Contents

Editorial contributors List of contributors Preface Acknowledgements Sayings of the great

viii ix xiii xv xvii

12. Tissue diagnosis

Roger M. Feakins

167

PART 3: Perioperative care

13. Preoperative preparation
Lisa Leonard and Sarah J. Barton 183 194 204

PART 1: Principles
1. 2. 3. 4. 5. The metabolic response to injury
Kenneth C.H. Fearon 3 13 24 32 49

14. Anaesthesia and pain relief

Richard M. Langford and Vivek Mehta

15. Care in the operating room

Sunny Deo and Vipul Mandalia

Shock and blood transfusion

Karim Brohi

Wounds, tissue repair and scars

Michael J. Earley

16. Perioperative management of the high-risk surgical patient

Rupert M. Pearse and Richard M. Langford

215 223

Surgical infection
David J. Leaper

17. Nutrition and uid therapy

John MacFie

Surgery in the tropics

Pradip K. Datta, Pawanindra Lal and Sanjay De Bakshi

18. Basic surgical skills and anastomoses

David J. Leaper

234

6. 7. 8. 9.

Principles of paediatric surgery

Mark D. Stringer

71 90 112 119

19. Principles of laparoscopic and robotic surgery

Ara Darzi and Sanjay Purkayastha

247 258

Principles of oncology
Robert J.C. Steele and Alastair J. Munro

20. Postoperative care

Alistair Pace and Nicholas C.M. Armitage

Surgical audit and research

Jonothan J. Earnshaw and Birgit Whitman

Surgical ethics
Len Doyal

PART 4: Trauma
21. Introduction to trauma
Robert Handley and Peter V. Giannoudis 271

PART 2: Investigation and diagnosis

10. Diagnostic imaging
Matthew Matson, Ali Naraghi and Gina M. Allen 127 151

22. Early assessment and management of trauma

Dinesh K. Nathwani

285 299

11. Gastrointestinal endoscopy

James Lindsay

23. Head injury

Richard Stacey and John Leach

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Contents

24. Neck and spine

Ashley R. Poynton

309 326 338 353

41. The eye and orbit

Jonathan D. Jagger and Hugo W.A. Henderson

645

25. Trauma to the face and mouth

Charles S. Perkins

26. Chest and abdomen

Kenneth D. Boffard

42. Cleft lip and palate: developmental abnormalities of the face, mouth and jaws
William P . Smith

657 676 686 702 734 752

27. Extremity trauma

Robert Handley, Rohit Kotnis and Parminder Singh

43. The nose and sinuses

Robert W. Ruckley

44. The ear

378 394 410 Grant J.E.M. Bates

28. Burns
Michael Tyler and Sudip Ghosh

45. Pharynx, larynx and neck

David J. Howard and Valerie J. Lund

29. Plastic and reconstructive surgery

Timothy Goodacre

46. Oropharyngeal cancer

William P . Smith

30. Disaster surgery

Mamoon Rashid

47. Disorders of the salivary glands

William P . Smith 429 455 467

PART 5: Elective orthopaedics

31. Clinical examination
Parminder Singh and Rohit Kotnis

PART 8: Breast and endocrine

48. The thyroid and parathyroid glands
Zygmunt H. Krukowski 771

32. Sports medicine and sports injuries

D.L. Back and Jay Smith

33. The spine

Brian J.C. Freeman and Pradeep Madhavan

49. Adrenal glands and other endocrine disorders

Matthias Rothmund

807 827

34. Upper limb pathology, assessment and management

Srinath Kamineni

50. The breast

485 514 527 Richard Sainsbury

35. Hip and knee

Vikas Khanduja and Richard N. Villar

PART 9: Cardiothoracic
51. Cardiac surgery
Jonathan R. Anderson and Ian Hunt 851 876

36. Foot and ankle

Mark Davies, Matthew C. Solan and Vikas Khanduja

52. The thorax

Tom Treasure

37. Inammation and infection and musculoskeletal tumours

Ilana Langdon and Paul Cool

539 563

PART 10: Vascular

53. Arterial disorders
John A. Murie 899 925 944

38. Paediatric orthopaedics

Deborah M. Eastwood and Joanna Hicks

54. Venous disorders

Kevin Burnand

PART 6: Skin and subcutaneous tissue

39. Skin and subcutaneous tissue
Adam R. Greenbaum and Christopher L.H. Chan 593

55. Lymphatic disorders

Shervanthi Homer-Vanniasinkam and Andrew W. Bradbury

PART 11: Abdominal PART 7: Head and neck

40. Elective neurosurgery
John Leach and Richard Kerr 623

56. History and examination of the abdomen

Simon Paterson-Brown

961

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vii

57. Hernias, umbilicus and abdominal wall

Andrew N. Kingsnorth, Giorgi Giorgobiani and David H. Bennett

69. The anus and anal canal

968 Peter J. Lunniss

1240

PART 12: Genitourinary

991 1009 1045 1080 1101 1111 1130 1154

58. The peritoneum, omentum, mesentery and retroperitoneal space

Jeremy Thompson

70. Urinary symptoms and investigations

Christopher G. Fowler

1273 1285 1313 1343 1362 1377 1391

59. The oesophagus

Derek Alderson

71. The kidneys and ureters

Christopher G. Fowler

60. Stomach and duodenum

John N. Primrose

72. The urinary bladder

David E. Neal

61. The liver

Brian R. Davidson

73. The prostate and seminal vesicles

David E. Neal

62. The spleen

O. James Garden

74. Urethra and penis

Christopher G. Fowler

63. The gall bladder and bile ducts

Kevin Conlon

75. Testis and scrotum

Chrisopher G. Fowler

64. The pancreas

Satyajit Bhattacharya

76. Gynaecology
Stephen Kennedy and Enda McVeigh

65. The small and large intestines

Neil J.McC. Mortensen and Shazad Ashraf

PART 13: Transplantation

1188 1204 1219

66. Intestinal obstruction

Marc Christopher Winslet

77. Transplantation
J. Andrew Bradley

1407

67. The vermiform appendix

P . Ronan OConnell

68. The rectum

Sue Clark

Appendix 1: Common instruments on the general tray

Index

1431 1433