SCHWARTZ'S MANUAL OF SURGERY This title has been archived.

Author: F. Charles Brunicardi, MD, FACS, Dana Andersen, MD, FACS, Timothy Billiar, MD, FACS, David Dunn, MD, PhD, FACS, John Hunter, MD, FACS, Raphael Pollock, MD, PhD, FACS
Affiliation: Baylor University, Houston, TX
Publisher: McGraw-Hill
Publication Date: 2006
ISBN 10: 0071446885
ISBN 13: 9780071446884
Edition: 8th

Description:

Schwartz's Manual of Surgery has become the resource of choice for both practicing physicians, residents, and even surgical clerkship students who are interested in a comprehensive, yet concise on-the-job manual detailing the most current practices and trends. This edition reflects the most extensive revisions ever with a greater focus on surgical techniques and a superb array of new visuals including more tables, charts, highlighted topics, radiologic images, and surgical procedures throughout New to this edition: staging tables for cancer, anesthesia guidance, pre-and-postoperative management of the surgical patient, and much more

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • Editor-in-Chief
  • NOTICE
  • Contributors
  • Preface

PART I BASIC CONSIDERATIONS

    1: Systemic Response to Injury and Metabolic Support

    • THE SYSTEMIC INFLAMMATORY RESPONSE SYNDROME
    • CENTRAL NERVOUS SYSTEM REGULATION OF INFLAMMATION
    • HORMONAL RESPONSE TO INJURY
    • MEDIATORS OF INFLAMMATION
    • CYTOKINE RESPONSE TO INJURY
    • CELLULAR RESPONSE TO INJURY
    • ENDOTHELIUM-MEDIATED INJURY
    • SURGICAL METABOLISM
    • PROTEIN AND AMINO ACID METABOLISM
    • NUTRITION IN THE SURGICAL PATIENT
    • ENTERAL NUTRITION
    • PARENTERAL NUTRITION
    • COMPLICATIONS OF PARENTERAL NUTRITION
    • Suggested Readings

    2: Fluid and Electrolyte Management of the Surgical Patient

    • BODY FLUIDS
    • CLASSIFICATION OF BODY FLUID CHANGES
    • FLUID AND ELECTROLYTE THERAPY
    • ELECTROLYTE ABNORMALITIES IN SPECIFIC SURGICAL PATIENTS
    • Suggested Readings

    3: Hemostasis, Surgical Bleeding, and Transfusion

    • BIOLOGY OF HEMOSTASIS
    • TESTS OF HEMOSTASIS AND BLOOD COAGULATION
    • EVALUATION OF THE SURGICAL PATIENT AS A HEMOSTATIC RISK
    • CONGENITAL DEFECTS IN HEMOSTASIS
    • ACQUIRED HEMOSTATIC DEFECTS
    • LIVER DISEASE
    • ANTICOAGULATION AND BLEEDING
    • LOCAL HEMOSTASIS
    • TRANSFUSION
    • INDICATIONS FOR REPLACEMENTS OF BLOOD OR ITS ELEMENTS
    • Suggested Readings

    4: Shock

    • PATHOPHYSIOLOGY
    • NEUROENDOCRINE RESPONSE
    • IMMUNE AND INFLAMMATORY RESPONSE
    • CELLULAR HYPOPERFUSION
    • FORMS OF SHOCK
    • ENDPOINTS IN RESUSCITATION
    • Suggested Readings

    5: Surgical Infections

    • PATHOGENESIS OF INFECTION
    • MICROBIOLOGY OF INFECTIOUS AGENTS
    • PREVENTION AND TREATMENT OF SURGICAL INFECTIONS
    • INFECTIONS OF SIGNIFICANCE IN SURGICAL PATIENTS
    • Suggested Readings

    6: Trauma

    • INITIAL EVALUATION AND RESUSCITATION OF THE INJURED PATIENT
    • SECONDARY SURVEY
    • TREATMENT
    • HEAD
    • NECK

    7: Burns

    • EPIDEMIOLOGY
    • HOSPITAL ADMISSION AND BURN CENTER REFERRAL
    • EMERGENCY CARE
    • BURN SEVERITY
    • THE PHYSIOLOGIC RESPONSE TO BURN INJURY
    • FLUID MANAGEMENT
    • INHALATION INJURY
    • WOUND MANAGEMENT
    • NUTRITIONAL SUPPORT
    • INFECTION
    • ELECTRICAL INJURY AND BURNS
    • CHEMICAL BURNS
    • PAIN CONTROL
    • CHRONIC PROBLEMS
    • Suggested Readings

    8: Wound Healing

    • PHASES OF WOUND HEALING
    • CLASSIFICATION OF WOUNDS
    • EXCESS HEALING
    • TREATMENT OF WOUNDS
    • Suggested Readings

    9: Oncology

    • EPIDEMIOLOGY
    • CANCER BIOLOGY
    • CANCER ETIOLOGY
    • CANCER RISK ASSESSMENT
    • CANCER SCREENING
    • CANCER DIAGNOSIS
    • CANCER STAGING
    • TUMOR MARKERS
    • SURGICAL APPROACHES TO CANCER THERAPY
    • CHEMOTHERAPY
    • HORMONAL THERAPY
    • BIOLOGIC THERAPY
    • IMMUNOTHERAPY
    • GENE THERAPY
    • RADIATION THERAPY
    • CANCER PREVENTION
    • TRENDS AND EVOLVING TECHNOLOGIES IN ONCOLOGY
    • Suggested Readings

    10: Transplantation

    • TRANSPLANT IMMUNOBIOLOGY
    • CLINICAL IMMUNOSUPPRESSION
    • KIDNEY TRANSPLANTATION
    • PANCREAS TRANSPLANTATION
    • LIVER TRANSPLANTATION
    • INTESTINAL TRANSPLANTATION
    • HEART AND LUNG TRANSPLANTATION
    • INFECTION AND MALIGNANCY
    • Suggested Readings

    11: Patient Safety, Errors, and Complications in Surgery

    • ISSUES PERTINENT TO ERRORS AND COMPLICATIONS
    • COMPLICATIONS IN MINOR PROCEDURES
    • ORGAN SYSTEM COMPLICATIONS
    • WOUNDS, DRAINS, AND INFECTION
    • NUTRITIONAL AND METABOLIC SUPPORT COMPLICATIONS
    • PROBLEMS WITH THERMOREGULATION
    • ISSUES IN CARING FOR OBESE PATIENTS AND PATIENTS AT THE EXTREMES OF AGE
    • Suggested Readings

    12: Physiologic Monitoring of the Surgical Patient

    • ARTERIAL BLOOD PRESSURE
    • ELECTROCARDIOGRAPHIC MONITORING
    • CARDIAC OUTPUT AND RELATED PARAMETERS
    • RESPIRATORY MONITORING
    • RENAL MONITORING
    • NEUROLOGIC MONITORING
    • Suggested Readings

    13: Minimally Invasive Surgery

    • HISTORICAL BACKGROUND
    • THE MINIMALLY INVASIVE TEAM
    • PHYSIOLOGY
    • GENERAL PRINCIPLES OF ACCESS AND EQUIPMENT
    • SPECIAL CONSIDERATIONS
    • ROBOTIC SURGERY
    • ENDOLUMINAL SURGERY
    • EDUCATION AND SKILL ACQUISITION
    • INNOVATION AND INTRODUCTION OF NEW PROCEDURES
    • Suggested Readings

    14: Cell, Genomics, and Molecular Surgery

    • BASIC CONCEPTS OF MOLECULAR RESEARCH
    • MOLECULAR APPROACHES TO SURGICAL RESEARCH
    • Suggested Readings

PART II SPECIFIC CONSIDERATIONS

    15: Skin and Subcutaneous Tissue

    • ANATOMY AND PHYSIOLOGY
    • INJURIES TO SKIN AND SUBCUTANEOUS TISSUE
    • BENIGN TUMORS
    • MALIGNANT TUMORS
    • OTHER MALIGNANCIES
    • FUTURE DEVELOPMENTS IN SKIN SURGERY
    • Suggested Readings

    16: The Breast

    • HISTORY OF MODERN BREAST CANCER SURGERY
    • FUNCTIONAL ANATOMY OF THE BREAST
    • PHYSIOLOGY OF THE BREAST
    • INFECTIOUS AND INFLAMMATORY DISORDERS OF THE BREAST
    • COMMON BENIGN DISORDERS AND DISEASES OF THE BREAST
    • RISK FACTORS FOR BREAST CANCER
    • EPIDEMIOLOGY AND NATURAL HISTORY OF BREAST CANCER
    • HISTOPATHOLOGY OF BREAST CANCER
    • DIAGNOSING BREAST CANCER
    • BREAST CANCER PROGNOSIS
    • OVERVIEW OF BREAST CANCER THERAPY
    • SURGICAL TECHNIQUES IN BREAST CANCER THERAPY
    • NONSURGICAL BREAST CANCER THERAPIES
    • SPECIAL CLINICAL SITUATIONS
    • Suggested Readings

    17: Disorders of the Head and Neck

    • BENIGN CONDITIONS OF THE HEAD AND NECK
    • TUMORS OF THE HEAD AND NECK
    • UPPER AERODIGESTIVE TRACT
    • NOSE AND PARANASAL SINUSES
    • NASOPHARYNX AND MEDIAN SKULL BASE
    • EAR AND TEMPORAL BONE
    • NECK
    • SALIVARY GLAND TUMORS OF THE HEAD AND NECK
    • RECONSTRUCTION IN HEAD AND NECK SURGERY
    • TRACHEOSTOMY
    • Suggested Readings

    18: Chest Wall, Lung, Mediastinum, and Pleura

    • LUNG
    • CHEST WALL
    • CHEST WALL NEOPLASMS
    • MEDIASTINUM
    • DISEASES OF THE PLEURA AND PLEURAL SPACE
    • Suggested Readings

    19: Congenital Heart Disease

    • DEFECTS IN WHICH REPAIR IS THE ONLY OR BEST OPTION
    • AORTIC STENOSIS
    • DEFECTS REQUIRING PALLIATION
    • DEFECTS THAT MAY BE PALLIATED OR REPAIRED
    • Selected Readings

    20: Acquired Heart Disease

    • Clinical Evaluation
    • Cardiac Risk Assessment in General Surgery Patients
    • Diagnostic Studies
    • Extracorporeal Perfusion
    • CORONARY ARTERY DISEASE
    • VENTRICULAR ANEURYSMS
    • ISCHEMIC CARDIOMYOPATHY
    • MECHANICAL CIRCULATORY SUPPORT AND MYOCARDIAL REGENERATION
    • VALVULAR HEART DISEASE
    • PERICARDIAL DISEASES
    • CARDIAC NEOPLASMS
    • POSTOPERATIVE CARE AND COMPLICATIONS
    • Suggested Readings

    21: Thoracic Aortic Aneurysms and Aortic Dissection

    • THORACIC AORTIC DISEASE
    • THORACIC AORTIC ANEURYSMS
    • AORTIC DISSECTION
    • ENDOVASCULAR TREATMENT OF THORACIC AORTIC DISEASE
    • Suggested Readings

    22: Arterial Disease

    • EPIDEMIOLOGY
    • MEDICAL MANAGEMENT OF PERIPHERAL ARTERIAL DISEASE
    • ANEURYSMAL DISEASE
    • ACUTE ARTERIAL OCCLUSION
    • AORTOILIAC OCCLUSIVE DISEASE
    • UPPER EXTREMITY ARTERIAL DISEASE
    • Suggested Readings

    23: Venous and Lymphatic Disease

    • VENOUS STRUCTURE/PHYSIOLOGY/ANATOMY
    • VENOUS THROMBOEMBOLISM
    • OTHER FORMS OF VENOUS THROMBOSIS
    • VARICOSE VEINS
    • CHRONIC VENOUS INSUFFICIENCY
    • Summary
    • Suggested Readings

    24: Esophagus and Diaphragmatic Hernia

    • SURGICAL ANATOMY
    • PHYSIOLOGY
    • ASSESSMENT OF ESOPHAGEAL FUNCTION
    • GASTROESOPHAGEAL REFLUX DISEASE
    • BARRETT’S ESOPHAGUS
    • MOTILITY DISORDERS OF THE PHARYNX AND ESOPHAGUS
    • CARCINOMA OF THE ESOPHAGUS
    • BENIGN TUMORS AND CYSTS
    • ESOPHAGEAL PERFORATION
    • CAUSTIC INJURY
    • DIAPHRAGMATIC HERNIAS
    • Suggested Readings

    25: Stomach

    • Gross Anatomy
    • Histology
    • PHYSIOLOGY
    • EVALUATION OF GASTRIC DISEASE
    • PEPTIC ULCER DISEASE
    • MALIGNANT NEOPLASMS OF THE STOMACH
    • BENIGN GASTRIC NEOPLASMS
    • GASTRIC MOTILITY DISORDERS
    • MISCELLANEOUS LESIONS OF THE STOMACH
    • GASTROSTOMY
    • POSTGASTRECTOMY PROBLEMS
    • Suggested Readings

    26: The Surgical Management of Obesity

    • THE DISEASE OF OBESITY
    • OVERVIEW OF BARIATRIC SURGERY
    • BARIATRIC SURGICAL PROCEDURES
    • SPECIAL ISSUES RELATING TO THE BARIATRIC PATIENT
    • Suggested Readings

    27: Small Intestine

    • GROSS ANATOMY
    • HISTOLOGY
    • DEVELOPMENT
    • PHYSIOLOGY
    • SMALL-BOWEL OBSTRUCTION
    • ILEUS AND OTHER DISORDERS OF INTESTINAL MOTILITY
    • CROHN DISEASE
    • INTESTINAL FISTULAS
    • SMALL-BOWEL NEOPLASMS
    • RADIATION ENTERITIS
    • MECKEL DIVERTICULUM
    • ACQUIRED DIVERTICULA
    • MESENTERIC ISCHEMIA
    • MISCELLANEOUS CONDITIONS
    • SHORT-BOWEL SYNDROME
    • THERAPY
    • Suggested Readings

    28: Colon, Rectum, and Anus

    • ANATOMY
    • CLINICAL EVALUATION
    • GENERAL SURGICAL CONSIDERATIONS
    • INFLAMMATORY BOWEL DISEASE
    • DIVERTICULAR DISEASE
    • ADENOCARCINOMA AND POLYPS
    • THERAPY FOR COLONIC CARCINOMA
    • OTHER NEOPLASMS
    • OTHER BENIGN COLORECTAL CONDITIONS
    • ANORECTAL DISEASES
    • TRAUMA
    • THE IMMUNOCOMPROMISED PATIENT (HUMAN IMMUNODEFICIENCY VIRUS OR IMMUNOSUPPRESSION FOR TRANSPLANTATION)
    • Suggested Readings

    29: The Appendix

    • ANATOMY AND FUNCTION
    • ACUTE APPENDICITIS
    • CHRONIC APPENDICITIS
    • APPENDICEAL PARASITES
    • INCIDENTAL APPENDECTOMY
    • TUMORS
    • Suggested References

    30: Liver

    • LIVER ANATOMY
    • INTERPRETATION OF LIVER TESTS
    • RADIOLOGIC EVALUATION OF THE LIVER
    • PERCUTANEOUS BIOPSY
    • LIVER FAILURE
    • LIVER INFECTIONS
    • CYSTIC DISEASES OF THE LIVER
    • BENIGN SOLID LIVER TUMORS
    • MALIGNANT LIVER TUMORS
    • RADIOFREQUENCY ABLATION
    • MICROWAVE COAGULATION THERAPY FOR HEPATIC TUMORS
    • Suggested Readings

    31: Gallbladder and Extrahepatic Biliary System

    • ANATOMY
    • PHYSIOLOGY
    • DIAGNOSTIC STUDIES
    • GALLSTONE DISEASE
    • OPERATIVE INTERVENTIONS FOR GALLSTONE DISEASE
    • OTHER BENIGN DISEASES AND LESIONS
    • INJURY TO THE BILIARY TRACT
    • TUMORS
    • Selected Readings

    32: Pancreas

    • ANATOMY AND PHYSIOLOGY
    • HISTOLOGY AND PHYSIOLOGY
    • ACUTE PANCREATITIS
    • CHRONIC PANCREATITIS
    • PANCREATIC NEOPLASMS
    • Suggested Readings

    33: Spleen

    • EMBRYOLOGY AND ANATOMY
    • PHYSIOLOGY AND PATHOPHYSIOLOGY
    • EVALUATION OF SIZE AND FUNCTION
    • INDICATIONS FOR SPLENECTOMY
    • PREOPERATIVE CONSIDERATIONS
    • SPLENECTOMY TECHNIQUES
    • SPLENECTOMY OUTCOMES
    • Suggested Readings

    34: Abdominal Wall, Omentum, Mesentery, and Retroperitoneum

    • ABDOMINAL WALL
    • PHYSIOLOGY
    • RETROPERITONEUM
    • Suggested Readings

    35: Soft Tissue Sarcomas

    • INCIDENCE
    • EPIDEMIOLOGY
    • GENETICS
    • INITIAL ASSESSMENT
    • TREATMENT
    • SPECIAL SITUATIONS
    • CONCLUSION
    • Suggested Readings

    36: Inguinal Hernias

    • EPIDEMIOLOGY
    • NATURAL HISTORY
    • HERNIA ACCIDENT (INCARCERATION, BOWEL OBSTRUCTION, STRANGULATION)
    • ETIOLOGY
    • ANATOMY
    • SYMPTOMS
    • DIAGNOSIS
    • PREOPERATIVE CARE
    • ABDOMINAL WALL SUBSTITUTES
    • ANESTHESIA FOR GROIN HERNIORRHAPHY
    • INGUINAL HERNIA REPAIRS
    • COMPLICATIONS OF GROIN HERNIA REPAIRS ( Table 36-3 )
    • PEDIATRIC HERNIAS
    • Suggested Readings

    37: Thyroid, Parathyroid, and Adrenal

    • THYROID
    • THYROID PHYSIOLOGY
    • EVALUATION OF PATIENTS WITH THYROID DISEASE
    • BENIGN THYROID DISORDERS
    • SOLITARY THYROID NODULE
    • MALIGNANT THYROID DISEASE
    • THYROID SURGERY
    • PARATHYROID
    • ANATOMY AND HISTOLOGY
    • PARATHYROID PHYSIOLOGY AND CALCIUM HOMEOSTASIS
    • HYPERPARATHYROIDISM
    • COMPLICATIONS OF PARATHYROID SURGERY
    • HYPOPARATHYROIDISM
    • ADRENAL/EMBRYOLOGY
    • ANATOMY
    • PHYSIOLOGY
    • DISORDERS OF THE ADRENAL CORTEX
    • DISORDERS OF THE ADRENAL MEDULLA
    • THE ADRENAL INCIDENTALOMA
    • ADRENAL INSUFFICIENCY
    • ADRENAL SURGERY
    • Suggested Readings

    38: Pediatric Surgery

    • GENERAL CONSIDERATIONS
    • NECK MASSES
    • RESPIRATORY SYSTEM
    • ESOPHAGUS
    • GASTROINTESTINAL TRACT
    • JAUNDICE
    • DEFORMITIES OF THE ABDOMINAL WALL
    • GENITALIA
    • PEDIATRIC MALIGNANCY
    • TRAUMA IN CHILDREN
    • Suggested Readings

    39: Urology

    • ANATOMY
    • SIGNS AND SYMPTOMS
    • LABORATORY EXAMINATION
    • RADIOLOGIC STUDIES OF THE URINARY SYSTEM
    • BENIGN PROSTATIC HYPERPLASIA
    • UROLOGIC ONCOLOGY
    • UROLOGIC INFECTIONS
    • TRAUMA
    • STONE DISEASE
    • SEXUAL DYSFUNCTION
    • PEDIATRIC UROLOGY
    • Suggested Readings

    40: Gynecology

    • DIAGNOSIS
    • INFECTIONS
    • ENDOMETRIOSIS
    • ECTOPIC PREGNANCY
    • PELVIC FLOOR DYSFUNCTION
    • SURGERY FOR PELVIC ORGAN PROLAPSE
    • SURGERY FOR STRESS URINARY INCONTINENCE
    • BENIGN TUMORS
    • MALIGNANT TUMORS
    • GYNECOLOGIC OPERATIONS
    • Suggested Readings

    41: Neurosurgery

    • NEUROANATOMY
    • NEUROLOGIC EXAMINATION
    • NEUROLOGIC AND NEUROSURGICAL EMERGENCIES
    • TRAUMA
    • CEREBROVASCULAR DISEASE
    • TUMORS OF THE CENTRAL NERVOUS SYSTEM
    • SPINE
    • PERIPHERAL NERVE
    • INFECTION
    • FUNCTIONAL NEUROSURGERY
    • STEREOTACTIC RADIOSURGERY (SRS)
    • CONGENITAL AND DEVELOPMENTAL ANOMALIES
    • Suggested Readings

    42: Orthopaedics

    • SKELETAL GROWTH AND PHYSIOLOGY
    • JOINT ANATOMY AND PHYSIOLOGY
    • TUMORS OF THE MUSCULOSKELETAL SYSTEM
    • EVALUATION OF THE MUSCULOSKELETAL SYSTEM
    • DISORDERS OF THE MUSCULOSKELETAL SYSTEM
    • TRAUMA
    • JOINT REPLACEMENT SURGERY
    • SHOULDER DISORDERS
    • ELBOW DISORDERS
    • SPINE DISORDERS
    • MUSCLE AND TENDON INJURIES
    • THE ATHLETIC KNEE
    • FOOT AND ANKLE DISORDERS
    • PEDIATRIC DISORDERS
    • Suggested Readings

    43: Plastic and Reconstructive Surgery

    • HISTORY
    • WOUND HEALING
    • SOFT TISSUE RECONSTRUCTION
    • PERIPHERAL NERVE SURGERY
    • CRANIOFACIAL SURGERY
    • MAXILLOFACIAL TRAUMA
    • MAXILLOFACIAL RECONSTRUCTION
    • HEAD AND NECK ONCOLOGIC RECONSTRUCTION
    • BREAST SURGERY
    • TRUNK, ABDOMEN, AND GENITOURINARY RECONSTRUCTION
    • PRESSURE ULCERS
    • LOWER-EXTREMITY RECONSTRUCTION
    • AESTHETIC SURGERY
    • CONCLUSION
    • Suggested Readings

    44: Surgical Considerations in Older Adults

    • GENERAL CONSIDERATIONS
    • PREOPERATIVE EVALUATION
    • SPECIFIC CONSIDERATIONS
    • PALLIATIVE SURGERY
    • ETHICAL CONSIDERATIONS
    • Suggested Readings

    45: Anesthesia of the Surgical Patient

    • BASIC PHARMACOLOGY
    • ANESTHETIC AGENTS
    • ANESTHETIC MANAGEMENT
    • INTRAOPERATIVE MANAGEMENT
    • RECOVERY FROM ANESTHESIA
    • MALIGNANT HYPERTHERMIA
    • Suggested Readings

    46: ACGME Core Competencies

    • CORE COMPETENCIES
    • CONCLUSION
    • Suggested Readings