Clinical Surgery.pdf

Clinical Surgery

Clinical Surgery

SECOND EDITION

Alfred Cuschieri

MD DM ChM FRSE FRCS(Ed) FRCS(Eng)

FMedSci FIBiol FRCS(Glas) FRCS(I) FInst Mech(Eng)

Professor of Surgery and Head of Department of Surgery and

Molecular Oncology

Ninewells Hospital and Medical School

University of Dundee

Honorary Consultant Gastrointestinal Surgeon

Tayside University Hospitals NHS Trust and

Acute Fife Hospitals NHS Trust

Pierce Grace

MCh FRCS(I) FRCS

Professor of Surgical Science

University of Limerick

Consultant Vascular Surgeon

Mid-Western Regional Hospital

Limerick

Ara Darzi

KBE MD FRCS FACS FRCS(I) FRCPS(Glas) FMedSci

Professor of Surgery and Head of Department

Department of Surgical Oncology and Technology

Imperial College of Science, Technology and Medicine

St Mary's Hospital Campus

London

Neil Borley

MB BS FRCS(Eng) MS

Consultant Colorectal Surgeon

Gloucestershire Hospitals NHS Trust

Cheltenham General Hospital

Cheltenham

David Rowley

B.Med.Biol MD FCRS(Ed) FRCS(Eng) FRCPS(Glas)

Head of Academic Department

Ninewells Hospital and Medical School

University of Dundee

Director of Education

Royal College of Surgeons of Edinburgh

Blackwell

Science

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First published in 1996

Reprinted 2001

Second edition 2003

Library of Congress Cataloging-in-Publication Data

Clinical surgery / Alfred Cuschieri... [et al.]. — 2nd ed.

p.; cm.

Includes index.

ISBN 0-632-06394-7

1. Surgery.

[DNLM:1. Surgical Procedures, Operative. WO 500 C641 2003] I.

Cuschieri, Alfred.

RD31 .C643 2003

617—dc21

2003000667

A catalogue record for this title is available from the British Library

Set in 9.5/11.5pt Minion by Graphicraft Limited, Hong Kong

Printed and bound in Italy by G. Canale & C. SpA, Turin

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Contents

Contributors, vi

Preface, viii

List of abbreviations, ix

20 Chest Trauma, 224

21 Musculoskeletal Trauma, 230

22 Soft-tissue Trauma, 248

23 Burns, 254

Part 1: Clinical Skills and Investigations

1 History-taking and Physical Examination, 1

2 Basic Clinical Procedures, 32

3 Principles of Investigation, 49

Part 4: General Surgery

24 Disorders of the Abdominal Wall, 269

25 Disorders of the Oesophagus, 276

26 Disorders of the Stomach and Duodenum, 301

27 Disorders of the Liver, 325

28 Disorders of the Biliary Tract, 343

29 Disorders of the Pancreas, 361

30 Disorders of the Spleen, 379

31 Disorders of the Small Intestine and Vermiform

Appendix, 386

32 Disorders of the Colon and Rectum, 407

33 Disorders of the Breast, 428

34 Disorders of the Endocrine Glands, 441

35 Salivary Glands, 456

36 Skin and Adnexae, 464

Part 2: Perioperative Care

4 Assessment of Patients for Surgery and Preoperative

Medical Management, 62

5 Prophylaxis, 71

6 Transfusion of Blood and Blood Products, 79

7 Surgical Infection, 89

8 Pain Relief, 101

9 Complications following Surgery, 109

10 Rehabilitation, 120

Part 3: The Management of Acute Surgical

Illness and Trauma

Part 5: Specialist Surgery

(A) Acute Surgical Illness

11 Hypoxic States and Airway Obstruction, 127

12 Haemorrhage, Hypovolaemia and Shock, 136

13 Fluids, Electrolytes, pH Balance and Nutrition, 148

14 Acute Renal Failure, 159

15 The Acute Abdomen, 166

16 Systemic Inflammatory Response Syndrome, 181

17 Initial Management of the Severely Injured

Patient, 188

18 Head Injury, 195

37 Cardiovascular Disorders, 481

38 Pulmonary Disorders, 548

39 Genitourinary Disorders, 576

40 Neurosurgical Disorders, 619

41 Musculoskeletal Disorders, 641

42 Plastic and Reconstructive Surgery, 677

43 Ear, Nose and Throat Disorders, 713

44 Ophthalmic Disorders, 742

45 Principles of Transplantation, 759

46 Surgical Conditions in Neonates, Infants and

Children, 771

(B) Trauma

19 Abdominal Trauma, 210

Index, 793

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