Introduction Rapid response teams arose out of the realization that inpatients are at risk for serious adverse events that were usually preceded by physiologic signs of instability that were not always recognized by ward staff. , These teams have evolved…
According to the National Cancer Institute, an estimated 1.7 million new cases of cancer were diagnosed in the United States in 2018, and more than 600,000 people died from the disease. In fact, cancer is the leading cause of death…
Introduction The surgical population is aging at a faster rate than the general population. A significant proportion of this group will undergo cancer surgery; in 2030 it is estimated that more than 75% of cancer patients will be aged over…
Introduction The world’s population is aging at an unprecedented rate with the number of older people growing at a faster rate than all other age groups. By 2050, one in six people will be over the age of 65 (16%),…
Introduction Palliative surgery is “… used with the primary intention of improving quality of life or relieving symptoms caused by advanced disease. Its effectiveness is judged by the presence and durability of patient-acknowledged symptom resolution.” Surgical treatment decisions for patients…
Background Oncologic surgical emergency may be defined as an acute, potentially life-threatening condition arising from cancer pathology, e.g., obstruction of hollow viscera, bleeding from the tumor, or its treatment such as cecal perforation in a neutropenic patient. Understanding the pathophysiology…
Applied Surgical, Pathologic, and Physiologic Concepts General The resection of tumors may cause large aesthetically and functionally unacceptable defects. Similarly, adjuvant therapies may leave functional tissue impairment or chronic nonhealing wounds requiring excision and reconstruction. Reconstructive surgery aims to obliterate…
Introduction Orthopedic oncology is one of the newest subspecialties in orthopedics that specializes in the management of musculoskeletal tumors, which are slowly increasing globally. The great variability of complexity and duration of oncologic orthopedic surgeries is such that there is…
Perioperative Care: Sarcoma Introduction Sarcoma is an umbrella term for malignant neoplasms of mesenchymal origin. A wide variety of underlying cell types can become neoplastic, and so these cancers are best understood by division into histologic subtype and anatomic location.…
Introduction Cytoreductive surgery (CRS) was initially described in the 1930s for patients with locally advanced gynecologic cancers, especially those with local and peritoneal spread, in an attempt to reduce symptoms arising from tumor burden. The subsequent extensive debulking surgeries developed…