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This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirica...
During the past 9 years, reports of 'port-site' deposits following laparoscopic surgery for malignancy, especially laparoscopic resection of colonic cancer, have cast a shadow on the wisdom of the laparoscopic approach in the surgical man agement in patients with cancer. Those reports of port-site deposits, some 90 cases reported in the literature up to 1999, have opened a 'can of worms' and highlighted the scarcity of our knowledge on cancer cell migration from solid tu mors and the factors that underlie their successful implantation in surgical wounds both in the presence and absence of a positive pressure pneumoperito neum. The jury is out even in relation to the effect of the healing sur...
This book is a comprehensive guide to the surgical repair of inguinal and abdominal wall hernias that not only describes all potential approaches, but also places them in the context of the anatomy of the region, the pathology, and the advances in scientific knowledge over the past decade. It documents in detail the individual techniques applicable in each region (inguinal, femoral, and ventral), highlighting tips and tricks and focusing on indications, potential complications, and outcomes. In addition, it presents cases of incisional hernia and examines less frequent and rare cases and complex situations. Written for surgeons from around the globe, it includes procedures used in wealthy, d...
Magnificently illustrated with clear depictions of key anatomic relationships, this new surgical atlas covers all minimally invasive abdominal procedures as well as combined endoluminal and endocavitary operations. A systematic organization of test and illustrations that facilitates the choice between options—from classic to more recent procedures—in a concise style for fast and reliable guidance. Plus, exquisitely detailed watercolor drawings reflect the modern realities of surgical practice and answer critical questions when time is of the essence. Highlights of this full-color atlas: Illustrated, step-by-step techniques and tactical guidelines--ideal to read and consult before a proce...
This book provides a comprehensive state-of-the-art overview on the established knowledge in the field of gastroesophageal reflux disease (GERD) as well as a current insight into new algorithms involving new diagnostic tools and new endoscopic and surgical techniques. The integration of these new findings in updated therapeutic decision making is demonstrated. The book reviews the latest literature on new diagnostic findings to better discriminate between different benign disorders of the esophagus and stomach. It describes the decision making to establish indications for the variety of established and new therapeutic options in the management of the disease. It also describes in detail new therapeutic techniques, which provides excellent back-up information for every clinician in daily practice. Management of Gastroesophageal Reflux Disease is a valuable resource for clinicians, surgeons, nurses, technicians, students and researchers with an interest in esophageal and upper GI- disease.
These proceedings present papers on Additive Manufacturing, Composites Forming Processes, Extrusion and Drawing, Forging and Rolling, Formability of Metallic Materials, Friction and Wear in Metal Forming, Incremental and Sheet Metal Forming, Innovative Joining by Forming Technologies, Lionel Fourment MS on Optimization and Inverse Analysis in Forming, Machining and Cutting, Material Behavior Modelling, New and Advanced Numerical Strategies for Material Forming, Non-Conventional Processes, Polymer Processing and Thermomechanical Properties, Sustainability on Material Forming, and Property-Controlled Forming.
Hepatocellular carcinoma (HCC) and cholangiocarcinoma (CC), both increasing in incidence, have become a major topic of basic and clinical research as well as clinical practice in hepatology. Experts in the field update the current concepts on the carcinogenesis of HCC and CC such as genetic alterations in the pathways of cell cylce and apoptosis regulation, the hypothesis of dedifferentiation of hepatocytes to the malignant phenotype vs that of activation of hepatic progenitor cells incapable of maturation (maturation arrest hypothesis). In spite of an increasing number of genetic alterations described in human HCC as well as cell regulatory pathways tested in experimental HCC models, the ke...
This volume dedicated to the memory of Marcel Sergent who was a leader in this field for many years, addresses past achievements and recent developments in this vibrant area of research. Large classes of ligated transition metal clusters are produced either exclusively or most reliably by means of high-temperature solid-state reactions. Among them, the Chevrel-Sergent phases and related materials have generated enormous interest since their discovery in 1971. Today, these materials and their numerous derivatives still constitute a vivid area of research finding some applications not only in superconductivity, but also in catalysis, optics or thermoelectricity to mention a few.
The fifth edition of this well-received book contains all the latest information on surgical techniques in abdominal hernia surgery and has been updated to reflect progress in robotic hernia surgery and minimally invasive approaches, as well as new materials used such as fully resorbable synthetic meshes. With chapters on management of complications and laparoscopic repair, among others, the book also contains newly-added accounts of the Milos technique, laparoscopic primary closure of defects and mesh. For each of the surgical techniques described the reader will find information on pre- and post-operative management, instructions on theatre set-up and patient positioning, an account of the incision and access, as well as detailed operative steps and closure, and finally tips and pitfalls. From financial aspects to operative techniques and materials, this book provides a very comprehensive account of abdominal hernia management. Richly illustrated to demonstrate the surgical procedures in detail this book is written by a team of world leaders in herniology. This is an indispensable guide to herniologists and hernia surgeons, worldwide.
The topics covered in this issue, an update from what was first published in the Gastrointestinal Endoscopy Clinics in 2008, reflect the fact that NOTES is seeing a resurgence in popularity. Now, eight years later, there is more data to confirm safety, to look at the best options for using natural orifices, and to talk about optimal training scenarios. The Guest Editor has enlisted some of the top experts on NOTES to contribute articles devoted to Seminal Developments: SM Tunnel Technique; Peroral Endoscopic Myotomoy (POEM); Submucosal Tumor Endoscopic Resection; Endoscopic Full Thickness Resection; Submucosal Tunneling for NOTES Procedures Beyond Resection; Pyloromyotomy; New NOTES: Western Perspective; and Why Did the Old NOTES Fail: Lessons Learned that can Guide New NOTES Development.