Abstract:
For more than 80 years, Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice has been the go-to text for trainees and surgeons at all levels of experience for definitive guidance on every aspect of general surgery. As the oldest continuously published textbook of surgery in North America, this fully revised 21st Edition continues to provide the key information, essential teaching pearls, and completely updated content needed to make the most informed surgical decisions and achieve optimal outcomes for patients. Concisely written and evidence based throughout, it covers the breadth of material required for certification and practice of general surgery, highlighted by detailed, full-color intraoperative illustrations and high-quality video clips. -- From Publisher's website.
Description:
xxviii, 2147 pages : color illustrations ; 29 cm || Includes bibliographical references and index. || CONTENTS: COVER IMAGE -- Title Page -- Table of Contents -- Copyright -- Dedication -- Contributors -- Preface -- Foreword -- Acknowledgments -- SECTION I. SURGICAL BASIC PRINCIPLES -- Introduction -- CHAPTER 1. The Rise of Modern Surgery: An Overview -- The Beginnings -- Knowledge of Anatomy -- Control of Bleeding -- Control of Pain -- Control of Infection -- Other Advances That Furthered the Rise of Modern Surgery -- Ascent of Scientific Surgery -- The Modern Era -- Diversity -- The Future -- CHAPTER 2. Ethics and Professionalism in Surgery -- Ethical Frameworks -- A General Approach for Ethical Issue Resolution -- Physician–Patient Relationship -- Surgical Training and Innovation -- Conclusion -- CHAPTER 3. The Inflammatory Response -- Components of the Inflammatory Response -- Inflammation and the Critically Ill -- CHAPTER 4. Shock, Electrolytes, and Fluid -- History -- Physiology of Shock -- Problems with Resuscitation -- Evolution of Modern Resuscitation -- Current Status of Fluid Types -- Future Resuscitation Research -- Perioperative Fluid Management -- Electrolytes -- CHAPTER 5. Metabolism in Surgical Patients -- Metabolic Science -- Surgical Metabolism -- Conclusion -- CHAPTER 6. Wound Healing -- Tissue Injury and Response -- Wound-Healing Phases -- Abnormal Wound Healing -- Wound Dressings -- Other Therapies -- Fetal Wound Healing -- Tissue Engineering -- Gene and Stem Cell Therapy -- New Horizons -- CHAPTER 7. Regenerative Medicine -- Stem Cell Sources -- Bioengineering for Regenerative Medicine -- Clinical Applications of Stem Cells -- Conclusion -- CHAPTER 8. Critical Assessment of Surgical Outcomes and Health Services Research -- Evidence-Based Approach to Surgery -- Appraising Surgical Evidence -- Interpreting and Applying Evidence to Surgical Practice -- Conclusion -- CHAPTER 9. Safety in the Surgical Environment -- Fostering a Culture of Safety Through Leadership -- Local Organizational Structures to Promote Perioperative Safety -- National and Healthcare System–Level Safety Initiatives -- System-Level Interventions to Improve Safety -- Conclusion -- SECTION II. PERIOPERATIVE MANAGEMENT -- Introduction -- CHAPTER 10. Principles of Preoperative and Operative Surgery -- Principles of Surgical Evaluation -- Assessment of Geriatric Surgical Patients -- Systems Approach to Preoperative Evaluation -- Preoperative Considerations and Care Protocols -- Operating Room -- Surgical Devices, Energy Sources, and Staplers -- Potential Causes of Intraoperative Instability -- Outpatient Surgery -- CHAPTER 11. Surgical Infections and Antibiotic Use -- Surgical Site Infections -- Necrotizing Soft Tissue Infections -- Specific Infections -- Healthcare-Associated Infections -- Antibiotic Resistance -- Clinically Important Pathogens -- CHAPTER 12. Surgical Complications -- Wound Complications -- Thermal Regulation -- Respiratory Complications -- Cardiac Complications -- Renal and Urinary Complications -- Endocrine Dysfunction -- Gastrointestinal Complications -- Hepatobiliary Complications -- Neurologic Complications -- Ear, Nose, and Throat Complications -- The Geriatric Patient and Frailty -- CHAPTER 13. Surgery in the Geriatric Patient -- Outcomes of Surgery in Older Adults -- Frailty and Physiologic Decline -- Preoperative Assessment and Decision-Making -- Intraoperative and Postoperative Management -- Transitions of Care -- Surgery of Major Organ Systems -- CHAPTER 14. Anesthesiology Principles, Pain Management, and Conscious Sedation -- Pharmacologic Principles -- Anesthesia Equipment -- Patient Monitoring During and After Anesthesia -- Preoperative Evaluation -- Selection of Anesthetic Techniques and Drugs -- Airway Management -- General Anesthesia -- Regional Anesthesia -- Conscious Sedation -- Postanesthesia Care -- Acute Pain Management -- Conclusion -- CHAPTER 15. Emerging Technology in Surgery: Informatics, Electronics -- Recent Significant Advances in Surgical Technology -- Evolving Technologies in Surgery -- Process of Innovation in Surgery -- Innovations in Simulation: Surgical Training and Operative Planning -- Conclusion -- CHAPTER 16. Robotic Surgery -- Preface -- History -- Preparing for Robotic Surgery -- Current Status of Selected Robotic Operations -- Conclusion -- SECTION III. TRAUMA AND CRITICAL CARE -- Introduction -- CHAPTER 17. Management of Acute Trauma -- Overview and History -- Trauma Systems -- Injury Scoring -- Prehospital Trauma Care -- Initial Assessment and Management -- Management of Specific Injuries -- Rehabilitation -- CHAPTER 18. The Difficult Abdominal Wall -- Suture Material -- Closure Technique -- Prophylactic Mesh -- Abdominal Fascial Dehiscence -- Temporary Abdominal Closure -- Management of the Open Abdomen and Assessing Readiness for Abdominal Closure -- Pharmacologic Adjuncts to Closure -- Synthetic Mesh Failure -- Challenges in the Contaminated Field -- Seroma and Skin Necrosis -- Preparation for Abdominal Wall Reconstruction -- Definitive Repair—Creating a Dynamic Abdominal Wall -- Rives-Stoppa-Wantz and Transversus Abdominis Release Techniques -- Perioperative Considerations -- Summary -- CHAPTER 19. Emergency Care of Musculoskeletal Injuries -- Epidemiology of Orthopedic Injuries -- Terminology -- Fixation Principles -- Patient Evaluation -- Time-Dependent Orthopedic Injuries -- Acute Compartment Syndrome -- Pelvic Ring Disruption -- Spinal Injuries -- Dislocations -- Vascular Injuries -- Common Long Bone Fractures -- Challenges and Complications -- Postoperative Mobilization -- Summary -- CHAPTER 20. Burns -- General Considerations -- Burn Units -- Pathophysiology of Burns -- Initial Treatment of Burns -- Inhalation Injury -- Wound Care -- Minimizing Complications -- Nutrition -- Electrical Burns -- Chemical Burns -- Summary -- CHAPTER 21. Bites and Stings -- Snakebites -- Mammalian Bites -- Arthropod Bites and Stings -- Marine Bites and Stings -- CHAPTER 22. Surgical Critical Care -- Neurologic System -- Cardiovascular System -- Respiratory System -- Gastrointestinal System -- Hepatic System -- Renal System -- Hematologic System -- Endocrine System -- Infectious Diseases -- Special Issues -- CHAPTER 23. Bedside Surgical Procedures -- Rationale for Bedside Surgical Procedures -- Taking the Operating Room to the Bedside -- Safety Practices for Bedside Surgical Procedures -- Selection of Patients for Bedside Surgical Procedures -- Bedside Laparotomy -- Tracheostomy -- Percutaneous Endoscopic Gastrostomy -- Bronchoscopy -- CHAPTER 24. The Surgeon’s Role in Mass Casualty Incidents -- History -- Key Definitions -- Mascal Key Principles -- Critical Mascal Lessons Learned -- Mascal Management and the Surgeon’s Role in Triage -- Conclusions -- CHAPTER 25. Disaster and Humanitarian Surgery -- The Nature of Disasters -- General Principles of Disaster Surgery -- Logistics of Disaster Response -- Surgery in Disaster Settings -- Common Surgical Conditions in Disasters -- Ethical and Cultural Considerations in Humanitarian Surgery -- The Future of Disaster Surgery -- Conclusion -- CHAPTER 26. Military Surgery -- Historical Overview -- Military Trauma Systems -- Principles of Combat Casualty Care -- Forward Surgery and Damage Control -- Surgical Challenges in the Combat Zone -- Advances in Military Surgical Techniques -- Rehabilitation of Military Trauma Patients -- Summary -- SECTION IV. ONCOLOGIC SURGERY -- Introduction -- CHAPTER 27. Principles of Surgical Oncology -- History and Evolution of Oncologic Surgery -- Cancer Biology and Molecular Pathways -- Cancer Staging and Tumor Board Decision-Making -- Surgical Techniques in Oncology -- Palliative and Reconstructive Surgery in Oncology -- Ethical Considerations in Cancer Surgery -- Advances in Minimally Invasive and Robotic Oncologic Surgery -- Summary -- CHAPTER 28. Management of Breast Cancer -- Epidemiology and Risk Factors -- Pathophysiology -- Screening and Diagnosis -- Surgical Options: Lumpectomy and Mastectomy -- Sentinel Lymph Node Biopsy and Axillary Dissection -- Reconstructive Surgery -- Adjuvant Therapies -- Challenges in Breast Cancer Management -- Future Directions -- CHAPTER 29. Colorectal Cancer -- Epidemiology and Risk Factors -- Screening and Early Detection -- Pathophysiology -- Surgical Management -- Complications and Postoperative Care -- Advances in Robotic and Laparoscopic Techniques -- Outcomes and Long-Term Management -- CHAPTER 30. Pancreatic and Hepatobiliary Malignancies -- Overview of Pancreatic Cancer -- Overview of Liver Cancer -- Surgical Approaches to Pancreatic Tumors -- Surgical Approaches to Liver Tumors -- Advances in Hepatobiliary Surgery -- Challenges and Future Perspectives -- CHAPTER 31. Management of Head and Neck Cancer -- Anatomy and Tumor Localization -- Diagnostic Approaches -- Principles of Surgical Resection -- Reconstructive Techniques -- Postoperative Care and Rehabilitation -- Challenges in Head and Neck Cancer Management -- CHAPTER 32. Thoracic Malignancies -- Overview of Lung and Esophageal Cancer -- Diagnostic Modalities -- Surgical Management of Lung Cancer -- Surgical Techniques in Esophageal Cancer -- Minimally Invasive and Robotic Approaches -- Postoperative Care and Rehabilitation -- Future Directions in Thoracic Oncology -- CHAPTER 33. Urologic Malignancies -- Prostate Cancer: Diagnosis and Surgical Treatment -- Bladder Cancer: Management and Surgical Techniques -- Renal Cell Carcinoma: Surgical Options -- Advances in Minimally Invasive Surgery -- Complications and Postoperative Outcomes -- Summary -- CHAPTER 34. Gynecologic Oncology -- Overview of Uterine, Ovarian, and Cervical Cancer -- Diagnostic Techniques -- Surgical Management Strategies -- Role of Minimally Invasive Surgery -- Fertility Preservation Techniques -- Challenges and Future Directions -- CHAPTER 35. Pediatric Oncology Surgery -- Epidemiology of Pediatric Cancers -- Wilms Tumor and Neuroblastoma: Surgical Approaches -- Sarcomas and Other Tumors -- Multidisciplinary Approach to Pediatric Oncology -- Advances in Pediatric Oncologic Surgery -- Postoperative Care and Psychosocial Considerations -- SECTION V. SPECIAL TOPICS IN SURGERY -- Introduction -- CHAPTER 36. Transplant Surgery -- History and Development of Organ Transplantation -- Organ Procurement and Preservation -- Kidney, Liver, Heart, and Lung Transplantation Techniques -- Advances in Immunosuppression -- Ethical and Legal Considerations -- Challenges in Global Transplant Programs -- CHAPTER 37. Vascular Surgery -- Principles of Vascular Surgery -- Management of Aneurysms and Arterial Occlusive Disease -- Endovascular Techniques -- Complications and Postoperative Care -- Advances in Vascular Surgery -- CHAPTER 38. Plastic and Reconstructive Surgery -- Principles of Reconstructive Surgery -- Skin Grafts and Flaps -- Management of Burn Injuries -- Craniofacial Reconstruction -- Aesthetic Surgery: Current Trends -- Challenges and Future Directions -- CHAPTER 39. Pediatric Surgery -- Congenital Abnormalities and Neonatal Surgery -- Pediatric Trauma Management -- Advances in Pediatric Minimally Invasive Surgery -- Postoperative Care in Children -- Ethical and Psychological Considerations -- CHAPTER 40. Surgical Ethics and Decision-Making -- Historical Perspectives on Surgical Ethics -- Patient-Centered Decision-Making -- Informed Consent and Autonomy -- Ethical Dilemmas in Modern Surgery -- Teaching and Training in Ethics -- Future Perspectives -- CHAPTER 41. Innovations and Future Directions in Surgery -- Robotics and Artificial Intelligence in Surgery -- Advances in Surgical Imaging and Navigation -- Tissue Engineering and Regenerative Surgery -- Global Surgical Training and Telemedicine -- The Role of Big Data and Machine Learning in Surgery -- APPENDICES -- Appendix A: Surgical Anatomy and Approaches -- Key Anatomical Landmarks -- Surgical Dissection Techniques -- Appendix B: Pharmacology for Surgeons -- Commonly Used Drugs in Surgical Practice -- Perioperative Drug Management -- Appendix C: Surgical Checklists and Protocols -- WHO Surgical Safety Checklist -- Enhanced Recovery After Surgery (ERAS) Guidelines -- Appendix D: Resources for Further Learning -- Recommended Textbooks and Journals -- Online Surgical Education Platforms -- INDEX