Complications in Surgery

Complications in Surgery

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Publication Date: 2011
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ISBN/ISSN: 9781605475301

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Complications in Surgery, Second Edition offers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters.
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  • NEW: Improved art program, including better-quality diagnostic imaging
  • NEW: Increased emphasis on perioperative cardiac risk
  • NEW CHAPTER: Adult Learning
  • NEW CHAPTER: Patient Safety in the OR
  • NEW information on quality assessment in surgery
  • Comprehensive
  • Edited and written by authorities, including many from the renowned programs at University of Michigan and Washington University
  • Includes systems-based and organ-based complications: that is, what institutions do wrong and what people do wrong
  • The only major text on surgical complications
Michael W. Mulholland MD, PhD
Frederick A. Coller Distinguished Professor of Surgery, Chair, Department of Surgery, University of Michigan Medical School, Ann Arbor MI

Gerard M. Doherty MD

N.W. Thompson Professor of Surgery, University of Michigan, Ann Arbor, MI 



Edition: 2
ISBN/ISSN: 9781605475301
Product Format: Hardbound
Trim Size: 8.375 x 10.875
Pages: 884
Pub Date: 2011
Weight: 3.85
Contributors v

Preface ix

Acknowledgments xi

PA R T I :

INSTITUTIONAL ISSUES

1.

Surgical Complications . . . . . . . . . . . . . . . . . . . . . . . . 3Michael W. Mulholland and Gerard Doherty

2.

Outcomes and Error . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Learning from UnanticipatedLinnea S. Hauge

3.

Surgical Training: Present and Future . . . . . . . . . . . 13Rebecca M. Minter and Paul G. Gauger

4.

Continuing Education for Practicing Surgeons . . . . 22Richard E. Burney and R. Van Harrison

5.

Surgical Credentials . . . . . . . . . . . . . . . . . . . . . . . . . . 28Mary E. Klingensmith

6.

Surgical Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Understanding Variation inJustin B. Dimick and John D. Birkmeyer

7.

Surgical Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Strategies for Reducing Variation inJohn D. Birkmeyer and Justin B. Dimick

8.

Collaboratives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Building Successful Quality ImprovementMichael J. Englesbe

9.

Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Darrell A. Campbell

PA R T I I :

MANAGEMENT OF SURGICAL COMPLICATIONS

10.

Assessment of Perioperative Cardiac Risk . . . . . . . 67Debabrata Mukherjee and Kim A. Eagle

11.

Perioperative Risk . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Assessment of NoncardiacPauline K. Park

12.

Anesthesia Complications . . . . . . . . . . . . . . . . . . . . . 91Paul E. Kazanjian

13.

Complications of Wound Healing . . . . . . . . . . . . . 128Michael G. Franz

14.

Surgical Site Infections. . . . . . . . . . . . . . . . . . . . . . . 140Gerard M. Doherty

15.

Septic Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151Awori Hayanga and Stewart Wang

16.

Hypovolemic Shock . . . . . . . . . . . . . . . . . . . . . . . . . 161Wendy L. Wahl

17.

Fluid and Electrolyte Abnormalities . . . . . . . . . . . 168Bradley D. Freeman

18.

Acute Renal Failure . . . . . . . . . . . . . . . . . . . . . . . . . 174Robert E. Southard and Craig M. Coopersmith

19.

Pulmonary Complications . . . . . . . . . . . . . . . . . . . 181Mark R. Hemmila

20.

Abnormalities in Coagulation . . . . . . . . . . . . . . . . 200Alvin H. Schmaier

21.

Complications of Nutritional Support . . . . . . . . . 210Imad F. Btaiche, Eiichi Miyasaka, and Daniel H. Teitelbaum

22.

Complications of Immunosuppression . . . . . . . . . 227Niraj M. Desai and Christina L. Klein

PA R T I I I :

COMPLICATIONS OF THORACIC SURGERY

23.

and Tracheal Surgery . . . . . . . . . . . . . . . . . . . . . . . . 241

Complications of Intubation, Tracheotomy,Kevin Fung and Norman D. Hogikyan

24.

Complications of Esophageal Surgery . . . . . . . . . 257Andrew C. Chang and Mark D. Iannettoni

25.

Chest Wall Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 276

Complications of Pulmonary andChristina H. Wei and Jessica S. Donington

26.

Complications of Extracorporeal Circulation . . . . 290Jennifer S. Lawton

27.

Revascularization . . . . . . . . . . . . . . . . . . . . . . . . . . . 298

Complications of Surgical CoronarySpencer J. Melby, Traves D. Crabtree, and Marc R. Moon

28.

Cardiac Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310

Complications in ValvularGorav Ailawadi

29.

Complications of Thoracoscopy . . . . . . . . . . . . . . . 320James M. Donahue, Michael A. Smith, and Richard J. Battafarano

PA R T I V :

COMPLICATIONS OF VASCULAR SURGERY

30.

Complications of Arterial Surgery . . . . . . . . . . . . . 331Gilbert R. Upchurch Jr., Jonathan L. Eliason, John E. Rectenwald,

and James C. Stanley

31.

and Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349

Complications of Venous DiseaseThomas W. Wakefield and Peter K. Henke

32.

Complications of Endovascular Therapy . . . . . . . 367Matthew J. Eagleton and Sunita D. Srivastava

PA R T V :

COMPLICATIONS OF GASTROINTESTINAL SURGERY

33.

Complications of Gastric Surgery . . . . . . . . . . . . . 393Michael W. Mulholland

34.

Complications of Hepatic Surgery . . . . . . . . . . . . . 415Theodore H. Welling and James A. Knol

35.

Complications of Biliary Surgery . . . . . . . . . . . . . . 429Christopher J. Sonnenday

36.

Complications of Pancreatic Surgery . . . . . . . . . . . 450Diane M. Simeone

37.

Small Bowel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 464

Complications of Intestinal Surgery:Arden M. Morris

38.

Colon and Rectal Surgery . . . . . . . . . . . . . . . . . . . . 483

Complications of Appendectomy andEmily Finlayson

39.

Hernia Operations . . . . . . . . . . . . . . . . . . . . . . . . . . 500

Complications of Abdominal Wall andMichael G. Franz

40.

Complications of Laparoscopic Surgery . . . . . . . . 522Jonathan F. Finks

PA R T V I :

COMPLICATIONS OF ENDOCRINE AND

ONCOLOGIC SURGERY

41.

Complications of Adrenal Surgery . . . . . . . . . . . . 535Paul G. Gauger

42.

Parathyroid Surgery . . . . . . . . . . . . . . . . . . . . . . . . . 550

Complications of Thyroid andGerard Doherty

43.

Pancreatic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 567

Complications in EndocrineCortney Youens Lee and Terry C. Lairmore

44.

Complications in Breast Surgery . . . . . . . . . . . . . . 576Alicia Growney, Ahmad Azari, and Lisa A. Newman

45.

Complications of Soft-Tissue Tumor Surgery . . . . 594Sandra L. Wong

46.

Complications of Lymphadenectomy . . . . . . . . . . 602Alliric I. Willis and Jeffrey F. Moley

PA R T V I I :

COMPLICATIONS OF TRANSPLANTATION

47.

Complications of Renal Transplantation . . . . . . . . 613Randall Sung and Robert Merion

48.

Complications of Liver Transplantation . . . . . . . . 627Shawn J. Pelletier

49.

Complications of Pancreatic Transplantation . . . . 640Dixon B. Kaufman

50.

Transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 656

Complications of PulmonarySara A. Hennessy, Bryan F. Meyers, and Christine L. Lau

51.

Heart Transplantation . . . . . . . . . . . . . . . . . . . . . . . 674

Complications FollowingSanjeev Aggarwal and Francis D. Pagani

PA R T V I I I :

COMPLICATIONS OF PEDIATRIC SURGERY

52.

Surgical Complications in Newborns . . . . . . . . . . 701Samir Gadepalli and Ronald B. Hirschl

53.

Surgical Complications in Children . . . . . . . . . . . . 746James D. Geiger

Index 769

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