The Clinics: Surgery – serie

In this issue of Surgical Pathology Clinics, guest editor Dr. Hannah Yong Wen brings her considerable expertise to the topic of Breast Pathology. Top experts help readers enhance their knowledge of breast tumors with the latest information on molecular testing; ER, PR, and HER2 testing; and fibroepithelial lesions and spindle cell lesions, as well as digital and AI pathology.

While every facial plastic surgeon is trained in hair restoration, unless one does it frequently in practice, there are techniques, tips, and approaches to be learned from experts in this field who focus solely on hair transplantation and restoration. Techniques, Complications, Medical Treatment, and Medical Diagnosis are covered for Donor Harvesting and Management of the Donor Site; Hairline Design and Frontal Hairline Restoration; Management of Advanced Hair Loss Patterns; Repair of the Unsuccessful Hair Restoration; Tissue Expansion for Scalp Reconstruction; Imposters of Andogenetic Alopecia: Diagnostic Pearls for the Hair Restoration Surgeon; and more. This clinically focused information is intended for the facial plastic surgeon whose practice is not a majority of hair restoration and for surgeons who might want to grow their hair practice. Editors Raymond Konior and Steven Gabel lead this review in Facial Plastic Surgery Clinics. When asked why hair transplantation and restoration is of compelling interest, Dr Konior explains that he decided to limit his practice solely to hair restoration because it is a life altering procedure for patients: "People cannot believe the outcome - they come to me post-restoration and are so happy with their new appearance, telling me how much their lives are changed. Whether for job or career or personal reasons, this procedure has a positive outcome for them.�

An important review on vascular surgery for the general surgeon! Topics include work up, optimal medical management, non-atherosclerotic arterial diseases, claudication, critical limb ischemia, aneurismal diseases, mesenteric ischemia, vascular trauma, venous diseases, thromboembolic diseases, dialysis access, carotid artery occlusive disease, and more!

This issue of Thoracic Surgery Clinics, Guest Edited by Drs. Jean Deslauriers, F.G. Pearson, and Farid Shamji, is devoted to surgery and chemotherapy for lung cancer. This issue was written as a tribute to Dr. Robert J. Ginsberg, and will include articles on: Contemporary results of surgical resection of NSCLC after induction therapy; Prediction of operative morbidity and mortality before operation; Limited resection for small diameter tumors; Management of tumors involving the chest wall, including Pancoast tumors and tumors invading the spine; Role of surgery in patients with clinical N2 disease; Reconstruction of the bronchus and pulmonary artery; Current status of systematic lymph node dissection versus lymph node sampling; Intraoperative nodal staging: Role of sentinel node technology; Stereotactic body radiation therapy (SBRT) in early stage tumors; Palliative resection; Adjuvant chemotherapy after pulmonary resection for lung cancer; Targeted therapy and new anti-cancer drugs in advanced disease; Biologic approaches to drug selection and targeted therapies; Cost effective methods for follow-up after lung cancer surgery; Quality of life after pulmonary resection; and Principles of palliative care.

This issue of the Neurosurgery Clinics of North America devoted to Intracranial Stereotactic Radiosurgery is Guest Edited by Dr. Bruce Pollock of the Mayo Clinic in Rochester, Minnesota. Articles in this issue include: Concepts and Techniques of Intracranial Stereotactic Radiosurgery; Stereotactic Radiosurgery of Intracranial Meningiomas; Stereotactic Radiosurgery of Pituitary Adenomas; Stereotactic Radiosurgery of Vestibular Schwannomas; Stereotactic Radiosurgery of Non-Vestibular Schwannomas; Multi-session Radiosurgery of Benign Intracranial Tumors; Stereotactic Radiosurgery of Intracranial Gliomas; Stereotactic Radiosurgery of Brain Metastases; Stereotactic Radiosurgery of Chordomas, Chondrosarcomas, and Glomus Tumors; Stereotactic Radiosurgery of Intracranial Arteriovenous Malformations; Stereotactic Radiosurgery of Intracranial Dural Arteriovenous Fistulas; Stereotactic Radiosurgery of Intracranial Cavernous Malformations; Stereotactic Radiosurgery for Trigeminal Neuralgia; and Stereotactic Radiosurgery for Epilepsy and Functional Disorders.

Very focused reviews examine the relevant options in rejuvenating the aging neck. Options in treating the aging neck include non-invasive, minimally invasive, and open surgical approaches. The geometry of the neck, as a simple yet non-hollow cylinder, is examined anatomically and through procedures specific to this unique area. Topical treatments for the aging skin, advances in non-invasive and minimally invasive technologies using various injectables and energy sources, and a range of open procedures that consider all of the internal components of the aging neck are presented. A special Techniques section poses questions to an international group of surgeons who respond with their preferred techniques and approaches and outcomes for such situations as defatting the heavy neck, approach to young versus older neck, use of fibrin glue, and more.� Guest Editor Malcolm Paul, who works in academia, private practice, and with technologic companies, leads this review.

An important review on abdominal wall reconstruction for the general surgeon! Topics will include preoperative optimization of a ventral hernia patient, prevention of incisional hernias, laparoscopic ventral hernia repair, open ventral hernia repair, atypical hernias, epigastric and umbilical hernias, parastomal hernia repair, flap reconstruction, synthetic mesh, clinical outcomes of biologic mesh, pediatric hernias, takedown of enterocutaneous fistula, a review of laparoscopic versus open inguinal hernia, and more!

This issue of the Surgical Oncology Clinics of North America, Guest Edited by Dr. William G. Cance, is devoted to Translational Cancer Research for Surgeons. Translational Cancer research aims to move bench research to the bedside by applying basic science toward potential therapies. This issue will present the concepts of translational research and development of targeted therapeutics, and its implications for surgeons. It will show clinical applications for surgeons regarding sarcoma/GIST, melanoma, colorectal cancer, breast cancer, and endocrine cancer.

Complications in cosmetic surgery - no surgeon wants to admit to them, all surgeons dread them, and all have experienced them. This issue is devoted solely to complications in facial plastic surgery - the most common and the most feared - and discussion on best approaches to avoid them. Each article focuses on a specific procedure. Each article discusses: Surgical Complications, Pharmacologic or Interaction Complications, Nonpharmacologic Complications, Complication Avoidance, Procedural Approach (with video), Complication Management Perioperative, Complications Management Postoperative. Written by facial plastic surgeon experts, this information is essential for facial plastic surgeons, plastic surgeons, and to cosmetic adjunct professionals who perform injections and resurfacing. This publication is directed by two expert practitioners and academicians who are at the apex of their field, Dr Richard Goode and Dr Sam Most. Their substantive teaching and training experiences position them to provide comprehensive understanding and skills in performing cosmetic surgery.

An important review on transplantation for the general surgeon! Topics include: kidney transplant, left lobe liver transplants, advances in lung transplantation, stem cell and cellular transplants, pancreatectomy, management of organ failure, transplant immune suppression, antibody mediated rejection, cardiac assist devices, organ perfusion and preservation, weight reduction therapy, organ allocation and distribution, and more!

This issue of Neurosurgery Clinics of North America is devoted to "Advances in Neuromodulation." Editors Won Kim, MD, Antonio De Salles, MD, and Nader Pouratian, MD have assembled the top experts to review topics such as: peripheral nerve stimulation; spinal cord stimulation for gait reanimation and vascular pathology; deep brain stimulation for Tourettes, OCD, depression, Parkinson's disease, eating disorders, dystonia, and headache; and techniques for image-guided deep brain stimulation, advanced imaging for targeting, and closed loop neuromodulation.

The scope of use of local anesthetics in procedures in plastic surgery is covered in this issue of Clinics in Plastic Surgery. Discussion centers on plastic surgeons in private practice in ambulatory facilities and those scheduling time for OR in hospital facilities using local anesthetics while accommodating patient comfort and absence of side-effects post general anesthesia. Presented in this publication are the most common plastic surgeries that can be done under local anesthesia, each with a discussion of the optimal anesthetic, method of administration, and dosage. Video of the procedure or portion of the procedure, as applicable, accompanies the techniques along with a surgical case. The goal of this issue is to provide a concise reference for surgeons' planning surgeries to review and perhaps adapt currently used methods with this latest information on local anesthetics. Surgical Technique is provided in detail with full analysis of Patient Selection and Planning, Complications and Post-procedure Care. Contents include Complications; Basic Science of Locals; Skin Grafts and Flaps; Peripheral Nerve; Foot Surgery; Breast Surgery; Liposuction; Hand Trauma; Oculoplastic Surgery; Ear Surgery; Hair Transplantation; among others.

This issue of Surgical Oncology Clinics of North America is devoted to the treatment of Colorectal Cancer. Editors Nancy Baxter, MD and Marcus Burnstein, MD have assembled some of the top experts in the field to review this important topic.Articles in this issue include: Colonoscopy: What are we missing?; Imaging in rectal cancer: MRI vs. ERUS; Local Excision for Rectal Cancer; Controversies in Neo-adjuvant treatment for rectal cancer; Management of the complete response; Controversies in laparoscopy for CRC; Colon resection - is standard technique adequate?; Quality Assurance in CRC surgery; Controversies in Abdomino-perineal resection; Functional Consequences of CRC management; Timing of adjuvant therapy for CRC; and Management of Stage IV disease.

This issue of Hand Clinics will focus on minimally invasive hand and wrist surgery. This surgery refers to the treatment of bone and soft tissue injuries without the need for traditional open surgical incision. With the aid of new techniques and computerized machinery, even a rather complex surgery can be performed with only a few small incisions. This can be done using arthroscopy, or other techniques that use alternate methods to visualize the work site. This issue will cover all the basics of minimally invasive techniques including an overview paper on the current procedures.

Editor Michael Brennan highlights important areas in Sjogren's Syndrome for all oral and maxillofacial surgeons. Topics include diagnosis and the ACR classification criteria, epidemiology and pathophysiology, salivary gland dysfunction and xerostomia, salivary gland disease: sialadenitis to lymphoma, extraglandular manifesations, oral complications, management of xerostomia, parotidectomy in Sjogren's Syndrome, support network for Sjogren's Syndrome patients, and much more!

Editor George Velmahos and authors highlight every important area in Acute Care Surgery for all general surgeons. Topics include obstruction, perforation, bleeding, acute inflammation, hernia emergencies, the open abdomen, necrotizing soft tissue infections, vascular emergencies, thoracic emergencies, and much more!

This issue of Thoracic Surgery Clinics is devoted to "Tracheal Surgery" and is edited by Drs. Frank Detterbeck and Erich Hecker. Articles in this outstanding issue include: Anatomy and Physiology; Pathology of Tracheal Tumors; Anesthesia for Tracheal Surgery; Endoscopic Techniques for Tracheal Diseases; Repair of Tracheobronchial Injuries; Tracheomalacia; Surgery of Benign Stenosis; Laryngo-tracheal Resection and Reconstruction; Treatment Approaches to Primary Tracheal Cancer; Carinal Resection and Sleeve Pneumonectomy; Extended Tracheal Resections; Airway Transplantation; Management of Postoperative Complications; and Treatment of Trachea-esophageal Fistula.

Knowledge of cutaneous lymphomas has been growing significantly as a result of important discoveries in immunology, molecular biology, and immunohistochemistry. Improved clinical pathologic correlation and follow-up data, as well as the synergistic collaboration among different lymphoma registries and specialists from several academic medical centers have greatly contributed to the understanding of the difficult field of cutaneous lymphoproliferative disorders. While these advances have increased understanding of skin lymphomas, they have also produced an extensive and sometimes confusing litany of articles, studies, and classification schemes. This issue on Cutaneous Lymphomas in Surgical Pathology Clinics provides an organized and updated review of this challenging topic by leading experts. It bridges critical knowledge gaps in the diagnosis of cutaneous lymphomas. Sezary Syndrome, Mycosis Fungoides and variants are presented along with B-cell, CD30, lymphoproliferative disorders among others. In addition to multiple clinical and microscopic images, tables and algorithms are presented to aid in diagnosis and staging. Beyond its usefulness to general pathologists, dermatopathologists, and hematopathologists, this information is intended to be helpful for dermatologists, hematologists/oncologists, fellows, and residents.

Topics in Hematopoietic Neoplasms: Controversies in Diagnosis and Classification include: ABC vs GC subtyping of diffuse large B cell lymphoma-Does it matter?; Clonal link between malignant lymphoma and histiocytic tumors; Diagnostic criteria for grey zone lymphoma: Are there any?; Diagnostic criteria for primary cutaneous B cell lymphoma; Distinguishing reactive and leukemic large granular lymphocyte proliferations; Differential diagnosis of erythroleukemia; Early pre-T ALL versus MPAL: Diagnostic criteria; Myeloid neoplasms with inv(3) or t(3;3); Update on classification and prognosis in myelodysplastic syndrome; Approach to atypical immunophenotypes in Hodgkin lymphoma; Blastic plasmacytoid dendritic cell tumor: How do you distinguish it from acute myeloid leukemia?; The differential diagnosis of eosinophilia in neoplastic hematopathology; Transformation in myeloproliferative neoplasms; and Challenges in consolidated reporting of hematopoietic neoplasms. This publication is an extremely useful and practical source for pathologists working with this spectrum of disorders. As with all publications in this series, Differential Diagnosis is the main focus of discussion. Staging, Diagnosis, Prognosis, and summaries of Pitfalls in working with these pathologies are presented along with ample figures.

This issue of Foot and Ankle Clinics will cover all of the most common procedures carried out by foot and ankle surgeons. A general overview at the beginning of the issue will lead into treatment of: flatfoot, cavus foot, hallux claw tow and varus, foot drop, rear instability, Achilles dysfunction, and spastic foot. There will be also be an article discussing percutaneous techniques.

This issue of Neurosurgery Clinics of North America is devoted to "Minimally Invasive Spine Surgery" and is edited by Zachary A. Smith, MD and Richard G. Fessler, MD, PhD. Articles in this issue include: Complications and complication avoidance of minimally invasive spine surgery; Radiation exposure risk and avoidance; Current techniques in the management of cervical myelopathy and radiculopathy; Thoracic disc/pathology management through minimally invasive routes; Transforaminal Lumbar Interbody fusion: Long term outcomes and complications; Computer-assisted navigation technique for minimally invasive transforaminal lumbar interbody fusion and lateral interbody fusion; Safety and the Anatomy of the retroperitoneal lateral corridor; Minimally invasive extracavitary transpedicular corpectomy for the management of spinal tumors; Minimally invasive anterolateral corpectomy for spinal tumors; Minimally invasive approaches for the management of intramedullary spinal tumors; Percutaneous fixation of thoracolumbar fractures; Advances and feasibility of advanced minimally invasive techniques in deformity correction; Direct lateral approach: Outcomes and Deformity Correction; and Evidence basis and outcomes.

Surgeon are presented an in-depth view of current surgical management of the cleft lip and palate patient in this issue of Clinics in Plastic Surgery. Focusing on aspects most relevant to plastic surgeons, each article offers an evidence-based assessment of current management options along with detailed descriptions of the author's preferred surgical technique. Outcomes measures for each aspect of cleft care are discussed, along with an update on current inter-center outcomes studies in the US and abroad. This issue of The Clinic's brings the current state of the art in cleft treatment to the practicing plastic surgeon, highlighting the changes and ongoing developments in the field. Topics include the nuanced management of Pierre Robin Sequence and Velo-cardio-facial syndrome, the continued evolution of naso-alveolar molding, and new developments in orthognathic surgery.

Editor Jessica Wernberg and authors review the current management and procedures in biliary tract surgery. Articles will cover: anatomy and embryology of the biliary tract, bile duct cysts, symptomatic cholelithiasis and functional disorders of the biliary tract, gallstone pancreatitis, technical aspects of bile duct evaluation and exploration, iatrogenic biliary injuries, proximal biliary malignancy, distal biliary malignancy, gallbladder cancer, bile duct metabolism and lithogenesis, unusual complications of gallstones, endoscopic management of biliary disorders,� biliary issues in the bariatric population, technical aspects of cholecystectomy, cholecystitis, and more!

This issue of Surgical Oncology Clinics of North America is devoted to "Biliary Tract and Primary Liver Tumors" and is edited by Timothy Pawlik, MD, of the Johns Hopkins Hospital in Baltimore. Expert authors in this issue review this topic in articles such as: Epidemiology and Risk Factors of Biliary Tract Tumors and Primary Liver Tumors; Imaging of the Patient with a Biliary Tract or Primary Liver Tumor; Percutaneous and Endoscopic Approaches to Biliary Tract Tumors and Primary Liver Tumors; Intrahepatic Cholangiocarcinoma; Hilar Cholangiocarcinoma; Distal Cholangiocarcinoma; Hepatocellular Carcinoma; Staging of Biliary Tract and Primary Liver Tumors; Intra-arterial Therapies: Primary Liver Tumors; Radiotherapy: Primary Liver Tumors; Systemic and Targeted Therapy; and Palliation: Treating Patients with Inoperable Biliary Tract and Primary Liver Tumors.

This issue of Thoracic Surgery Clinics is devoted to "Robotic Surgery." Editor Bernard Park, MD of Hackensack University Medical Center brings together the top experts to review this important topic in thoracic surgery. Articles in this issue include: Robotic Thoracic Surgery: Technical Considerations and Learning Curve; VATS-based Approach for Robotic Lobectomy; Total Port Approach for Robotic Lobectomy; Long-term Results for Robotic Lobectomy for Lung Cancer; Robotic Segmentectomy and Pneumonectomy; Robotic Benign Esophageal Procedures; Robotic Esophagectomy (Ivor Lewis and McKeown Approaches); Robotic Thymectomy for Myasthenia Gravis; Robotic Thymectomy for Thymic Neoplasms; and Robotic versus Video-Assisted Thoracic Surgery: Advantages and Disadvantages.

Necklift is essentially the foundation of "facelift� or "rhyditectomy" in cosmetic surgery. The neck is a major anatomic area that surgeons address when a patient wants facial rejuvenation. This issue of Facial Plastic Surgery Clinics focuses solely on Necklift. Every facial platic surgeon and plastic surgeon, along with dermatologists and other cosmetic specialists who work in facial rejuvenation will benefit from the information presented on neck lift techniques, less invasive and minimally invasive procedures, and tips from expert surgeons who work on the aging face. Videos showing technique accompany many of the articles, topics of which include: Anatomy and Physiology of the Aging Neck; Pre-operative Evaluation of the Aging Neck Patient; A Systematic Approach to Neck Rejuvenation; Non-Surgical Neck Tightening Treatments; Neck Skin Rejuvenation; Minimally Invasive Approaches to Neck Rejuvenation; Techniques for Rejuvenation of the Neck Platysma; The Extended SMAS Approach to Neck Rejuvenation; The Deep Plane Approach to Neck Rejuvenation; Vertical Neck Rejuvenation; Adjunctive Procedures to Neck Rejuvenation; Complications and Sequelae of Neck Rejuvenation.

Editor Peter Mazzaglia and authors review the current management and procedures in endocrine surgery. Articles will cover: central compartment lymph node dissection for papillary thyroid cancer; evaluation of thyroid incidentaloma; the role of genetic markers in the evaluation and management of thyroid nodules; medical therapy for advanced forms of thyroid cancer; follicular lesions of the thyroid; controversy over radio-iodine ablation: who benefits?; minimizing cost while maximizing success in the pre-operative localization strategy for primary hyperparathyroidism; operative treatment for primary hyperparathyroidism; evaluation of adrenal incidentalomas: biochemical and radiographic characterization; hyperaldosteronism: diagnosis, lateralization, and treatment; subclinical Cushing's syndrome; adrenocortical cancer update; and pancreatic neuroendocrine tumors.