Case Notes of a Children’s Brain Surgeon

Everything That Makes Us Human: Case Notes of a Children’s Brain Surgeon

‘There are two ways to open a child’s head. The pretty way and the quick way. Usually I shave the hair, use a scalpel to nick the skin then apply an electro-cautery device to burn down to bone level. It’s a slow, precise method and it leaves almost no scarring. But it takes time. Time, the interminable single note of the heart monitor reminds me, I don’t have.’

Jay Jayamohan makes life and death decisions on a daily basis. That’s because he’s a Consultant Paediatric Neurosurgeon in a busy Oxford hospital. Every day, parents put all their faith in him to make their sick children well again. Though he is proud of his successes, he is haunted by every failure. Jayamohan is known not only for his skill in surgery but also his human touch: to him, no patient is only a number.

In this gripping and sometimes heartrending book, Jayamohan – who has featured in two highly acclaimed BBC fly-on-the-wall series following the work of neurosurgeons – brings the highs and lows of the operating theatre into vivid life. Beginning with his struggles as an Asian growing up in 1970s Britain, he chronicles his early days as a medical student and spans decades of extraordinary activity, drawing on case studies from various aspects of his career: not all of which have happy endings. Jayamohan describes how he found the strength to keep going despite terrible setbacks: no matter how many times he is knocked down, he always gets up again to face the next challenge.

Everything That Makes Us Human is a pacy, gripping account of Jayamohan’s life and work. He pulls no punches and owns his mistakes, but the complete picture is one of a man driven to save as many lives as possible.

Surgery on the Front Line

War Doctor: Surgery on the Front Line

The #1 internationally bestselling, gripping true story of a frontline trauma surgeon operating in the world’s most dangerous war zones

For more than 25 years, surgeon David Nott has volunteered in some of the world’s most dangerous conflict zones. From Sarajevo under siege in 1993 to clandestine hospitals in rebel-held eastern Aleppo, he has carried out lifesaving operations in the most challenging conditions, and with none of the resources of a major metropolitan hospital. He is now widely acknowledged as the most experienced trauma surgeon in the world.

War Doctor is his extraordinary story, encompassing his surgeries in nearly every major conflict zone since the end of the Cold War, as well as his struggles to return to a “normal” life and routine after each trip. Culminating in his recent trips to war-torn Syria—and the untold story of his efforts to help secure a humanitarian corridor out of besieged Aleppo to evacuate some 50,000 people—War Doctor is a heart-stopping and moving blend of medical memoir, personal journey, and nonfiction thriller that provides unforgettable, at times raw, insight into the human toll of war.

Fundamentals of Congenital Minimally Invasive Cardiac Surgery PDF download

Book Description:

Fundamentals of Congenital Minimally Invasive Cardiac Surgery is a first of its kind, fully-illustrated guide that is solely dedicated to the most diffused congenital minimally invasive cardiac surgery procedures. It provides detailed, step-by-step descriptions of surgical maneuvers to underline each aspect of the procedures along with full color drawings and operative pictures to enhance understanding. Each chapter fully describes the preoperative setting, the needed materials and the required technical skills that make specific congenital heart defects amenable to minimally invasive surgical treatment.

This is the perfect go-to reference for pediatric and congenital cardiac surgeons, and is also a must-have guide for residents in cardiac surgery who are looking to review the technical aspects and outcomes of utilizing a minimally invasive approach for cardiac surgery.

Key Features

  • Provides an extensive, step-by-step description of the most common minimally invasive pediatric cardiac surgical procedures
  • Uses high quality, full color drawings and operative pictures of the most important steps of the procedures to facilitate understanding
  • Combines information on both the detailed operations of minimally invasive pediatric cardiac surgery and the approach behind them

Table of Contents:

1. The evolution of minimally invasive cardiac surgery for patients with CHDs
2. Anesthesia for minimally invasive surgery
3. Operative echocardiography
4. Cardiopulmonary-bypass strategies
5. Surgical instruments
6. Mid-line lower mini-sternotomy
7. Mid-line superior mini-sternotomy
8. Right-anterior mini-thoracotomy
9. Right-lateral “axillary” mini-thoracotomy
10. Postoperative issue
11. Surgical results
12. Postoperative outcomes
13. Future perspectives

Fundamentals of Congenital Minimally Invasive Cardiac Surgery PDF Free Download

About the Authors/Authors Notes :

Vladimiro Vida
Prof. Vida is a surgeon in the Department of Cardiac, Thoracic and Vascular Sciences at the Pediatric and Congenital Cardiac Surgery Unit at the University of Padua Medical School in Italy. He spent 2 years with Prof. Aldo Castaneda in Guatemala and almost 2 years with Prof. Del Nido at Children’s Hospital Boston, Harvard Medical School. Prof. Vida published more that 150 peer-reviewed paper and edited several books and book chapters. He has also been invited by numerous societies to present the results of his experience. His major research areas include neonatal congenital heart surgery, minimally invasive surgery, congenital heart disease in adults. MD Residentship (Padua) Fellowship (Guatemala, Prof. Aldo Castaneda) FEllowship (Boston, Children’s Hospital, Harvard University) PHD (cardiovascular Sciences) Master in Pediatric Cardiology Master in Cardiovascular Pathology Master in Vascular Medicine

Affiliations and Expertise
Associate Professor of Cardiac Surgery, University of Padua

Giovanni Stellin

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No. of pages: 158
Language: English
File Size : 66 MB
File Format : PDF

Download Links For the Book : Fundamentals of Congenital Minimally Invasive Cardiac Surgery PDF

Current Concepts of Sleep Apnea Surgery PDF download

Current Concepts of Sleep Apnea Surgery PDF Free Download
Preface:

Obstructive sleep apnea (OSA) is one of the most frequent and common diseases all over the globe. In 1981, both continuous positive airway pressure (CPAP) and uvulopalatopharyngoplasty (UPPP) were introduced in the treatment of OSA. That year marked the birth of modern sleep medicine. We have since learnt a lot about the pathophysiology of OSA. Today, there is a variety of treatment modalities for OSA, snoring and related disturbances including conservative (i.e., diet, behavior therapy, positional treatments), medical device treatment (i.e., oral devices, CPAP), and operative treatments. After a period that was characterized by the search for the optimal single treatment, we today know that often a combination of different treatment modalities provides the best results. Sleep apnea surgery is a relatively young discipline that is developing rapidly. Surgical procedures aimed to treat sleep apnea need to be selected in awareness of the individual underlying pathology, pathophysiology and anatomy, and severity of the disease, and comorbidities must also be taken into account. The first part of the book is designed to provide the reader with fundamental knowledge about the pathophysiology and diagnosis of OSA and to give a practical approach on how to choose the best treatment(s) for every individual case. The second part concentrates on surgical approaches to treat OSA. Both of us have performed sleep apnea surgery for decades and witnessed, and to a certain extent influenced, the development of sleep apnea surgery for many years. Today, there are too many surgeries or modifications to include in one book. Therefore, we have discussed those techniques that work best in our hands. Leading experts in the field of surgery from all over the world have contributed as coauthors for specific topics and surgical techniques. Of course, there are other modifications of sleep surgeries that might work well or come up in future. However, we are convinced that this book provides a variety of effective surgical treatments that will help successfully treat the biggest part of the clinical cases. The easy-to-read text is accompanied by figures and videos of best quality, and the readers are provided with a variety of solutions for their sleep surgery cases. We very much hope that this book will become a helpful tool in sleep apnea surgery.

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Current Concepts of Sleep Apnea Surgery Free Download ,Current Concepts of Sleep Apnea Surgery Ebook ,Current Concepts of Sleep Apnea Surgery Free

A Manual On Clinical Surgery 13th Edition PDF download

A Manual On Clinical Surgery 13th Edition PDF Free Download
Preface:

In this chapter it will be narrated in brief, how to follow a patient from his arrival at the hospital or clinic upto his normal condition, i.e. after he has come round. It is a general scheme and applied to all patients whoever come to the surgeon. The student should learn this scheme and make it a reflex, so that he can apply this scheme to all his patients. Ultimately, this will become a habit in his professional career. This general scheme includes — (1) History taking; (2) Physical examination; (3) Special investigation; (4) Clinical Diagnosis;(5) Treatment — both medical and surgical; (6) Progress during postoperative period; (7) Follow-Up; (8) Termination. In the clinic, it is a good practice to start examining the patient when he walks into the room rather than to meet him undressed on a coach in a cubicle. It is helpful if the person, who accompanied the patient, remains by the side of the patient in the early part of the history-taking. He can provide valuable information about the type of injury the patient might have sustained, some details of the complaints or about changes in health or behaviour of the patient in the recent past.
HISTORY-TAKING
1. Particulars of the patient.— Before interrogating about the complaints of the patient, it is a good practice to know the patient first. That means the following headings should be noted in the history-sheet : NAME.— It is very important to know the patient by name. The patients like to be asked by name, as for example, ‘Mr. Sirkar, how long are you having this problem?’ This will not only help to elicit the history properly, but also it will be of psychological benefit to the patient just before the operation and in postoperative period. The patient is assured that you know him by name.

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SRB’s Manual of Surgery 6th Edition PDFdownload

SRB’s Manual of Surgery 6th Edition PDF Free Download
Preface:

A. Wounds and Wound Healing
One having a wound in his eyebrow. An ailment which I will treat. Treatment (of a wound in the eyebrow): Now afterthou hast stitched it (thou shouldst bind) fresh meat upon (it) the first day. If thou findest that the stitching of this wound is loose, thou shouldst draw it together for him with two stnps (of plaster), and thou shouldst treat it with grease and honey eve!), day until he recovers. —innonymousl, circa 2500 BC
@II APTER OUTLINE – It is incised, clean, healthy wound without any tissue loss • Usually primary suturing is done Healing is by primary 10. Wounds Degloving Injuries intention. so. Classification of Wounds • Scar b. Untidy wounds • Wound Healing Keloid They are due to Crushing. Tearing. Avulsion. Devitalised •• Compartment Syndrome ► Hypedrophic Scar injury, Vascular injury. Multiple irregular wounds, Burns. •■ Crush Injury a Problems with Wound – Fracture of the underlying bone may be present. 02. Crush Syndrome Healing Wound dehiscence, infection, delayed healing are common.
WOUNDS [Wound Definition A wound is a break in the integrity of the skin or tissues open. which may be associated with disruption of the structure and function. Wound is simply a disruption of any tissues—soft tissue or bone or internal organs. Ulcer is disruption or break in the continuity of any lining—may be skin, mucous membrane or others. Ulcer is one of the types of wounds
CLASSIFICATION OF WOUNDS
I. Rank and Wakefield classification a Tidy wounds – They are wounds like surgical incisions and wounds caused by sharp objects.
– Liberal excision of devitalised tissue and allowing to heal by secondary intention is the management. – Secondary suturing. skin graft or flap may be needed.

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Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 1 PDF download

Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 1 PDF Free Download
Preface:

We are excited to present the third edition of Oral and Maxillofacial Surgery. This three-volume text is the result of the collaboration of multiple contributors. The first edition, published in 2000, and the second edition, published in 2009, were very well-received. However, with all the advances in our profession, we felt it was time for a new edition. The section editors have done an excellent job recruiting the most knowledgeable individuals in their specific areas of expertise. The authors have submitted chapters that reflect the state of the art in their areas of responsibility. This text is a comprehensive resource on oral and maxillofacial surgery. Every area in our specialty has been addressed. It defines the scope of the specialty. Every surgical procedure performed by an oral surgeon is covered in this text. This multi-volume text provides coverage of a wide range of issues related to surgical care, such as anesthesia, diagnostic imaging treatment planning, rehabilitation, physical therapy, and psychological considerations. After an analysis of the changing field of oral and maxillofacial surgery, we strove to present a comprehensive, current book that covers the complete scope of our specialty. We hope that the reader appreciates and agrees with our efforts. We stated in the preface of the first edition that we hoped that our future attempts will present an even broader scope of oral and maxillofacial surgery. The fact that this edition has succeeded in that regard is a testament to the individuals who are constantly expanding the envelope. The third edition of Oral and Maxillofacial Surgery is a team approach. The section editors—Michael P. Powers, David E. Frost, and Bach Le—were invaluable contributors to the success of this effort. They diligently pestered authors so that deadlines were almost met. This edition, like the last two, attempts to define the scope of oral and maxillofacial surgery and could not have come to fruition without these contributors. Residents are the lifeblood of our specialty. Many have helped to contribute portions of chapters in this book. They have also provided us with friendship, dedication, intellectual stimulation, and humility, without which this book would not have been written. Last, I would like to thank all the staff who helped to prepare these manuscripts and the editorial staff at Elsevier, who were so patient with our procrastination and meticulous in their development and editing of this book. Additionally, I would like to thank my staff—Laynee Adams, Sally Brown, Heather Early, Patty Martin, Sarah Merrill, Josie Ray, and Ashley Wood—who collectively and individually make my life so enjoyable.

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Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 3 PDF download

Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 3 PDF Free Download
Preface:

This historical account is authored by a North American whose principal language is English. Although there are many foreign references and some written in English that I have not included or have overlooked, my apologies in advance. There is no slight intended. The author proposes to touch on the major events that shaped the development of orthognathic surgery over 170 years. I would appreciate hearing of any corrections, deletions, and additions from readers. It is only with your comments that an accurate account of orthognathic surgery will pass on to other generations. The Pioneering Era Little did Simon Hullihen realize that his 1849 publication would serve as the ignition switch for the development of the subspecialty of orthognathic surgery. His publication is the first known record of an operation performed to address jaw deformity and malocclusion.1 The significance of this publication is the undertaking of a novel operation to reposition the dentoalveolus of the mandible. Also of significance is that the operation occurred prior to the development of antibiotics or general anesthetics. Another monumental milestone recorded in this manuscript is the recognition that soft tissue scarring which contributed to the patient’s skeletal deformity had to be released to improve success. This bold maneuver was not accomplished in a major teaching center with observation theaters; it took place in the rural mining community of Wheeling, West Virginia. Hullihen is the first surgeon in the United States known to limit his practice to the face and neck and is considered the father of oral and maxillofacial surgery in this country. Mandibular Osteotomies Not much occurred in the development of mandibular osteotomies until near the end of the 19th century when several French surgeons, Jaboulay, Berard and Berger, published on subcondylar osteotomies for correction of prognathism.2,3 In the United States, Whipple and Angle, both orthodontists, reported cases of prognathism correction in 1898.4,5 The surgeons involved were Harvey Mudd and Vilray Blair. Blair was a general surgeon by training but his interest in mandibular corrective surgery led to the publication of several textbooks on this topic. Blair recognized the importance of orthodontic involvement in jaw surgery and relied on the expertise of Angle—who is considered the father of orthodontics—and others in the dental profession for guidance and advice. Blair and Angle seemed to have mutual respect and collaborated but never published together. Both were prolific writers and documented their experiences well.6-9 Angle published seven editions of a textbook, Treatment of Malocclusion of the Teeth and Fractures of the Mandible,10 and documented several orthognathic surgical cases. Blair’s book on Surgery of the Mouth and Jaws (Mosby) was also published in several editions and he also documented multiple osteotomy case. It appears that they were the first surgeon/orthodontist team whose work paved the way for the future. They recognized the importance of surgical and orthodontic collaboration and discussed pre- and postsurgical orthodontic treatment, timing and sequencing of surgery, and growth considerations. Most of Blair’s early surgical experience was in the body of the mandible, which he approached through neck incisions. By 1915 he altered his approach to the vertical ramus of the mandible.

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Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 3 Free Download ,Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 3 Ebook ,Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 3 Free

Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 2 PDF download

Fonseca Oral and Maxillofacial Surgery 3rd Edition Volume 2 PDF Free Download
Preface:

Trauma is the leading cause of mortality globally, and in the United States more than 3 million facial injuries occur each year, resulting in a large percentage of hospital admissions. Because more than 50% of patients with maxillofacial trauma have multisystem injuries as well, a thorough and efficient management strategy is crucial to optimize the care of the patient. The goal in the management of the facial trauma patient is to restore function and esthetics while minimizing adverse events. The initial evaluation and management of the patient ensures that the appropriate treatment is rendered, whereas the focus in the postoperative setting is on an expeditious recovery with minimal complications. This chapter outlines some of the important principles in the care of the facial trauma patient in the perioperative setting. The subsequent chapters of this text will explore many of these principles in greater detail. Initial Assessment The creation of the Advanced Trauma Life Support (ATLS) course in 1978 provided a systematic approach to addressing the initial needs of the trauma patient. The principles outlined by ATLS (Box 1-1) should be applied to all trauma patients in the emergent setting, to quickly identify and treat any life-threatening injuries. However, it is rare for the oral and maxillofacial surgeon (OMS) to be the sole primary practitioner evaluating a trauma patient who presents to the hospital. A multidisciplinary approach to the management of the trauma patient has been adopted. In most situations, the trauma patient has been evaluated in the emergency room setting and the OMS is brought in as a consultant. This does not negate the need for a thorough understanding of the principles behind trauma care, as it allows the practitioner to be in sync with the efficient and effective methods of optimizing patient care in the hospital setting. In the case that the patient has been referred to you in the outpatient setting, it is important to ensure that all other systems have been evaluated and other systemic injuries have been addressed. If you are concerned that other injuries have not been thoroughly evaluated, a referral to the emergency room is warranted.

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Hernia Surgery 1st Edition PDF download

Hernia Surgery 1st Edition PDF Free Download
Preface:

First published in German over 25 years ago, Hernien represented the first modern work on surgical technique and is now in its fifth edition. This standard work is now being published in English by Thieme. The cautious beginnings and definitions in what was over 25 years ago a rather marginal branch of “real surgery” have now become a stable pillar of routine surgical practice. Hernia surgery, with its great variety of methods, now accounts for 10–15% of surgical procedures and is also the subject of national and international conferences, with its own specialist societies. Hernia management, formerly a little-regarded stepchild, has now become an important branch of general surgery, with a major research impetus and a deluge of medical devices. Compared with other branches of surgery, patients are usually younger and have longer life expectancy. In the 1980s and 1990s, the development of hernia surgery experienced something of a gold-rush mentality; what had been left to the youngest trainee surgeons now became the focus of attention thanks to new methods, modern materials, and revised scientific ideas. Even the opinion leaders of the surgical associations were now interested in hernia surgery and visited and chaired conferences on this topic. Not least due to their influence, new methods, new materials, new companies, new concepts, new “pioneers”, and new questions shot up like mushrooms. Hardly any conference dared to omit hernia as a leading topic and even today, the announcement of a hernia session regularly attracts hundreds of interested surgeons. After the success story of the last quarter century, the initiators may be permitted to look back at what they accomplished and define what has been tried and tested. The history of hernia surgery will continue to develop steadily in future but nevertheless this manual, which makes recommendations for routine surgical practice, appears justified. What was a delicate shoot has now become a strong, important, and pioneering branch of surgery with numerous sturdy side-branches. The authors hope that this English edition will attract as much attention as the first edition 25 years ago.

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