Surgical Ethics

Surgical Ethics

Author: Laurence B. McCullough

Publisher: Oxford University Press

Published: 1998-04-02

Total Pages: 417

ISBN-13: 0199748799

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The first textbook on the subject, this is a practical, clinically comprehensive guide to ethical issues in surgical practice, research, and education written by some of the most prominent figures in the fields of surgery and bioethics. Discussions of informed consent, confidentiality, and advance directives--core concepts integral to every surgeon-patient relationship--open the volume. Seven chapters tackle the ethical issues in surgical practice, covering the full range of surgical patients--from emergency, acute, high-risk, and elective patients, to poor surgical risk and dying patients. The book even considers the special relationship between the surgeon and patients who are family members or friends. Chapters on surgical research and education address innovation, self-regulation in practice and research, and the prevention of unwarranted bias. Two chapters focus on the multidisciplinary nature of surgery, including the relationships between surgery and other medical specialties and the obligations of the surgeon to other members of the surgical team. The economic dimensions of surgery, especially within managed care, are addressed in chapters on the surgeons financial relationships with patients, conflicts of interest, and relationships with payers and institutions. The authors do not engage in abstract discussions of ethical theory; instead, their discussions are always directly relevant to the everyday concerns of practicing surgeons. This well-integrated volume is intended for practicing surgeons, medical educators, surgical residents, bioethicists, and medical students.


The Ethics of Surgery

The Ethics of Surgery

Author: Robert M. Sade

Publisher: Oxford University Press, USA

Published: 2015

Total Pages: 385

ISBN-13: 0190204524

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Compendium of articles from recent surgical literature that address ethical issues chosen by surgeons.


The ASCRS Textbook of Colon and Rectal Surgery

The ASCRS Textbook of Colon and Rectal Surgery

Author: Scott R. Steele

Publisher: Springer

Published: 2016-03-24

Total Pages: 1269

ISBN-13: 3319259709

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This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.


The SAGES Manual Ethics of Surgical Innovation

The SAGES Manual Ethics of Surgical Innovation

Author: Steven C. Stain

Publisher: Springer

Published: 2016-05-04

Total Pages: 288

ISBN-13: 3319276638

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This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases. How several landmark surgical innovations were developed are described to show the challenges faced, and the ethical dilemmas these innovators dealt with. The challenges of dealing with regulatory issues, and how to work with industry partners, and investors when working on a new therapy is described. Once a new technology has been brought to the market, standards need to be developed regarding the training, credentialing and adoption of the new technology. There are insufficient standards of how to balance the desire to provide patients the latest therapy with the obligation that patients receive informed consent about the new technology, and the relationship that the physician may have had with product development. The book describes the national perspective of paying for new technology, and provides one insurance company’s approach to the introduction of innovative therapy. The Sages Manual Ethics of Surgical Innovation will be a resource for surgeons, researchers and health policy personnel to understand the ethical issues related to the development, introduction and adoption of innovative therapies for gastrointestinal diseases. Although the context for discussion is the application of innovation to gastrointestinal disease, the ethical issues are applicable to any discussion of innovative medical or procedural therapies.


Ethical And Legal Issues In Modern Surgery

Ethical And Legal Issues In Modern Surgery

Author: Nadey S Hakim

Publisher: World Scientific Publishing Company

Published: 2014-12-18

Total Pages: 445

ISBN-13: 1783266090

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Over the last quarter of a century, the fields of medical ethics and of legal issues related to medical practice have rapidly developed for a number of reasons. Firstly, the provision of healthcare nowadays is based on a complicated partnership between healthcare providers, patients, administrators and organizations responsible for providing finance; this complicated partnership frequently results in clashes of views, opinions, and priorities, which have a major ethical and legal dimension. Secondly, a major event of the 21st century is the development of multicultural societies; healthcare-related decisions thus have to be made on the background of so many different ethnicities, religions, cultures and languages, resulting in a great spectrum of ethical and legal implications. Thirdly, in the modern world, people are more mobile and can easily and cost-effectively seek treatment outside of their country of origin or residence, which raises many ethical and legal issues. Lastly, the development of new medical specialties, modern and advanced treatments for very challenging patients, and the introduction of new technologies in medical practice have dramatically broadened the spectrum of ethical and legal issues related to medical practice. This book will therefore aim to cover in detail general principles and specific issues related to the ethical and legal dimensions of modern surgical practice.


Ethics of Innovation in Neurosurgery

Ethics of Innovation in Neurosurgery

Author: Marike L. D. Broekman

Publisher: Springer

Published: 2019-02-21

Total Pages: 170

ISBN-13: 3030055027

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This book covers all ethical aspects of introducing novel implants and procedures in neurosurgery in a structured way, addressing the current knowledge gap concerning ethical innovations in neurosurgery. Initially it explores the difficulties involved in defining when a procedure should be considered innovation, research, or care. To this end, it presents not only an overview of current literature, but also data from a recent survey among neurosurgeons in Europe. The book subsequently discusses the ethical issues related to innovation. These include: informed consent (what should a surgeon tell the patient and how should he/she do so), oversight (can any surgeon simply implant a novel spinal device?), the learning curve (when should a surgeon be allowed to perform a novel procedure?), vulnerable patients (how to innovate in the pediatric population or in an emergency setting), and conflicts of interest, as well as the ethics of paying for innovative treatments. In turn, the closing chapters focus on the evaluation of neurosurgical research and innovation. Are cultural changes necessary and how could innovation benefit from (international) collaborations? Given the range of topics addressed, the book offers neurosurgeons, residents, scientists, companies and hospital administrations a valuable guide to introducing novel implants and techniques in neurosurgery.


Innovation in Medical Technology

Innovation in Medical Technology

Author: Margaret L. Eaton

Publisher: JHU Press

Published: 2007-02-28

Total Pages: 188

ISBN-13: 9780801885266

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This thought-provoking study examines the ethical, legal, and social problems that arise with cutting-edge medical technology. Using as examples four powerful and largely unregulated technologies—off-label use of drugs, innovative surgery, assisted reproduction, and neuroimaging—Margaret L. Eaton and Donald Kennedy illustrate the difficult challenges faced by clinicians, researchers, and policy makers who seek to advance the frontiers of medicine safely and responsibly. Supported by medical history and case studies and drawing on reports from dozens of experts, the authors address important practical, ethical, and policy issues. They consider topics such as the responsible introduction of new medical products and services, the importance of patient consent, the extent of the duty to mitigate harm, and the responsibility to facilitate access to new medical therapies. This work's insights into the nature and consequences of medical innovation contribute to the national debate on how best to protect patients while fostering innovation and securing benefits.


Operative Pediatric Surgery

Operative Pediatric Surgery

Author: Moritz Ziegler

Publisher: McGraw Hill Professional

Published: 2014-01-23

Total Pages: 1424

ISBN-13: 0071667814

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The definitive illustrated resource on the surgical management of infants and children -- with an emphasis on operative technique Operative Pediatric Surgery, Second Edition is a comprehensive, well-illustrated text that delivers expert coverage of the pathophysiology, diagnosis, and treatment of pediatric surgical disease. This detailed single-volume resource is enhanced by numerous drawings, radiographs, and photographs that illustrate the authors’ preferred operative techniques. Wherever appropriate, diagnostic and care guidelines are also included. Operative Pediatric Surgery, Second Edition is divided into 11 sections that include a total of 100 chapters. The book opens with an informative General Principles section that provides important background information on topics such as the history of pediatric surgery, ethical considerations, pediatric surgical critical care, and office-based ambulatory surgery. The rest of the text is organized primarily by organ, enhanced by a timely section on solid organ transplantation. In this Second Edition, each chapter author has thoroughly updated and refreshed their topic, and in many instances, minimally invasive operative techniques are included with open approaches. There are also exciting new chapters on: Hypospadias Vesicoureteral reflux Non-rhabdomyosarcoma soft tissue sarcomas Gastrointestinal polyps and cancer Adolescent bariatric surgery Operative Pediatric Surgery will prove to be an essential reference for pediatric surgeons seeking optimal diagnosis and treatment approaches for their patients.


Handbook of EHealth Evaluation

Handbook of EHealth Evaluation

Author: Francis Yin Yee Lau

Publisher:

Published: 2016-11

Total Pages: 487

ISBN-13: 9781550586015

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