The first four editions provided an encompassing, yet concise and self-contained, review of surgery for a full spectrum of readers from students to residents, to surgeons preparing for general surgery certification or recertification, and to practitioners simply wishing to commit to lifelong learning. Surgery is more than an operating room activity. Once extensive knowledge is acquired, this base often needs to be modified, altered, and continuously updated. As this knowledge expands, it requires validation for alternatives of care to time-honored patterns of care, or for cementing more traditional methods. An adult may thus use various ways to acquire new knowledge—interaction with colleagues, written and online material, and interaction with a question/answer format. Testing of understanding of the material by comprehending the question, and by identifying the most correct answer, followed by a concise comment section, has always been the intent of this book.
The new edition of the Rush University Medical Center Review of Surgery seeks to integrate up-to-the-minute knowledge with rapidly evolving changes in surgical care, patient safety considerations, and the increasing adoption of multispecialty, disease-driven care. Minimal-access techniques, telementoring, and robotic technology have revolutionized delivery of care. Surgical practice is being transformed through an explosion of ground-breaking knowledge in basic science that is leading to incorporation of cellular and genetic concepts and rapid integration of innovative techniques in patient care. Furthermore, the American Board of Surgery has identified the need to structure the evaluation of surgeons’ and residents’ proficiency in practicing surgery based on core competencies. Surgeons and institutions are experiencing increased and close scrutiny regarding the quality, effectiveness, and efficiency of care rendered. In addition, simulation centers have been sprouting up throughout the country in an effort to meet some of these demands.
The entire book was examined fastidiously to make sure that the content and organization would reflect present concepts and paradigms of care. In addition, the editors have acknowledged the emerging role of online-based learning in the continuing education of surgeons and students. Furthermore, we solicited feedback from physicians preparing for the board examination throughout the country. As a result of our review, we have continued our emphasis on integration of basic science into clinical practice inasmuch as residents and surgeons need to be well versed in the fundamental scientific principles of clinical practice. Subspecialty residents reading this book before taking their board examination can expect an exposure to general surgery concepts that meet their needs. Conversely, general surgeons and residents in training should feel that they will become comfortable with a rich and encompassing content on basic sciences and clinical practice, as well as exposure to the fundamentals of various surgical subspecialties.
This fifth edition has been enhanced with changes in the book's editorial board, authorship, and electronic format, in addition to a comprehensive revision of its content and style. Chapters were completely reorganized and grouped into new sections. We elicited contributions from more than 60 authors, all chosen for their past or present affiliation to Rush University and their scientific sophistication. Each contributor is an active clinician in the field of medicine. Furthermore, some have presented articles, developed new concepts in their areas, and contributed to the education of their peers.
This comprehensive offering required the elimination of 7 chapters, incorporation of 4 new chapters, and extensive rewriting of the rest. This fifth edition includes 10 sections with 39 chapters, as opposed to 56 chapters in the fourth edition. The new chapters—Chapter 1: Physiologic Response to Injury; Chapter 36: Special Considerations in Surgery: Pregnant, Geriatric, and Immunocompromised Patients; Chapter 37: Ethical Principles and Palliative Care; and Chapter 39: Core Competencies and Quality Improvement—provide the reader with previously unexplored subjects in previous editions. The format of the questions was changed to select the best answer, breaking with the multiple-answer option of previous editions. The authors were asked to look at the questions as an integral component of the educational experience. Each subject was based on current practice and referenced to widely read textbooks of surgery. However, in this edition, we placed no restrictions on the reference base of suggested reading, except for the need to select evidence-based information, if available. We emphasized the use of vignettes or case studies, as opposed to scientific instruction, to give the reader a more realistic approach to learning.
In summary, we expect that the fifth edition of the Rush University Medical Center Review of Surgery will enable the reader to gain the knowledge needed in general surgery and associated specialties. This edition is integrated with a new electronic format and highlighted text. Access to supplemental content provided by Elsevier is an additional advantage of this integration. Placing this book on the web or on media should facilitate ease of access, and provide the user with immediate and interactive feedback.
José M. Velasco
Foreward
The fifth edition of the Rush University Review of Surgery is the first to be published without the participation of Dr. Steven G. Economou, the senior editor of the first two editions, who died in 2007. The remaining three editors of the first edition would like to honor his memory and pay tribute to his unique talent for the many students and surgeons who have benefited from his contributions.
The son of Greek immigrants, Dr. Economou lived modestly—early on of necessity; later by choice. As a surgeon, his exquisite technical skill and piercing intellect were legendary. He was accomplished at virtually every known general and oncologic operation. He was an ambidextrous artist who could create two separate illustrations, one with his right hand and one with his left, while simultaneously asking pointed questions of conference speakers. Above all, he was a teacher with a breadth of insight spanning the known arts and sciences. He taught by word, craft, and stunning example.
The Rush University Medical Center Review of Surgery is just one of Dr. Economou's many publications. With its inception, he harnessed a whirlwind of activity to produce an instant favorite on an international scale. In dedicating this fifth edition to his memory, we can only hope that it will elicit his slightly mischievous smile of affirmation, rather than a sharp wrap on the knuckles with a stout hemostat. We are accustomed to both.
S.D. Bines, D.J. Deziel, T.R. Witt
How to Use This Text
- The topics in this fifth edition have been divided into 10 categories, which should facilitate review of the material for certification, or maintenance of certification, in general surgery. Special attention was given to input by residents from various programs throughout the country in regard to their needs concerning in-training examinations.
- Each section contains a variable number of chapters, encompassing questions, and the corresponding comment and references attached to each question. Most questions are followed by one or more references that link them to a relevant textbook and to selected articles. Authors sought evidence-based material as appropriate. A select best answer format was chosen in accordance with the desire of those queried, and with the unanimous support of the associate editor group. At the end of each comment, a letter indicates the preferred answer. A list of references is included at the end of each chapter.
- Words and phrases appearing in boldface type within the text indicate links to facilitate search of material to be reviewed.
Features
- Challenge your knowledge with more than 1,500 review questions, with answers and rationales, that cover the full range of topics in general and subspecialty surgery - all the information you need to prepare for certification and recertification or stay current with new advances.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
New in this edition
- Get a realistic simulation of the actual exam with questions that mimic standardized tests and prepare you for board and ABSITE exams.
- Understand the rationale behind the answers to each question with clear, illustrated explanations from Elsevier's trusted surgical references including Cameron's Current Surgical Therapy.
- Access the fully searchable text online at www.expertconsult.com, along with hyperlinked references, illustrations, self-assessment tools, and more.
- Master the latest need-to-know information in your field with abundant new chapters and updates throughout reflecting the latest surgical techniques and practices, as well as an increased emphasis on ethics to help you prepare for this increasingly important aspect of the boards.
Contents
Section I - Surgical Physiology
- CHAPTER 1 - Physiologic Response to Injury
- CHAPTER 2 - Wound Healing and Cell Biology
- CHAPTER 3 - Hemostasis and Transfusion
- CHAPTER 4 - Nutrition, Metabolism, and Fluid and Electrolytes
- CHAPTER 5 - Surgical Infection and Transmissible Diseases and Surgeons
- CHAPTER 6 - Transplantation and Immunology
- CHAPTER 7 - Perioperative Care and Anesthesia
Section II - Acute and Critical Care
- CHAPTER 8 - Acute Abdomen
- CHAPTER 9 - Critical Care
- CHAPTER 10 - Trauma
- CHAPTER 11 - Burns
Section III - Breast, Soft Tissue, and Abdominal Wall
- CHAPTER 12 - Skin and Soft Tissue
- CHAPTER 13 - Hernia
- CHAPTER 14 - Breast
Section IV - Endocrine Surgery
- CHAPTER 15 - Head and Neck
- CHAPTER 16 - Thyroid
- CHAPTER 17 - Parathyroid
- CHAPTER 18 - Adrenal
Section V - Alimentary Tract
- CHAPTER 19 - Esophagus
- CHAPTER 20 - Stomach and Duodenum
- CHAPTER 21 - Small Bowel and Appendix
- CHAPTER 22 - Colon, Rectum, and Anus
Section VI - Liver, Biliary Tract, Pancreas, and Spleen
- CHAPTER 23 - Liver and Portal Venous System
- CHAPTER 24 - Gallbladder and Biliary Tract
- CHAPTER 25 - Pancreas
- CHAPTER 26 - Spleen and Lymphatic System
Section VII - Cardiovascular and Thoracic
- CHAPTER 27 - Cardiac Surgery
- CHAPTER 28 - Vascular Surgery
- CHAPTER 29 - Thoracic Surgery
Section VIII - Subspecialties for the General Surgeon
- CHAPTER 30 - Metabolic and Bariatric Surgery
- CHAPTER 31 - Gynecology, Neurosurgery, and Urology
- CHAPTER 32 - Pediatric
- CHAPTER 33 - Plastic and Reconstructive Surgery, Including Hand Surgery
Section IX - Fundamentals of Surgical Technology
- CHAPTER 34 - Principles of Ultrasound and Ablative Therapy
- CHAPTER 35 - Principles of Minimally Invasive Surgery
Section X - Practice of Surgery
- CHAPTER 36 - Special Considerations in Surgery
- CHAPTER 37 - Ethical Principles and Palliative Care
- CHAPTER 38 - Evidence-Based Surgery and Applications of Biostatistics
- CHAPTER 39 - Core Competencies and Quality Improvement
Product Details
- Paperback: 608 pages
- Publisher: Saunders; 5 edition (June 6, 2011)
- Language: English
- ISBN-10: 1437717918
- ISBN-13: 978-1437717914
- Product Dimensions: 10.8 x 8.5 x 0.9 inches
List Price: $69.95