The complexity of decision making in thoracic surgery 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 thoracic surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional thoracic surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. The first two editions of this book have found wide acceptance among practicing surgeons, trainees, and educators. Chapters from them are regularly cited by the Thoracic Surgery Directors Association as valuable resources for their weekly curriculum exercises. As in the first two editions, chapters adhere to a specific format (updated for the third edition). This approach provides uniformity to the presentations, making it possible to identify useful material at a glance.

This book describes the recommended ideal approach, rather than customary care, in selected clinical situations. Brief chapters are devoted to a specific question or decision in general thoracic surgery that is difficult or controversial. The chapters contain both evidence-based recommendations and descriptions of surgeons’ personal practices. Chapters are organized around clearly identified recommendations, making possible the identification of useful material at a glance. Over 50 different topics are presented. This book is a valuable reference source for practicing surgeons, surgeons in training, and educators.

Critical care medicine is responsible for many of the most important advances in outcomes after cardiothoracic surgery in the past two decades. The expertise developed in this subspecialty accounts for the resiliency that characterizes gold standard results evident in institutions recognized for excellence. This volume is intended to share ideas and algorithms that will improve outcomes in cardiothoracic critical care units. This book is part of the Difficult Decisions in Surgery series that covers surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are 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 that describe the recommended ideal approach, rather than customary care, in selected clinical situations.

The second edition of Difficult Decisions in Thoracic Surgery: An Evidence- Based Approach addresses the growing complexity of decision making in thoracic surgery. More than half of the clinical questions posed in this book are new, and of the questions that remain as holdovers from the previous edition, virtually all have been revised and updated. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the thoracic surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional thoracic surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. Concise chapters are devoted to one or two specific questions, or decisions, in general thoracic surgery that are difficult or controversial. The authors identify relevant publications in their selected topics, grade the quality of the evidence offered by those reports, apply that knowledge to objective management recommendations in an idealized world, and then comment on how they personally use the information in their own clinical practices. The book is a valuable reference source for practicing surgeons, surgeons in training, and educators.

This book provides a practical guide to decision making within the realm of trauma surgery. Each chapter covers the ideal approach, rather than customary care, for the treatment of the chosen difficult decision or controversy. A broad range of topics are covered with particular attention given to resuscitation, wound management, thoracic and abdominal trauma, antimicrobial management, transplant considerations, vascular trauma, traumatic brain injury, pediatric trauma and ethics. Difficult Decisions in Trauma Surgery aims to help improve the treatment of trauma patients and is relevant to surgical trainees and practicing surgeons, and as well as medical professionals working within trauma medicine.

Thoracic surgery has evolved substantially in recent years, with tremendous advancements in minimally invasive surgical procedures, novel techniques for sublobar resection, perioperative management, and more. Thoracic Surgery Atlas, 2nd Edition, written by Dr. Mark K. Ferguson, brings you fully up to date with all aspects of this fast-changing field. Comprehensive and highly illustrated, this general thoracic surgery text covers procedures involving all chest organs (lungs, esophagus, trachea, mediastinum, chest wall, and diaphragm), offering authoritative guidance on virtually any thoracic operation you’re likely to perform—from cancer surgery to management of a variety of benign conditions, including esophageal disorders, empyema, tracheal stricture, and much more. Includes authoritative, experience-based observations to help guide you through details of complex procedures, avoid common problems, and manage complications when they occur. Features numerous high-quality, original color and tone drawings that depict the relevant anatomy and steps associated with each procedure. Expands coverage to include new areas of thoracic surgery, new and updated illustrations, and new content and references throughout. Provides new information on ERAS protocol summaries for perioperative care, consensus guidelines for essential steps in minimally invasive lung resection, new surgical approaches to mediastinal abnormalities, increased focus on VATS and robotic operations including uniportal surgery, new methods of treating thoracic outlet syndrome, new approaches to managing malignant ventricular arrhythmias through sympathectomy, more advanced techniques for pleurectomy for mesothelioma, and descriptions of a variety of newer muscle flaps for reconstruction.

This book looks at specific vascular surgery questions that have arisen and where careful analysis is given according to the level of supporting evidence available. As new technology is introduced to treat the cardiovascular system, alternative therapies begin to challenge and also complement traditional vascular surgery. All chapters contain the PICO table to summarise specific characteristics relative to the questions posed in each chapter. Difficult Decisions in Vascular Surgery- An Evidence-Based Approach is a current and timely reference source for practicing surgeons, surgeons in training, and educators, that describes the recommended ideal approach, rather than customary care, in selected clinical situations.