Problems in Periorbital Surgery: A Repair Manual The field of periorbital surgery has expanded exponentially in recent decades. With its rise in popularity, however, comes a rise in complications. ...Finally there is a comprehensive guide to repairing the problems encountered in periorbital surgery, compiled by masters in the art of periorbital surgery! This unique resource for plastic, facial plastic and oculoplastic surgeons offers several key features: * A thorough discussion on the history and examination for the evaluation of the eyelid * Stepwise guidance for correcting a range of complications in periorbital surgery, including infection and bleeding, blindness and motility disorders, specific upper and lower eyelid problems including lid retraction, chemosis, and adverse results from fillers and resurfacing * Several chapters, presenting different approaches, devoted to the challenging problem of lid retraction and its multifactorial etiology * A case-report format that provides detailed discussions of all possible complications * Expert techniques from renowned surgeons providing multiple perspectives on the same problems * More than 300 color photographs and beautifully detailed surgical illustrations * Multiple video clips showing details of eyelid evaluation and corrective techniques * Both print and electronic formats for easy access everywhere To meet the ever-increasing patient demand for these youth-restoring procedures, all surgeons undertaking eyelid surgery and committed to prevent and treat complications of periorbital surgery should have this resource in their collection!
This atlas features sequential pictures for most reconstructive urology procedures, also covering laparoscopic assisted procedures such as orthotopic neobladder and ileocystoplasty. Unlike many other ...titles covering this subject however, illustrations in the majority of chapters in this work are drawn purely from a single case, allowing the reader to chart such complex surgeries step-by-step.Laparoscopic assisted procedures drastically reduce the operative time required, and those surgeons with moderate familiarity with urology and laparoscopic process should be able to complete these operations comfortably.Though the use of advanced technology is described, the book has been constructed in such a way that urologists from both developed and developing countries would be able to pick up the technical tips featured to perform the laparoscopic procedures also using simplified devices.This book also deals with some of the unusual situations or complications that the vastly experienced authors have personally faced in their careers to date, offering problem-solving tips and pitfalls to avoid, accompanied again by diagrams or photographs where appropriate.
IMPORTANCE: The quality of surgical care in the Veterans Health Administration improved markedly in the 1990s after implementation of the Veterans Affairs (VA) National Surgical Quality Improvement ...Program (now called the VA Surgical Quality Improvement Program). Although there have been many recent evaluations of surgical care in the private sector, to date, a contemporary global evaluation has not been performed within the VA health system. OBJECTIVE: To provide a contemporaneous report of noncardiac postoperative outcomes in the VA health system during the past 15 years. DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study was conducted using data from the VA Surgical Quality Improvement Program among veterans who underwent inpatient general, vascular, thoracic, genitourinary, neurosurgical, orthopedic, or spine surgery from October 1, 1999, through September 30, 2014. MAIN OUTCOMES AND MEASURES: Rates of 30-day morbidity, mortality, and failure to rescue (FTR) over time. RESULTS: Among 704 901 patients (mean SD age, 63.7 11.8 years; 676 750 96% male) undergoing noncardiac surgical procedures at 143 hospitals, complications occurred in 97 836 patients (13.9%), major complications occurred in 66 816 (9.5%), FTR occurred in 12 648 of the 97 836 patients with complications (12.9%), FTR after major complications occurred in 12 223 of the 66 816 patients with major complications (18.3%), and 18 924 patients (2.7%) died within 30 days of surgery. There were significant decreases from 2000 to 2014 in morbidity (8202 of 59 421 13.8% vs 3368 of 32 785 10.3%), major complications (5832 of 59 421 9.8% vs 2284 of 32 785 7%), FTR (1445 of 8202 17.6% vs 351 of 3368 10.4%), and FTR after major complications (1388 of 5832 23.8% vs 343 of 2284 15%) (trend test, P < .001 for all). Although there were no clinically meaningful differences in rates of complications and major complications across hospital risk-adjusted mortality quintiles (any complications: lowest quintile, 20 945 of 147 721 14.2% vs highest quintile, 18 938 of 135 557 14%; major complications: lowest quintile, 14 044 of 147 721 9.5% vs highest quintile, 12 881 of 135 557 9.5%), FTR rates (any complications: lowest quintile, 2249 of 20 945 10.7% vs highest quintile, 2769 of 18 938 14.6%; major complications: lowest quintile, 2161 of 14 044 15.4% vs highest quintile, 2663 of 12 881 20.7%) were significantly higher with increasing quintile (P < .001). However, across hospital quintiles, there were significant decreases in morbidity (20.6%-29.9% decrease; trend test, P < .001 for all) and FTR (29.2%-50.6% decrease; trend test, P < .001 for all) during the study period. After hierarchical modeling, the odds of postoperative mortality, FTR, and FTR after a major complication were approximately 40% to 50% lower in the most recent study year compared with 15 years ago (P < .001 for all). CONCLUSIONS AND RELEVANCE: For the past 15 years, morbidity, mortality, and FTR have improved within the VA health system. Other integrated health systems providing a high volume of surgical care for their enrollees may benefit by critically evaluating the system-level approaches of the VA health system to surgical quality improvement.
This comprehensive volume examines the possible complications that can arise in cutaneous surgery. It will thus help the practising physician to formulate a preoperative strategy that will prevent ...complications before they occur as well as properly diagnose and manage complications if they arise.
A real boon for ophthalmologists, this superbly practical quick-reference guide features high-yield snapshots of more than 200 cosmetic procedures. The editors and authors are all expert in their ...fields and offer "here's how I do it" advice on the most commonly performed procedures.
This unique, outstanding and comprehensive textbook on diseases of the nose is unsurpassed in its kind. `Rhinology and Facial Plastic Surgery` covers and illustrates all relevant surgical steps and ...surgical procedures with unique step-by-step illustrations, including many in color. A combination of current research and comprehensive didactic text provides the reader with a well-balanced view of all that is happening in rhinology. This textbook also includes nasal aesthetic/plastic procedures. Written in exhaustive detail by the worlds leading authorities, this book will remain the benchmark for many years.
Oculoplastics and Orbit Guthoff, R; Katowitz, James A
2007, 2005, 2005-09-20, 2007-09-27
eBook
This second volume of the highly practical and informative work continues the fine tradition of this exceptional series. It details the latest concepts and management techniques in oculofacial ...plastic surgery. It contains in-depth reviews of orbital disorders such as capillary hemangiomas and venolymphatic malformations, offering new strategies in diagnosis and management. Coverage also includes recent developments in the diagnosis and management of lacrimal disorders, including salivary gland transposition for severe dry eye and lacrimal stenosis. It will prove to be a valuable resource for both the comprehensive ophthalmologist as well as subspecialists with a particular interest in disorders of the orbit, eyelids, lacrimal system, and other facial structures.
PDF
