Using a proven, practical, algorithmic approach, Surgical Decision Making summarizes evidence-based guidelines and practice protocols in an easy-to-follow format. Designed to sharpen the decision-making skills of both trainees and practicing surgeons, the 6th Edition directs your focus to the critical decision points in a wide range of clinical scenarios, helping you determine optimal evaluation and management to secure the best possible patient outcomes. Algorithms are accompanied by annotations that explain all critical factors affecting decisions in a concise, readable manner.
1. Cover image - p. i 2. Title Page - p. i 3. Table of Contents - p. i 4. Copyright - p. iv 5. Dedication - p. vii 6. Contributors - p. ix 7. Preface - p. xxv 8. Part I Perioperative Care - p. xxv 9. Chapter 1 Preoperative Laboratory Evaluation - p. 2 10. Chapter 2 Preoperative Cardiac Evaluation - p. 4 11. Chapter 3 Preoperative Pulmonary Evaluation - p. 6 12. Chapter 4 Bleeding Disorders in Surgical Patients - p. 10 13. Chapter 5 Hypercoagulable Patient - p. 14 14. Chapter 6 Postoperative Fever - p. 16.e1 15. Chapter 7 Bridge Anticoagulation - p. 18 16. Chapter 8 Intraabdominal Infection - p. 22 17. Chapter 9 Preoperative Evaluation of the Geriatric Patient - p. 24 18. Part II Critical Care - p. 24.e1 19. Chapter 10 Cardiopulmonary Resuscitation - p. 28 20. Chapter 11 Perioperative Arrhythmia - p. 30 21. Chapter 12 Perioperative Myocardial Ischemia and Infarction - p. 34 22. Chapter 13 Shock - p. 38 23. Chapter 14 Goal-Directed Resuscitation - p. 42 24. Chapter 15 Pulmonary Embolism - p. 46.e1 25. Chapter 16 Ventilator-Associated Pneumonia - p. 48 26. Chapter 17 Nutritional Support - p. 50 27. Chapter 18 Acute Respiratory Failure - p. 54 28. Chapter 19 Acute Hypoxic Event - p. 60.e1 29. Chapter 20 Acute Renal Failure - p. 62 30. Chapter 21 Acid–Base Disorders - p. 64 31. Chapter 22 Sodium Disorders - p. 66 32. Chapter 23 Potassium Disorders - p. 70 33. Chapter 24 Calcium Disorders - p. 72 34. Chapter 25 Hypothermia - p. 74.e1 35. Part III Head & Neck - p. 75 36. Chapter 26 Neck Mass - p. 78 37. Chapter 27 Nonmelanoma Skin Cancer of the Face - p. 82 38. Chapter 28 Management of Melanoma of the Head and Neck - p. 86 39. Part IV Thoracic - p. 86.e1 40. Chapter 29 Lung Nodule - p. 90 41. Chapter 30 Mediastinal Tumors - p. 94 42. Chapter 31 Pleural Effusion and Empyema - p. 98.e1 43. Part V Alimentary Tract - p. 102 44. Chapter 32 Achalasia - p. 102.e1 45. Chapter 33 Esophageal Motility Disorders (Other Than Achalasia) - p. 104 46. Chapter 34 Esophageal Perforation - p. 106 47. Chapter 35 Caustic Ingestion - p. 110 48. Chapter 36 Gastroesophageal Reflux Disease - p. 112 49. Chapter 37 Barrett's Esophagus - p. 116 50. Chapter 38 Esophageal Diverticulum - p. 120 51. Chapter 39 Paraesophageal Hiatal Hernia - p. 122 52. Chapter 40 Gastric Ulcer - p. 126 53. Chapter 41 Duodenal Ulcer - p. 128 54. Chapter 42 Morbid Obesity - p. 132 55. Chapter 43 Upper GI Bleeding - p. 136 56. Chapter 44 Bleeding Esophageal Varices - p. 138 57. Chapter 45 Jaundice - p. 140 58. Chapter 46 Obstructive Jaundice - p. 142 59. Chapter 47 Cholelithiasis - p. 144 60. Chapter 48 Choledocholithiasis - p. 146 61. Chapter 49 Hepatic Abscess - p. 148 62. Chapter 50 Cystic Liver Disease - p. 152.e1 63. Chapter 51 Solid Liver Lesion - p. 154 64. Chapter 52 Acute Pancreatitis - p. 158 65. Chapter 53 Chronic Pancreatitis - p. 160 66. Chapter 54 Pancreatic Pseudocysts - p. 164 67. Chapter 55 Pancreas Divisum - p. 166 68. Chapter 56 Small Bowel Obstruction - p. 170 69. Chapter 57 Acute Mesenteric Vascular Occlusion - p. 174 70. Chapter 58 Short Bowel Syndrome - p. 178 71. Chapter 59 Enterocutaneous Fistula - p. 180.e1 72. Chapter 60 Crohn's Disease of the Small Bowel - p. 182 73. Chapter 61 Right Lower Quadrant Pain - p. 184 74. Chapter 62 Volvulus - p. 186 75. Chapter 63 Diverticulitis - p. 188 76. Chapter 64 Lower Gastrointestinal Bleeding - p. 190.e1 77. Chapter 65 Ulcerative Colitis - p. 192.e1 78. Chapter 66 Ischemic Colitis - p. 194 79. Chapter 67 Toxic Megacolon - p. 196 80. Chapter 68 C. dif Colitis - p. 198.e1 81. Chapter 69 Large Bowel Obstruction - p. 200 82. Chapter 70 Rectal Prolapse - p. 204 83. Chapter 71 Constipation - p. 206 84. Chapter 72 Appendicitis - p. 210.e1 85. Chapter 73 Anorectal Abscess and Fistula-in-Ano - p. 212 86. Chapter 74 Hemorrhoids - p. 216 87. Chapter 75 Pilonidal Disease - p. 220 88. Chapter 76 Anal Fissure - p. 224 89. Chapter 77 Groin Hernia - p. 226 90. Chapter 78 Ventral Hernia - p. 230 91. Part VI Oncology - p. 230.e1 92. Chapter 79 Cancer of Unknown Primary - p. 234 93. Chapter 80 Esophageal Cancer - p. 236 94. Chapter 81 Gastric Cancer - p. 240 95. Chapter 82 Cholangiocarcinoma - p. 242 96. Chapter 83 Hepatocellular Carcinoma - p. 248 97. Chapter 84 Gallbladder Carcinoma - p. 252 98. Chapter 85 Gastrointestinal Stromal Tumors (GISTs) - p. 256 99. Chapter 86 Pancreatic Neuroendocrine Tumors - p. 260 100. Chapter 87 Periampullary Carcinoma - p. 264 101. Chapter 88 Pancreatic Cystic Neoplasms - p. 266 102. Chapter 89 Pancreatic Mass - p. 268 103. Chapter 90 Retroperitoneal Mass - p. 270 104. Chapter 91 GI Lymphoma - p. 274 105. Chapter 92 Colon Polyp - p. 276 106. Chapter 93 Colon Cancer - p. 280 107. Chapter 94 Rectal Cancer - p. 284 108. Chapter 95 Anal Cancer - p. 288 109. Chapter 96 Metastatic Colorectal Carcinoma - p. 292 110. Chapter 97 Breast and Soft Tissues - p. 296.e1 111. Chapter 98 Gynecomastia - p. 298.e1 112. Chapter 99 Palpable Breast Mass - p. 300 113. Chapter 100 Nonpalpable Breast Lesions - p. 304 114. Chapter 101 Early Breast Cancer - p. 306 115. Chapter 102 Advanced Breast Cancer - p. 310 116. Chapter 103 Recurrent Breast Carcinoma - p. 312 117. Chapter 104 Familial Breast Cancer - p. 316 118. Chapter 105 Breast Reconstruction - p. 318 119. Chapter 106 Soft Tissue Masses of the Extremities - p. 322 120. Chapter 107 Cutaneous Melanoma - p. 326 121. Chapter 108 Nonmelanoma Skin Cancer - p. 328.e1 122. Part VII Endocrine - p. 329 123. Chapter 109 Thyrotoxicosis - p. 332 124. Chapter 110 Thyroid Nodule - p. 334 125. Chapter 111 Well-Differentiated Thyroid Cancer - p. 336 126. Chapter 112 Medullary Thyroid Carcinoma - p. 338 127. Chapter 113 Hypercalcemia and Hyperparathyroidism - p. 340 128. Chapter 114 Hypoglycemia and Insulinoma - p. 344 129. Chapter 115 Zollinger-Ellison Syndrome - p. 348 130. Chapter 116 Adrenal Incidentaloma - p. 352 131. Chapter 117 Pheochromocytoma - p. 356 132. Chapter 118 Cushing's Syndrome - p. 358 133. Chapter 119 Primary Aldosteronism - p. 362 134. Part VIII Trauma - p. 362.e1 135. Chapter 120 Initial Evaluation and Resuscitation - p. 366 136. Chapter 121 Airway Management - p. 368 137. Chapter 122 Cervical Spine Injury - p. 370.e1 138. Chapter 123 Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) - p. 372 139. Chapter 124 Emergency Department Thoracotomy - p. 374 140. Chapter 125 Penetrating Neck Trauma - p. 376 141. Chapter 126 Blunt Cerebrovascular Injury - p. 378.e1 142. Chapter 127 Rib Fractures - p. 380 143. Chapter 128 Hemo-Pneumothorax - p. 382 144. Chapter 129 Blunt Thoracic Aortic Injury - p. 384 145. Chapter 130 Blunt Cardiac Injury - p. 388.e1 146. Chapter 131 Annotations to Thoracoabdominal Trauma - p. 390 147. Chapter 132 Blunt Abdominal Trauma - p. 392 148. Chapter 133 Penetrating Abdominal Injury - p. 396.e1 149. Chapter 134 Blunt Splenic Injury - p. 398 150. Chapter 135 Liver Injury - p. 400 151. Chapter 136 Abdominal Vascular Injuries - p. 402 152. Chapter 137 Pancreatic Injury - p. 406 153. Chapter 138 Duodenal Injury - p. 408 154. Chapter 139 Penetrating Injury of the Colon - p. 410 155. Chapter 140 Penetrating Rectal Injury - p. 412 156. Chapter 141 Damage-Control Laparotomy - p. 414 157. Chapter 142 Abdominal Compartment Syndrome - p. 418 158. Chapter 143 Traumatic Hematuria - p. 422.e1 159. Chapter 144 Renal Injury - p. 424 160. Chapter 145 Ureteral Injuries - p. 426 161. Chapter 146 Bladder and Urethral Trauma - p. 430.e1 162. Chapter 147 Pelvic Fractures - p. 432 163. Chapter 148 Closed Head Injury - p. 434 164. Chapter 149 Cervical Spine Fractures - p. 438 165. Chapter 150 Spinal Cord Injury - p. 442 166. Chapter 151 Popliteal Artery Injury - p. 448.e1 167. Chapter 152 Burns - p. 450 168. Chapter 153 Acute Frostbite - p. 454 169. Chapter 154 Electrical Burn Injury - p. 458 170. Index - p. 461
Using a proven, practical, algorithmic approach, Surgical Decision Making summarizes evidence-based guidelines and practice protocols in an easy-to-follow format. Designed to sharpen the decision-making skills of both trainees and practicing surgeons, the 6th Edition directs your focus to the critical decision points in a wide range of clinical scenarios, helping you determine optimal evaluation and management to secure the best possible patient outcomes. Algorithms are accompanied by annotations that explain all critical factors affecting decisions in a concise, readable manner.
1. Cover image - p. i 2. Title Page - p. i 3. Table of Contents - p. i 4. Copyright - p. iv 5. Dedication - p. vii 6. Contributors - p. ix 7. Preface - p. xxv 8. Part I Perioperative Care - p. xxv 9. Chapter 1 Preoperative Laboratory Evaluation - p. 2 10. Chapter 2 Preoperative Cardiac Evaluation - p. 4 11. Chapter 3 Preoperative Pulmonary Evaluation - p. 6 12. Chapter 4 Bleeding Disorders in Surgical Patients - p. 10 13. Chapter 5 Hypercoagulable Patient - p. 14 14. Chapter 6 Postoperative Fever - p. 16.e1 15. Chapter 7 Bridge Anticoagulation - p. 18 16. Chapter 8 Intraabdominal Infection - p. 22 17. Chapter 9 Preoperative Evaluation of the Geriatric Patient - p. 24 18. Part II Critical Care - p. 24.e1 19. Chapter 10 Cardiopulmonary Resuscitation - p. 28 20. Chapter 11 Perioperative Arrhythmia - p. 30 21. Chapter 12 Perioperative Myocardial Ischemia and Infarction - p. 34 22. Chapter 13 Shock - p. 38 23. Chapter 14 Goal-Directed Resuscitation - p. 42 24. Chapter 15 Pulmonary Embolism - p. 46.e1 25. Chapter 16 Ventilator-Associated Pneumonia - p. 48 26. Chapter 17 Nutritional Support - p. 50 27. Chapter 18 Acute Respiratory Failure - p. 54 28. Chapter 19 Acute Hypoxic Event - p. 60.e1 29. Chapter 20 Acute Renal Failure - p. 62 30. Chapter 21 Acid–Base Disorders - p. 64 31. Chapter 22 Sodium Disorders - p. 66 32. Chapter 23 Potassium Disorders - p. 70 33. Chapter 24 Calcium Disorders - p. 72 34. Chapter 25 Hypothermia - p. 74.e1 35. Part III Head & Neck - p. 75 36. Chapter 26 Neck Mass - p. 78 37. Chapter 27 Nonmelanoma Skin Cancer of the Face - p. 82 38. Chapter 28 Management of Melanoma of the Head and Neck - p. 86 39. Part IV Thoracic - p. 86.e1 40. Chapter 29 Lung Nodule - p. 90 41. Chapter 30 Mediastinal Tumors - p. 94 42. Chapter 31 Pleural Effusion and Empyema - p. 98.e1 43. Part V Alimentary Tract - p. 102 44. Chapter 32 Achalasia - p. 102.e1 45. Chapter 33 Esophageal Motility Disorders (Other Than Achalasia) - p. 104 46. Chapter 34 Esophageal Perforation - p. 106 47. Chapter 35 Caustic Ingestion - p. 110 48. Chapter 36 Gastroesophageal Reflux Disease - p. 112 49. Chapter 37 Barrett's Esophagus - p. 116 50. Chapter 38 Esophageal Diverticulum - p. 120 51. Chapter 39 Paraesophageal Hiatal Hernia - p. 122 52. Chapter 40 Gastric Ulcer - p. 126 53. Chapter 41 Duodenal Ulcer - p. 128 54. Chapter 42 Morbid Obesity - p. 132 55. Chapter 43 Upper GI Bleeding - p. 136 56. Chapter 44 Bleeding Esophageal Varices - p. 138 57. Chapter 45 Jaundice - p. 140 58. Chapter 46 Obstructive Jaundice - p. 142 59. Chapter 47 Cholelithiasis - p. 144 60. Chapter 48 Choledocholithiasis - p. 146 61. Chapter 49 Hepatic Abscess - p. 148 62. Chapter 50 Cystic Liver Disease - p. 152.e1 63. Chapter 51 Solid Liver Lesion - p. 154 64. Chapter 52 Acute Pancreatitis - p. 158 65. Chapter 53 Chronic Pancreatitis - p. 160 66. Chapter 54 Pancreatic Pseudocysts - p. 164 67. Chapter 55 Pancreas Divisum - p. 166 68. Chapter 56 Small Bowel Obstruction - p. 170 69. Chapter 57 Acute Mesenteric Vascular Occlusion - p. 174 70. Chapter 58 Short Bowel Syndrome - p. 178 71. Chapter 59 Enterocutaneous Fistula - p. 180.e1 72. Chapter 60 Crohn's Disease of the Small Bowel - p. 182 73. Chapter 61 Right Lower Quadrant Pain - p. 184 74. Chapter 62 Volvulus - p. 186 75. Chapter 63 Diverticulitis - p. 188 76. Chapter 64 Lower Gastrointestinal Bleeding - p. 190.e1 77. Chapter 65 Ulcerative Colitis - p. 192.e1 78. Chapter 66 Ischemic Colitis - p. 194 79. Chapter 67 Toxic Megacolon - p. 196 80. Chapter 68 C. dif Colitis - p. 198.e1 81. Chapter 69 Large Bowel Obstruction - p. 200 82. Chapter 70 Rectal Prolapse - p. 204 83. Chapter 71 Constipation - p. 206 84. Chapter 72 Appendicitis - p. 210.e1 85. Chapter 73 Anorectal Abscess and Fistula-in-Ano - p. 212 86. Chapter 74 Hemorrhoids - p. 216 87. Chapter 75 Pilonidal Disease - p. 220 88. Chapter 76 Anal Fissure - p. 224 89. Chapter 77 Groin Hernia - p. 226 90. Chapter 78 Ventral Hernia - p. 230 91. Part VI Oncology - p. 230.e1 92. Chapter 79 Cancer of Unknown Primary - p. 234 93. Chapter 80 Esophageal Cancer - p. 236 94. Chapter 81 Gastric Cancer - p. 240 95. Chapter 82 Cholangiocarcinoma - p. 242 96. Chapter 83 Hepatocellular Carcinoma - p. 248 97. Chapter 84 Gallbladder Carcinoma - p. 252 98. Chapter 85 Gastrointestinal Stromal Tumors (GISTs) - p. 256 99. Chapter 86 Pancreatic Neuroendocrine Tumors - p. 260 100. Chapter 87 Periampullary Carcinoma - p. 264 101. Chapter 88 Pancreatic Cystic Neoplasms - p. 266 102. Chapter 89 Pancreatic Mass - p. 268 103. Chapter 90 Retroperitoneal Mass - p. 270 104. Chapter 91 GI Lymphoma - p. 274 105. Chapter 92 Colon Polyp - p. 276 106. Chapter 93 Colon Cancer - p. 280 107. Chapter 94 Rectal Cancer - p. 284 108. Chapter 95 Anal Cancer - p. 288 109. Chapter 96 Metastatic Colorectal Carcinoma - p. 292 110. Chapter 97 Breast and Soft Tissues - p. 296.e1 111. Chapter 98 Gynecomastia - p. 298.e1 112. Chapter 99 Palpable Breast Mass - p. 300 113. Chapter 100 Nonpalpable Breast Lesions - p. 304 114. Chapter 101 Early Breast Cancer - p. 306 115. Chapter 102 Advanced Breast Cancer - p. 310 116. Chapter 103 Recurrent Breast Carcinoma - p. 312 117. Chapter 104 Familial Breast Cancer - p. 316 118. Chapter 105 Breast Reconstruction - p. 318 119. Chapter 106 Soft Tissue Masses of the Extremities - p. 322 120. Chapter 107 Cutaneous Melanoma - p. 326 121. Chapter 108 Nonmelanoma Skin Cancer - p. 328.e1 122. Part VII Endocrine - p. 329 123. Chapter 109 Thyrotoxicosis - p. 332 124. Chapter 110 Thyroid Nodule - p. 334 125. Chapter 111 Well-Differentiated Thyroid Cancer - p. 336 126. Chapter 112 Medullary Thyroid Carcinoma - p. 338 127. Chapter 113 Hypercalcemia and Hyperparathyroidism - p. 340 128. Chapter 114 Hypoglycemia and Insulinoma - p. 344 129. Chapter 115 Zollinger-Ellison Syndrome - p. 348 130. Chapter 116 Adrenal Incidentaloma - p. 352 131. Chapter 117 Pheochromocytoma - p. 356 132. Chapter 118 Cushing's Syndrome - p. 358 133. Chapter 119 Primary Aldosteronism - p. 362 134. Part VIII Trauma - p. 362.e1 135. Chapter 120 Initial Evaluation and Resuscitation - p. 366 136. Chapter 121 Airway Management - p. 368 137. Chapter 122 Cervical Spine Injury - p. 370.e1 138. Chapter 123 Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) - p. 372 139. Chapter 124 Emergency Department Thoracotomy - p. 374 140. Chapter 125 Penetrating Neck Trauma - p. 376 141. Chapter 126 Blunt Cerebrovascular Injury - p. 378.e1 142. Chapter 127 Rib Fractures - p. 380 143. Chapter 128 Hemo-Pneumothorax - p. 382 144. Chapter 129 Blunt Thoracic Aortic Injury - p. 384 145. Chapter 130 Blunt Cardiac Injury - p. 388.e1 146. Chapter 131 Annotations to Thoracoabdominal Trauma - p. 390 147. Chapter 132 Blunt Abdominal Trauma - p. 392 148. Chapter 133 Penetrating Abdominal Injury - p. 396.e1 149. Chapter 134 Blunt Splenic Injury - p. 398 150. Chapter 135 Liver Injury - p. 400 151. Chapter 136 Abdominal Vascular Injuries - p. 402 152. Chapter 137 Pancreatic Injury - p. 406 153. Chapter 138 Duodenal Injury - p. 408 154. Chapter 139 Penetrating Injury of the Colon - p. 410 155. Chapter 140 Penetrating Rectal Injury - p. 412 156. Chapter 141 Damage-Control Laparotomy - p. 414 157. Chapter 142 Abdominal Compartment Syndrome - p. 418 158. Chapter 143 Traumatic Hematuria - p. 422.e1 159. Chapter 144 Renal Injury - p. 424 160. Chapter 145 Ureteral Injuries - p. 426 161. Chapter 146 Bladder and Urethral Trauma - p. 430.e1 162. Chapter 147 Pelvic Fractures - p. 432 163. Chapter 148 Closed Head Injury - p. 434 164. Chapter 149 Cervical Spine Fractures - p. 438 165. Chapter 150 Spinal Cord Injury - p. 442 166. Chapter 151 Popliteal Artery Injury - p. 448.e1 167. Chapter 152 Burns - p. 450 168. Chapter 153 Acute Frostbite - p. 454 169. Chapter 154 Electrical Burn Injury - p. 458 170. Index - p. 461
