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Kirk’s Basic Surgical Techniques, 8th Edition

ISBN: 9780443113673
ISBN: 9780443113673
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Kirk’s Basic Surgical Techniques provides a foundation on surgical technique to ensure operational success. Covering the basic techniques that every surgeon needs to know, across all specialties and subspecialties. Comprehenisvely reviewing the full range of surgical skills this book provides guidance on key operative skills, managing different situations, and handling the patient – all with clear ‘how-to’ explanations of each technique. This eighth edition has been thoroughly revised by Fiona Myint, a Consultant Vascular Surgeon at the Royal Free Hospital and Professor of Surgical Education at UCL. It maintains the clear, instructive style of its highly respected original author Professor R. M. Kirk.
New to this edition
  • Updated chapters throughout
  • A synopsis of commonly used surgical dressings
  • Guidance on how to handle the team
Key Features
  • Provides guidance on the full range of surgical techniques and skills required by all trainee surgeons
  • Concentrates on the main principles behind the use of surgical techniques
  • Key points boxes provide hints and tips to reinforce the main aspects of each technique

Περιεχόμενα

Cover image
Title page
Copyright
Dedication
Raymond Maurice Work
Preface
Acknowledgements
Contents
CHAPTER 1 Handling yourself
ATTITUDES – THE FIVE ‘Cs’
PHYSICAL ATTRIBUTES
WHAT IS SKILL?
EXERCISES VERSUS PRACTICE
HAPTICS
TRANSFERABLE SKILLS
SKILLS COURSES
THOUGHT PROCESSES
RATIONAL ASSESSMENT OF INFORMATION
COMMUNICATION
BURNOUT
PROCEDURAL PRACTICE
REFERENCES
FURTHER READING
CHAPTER 2 Handling instruments
SCALPEL
OTHER ‘SCALPELS’
SCISSORS
DISSECTING FORCEPS (THUMB FORCEPS)
ARTERY FORCEPS (HAEMOSTATIC FORCEPS, HAEMOSTATS)
TISSUE FORCEPS
NEEDLE-HOLDERS
RETRACTORS
CLAMPS
HAEMOSTATIC CLIPS
STAPLING DEVICES
DISSECTION AIDS
INTRAOPERATIVE DIAGNOSTIC ULTRASOUND
MISCELLANEOUS METHODS
CHAPTER 3 Handling threads
THREAD CHARACTERISTICS
KNOTS
LIGATURES
STITCHES
CHOICE OF SUTURE MATERIAL
CHAPTER 4 Handling ducts and cavities
INTUBATION
OROPHARYNGEAL AIRWAY
NASOPHARYNGEAL AIRWAY
DILATING DUCTS
ENDOSCOPIC ACCESS
DISPLAY
OCCLUSION
DISOBLITERATION
REPAIR
RESECTION
ANASTOMOSIS
BOWEL TRANSFER
SPHINCTERS
ACQUIRED CHANNELS AND CAVITIES
REFERENCE
CHAPTER 5 Handling blood vessels
PERCUTANEOUS PUNCTURE
PERCUTANEOUS CANNULATION
PERCUTANEOUS CATHETERIZATION
ENDOVASCULAR PROCEDURES
SUTURES
EXPOSURE AND CONTROL (see also Ch. 10)
INCISION
VEINS—DIRECT PROCEDURES
ARTERIES—DIRECT PROCEDURES
ARTERIAL ANASTOMOSIS
MICROVASCULAR SURGERY
REFERENCE
FURTHER READING
CHAPTER 6 Handling skin
STRUCTURE
HEALING
WOUND MANAGEMENT
ANALGESIA
INCISION
EXCISION
CLOSURE
GRAFTS
FLAPS
FREE TISSUE TRANSFER
TISSUE EXPANSION
AESTHETIC PROCEDURES
FURTHER READING
CHAPTER 7 Handling connective and soft tissues
PERCUTANEOUS DIAGNOSTIC PROCEDURES
CONNECTIVE TISSUE
NERVES
SKELETAL MUSCLE
CARTILAGE
MUCOPERIOSTEUM
BREAST
LYMPH NODES
ABDOMINAL WALL
ABDOMINAL CONTENTS
UROLOGICAL SYSTEM
GYNAECOLOGICAL SYSTEM
CARDIORESPIRATORY SYSTEM
ENDOCRINE SYSTEM
BRAIN AND SPINAL CORD
REFERENCE
FURTHER READING
CHAPTER 8 Handling bone and joints
BONE
EXPOSURE
BIOPSY
CUTTING OF BONE (OSTEOTOMY)
DRILLING OF BONE
FIXING
AMPUTATION
JOINTS
CARTILAGE
LIGAMENTS
TENDONS
CHAPTER 9 Handling dissection
ORGANISE
EXPOSE
DISSECTION METHODS
LAYERED OR SOLID TISSUES?
TISSUE PLANES
SOLID TISSUES
DISEASED TISSUES
NEOPLASMS
AIDS TO DISSECTION
REFERENCE
CHAPTER 10 Handling bleeding
HAEMORRHAGE
PREVENTION
ADJUNCTS
CONTROL
INTRACRANIAL BLEEDING
FURTHER READING
CHAPTER 11 Handling drains
CAUTION
TYPES
SITES
NEGATIVE PRESSURE DRAINS
ABSCESSES AND CYSTS
EXTERNAL FISTULAS
CHAPTER 12 Handling infection
PRINCIPLES
INFECTIONS
VIRAL TRANSMISSION
SEPSIS
UNIVERSAL PRECAUTIONS
TRAUMA
PREOPERATIVE
BLEEDING
OPERATING ROUTINES
OPERATION
SURGICAL SITE INFECTION
TREATING INFECTIONS
INFECTED PROSTHESES
REFERENCES
FURTHER READING
CHAPTER 13 Handling minimal access surgery
EXAMPLES
LAPAROSCOPY
PLACING A SECOND CANNULA (PORT)
TECHNICAL ASPECTS
CLOSURE
ACQUIRING SKILLS
OTHER PROCEDURES
REFERENCES
FURTHER READING
CHAPTER 14 Handling the patient
PREOPERATIVE FACTORS
PLANNING THE ORDER OF AN OPERATING LIST
PERIPROCEDURAL FACTORS
IN THE OPERATING THEATRE
POSTOPERATIVE CARE
EMERGENCY PROCEDURES
FURTHER READING
CHAPTER 15 Handling craft skills
PHYSICIAN/SURGEON
SKILLS COURSES
OPERATING PRECEPTS
EMERGENCIES
ERROR AVOIDANCE
ASSISTING AT OPERATIONS
MENTORING
COMMON SENSE
REFERENCES
CHAPTER 16 Handling dressings
WOUND CLEANSING
TYPES OF DRESSING
HYPERGRANULATION
GELS AND CREAMS
LARVAE
STOMA BAGS
DRESSINGS FOR DRAINS
PRESSURE DRESSINGS
NEGATIVE-PRESSURE WOUND THERAPY (NpWT)
WHEN TO CHANGE DRESSINGS
CHAPTER 17 Handling your team
COMMUNICATION
DISABILITY AND DIFFERENCE
SUPERVISORY ROLES
HUMAN FACTORS—BE AWARE AND CARE
WHEN THINGS DON’T GO TO PLAN
FURTHER READING
Index