An essential resource for written, oral, and recertifying board study, as well as an excellent reference for everyday clinical practice, Current Surgical Therapy, 14th Edition, provides trusted, authoritative advice on today's best treatment and management options for general surgery. Residents and practitioners alike appreciate the concise, highly formatted approach to each topic, as well as the practical, hands-on advice on selecting and implementing current surgical approaches from today’s preeminent general surgeons. This highly regarded text remains the only surgical reference of its kind, offering a complete array of topics and delivering just the key facts.
Covers virtually every problem that a general surgeon may encounter, synthesizing vast amounts of information into concise, digestible chapters.
Provides thoroughly updated information throughout, including focused revisions to the most in-demand topics.
Presents each topic using the same easy-to-follow format: disease presentation, pathophysiology, diagnostics, and surgical therapy.
Includes eight all-new surgical videos covering enteral stents in the treatment of colonic obstruction; multiple management approaches to spigelian, obturator, and lumbar hernias; spontaneous and secondary pneumothorax, and acute mesenteric ischemia.
Features more than 2,000 illustrations—line drawings, graphs, algorithms, clinical/operative photographs, micrographs, and radiological images—including hundreds new to this edition.
Integrates minimally invasive surgical techniques, basic science, and critical care aspects of surgical practice throughout.
Discusses which approach to take, how to avoid or minimize complications, and what outcomes to expect.
Provides a quick, efficient review prior to surgery and when preparing for surgical boards and ABSITEs.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Half Title - p. iii 5. Title page - p. iii 6. Copyright - p. iii 7. Contributors - p. iii 8. Preface - p. iii 9. Contents - p. iii 10. Video Contents - p. iii 11. List of Tables - p. iii 12. The American Board of Surgery Certifying (Oral) Examination - p. iii 13. Chapter 1: The American Board of Surgery Certifying (Oral) Examination - p. iii 14. Section 1: Esophagus - p. iii 15. Chapter 2: Esophageal Function Tests - p. iii 16. Chapter 3: Surgical Management of Gastroesophageal Reflux Disease - p. iii 17. Chapter 4: New Approaches to Gastroesophageal Reflux Disease (Linx) - p. iii 18. Chapter 5: Management of Barrett’s Esophagus - p. iii 19. Chapter 6: Endoscopic Treatment of Barrett’s Esophagus - p. iii 20. Chapter 7: Management of Paraesophageal Hernia Repair - p. iii 21. Chapter 8: Management of Zenker’s Diverticulum - p. iii 22. Chapter 9: Achalasia of the Esophagus - p. iii 23. Chapter 10: Management of Disorders of Esophageal Motility - p. iii 24. Chapter 11: Management of Esophageal Cancer - p. iii 25. Chapter 12: Multimodality Therapy in Esophageal Cancer - p. iii 26. Chapter 13: Use of Esophageal Stents - p. iii 27. Chapter 14: Management of Esophageal Perforation - p. iii 28. Section 2: Stomach - p. iii 29. Chapter 15: Benign Gastric Ulcer - p. iii 30. Chapter 16: Management of Duodenal Ulcers - p. iii 31. Chapter 17: Management of Zollinger-Ellison Syndrome - p. iii 32. Chapter 18: Management of Mallory-Weiss Syndrome - p. iii 33. Chapter 19: Management of Gastric Adenocarcinoma - p. iii 34. Chapter 20: Familial Gastric Cancer - p. iii 35. Chapter 21: Management of Gastrointestinal Stromal Tumors - p. iii 36. Chapter 22: Gastrointestinal Tubes for Feeding and Decompression - p. iii 37. Chapter 23: Management of Morbid Obesity - p. iii 38. Section 3: Small Bowel - p. iii 39. Chapter 24: Management of Small Bowel Obstruction - p. iii 40. Chapter 25: Management of Crohn’s Disease of the Small Bowel - p. iii 41. Chapter 26: Use of Strictureplasty in Crohn’s Disease - p. iii 42. Chapter 27: Management of Small Bowel Tumors - p. iii 43. Chapter 28: Small Bowel Diverticulosis - p. iii 44. Chapter 29: Diagnosis and Management of Motility Disorders of the Stomach and Small Bowel in the Current Era - p. iii 45. Chapter 30: Management of Short Bowel Syndrome - p. iii 46. Chapter 31: Management of Enterocutaneous Fistulas - p. iii 47. Chapter 32: Management of Radiation-Induced Injury to the Small and Large Bowel - p. iii 48. Section 4: Large Bowel - p. iii 49. Chapter 33: Preoperative Bowel Preparation: Is It Necessary? - p. iii 50. Chapter 34: Management of Diverticular Disease of the Colon - p. iii 51. Chapter 35: Management of Chronic Ulcerative Colitis - p. iii 52. Chapter 36: Management of Toxic Megacolon - p. iii 53. Chapter 37: Surgical Management of Crohn’s Colitis - p. iii 54. Chapter 38: Ischemic Colitis - p. iii 55. Chapter 39: Management of Clostridioides Difficile Colitis - p. iii 56. Chapter 40: Management of Large Bowel Obstruction - p. iii 57. Chapter 41: Enteral Stents in the Treatment of Colonic Obstruction - p. iii 58. Chapter 42: Management of Acute Colonic Pseudo-Obstruction (Ogilvie’s Syndrome) - p. iii 59. Chapter 43: Management of Colonic Volvulus - p. iii 60. Chapter 44: Management of Rectal Prolapse - p. iii 61. Chapter 45: Surgical Management of Constipation - p. iii 62. Chapter 46: Surgical Management of the Polyposis Syndromes - p. iii 63. Chapter 47: Surgical Management of Colon Cancer - p. iii 64. Chapter 48: PET Scanning in the Management of Colorectal Cancer - p. iii 65. Chapter 49: Neoadjuvant and Adjuvant Therapy for Colorectal Cancer - p. iii 66. Chapter 50: Management of Colorectal Polyps - p. iii 67. Chapter 51: Management of Peritoneal Surface Malignancies - p. iii 68. Chapter 52: Management of Lower Gastrointestinal Bleeding - p. iii 69. Chapter 53: Appendicitis: Diagnosis and Management - p. iii 70. Section 5: Anorectal - p. iii 71. Chapter 54: Management of Hemorrhoids - p. iii 72. Chapter 55: Management of Fissure-In-Ano - p. iii 73. Chapter 56: Management of Anorectal Abscess and Fistula - p. iii 74. Chapter 57: Anal Stenosis - p. iii 75. Chapter 58: Management of Pruritus Ani - p. iii 76. Chapter 59: Surgical Management of Fecal Incontinence - p. iii 77. Chapter 60: Rectovaginal Fistula - p. iii 78. Chapter 61: Anal Condyloma - p. iii 79. Chapter 62: Management of Pilonidal Disease - p. iii 80. Chapter 63: Pneumatosis Intestinalis and the Importance for the Surgeon - p. iii 81. Chapter 64: Management of Rectal Cancer - p. iii 82. Chapter 65: Management of Tumors of the Anal Region - p. iii 83. Section 6: Liver - p. iii 84. Chapter 66: Cystic Disease of the Liver - p. iii 85. Chapter 67: Management of Echinococcal Cyst Disease of the Liver - p. iii 86. Chapter 68: Management of Liver Hemangioma - p. iii 87. Chapter 69: Management of Benign Liver Tumors - p. iii 88. Chapter 70: Management of Malignant Liver Tumors - p. iii 89. Chapter 71: Hepatic Malignancy: Resection Versus Transplantation - p. iii 90. Chapter 72: Management of Colorectal Liver Metastases - p. iii 91. Chapter 73: Ablation of Colorectal Carcinoma Liver Metastases - p. iii 92. Chapter 74: Management of Hepatic Abscess - p. iii 93. Chapter 75: Transarterial Therapies for Primary and Metastatic Liver Tumors - p. iii 94. Section 7: Portal Hypertension - p. iii 95. Chapter 76: Portal Hypertension: Role of Shunting Procedures - p. iii 96. Chapter 77: Liver Transplantation - p. iii 97. Chapter 78: Endoscopic Therapy for Esophageal Variceal Hemorrhage - p. iii 98. Chapter 79: Transjugular Intrahepatic Portosystemic Shunt - p. iii 99. Chapter 80: Management of Refractory Ascites - p. iii 100. Chapter 81: Management of Hepatic Encephalopathy - p. iii 101. Chapter 82: Management of Budd-Chiari Syndrome - p. iii 102. Section 8: Gallbladder and Biliary Tree - p. iii 103. Chapter 83: Management of Asymptomatic (Silent) Gallstones - p. iii 104. Chapter 84: Management of Biliary Dyskinesia - p. iii 105. Chapter 85: Management of Acute Cholecystitis - p. iii 106. Chapter 86: Proper Use of Cholecystotomy Tubes - p. iii 107. Chapter 87: Management of Common Bile Duct Stones - p. iii 108. Chapter 88: Management of Acute Cholangitis - p. iii 109. Chapter 89: Management of Benign Biliary Strictures - p. iii 110. Chapter 90: Management of Cystic Disorders of the Bile Ducts - p. iii 111. Chapter 91: Management of Primary Sclerosing Cholangitis - p. iii 112. Chapter 92: Management of Intrahepatic, Perihilar, and Distal Extrahepatic Cholangiocarcinoma - p. iii 113. Chapter 93: Biomarker Guided Surgical Management of Hepatobiliary and Pancreatic Tumors - p. iii 114. Chapter 94: Surgical Management of Gallbladder Cancer - p. iii 115. Chapter 95: Management of Gallstone Ileus - p. iii 116. Chapter 96: Transhepatic Interventions for Obstructive Jaundice - p. iii 117. Chapter 97: Obstructive Jaundice: The Role of Endoscopic Intervention - p. iii 118. Section 9: Pancreas - p. iii 119. Chapter 98: Management of Acute Necrotizing Pancreatitis - p. iii 120. Chapter 99: Gallstone Pancreatitis - p. iii 121. Chapter 100: Pancreas Divisum and Other Variants of Dominant Dorsal Duct Anatomy - p. iii 122. Chapter 101: Diagnosis and Management of Autoimmune Pancreatitis - p. iii 123. Chapter 102: Management of Pancreatic Necrosis - p. iii 124. Chapter 103: Management of Pancreatic Pseudocyst - p. iii 125. Chapter 104: Pancreatic Ductal Disruptions Leading to Pancreatic Fistula, Pancreatic Ascites, or Pancreatic Pleural Effusion - p. iii 126. Chapter 105: Management of Chronic Pancreatitis - p. iii 127. Chapter 106: Genetic Testing and High-Risk Pancreatic Cancer Screening - p. iii 128. Chapter 107: Management of Periampullary Cancers - p. iii 129. Chapter 108: Management of Complications after the Whipple Procedure - p. iii 130. Chapter 109: Vascular Reconstruction During the Whipple Operation - p. iii 131. Chapter 110: Palliative Interventions for Patients with Operable and Advanced Pancreatic and Periampullary Cancer - p. iii 132. Chapter 111: Neoadjuvant and Adjuvant Therapy for Pancreatic Cancer - p. iii 133. Chapter 112: Rare and Unusual Pancreatic Tumors - p. iii 134. Chapter 113: Intraductal Papillary Mucinous Neoplasms of the Pancreas - p. iii 135. Chapter 114: Pancreatic Neuroendocrine Tumors of the Pancreas Excluding Gastrinoma - p. iii 136. Chapter 115: Intraoperative Radiation for Pancreatic Cancer - p. iii 137. Chapter 116: Transplantation of the Pancreas - p. iii 138. Chapter 117: Total Pancreatectomy and Islet Autotransplantation for Chronic Pancreatitis - p. iii 139. Section 10: Spleen - p. iii 140. Chapter 118: Splenectomy for Hematologic Disorders - p. iii 141. Chapter 119: Management of Cysts, Tumors, and Abscesses of the Spleen - p. iii 142. Section 11: Hernia - p. iii 143. Chapter 120: Management of Inguinal Hernia - p. iii 144. Chapter 121: Management of Recurrent Inguinal Hernia - p. iii 145. Chapter 122: Incisional, Epigastric, and Umbilical Hernias - p. iii 146. Chapter 123: Management of Spigelian, Obturator, and Lumbar Hernias - p. iii 147. Chapter 124: Athletic Pubalgia - p. iii 148. Chapter 125: Abdominal Wall Reconstruction - p. iii 149. Chapter 126: Loss of Domain in Abdominal Wall Reconstruction - p. iii 150. Chapter 127: Use of Various Meshes in Hernia Repair - p. iii 151. Section 12: Breast - p. iii 152. Chapter 128: Benign Breast Disease - p. iii 153. Chapter 129: Screening for Breast Cancer - p. iii 154. Chapter 130: Role of Stereotactic Biopsy in Management of Breast Disease - p. iii 155. Chapter 131: Molecular Targets in Breast Cancer - p. iii 156. Chapter 132: Breast Cancer: Surgical Therapy - p. iii 157. Chapter 133: Pregnancy and Breast Cancer Management - p. iii 158. Chapter 134: Ablative Techniques in the Treatment of Benign and Malignant Breast Disease - p. iii 159. Chapter 135: Lymphatic Mapping and Sentinel Lymphadenectomy - p. iii 160. Chapter 136: Surgical Management of the Axilla - p. iii 161. Chapter 137: Inflammatory Breast Cancer - p. iii 162. Chapter 138: Ductal and Lobular Carcinoma in situ of the Breast - p. iii 163. Chapter 139: Advances in Neoadjuvant and Adjuvant Therapy for Early-Stage Breast Cancer - p. iii 164. Chapter 140: Treatment Trends in Locally Recurrent and Metastatic Breast Cancer - p. iii 165. Chapter 141: Management of Male Breast Cancer - p. iii 166. Chapter 142: A Surgeon’s Practical Guide to Breast Imaging - p. iii 167. Chapter 143: Genetic Counseling and Testing - p. iii 168. Chapter 144: Contralateral Prophylactic Mastectomy - p. iii 169. Chapter 145: Margins: How to and How Big? - p. iii 170. Chapter 146: Breast Reconstruction Following Mastectomy: Considerations, Techniques, and Outcomes, Part 1 - p. iii 171. Chapter 147: Breast Reconstruction Following Mastectomy: Considerations, Techniques, and Outcomes, Part 2 - p. iii 172. Chapter 148: Breast Implant-Associated Anaplastic Large Cell Lymphoma - p. iii 173. Section 13: Endocrine Glands - p. iii 174. Chapter 149: Adrenal Incidentaloma - p. iii 175. Chapter 150: Management of Adrenal Cortical Tumors - p. iii 176. Chapter 151: Management of Pheochromocytoma - p. iii 177. Chapter 152: Management of Thyroid Nodules - p. iii 178. Chapter 153: Nontoxic Goiter - p. iii 179. Chapter 154: Management of Thyroiditis - p. iii 180. Chapter 155: Management of Hyperthyroidism - p. iii 181. Chapter 156: Surgical Management of Thyroid Cancer - p. iii 182. Chapter 157: Primary Hyperparathyroidism - p. iii 183. Chapter 158: Persistent and Recurrent Hyperparathyroidism - p. iii 184. Chapter 159: Surgical Management of Secondary and Tertiary Hyperparathyroidism - p. iii 185. Chapter 160: Metabolic Changes Following Bariatric Surgery - p. iii 186. Chapter 161: Cardiovascular Disease Risk Reduction After Bariatric Surgery - p. iii 187. Section 14: Skin and Soft Tissue - p. iii 188. Chapter 162: Nonmelanoma Skin Cancers - p. iii 189. Chapter 163: Management of Cutaneous Melanoma - p. iii 190. Chapter 164: Management of Soft Tissue Sarcomas - p. iii 191. Chapter 165: Management of Solitary Neck Mass - p. iii 192. Chapter 166: Surgical Infections of The Hand - p. iii 193. Chapter 167: Nerve Injury and Repair - p. iii 194. Chapter 168: Necrotizing Skin and Soft Tissue Infections - p. iii 195. Section 15: Chest Wall, Mediastinum, and Trachea - p. iii 196. Chapter 169: Management of Spontaneous and Secondary Pneumothorax - p. iii 197. Chapter 170: Management of Primary Chest Wall Tumors - p. iii 198. Chapter 171: Mediastinal Masses - p. iii 199. Chapter 172: Primary Tumors of the Thymus - p. iii 200. Chapter 173: Management of Tracheal Stenosis - p. iii 201. Chapter 174: Management of Acquired Esophageal Respiratory Tract Fistula - p. iii 202. Chapter 175: Repair of Pectus Excavatum - p. iii 203. Section 16: Vascular Surgery - p. iii 204. Chapter 176: Open Repair of Abdominal Aortic Aneurysms - p. iii 205. Chapter 177: Endovascular Treatment of Abdominal Aortic Aneurysms - p. iii 206. Chapter 178: Management of Ruptured Abdominal Aortic Aneurysms - p. iii 207. Chapter 179: Management of Abdominal Aortic Aneurysm with Concomitant Nonvascular Abdominal Pathology - p. iii 208. Chapter 180: Management of Thoracic and Thoracoabdominal Aortic Aneurysms - p. iii 209. Chapter 181: Management of Acute Aortic Dissections - p. iii 210. Chapter 182: Carotid Endarterectomy - p. iii 211. Chapter 183: Management of Recurrent Carotid Artery Stenosis - p. iii 212. Chapter 184: Balloon Angioplasty and Stents in Carotid Artery Occlusive Disease - p. iii 213. Chapter 185: Management of Aneurysms of the Extracranial Carotid and Vertebral Arteries - p. iii 214. Chapter 186: Brachiocephalic Reconstruction - p. iii 215. Chapter 187: Upper Extremity Arterial Occlusive Disease - p. iii 216. Chapter 188: Aortoiliac Occlusive Disease - p. iii 217. Chapter 189: Femoropopliteal Occlusive Disease - p. iii 218. Chapter 190: Tibioperoneal Arterial Occlusive Disease - p. iii 219. Chapter 191: Popliteal and Femoral Artery Aneurysm - p. iii 220. Chapter 192: Treatment of Claudication - p. iii 221. Chapter 193: Pseudoaneurysms and Arteriovenous Fistulas - p. iii 222. Chapter 194: Management of Peripheral Arterial Thromboembolism - p. iii 223. Chapter 195: Acute Peripheral Arterial and Bypass Graft Occlusion: Thrombolysis and Thrombectomy - p. iii 224. Chapter 196: Management of Infected Grafts - p. iii 225. Chapter 197: Atherosclerotic Renal Artery Stenosis - p. iii 226. Chapter 198: Raynaud’s Phenomenon - p. iii 227. Chapter 199: Thoracic Outlet Syndrome - p. iii 228. Chapter 200: Diabetic Foot - p. iii 229. Chapter 201: Gangrene of the Foot - p. iii 230. Chapter 202: Buerger’s Disease (Thromboangiitis Obliterans) - p. iii 231. Chapter 203: Takayasu’s Arteritis - p. iii 232. Chapter 204: Acute Mesenteric Ischemia - p. iii 233. Chapter 205: Chronic Mesenteric Ischemia - p. iii 234. Chapter 206: Hemodialysis Access Surgery - p. iii 235. Chapter 207: Venous Thromboembolism: Prevention, Diagnosis, and Treatment - p. iii 236. Chapter 208: Vena Cava Filters - p. iii 237. Chapter 209: Treatment of Varicose Veins - p. iii 238. Chapter 210: Lymphedema - p. iii 239. Chapter 211: Lower Extremity Amputation - p. iii 240. Section 17: Trauma and Emergency Care - p. iii 241. Chapter 212: Initial Assessment and Resuscitation of the Trauma Patient - p. iii 242. Chapter 213: Prehospital Management of the Trauma Patient - p. iii 243. Chapter 214: Use of Resuscitative Endovascular Balloon Occlusion of the Aorta in Resuscitation of the Trauma Patient - p. iii 244. Chapter 215: Airway Management in the Trauma Patient - p. iii 245. Chapter 216: Surgeon’s Use of Ultrasound in the Trauma and Critical Care Settings - p. iii 246. Chapter 217: Emergency Department Resuscitative Thoracotomy - p. iii 247. Chapter 218: Management of Traumatic Brain Injury - p. iii 248. Chapter 219: Chest Wall Trauma, Hemothorax, and Pneumothorax - p. iii 249. Chapter 220: Management of Pulmonary Parenchymal Injury - p. iii 250. Chapter 221: Blunt Abdominal Trauma - p. iii 251. Chapter 222: Penetrating Abdominal Trauma - p. iii 252. Chapter 223: Management of Diaphragmatic Injuries - p. iii 253. Chapter 224: Management of Traumatic Liver Injury - p. iii 254. Chapter 225: Pancreatic and Duodenal Injuries - p. iii 255. Chapter 226: Injuries to the Small and Large Bowel - p. iii 256. Chapter 227: Current Management of Rectal Injury - p. iii 257. Chapter 228: Injured Spleen - p. iii 258. Chapter 229: Renal and Ureteral Traumatic Injuries - p. iii 259. Chapter 230: Tenets of Damage Control - p. iii 260. Chapter 231: Early Management of Pelvic Ring Disruption - p. iii 261. Chapter 232: Urologic Complications of Pelvic Fracture - p. iii 262. Chapter 233: Spine and Spinal Cord Injuries - p. iii 263. Chapter 234: Evaluation and Management of the Patient with Craniomaxillofacial Trauma - p. iii 264. Chapter 235: Penetrating Neck Trauma - p. iii 265. Chapter 236: Blunt Cardiac Injury - p. iii 266. Chapter 237: Abdominal Compartment Syndrome and Management of the Open Abdomen - p. iii 267. Chapter 238: Abdomen That Will Not Close - p. iii 268. Chapter 239: Management of Vascular Injuries - p. iii 269. Chapter 240: Endovascular Management of Vascular Injuries - p. iii 270. Chapter 241: Extremity Compartment Syndrome - p. iii 271. Chapter 242: Burn Wound Management - p. iii 272. Chapter 243: Medical Management of the Burn Patient - p. iii 273. Chapter 244: Cold-Induced Injuries and Hypothermia - p. iii 274. Chapter 245: Electrical and Lightning Injury - p. iii 275. Section 18: Preoperative and Postoperative Care - p. iii 276. Chapter 246: ERAS Protocols for General Surgery - p. iii 277. Chapter 247: Fluid and Electrolyte Therapy - p. iii 278. Chapter 248: Common Pediatric Surgical Emergencies - p. iii 279. Chapter 249: A Practical Approach to Surgery in the Frail Elderly - p. iii 280. Chapter 250: Perioperative Optimization - p. iii 281. Chapter 251: Is Nasogastric Intubation Necessary After Alimentary Tract Surgery? - p. iii 282. Chapter 252: Surgical Site Infections - p. iii 283. Chapter 253: Management of Intraabdominal Infections - p. iii 284. Chapter 254: Epidemiology, Prevention, and Management of Occupational Exposure to Bloodborne Infections - p. iii 285. Chapter 255: Antifungal Therapy in the Surgical Patient - p. iii 286. Chapter 256: Use of Opioids in the Postoperative Period - p. iii 287. Chapter 257: Management of Postoperative Delirium - p. iii 288. Section 19: Surgical Critical Care - p. iii 289. Chapter 258: COVID-19 and Health Care Delivery in a Pandemic - p. iii 290. Chapter 259: Surgical Palliative Care - p. iii 291. Chapter 260: Cardiovascular Pharmacology - p. iii 292. Chapter 261: Glucose Control in the Postoperative Period - p. iii 293. Chapter 262: Postoperative Respiratory Failure - p. iii 294. Chapter 263: Ventilator-Associated Pneumonia - p. iii 295. Chapter 264: Extracorporeal Membrane Oxygenation for Respiratory Failure - p. iii 296. Chapter 265: Tracheostomy - p. iii 297. Chapter 266: Acute Kidney Injury in the Injured and Critically Ill - p. iii 298. Chapter 267: Acid-Base Disorders - p. iii 299. Chapter 268: Catheter Sepsis in the Intensive Care Unit - p. iii 300. Chapter 269: Septic Response and Management - p. iii 301. Chapter 270: Multiple Organ Dysfunction and Failure - p. iii 302. Chapter 271: Antibiotics in Surgical Critical Care - p. iii 303. Chapter 272: Endocrine Changes with Critical Illness - p. iii 304. Chapter 273: Nutrition Therapy in the Critically Ill Surgical Patient - p. iii 305. Chapter 274: Coagulation Issues and the Trauma Patient - p. iii 306. Chapter 275: Post\x96Intensive Care Syndrome - p. iii 307. Index - p. iii
An essential resource for written, oral, and recertifying board study, as well as an excellent reference for everyday clinical practice, Current Surgical Therapy, 14th Edition, provides trusted, authoritative advice on today's best treatment and management options for general surgery. Residents and practitioners alike appreciate the concise, highly formatted approach to each topic, as well as the practical, hands-on advice on selecting and implementing current surgical approaches from today’s preeminent general surgeons. This highly regarded text remains the only surgical reference of its kind, offering a complete array of topics and delivering just the key facts.
Covers virtually every problem that a general surgeon may encounter, synthesizing vast amounts of information into concise, digestible chapters.
Provides thoroughly updated information throughout, including focused revisions to the most in-demand topics.
Presents each topic using the same easy-to-follow format: disease presentation, pathophysiology, diagnostics, and surgical therapy.
Includes eight all-new surgical videos covering enteral stents in the treatment of colonic obstruction; multiple management approaches to spigelian, obturator, and lumbar hernias; spontaneous and secondary pneumothorax, and acute mesenteric ischemia.
Features more than 2,000 illustrations—line drawings, graphs, algorithms, clinical/operative photographs, micrographs, and radiological images—including hundreds new to this edition.
Integrates minimally invasive surgical techniques, basic science, and critical care aspects of surgical practice throughout.
Discusses which approach to take, how to avoid or minimize complications, and what outcomes to expect.
Provides a quick, efficient review prior to surgery and when preparing for surgical boards and ABSITEs.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Half Title - p. iii 5. Title page - p. iii 6. Copyright - p. iii 7. Contributors - p. iii 8. Preface - p. iii 9. Contents - p. iii 10. Video Contents - p. iii 11. List of Tables - p. iii 12. The American Board of Surgery Certifying (Oral) Examination - p. iii 13. Chapter 1: The American Board of Surgery Certifying (Oral) Examination - p. iii 14. Section 1: Esophagus - p. iii 15. Chapter 2: Esophageal Function Tests - p. iii 16. Chapter 3: Surgical Management of Gastroesophageal Reflux Disease - p. iii 17. Chapter 4: New Approaches to Gastroesophageal Reflux Disease (Linx) - p. iii 18. Chapter 5: Management of Barrett’s Esophagus - p. iii 19. Chapter 6: Endoscopic Treatment of Barrett’s Esophagus - p. iii 20. Chapter 7: Management of Paraesophageal Hernia Repair - p. iii 21. Chapter 8: Management of Zenker’s Diverticulum - p. iii 22. Chapter 9: Achalasia of the Esophagus - p. iii 23. Chapter 10: Management of Disorders of Esophageal Motility - p. iii 24. Chapter 11: Management of Esophageal Cancer - p. iii 25. Chapter 12: Multimodality Therapy in Esophageal Cancer - p. iii 26. Chapter 13: Use of Esophageal Stents - p. iii 27. Chapter 14: Management of Esophageal Perforation - p. iii 28. Section 2: Stomach - p. iii 29. Chapter 15: Benign Gastric Ulcer - p. iii 30. Chapter 16: Management of Duodenal Ulcers - p. iii 31. Chapter 17: Management of Zollinger-Ellison Syndrome - p. iii 32. Chapter 18: Management of Mallory-Weiss Syndrome - p. iii 33. Chapter 19: Management of Gastric Adenocarcinoma - p. iii 34. Chapter 20: Familial Gastric Cancer - p. iii 35. Chapter 21: Management of Gastrointestinal Stromal Tumors - p. iii 36. Chapter 22: Gastrointestinal Tubes for Feeding and Decompression - p. iii 37. Chapter 23: Management of Morbid Obesity - p. iii 38. Section 3: Small Bowel - p. iii 39. Chapter 24: Management of Small Bowel Obstruction - p. iii 40. Chapter 25: Management of Crohn’s Disease of the Small Bowel - p. iii 41. Chapter 26: Use of Strictureplasty in Crohn’s Disease - p. iii 42. Chapter 27: Management of Small Bowel Tumors - p. iii 43. Chapter 28: Small Bowel Diverticulosis - p. iii 44. Chapter 29: Diagnosis and Management of Motility Disorders of the Stomach and Small Bowel in the Current Era - p. iii 45. Chapter 30: Management of Short Bowel Syndrome - p. iii 46. Chapter 31: Management of Enterocutaneous Fistulas - p. iii 47. Chapter 32: Management of Radiation-Induced Injury to the Small and Large Bowel - p. iii 48. Section 4: Large Bowel - p. iii 49. Chapter 33: Preoperative Bowel Preparation: Is It Necessary? - p. iii 50. Chapter 34: Management of Diverticular Disease of the Colon - p. iii 51. Chapter 35: Management of Chronic Ulcerative Colitis - p. iii 52. Chapter 36: Management of Toxic Megacolon - p. iii 53. Chapter 37: Surgical Management of Crohn’s Colitis - p. iii 54. Chapter 38: Ischemic Colitis - p. iii 55. Chapter 39: Management of Clostridioides Difficile Colitis - p. iii 56. Chapter 40: Management of Large Bowel Obstruction - p. iii 57. Chapter 41: Enteral Stents in the Treatment of Colonic Obstruction - p. iii 58. Chapter 42: Management of Acute Colonic Pseudo-Obstruction (Ogilvie’s Syndrome) - p. iii 59. Chapter 43: Management of Colonic Volvulus - p. iii 60. Chapter 44: Management of Rectal Prolapse - p. iii 61. Chapter 45: Surgical Management of Constipation - p. iii 62. Chapter 46: Surgical Management of the Polyposis Syndromes - p. iii 63. Chapter 47: Surgical Management of Colon Cancer - p. iii 64. Chapter 48: PET Scanning in the Management of Colorectal Cancer - p. iii 65. Chapter 49: Neoadjuvant and Adjuvant Therapy for Colorectal Cancer - p. iii 66. Chapter 50: Management of Colorectal Polyps - p. iii 67. Chapter 51: Management of Peritoneal Surface Malignancies - p. iii 68. Chapter 52: Management of Lower Gastrointestinal Bleeding - p. iii 69. Chapter 53: Appendicitis: Diagnosis and Management - p. iii 70. Section 5: Anorectal - p. iii 71. Chapter 54: Management of Hemorrhoids - p. iii 72. Chapter 55: Management of Fissure-In-Ano - p. iii 73. Chapter 56: Management of Anorectal Abscess and Fistula - p. iii 74. Chapter 57: Anal Stenosis - p. iii 75. Chapter 58: Management of Pruritus Ani - p. iii 76. Chapter 59: Surgical Management of Fecal Incontinence - p. iii 77. Chapter 60: Rectovaginal Fistula - p. iii 78. Chapter 61: Anal Condyloma - p. iii 79. Chapter 62: Management of Pilonidal Disease - p. iii 80. Chapter 63: Pneumatosis Intestinalis and the Importance for the Surgeon - p. iii 81. Chapter 64: Management of Rectal Cancer - p. iii 82. Chapter 65: Management of Tumors of the Anal Region - p. iii 83. Section 6: Liver - p. iii 84. Chapter 66: Cystic Disease of the Liver - p. iii 85. Chapter 67: Management of Echinococcal Cyst Disease of the Liver - p. iii 86. Chapter 68: Management of Liver Hemangioma - p. iii 87. Chapter 69: Management of Benign Liver Tumors - p. iii 88. Chapter 70: Management of Malignant Liver Tumors - p. iii 89. Chapter 71: Hepatic Malignancy: Resection Versus Transplantation - p. iii 90. Chapter 72: Management of Colorectal Liver Metastases - p. iii 91. Chapter 73: Ablation of Colorectal Carcinoma Liver Metastases - p. iii 92. Chapter 74: Management of Hepatic Abscess - p. iii 93. Chapter 75: Transarterial Therapies for Primary and Metastatic Liver Tumors - p. iii 94. Section 7: Portal Hypertension - p. iii 95. Chapter 76: Portal Hypertension: Role of Shunting Procedures - p. iii 96. Chapter 77: Liver Transplantation - p. iii 97. Chapter 78: Endoscopic Therapy for Esophageal Variceal Hemorrhage - p. iii 98. Chapter 79: Transjugular Intrahepatic Portosystemic Shunt - p. iii 99. Chapter 80: Management of Refractory Ascites - p. iii 100. Chapter 81: Management of Hepatic Encephalopathy - p. iii 101. Chapter 82: Management of Budd-Chiari Syndrome - p. iii 102. Section 8: Gallbladder and Biliary Tree - p. iii 103. Chapter 83: Management of Asymptomatic (Silent) Gallstones - p. iii 104. Chapter 84: Management of Biliary Dyskinesia - p. iii 105. Chapter 85: Management of Acute Cholecystitis - p. iii 106. Chapter 86: Proper Use of Cholecystotomy Tubes - p. iii 107. Chapter 87: Management of Common Bile Duct Stones - p. iii 108. Chapter 88: Management of Acute Cholangitis - p. iii 109. Chapter 89: Management of Benign Biliary Strictures - p. iii 110. Chapter 90: Management of Cystic Disorders of the Bile Ducts - p. iii 111. Chapter 91: Management of Primary Sclerosing Cholangitis - p. iii 112. Chapter 92: Management of Intrahepatic, Perihilar, and Distal Extrahepatic Cholangiocarcinoma - p. iii 113. Chapter 93: Biomarker Guided Surgical Management of Hepatobiliary and Pancreatic Tumors - p. iii 114. Chapter 94: Surgical Management of Gallbladder Cancer - p. iii 115. Chapter 95: Management of Gallstone Ileus - p. iii 116. Chapter 96: Transhepatic Interventions for Obstructive Jaundice - p. iii 117. Chapter 97: Obstructive Jaundice: The Role of Endoscopic Intervention - p. iii 118. Section 9: Pancreas - p. iii 119. Chapter 98: Management of Acute Necrotizing Pancreatitis - p. iii 120. Chapter 99: Gallstone Pancreatitis - p. iii 121. Chapter 100: Pancreas Divisum and Other Variants of Dominant Dorsal Duct Anatomy - p. iii 122. Chapter 101: Diagnosis and Management of Autoimmune Pancreatitis - p. iii 123. Chapter 102: Management of Pancreatic Necrosis - p. iii 124. Chapter 103: Management of Pancreatic Pseudocyst - p. iii 125. Chapter 104: Pancreatic Ductal Disruptions Leading to Pancreatic Fistula, Pancreatic Ascites, or Pancreatic Pleural Effusion - p. iii 126. Chapter 105: Management of Chronic Pancreatitis - p. iii 127. Chapter 106: Genetic Testing and High-Risk Pancreatic Cancer Screening - p. iii 128. Chapter 107: Management of Periampullary Cancers - p. iii 129. Chapter 108: Management of Complications after the Whipple Procedure - p. iii 130. Chapter 109: Vascular Reconstruction During the Whipple Operation - p. iii 131. Chapter 110: Palliative Interventions for Patients with Operable and Advanced Pancreatic and Periampullary Cancer - p. iii 132. Chapter 111: Neoadjuvant and Adjuvant Therapy for Pancreatic Cancer - p. iii 133. Chapter 112: Rare and Unusual Pancreatic Tumors - p. iii 134. Chapter 113: Intraductal Papillary Mucinous Neoplasms of the Pancreas - p. iii 135. Chapter 114: Pancreatic Neuroendocrine Tumors of the Pancreas Excluding Gastrinoma - p. iii 136. Chapter 115: Intraoperative Radiation for Pancreatic Cancer - p. iii 137. Chapter 116: Transplantation of the Pancreas - p. iii 138. Chapter 117: Total Pancreatectomy and Islet Autotransplantation for Chronic Pancreatitis - p. iii 139. Section 10: Spleen - p. iii 140. Chapter 118: Splenectomy for Hematologic Disorders - p. iii 141. Chapter 119: Management of Cysts, Tumors, and Abscesses of the Spleen - p. iii 142. Section 11: Hernia - p. iii 143. Chapter 120: Management of Inguinal Hernia - p. iii 144. Chapter 121: Management of Recurrent Inguinal Hernia - p. iii 145. Chapter 122: Incisional, Epigastric, and Umbilical Hernias - p. iii 146. Chapter 123: Management of Spigelian, Obturator, and Lumbar Hernias - p. iii 147. Chapter 124: Athletic Pubalgia - p. iii 148. Chapter 125: Abdominal Wall Reconstruction - p. iii 149. Chapter 126: Loss of Domain in Abdominal Wall Reconstruction - p. iii 150. Chapter 127: Use of Various Meshes in Hernia Repair - p. iii 151. Section 12: Breast - p. iii 152. Chapter 128: Benign Breast Disease - p. iii 153. Chapter 129: Screening for Breast Cancer - p. iii 154. Chapter 130: Role of Stereotactic Biopsy in Management of Breast Disease - p. iii 155. Chapter 131: Molecular Targets in Breast Cancer - p. iii 156. Chapter 132: Breast Cancer: Surgical Therapy - p. iii 157. Chapter 133: Pregnancy and Breast Cancer Management - p. iii 158. Chapter 134: Ablative Techniques in the Treatment of Benign and Malignant Breast Disease - p. iii 159. Chapter 135: Lymphatic Mapping and Sentinel Lymphadenectomy - p. iii 160. Chapter 136: Surgical Management of the Axilla - p. iii 161. Chapter 137: Inflammatory Breast Cancer - p. iii 162. Chapter 138: Ductal and Lobular Carcinoma in situ of the Breast - p. iii 163. Chapter 139: Advances in Neoadjuvant and Adjuvant Therapy for Early-Stage Breast Cancer - p. iii 164. Chapter 140: Treatment Trends in Locally Recurrent and Metastatic Breast Cancer - p. iii 165. Chapter 141: Management of Male Breast Cancer - p. iii 166. Chapter 142: A Surgeon’s Practical Guide to Breast Imaging - p. iii 167. Chapter 143: Genetic Counseling and Testing - p. iii 168. Chapter 144: Contralateral Prophylactic Mastectomy - p. iii 169. Chapter 145: Margins: How to and How Big? - p. iii 170. Chapter 146: Breast Reconstruction Following Mastectomy: Considerations, Techniques, and Outcomes, Part 1 - p. iii 171. Chapter 147: Breast Reconstruction Following Mastectomy: Considerations, Techniques, and Outcomes, Part 2 - p. iii 172. Chapter 148: Breast Implant-Associated Anaplastic Large Cell Lymphoma - p. iii 173. Section 13: Endocrine Glands - p. iii 174. Chapter 149: Adrenal Incidentaloma - p. iii 175. Chapter 150: Management of Adrenal Cortical Tumors - p. iii 176. Chapter 151: Management of Pheochromocytoma - p. iii 177. Chapter 152: Management of Thyroid Nodules - p. iii 178. Chapter 153: Nontoxic Goiter - p. iii 179. Chapter 154: Management of Thyroiditis - p. iii 180. Chapter 155: Management of Hyperthyroidism - p. iii 181. Chapter 156: Surgical Management of Thyroid Cancer - p. iii 182. Chapter 157: Primary Hyperparathyroidism - p. iii 183. Chapter 158: Persistent and Recurrent Hyperparathyroidism - p. iii 184. Chapter 159: Surgical Management of Secondary and Tertiary Hyperparathyroidism - p. iii 185. Chapter 160: Metabolic Changes Following Bariatric Surgery - p. iii 186. Chapter 161: Cardiovascular Disease Risk Reduction After Bariatric Surgery - p. iii 187. Section 14: Skin and Soft Tissue - p. iii 188. Chapter 162: Nonmelanoma Skin Cancers - p. iii 189. Chapter 163: Management of Cutaneous Melanoma - p. iii 190. Chapter 164: Management of Soft Tissue Sarcomas - p. iii 191. Chapter 165: Management of Solitary Neck Mass - p. iii 192. Chapter 166: Surgical Infections of The Hand - p. iii 193. Chapter 167: Nerve Injury and Repair - p. iii 194. Chapter 168: Necrotizing Skin and Soft Tissue Infections - p. iii 195. Section 15: Chest Wall, Mediastinum, and Trachea - p. iii 196. Chapter 169: Management of Spontaneous and Secondary Pneumothorax - p. iii 197. Chapter 170: Management of Primary Chest Wall Tumors - p. iii 198. Chapter 171: Mediastinal Masses - p. iii 199. Chapter 172: Primary Tumors of the Thymus - p. iii 200. Chapter 173: Management of Tracheal Stenosis - p. iii 201. Chapter 174: Management of Acquired Esophageal Respiratory Tract Fistula - p. iii 202. Chapter 175: Repair of Pectus Excavatum - p. iii 203. Section 16: Vascular Surgery - p. iii 204. Chapter 176: Open Repair of Abdominal Aortic Aneurysms - p. iii 205. Chapter 177: Endovascular Treatment of Abdominal Aortic Aneurysms - p. iii 206. Chapter 178: Management of Ruptured Abdominal Aortic Aneurysms - p. iii 207. Chapter 179: Management of Abdominal Aortic Aneurysm with Concomitant Nonvascular Abdominal Pathology - p. iii 208. Chapter 180: Management of Thoracic and Thoracoabdominal Aortic Aneurysms - p. iii 209. Chapter 181: Management of Acute Aortic Dissections - p. iii 210. Chapter 182: Carotid Endarterectomy - p. iii 211. Chapter 183: Management of Recurrent Carotid Artery Stenosis - p. iii 212. Chapter 184: Balloon Angioplasty and Stents in Carotid Artery Occlusive Disease - p. iii 213. Chapter 185: Management of Aneurysms of the Extracranial Carotid and Vertebral Arteries - p. iii 214. Chapter 186: Brachiocephalic Reconstruction - p. iii 215. Chapter 187: Upper Extremity Arterial Occlusive Disease - p. iii 216. Chapter 188: Aortoiliac Occlusive Disease - p. iii 217. Chapter 189: Femoropopliteal Occlusive Disease - p. iii 218. Chapter 190: Tibioperoneal Arterial Occlusive Disease - p. iii 219. Chapter 191: Popliteal and Femoral Artery Aneurysm - p. iii 220. Chapter 192: Treatment of Claudication - p. iii 221. Chapter 193: Pseudoaneurysms and Arteriovenous Fistulas - p. iii 222. Chapter 194: Management of Peripheral Arterial Thromboembolism - p. iii 223. Chapter 195: Acute Peripheral Arterial and Bypass Graft Occlusion: Thrombolysis and Thrombectomy - p. iii 224. Chapter 196: Management of Infected Grafts - p. iii 225. Chapter 197: Atherosclerotic Renal Artery Stenosis - p. iii 226. Chapter 198: Raynaud’s Phenomenon - p. iii 227. Chapter 199: Thoracic Outlet Syndrome - p. iii 228. Chapter 200: Diabetic Foot - p. iii 229. Chapter 201: Gangrene of the Foot - p. iii 230. Chapter 202: Buerger’s Disease (Thromboangiitis Obliterans) - p. iii 231. Chapter 203: Takayasu’s Arteritis - p. iii 232. Chapter 204: Acute Mesenteric Ischemia - p. iii 233. Chapter 205: Chronic Mesenteric Ischemia - p. iii 234. Chapter 206: Hemodialysis Access Surgery - p. iii 235. Chapter 207: Venous Thromboembolism: Prevention, Diagnosis, and Treatment - p. iii 236. Chapter 208: Vena Cava Filters - p. iii 237. Chapter 209: Treatment of Varicose Veins - p. iii 238. Chapter 210: Lymphedema - p. iii 239. Chapter 211: Lower Extremity Amputation - p. iii 240. Section 17: Trauma and Emergency Care - p. iii 241. Chapter 212: Initial Assessment and Resuscitation of the Trauma Patient - p. iii 242. Chapter 213: Prehospital Management of the Trauma Patient - p. iii 243. Chapter 214: Use of Resuscitative Endovascular Balloon Occlusion of the Aorta in Resuscitation of the Trauma Patient - p. iii 244. Chapter 215: Airway Management in the Trauma Patient - p. iii 245. Chapter 216: Surgeon’s Use of Ultrasound in the Trauma and Critical Care Settings - p. iii 246. Chapter 217: Emergency Department Resuscitative Thoracotomy - p. iii 247. Chapter 218: Management of Traumatic Brain Injury - p. iii 248. Chapter 219: Chest Wall Trauma, Hemothorax, and Pneumothorax - p. iii 249. Chapter 220: Management of Pulmonary Parenchymal Injury - p. iii 250. Chapter 221: Blunt Abdominal Trauma - p. iii 251. Chapter 222: Penetrating Abdominal Trauma - p. iii 252. Chapter 223: Management of Diaphragmatic Injuries - p. iii 253. Chapter 224: Management of Traumatic Liver Injury - p. iii 254. Chapter 225: Pancreatic and Duodenal Injuries - p. iii 255. Chapter 226: Injuries to the Small and Large Bowel - p. iii 256. Chapter 227: Current Management of Rectal Injury - p. iii 257. Chapter 228: Injured Spleen - p. iii 258. Chapter 229: Renal and Ureteral Traumatic Injuries - p. iii 259. Chapter 230: Tenets of Damage Control - p. iii 260. Chapter 231: Early Management of Pelvic Ring Disruption - p. iii 261. Chapter 232: Urologic Complications of Pelvic Fracture - p. iii 262. Chapter 233: Spine and Spinal Cord Injuries - p. iii 263. Chapter 234: Evaluation and Management of the Patient with Craniomaxillofacial Trauma - p. iii 264. Chapter 235: Penetrating Neck Trauma - p. iii 265. Chapter 236: Blunt Cardiac Injury - p. iii 266. Chapter 237: Abdominal Compartment Syndrome and Management of the Open Abdomen - p. iii 267. Chapter 238: Abdomen That Will Not Close - p. iii 268. Chapter 239: Management of Vascular Injuries - p. iii 269. Chapter 240: Endovascular Management of Vascular Injuries - p. iii 270. Chapter 241: Extremity Compartment Syndrome - p. iii 271. Chapter 242: Burn Wound Management - p. iii 272. Chapter 243: Medical Management of the Burn Patient - p. iii 273. Chapter 244: Cold-Induced Injuries and Hypothermia - p. iii 274. Chapter 245: Electrical and Lightning Injury - p. iii 275. Section 18: Preoperative and Postoperative Care - p. iii 276. Chapter 246: ERAS Protocols for General Surgery - p. iii 277. Chapter 247: Fluid and Electrolyte Therapy - p. iii 278. Chapter 248: Common Pediatric Surgical Emergencies - p. iii 279. Chapter 249: A Practical Approach to Surgery in the Frail Elderly - p. iii 280. Chapter 250: Perioperative Optimization - p. iii 281. Chapter 251: Is Nasogastric Intubation Necessary After Alimentary Tract Surgery? - p. iii 282. Chapter 252: Surgical Site Infections - p. iii 283. Chapter 253: Management of Intraabdominal Infections - p. iii 284. Chapter 254: Epidemiology, Prevention, and Management of Occupational Exposure to Bloodborne Infections - p. iii 285. Chapter 255: Antifungal Therapy in the Surgical Patient - p. iii 286. Chapter 256: Use of Opioids in the Postoperative Period - p. iii 287. Chapter 257: Management of Postoperative Delirium - p. iii 288. Section 19: Surgical Critical Care - p. iii 289. Chapter 258: COVID-19 and Health Care Delivery in a Pandemic - p. iii 290. Chapter 259: Surgical Palliative Care - p. iii 291. Chapter 260: Cardiovascular Pharmacology - p. iii 292. Chapter 261: Glucose Control in the Postoperative Period - p. iii 293. Chapter 262: Postoperative Respiratory Failure - p. iii 294. Chapter 263: Ventilator-Associated Pneumonia - p. iii 295. Chapter 264: Extracorporeal Membrane Oxygenation for Respiratory Failure - p. iii 296. Chapter 265: Tracheostomy - p. iii 297. Chapter 266: Acute Kidney Injury in the Injured and Critically Ill - p. iii 298. Chapter 267: Acid-Base Disorders - p. iii 299. Chapter 268: Catheter Sepsis in the Intensive Care Unit - p. iii 300. Chapter 269: Septic Response and Management - p. iii 301. Chapter 270: Multiple Organ Dysfunction and Failure - p. iii 302. Chapter 271: Antibiotics in Surgical Critical Care - p. iii 303. Chapter 272: Endocrine Changes with Critical Illness - p. iii 304. Chapter 273: Nutrition Therapy in the Critically Ill Surgical Patient - p. iii 305. Chapter 274: Coagulation Issues and the Trauma Patient - p. iii 306. Chapter 275: Post\x96Intensive Care Syndrome - p. iii 307. Index - p. iii
