nanotechnologies that affect patients’ care and surgeons’ practice daily. The multidisciplinary authorship includes experts from all aspects of trauma, surgery and critical care.  The volume highlights the dramatic changes in the fieldincluding hand held devices and smart phones used in daily medical and surgical practice, complex computers in the critical care units around the world, and robotics performing complex surgical procedures and tissue engineering. Technological Advances in Surgery, Trauma and Critical Care provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in trauma, critical care, and all the specialties of surgery. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.

The rapidly growing developments in medicine and science in the last few decades has evoked a greater need for modern institutions, with modern medicine, advanced technologies, and cutting edge research. Today, the modern hospital is a highly competitive, multibillion dollar industry that plays a large role in our healthcare systems. Far different from older institutions, modern hospitals juggle the dynamics of running a business that proves financially fruitful and sustainable, with maintaining and staying ahead of medical developments and offering the best possible patient care. This comprehensive book  explores all aspects of the inner workings of a modern hospital, from research and technology driven treatment and patient centered care, to the organizational, functional, architectural, and ergonomic aspects of the business. The text is organized into three parts. The first part covers a number of importantaspects of the modern hospital including hospital transformation over the centuries, the new medical world order, overall concept, academic mission and economics of new healthcare. Additionally, experts in the field address issues such as modern design functionally and creating an environment that is ergonomically friendly, technologically advanced, and easy to navigate for both worker and patient. Other topics covered include, the role of genomics and nano-technologies, controversies that come with introducing new technologies, the world-wide pharmaceutical industry, electronic medical health records, informatics, and quality of patient care.  Part II addresses nine specific elements of modernization of the hospital that deal with high acuity, life and death situations, and complex medical and surgical diseases. These chapters cover the organization of new emergency departments, trauma room, hybrid operating rooms, intensive care units, radiology, pharmaceutical and nutritional support, and most essential, patient and public relation services. These nine elements reflect the most important and most visible indicators of modernization and transformation of the hospital. Part III examines and highlights the team approach as a crucial component of the transformation, as well as specific perspectives on the modern hospital from nurses, physicians, surgeons and administrators. Finally, a chapter dedicated to patient perspective is also presented. The Modern Hospital provides an all-inclusive review of the hospital industry. It will serve as a valuable resource for administrators, clinicians, surgeons, nurses, and researchers. All chapters will be written by practicing experts in their fields and  include the most up-to-date scientific and clinical information.

This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.

This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.

Historical journeys of telemedicine and strategies, building sustainable telemedicine and telehealth programs in the United States and in the Balkans, as well as incorporation of telemedicine in the current ongoing pandemic COVID-19 are well described and are must read.

There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population  worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.

There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population  worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.

After discussing the comparative effectiveness of screening in the treatment of hereditary cancer syndromes and evaluating genetic predisposition, the book moves on to address ethical, legal, social and cost-effectiveness dimensions of prophylactic surgery.

After discussing the comparative effectiveness of screening in the treatment of hereditary cancer syndromes and evaluating genetic predisposition, the book moves on to address ethical, legal, social and cost-effectiveness dimensions of prophylactic surgery.

This revised and expanded new edition reviews surgical decision-making in complex surgical procedures, including making difficult decisions, continuous awareness of the patient’s physiologic status, the biochemical profile, endpoint resuscitation and the surgeon's own physiologic status.

This revised and expanded new edition reviews surgical decision-making in complex surgical procedures, including making difficult decisions, continuous awareness of the patient’s physiologic status, the biochemical profile, endpoint resuscitation and the surgeon's own physiologic status. Other specific surgical decisions are discussed, such as when to operate and when not to operate, re-operations and operations in specific conditions and age groups. This new edition addresses these and other elements that are important for the intraoperative and perioperative decision-making process, including basic questions that have not been answered appropriately in the literature.Many of us make decisions based on current evidence, but much of it based on “a gut feeling” or “intuition” or the “gray hair effect,” among other techniques. In this book, the anatomy of such decisions is explored from a theoretical standpoint as well as objective data that we as surgeons use to make surgical decisions. Nowhere else is the matter of how we make a decision -- often with a very limited amount of data, decisions that will decide between someone living or dying -- more prevalent than in trauma surgery and other complex surgeries, including  the unplanned return to the operating room.  Our collective firsthand experience as surgeons points to a combination of factors contributing to our perioperative and intraoperative decision-making process, including education, clinical know-how, mentoring, and the creativity and excellence that come with long practice and strict discipline.The second edition of Surgical Decision-Making: Evidence and Beyond provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical academic or  community surgery practice.

As with the first edition, the second edition of this book covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or entero-atmospheric fistulae, and indications for and surgical techniques used to reconstruct the abdominal wall from the practical stand point.

This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process.  These include patient’s anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's own physiologic and mental status, training and experience, and many other factors such as creativity, leadership skills, and overall "biochemistry" of the environment. The text reviews theoretical as well as objective information that surgeons use to make intraoperative decisions in situations, often with very limited data; decisions that will decide between a patient's living or dying, such as in trauma surgery and other complex surgeries. How surgeons choose one technical approach over another in these situations is covered. This book fills a critical need for resource materials on these topics and includes both theoretical as well as practical presentations of many typical patients seen in operating rooms aroundthe world.      Surgical Decision Making: Beyond the Evidence Based Surgery is written by academic and clinical practicing surgeons that face intraoperative decision situations on a daily basis and therefore provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical or research practice.