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Complications in Surgery
 
This volume offers authoritative, evidence-based recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. For each procedure, the authors discuss surgical goals, expected outcomes, preoperative identification of risk factors, intraoperative technique, and postoperative risk. Numerous decision-making algorithms, drawings of techniques, and tables complement the text.
1 Surgical complications 3 2 Contemporary surgical training 5 3 Future surgical training 9 4 Continuing education for praticing surgeons 18 5 Surgical credentials 25 6 Assessing surgical quality with structure and process of care measures 30 7 Assessing surgical quality with clinical outcomes measures 45 8 Assessment of perioperative risk 59 9 Anesthesia complications 69 10 Complications of wound healing 102 11 Surgical site infections 114 12 Septic shock 126 13 Hypovolemic shock 136 14 Fluid and electrolyte abnormalities 144 15 Acute renal failure 150 16 Pulmonary complications 157 17 Cardiac complications 174 18 Abnormalities in coagulation 185 19 Complications of nutritional support 195 20 Complications of immunosuppression 212 21 Complications of intubation, tracheotomy, and tracheal surgery 227 22 Complications of esophageal surgery 245 23 Complications of pulmonary and chest wall surgery 264 24 Complications of extracorporeal circulation 277 25 Complications of surgical coronary revascularization 286 26 Complications of valvular cardiac surgery 298 27 Complications of thoracoscopy 306 28 Complications of arterial surgery 317 29 Complications of venous disease and therapy 337 30 Complications of endovascular therapy 357 31 Complications of gastric surgery 385 32 Complications of hepatic surgery 407 33 Complications of biliary surgery 423 34 Complications of pancreatic surgery 463 35 Complications of intestinal surgery : small bowel 477 36 Complications of appendectomy and colon and rectal surgery 498 37 Complications of abdominal wall and hernia operations 523 38 Complications of laparoscopic surgery 546 39 Complications of adrenal surgery 557 40 Complications of thyroid and parathyroid surgery 575 41 Complications in endocrine pancreatic surgery 594 42 Complications of breast surgery 603 43 Complications of soft-tissue tumor surgery 619 44 Complications of lymphadenectomy 628 45 Complications of renal transplantation 639 46 Complications of liver transplantation 655 47 Complications of pancreatic transplantation 665 48 Complications of pulmonary transplantation 683 49 Complications of heart transplantation 700 50 Surgical complications in newborns 725 51 Surgical complications in children 764