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General Surgery
D. F. **
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Chapter
Plastics/Skin and Soft-Tissue Injury Trauma
The treatment of skin and soft-tissue injuries and facial fractures in the elderly is challenging due to the effects of aging on the skin and soft tissues. Additionally, associated factors at the time of injur...
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Clostridium difficile Infection: Considerations in the Geriatric Population
Clostridium difficile infection (CDI) in the elderly is an increasingly significant problem in industrialized countries [1]. Diarrhea in elderly patients causes significant morbidity, ranging from incontinence a...
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Treatment of Obstructions and Strictures with Balloons and Bougies
Mechanical obstructions within the gastrointestinal tract are common complications that can lead to significant morbidity in the post-bariatric surgery patient. Patients often present with nausea, vomiting, an...
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New Techniques and MIS: The Awake TLIF
Please check the hierarchy of the section headings and confirm if correct.
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Thermal Injury
Thermal injury represents a serious threat to the geriatric patient population. Due to various age-related risk factors, morbidity and mortality are significantly increased in the elderly. The overall principl...
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Natural Orifice Specimen Extraction in Laparoscopic Colorectal Surgery: Transanal Approach
For years, the conventional laparoscopically assisted colon resection has been the most accepted approach worldwide for all pathologies in the right colon, left colon, and rectum. The necessity of an abdominal...
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Nutrition Assessment and Therapy
There is a dearth of literature specific to geriatric trauma patients. Although there are nutrition risk assessment tools that have been validated in the elderly and even elderly ICU patients, few multisystem ...
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Management of Melanoma Locoregional Recurrence
The incidence of melanoma continues to rise, and while most patients are diagnosed and treated early, up to 25% of patients may ultimately develop recurrent disease locally or within regional lymph nodes. Loco...
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Traumatic Extra-Axial Hemorrhage in the Elderly
Traumatic brain injury (TBI) in the elderly (>65 years of age) presents unique medical, surgical, and ethical challenges that require enhanced trauma team and neurosurgical communication and collaboration to e...
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Cardiac Trauma
Cardiac trauma to the geriatric population is rare. A 10-year registry review of the Pennsylvania Trauma Outcomes from 2006 to 2015 showed only 458 patients over 65 with cardiac injury [1]. The geriatric patie...
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Masters Program Hernia Pathway: Robotic Ventral Hernia Repair
Robotic hernia repair is an emerging laparoscopic technique born from well-established principles set by open and conventional laparoscopic technique. Inherent limitations of conventional “straight-stick” lapa...
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Adoptive Cell Therapy for Melanoma
Melanoma is a highly immunogenic cancer, and along with the combination of poor clinical outcomes and treatments with limited efficacy, these attributes have made metastatic melanoma an ideal platform to study...
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The Addicted Patient
As the use and abuse of drugs increases, the likelihood of an anesthesiologist encountering addicted patients perioperatively also will increase. Addicted patients may present for anesthetic care in a variety ...
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Pigmented Lesions: Biopsy Methods and Emerging Non-invasive Imaging Techniques
Melanoma incidence has been increasing in the US population, with early detection and treatment leading to decreased morbidity and mortality. The first steps in diagnosis are clinical examination and skin biop...
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Natural Orifice Approaches in Rectal Surgery: Transanal Endoscopic Proctectomy
The concept of natural orifice translumenal endoscopic surgery (NOTES) was seamlessly adapted to colorectal resections, enabled by the availability of a wide array of transanal endoscopic platforms. Since the ...
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Methods of Melanoma Detection
The purpose of this chapter is to present a broad spectrum of approaches for melanoma detection. From the perspective of morbidity, mortality, quality of life, and cost, there is a compelling need to improve t...
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Current Surgical Management of Primary Cutaneous Melanoma
The surgical management of melanoma has dramatically changed over the last few decades. Through the development and conduction of well-designed prospective, randomized trials, we have been able to refine the w...
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Cholecystostomy: Indications and Subsequent Management
Cholecystostomy is a safe, simple and effective tool as an alternative to laparoscopic cholecystectomy in the treatment of acute cholecystitis in high-risk patients. Although cholecystectomy is considered the ...
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Geriatric Concussions
The geriatric population currently constitutes the most rapidly growing segment of the US as well as world population. In addition, this rapidly growing population is enjoying a level of freedom and independen...
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Training and Learning Curve in Minimally Invasive Rectal Surgery
Minimally invasive surgery has made dramatic improvement in patient outcomes. Acceptance and widespread use were slower in rectal surgery than colon surgery, due to the technical difficulties of operating in t...
