Neck Cancer: Imaging Techniques and Progress on the Operative Approach
Fig. 19.1 (a, b) CT scan. Tumor extension evaluation Compared to CT, PET is more accurate in staging or re-staging cancer of the head and neck. After surgery and/or medical…
Islet Cell Transplantation: New Techniques for an Old Disease
1. Pancreas preservation method and solution: a. Cold storage: UW solution, HTK solution, ET-Kyoto solution b. The two-layer method: UW/oxygenated PFC, ET-Kyoto/oxygenated PFC c. Ductal preservation: ET-Kyoto solution 2. Clinically…
Technological Advances in Heart and Lung Transplantation: Concomitant Cardiac Valve Surgery
Fig. 39.1 Toyoda’s commissuro-annuloplasty technique for performing bench tricuspid annuloplasty for donor hearts at the back table (courtesy of Angelo Rutty, MD.) Primary graft failure remains the most common cause…
Carotid Disease: The Stents and the Evidence-Based Medicine: What Happened to the Old Surgery?
Fig. 29.1 Pre-stent angiogram Fig. 29.2 Stent in situ Fig. 29.3 Post stenting Irrespective of treatment modality (open or endovascular), there is a per procedural stroke and death risk which…
Cardiac Surgery Advances: Do We Still Remember How to Do the Open Bypass?
Fig. 25.1 In the less invasive approach, the surgeon can perform a direct, hand-sewn anastomosis of the LIMA to the LAD via a minithoracotomy using the same surgical instruments that…
Advances in Immunosuppressive Therapy
Fig. 45.1 Direct and indirect pathways of allorecognition. Signal 1 is delivered by a peptide-HLA complex. Signal 2, also known as costimulatory sign, is delivered by an array of cell…
Small Bowel Transplantation: Is There a Hope on the Horizon?
Children Adults Gastroschisis Ischemia Volvulus Crohn’s disease Necrotizing enterocolitis Trauma Pseudo-obstruction Volvulus Intestinal atresia Motility disorders Aganglionosis/Hirschsprung Desmoids Retransplant Retransplant Microvillus inclusion Miscellaneous Malabsorption Gardner’s syndrome Tumors Used with permission…
Dedicated Resuscitation Operating Room for Trauma
Penetrating trauma with hypotension (systolic blood pressure <90 mmHg) Witnessed traumatic cardiac arrest Hypotension unresponsive to prehospital fluid challenge Major external hemorrhage/traumatic amputation of a limb Direct injury to neck…
Natural Orifice Transluminal Endoscopic Surgery (NOTES)
• Peritoneal access • Gastric closure • Prevention of infection • Suturing and anastomotic devices • Maintaining spatial orientation • Development of a multitasking platform • Management of intraperitoneal complications…
Neurosurgical Advances in Trauma Management
Fig. 13.1 Noncontrast CT scan of acute subdural hematoma Mortality Mortality in aSDH is high, ranging from 40 to 60 %. Underlying brain injury resulting from aSDH is the significant…
