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Schwartz's Manual of Surgery, 8th Edition PDF

1346 Pages·2007·17.89 MB·English
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Universal Free E-Book Store Schwartz’s MANUAL OF SURGERY i Universal Free E-Book Store Editor-in-Chief F.CharlesBrunicardi,MD,FACS DeBakey/BardProfessorandChairman MichaelE.DeBakeyDepartmentofSurgery BaylorCollegeofMedicine Houston,Texas AssociateEditors DanaK.Andersen,MD,FACS ProfessorandVice-Chair DepartmentofSurgery JohnsHopkinsSchoolofMedicine Surgeon-in-Chief JohnsHopkinsBayviewMedicalCenter Baltimore,Maryland TimothyR.Billiar,MD,FACS GeorgeVanceFosterProfessorandChairmanofSurgery DepartmentofSurgery UniversityofPittsburghSchoolofMedicine Pittsburgh,Pennsylvania DavidL.Dunn,MD,PhD,FACS VicePresidentforHealthSciences UniversityatBuffalo/SUNY Buffalo,NewYork JohnG.Hunter,MD,FACS MackenzieProfessorandChairmanofSurgery DepartmentofSurgery OregonHealthandScienceUniversity Portland,Oregon RaphaelE.Pollock,MD,PhD,FACS Head,DivisionofSurgery ProfessorandChairman DepartmentofSurgicalOncology SenatorA.M.Aiken,Jr.,DistinguishedChair TheUniversityofTexasM.D.AndersonCancerCenter Houston,Texas Universal Free E-Book Store ii Schwartz’s MANUAL OF SURGERY EIGHTH EDITION Editor-in-Chief F. Charles Brunicardi, MD, FACS AssociateEditors DanaK.Andersen,MD,FACS TimothyR.Billiar,MD,FACS DavidL.Dunn,MD,PhD,FACS JohnG.Hunter,MD,FACS RaphaelE.Pollock,MD,PhD,FACS McGRAW-HILL MedicalPublishingDivision NewYork Chicago SanFrancisco Lisbon London Madrid MexicoCity Milan NewDelhi SanJuan Seoul Singapore Sydney Toronto iii Universal Free E-Book Store Copyright © 2006 by The McGraw-Hill Companies, Inc. All rights reserved. Manufactured in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or dis- tributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. 0-07-148720-4 The material in this eBook also appears in the print version of this title: 0-07-144688-5. All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs. For more information, please contact George Hoare, Special Sales, at george_hoare@mcgraw- hill.com or (212) 904-4069. TERMS OF USE This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill’s prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms. THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw- Hill and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any dam- ages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, conse- quential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. DOI: 10.1036/0071446885 Universal Free E-Book Store NOTICE Medicineisanever-changingscience.Asnewresearchandclinical experience broaden our knowledge, changes in treatment and drug therapyarerequired.Theauthorsandthepublisherofthisworkhave checkedwithsourcesbelievedtobereliableintheireffortstopro- videinformationthatiscompleteandgenerallyinaccordwiththe standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has beeninvolvedinthepreparationorpublicationofthisworkwarrants thattheinformationcontainedhereinisineveryrespectaccurateor complete,andtheydisclaimallresponsibilityforanyerrorsoromis- sionsorfortheresultsobtainedfromuseoftheinformationcontained inthiswork.Readersareencouragedtoconfirmtheinformationcon- tainedhereinwithothersources.Forexampleandinparticular,read- ersareadvisedtochecktheproductinformationsheetincludedinthe packageofeachdrugtheyplantoadministertobecertainthatthe informationcontainedinthisworkisaccurateandthatchangeshave notbeenmadeintherecommendeddoseorinthecontraindications foradministration.Thisrecommendationisofparticularimportance inconnectionwithneworinfrequentlyuseddrugs. v Universal Free E-Book Store Tomywife,Melissa,mychildren,IsaacandJackson,mymother,Rose,andmy latefather,EdwardBrunicardi,fortheirloveandsupport FCB Tomywife,Cindy,andmychildren,Ashley,Lauren,Kathryn,Thomas,and Olivia DKA ToEdith,IsabelandAlex TRB Tomywife,Kelli,forallofhersupportofmycareerandacademicendeavors, andmychildren,Michael,Evelyn,Julia,andEdward DLD Tomywife,Laura,mychildren,Sarah,Sam,andJillian,andtheresidents, fellows,andsurgicalfacultyatOSHUwhohavecreatedacommunityofhealth, collegiality,andopen–mindedintellectualrigor JGH Tomywife,Dina,andmychildren,Jessica,Sam,Eden,Noam,andOmer REP vi Universal Free E-Book Store For more information about this title, click here Contents Contributors xi Preface xxiii PARTI BASICCONSIDERATIONS 1 SystemicResponsetoInjuryandMetabolicSupport 3 J.MartinPerez,EdwardLim,StevenE.Calvano, andStephenF.Lowry 2 FluidandElectrolyteManagementofthe SurgicalPatient 32 RosemaryA.KozarandFrederickA.Moore 3 Hemostasis,SurgicalBleeding,andTransfusion 46 SeymourI.Schwartz 4 Shock 56 AndrewB.Peitzman,BrianG.Harbrecht, andTimothyR.Billiar 5 SurgicalInfections 78 GregoryJ.BeilmanandDavidL.Dunn 6 Trauma 97 JohnM.Burch,ReginaldJ.Franciose, andErnestE.Moore 7 Burns 138 JamesH.HolmesandDavidM.Heimbach 8 WoundHealing 165 AdrianBarbul 9 Oncology 183 FundaMeric-BernstamandRaphael E.Pollock 10 Transplantation 216 AbhinavHumarandDavidL.Dunn 11 PatientSafety,Errors,andComplicationsinSurgery 245 MarkL.ShapiroandPeterB.Angood 12 PhysiologicMonitoringoftheSurgicalPatient 275 LouisH.AlarconandMitchellP.Fink vii Universal Free E-Book Store viii CONTENTS 13 MinimallyInvasiveSurgery 293 BlairA.JobeandJohnG.Hunter 14 Cell,Genomics,andMolecularSurgery 309 Xin-HuaFeng,JeffreyB.Matthews,XiaLin,and F.CharlesBrunicardi PARTII SPECIFICCONSIDERATIONS 15 SkinandSubcutaneousTissue 329 ScottL.Hansen,StephenJ.Mathes,and DavidM.Young 16 TheBreast 344 KirbyI.Bland,SamuelW.Beenken,and EdwardE.Copeland,III 17 DisordersoftheHeadandNeck 369 RichardO.Wein,RakeshK.Chandra,and RandalS.Weber 18 ChestWall,Lung,Mediastinum,andPleura 396 MichaelA.Maddausand JamesD.Luketich 19 CongenitalHeartDisease 436 TaraB.Karamlou,IrvingShen,and RossM.Ungerleider 20 AcquiredHeartDisease 458 CharlesF.Schwartz,AubreyC.Galloway,Ram Sharony,PaulC.Saunders,EugeneA.Grossi,and StephenB.Colvin 21 ThoracicAorticAneurysmsandAorticDissection 496 JosephS.CoselliandScottA.LeMaire 22 ArterialDisease 515 AlanB.Lumsden,PeterH.Lin,RuthL.Bush,and ChangyiChen 23 VenousandLymphaticDisease 556 GregoryL.Moneta 24 EsophagusandDiaphragmaticHernia 573 JeffreyH.PetersandTomR.DeMeester 25 Stomach 650 DanielT.Dempsey 26 TheSurgicalManagementofObesity 685 PhilipR.Schauerand BruceDavidSchirmer Universal Free E-Book Store

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Senator A.M. Aiken, Jr., Distinguished Chair. The University of Texas M. D. Anderson Cancer Center. Houston, Texas ii. Universal Free E-Book Store
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