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This new edition of Christopher Stone's Plastic Surgery Facts has been completely revised and updated in line with modern practice. The content reflects the changes in the FRCS Plastic Surgery Curriculum and the book is now organised according to the curriculum's major headings. Written chiefly in note form to aid revision and retention, the book provides an overview of the full spectrum of plastic surgery practice. The text has been significantly expanded and re-edited to improve clarity and readability. Clinical anatomy, points of technique and the fundamental principles relevant to each subject area are explained. Relevant published articles are reviewed and illustrations have been included to reinforce important concepts. The specific focus on the FRCS Plastic Surgery exit examination makes this invaluable reading for examination candidates. This volume offers a factual and diverse overview of the body of knowledge in the specialty and is useful for trainees at all levels.
Organ Transplantation: A Clinical Guide covers all aspects of transplantation in both adult and pediatric patients. Cardiac, lung, liver, kidney, pancreas and small bowel transplantation are discussed in detail, as well as emerging areas such as face and pancreatic islet cell transplantation. For each organ, chapters cover basic science of transplantation, recipient selection, the transplant procedure, anesthetic and post-operative care, and long-term follow-up and management of complications. Important issues in donor selection and management are also discussed, including recruitment and allocation of potential donor organs and expanding the donor pool. Summary tables and illustrations enhance the text, and long-term outcome data are provided where available. Written by expert transplant surgeons, anesthetists and physicians, Organ Transplantation: A Clinical Guide is an invaluable multidisciplinary resource for any clinician involved in transplantation, providing in-depth knowledge of specialist areas of transplantation and covering the full range of management strategies.
Trauma: A Comprehensive Emergency Medicine Approach is a fully illustrated, interdisciplinary overview of trauma. Using both evidence-based approaches and a practical understanding of the emergency department, it gives a broad and in-depth review of trauma care. The entire spectrum of trauma presentations is reviewed from minor soft-tissue injuries through to major life-threatening conditions. Written by over 50 expert contributors, it gives concrete and practical recommendations for evaluation, treatment, consultation and disposition decisions on both common and unusual conditions. Extensive use of photographs, illustrations and key information boxes is used to make the material accessible. Additional sections provide an overview of multiple other issues relating to emergency management of trauma including administrative, nursing, research and legal matters. This book provides an essential reference for anyone who is called upon to provide acute trauma care in the emergency department.
Infections are among the most common complications after transplantation and greatly increase the morbidity and mortality of transplantation and decrease graft survival. This chapter describes a timeline of infection after transplantation. Post-transplant infections can be mitigated by preventative methods, routine vaccinations, intake of clean food and water, preventative measures during times of outbreaks visits with travel medicine specialists prior to visiting high risk regions, safer sexual practices for non-monogamous recipients, and guidance on better tattoo acquisition. Hepatitis viruses are common causes for liver transplantation and also common complications after transplant, predominantly as reactivation of latent infections. Molecular diagnostics are emerging as a diagnostic methodology for bacterial infections. Invasive fungal diseases, particularly aspergillosis, are significant causes of morbidity and mortality in transplant recipients. Treatment of individual parasitic infections can involve medications that may interact with transplant medications, or have significant side effects, and should be used carefully.
Heart transplantation (HT) remains the best treatment for selected patients with advanced heart failure (HF). Patients with New York Heart Association (NYHA) class IIIB and class IV HF are best discussed with the local HF/transplant center to optimize medical management and to consider high-risk non-transplant surgery where appropriate. Patients who require HT may have severe ventricular dysfunction. Exercise capacity is known to correlate with prognosis in advanced HF. Chronic HF is associated with a high left ventricular end-diastolic pressure (LVEDP), which in turn leads to pulmonary venous and pulmonary arterial hypertension. The best studied scoring system in the context of predicting the need for HT is the HF Survival Score (HFSS). Older patients run a higher risk of post-transplant malignancy and renal dysfunction as compared with younger recipients. Combined heart-liver transplantation has been increasingly performed, but data on patient and graft outcomes remain limited.
Transplantation of organs represents the pinnacle of medical achievement in so many different ways. This chapter presents historical perspectives of organ transplantation such as abdominal organ transplantation, cardiothoracic transplantation, combined heart and lung transplantation and lung transplantation. The area of skin grafting became of greater importance for the treatment of war burns and other injuries, and the death from kidney disease also provided impetus to focus once more on kidney transplantation. The successful intrathoracic transplantation of the heart without interrupting the circulation led to the idea that a cardiac allograft might be able to assume some of the normal circulatory load. The indications for transplantation are widening, and although kidney, liver, heart, and even lung transplantation is now seen as routine, the necessary skills are being developed to transplant other organs, such as the small intestine, pancreas, face, hand, and uterus.
Infections are among the most common complications after transplantation and greatly increase the morbidity and mortality of transplantation and decrease graft survival. This chapter describes a timeline of infection after transplantation. Post-transplant infections can be mitigated by preventative methods, routine vaccinations, intake of clean food and water, preventative measures during times of outbreaks visits with travel medicine specialists prior to visiting high risk regions, safer sexual practices for non-monogamous recipients, and guidance on better tattoo acquisition. Hepatitis viruses are common causes for liver transplantation and also common complications after transplant, predominantly as reactivation of latent infections. Molecular diagnostics are emerging as a diagnostic methodology for bacterial infections. Invasive fungal diseases, particularly aspergillosis, are significant causes of morbidity and mortality in transplant recipients. Treatment of individual parasitic infections can involve medications that may interact with transplant medications, or have significant side effects, and should be used carefully.