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Complications in Surgery, Second Edition offers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters.
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
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