Wide awake hand surgery (WALANT) represents a breakthrough in surgery of the hand and upper extremity. It can be performed with no preoperative testing, no intravenous insertion, and no monitoring. Like a dental procedure, the patient simply gets up and goes home after the procedure. Presented in an easy-to-read, bullet-point format, Wide Awake Hand Surgery guides surgeons through all aspects of WALANT. The book covers a wide variety of topics including minimal pain injection of local anesthesia, nerve and tendon decompression, wrist surgery, repair of lacerated tendons, tendon transfers, finger fractures, lacerated nerves, metacarpal fractures, arthritis surgery and complex reconstructions in hand surgery. The book includes more than 150 step-by-step surgical and instructional videos as well as numerous color clinical photographs. Color drawings clearly guide the surgeon to the correct anatomic locations for anesthetic injections, and the book includes an atlas of tumescent local anesthesia distribution anatomy. Featuring a complimentary eBook, this valuable resource offers chapters written by worldwide experts, making it the definitive guide to wide awake hand surgery.

Lavishly illustrated, comprehensive in scope, and easy to use, the second edition of Operative Techniques in Orthopaedic Surgery guides you to mastery of every surgical procedure you’re likely to perform – while also providing a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. More than 800 global experts take you step by step through each procedure, and 13,000 full-color intraoperative photographs and drawings clearly demonstrate how to perform the techniques. Extensive use of bulleted points and a highly templated format allow for quick and easy reference across each of the four volumes.

From the author of What This Cruel War Was Over, a vivid portrait of the Union army’s escaped-slave refugee camps and how they shaped the course of emancipation and citizenship in the United States. Chandra Manning casts in a wholly original light what it was like to escape slavery, how emancipation happened, and how citizenship in the United States was transformed. This reshaping of hard structures of power would matter not only for slaves turned citizens, but for all Americans. Integrating a wealth of new findings, this vivid portrait of the Union army’s escaped-slave refugee camps shows how they shaped the course of emancipation and citizenship in the United States. Drawing on records of the Union and Confederate armies, the letters and diaries of soldiers, transcribed testimonies of former slaves, and more, Manning allows us to accompany the black men, women, and children who sought out the Union army in hopes of achieving autonomy for themselves and their communities. It also raised, for the first time, humanitarian questions about refugees in wartime and legal questions about civil and military authority with which we still wrestle, as well as redefined American citizenship, to the benefit, but also to the lasting cost of, African Americans.

Aesthetic rhinoplasty is among the most common aesthetic operations in the field of facial aesthetic plastic surgery, but it is also viewed as one of the most complex. This comprehensive book provides a wealth of up-to-date information on advanced aesthetic rhinoplasty techniques. After discussion of anatomy, psychological issues, and preoperative planning, a wide range of primary and secondary rhinoplasty techniques are described clearly and in detail with the aid of numerous high-quality color illustrations. The use of fillers in rhinoplasty, ethnic variations in anatomy and techniques, and possible risks and complications are all clearly explained. This book is intended primarily for experienced surgeons in the fields of plastic surgery, cosmetic surgery, general surgery, otolaryngology, ophthalmology, oral maxillofacial surgery, and cosmetic surgical subspecialties. It will also be an invaluable resource for residents and fellows.

The essential decision making primer for minimally invasive spine procedures Decision Making for Minimally Invasive Spine Surgery provides the critical tools needed to determine exactly when, for whom, and why minimally invasive spine surgery (MISS) is a viable option. Ten tightly focused chapters each begin with a decision making algorithm that explains how to ascertain if MISS will benefit the patient more than traditional open surgery. Following each algorithm, concise yet detailed information on the preoperative evaluation, surgical techniques, and possible outcomes helps the reader to formulate a clear surgical strategy. The book closes with an incisive analysis of radiosurgery, instrumentation systems, image guidance, and promising advances in MISS that will stimulate further discussion of this emerging area. Features: A realistic assessment of both the advantages and drawbacks of MISS by pioneers in the field Evaluative algorithms allow readers to form rapid, fully informed treatment decisions Intuitive organization by spinal region facilitates quick reference Spine surgeons, residents, or fellows in orthopedic surgery or neurosurgery will refer to this easily accessible manual every time they consider performing a minimally invasive spine procedure.

Dagomar Degroot offers the first detailed analysis of how a society thrived amid the Little Ice Age, a period of climatic cooling that reached its chilliest point between the sixteenth and eighteenth centuries. The precocious economy, unusual environment, and dynamic intellectual culture of the Dutch Republic in its seventeenth-century Golden Age allowed it to thrive as neighboring societies unraveled in the face of extremes in temperature and precipitation. By tracing the occasionally counterintuitive manifestations of climate change from global to local scales, Degroot finds that the Little Ice Age presented not only challenges for Dutch citizens but also opportunities that they aggressively exploited in conducting commerce, waging war, and creating culture. The overall success of their Republic in coping with climate change offers lessons that we would be wise to heed today, as we confront the growing crisis of global warming.