Schein's Common Sense Emergency Abdominal Surgery, 4th Edition.

Format:

Book

Author/Creator:

Schein, Moshe.

Contributor:

Rogers, Paul N.

Leppäniemi, Ari.

Rosin, Danny.

Efron, Jonathan E.

Language:

English

Subjects (All):

Digestive organs--Diseases--surgery.

Digestive organs.

Acute abdomen--Surgery.

Acute abdomen.

Abdomen--Surgery.

Abdomen.

Surgical emergencies.

Physical Description:

1 online resource (774 pages)

Edition:

Fourth edition.

Place of Publication:

Shrewsbury : TFM Publishing Ltd, 2015.

Summary:

This, the fourth edition of Schein's Common Sense Emergency Abdominal Surgery, builds on the reputation of the three previous editions. Already a worldwide benchmark, translated into half a dozen languages, this book guides surgical trainees logically through the minefields of assessment and management of acute surgical abdominal conditions. General surgery as a concept may have been overtaken in many parts of the world by the development of niche specialties, but the need for a cohort of generalists able to deal competently with common surgical emergencies has not gone away. If you recognise this need then this is the book for you! Tyro surgeons and experienced practitioners alike will benefit from the distilled wisdom contained in these pages. The direct, no nonsense, writing style, supported by entertaining cartoons, gives clear guidance while at the same time providing amusing insights into our collective surgical pschye. NOT a standard textbook. Buy it! You'll not regret it. Some new editors and authors enhance the new edition. Almost all chapters have been revised to take account of new concepts and modern developments. New chapters have been added and some completely rewritten often with a new emphasis on the importance of a laparoscopic approach. Reviews of previous editions"This is written with short punchy chapters making it a very difficult book to put down... ".R.A.B. Wood, Journal of the Royal College of Surgeons of Edinburgh"Since Mondor's times in the forties of the last century there was no other book in surgery to be written so easy and witty ...".Boris D. Savchuk, World Journal of Surgery"By the end I was a total enthusiast... this is a text like no other I read... Unreservedly recommended to old and young and alike."M. Winslet, Royal Free Hospital, London, Colorectal Disease"The title describes this book perfectly. This is a no-nonsense approach to the sometimes very difficult situations in general surgery.... The authors describe their experiences in tough situations of patient care for residents and young attendings.... the historical quotes add a good amount of insight and interest. I have not come across another book like this.... Focused on the real situations that surgeons come across, the book answers the questions that are not addressed in the major textbooks." Robert A. Hanfland, Doody's Review Service"This book covers emergency abdominal surgery in a useful and interesting way. [It is] a small and handy book yet the coverage is wide. It would be of interest to any general surgeon and should certainly be read by surgical trainees. [It] allows mention of many things which would otherwise be excluded from a more rigidly structured work. I was also glad to be reminded of many things which I had known but forgotten. The writers clearly know what they are talking about." David Evans, Annals of the Royal College of Surgeons of EnglandA sample of testimonials posted on amazon...By Donald Dupuis, MD, Lahey Clinic««««« "A Must Have Book. I am about to end my chief year in general surgery residency - my copy of the first edition shows the wear of half a dozen total read throughs and probably hundreds of referencings. Newest edition is equally good. For the last 3 years I have given this book to our interns if they finish their surgical internship. And I've paid for this myself - if you know how little residents get paid you will know how important I think it is. If you are in surgical training DO NOT WAIT ANOTHER DAY BEFORE YOU BUY THIS BOOK. I do agree with another reviewer who thought a bit of cool surgical technique would have been good too. But, all in all, best, most useful little book on surgery ever. Nuff said."By Chet A. Morrison, Assistant Professor of Surgery, Director of Surgical Critical Care, Michigan State University«««« "A very useful practical guide. This is a fine book in the tradition of 'guides to being on call' - or maybe the 'guide to the perplexed'. I like the straightforward get to the point style, and the directness of the book makes this a useful book to have handy when confronted with some of the emergency surgery problems. I would only say it could have had a bit more on surgical technique, and one or two references would have been useful (instead there was almost a militant insistence on as few as possible). But I would recommend it for any resident who is on call, and I find it useful as a staff sugeon as well."By K. M. Kemp««««« "Love it. I'm a big fan of this book, having just finished it a month ago. It's a good mix of the author's own experience as well as expert commentary when indicated. Compared to a textbook, it's much more engaging and easier to read. Also compared to a text, it seems much more practical in the advice it gives. As a brand new intern, I gleaned a lot from this book. Highly recommended for fellow trainees." By Jendri ««««« "A surgical must have. This is a very well written and very practical guide to emergency surgery. It covers virtually all aspects of emergency general surgery and does it in a very interesting way. I think this is one of the best books on the subject. For me it certainly is a must have. In the next edition, probably the only thing that I would like to add to this book would be the information about the military uniform worn by Dr Karl Schein on the photograph on one of the first pages. Dr Schein is wearing a uniform of the 1st Polish Army formed in Soviet Union in 1943. Altogether a great book."By andreromeo ««««« "A must. Dr. Moshe Schein has a very personal view about medicine and about the art of surgery, and that is why this book is really a must for clinicians and surgeons."By Andy ««««« "Simply perfect. The best choice in surgery for trainees! It makes the more difficult surgery areas very easy to understand. I recommend it to all surgeons." By maxim ««««« "Worth every penny. Invaluable as a guide to assist in the resolution of a broad range of abdominal problems. The book is well structured, running from opening chapters addressing pre-operative issues, and on through a pretty complete spectrum of gut complaints likely to arise in the real world, and how best to sort them out. It's not only useful, but very well written, and, for a text book, an absolute pleasure to read. Short bite size chapters combined with the occasional cartoon make this 3rd edition of Schein well worth the investment. Blend with Cope's Diagnosis of the Acute Abdomen for the ideal cocktail."By J. D. Wassner ««««« "Well-written, easy to read. Should be required reading for any General Surgery resident, & anyone who does acute-care & trauma."

Contents:

SCHEIN'S COMMON SENSE: EMERGENCY Abdominal Surgery

Title Page

Copyright

Contents

Contributors

Editors' note

Preface

Reviews of previous editions

A sample of testimonials posted on amazon...

PART I: General considerations

Chapter 1: General philosophy: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron

The 'best' management of an abdominal emergency

General philosophy

The inflamed patient

Evidence

Chapter 2: A brief history of emergency abdominal surgery: Harold Ellis

Appendicitis

The ruptured spleen

Intestinal obstruction

Perforated peptic ulcer

Ruptured ectopic pregnancy

Envoi

PART II: Before the operation

Chapter 3: The acute abdomen: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron

The problem

The acute abdomen: management menus and clinical patterns

Who should look after the 'acute abdomen' and where?

Chapter 4: Rational diagnostic procedures: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron

Blood tests

Chest X-ray (CXR)

Plain abdominal X-ray (AXR)

Abdominal ultrasound (US)

Abdominal computed tomography

A word of caution

Contrast studies: barium vs. water-soluble contrast

Unnecessary tests

Diagnostic laparoscopy

Chapter 5: Abdominal imaging: Moshe Schein and Hans Ulrich Elben

Computed tomography in abdominal emergencies

How to read and interpret the abdominal CT for an 'acute abdomen'

Final words from Moshe…

Chapter 6: Optimizing the patient: James C. Rucinski

Why is pre-operative optimization necessary?

What are the goals of optimization?

Who needs optimization?

Measurement of the severity of illness

How I do it?

Oxygenation

Restoration of volume.

Measurement of effectiveness of treatment

Urine output

Invasive monitoring

Laboratory

Blood and blood products

Suggested steps in volume optimization

When is enough enough?

So finally to recap…

Chapter 7: Pre-operative antibiotics: Moshe Schein

When should you start antibiotics?

Which antibiotics to use?

To sum it up

Chapter 8: Family, ethics, informed consent and medicolegal issues: James C. Rucinski

Salesmanship

Illustrate the problem

The family

Ethical problem solving

Medicolegal considerations

Avoid selling autopsies under anesthesia (AUA)

Concluding remarks

Chapter 9: Before the flight: pre-op checklist: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron

The surgeon's checklist

PART III: The operation

Chapter 10: The incision: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron

At what level must the midline incision start and how long should it be?

When should you extend the incision into the thorax?

Knife or diathermy?

Pitfalls

Chapter 11: Abdominal exploration: finding what is wrong: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron

Abdominal exploration

Intraperitoneal blood

Primary survey

Secondary survey

Intraperitoneal contamination or infection

The direction and practicalities of exploration

Use your common sense

What about retractors?

Additional points: grading the severity of injury

Chapter 12: The laparoscopic approach to emergency abdominal surgery: Danny Rosin

General principles

Potential advantages

Potential flaws

Setting the scene

Technique

Procedures

Chapter 13: Peritonitis: classification and principles of treatment: Moshe Schein and Roger Saadia

Nomenclature

Classification of peritonitis.

Management (secondary peritonitis)

Aggressive modalities of management

Need for peritoneal cultures?

Chapter 14: The intestinal anastomosis (and stomata): Mark Cheetham, Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin and Jonathan E. Efron

1. The intestinal anastomosis: Moshe Schein, Paul N. Rogers, Ari Leppäniemi, Danny Rosin, Jonathan E. Efron

The ideal anastomosis

Pros and cons

The choice of anastomotic technique: international perspective

Our recommendations

The edematous bowel

How we do it

A few more words on staplers

Testing the anastomosis

When not to perform an anastomosis?

So let us leave you with this...

2. Intestinal stomata: Mark Cheetham

The emergency stoma: why and when

How to make an emergency stoma

Making a stoma - general principles

End colostomy

Loop colostomy

End ileostomy

Loop ileostomy

Mucous fistula

Ileocolostomy (double-barrel)

Jejunostomy

'Blow-hole' colostomy and cecostomy

Making a stoma in a fat person

Postoperative care of a stoma

Stoma ischemia

High-output stoma

Mucocutaneous separation

Other stoma complications

Final remarks

Chapter 15: Esophageal emergencies: Brandon H. Tieu and John G. Hunter

Esophageal perforation

Etiology

Some basics…

Diagnostic work-up

Management

A few more basics…

Perforations that permit a trial of conservative therapy

Perforations that need operative intervention

The operation: acute injuries and primary surgical repair

Transendoscopic therapy

Perforations: difficult clinical scenarios

So the key points are…

Esophageal foreign body ingestion or obstruction

Key points…

Chapter 16: Diaphragmatic emergencies: Danny Rosin

Diaphragmatic hernia

Diaphragmatic trauma

Gastric volvulus in a paraesophageal hernia.

Chapter 17: Upper gastrointestinal bleeding: Moshe Schein

How common are operations for UGIB?

What about bleeding esophageal varices?

Presentation

Key issues: Is the hemorrhage 'serious'? When should you be alarmed?

Stratification

Approach

What to do if you are taking care of the bleeding patient?

How to proceed?

Emergency endoscopy for UGIB

Endoscopic management

Post-endoscopy decision-making

Conservative treatment

The management of rebleeding

Angiographic transarterial management?

Operative management

Specific sources of bleeding

To recap…

Chapter 18: Perforated peptic ulcer: Moshe Schein

Natural history

Diagnosis

Philosophy of treatment

Final words…

Chapter 19: Acute pancreatitis: Ari Leppäniemi

Clinical presentation and diagnosis

Estimation of severity and classification

The 4-week approach to the management of acute pancreatitis

Indications and timing for interventions

Treatment

Let me conclude with some Finnish wisdom…

Chapter 20: Gallbladder and biliary emergency surgery: Danny Rosin, Moshe Schein and B. Ramana

1: The acute gallbladder: Danny Rosin and Moshe Schein

Acute cholecystitis

The operation

2. Bile duct emergencies: Danny Rosin

Obstructive jaundice

Acute ('ascending') cholangitis

3. Biliary pancreatitis: B. Ramana

Chapter 21: Small bowel obstruction: Moshe Schein and Danny Rosin

The dilemma

Definitions

Clinical features

Imaging

Special circumstances

Prognosis

Chapter 22: Acute abdominal wall hernias: Paul N. Rogers

Acute groin hernia

Incisional/ventral hernias

Chapter 23: Acute appendicitis: Roland E. Andersson

1. Acute appendicitis: Roland E. Andersson

Treatment.

2. Laparoscopic appendectomy: Danny Rosin

Why laparoscopy?

Why not laparoscopy?

How to do it?

Chapter 24: Acute mesenteric ischemia: Moshe Schein and Paul N. Rogers

Assessing the problem

Computed tomography

Mesenteric angiography

Non-operative treatment

Operative treatment

Adjunctive vascular procedures

To anastomose or not?

Second-look operations?

Mesenteric venous thrombosis

To sum up…

Chapter 25: Hepatic emergencies: Erik Schadde

The 'liver patient' - chronically diseased hepatic parenchyma

Liver trauma

Emergencies arising from hepatic lesions

Chapter 26: Inflammatory bowel disease and other types of colitis: Bashar Safar and Jonathan Efron

A few words on medical therapy

When to operate? Severe colitis, fulminant colitis, and toxic colitis-megacolon

The operation for severe colitis, fulminant colitis, or toxic megacolon

Emergency surgery for Crohn's disease (CD)

Clostridium difficile colitis (CDC - pseudomembranous colitis)

Neutropenic enterocolitis

Ischemic colitis

Final words

Chapter 27: Colonic obstruction: Jonathan E. Efron

Clinical approach

Differential diagnosis

Volvulus of the colon

Acute colonic pseudo-obstruction (Ogilvie's syndrome)

Chapter 28: Acute diverticulitis: Jonathan E. Efron

Diverticular emergencies

What causes acute diverticulitis (surgical pathology)?

Simple diverticulitis

Complicated diverticulitis

Pericolonic abscesses (Hinchey I &amp

II)

A few points on percutaneous drainage

Peritonitis (Hinchey III &amp

IV)

The operations

A few words about fistulas…

Other forms of acute diverticulitis

Final thoughts

Chapter 29: Massive lower GI bleeding: Jonathan E. Efron

Initial presentation - what to do in the emergency room?.

Where to go from the emergency room?.

Notes:

Description based on publisher supplied metadata and other sources.

ISBN:

9781910079140

1910079146

9781910079126

191007912X