As a profession, surgeons are exceedingly reluctant to publicize their errors. Whether they are errors in judgment or intraoperative technical errors, they are usually kept to theirselves or become semi-public when presented formally at the usual Morbidity and Mortality conferences held weekly at all hospitals by surgeons throughout the country. It is quite clear, however, that the Morbidity and Mortality conference proves to be the most educationally productive conference for all surgeons because of how much they learn from their own errors as well as the errors of others.
Surgical Pitfalls has been a work in progress for many years and is targeted not just at surgeons in training but at surgeons of all levels of expertise. The hope is that this will lead to significant error prevention and improve and enhance error training through surgical residencies. This book have constructed to include all of the major specialties in surgery.
Surgical Pitfalls - Prevention and Management by Stephen R. T. Evans is unique in its intent to identify intraoperative errors that occur at specific steps during both simple and complex operations, but more importantly identifying how to prevent the error, the consequences of the error if they occur, and lastly, how to repair or correct the error once it has happened. The book covers over 80 major operative procedures in addition to discussing common errors, especially errors in preoperative decision making based upon individual organ systems and risk stratifi cation that should be considered in preoperative assessment and evaluation of all patients. Additionally, errors made in teaching technical skills are reviewed, errors in communication that lead to medical legal issues, and lastly an overview in the introductory section on the process of surgical maturation.
During this first edition this book have attempted to be as comprehensive as possible in describing all major published intraoperative complications and intraoperative errors that are made in decision making. As previously stated, however, surgeons are reluctant not just to talk about their mistakes, but certainly loathe publishing them. In preparation for the second edition there are actively soliciting cases with substantial intraoperative or radiographic confirmation and documentation of the specific errors and complications that have occurred with the intent of making the second edition even more comprehensive and truly an “Encyclopedia of Error” or the “Textbook of Morbidity and Mortality.”
Contents
Section I GENERAL CONSIDERATIONS
- 1 From Error to Perfection: The Process of Surgical Maturation
- 2 Teaching Technical Skills—Errors in the Process
- 3 Legal Considerations
- 4 Preoperative Pitfalls
- 5 Anesthesia for the Surgeon
- 6 General Laparotomy
- 7 Laparoscopic Surgery
- 8 Central Vein Catheterization
- 9 Pulmonary Artery Catheterization
- 10 Arterial Catheterization
- 11 Chest Tube Insertion
- 12 Paracentesis
- 13 Open Gastrostomy Feeding Tube Placement and Percutaneous Endoscopic Gastrostomy Tube Placement
- 14 Open Jejunostomy Tube Placement
- 15 Graham Patch Repair
- 16 Vagotomy and Pyloroplasty
- 17 Laparoscopic Nissen Fundoplication
- 18 Laparoscopic Esophagomyotomy with Dor Fundoplication
- 19 Laparoscopic Gastric Bypass
- 20 Gastrectomy with Reconstruction
- 21 Enterectomy
- 22 Ileostomy
- 23 Right Colectomy: Open and Laparoscopic
- 24 Left Colectomy: Open and Laparoscopic
- 25 Low Anterior Resection
- 26 Abdominal Perineal Resection with Colostomy
- 27 Laparoscopic Appendectomy
- 28 Hemorrhoidectomy
- 29 Anal Fistulotomy
- 30 Gallbladder: Cholecystectomy (Laparoscopic vs. Open)
- 31 Right Hepatectomy
- 32 Left Hepatectomy
- 33 Trisectionectomy
- 34 Laparoscopic Liver Resection
- 35 Pancreaticoduodenectomy
- 36 Distal Pancreatectomy
- 37 Lateral Pancreaticojejunostomy (Puestow) Procedure
- 38 Pancreatic Cyst/Debridement
- 39 Resection and Reconstruction of the Biliary Tract
- 40 Thyroid Surgery
- 41 Parathyroid Surgery
- 42 Adrenal Surgery
- 43 Image-Guided Breast Biopsy
- 44 Breast Biopsy and Breast-Conserving Surgical Techniques
- 45 Axillary Surgery
- 46 Mastectomy
- 47 Management of Soft Tissue Sarcoma
- 48 Isolated Limb Perfusions and Extremity Amputations
- 49 Open Inguinal Hernia Repair with Plug and Patch Technique
- 50 Prolene Hernia System—Hernia Repair
- 51 Laparoscopic Inguinal Hernia Repair
- 52 Umbilical and Epigastric Hernias
- 53 Open Primary and Mesh Repairs
- 54 Laparoscopic Incisional Hernia Repair
- 55 Component Separation for Complex Abdominal Wall Reconstruction and Recurrent Ventral Hernia Repair
- 56 Laparoscopic Splenectomy
- 57 Supraclavicular Lymph Node Biopsy
- 58 Carotid Endarterectomy
- 59 Aortic Surgery
- 60 Infrainguinal Revascularization
- 61 Arteriovenous Hemodialysis Access
- 62 Venous Surgical Pitfalls
- 63 Endovascular Interventions
- 64 Bronchoscopy: Flexible and Rigid; Esophagoscopy: Flexible and Rigid; Mediastinoscopy; and Anterior Mediastinotomy
- 65 Lobar Resections
- 66 Bronchial and Vascular Sleeve Lobectomy
- 67 Pneumonectomy
- 68 Chest Wall Resections
- 69 Thymectomy and Resection of Mediastinal Masses
- 70 Esophageal Surgery
- 71 Cervical Tracheal Resection and Reconstruction
- 72 Evaluating Trauma Literature
- 73 Evaluation and Acute Resuscitation of the Trauma Patient
- 74 Management of Thoracic Trauma
- 75 Management of Pancreatic and Duodenal Injuries
- 76 Traumatic Brain Injury
- 77 Managing Injuries to the Spleen
- 78 Damage Control: Abdominal Closures
- 79 Management of Penetrating Neck Injury
- 80 Malrotation, Volvulus, and Bowel Obstruction
- 81 Imperforate Anus and Hirschsprung’s Disease
- 82 Pectus Excavatum
- 83 Tracheoesophageal Fistula and Esophageal Atresia Repair
- 84 Congenital Diaphragmatic Hernia
- 85 Wilms’ Tumor and Neuroblastoma
- 86 Inguinal and Umbilical Hernias
- 87 Pyloromyotomy
Product Details
- Hardcover: 769 pages
- Publisher: Saunders; 1 edition (2009)
- Language: English
- ISBN-10: 1416029516
- ISBN-13: 978-1416029519