Contributors v
Preface ix
Acknowledgments xi
PA R T I :
INSTITUTIONAL ISSUES
1.
Surgical Complications . . . . . . . . . . . . . . . . . . . . . . . . 3Michael W. Mulholland and Gerard Doherty
2.
Outcomes and Error . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Learning from UnanticipatedLinnea S. Hauge
3.
Surgical Training: Present and Future . . . . . . . . . . . 13Rebecca M. Minter and Paul G. Gauger
4.
Continuing Education for Practicing Surgeons . . . . 22Richard E. Burney and R. Van Harrison
5.
Surgical Credentials . . . . . . . . . . . . . . . . . . . . . . . . . . 28Mary E. Klingensmith
6.
Surgical Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Understanding Variation inJustin B. Dimick and John D. Birkmeyer
7.
Surgical Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Strategies for Reducing Variation inJohn D. Birkmeyer and Justin B. Dimick
8.
Collaboratives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Building Successful Quality ImprovementMichael J. Englesbe
9.
Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Darrell A. Campbell
PA R T I I :
MANAGEMENT OF SURGICAL COMPLICATIONS
10.
Assessment of Perioperative Cardiac Risk . . . . . . . 67Debabrata Mukherjee and Kim A. Eagle
11.
Perioperative Risk . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Assessment of NoncardiacPauline K. Park
12.
Anesthesia Complications . . . . . . . . . . . . . . . . . . . . . 91Paul E. Kazanjian
13.
Complications of Wound Healing . . . . . . . . . . . . . 128Michael G. Franz
14.
Surgical Site Infections. . . . . . . . . . . . . . . . . . . . . . . 140Gerard M. Doherty
15.
Septic Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151Awori Hayanga and Stewart Wang
16.
Hypovolemic Shock . . . . . . . . . . . . . . . . . . . . . . . . . 161Wendy L. Wahl
17.
Fluid and Electrolyte Abnormalities . . . . . . . . . . . 168Bradley D. Freeman
18.
Acute Renal Failure . . . . . . . . . . . . . . . . . . . . . . . . . 174Robert E. Southard and Craig M. Coopersmith
19.
Pulmonary Complications . . . . . . . . . . . . . . . . . . . 181Mark R. Hemmila
20.
Abnormalities in Coagulation . . . . . . . . . . . . . . . . 200Alvin H. Schmaier
21.
Complications of Nutritional Support . . . . . . . . . 210Imad F. Btaiche, Eiichi Miyasaka, and Daniel H. Teitelbaum
22.
Complications of Immunosuppression . . . . . . . . . 227Niraj M. Desai and Christina L. Klein
PA R T I I I :
COMPLICATIONS OF THORACIC SURGERY
23.
and Tracheal Surgery . . . . . . . . . . . . . . . . . . . . . . . . 241
Complications of Intubation, Tracheotomy,Kevin Fung and Norman D. Hogikyan
24.
Complications of Esophageal Surgery . . . . . . . . . 257Andrew C. Chang and Mark D. Iannettoni
25.
Chest Wall Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 276
Complications of Pulmonary andChristina H. Wei and Jessica S. Donington
26.
Complications of Extracorporeal Circulation . . . . 290Jennifer S. Lawton
27.
Revascularization . . . . . . . . . . . . . . . . . . . . . . . . . . . 298
Complications of Surgical CoronarySpencer J. Melby, Traves D. Crabtree, and Marc R. Moon
28.
Cardiac Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310
Complications in ValvularGorav Ailawadi
29.
Complications of Thoracoscopy . . . . . . . . . . . . . . . 320James M. Donahue, Michael A. Smith, and Richard J. Battafarano
PA R T I V :
COMPLICATIONS OF VASCULAR SURGERY
30.
Complications of Arterial Surgery . . . . . . . . . . . . . 331Gilbert R. Upchurch Jr., Jonathan L. Eliason, John E. Rectenwald,
and James C. Stanley
31.
and Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
Complications of Venous DiseaseThomas W. Wakefield and Peter K. Henke
32.
Complications of Endovascular Therapy . . . . . . . 367Matthew J. Eagleton and Sunita D. Srivastava
PA R T V :
COMPLICATIONS OF GASTROINTESTINAL SURGERY
33.
Complications of Gastric Surgery . . . . . . . . . . . . . 393Michael W. Mulholland
34.
Complications of Hepatic Surgery . . . . . . . . . . . . . 415Theodore H. Welling and James A. Knol
35.
Complications of Biliary Surgery . . . . . . . . . . . . . . 429Christopher J. Sonnenday
36.
Complications of Pancreatic Surgery . . . . . . . . . . . 450Diane M. Simeone
37.
Small Bowel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 464
Complications of Intestinal Surgery:Arden M. Morris
38.
Colon and Rectal Surgery . . . . . . . . . . . . . . . . . . . . 483
Complications of Appendectomy andEmily Finlayson
39.
Hernia Operations . . . . . . . . . . . . . . . . . . . . . . . . . . 500
Complications of Abdominal Wall andMichael G. Franz
40.
Complications of Laparoscopic Surgery . . . . . . . . 522Jonathan F. Finks
PA R T V I :
COMPLICATIONS OF ENDOCRINE AND
ONCOLOGIC SURGERY
41.
Complications of Adrenal Surgery . . . . . . . . . . . . 535Paul G. Gauger
42.
Parathyroid Surgery . . . . . . . . . . . . . . . . . . . . . . . . . 550
Complications of Thyroid andGerard Doherty
43.
Pancreatic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 567
Complications in EndocrineCortney Youens Lee and Terry C. Lairmore
44.
Complications in Breast Surgery . . . . . . . . . . . . . . 576Alicia Growney, Ahmad Azari, and Lisa A. Newman
45.
Complications of Soft-Tissue Tumor Surgery . . . . 594Sandra L. Wong
46.
Complications of Lymphadenectomy . . . . . . . . . . 602Alliric I. Willis and Jeffrey F. Moley
PA R T V I I :
COMPLICATIONS OF TRANSPLANTATION
47.
Complications of Renal Transplantation . . . . . . . . 613Randall Sung and Robert Merion
48.
Complications of Liver Transplantation . . . . . . . . 627Shawn J. Pelletier
49.
Complications of Pancreatic Transplantation . . . . 640Dixon B. Kaufman
50.
Transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 656
Complications of PulmonarySara A. Hennessy, Bryan F. Meyers, and Christine L. Lau
51.
Heart Transplantation . . . . . . . . . . . . . . . . . . . . . . . 674
Complications FollowingSanjeev Aggarwal and Francis D. Pagani
PA R T V I I I :
COMPLICATIONS OF PEDIATRIC SURGERY
52.
Surgical Complications in Newborns . . . . . . . . . . 701Samir Gadepalli and Ronald B. Hirschl
53.
Surgical Complications in Children . . . . . . . . . . . . 746James D. Geiger
Index 769