Principles and Practice of Surgery

Laboratory reference ranges

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Global surgery and anaesthesia

Defining Global Surgery The concept of global surgery has gained prominence in public health discourse over the past decade. Although traditional issues in global health continue to attract attention, global surgery as a discipline is now an integral part of…

Orthopaedic surgery

Introduction Orthopaedic surgery involves the assessment and management of a wide spectrum of common conditions that affect bones, joints and soft tissues. The focus of this chapter is the assessment and management of degenerative and inflammatory joint diseases; bone and…

Ear, nose and throat surgery

Ear Anatomy External ear The external ear lies lateral to the tympanic membrane. The pinna ( Fig. 27.1 ) is made of fibroelastic cartilage, the external auditory meatus has an outer cartilage portion and the inner part is formed by…

Transplantation surgery

Introduction Solid organ transplantation is a lifesaving and life-enhancing treatment for many patients with organ failure. For many patients with end-stage renal failure (ESRF), kidney transplantation improves quality of life (QOL) and confers survival benefits ( EBM 26.1 ). Liver,…

Neurosurgery

Introduction The scope of neurosurgical operations continues to evolve with advances in such domains as imaging, anaesthesia, instrumentation, microsurgery, endoscopy and frameless image guidance, all of which contribute to reduced operative mortality and morbidity. There are many areas of continuing…

Urological surgery

Assessment General points Patients may present with symptoms clearly related to the urinary tract, but seemingly unrelated symptoms may also be due to a urologic cause, such as backache from metastatic prostatic carcinoma, fever of unknown origin from renal carcinoma,…

Cardiothoracic surgery

Introduction Cardiothoracic surgery is one of the newer surgical specialities that has undergone massive expansion and subspecialisation in the last few years. Although these could be considered two distinct specialities, cardiac and thoracic surgery remain closely related with common pathologies…

Vascular and endovascular surgery

Introduction Vascular surgery is a subspecialty of surgery dedicated to diseases and disorders of the circulation. It is delivered by a multidisciplinary team of vascular surgeons, interventional radiologists, anaesthetists, physicians (angiologists), nurses, physiotherapists and occupational therapists. Despite a reduction in…

Endocrine surgery

Introduction In surgical endocrine disease, thyroid disorders are common, adrenal disease is uncommon and parathyroid disease is rare. Thyroid gland Surgical anatomy and development The thyroid gland develops from the thyroglossal duct, which grows downwards from the pharynx through the…