Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient. Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.

Thoroughly updated, this second edition includes hundreds of diagnostic tests organized by category. It concisely explains why and how each test is performed, what the normal findings are, what abnormal findings may mean, how to prepare a patient for the test, and much more.

This distinguished reference carries on a 70-year legacy as the world's most thorough, useful, readable, and understandable text on the principles and techniques of surgery. Its peerless contributors deliver all the well-rounded, state-of-the-art knowledge you need to richly grasp the pathophysiology and optimal management of every surgical condition-so you can make the best clinical decisions, avoid complications, manage unusual situations, and achieve the best possible outcomes. It is a valuable review tool for certification/recertification preparation, and an indispensable source of guidance on overcoming the challenges that arise in everyday practice. As an Expert Consult title, the thoroughly updated 18th edition comes with access to the complete contents online, fully searchable-enabling you to consult it rapidly from any computer with an Internet connection. In addition, this Premium Edition includes timely clinical updates online, plus links to MEDLINE, downloadable illustrations, bonus journal articles, review questions, and much more. Offers a more distinguished team of contributors and a better blend of clinical and basic-science information than any other source, providing you with the best possible understanding of the clinical issues surrounding every operative situation. Features a more user-friendly format, a larger and more helpful array of full-color illustrations, and a more versatile and well-constructed web site than other resources-making the answers that you need easier to locate and understand quickly. Offers an organization and content that parallels the written board American Board of Surgery exam, providing excellent preparation for certification and recertification. Includes access to the complete contents online, fully searchable, PLUS timely updates to reflect new scientific and clinical developments · references linked to MEDLINE · downloadable illustrations · bonus articles from important surgery periodicals (such as Surgical Clinics of North America, the American Journal of Surgery, Operative Techniques in General Surgery, and Seminars in Colon and Rectal Surgery) · review questions · and other valuable features. Incorporates an enhanced emphasis on surgical outcomes to mirror the growing importance of this topic. Delivers comprehensive updates to keep you current with the latest research, techniques, and emerging procedures in the field, as well as completely new chapters on "Surgical Patient Safety" and "Regenerative Medicine."

LIC - Sabiston Textbook of Surgery

Current Surgical Therapy is the resource surgeons trust most for practical, hands-on advice on the selection and implementation of the latest surgical approaches. Distinguished editors John L. Cameron and Andrew Cameron, together with hundreds of other preeminent contributing surgeons, discuss which approach to take and when...how to avoid or minimize complications...and what outcomes you can expect. This 10th edition keeps you current with the latest trends in minimally invasive surgery, trauma, critical care, and much more. A new full-color format makes reference easier than ever. Current Surgical Therapy remains indispensable for quick, efficient review prior to surgery, as well as when preparing for surgical boards and ABSITES. Find the answers you need quickly, both inside the user-friendly book and at www.expertconsult.com. Obtain dependable advice on patient selection, contraindications, and pitfalls. Know what to do and what not to do...and what outcomes you can expect. Review procedures efficiently prior to surgery, and confidently prepare for surgical boards and ABSITES. Effectively apply the latest minimally invasive techniques, including laparoscopic treatments of parastomal hernias, gastrointestinal malignancies, and pancreatic cancer as well as Natural Orifice Transluminal Endoscopic Surgery (NOTES). Master the newest trends in trauma and critical care surgery with the aid of new material on glucose control, ventilator-associated pneumonia, central-line-associated bloodstream infections, and much more. Locate information more rapidly and visualize techniques more easily thanks to the book’s new full-color format.

While reflux disease, achalasia, esophageal spasm, gastroparesis and IBS include some of the most common disorders in all disease categories, the understanding of their pathophysiology has remained elusive. The field of clinical gastrointestinal motility has for decades relied on the measurement of intestinal movements for diagnosis and management of these difficult and enigmatic disorders of gut function. Although computers have increased the speed with which we can measure the movements of the gut, the devices to measure this movement have not changed in over 20 years. In the last 2 years, a new technologic breakthrough has taken place in the measurement of intestinal movement. The technology is called high resolution manometry. Rather than the old 4 and 8 channels systems of measuring pressure, high resolution employs 36 closely spaced solid state pressure transducers. By using this technology, the resolution of gut motor activity is incredible. This allows for better ways of viewing motility using color as pressure. This technology makes for beautiful images of gut motility that we have never seen before. We have made diagnoses that would never have been appreciated with the old technology. High resolution manometry is taking over conventional manometry worldwide and represents a dramatic leap in a long time stagnant area.

Deglutition or a swallow begins as a voluntary act in the oral cavity but proceeds autonomously in the pharynx and esophagus. Bilateral sequenced activation and inhibition of more than 25 pairs of muscles of mouth, pharynx, larynx, and esophagus is required during a swallow. A single swallow elicits peristalsis in the pharynx and esophagus along with relaxation of upper and lower esophageal sphincters. Multiple swallows, at closely spaced time intervals, demonstrate deglutitive inhibition; sphincters remain relaxed during the entire period, but only the last swallow elicits peristalsis. Laryngeal inlet closure or airway protection is very important during swallow. Upper part of the esophagus that includes upper esophageal sphincter is composed of skeletal muscles, middle esophagus is composed of a mixture of skeletal and smooth muscles, and lower esophagus, including lower esophageal sphincter, is composed of smooth muscles. Peristalsis progresses in seamless fashion, despite separate control mechanism, from the skeletal to smooth muscle esophagus. The esophagus's circular and longitudinal muscle layers contract synchronously during peristalsis. Sphincters maintain continuous tone; neuromuscular mechanisms for tonic closure in the upper and lower esophageal sphincters are different. Lower esophageal sphincter transient relaxation, belching mechanism, regurgitation, vomiting, and reflux are mediated via the brain stem. Table of Contents: Introduction / Central Program Generator and Brain Stem / Pharynx-Anatomy, Neural Innervation, and Motor Pattern / Upper Esophageal Sphincter / Neuromuscular Anatomy of Esophagus and Lower Esophageal Sphincter / Extrinsic Innervation: Parasympathetic and Sympathetic / Interstitial Cells of Cajal / Recording Techniques / Motor Patterns of the Esophagus-Aboral and Oral Transport / Deglutitive Inhibition and Muscle Refractoriness / Peristalsis in the Circular and Longitudinal Muscles of the Esophagus / Neural and Myogenic Mechanism of Peristalsis / Central Mechanism of Peristalsis-Cortical and Brain Stem Control / Peripheral Mechanisms of Peristalsis / Central Versus Peripheral Mechanism of Deglutitive Inhibition / Neural Control of Longitudinal Muscle Contraction / Modulation of Primary and Secondary Peristalsis / Neural Control of Lower Esophageal Sphincter and Crural Diaphragm / Lower Esophageal Sphincter / Swallow-Induced LES Relaxation / Crural Diaphragm Contribution to EGJ and Neural Control / Transient LES Relaxation and Pharmacological Inhibition / Compliance of the EGJ / References

Rush University Medical Center Review of Surgery, edited by Drs. Velasco, Bines, Deziel, Millikan, McCarthy, Prinz, and Saclarides, gives you a concise yet comprehensive review of both general surgery and surgical subspecialties in a user-friendly question-and-answer format that mimics actual exams. Thoroughly revised, this 5th edition adds new chapters and updates existing chapters with the latest surgical techniques and practices, plus an increased emphasis on ethics, while maintaining its broad review of surgical topics to provide wide-ranging and complete coverage of the information most important to you. More than 1,500 peer-reviewed questions mirror standardized test blueprints provide a realistic simulation of the actual test-taking experience so you can become accustomed to the exam interface. In print and online at www.expertconsult.com, the Rush University Review is perfect for residents in training,surgeons preparing for certification or recertification exams, and experienced clinicians wishing to keep abreast of current practices and recent advances. Challenge your knowledge with more than 1,500 review questions, with answers and rationales, that cover the full range of topics in general and subspecialty surgery - all the information you need to prepare for certification and recertification or stay current with new advances. Get a realistic simulation of the actual exam with questions that mimic standardized tests and prepare you for board and ABSITE exams. Understand the rationale behind the answers to each question with clear, illustrated explanations from Elsevier's trusted surgical references including Cameron's Current Surgical Therapy. Access the fully searchable text online at www.expertconsult.com, along with hyperlinked references, illustrations, self-assessment tools, and more. Master the latest need-to-know information in your field with abundant new chapters and updates throughout reflecting the latest surgical techniques and practices, as well as an increased emphasis on ethics to help you prepare for this increasingly important aspect of the boards. The perfect review for preparing for the boards, certification and recertification.