Table Of Contents:
Preface vii
User guide viii
Contributing authors xiv
SECTION 1: SURGICAL PRINCIPLES AND CRITICAL CARE

John D Corson

Donald E Fry

Joel J Roslyn
PERIOPERATIVE CARE

Preoperative risk assessment and perioperative care 1(1)

Robert F Wilson

James G Tyburski

Operating room environment 2(1)

Mark A Malangoni

Charles J Yowler

Physiologic responses to surgery and injury 3(1)

Palmer Q Bessey

Fluid and electrolytes 4(1)

Thomas Vargish

Robert J Baker

Shock 5(1)

David A Spain

R Neal Garrison

Hemostasis and transfusion 6(1)

Robert J Winchell

David B Hoyt

Infection, inflammation and antibiotics 7(1)

Donald E Fry

Nutrition support 8(1)

Kenneth A Kudsk

Kathleen M Teasley-Strausburg

Cardiac support of the surgical patient 9(1)

Matthew J Wall, Jr

John C Baldwin

Pulmonary support 10(1)

Philip S Barie

Mia Talmor

Renal support 11(1)

Richard J Mullins

Wound healing 12(1)

Adrian Barbul

Scott R Schell
SPECIAL CONSIDERATIONS

Minimal access surgery 13(1)

Thadeus L Trus

John G Hunter

Geographic features of surgical practice 14(1)

John L Tarpley

Donald E Meier

Anesthesiology and pain control 15(1)

Philip M Hopkins

Dudley J Bush

Principles of radiology 16(1)

Lisa M Sullivan

Anna M Champlin

Fred A Mettler

Principles of oncology 17(1)

Maureen A Chung

Kirby I Bland

Surgical management in the elderly 18(1)

James M Watters

Jonathan L Meakins

Surgical informatics 19(1)

John R Clarke

Economic issues in surgery 20(1)

Jonathan C Silverstein

Charles L Rice
PRACTICAL PROBLEMS 21

Investigating a postoperative infection `epidemic'

James T Lee

Postoperative abdominal abscess

Donald E Fry

Nutritional support of the burn patient

Carol R Schermer

Postoperative myocardial infarction

Gerald B Demarest

Pulmonary contusion

Roxie M Albrecht

Acute renal failure in critical surgical illness: continuous venovenous hemofiltration or standard hemodialysis?

Kenneth W Burchard

Wound care issues in the paraplegic patient

Kenneth E Morgenstern

Emily F Pollard

A James Moser

Sigmoid cancer in an 82-year-old patient

David H Berger

Difficult decisions for a 42-year-old patient who has chronic disease

David H Berger

Anesthetic considerations in the morbidly obese patient

A James Moser

Jonathan Parmet

Symptomatic cholelithiasis: laparoscopic versus open procedures

Ken Morgenstern

A James Moser
SECTION 2: TRAUMA

Howard R Champion
PRINCIPLES OF TRAUMA CARE

Introduction 1(1)

Howard R Champion

Combat surgery 2(1)

Ronald F Bellamy

Initial trauma evaluation and resuscitation 3(1)

Brad M Cushing

Paul J Schenarts

Lisa A Rutstein

Initial surgical care of the trauma patient 4(1)

Thomas M Scalea

Aurelio Rodriguez

Trauma in the elderly, in pregnancy and in children 5(1)

Craig R Nunn

Daniel C Cullinane

John A Morris, Jr
SPECIFIC TYPES OF INJURY

Head, cervical spine and spinal cord injury 6(1)

Alex B Valadka

Derek Taggard

Vincent C Traynelis

Neck trauma 7(1)

M Gage Ochsner

Michael W Blaney

Thoracic trauma 8(1)

Riyad C Karmy-Jones

Abdominal and perineal injuries 9(1)

Timothy C Fabian

Andrew J Kerwin

Pelvic, lumbar and thoracic spine, and spinal cord injuries 10(1)

Andrew N Pollak

Jeffrey A Goldstein

Principles of wound management 11(1)

Robin M Coupland

Limb injuries 12(1)

Gavin W Bowyer

Thermal injury 13(1)

David W Mozingo

Vascular trauma 14(1)

John D Corson

Patricia Westmoreland

Jamal J Hoballah
PRACTICAL PROBLEMS 15(9)

Missed aortic injury following an abdominal gunshot wound

John D Corson

In shock with blunt trauma

Kendall Boone

Richard M Young

Nonoperative management of complex blunt hepatic injuries

Richard S Hart

Robin CN Williamson
SECTION 3: GASTROINTESTINAL SURGERY

Victor W Fazio

James W Maher

Robin CN Williamson
DIAGNOSIS AND EMERGENCIES

Upper and lower gastrointestinal endoscopy 1(1)

Jeffrey L Conklin

Gastrointestinal hemorrhage 2(1)

Joseph JY Sung

Joseph W Lau

Acute abdomen 3(1)

Gordon L Kauffman, Jr

Intestinal obstruction 4(1)

M Jonathan Worsey

Victor F Fazio
UPPER DIGESTIVE TRACT

Benign diseases of the esophagus 5(1)

James W Maher

Esophageal neoplasms 6(1)

Glyn Jamieson

Peptic ulcer disease 7(1)

Joseph J Cullen

Gastric neoplasms 8(1)

Jorg R Siewert

Andreas Sendler

Obesity surgery 9(1)

Cornelius Doherty

Small intestine 10(1)

Neil H Hyman
HEPATOPANCREATOBILIARY

Liver 11(1)

David M Mahvi

Layton F Rikkers

Portal hypertension 12(1)

J Michael Henderson

Gallbladder and biliary tree 13(1)

A James Moser

Joel J Roslyn

Pancreas 14(1)

Robin CN Williamson

Timothy R Worthington

Spleen 15(1)

Robin CN Williamson
LOWER DIGESTIVE TRACT

Appendix 16(1)

Amanda Metcalf

Anatomy and physiology of the large bowel 17(1)

Peter A Cataldo

Inflammatory colorectal conditions 18(1)

Neil Mortensen

Neil Borley

Neoplastic colorectal conditons 19(1)

Benign reoperative conditions

Richard Schulick

Jose G Guillem

Malignant reoperative conditions

James S Wu

Victor W Fazio

Miscellaneous conditions of the large bowel 20(1)

David E Beck

Anal canal 21(1)

Andrew J Malouf

Michael D Cadogan

David CC Bartolo
MISCELLANEOUS

Mesentery, peritoneum and retroperitoneum 22(1)

Susan Galandiuk

Martin Farmer

Hernias of the abdominal wall 23(1)

Philip E Donahue
PRACTICAL PROBLEMS 24

Identifying the source of gastrointestinal bleeding

Gregory R Brevetti

Lucy S Brevetti

Evaluation and management of acute abdominal pain in pregnancy

Gordon L Kauffman Jr

Bleeding from the colon: source undetermined

Jeffrey L Cohen

Small bowel obstruction: timing of reoperative surgery

James M Church

Esophageal perforation

James W Maher

The shortened esophagus

James W Maher

Barrett's escophagus and dysplasia on a biopsy: is an esophagectomy necessary?

Glyn Jamieson

Linitis plastica: to treat or not to treat?

Jorg R Siewert

Andreas Sendler

Dehiscence of a vertical banded gastroplasty partition

Cornelius Doherty

Recurrent Crohn's disease: factors influencing recurrence and prophylaxis

Mark W Thompson-Fawcett

Robin S McLeod

Benign or malignant stricture of the liver hillus?

Valery Usatoff

Robin CN Williamson

Recurrent liver metastases after resection of colorectal tumors

Valery Usatoff

Robin CN Williamson

Bile leak after laparoscopic cholecystectomy

Valery Usatoff

Robin CN Williamson

Unsuspected gallbladder cancer after laparoscopic cholecystectomy

Valery Usatoff

Robin CN Williamson

Pancreatic head mass: inflammatory or neoplastic?

Robin CN Williamson

Unresectable pancreatic cancer-are you sure?

Valery Usatoff

Robin CN Williamson

Toxic colitis: surgical versus medical treatment and the use of cyclosporine

Michael O'Riordain

Acute diverticulitis: medical versus surgical management

Mark J Killingback

Perianal Crohn's disease: definition and operative treatment

Brett Gemlo

Familial adenomatous polyposis: management and cancer prevention

Hartley S Stern

Helene MF Perras

Hereditary nonpolyposis colorectal cancer: recognition and management

Hartley S Stern

Helene MF Perras

Carcinoma of the rectum and the role of local surgery versus resective treatment

Peter W Marcello

Rising serum carcinoembryonic antigen levels: imaging techniques and second-look surgery

Mark W Arnold

Anal infection following hemorrhoidectomy

Martin A Luchtefeld

Groin pain after hernia repair: is a neuroma present? 24

Philip E Donahue
SECTION 4: VASCULAR SURGERY

John D Corson

William H Pearce
PRINCIPLES OF VASCULAR SURGERY

Vascular biology 1(1)

William F Oppat

William H Pearce

Hemodynamics and vascular disease 2(1)

Matadial Ojha

K Wayne Johnston

Jagdish Butany

Nonivasive diagnosis of vascular disease 3(1)

R Eugene Zierler

Vascular imaging 4(1)

Ramin E Beygui

Christopher K Zarins

Coagulation 5(1)

Michael Sobel

Lawrence F Poletti
SPECIFIC CIRCULATIONS

Cerebrovascular disease 6(1)

John J Ricotta

Michael J Petersen

Thoracic aortic diseases 7(1)

Joseph S Coselli

Cuneyt Koksoy

Abdominal aortic aneurysms 8(1)

Martin G Veller

Russell S Britz

Visceral artery aneurysms 9(1)

Gregory G Schnier

Patrick J O'Hara

Aortoiliac occlusive disease 10(1)

John P Harris

James May

Lower limb arterial occlusive disease 11(1)

Magruder C Donaldson

Anthony D Whittemore

Lower extremity arterial aneurysms 12(1)

Jacob Buth

Upper extremity vascular disease 13(1)

James ST Yao

William D McMillan

Mesenteric ischemia 14(1)

Lewis Schwartz

John Moawad

Bruce L Gewertz

Diseases of the renal arteries 15(1)

Timothy F Kresowik

John D Corson
VENOUS AND LYMPHATIC SURGERY

Venous diseases 16(1)

Jae-Sung Cho

Peter Gloviczki

Lymphatic disease 17(1)

Thomas WG Carrell

Catharine L McGuinness

Kevin G Burnand
OTHER ASPECTS OF VASCULAR SURGERY

Amputations 18(1)

Peter T McCollum

Endovascular techniques 19(1)

Edward B Diethrich

Vascular malformations 20(1)

Thomas S Riles

Robert J Rosen

Jennifer K Svahn
PRACTICAL PROBLEMS 21

Abdominal aortic aneurysm with coexisting malignancy

Spencer W Galt

Neurologic defect following carotid endarterectomy

M Ashraf Mansour

Aortic dissection with leg ischemia

William F Oppat

Suprarenal aortic aneurysm with previous infrarenal aortic aneurysm repair

Jon S Matsumura

Renovascular disease and pulmonary edema

Andy C Chiou

William H Pearce

Carotid body tumor

Angelika Borrmann

William H Pearce

Chronic draining groin sinus following aortic bypass grafting

William D McMillan

Carotid endarterectomy following an acute neurologic event

Steven S Kang

Acute ischemia following lower extremity bypass grafting

Sandra C Carr
SECTION 5: BREAST AND ENDOCRINE SURGERY

J Michael Dixon

Jeffrey A Norton
BREAST SURGERY

Benign breast disease 1(1)

J Michael Dixon

Breast cancer: epidemiology 2(1)

J Michael Dixon

Breast cancer: genetics 3(1)

Christopher M Steel

Screening and staging of breast cancer 4(1)

Andrew J Evans

A Robin M Wilson

Surgical treatment of early breast cancer 5(1)

Monica Morrow

Breast reconstruction after mastectomy 6(1)

Glyn E Jones

Adjuvant therapy in early breast cancer 7(1)

Robert CF Leonard

Treatment of locally advanced breast cancer 8(1)

Gabriel N Hortobaygi

Treatment of metastatic breast cancer 9(1)

Matti S Aapro

Breast disease: psychologic aspects 10(1)

Peter Maguire
PRACTICAL PROBLEMS 11(5)

Recurrent periareolar sepsis

J Michael Dixon

Blood-stained discharge from a single nipple duct

J Michael Dixon

Mass in a young woman: observe or excise?

J Michael Dixon

Mammographic clustered microcalcifications: benign or malignant?

A Robin M Wilson

Andrew J Evans

Hypercalcemia in breast disease

David Cameron
ENDOCRINE SURGERY

Thyroid surgery 12(1)

David M Scott-Coombes

Parathyroid surgery 13(1)

Deborah H Markham

John R Farndon

Adrenal surgery 14(1)

Hop N Le

Jeffrey A Norton

Multiple endocrine neoplasia syndromes 15(1)

Jonas Rastad

Goran Wallin

Jan Zedenius
PRACTICAL PROBLEMS 16

Adrenal incidentaloma: treat or ignore?

Marjorie J Arca

Michel Ganger

Negative exploration of the neck in a hypercalcemic patient

Hurng-Sheng Wu

Quan-Yang Duh

Multiple endocrine neoplasia type 1

Jeffrey A Norton
SECTION 6: TRANSPLANTATION SURGERY

J Andrew Bradley
PRINCIPLES OF TRANSPLANTATION

Immunology of transplantation 1(1)

Eleanor M Bolton

J Andrew Bradley

Immunosuppressive therapy 2(1)

J Andrew Bradley

Organ procurement and storage 3(1)

Murat Akyol

J Andrew Bradley
TYPES OF ORGAN TRANSPLANT

Dialysis access and renal transplantation 4(1)

Thomas C Pearson

Alan B Lumsden

Christian P Larsen

Liver transplantation 5(1)

Peter J Friend

Pancreas transplantation 6(1)

J Peter A Lodge

Small bowel and multivisceral transplantation 7(1)

David R Grant

Dave L Bigam

Heart and lung transplantation 8(1)

Michael J Reardon

Robert J Brewer

George V Letsou

John C Baldwin
PRACTICAL PROBLEMS 9

Difficult dialysis access

Bryon C Jaques

Dinesh Sharma

transplant function

Michael A Rees

Liver transplantation in a child: living-related or cadaveric graft?

Paul Gibbs

Bile leak after liver transplantation

Thomas W Frick

Graft rejection and infection after small bowel transplantation

Martin Drage

Post-transplant lymphoproliferative disease

Rafael E Chavez-Cartaya
SECTION 7: ALLIED SURGICAL SPECIALTIES

John D Corson

Albert E Cram

Sigmund H Ein

John M Fitzpatrick

Bruce H Haughey
PEDIATRIC SURGERY

Surgical care of the pediatric patient 1(1)

Sigmund H Ein

Pediatric Chest 2(1)

Kenneth S Azarow

Pediatric gastrointestinal tract 3(1)

Geoffrey K Blair

Abdominal wall deformities 4(1)

Anthony D Sandler

Pediatric tumors 5(1)

Graham Haddock

Pediatric urology 6(1)

Jeff L Pugach

Antoine E Khoury
PRACTICAL PROBLEMS 7(6)

Pneumonia after repair of esophageal atresia

Evelyn H Dykes

Gastrointestinal bleeding in a 6-month-old infant

Evelyn H Dykes

Hunt the missing testis

Evelyn H Dykes

Abdominal mass in a 3-year-old child

Evelyn H Dykes
HEAD AND NECK SURGERY

Salivary glands 8(1)

Aijaz Alvi

Ricardo L Carrau

The neck 9(1)

John R Houck

Jesus E Medina

The mouth 10(1)

Ralph W Gilbert

Pharynx and cervical esophagus 11(1)

William T Wei

Skull, face and nose 12(1)

Bruce H Haughey

Gregory S Tarasidis
PRACTICAL PROBLEMS 13(4)

Poorly fitting dentures: call the dentist or the doctor?

Ralph W Gilbert

Preauricular swelling: inflammatory or neoplastic?

Ricardo L Carrau

Aijaz Alvi

Dysphagia, earache and a neck mass: diagnostic dilemmas

William T Wei

Facial swelling, a stuffy nose and eye swelling: more than a cold?

Sarvjit S Gill

Bruce H Haughey
SKIN AND SOFT TISSUE SURGERY

Principal of plastic surgery 14(1)

Albert E Cram

Al Aly

Skin tumors 15(1)

Alan J McKay

DS Byrne

Malignant tumors of bone and soft tissue 16(1)

Joseph A Buckwalter

Kristin L Weber
PRACTICAL PROBLEMS 17(10)

Moh's resection: how can I close this defect?

Al Aly

Recognition and diagnosis of a subungual lesion

Alan J McKay

DS Byrne

Chronic musculoskeletal pain

Joseph A Buckwalter
GENITOURINARY SURGERY

Investigation of the urologic patient 18(1)

Kevin P Murray

John M Fitzpatrick

Urologic emergencies 19(1)

Kevin P Murray

John M Fitzpatrick

Urologic cancers 20(1)

Kevin P Murray

John M Fitzpatrick

Genitourinary tract infections 21(1)

Evan B Cohn

Anthony J Schaeffer

Upper urinary tract obstruction 22(1)

Nicholas JR George

Lower urinary tract obstruction 23(1)

Ira J Kohn

David M Weiner

Steven A Kaplan

Management of urinary calculi 24(1)

Damien M Bolton

Urinary incontinence 25(1)

Mark James

Paul Abrams

Gynecologic aspects of acute surgery 26(1)

Marcus E Setchell

Clive Spence-Jones
PRACTICAL PROBLEMS 27(7)

Death in the scrotum: testicular torsion

Robin CN Williamson

Pyonephrosis: urgent decompression of an obstructed kidney

Kevin P Murray

Acute retention: a common cause and precipitant

Kevin P Murray

Hematuria: a sinister explanation

Kevin P Murray

Genitourinary tuberculosis

Kevin P Murray
CARDIOTHORACIC SURGERY

Principles of cardiac surgery 28(1)

Wayne E Richenbacher

Kemp H Kernstine

Congenital heart disease 29(1)

Pedro J del Nido

Valvular heart disease 30(1)

Michael J Reardon

John C Baldwin

Ischemic heart disease 31(1)

Stephen Westaby

Miscellaneous cardiopulmonary conditions 32(1)

Richard M Young

Kemp H Kernstine

John D Corson

Lung neoplasms 33(1)

Dean M Donahue

Kemp H Kernstine

Douglas J Mathisen
PRACTICAL PROBLEMS 34

Embolization from a cardiac source

Gregory R Brevetti

Lucy S Brevetti

Anticoagulation and a heart valve

Roderick TA Chalmers

Median sternotomy infection

Albert E Cram

Asymptomatic carotid artery disease and coronary artery bypass grafting

Beth A Ballinger

William J Sharp
Index