Written by experts from the world renowned Cleveland Clinic, this superb guide focuses specifically on surgical operations rather than surgical disease, providing readers with the specific information they need*fast. Uniform and consistent, this handy resource features the comprehensive and timely coverage needed to manage surgical patients effectively and efficiently. For each procedure, you'll find... * a brief overview of pathophysiology which outlines the diseases process and the data necessary to understand it * descriptions of the most commonly seen presenting signs * pre-operative work-up instructions, including radiologic and laboratory tests to confirm the diagnosis * pre- and post-operative orders * step-by-step descriptions of the operative technique * lists of potential complications during in the post-operative period
Filled with the collective wisdom and experience of surgeons at the busiest department of colorectal surgery in the world, Cleveland Clinic Illustrated Tips and Tricks in Colon and Rectal Surgery walks you step by step through each procedure, with pointers given along the way as if from a trusted mentor. You’ll find a unique collection of insight and personal clinical experience in dealing with challenging and unusual situations—tips and techniques you can use when faced with similar circumstances in the operating room.
Tracing the history of the Cleveland Clinic from its start as a small not-for-profit group practice to being the world's second largest private academic medical center, this medical history tells one of the most dramatic stories in modern medicine. Starting on the battlefield hospitals of World War I, this details how the clinic achieved medical firsts, such as the discovery of coronary angiography and the world's first successful larynx transplant, improved hospital safety, and met the challenges of the 21st century to be ranked among the top five hospitals in America. This text not only recounts the history of the clinic but presents a model for other not-for-profit organizations on how to endure and thrive.
Mohs Micrographic Surgery, an advanced treatment procedure for skin cancer, offers the highest potential for recovery--even if the skin cancer has been previously treated. This procedure is a state-of-the-art treatment in which the physician serves as surgeon, pathologist, and reconstructive surgeon. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots. This procedure allows dermatologists trained in Mohs Surgery to see beyond the visible disease and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. This procedure is most often used in treating two of the most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. The cure rate for Mohs Micrographic Surgery is the highest of all treatments for skin cancer--up to 99 percent even if other forms of treatment have failed. This procedure, the most exact and precise method of tumor removal, minimizes the chance of regrowth and lessens the potential for scarring or disfigurement
The definitive guide to heart health from two of America's most respected doctors at Cleveland Clinic, the #1 hospital for heart health in America. Are you one of the eighty-two million Americans currently diagnosed with cardiovascular disease—or one of the millions more who think they are healthy but are at risk? Whether your goal is to get the best treatment or stay out of the cardiologist’s office, your heart's health depends upon accurate information and correct answers to key questions. In Heart 411, two renowned experts, heart surgeon Marc Gillinov and cardiologist Steven Nissen, tackle the questions their patients have raised over their decades of practice: Can the stress of my job really lead to a heart attack? How does exercise help my heart, and what is the right amount and type of exercise? What are the most important tests for my heart, and when do I need them? How do symptoms and treatments differ among men, women, and children? Backed by decades of clinical experience and up-to-the-minute research, yet written in the accessible, down-to-earth tone of your trusted family doctor, Heart 411 cuts through the confusion to give you the knowledge and tools you need to live a long and heart-healthy life.
"...an excellent overview of the care of tracheostomy patients. Because of its simplicity yet depth of information, it is a great resource for any health-care professional who deals with tracheostomy patients, including non-otolaryngologist physicians, respiratory therapists, speech-language pathologists, and nurses."--Annals of Otology, Rhinology, and Laryngology "The aim of this book is to provide a complete guide to tracheostomies for the multidisciplinary team, and it achieves this aim admirably...I would highly recommend this book for critical care departmental libraries, and for those individuals who have a particular interest in the management of the patient with a tracheostomy."--Anaesthesia "The authors have compiled a comprehensive review of all aspects of tracheostomy highlighted by an exhaustive appraisal of all appliances currently available for its implementation and management. The book can serve as a one-stop reference for the selection of tracheostomy devices..."--Annals of Thoracic Surgery "[This book] is easily readable and does give insight into some of the more complex issues in placing and handling tracheostomies...it is a publication that healthcare providers would benefit from reading."--Critical Care Medicine "Certainly, Tracheostomies, The Complete Guide covers the subject concisely. The book is practical and portable. It would serve well as a reference for anesthesiologists, and should be included in a departmental library."--Journal of Neurosurgical Anesthesiology "[This] book is a great resource for anyone involved in the care of tracheostomy patients. The text not only provides the reader with a general understanding of the procedure and available options, but also gives a glimpse into prevention and management of the myriad issues that can arise in a patient with tracheostomy.î--Otolaryngology--Head and Neck Surgery This book is a comprehensive reference to help manage the multitude of issues that arise with tracheostomy patients--from the surgical procedure to the perioperative period, and from intensive care to recovery and rehabilitation. This book is practical and readily useable by a number of health care professionals from nurses and anesthesiologists to general surgeons, physiatrists, and many more. The chapter authors closely detail each procedure, providing step-by-step guidelines for practice, including choosing and fitting tubes and restoring the voice. This one-stop reference presents the fine details of daily care of patients with tracheostomies to help health care practitioners make appropriate decisions and educate their patients. Key topics: The tracheostomy procedure: timing, preoperative management, and surgical technique Types of tracheostomy tubes and related appliances Care of the tracheostomy patient: oral care, nutrition, and home care Special considerations for the child with a tracheostomy Complications and emergency procedures
The New York Times bestselling guide to the lifesaving diet that can both prevent and help reverse the effects of heart disease Based on the groundbreaking results of his twenty-year nutritional study, Prevent and Reverse Heart Disease by Dr. Caldwell Esselstyn illustrates that a plant-based, oil-free diet can not only prevent the progression of heart disease but can also reverse its effects. Dr. Esselstyn is an internationally known surgeon, researcher and former clinician at the Cleveland Clinic and a featured expert in the acclaimed documentary Forks Over Knives. Prevent and Reverse Heart Disease has helped thousands across the country, and is the book behind Bill Clinton’s life-changing vegan diet. The proof lies in the incredible outcomes for patients who have followed Dr. Esselstyn's program, including a number of patients in his original study who had been told by their cardiologists that they had less than a year to live. Within months of starting the program, all Dr. Esselstyn’s patients began to improve dramatically, and twenty years later, they remain free of symptoms. Complete with more than 150 delicious recipes perfect for a plant-based diet, the national bestseller Prevent and Reverse Heart Disease explains the science behind the simple plan that has drastically changed the lives of heart disease patients forever. It will empower readers and give them the tools to take control of their heart health.
This book provides clear surgical options when the cases are not “routine”. It follows 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. In each chapter, international experts address how to avoid being in tough surgical situations through preoperative planning, how to better deal with commonly encountered intra-operative findings, how to deal with difficult laparoscopic, open, endoscopic, and anorectal cases, and how to avoid medico-legal issues. Colorectal Surgery Consultation is simple and succinct and provides pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through endoscopic and endoluminal approaches that may make the difference in patient outcomes.
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.
