Difficult Decisions In Pediatric Surgery

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Difficult Decisions In Pediatric Surgery

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Author : Mark B. Slidell
language : en
Publisher: Springer Nature
Release Date : 2025-03-27

Difficult Decisions In Pediatric Surgery written by Mark B. Slidell and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-03-27 with Medical categories.

Pediatric surgery is a demanding specialty that requires not only technical expertise but also exceptional clinical judgment and adaptability. Pediatric surgeons frequently encounter rare congenital anomalies and unusual surgical problems, often requiring them to make difficult decisions with limited precedent. Even well-recognized congenital conditions can present in atypical ways, necessitating a patient-centered approach that may deviate from routine practice. This places a premium on a surgeon’s ability to apply broad surgical principles to novel and complex situations, tailoring interventions to each child’s unique anatomy and pathology. Compounding this challenge is the rapidly evolving literature in pediatric surgery, where new techniques, evolving guidelines, and emerging technologies continually reshape best practices. Thoughtful interpretation of the literature is essential, particularly when the optimal approach to a problem remains unclear or controversial. Pediatric surgeons must not only stay abreast of these developments but also critically analyze and synthesize data to make sound, evidence-based decisions in the face of uncertainty. The Difficult Decisions in Surgery series was developed to address many of these challenges faced by surgeons. To date, 10 volumes have been published, receiving enthusiastic engagement from the surgical community. These multi-authored volumes consist of concise chapters, each focused on a specific difficult or controversial decision within a surgical specialty. This series is particularly well-suited for pediatric surgeons, as it provides insight into difficult decisions faced within the field. The volumes serve as a timely reference for practicing surgeons, trainees, and educators, emphasizing the ideal approach to selected clinical situations rather than merely reflecting customary care. Recommendations are grounded in published evidence, while also incorporating expert opinions and personal experiences, helping surgeons navigate complex, evolving literature and apply general surgical principles to novel pediatric challenges. The chapters in each volume adhere to a specific format. This approach provides uniformity to the presentations, making it possible to identify useful material at a glance: a brief general introduction and description of the Difficult Decision laid out using PICO formatting· a brief description of the literature search process. a summary of available published evidence and discussion of the findings. the author’s personal view of the data and approach to the problem and why they do (or don’t do) things found in the presented literature. the chapter authors were selected from experts around the world. the editors for this volume were selected from among internationally renown faculty at The University of Chicago and The Johns Hopkins University.

Difficult Decisions In Pediatric Surgery

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Author : Mark B. Slidell
language : en
Publisher:
Release Date : 2025-02-23

Difficult Decisions In Pediatric Surgery written by Mark B. Slidell and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-02-23 with Medical categories.

Pediatric Surgery encompasses a multitude of specialty practice domains and thus requires detailed knowledge in a wide arena of topics. It is thus unique among surgical specialties for the breadth of knowledge that is required, emphasizing the potential utility of a volume on controversial topics in this specialty. Because of the challenges in performing clinical research in a pediatric population, the availability of high quality evidence is substantially less than that in other surgical specialties. This highlights the utility of having recognized experts opine on carefully selected well defined clinical questions. The complexity of decision making in medicine, and in surgery in particular, is growing exponentially. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. The Difficult Decisions in Surgery series was developed to address some of these challenges. To date, 10 volumes have been published, and they are finding enthusiastic audiences. The volumes are multi-authored, containing brief chapters, each of which is devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators, and describe the recommended ideal approach, rather than customary care, in selected clinical situations. Recommendations are based on published evidence, and authors' personal approaches to these problems are also shared. The chapters in each volume adhere to a specific format. This approach provides uniformity to thepresentations, making it possible to identify useful material at a glance: · a brief general introduction · identification of the specific characteristics relative to the question using PICO formatting · a brief description of the literature search process · a summary of available published evidence in tabular form · a general discussion · a recommendation using GRADE format · illustrations (other than survival curves or similar graphs) are discouraged. · use of uniform text formatting, volume size, volume length, and cover material enhances the brand recognition of the series. · the editors for each volume are selected from among the faculty at The University of Chicago, an institution with high name recognition.

Difficult Decisions In Surgical Ethics

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Author : Vassyl A. Lonchyna
language : en
Publisher: Springer Nature
Release Date : 2022-01-11

Difficult Decisions In Surgical Ethics written by Vassyl A. Lonchyna and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-01-11 with Medical categories.

This book provides a detailed guide to the ethical considerations involved when making decisions in surgery. Chapters feature a uniform format, which feature a case that represents a real-life problem, discussion of the medical indications of that issue, the latest available medical solutions, and related ethical considerations. In some cases, more in-depth debate is provided on why a particular decision should or should not be made based-upon ethical principles. Information boxes containing key statements and relevant data in clear easy-to-digest tables facilitates the reader in being able to assimilate the most important points covered in each chapter. Difficult Decisions in Surgical Ethics: An Evidence-Based Approach is a thorough review of ethical considerations in a range of surgical scenarios encompassing both adult and pediatric topics, training surgical residents, ethical care during a pandemic, critical care, palliative care, sensitivity to religious and ethnic mores, clinical research, and innovation. It is intended to be a vital resource for practicing and trainee surgeons seeking a comprehensive up-to-date resource on ethical topics in surgical practice. The work is part of the Difficult Decisions in Surgery series covering a range of surgical specialties.

Difficult Decisions In Bariatric Surgery

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Author : John Alverdy
language : en
Publisher: Springer Nature
Release Date : 2020-12-07

Difficult Decisions In Bariatric Surgery written by John Alverdy and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-07 with Medical categories.

This book provides a practical guide to decision making within bariatric surgery. Through uniform and well-structured chapters, topics relating to patient selection, preoperative preparation, the ethics of bariatric surgery, choice of procedure, complications, late failure and management, malabsorptive procedures, and pediatric bariatric surgery are discussed and examined. Difficult Decisions in Bariatric Surgery aims to help readers navigate an increasingly complex surgical specialty and come to reasoned and evidence-based conclusions. This book is of interest to practicing and trainee surgeons, endocrinologists, endoscopists, and pediatricians.

Difficult Decisions In Thoracic Surgery

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Author : Mark K. Ferguson
language : en
Publisher: Springer Science & Business Media
Release Date : 2007-03-12

Difficult Decisions In Thoracic Surgery written by Mark K. Ferguson and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-03-12 with Medical categories.

Why do thoracic surgeons need training in decision making? Many of us who have weathered harrowing residencies in surgery feel that, after such experiences, decision making is a natural extension of our selves. While this is no doubt true, correct de- sion making is something that many of us have yet to master. The impetus to develop a text on evidence-based decision making in thoracic surgery was stimulated by a conference for cardiothoracic surgical trainees developed in 2004 and sponsored by the American College of Chest Physicians. During that conference it became clear that we as thoracic surgeons are operating from a very limited fund of true evidence-based information. What was also clear was the fact that many of the decisions we make in our everyday practices are not only uninformed by evidence-based medicine, but often are contradictory to existing guidelines or evidence-based recommendations. The objectives of this book are to explain the process of decision making, both on the part of the physician and on the part of the patient, and to discuss speci? c clinical problems in thoracic surgery and provide recommendations regarding their mana- ment using evidence-based methodology. Producing a text that will purportedly guide experienced, practicing surgeons in the decision-making process that they are acc- tomed to observe on a daily basis is a daunting task.

Surgical Decision Making

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Author : Rifat Latifi
language : en
Publisher: Springer Nature
Release Date : 2025-01-02

Surgical Decision Making written by Rifat Latifi and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-01-02 with Medical categories.

This revised and expanded new edition reviews surgical decision-making in complex surgical procedures, including making difficult decisions, continuous awareness of the patient’s physiologic status, the biochemical profile, endpoint resuscitation and the surgeon's own physiologic status. Other specific surgical decisions are discussed, such as when to operate and when not to operate, re-operations and operations in specific conditions and age groups. This new edition addresses these and other elements that are important for the intraoperative and perioperative decision-making process, including basic questions that have not been answered appropriately in the literature. Many of us make decisions based on current evidence, but much of it based on “a gut feeling” or “intuition” or the “gray hair effect,” among other techniques. In this book, the anatomy of such decisions is explored from a theoretical standpoint as well as objective data that we as surgeons use to make surgical decisions. Nowhere else is the matter of how we make a decision -- often with a very limited amount of data, decisions that will decide between someone living or dying -- more prevalent than in trauma surgery and other complex surgeries, including the unplanned return to the operating room. Our collective firsthand experience as surgeons points to a combination of factors contributing to our perioperative and intraoperative decision-making process, including education, clinical know-how, mentoring, and the creativity and excellence that come with long practice and strict discipline. The second edition of Surgical Decision-Making: Evidence and Beyond provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical academic or community surgery practice.

Pediatric Surgical Oncology

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Author : Paul D. Losty
language : en
Publisher: CRC Press
Release Date : 2022-02-17

Pediatric Surgical Oncology written by Paul D. Losty and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-02-17 with Medical categories.

A new, definitive, state-of-the-art reference in the specialist field of paediatric surgical oncology. Key points and informative guidance on all aspects of cancer surgery for children make this a vital textbook for the surgery resident, surgical oncology specialist, nursing staff and cancer health care teams. The editorial team of world experts and international guest authorship listings guarantees that the textbook content provides a definitive treatise for a global audience of pediatric surgeons. Textbook coverage includes chapters on pediatric cancer epidemiology, chemotherapy, immunotherapy, radiotherapy, pathology, radiology and vascular access, following which the main theme sections feature all of the major pediatric solid tumours in a system-based chronology. A section devoted to rare tumours provides useful and pragmatic information for the oncology surgeon. Minimally invasive surgery is covered highlighting current concepts and clinical outcome(s) by leading experts in the field. Nutritional considerations for the pediatric cancer patient undergoing surgery are all discussed. Management of surgical complications, fertility considerations and long-term outcomes are an invaluable vital resource for the reader. Final sections "look to the future" by focusing on surgical innovation, including key chapters on navigational surgery and surgical robotics. • Includes all the latest developments in pediatric surgical oncology ensuring the reader is kept fully up to date. • Multi-disciplinary content reflects current best practice. • Comprehensive coverage provides a definitive reference guide. An authoritative seminal reference work for surgical residents in training, surgeons working in the field of pediatric oncology, medical oncologists, intensive care specialists, nursing staff and allied health care professionals.

Pediatric Surgery E Book

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Author : Arnold G. Coran
language : en
Publisher: Elsevier Health Sciences
Release Date : 2012-01-30

Pediatric Surgery E Book written by Arnold G. Coran and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-30 with Medical categories.

Pediatric Surgery, 7th Edition - edited by Arnold G. Coran, Anthony Caldamone, N. Scott Adzick, Thomas M. Krummel, Jean-Martin Laberge, and Robert Shamberger - features comprehensive, up-to-date guidance on all aspects of childhood surgery, including congenital malformations, tumors, trauma, and urologic problems. Apply the latest developments in fetal surgery, adolescent bariatric surgery, minimally invasive surgery in children, and tissue engineering for the repair of congenital anomalies, such as the separation of conjoined twins. - Get comprehensive coverage of cutting-edge technology in pediatric surgical diseases, including imaging concepts, minimally invasive techniques, robotics, diagnostic and therapeutic advances, and molecular biology and genetics. - Find information quickly and easily with an intuitive organization by body region and organs. - Apply the guidance of world-renowned experts in pediatric surgery. - Access the fully searchable text online at www.expertconsult.com. - Stay current on recent developments in fetal surgery, adolescent bariatric surgery, minimally invasive surgery in children, and tissue engineering for the repair of congenital anomalies, such as the separation of conjoined twins. - Master the latest surgeries available for fetal and neonatal patients and provide life-saving options at birth. - Tap into the expertise of new editors who bring fresh perspectives to cutting-edge techniques.

Difficult Decisions In Endocrine Surgery

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Author : Peter Angelos
language : en
Publisher: Springer
Release Date : 2018-09-04

Difficult Decisions In Endocrine Surgery written by Peter Angelos and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-09-04 with Medical categories.

This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery. Brief uniformly formatted chapters are devoted to answering specific questions relevant to a range of topics across endocrine surgery based upon detailed analysis of available evidence.Topics covered include clinical decision analysis, decision making from the surgeon’s and patient’s perspective, using surgery as opposed to observation for papillary thyroid microcarcinoma, and the use of parathyroid cryopreservation. Difficult Decisions in Endocrine Surgery: An Evidence-Based Approach features a wealth of information on ideal approaches for making clinical decisions in selected clinical situations. It is an important and timely resource for all endocrine surgical trainees, fellows, practitioners, educators, and healthcare providers involved in the management of these patients.

Pediatric Epilepsy Surgery Techniques

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Author : Aria Fallah
language : en
Publisher: Elsevier
Release Date : 2024-11-09

Pediatric Epilepsy Surgery Techniques written by Aria Fallah and has been published by Elsevier this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-11-09 with Medical categories.

Pediatric Epilepsy Surgery Techniques: Controversies and Evidence provides a roadmap for clinicians in addressing difficult decision-making by succinctly summarizing the evidence for surgical treatments in pediatric drug-resistant epilepsy. With the field of pediatric epilepsy surgery having expanded significantly over the last 10 years, combined with high variability in practice and several emerging technologies with expanding evidence, this volume addresses several dichotomies in decision-making, both in terms of surgical modalities as well as surgical techniques. Chapters compare DBS, VNS/RNS, resection and other modalities, as well as surgical methods, including vertical vs. lateral hemispherectomy, robotic-guided surgery, and laser vs. resection. With recent approval and application of several medical advances in epilepsy surgery over the last five years, this book provides readers the scientific literature and daily practice content they need for an evidence-based approach for surgical care. - Discusses state-of-the-art technology in the surgical treatment of pediatric drug-resistant epilepsy - Provides an up-to-date overview of current controversies, competing approaches, and their relative evidence, indications, advantages, and disadvantages for pediatric epilepsy surgery - Outlines evidence-based recommendations to guide decision-making in pediatric epilepsy surgery