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1

Krige, Anton, and Michael J. P. Scott, eds. Analgesia in Major Abdominal Surgery. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-94482-1.

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Analgesia in Major Abdominal Surgery. Springer, 2018.

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Krige, Anton, and Michael J. P. Scott. Analgesia in Major Abdominal Surgery. Springer, 2019.

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Dodds, Chris, Chandra M. Kumar, and Frédérique Servin. Anaesthesia for major abdominal surgery in the elderly. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198735571.003.0008.

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Major abdominal surgery and laparotomy are common procedures that are associated with a high risk of mortality and morbidity, especially in the elderly. Outcomes can be improved by formal risk stratification, appropriate perioperative resuscitation and optimization, early surgery, senior anaesthetist involvement, and careful postoperative critical. Assessment of dehydration is imperative because fluid losses are very common and may be difficult to measure. Hypothermia is common, and measures should be instituted to conserve heat loss. Use of nitrous oxide can cause bowel distension and should
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Fawcett, William J. Anaesthesia for abdominal surgery. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0061.

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Care of patients undergoing major gastrointestinal surgery has been revolutionized in the last decade. The widespread adoption of laparoscopic surgery has bought benefits but also new challenges. Anaesthetic techniques, particularly refinements in analgesic regimens and fluid management, have also brought benefits to patients. However, many more elderly and frail patients are undergoing major surgery which is a challenge in both expertise and resources. Anaesthesia for patients undergoing gastrointestinal surgery has evolved into a package of perioperative care, with the anaesthetist increasin
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Clason, A. E. Peripheral vascular surgery. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198510567.003.0012.

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Arterial anastomosis 380Exposure of major blood vessels 386Profundaplasty 396Endarterectomy 398Carotid endarterectomy 400Excision of carotid body tumour 404Aneurysmal internal carotid artery repair 406Sympathectomy 408Repair of abdominal aortic aneurysm 416Embolectomy 422Aortoiliac occlusive disease 428Extra-anatomic bypass 432...
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Riccardi, Gabriele, and Maria Masulli. Overweight, obesity, and abdominal adiposity. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656653.003.0013.

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Obesity is a serious chronic disease of epidemic and global proportions. The incidence of cardiovascular diseases (CVD) is increased in obese people. Since overweight and obesity are associated with decreased lifespan, weight loss might be expected to improve long-term survival and to have beneficial effects on CVD risk. The therapeutic approaches for obesity are lifestyle changes, drugs, and bariatric surgery. Lifestyle modifications include modest weight loss and moderate-intensity physical activity. A low-fat (low saturated fat), low-sugar diet rich in fruit and vegetables, as well as legum
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Slack, Jeanne Frances Lawler. THE EFFICACY OF CONTINUOUS EPIDURAL INFUSIONS FOR ANALGESIA FOLLOWING MAJOR ABDOMINAL AND THORACIC SURGERY AND THE POTENTIAL NURSING CARE PROBLEMS AND THEIR MANAGEMENT. 1985.

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Johnson, Steven B. Pathophysiology and management of abdominal injury. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0334.

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Abdominal injuries are common following blunt and penetrating trauma. They can result in a spectrum of severity from benign to potentially life-threatening conditions. Soon after injury, haemorrhage is the predominant concern, and leading cause of morbidity and mortality. Active haemorrhage resulting in shock requires emergent operative intervention and aggressive haemostatic resuscitation. However haemodynamically-stable patients benefit from non-operative management of solid organ injuries with or without angiographic embolization. Sepsis usually occurs as a result of intra-abdominal infecti
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Odeberg-Wernerman, Suzanne, and Margareta Mure. Anaesthesia for urological surgery and for robotic surgery in urology and gynaecology. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0062.

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Laparoscopic and robot-assisted laparoscopic surgical procedures are commonly used in both urology and gynaecology. These minimally invasive techniques result in early mobilization and short hospital stay and robot-assisted operations are increasingly favoured by patients and surgeons. A complex physiological response is created by the combined effects of carbon dioxide pneumoperitoneum, elevated intra-abdominal pressure, and sometimes a profound Trendelenburg position. Healthy patients tolerate this situation well, but compromised patients are at risk of developing heart failure, ischaemia, o
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Thompson, Jonathan P. Anaesthesia for vascular surgery. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0058.

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Vascular surgical patients are at higher risk of cardiovascular morbidity and mortality than other surgical patients, and perioperative care remains challenging. However, vascular surgical practice is changing, with the expanding use of endovascular techniques to treat patients with vascular disease, improvements in medical therapy, and the evolution of evidence-based approaches to preoperative assessment. Preoperative assessment should concentrate on identifying and optimizing potentially correctable medical conditions, in particular cardiovascular disease. Successful outcomes depend on good
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Alsulaimy, Mohammad, and Adel Alhaj Saleh. Intraoperative Events. Edited by Tomasz Rogula, Philip Schauer, and Tammy Fouse. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190608347.003.0009.

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Various potentially catastrophic complications can occur intraoperatively during the performance of a laparoscopic bariatric procedure. They can be divided broadly into laparoscopic access injuries and complications related to pneumoperitoneum. Most injuries occur at the time of abdominal access for camera and port placement. Access injuries can be attributed to Veress needle and/or trocar insertions. Injuries can occur to vessels (major and minor) with significant hemorrhage, solid organs (liver, spleen), and viscera. Such injuries can be devastating and are a source of significant morbidity
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Mundy, Anthony R., and Daniela E. Andrich. Upper urinary tract trauma. Edited by Anthony R. Mundy. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0051.

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Of all the major urological injuries, injury to the kidney is the most common. Indeed it is the most commonly injured intra-abdominal organ. Blunt or penetrating external injury is almost always the cause. The diagnosis and treatment of renal trauma has changed dramatically in the last 30 years or so reflecting the development of CT scanning for diagnosis and of endovascular interventional radiological techniques for treatment, at the expense of intravenous urography and surgery, respectively. Complications can be divided into early and late. The commonest early complications are bleeding and
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Dodds, Chris, Chandra M. Kumar, and Frédérique Servin. Anaesthesia for the Elderly Patient (Oxford Anaesthsia Library). Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198735571.001.0001.

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This book provides a timely and authoritative synopsis of the current state of anaesthesia and the elderly patient at a time when the challenge of caring for the growing numbers of elderly patients is probably the greatest faced by healthcare across the globe. The book reviews important developments in the understanding of clinical practice serving the elderly. It describes the need for anaesthesia to deliver ‘best care’ to the elderly, with the aim to maintain their independent living. It then details the key features of ageing and the effect these have on physiology and pharmacology. Specifi
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Kwon, Rachel J. Minimally Invasive Approach to Infected Pancreatic Necrosis. Edited by Danny Sherwinter. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199384075.003.0020.

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This chapter provides a summary of a landmark study in abdominal surgery. Does a minimally invasive, “step-up” approach to necrotizing pancreatitis reduce mortality and major complications as compared to open necrosectomy? Starting with that question, it describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summa
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Beattie, R. Mark, Anil Dhawan, and John W.L. Puntis. Necrotizing enterocolitis. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198569862.003.0005.

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Necrotizing enterocolitis 46Necrotizing enterocolitis (NEC) is the most common gastroenterological emergency in the neonatal intensive care unit (NICU) and the major cause of death for all newborns undergoing surgery. The mortality is greater than that from all the congenital disorders of the gastrointestinal tract combined. Survivors may be left with short-bowel syndrome as well as other long-term gastrointestinal, growth and neurodevelopmental sequelae. NEC frequently presents as feed intolerance with bile-stained gastric residuals, abdominal distension, blood in the stools, apnoea, and acid
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Shrikhande, Shailesh, and Markus Buchler. Pancreas. Oxford University PressOxford, 2022. http://dx.doi.org/10.1093/med/9780192858443.001.0001.

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Abstract Over the last two decades, there have been major advances in imaging, endoscopy, and laparoscopy in the field of gastrointestinal (GI) surgery. GI surgery is the newest super-specialty branch of general surgery where enhanced expertise and high-volume centres have made a difference to the outcomes of complex operations. Surgeons can now do difficult procedures with low morbidity and mortality rates and greatly improved overall results. This volume provides detailed and up-to-date information on diseases of the pancreas. The pancreas continues to fascinate clinicians and researchers wo
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Lancellotti, Patrizio, and Bernard Cosyns. Diseases of the Aorta. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713623.003.0015.

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This chapter considers evaluation of the aorta as a routine part of the standard echocardiographic examination. It looks as TTE as an excellent modality for imaging the aortic root, and in the serial measurement of maximum aortic root diameters, aortic regurgitation evaluation, and timing of elective surgery for several entities. In some patients, the right parasternal long-axis view can provide supplementary information of the ascending aorta. Of major importance for evaluation of the thoracic aorta is the suprasternal view. Although the entire thoracic descending aorta is not well imaged by
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Lee, Christoph I. Uterine Artery Embolization for Fibroids. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190223700.003.0028.

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This chapter, found in the abdominal and pelvic pain section of the book, provides a succinct synopsis of a key study examining the use of uterine artery embolization for patients with fibroids. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Women with symptomatic uterine fibroids undergoing uterine artery embolization were found to have similar quality of life measures 1 year posttreatment and faster recovery after uterine artery embolization versus surgery. However, bene
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Gray, Andrew C. Orthopaedic approach to the multiply injured patient. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.012003.

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♦ Major trauma results in a systemic stress response proportional to both the degree of initial injury (1st hit) and the subsequent surgical treatment (2nd hit).♦ The key physiological processes of hypoxia, hypovolaemia, metabolic acidosis, fat embolism, coagulation and inflammation operate in synergy during the days after injury/surgery and their effective management determines prognosis.♦ The optimal timing and method of long bone fracture fixation after major trauma remains controversial. Two divergent views exist between definitive early intramedullary fixation and initial external fixatio
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Berrill, Andrew, Will Jones, and David Pegg. Regional anaesthesia of the trunk. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0053.

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Analgesia of the thorax and abdomen can be challenging. Surgical incisions are commonly associated with severe postoperative pain. Whilst continuous epidural analgesia remains the ‘gold standard’ in terms of postoperative pain relief after major surgery, there remain concerns regarding rare serious side effects. It has been difficult to demonstrate conclusive evidence of improvement in outcomes when epidural analgesia is used. Superior pain relief and a reduction in postoperative respiratory morbidity are, however, clear advantages of regional anaesthesia. Interest has increased in techniques
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Juri Moran, Joulia Marianita, Paulina Elizabeth Durán Mora, Estefania Vanessa Arauz Andrade, et al. Ginecología Obstetricia: Patologías durante el embarazo. Mawil Publicaciones de Ecuador, 2019, 2020. http://dx.doi.org/10.26820/978-9942-826-07-7.

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En Medicina, el área de aplicación de Ginecología, la ciencia de la mujer condensa el estudio de las enfermedades frecuentes y graves, el diagnóstico, detección de los factores de riesgo y establecer mecanismos de prevención, prescribir los tratamientos médicos y quirúrgicos de las enfermedades del sis- tema reproductor femenino, entiéndase, todo lo relacionado con la vagina, las mamas, el útero y los ovarios. Durante el siglo XX, motivado por el crecimiento acelerado del conocimien- to científico y médico, se acrecienta la toma de conciencia del rol que le co- rresponde desempeñar a la medici
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