Textbook of Surgery E-Book
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- Herausgeber: John Wiley & Sons
- Kategorie: Fachliteratur
- Sprache: Englisch
Textbook of Surgery is a core book for medical and surgical students providing a comprehensive overview of general and speciality surgery. Each topic is written by an expert in the field. The book focuses on the principles and techniques of surgical management of common diseases. Great emphasis is placed on problem-solving to guide students and junior doctors through their surgical training.
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Seitenzahl: 1961
Veröffentlichungsjahr: 2020
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Table of Contents
Cover
Contributors
Preface
Acknowledgements
Section 1: Principles of Surgery
1 Preoperative management
Introduction
Informed consent
Preoperative assessment
Patient safety (see also Chapter 12)
Prophylaxis
Preoperative care of the acute surgical patient
Preoperative nutrition
Specific preoperative issues
Psychological preparation and mental illness
Further reading
MCQs
2 Assessment of surgical risk
Introduction
Surgical risk
Assessment of surgical risk
Discussing the risks of surgery
Risk scoring systems
Pre‐admission clinics
Summary
Further reading
MCQs
3 Anaesthesia and pain medicine
Introduction
Before surgery
Intraoperative care
Postoperative pain medicine
Further reading
MCQs
4 Postoperative management
Introduction
Immediate management of the patient
Further care in the postoperative period
Important postoperative complications
Further reading
MCQs
5 Surgical techniques
Introduction
The operating room (see also Chapter 12)
Aseptic techniques
Hazards
Endoscopy
Endoscopic surgery
Open surgery
Minimally invasive surgery
Surgical methods
Further reading
MCQs
6 Management of surgical wounds
Introduction
Preoperative assessment
Classification of surgical wounds
Preoperative wound preparation
Intraoperative management
Postoperative management
Further reading
MCQs
7 Nutrition and the surgical patient
Introduction
Nutrition
Malnutrition
Response to stress and injury
Nutritional assessment
Perioperative nutrition
Conclusion
Further reading
MCQs
8 Care of the critically ill patient
Introduction to critical illness
Causes of critical illness
Resuscitation
Organ dysfunction and severity of illness
Management of the critically ill
Further reading
MCQs
9 Surgical infection
Introduction
Natural barriers to infection
Pathogenesis of infection
Surgical site infection
Central line-associated bloodstream infection
Intra-abdominal collections
Hospital-acquired pneumonia
Catheter-associated urinary tract infection
Pseudomembranous colitis
Necrotising fasciitis
Antimicrobial resistance and antibiotic stewardship in surgery
Summary
Further reading
MCQs
10 Transplantation surgery
Introduction
Recipient assessment
Organ donation
Recipient selection
Transplantation surgery
Post-transplant management
Complications of transplantation
Results of transplantation
Surgical issues that can arise in transplant recipients
Further reading
MCQs
11 Principles of surgical oncology
Introduction
Multidisciplinary care
Principles of surgery for malignant disease
Clinical trials and research
Conclusion
Further reading
MCQs
12 Introduction to the operating theatre
Introduction
The operating theatre (the ‘inner sanctum’)
The outer network (supporting the inner sanctum)
Conclusion
Further reading
MCQs
13 Emergency general surgery
Introduction
Traditional models of emergency general surgery care
Emergency general surgery models
Emergency general surgical disorders
Further reading
MCQs
Section 2: Upper Gastrointestinal Surgery
14 Gastro‐oesophageal reflux disease and hiatus hernias
Introduction
Surgical anatomy and physiology
Aetiology/pathogenesis of GORD
Surgical pathology
Complications of gastro‐oesophageal reflux
Hiatus hernias
Clinical presentation of GORD
Investigation of GORD
Treatment of gastro‐oesophageal reflux
Surgery
Further reading
MCQs
15 Tumours of the oesophagus
Types of tumour
Anatomy and clinical features
Diagnosis/staging
Principles of treatment
Prognosis
Further reading
MCQs
16 Peptic ulcer disease
Introduction
Aetiology
Duodenal ulcer
Gastric ulcer
Complications of ulcer disease
Zollinger–Ellison syndrome
Further reading
MCQs
17 Gastric neoplasms
Gastric adenocarcinoma
Gastrointestinal stromal tumours
Gastric neuroendocrine tumours
Gastric lymphoma
Further reading
MCQs
18 Obesity and bariatric surgery
Introduction
Baiatric surgery and its role in weight loss
Laparoscopic adjustable gastric band
Sleeve gastrectomy
Roux‐en‐Y gastric bypass
Biliopancreatic diversion with duodenal switch
Conclusions
Further reading
MCQs
Section 3: Hepatopancreaticobiliary Surgery
19 Gallstones
Incidence: an overview
Types
Bile production and the enterohepatic circulation
Risk factors
Presentation
Diagnosis
Treatment
Burden of disease on Australian society
Further reading
MCQs
20 Malignant diseases of the hepatobiliary system
Introduction
Assessment of liver function preoperatively (Box 20.1)
Primary malignant tumours (Box 20.2)
Secondary tumours (liver metastases)
Chemotherapy and biologics in the management of patients with CRLM (Box 20.4)
Further reading
MCQs
21 Liver infections
Introduction
Bacterial infections
Parasitic infections
Further reading
MCQs
22 Pancreatitis
Introduction
Acute pancreatitis
Chronic pancreatitis
Further reading
MCQs
23 Pancreatic tumours
Introduction
Aetiology/risk factors
Molecular pathogenesis
Clinical presentation
Investigations
Disease staging
Surgical management
Chemotherapy for pancreatic adenocarcinoma
Pancreatic neuroendocrine tumours
Rare malignant disease
Cystic lesions of the pancreas
Further reading
MCQs
24 Portal hypertension and surgery on the patient with cirrhosis
Introduction
Anatomy
Pathophysiology
Presentation
Diagnosis
Ascites
Bleeding
Hepatic encephalopathy
Surgery on the patient with cirrhosis
Further reading
MCQs
Section 4: Lower Gastrointestinal Surgery
25 Principles of colorectal and small bowel surgery
Introduction
Preoperative preparation
Conceptualising the anastomosis as a ‘graft’
Colon: significance of blood supply
Rectal anatomy: mesorectum
Achieving colon mobility: embryological basis
Anastomoses
Surgical approach
Operative issues relevant to postoperative care
Postoperative care
Enhanced recovery after surgery
Further reading
MCQs
26 Physiology of small and large bowel: alterations due to surgery and disease
Introduction
Fluid volume
Nutrients
Stomas
Short‐gut syndrome
Enteric fistula
Further reading
MCQs
27 Small bowel obstruction and ischaemia
Introduction
Small bowel obstruction
Small bowel malignancy
Acute small bowel ischaemia
Ischaemic colitis
Further reading
MCQs
28 The appendix and Meckel’s diverticulum
Acute appendicitis
Surgical pathology
Clinical features
Investigations
Differential diagnosis
Management
Meckel’s diverticulum
Clinical syndromes
Diagnosis
Treatment
Further reading
MCQs
29 Inflammatory bowel disease
Introduction
Ulcerative colitis
Pathology
Clinical features
Investigations
Therapy for chronic ulcerative colitis
Surgical management
Crohn’s disease
Pathology
Crohn’s disease and cancer
Small intestinal Crohn’s disease
Crohn’s colitis
Perianal Crohn’s disease
Further reading
MCQs
30 Diverticular disease of the colon
Introduction
Pathology
Investigations
Acute diverticulitis
Bleeding diverticular disease
Fistula
Indications for elective operative treatment
Further reading
MCQs
31 Colorectal cancer
Introduction
Epidemiology
Aetiology
Pathology
Prognosis
Clinical presentation
Clinical assessment
Investigations
Treatment of colorectal cancer
Screening for colorectal cancer
Colorectal polyps
Inherited cancer and polyposis syndromes
Further reading
MCQs
32 Large bowel obstruction
Introduction
Aetiology and pathophysiology
Clinical features
History
Examination
Investigations
Treatment
Acute colonic pseudo‐obstruction (Ogilvie’s syndrome)
Conclusions
Further reading
MCQs
33 Perianal disorders I: excluding sepsis
Anatomy and physiology
History
Examination
Investigations
Conditions presenting with pain
Conditions presenting with bleeding
Conditions presenting with lump
Conditions presenting with discharge
Further reading
MCQs
34 Perianal disorders II: sepsis
Introduction
Aetiology: the crypto‐glandular hypothesis
Perianal abscess
Anal fistula
Other conditions causing sepsis in the perineal region
Further reading
MCQs
Section 5: Breast Surgery
35 Breast assessment and benign breast disease
Introduction
Anatomy of the adult breast
Assessment of the patient with a breast lump
BENIGN BREAST DISEASE
Mastalgia
Benign breast lumps
Nipple discharge
Proliferative and non‐proliferative conditions of the breast
Gynaecomastia in males
Further reading
MCQs
36 Malignant breast disease and surgery
Introduction
Incidence
Risk factors
Genetics
Prevention of breast cancer
Screening for breast cancer
Spread of breast cancer
Staging of breast cancer
Histopathology
Treatment of breast cancer
Supportive care
Follow‐up after treatment of early breast cancer
Acknowledgement
Further reading
MCQs
Section 6: Endocrine Surgery
37 Thyroid
Introduction
Disorders of the thyroid gland
Operative management: thyroidectomy
Further reading
MCQs
38 Parathyroid
Introduction
Disorders of the parathyroid glands
Operative management
Further reading
MCQs
39 Tumours of the adrenal gland
Introduction
Adrenal and neural crest tumours
Operative management: adrenalectomy
Further reading
MCQs
Section 7: Head and Neck Surgery
40 Eye injuries and infections
Introduction
Eye injuries
Eye infections
Further reading
MCQs
41 Otorhinolaryngology
Otology
Rhinology
Oral cavity, oropharynx and larynx
Cancer of the head and neck
Further reading
MCQs
42 Tumours of the head and neck
Introduction
Characteristics of common tumours
Salivary gland tumours
Paraganglionomas
Neural tumours
Soft tissue sarcomas
Bone tumours
Metastatic tumours
Further reading
MCQs
Section 8: Hernias
43 Hernias
Introduction
Components of a hernia
Predisposing factors
Complications
Principles of treatment
Inguinal hernia
Femoral hernia
Incisional hernia
Epigastric hernia
Umbilical hernia in children
Para‐umbilical hernia in adults
Hernias related to intestinal stomas
Spigelian hernia
Lumbar hernias
Obturator hernia
Sciatic hernias
Further reading
MCQs
Section 9: Skin and Soft Tissues
44 Tumours and cysts of the skin
Introduction
Cysts of the skin
Benign epidermal tumours
Malignant epithelial tumours
Pigmented lesions
Further reading
MCQs
45 Soft tissue tumours
Introduction
Benign soft tissue tumours
Primary malignant soft tissue tumours (sarcomas)
Further reading
MCQs
46 Infection of the extremities
Introduction
Fungal infections of the extremities
Bacterial infection of the extremities
Further reading
MCQs
47 Principles of plastic surgery
Introduction
Direct closure
Skin grafts
Flaps
Cosmetic surgery
Further reading
MCQs
Section 10: Trauma
48 Principles of trauma management
General principles
Trauma as a disease
Trauma system planning
Blunt and penetrating mechanisms of injury
Initial assessment
Definitive care
Tertiary survey
Outcomes
Further reading
MCQs
49 Burns
Introduction
Epidemiology and aetiology of burns
Skin anatomy and physiology
Classification of burns
Burn mechanism
Emergency management of burn patients
Burn wound care
Systemic effects of burn injury
Management of the major burn wound
Teamwork in burn care
Conclusion
Acknowledgement
Further reading
MCQs
Section 11: Orthopaedic Surgery
50 Fractures and dislocations
Fractures
Definitions
Classification of fractures
Types of fractures
Clinical presentation
Investigations
Treatment
Fracture immobilisation
Outcome
Complications
Late complications
Rehabilitation
Dislocations
Definition
Clinical presentation
Investigations
Treatment
Immobilisation
Physiotherapy
Complications
Further reading
MCQs
51 Diseases of bone and joints
Infections
Arthritides
Metabolic conditions of bones
Hormonal conditions of bones
Congenital/developmental conditions
Bone conditions of unknown origin
Conditions of joints
Orthopaedic malignancies
Further reading
MCQs
Section 12: Neurosurgery
52 Head injuries
Introduction
Pathophysiology of head injury
Traumatic intracranial haematomas
Initial management
Further management
Management of associated conditions
Rehabilitation
Further reading
MCQs
53 Intracranial tumours, infection and aneurysms
Introduction
BRAIN TUMOURS
Cerebral glioma
SUBARACHNOID HAEMORRHAGE AND CEREBRAL ANEURYSM
INTRACRANIAL INFECTION
Further reading
MCQs
54 Nerve injuries, peripheral nerve entrapments and spinal cord compression
Introduction
Acute nerve injuries
Peripheral nerve anatomy
Classification of nerve injuries
Causes of peripheral nerve injury
Management of nerve injuries
Brachial plexus injury
Peripheral nerve entrapment
Carpal tunnel syndrome
Ulnar nerve entrapment at the elbow
Meralgia paresthetica
Spinal cord compression
Presenting features
Management
Treatment
Common causes of spinal cord compression
Further reading
MCQs
Section 13: Vascular Surgery
55 Disorders of the arterial system
Introduction
Aneurysms
Chronic limb ischaemia
Acute limb ischaemia
Upper extremity
Vascular trauma
Further reading
MCQs
56 Extracranial vascular disease
Introduction
Pathogenesis (Box 56.2)
Clinical presentation
Investigations
Treatment
Future developments
Further reading
MCQs
57 Venous and lymphatic diseases of the limbs
Varicose veins
Anatomy of the venous system
Physiology
Clinical presentation
Examination
Investigations
Treatment
Lymphoedema
Incidence
Physiology
Pathogenesis and pathology
Clinical presentation
Investigation
Treatment
Prognosis and results of treatment
Further reading
MCQs
58 Endovascular therapies
Introduction
Equipment requirements for endovascular therapy
Endovascular procedures: the basics
Endovascular management of arterial aneurysm disease
Endovascular management of peripheral vascular disease
Endovascular treatment of haemorrhage
Other applications of endovascular therapy
Conclusion
Further reading
MCQs
Section 14: Urology
59 Benign urological conditions
Anatomy of the urinary tract
Stones
Haematuria
Lower urinary tract symptoms
Urinary tract infections
Penis
Scrotum and testes (see also Chapter 79)
Further reading
MCQs
60 Genitourinary oncology
Prostate cancer
Urothelial cancer
Renal cell carcinoma
Testicular cancer
Penile cancer
Further reading
MCQs
Section 15: Cardiothoracic Surgery
61 Principles and practice of cardiac surgery
Introduction
Cardiopulmonary bypass: heart–lung machine
Myocardial protection
Closed cardiac surgery
Coronary artery surgery
Cardiac valve surgery
Congenital cardiac surgery
Surgery of the thoracic aorta
Pacemaker and dysrhythmia surgery
Circulatory support
Cardiac transplantation
Complications of cardiac surgery
The future of cardiac surgery
Further reading
MCQs
62 Common topics in thoracic surgery
Introduction
Presentation of thoracic disorders
Non‐invasive diagnostic investigations
Invasive and operative investigations
Basic thoracic surgical techniques
Common thoracic disorders
Further reading
MCQs
Section 16: Problem Solving
63 Chronic constipation
Introduction
Physiology
Risk factors
Aetiology
Evaluation
Management
Irritable bowel syndrome
Other causes
Further reading
MCQs
64 Faecal incontinence
Introduction
Pathophysiology
Causes of faecal incontinence
Diagnostic approach
Treatment
Prevention
Summary
Further reading
MCQs
65 Rectal bleeding
Chronic rectal bleeding
Massive rectal bleeding
Further reading
MCQs
66 Haematemesis and melaena
Introduction
Causes of haematemesis
Management
Prognosis
Further reading
MCQs
67 Obstructive jaundice
Introduction
History and examination
Investigations
Further reading
MCQs
68 The acute abdomen, peritonitis and intra‐abdominal abscesses
The acute abdomen
Peritonitis
Intra‐abdominal abscesses
Summary
Further reading
MCQs
69 Ascites
Introduction
Pathophysiology of ascites
Clinical features
Investigation
Clinical outcome
Treatment
Further reading
MCQs
70 Neck swellings
Introduction
Basic knowledge
Clinical assessment
Investigation
Treatment
Further reading
MCQs
71 Acute airway problems
Introduction
Causes
Assessment
Investigation
Securing the airway
Further reading
MCQs
72 Dysphagia
Introduction
Causes of dysphagia
Diagnosis of the causes of dysphagia
Specific causes of dysphagia
Further reading
MCQs
73 Leg swelling and ulcers
Introduction
Leg swelling
Leg ulcers
Further reading
MCQs
74 Haematuria
Introduction
Differential diagnosis
Assessment
Conclusion
Further reading
MCQs
75 Postoperative complications
Introduction
Confusion
Chest pain
Fever
Oliguria
Wound discharge
Bleeding
Shock
Leg swelling
Further reading
MCQs
76 Massive haemoptysis
Introduction
Aetiology of massive haemoptysis
Surgical pathology
Clinical evaluation
Investigations
Management plan
Further reading
MCQs
77 Epistaxis
Introduction
Vascular anatomy
Epistaxis in children
Epistaxis in adults
Management
Further reading
MCQs
78 Low back and leg pain
Introduction
Applied anatomy
Pain generators
Clinical presentation
Examination
Investigation
Treatment
Further reading
MCQs
79 Acute scrotal pain
Introduction and anatomy
Differential diagnosis
Assessment
Management
Conclusions
Further reading
MCQs
80 Post‐traumatic confusion
Introduction
Aetiology and pathogenesis (Box 80.1)
Management of patient with post‐traumatic confusion (Box 80.2)
Investigation
Further reading
MCQs
81 Sudden‐onset severe headache
Introduction
Subarachnoid haemorrhage
Other causes of intracranial haemorrhage
Further reading
MCQs
82 The red eye
Introduction
Basic anatomy of the eye
The red and/or painful eye
Further reading
MCQs
83 Double vision
Basic extraocular muscle anatomy
Diplopia
Further reading
MCQs
Answers to MCQs
Index
End User License Agreement
List of Tables
Chapter 1
Table 1.1 Risks of postoperative surgical site infection.
Table 1.2 Prevention of deep vein thrombosis.
Chapter 2
Table 2.1 Overview of the morbidity and mortality of common surgical procedur...
Table 2.2 American Society of Anesthesiologists classification of mortality r...
Chapter 3
Table 3.1 American Society of Anesthesiologists Physical Score (ASA‐PS).
Chapter 4
Table 4.1 Electrolyte concentrations.
Table 4.2 Approximate electrolyte concentrations.
Chapter 7
Table 7.1 Nutrition requirements in 25–55 year olds.
Table 7.2 Energy stores and body composition in a 40‐year‐old 73‐kg man.
Table 7.3 Comparisons between marasmus and kwashiorkor
Table 7.4 Components of immunonutrition.
Chapter 13
Table 13.1 Emergency general surgical admissions*.
Table 13.2 Common emergency general surgical operations*.
Chapter 15
Table 15.1 American Joint Committee on Cancer TMN Classification for Oesophag...
Chapter 16
Table 16.1 Operations for duodenal ulcers.
Chapter 17
Table 17.1 AJCC staging system for gastric cancer (8th edition) including cli...
Table 17.2 Definition of gastric TNM staging.
Chapter 18
Table 18.1 Complications of laparoscopic adjustable gastric band.
Table 18.2 Complications of laparoscopic sleeve gastrectomy.
Table 18.3 Complications of Roux‐en‐Y gastric bypass.
Chapter 19
Table 19.1 Tokyo diagnostic criteria for acute cholecystitis.
Table 19.2 Tokyo guidelines for severity of acute cholecystitis.
Table 19.3 Causes of acute cholangitis.
Table 19.4 Diagnostic criteria for acute cholangitis.
Table 19.5 Severity assessment criteria for acute cholangitis.
Chapter 22
Table 22.1 Definitions of local complications of acute pancreatitis based on ...
Table 22.2 Modified Marshall scoring system for organ dysfunction: a score of...
Chapter 24
Table 24.1 Calculation of Child–Pugh score.
Table 24.2 The 90‐day mortality following abdominal surgery in patients with ...
Chapter 29
Table 29.1 Pre‐immune suppression screen.
Table 29.2 Differentiation between ulcerative colitis and Crohn’s colitis.
Chapter 31
Table 31.1 Staging methods for colorectal cancer.
Table 31.2 Prognosis in colorectal cancer: 5‐year survival rates (%).
Table 31.3 Relationship of adenoma to invasive carcinoma.
Chapter 37
Table 37.1 Bethesda system and cytology diagnostic categories for thyroid can...
Chapter 39
Table 39.1 Clinical features and investigations for adrenal tumours.
Table 39.2 Classification of adrenal medullary and neural crest tumours.
Chapter 41
Table 41.1 Tumour staging in squamous carcinoma.
Chapter 42
Table 42.1 Tumours of the head and neck.
Chapter 43
Table 43.1 Relative occurrence of external abdominal hernias in adults.
Table 43.2 Sex distribution of abdominal hernias.
Chapter 44
Table 44.1 Excision margins related to tumour thickness.
Chapter 45
Table 45.1 Primary soft tissue tumours.
Chapter 48
Table 48.1 Primary survey and resuscitation.
Table 48.2 Secondary survey: look! listen! feel!
Table 48.3 Common injuries and potentially dangerous sequelae.
Chapter 49
Table 49.1 Assessment of burn depth.
Chapter 52
Table 52.1 Glasgow Coma Scale.
Chapter 53
Table 53.1 Incidence (%) of common cerebral tumours.
Table 53.2 Position (%) of intracranial meningioma.
Table 53.3 Classification of pituitary adenomas.
Table 53.4 Common organisms causing primary bacterial meningitis related to a...
Table 53.5 Cerebral abscess: pathogenesis and principal organisms.
Chapter 54
Table 54.1 Classification of nerve injuries.
Chapter 55
Table 55.1 Demonstration of the exponential increase in rupture risk with inc...
Table 55.2 Types of endoleak.
Chapter 58
Table 58.1 Rutherford classification for chronic limb ischaemia.
Table 58.2 Rutherford classification for acute limb ischaemia.
Chapter 60
Table 60.1 The 2010 TNM (tumour, node, metastasis) staging of prostate cancer...
Table 60.2 Risk groups for prostate cancer.
Table 60.3 The 2010 TNM (tumour, node, metastasis) staging of bladder cancer.
Table 60.4 The 2010 TNM (tumour, node, metastasis) staging of renal cancer.
Chapter 61
Table 61.1 Coronary bypass graft patency.
Table 61.2 Cardiac valve prosthesis.
Chapter 62
Table 62.1 Physical signs in thoracic disease.
Chapter 63
Table 63.1 Laxatives used in the management of constipation.
Chapter 64
Table 64.1 Wexner score.
Chapter 65
Table 65.1 Classification and common causes of chronic rectal bleeding.
Chapter 74
Table 74.1 Differential diagnoses of underlying causes of haematuria.
Chapter 78
Table 78.1 Differential diagnosis of leg pain.
Chapter 80
Table 80.1 Glasgow Coma Scale.
Chapter 82
Table 82.1 Common systemic causes of red eye.
Table 82.2 Common differential diagnosis for a red eye.
Chapter 83
Table 83.1 Cardinal position of gaze, extraocular muscles and their cranial n...
List of Illustrations
Chapter 7
Fig. 7.1 Metabolic response to systemic inflammation. AA, amino acid; FFA, f...
Fig. 7.2 Nutritional Risk Screening (NRS 2002).
Chapter 8
Fig. 8.1 Pathways of critical illness.
Chapter 9
Fig. 9.1 Necrotising fasciitis of the right thigh. Note that the subtle mott...
Fig. 9.2 Fournier’s gangrene involving the scrotum and right buttock
Chapter 10
Fig. 10.1 Comparison of the donation after brain death and donation after ci...
Chapter 12
Fig. 12.1 Sample pages from a patient information brochure for coronary arte...
Fig. 12.2 Scalpel in a plastic bowl in readiness for passing to the surgeon....
Fig. 12.3 WHO Surgical Safety Checklist.
Fig. 12.4 Closed gloving where the hands remain within the gown sleeves whil...
Fig. 12.5 Example of an operation note template.
Fig. 12.6 Image intensifier system used in the operating theatre.
Chapter 14
Fig. 14.1 Endoscopic photograph of erosive oesophagitis in the lower oesopha...
Fig. 14.2 Large type II hiatus hernia. Coronal CT scans of the same patient ...
Fig. 14.3 Barium swallow demonstrating a type III hiatus hernia (mixed slidi...
Fig. 14.4 High‐resolution manometry trace displayed as a line plot (a) and s...
Fig. 14.5 Recording from a 24‐hour pH monitoring test. The line trace is a s...
Chapter 15
Fig. 15.1 (a) Large oesophageal leiomyoma on coronal CT and (b) resected spe...
Fig. 15.2 Classification of adenocarcinomas around the gastro‐oesophageal ju...
Fig. 15.3 An example management protocol for oesophageal adenocarcinoma. EMR...
Fig. 15.4 (a) Ivor Lewis oesophagectomy with an intrathoracic oesophago‐gast...
Fig. 15.5 Two‐stage oesophagectomy, with the stomach in the posterior medias...
Fig. 15.6 Self‐expanding metallic oesophageal stent
in situ
.
Chapter 16
Fig. 16.1 Patch repair of perforated duodenal ulcer with a vascularised omen...
Chapter 18
Fig. 18.1 Laparoscopic adjustable gastric band.
Fig. 18.2 Sleeve gastrectomy.
Fig. 18.3 Roux‐en‐Y gastric bypass.
Fig. 18.4 Biliopancreatic diversion with duodenal switch.
Chapter 19
Fig. 19.1 Ultrasound of gallbladder containing gallstones, showing an echo w...
Chapter 20
Fig. 20.1 CT cholangiogram of a malignant biliary stricture in the left duct...
Fig. 20.2 Magnetic resonance cholangiogram of a benign biliary stricture mim...
Fig. 20.3 Gallbladder cancer (T2bN0M0) immediately after resection and at 4 ...
Fig. 20.4 Large central hepatocellular carcinoma secondary to haemochromatos...
Fig. 20.5 Large central hepatocellular carcinoma in a patient with Child–Pug...
Fig. 20.6 MRI scan showing multifocal colorectal liver metastases (arrows) n...
Fig. 20.7 Multifocal colorectal liver metastases requiring an extended right...
Chapter 21
Fig. 21.1 Hydatid liver lesion arising from the left lobe of liver.
Chapter 22
Fig. 22.1 CT scans of various complications of acute pancreatitis. (a) A 38‐...
Chapter 23
Fig. 23.1 Surveillance, Epidemiology and End Result Program (SEER) database:...
Fig. 23.2 Pancreatic intraepithelial neoplasia progression from early change...
Fig. 23.3 (a) Pancreaticoduodenectomy consists of partial gastrectomy, parti...
Fig. 23.4 Palliative bypass of the bile duct and stomach in a patient with a...
Chapter 24
Fig. 24.1 Large recanalised umbilical vein due to cirrhosis.
Fig. 24.2 Transjugular intrahepatic portosystemic shunt procedure. (a) Punct...
Fig. 24.3 Recommended approach to primary prophylaxis, management of bleedin...
Fig. 24.4 Subtotal cholecystectomy in a patient with frequent biliary colic ...
Chapter 25
Fig. 25.1 Abdomino‐perineal excision specimen showing rectum and anal canal....
Chapter 26
Fig. 26.1 (a) Construction of an end‐ileostomy. (b) Eversion and maturation ...
Fig. 26.2 Entero‐atmospheric fistula showing large skin defect and multiple ...
Chapter 27
Fig. 27.1 Laparotomy displaying a single band adhesion causing closed‐loop o...
Chapter 28
Fig. 28.1 The various positions of the appendix.
Fig. 28.2 Meckel’s diverticulum.
Chapter 29
Fig. 29.1 A stapled ileal pouch–anal anastomosis.
Fig. 29.2 Abdominal colectomy for toxic megacolon. Lateral view showing the ...
Fig. 29.3 Short strictures of the small bowel separated by normal skip areas...
Fig. 29.4 Computed tomography scan showing thick‐walled bowel loops in a pat...
Fig. 29.5 Heineke–Mikulicz strictureplasty. The stricture is (a) incised lon...
Fig. 29.6 Finney strictureplasty for a longer stricture using a side‐to‐side...
Chapter 30
Fig. 30.1 Diverticulosis: diverticula protrude through the circular muscle a...
Fig. 30.2 Colonoscopic view of sigmoid diverticula.
Fig. 30.3 Computed tomography scan showing a localised abscess in the left p...
Fig. 30.4 Hartmann’s procedure.
Chapter 31
Fig. 31.1 Computed tomography scan of the abdomen showing multiple metastase...
Fig. 31.2 Right hemicolectomy for ascending colon cancer. Dashed line indica...
Fig. 31.3 Left hemicolectomy for descending colon cancer. Dashed line indica...
Fig. 31.4 Anterior resection for rectal cancer. Dashed line indicates resect...
Fig. 31.5 (a) Hand‐sewn anastomosis.
(
b
)
Double‐stapled anastomosis where th...
Fig. 31.6 Abdominoperineal excision of the rectum. Dashed line indicates res...
Fig. 31.7 Hartmann’s procedure for perforated colon cancer (which can be mod...
Fig. 31.8 Sessile (a) and pedunculated (b) polyp.
Fig. 31.9 Endoscopic snare polypectomy during colonoscopy.
Fig. 31.10 Colonoscopic view of familial adenomatous polyposis.
Fig. 31.11 Computed tomography scan of an abdomen showing a large desmoid tu...
Chapter 32
Fig. 32.1 CT scan with intravenous contrast demonstrating an obstructing neo...
Fig. 32.2 Algorithm for the management of LBO.
Fig. 32.3 (a) CT scan with intravenous contrast demonstrating an obstructing...
Fig. 32.4 Algorithm for the management of ACPO.
Chapter 33
Fig. 33.1 Anatomy of the rectum and anal canal.
Fig. 33.2 Anal manometry pressure tracing using continuous perfusion cathete...
Fig. 33.3 Anal canal. DL, dentate line.
Fig. 33.4 Endoanal ultrasound of the mid‐anal canal. The probe is in the lum...
Fig. 33.5 Squamous cell carcinoma of the anal verge.
Fig. 33.6 Anatomical features of rectal prolapse.
Chapter 34
Fig. 34.1 Spread of infection from (a) the primary anal gland abscess to (b)
Fig. 34.2 Types of abscess in the perianal region: (A) ischiorectal, (B) per...
Fig. 34.3 Patient examined in the left‐lateral position showing features of ...
Fig. 34.4 Goodsall’s law.
Fig. 34.5 Types of perianal fistula: (A) intersphincteric, (B) trans‐sphinct...
Fig. 34.6 Hidradenitis of the perineum and perianal region.
Chapter 35
Fig. 35.1 Craniocaudal mammogram (a) and tomosynthesis (b) showing a stellat...
Fig. 35.2 Ultrasound (a) and MRI (b) showing typical features of breast canc...
Fig. 35.3 Ultrasound (a) and haematoxylin and eosin (H&E) section (b) of a t...
Fig. 35.4 Breast ultrasound showing a well‐defined breast cyst.
Chapter 36
Fig. 36.1 Haematoxlin and eosin (H&E) sections of (a) normal duct, (b) atypi...
Fig. 36.2 Immunohistochemistry of (a) oestrogen‐positive and (b) HER2‐positi...
Fig. 36.3 Mammogram showing typical calcification seen in extensive ductal c...
Fig. 36.4 Invasive lobular cancer showing single files of malignant cells.
Chapter 37
Fig. 37.1 Surgical anatomy of the thyroid gland. The left lobe of the gland ...
Chapter 40
Fig. 40.1 (a) This patient has a blow‐out fracture of the right orbit and sh...
Fig. 40.2 Corneal abscess. The pathological process is visible because of th...
Chapter 41
Fig. 41.1 Schematic anatomy of the ear. The sternocleidomastoid muscle attac...
Fig. 41.2 Chronic otitis media and surgical treatment. (a) Chronic otitis me...
Chapter 43
Fig. 43.1 Components of a hernia.
Fig. 43.2 Richter’s hernia.
Fig. 43.3 Maydl’s hernia.
Fig. 43.4 Types of inguinal hernias (right side): (a) indirect inguinal hern...
Fig. 43.5 Types of indirect inguinal hernias.
Fig. 43.6 Section through sliding inguinal hernia.
Fig. 43.7 Sagittal section of a femoral hernia.
Fig. 43.8 Keel repair.
Fig. 43.9 Mayo repair. (a) Insertion of two sutures through upper and lower ...
Fig. 43.10 Parastomal hernia.
Chapter 45
Fig. 45.1 (a) Lipoma of the flank: MRI showing typically encapsulated lesion...
Fig. 45.2 (a) MRI of schwannoma (S) of the upper arm demonstrating ovoid les...
Fig. 45.3 (a) MRI showing haemangioma (H) in proximal vastus lateralis (arro...
Fig. 45.4 MRI provides unsurpassed soft tissue contrast. Fatty tissue (blue ...
Fig. 45.5 CT scan of foot demonstrating calcification of myositis ossificans...
Fig. 45.6 PET scan of a soft tissue sarcoma (STS) within the quadriceps musc...
Fig. 45.7 (a) Heterogeneous area (H) within lipomatous tumour raising suspic...
Fig. 45.8 (a) MRI of soft tissue sarcoma (STS) within adductor magnus muscle...
Chapter 46
Fig. 46.1 Longitudinal section of the finger tip with a pulp space abscess....
Fig. 46.2 Transverse section of acute paronychia with subungual extension....
Fig. 46.3 This laceration overlying the proximal interphalangeal joint needs...
Fig. 46.4 Significant cellulitis of the lower leg. The skin is red, shiny an...
Fig. 46.5 The infection in the little finger has spread and has resulted in ...
Fig. 46.6 The ideal splinting position for the hand. Note that the wrist is ...
Fig. 46.7 The ideal splinting position for the foot and lower leg.
Chapter 47
Fig. 47.1 (a) Captain J.G.H. Budd was admitted to hospital in May 1919 missi...
Fig. 47.2 Rotation flap. (a) Design of flap. Lesion/defect triangulated and ...
Fig. 47.3 A V–Y advancement flap.
Fig. 47.4 A Z‐plasty flap.
Chapter 48
Fig. 48.1 Acute trauma management procedure.
Fig. 48.2 Outline of strategy for primary survey and resuscitation.
Chapter 49
Fig. 49.1 Burn depth in relation to skin structure.
Fig. 49.2 ‘Rule of nines’ for estimating extent of burns in adults.
Fig. 49.3 Lund and Browder chart for estimating extent of burns in children....
Fig. 49.4 Superficial partial‐thickness burn at 24 hours with intact blister...
Fig. 49.5 Mixed depth predominantly deep partial‐ and full‐thickness burns. ...
Fig. 49.6 Healing superficial burn 10 days after injury. Note that more supe...
Fig. 49.7 Excised burn wound of mixed full and partial thickness depth showi...
Fig. 49.8 Surgical algorithm for large burn wound management.
Fig. 49.9 Skin mesher.
Chapter 50
Fig. 50.1 Types of fractures.
Fig. 50.2 Colles fracture. (a) Anteroposterior X‐ray of comminuted distal ra...
Fig. 50.3 Principles of the technique of fracture reduction. (a) Most fractu...
Fig. 50.4 (a) Large pelvic wound after amputation requiring multiple debride...
Fig. 50.5 (a) Fracture subluxation of the ankle. (b) Fracture dislocation of...
Chapter 51
Fig. 51.1 Mechanisms of entry of infective organisms into bone and joints.
Fig. 51.2 Typical varus deformity in a patient with osteoarthritis of the kn...
Fig. 51.3 The radiological features of
(
a
)
osteoarthritis include joint spac...
Fig. 51.4 (a) Radiograph of a distal femoral osteosarcoma showing typical ar...
Chapter 52
Fig. 52.1 Brain herniation: 1, subfalcine; 2, herniation of the uncus and hi...
Fig. 52.2 Depressed skull fracture.
Fig. 52.3 Extradural haematoma with typical biconvex configuration.
Fig. 52.4 Acute subdural haematoma with compression of ventricles.
Fig. 52.5 Chronic subdural haematoma (SDH): (a) CT showing SDH; (b) T1‐ and ...
Chapter 53
Fig. 53.1 Low‐grade glioma with decreased density on T1‐weighted MRI.
Fig. 53.2 High‐grade glioma (glioblastoma multiforme) showing vivid enhancem...
Fig. 53.3 Oligodendroglioma that is highly calcified.
Fig. 53.4 Multiple metastatic tumours.
Fig. 53.5 (a) Posterior fossa cystic astrocytoma with small tumour nodule an...
Fig. 53.6 Classical positions of meningiomas.
Fig. 53.7 (a) Axial and (b) coronal MRI showing meningioma with vivid contra...
Fig. 53.8 Acoustic neuroma showing extension to tumour into internal auditor...
Fig. 53.9 Colloid cyst of third ventricle.
Fig. 53.10 Large pituitary tumour with marked suprasellar extension causing ...
Fig. 53.11 T1‐weighted MRI with enhancement showing pineal tumour.
Fig. 53.12 Diffuse blood in the basal cisterns confirming the diagnosis of s...
Fig. 53.13 (a) Cerebral aneurysm on angiogram. (b) Arteriovenous malformatio...
Fig. 53.14 Cerebral abscess: a ring‐enhancing mass.
Chapter 54
Fig. 54.1 The brachial plexus passing through the cervicobrachial junction....
Fig. 54.2 The carpal tunnel just distal to the wrist.
Fig. 54.3 The ulnar nerve passing behind the medial epicondyle of the humeru...
Fig. 54.4 MRI of thoracic fracture causing spinal cord compression.
Fig. 54.5 MRI of spinal metastases.
Fig. 54.6 Spinal schwannoma at operation causing spinal cord compression.
Fig. 54.7 T1‐weighted contrast‐enhanced MRI of thoracic meningioma: (a) axia...
Fig. 54.8 T1‐weighted post‐contrast sagittal MRI of lumbar ependymoma.
Chapter 55
Fig. 55.1 Suggested management algorithm for intermittent claudication.
Chapter 56
Fig. 56.1 Carotid duplex scan showing turbulent flow at the origin of the in...
Fig. 56.2 Carotid angiogram showing more than 80% stenosis at the origin of ...
Fig. 56.3 After the carotid arteries are clamped, the plaque (a) is removed ...
Chapter 58
Fig. 58.1 Angiography suite: note the ceiling‐mounted C‐arm configuration (v...
Fig. 58.2 A flexible self‐expanding stent.
Fig. 58.3 Bifurcated endograft for exclusion of an abdominal aortic aneurysm...
Fig. 58.4 Seldinger technique. (1) The artery is punctured with a hollow nee...
Fig. 58.5 Endoleak classification.
Fig. 58.6 (a) Complex aortic stenotic disease (broad horizontal arrow) and i...
Fig. 58.7 Catheter arteriogram of a highly vascular renal carcinoma of the r...
Chapter 59
Fig. 59.1 X‐ray of kidneys, ureters and bladder (a) and non‐contrast abdomin...
Fig. 59.2 Retrograde urethrogram showing urethral stricture.
Fig. 59.3 Anatomy of the penis.
Fig. 59.4 Testicular ultrasound showing hydrocele.
Chapter 61
Fig. 61.1 Typical coronary artery revascularisation of the anterior, lateral...
Fig. 61.2 Postoperative angiography of (a) the left internal thoracic artery...
Fig. 61.3 Severe calcific aortic stenosis with associated aortic valve insuf...
Fig. 61.4 Transoesophageal echocardiogram to evaluate the aortic valve (cent...
Fig. 61.5 Prosthetic cardiac valves: (
top
) pericardial xenograft tissue valv...
Fig. 61.6 Large aneurysm of the ascending thoracic aorta that preferentially...
Chapter 62
Fig. 62.1 Chest X‐ray showing a large left‐sided pleural effusion.
Fig. 62.2 Chest X‐ray showing a large right‐sided spontaneous pneumothorax. ...
Fig. 62.3 (a) Chest X‐ray showing a right hilar lung cancer with collapse an...
Fig. 62.4 (a) Chest X‐ray, (b) CT scan and (c) PET scan appearance of a soli...
Chapter 63
Fig. 63.1 Management algorithm for constipation. AXR, abdominal X‐ray; CMP, ...
Chapter 64
Fig. 64.1 Anal canal and rectum.
Fig. 64.2 Endoanal ultrasound: (a) mid‐anal canal; (b) external and internal...
Fig. 64.3 Implantation of sacral nerve stimulation equipment consisting of a...
Chapter 66
Fig. 66.1 Algorithm for management of haematemesis and melaena.
Chapter 67
Fig. 67.1 Diagnostic and therapeutic approach to a patient with jaundice. CT...
Fig. 67.2 MRCP demonstrating a dilated biliary system and gallbladder due to...
Fig. 67.3 Intraoperative cholangiogram demonstrating choledocholithiasis vis...
Chapter 68
Fig. 68.1 Erect chest X‐ray showing free gas beneath the right hemidiaphragm...
Fig. 68.2 CT scan showing a pelvic abscess.
Fig. 68.3 CT scan of the abdomen showing a large subphrenic abscess that was...
Chapter 69
Fig. 69.1 The pathophysiology of ascites due to cirrhosis.
Fig. 69.2 (a, b) Clinical examination: palpating for ascites.
Fig. 69.3 (a) Ultrasound showing fluid (black) around the liver. (b) CT scan...
Chapter 70
Fig. 70.1 The triangles, lymph node levels and normal lymph nodes in the nec...
Fig. 70.2 The anterior compartment of the neck showing the trachea, thyroid ...
Fig. 70.3 Computed tomography scans showing common pathological processes in...
Fig. 70.4 Management algorithm for neck lumps. EUA, examination under anaest...
Chapter 72
Fig. 72.1 Management of dysphagia. EUS, endoscopic ultrasound; PEG, percutan...
Chapter 73
Fig. 73.1 Pressures influencing net movement of fluid in and out of capillar...
Chapter 74
Fig. 74.1 Representative CT images: (a) calculus (arrow) within the lower po...
Fig. 74.2 Cystoscopic images: (a) bladder tumour; (b) enlarged prostatic lob...
Fig. 74.3 Flowchart illustrating clinical assessment of patients with haemat...
Chapter 78
Fig. 78.1 (a) T2‐weighted sagittal MRI of lumbar spine showing a smaller dis...
Fig. 78.2 (a) Sagittal midline CT of lumbar spine (bone windows setting) sho...
Fig. 78.3 T2‐weighted sagittal midline MRI of lumbar spine showing a destruc...
Fig. 78.4 (a) Dermatomal pattern of sensory supply.(b) Nerve root supply...
Chapter 79
Fig. 79.1 (a) Diagrammatic view of scrotal anatomy. (b) Cross‐section of tes...
Fig. 79.2 Ultrasound images demonstrating a reduction in blood flow in the r...
Fig. 79.3 Ultrasound images demonstrating oedema and swelling of the epididy...
Chapter 82
Fig. 82.1 Basic anatomy of the eye.
Fig. 82.2 Occlusion with palm.
Fig. 82.3 Standard Snellen visual acuity chart, ‘C’ chart and ‘E’ chart.
Fig. 82.4 Corneal dendrite caused by herpes simplex virus demonstrated by fl...
Chapter 83
Fig. 83.1 Cardinal eye positions of gaze. The primary muscles active in each...
Fig. 83.2 Normal direct and consensual response.
Fig. 83.3 Swinging light reflex showing relative afferent pupil defect.
Fig. 83.4 Patient with a right third cranial nerve palsy. In the upper pictu...
Guide
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Textbook of Surgery
EDITED BY
Julian A. Smith
MBBS, MS, MSurgEd, FRACS, FACS, FFSTRCSEd, FCSANZ, FAICD
Head, Department of Surgery (School of Clinical Sciences at Monash Health), Monash University
Head, Department of Cardiothoracic Surgery, Monash Health
Editor‐in‐Chief, ANZ Journal of Surgery
Andrew H. Kaye AM
MBBS, MD, FRACS
Head, Department of Surgery, The University of Melbourne
Christopher Christophi AM
MBBS (Hons), MD, FRACS, FRCS, FACS
Head of Surgery (Austin Health), The University of Melbourne
Wendy A. Brown
MBBS (Hons), PhD, FRACS, FACS
Head, Department of Surgery (Central Clinical School, Alfred Health), Monash University
Director, Centre for Obesity Research and Education (CORE), Monash University
FOURTH EDITION
This edition first published 2020 © 2020 by John Wiley & Sons Ltd
Edition History1e (1997); 2e (2001); 3e (2006) Blackwell Publishing Ltd.
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Library of Congress Cataloging‐in‐Publication Data
Names: Smith, Julian A., editor. | Kaye, Andrew H., 1950– editor.Title: Textbook of surgery / edited by Julian A. Smith, MBBS, MS, MSurgEd, FRACS, FACS, FFSTRCSEd, FCSANZ, FAICD Head, Department of Surgery (School of Clinical Sciences at Monash Health), Monash University, Head, Department of Cardiothoracic Surgery, Monash Health, Editor‐in‐Chief, ANZ Journal of Surgery, Andrew H. Kaye, AM, MBBS, MD, FRACS, Head, Department of Surgery, The University of Melbourne, Christopher Christophi, AM, MBBS (Hons), MD, FRACS, FRCS, FACS, Head of Surgery (Austin Health), The University of Melbourne, Wendy A. Brown, MBBS (Hons), PhD, FRACS, FACS, Head, Department of Surgery (Central Clinical School, Alfred Health), Monash University Director, Centre for Obesity Research and Education (CORE), Monash University.Other titles: SurgeryDescription: Fourth edition. | Hoboken, NJ : Wiley‐Blackwell, 2020. | Includes bibliographical references and index.Identifiers: LCCN 2019030070 (print) | LCCN 2019030071 (ebook) | ISBN 9781119468080 (paperback) | ISBN 9781119468172 (adobe pdf) | ISBN 9781119468165 (epub)Subjects: LCSH: Surgery.Classification: LCC RD31 .T472 2020 (print) | LCC RD31 (ebook) | DDC 617–dc23LC record available at https://lccn.loc.gov/2019030070LC ebook record available at https://lccn.loc.gov/2019030071
Cover image: © gchutka/Getty ImagesCover design by Wiley
Contributors
Alexios A. AdamidesBMedSci, BMBS, MRCS (Edin), MD, FRACSClinical Senior Lecturer, University of MelbourneNeurosurgeon, Royal Melbourne HospitalMelbourne, Victoria, Australia
Ahmad AlyMBBS, MS, FRACSClinical Associate Professor of Surgery, University of MelbourneHead, Upper Gastrointestinal Surgery, Austin HealthMelbourne, Victoria, Australia
Mark W. AshtonMBBS, MD, FRACSClinical Professor of Surgery, University of MelbournePlastic Surgeon, Royal Melbourne HospitalMelbourne, Victoria, Australia
Roger BerryMBBS, FRACSSenior Lecturer in Surgery, Monash UniversityUpper Gastrointestinal and Hepatobiliary Surgeon, Monash HealthMelbourne, Victoria, Australia
Robert J.S. BriggsMBBS, FRACS, FACSClinical Professor of Surgery, University of MelbourneClinical Executive Director of Otolaryngology; Head, Otology and Medical Director, Cochlear Implant Clinic, Royal Victorian Eye and Ear HospitalMelbourne, Victoria, Australia
Wendy A. BrownMBBS (Hons), PhD, FRACS, FACSHead, Department of Surgery (Central Clinical School, Alfred Health), Monash UniversityDirector, Centre for Obesity Research and Education (CORE), Monash UniversityMelbourne, Victoria, Australia
Timothy BuckenhamMBChB, FRANZCR, FRCR, FCIRSE, EBIRProfessor of Vascular Imaging and Intervention, Monash UniversityHead, Vascular Services, Department of Imaging, Monash HealthMelbourne, Victoria, Australia
Andrew BuiMBBS, MSc, FRACSLecturer in Surgery, University of MelbourneColorectal Surgeon, Austin HealthMelbourne, Victoria, Australia
Adele BurgessBMedSci (Hons), MBBS, FRACSSenior Lecturer in Surgery, University of MelbourneHead, Colorectal Surgery, Austin HealthMelbourne, Victoria, Australia
David BurnettBSc, MBBS, FRACSHepatopancreaticobiliary SurgeonJohn Hunter HospitalNewcastle, New South Wales, Australia
Paul BurtonMBBS(Hons), PhD, FRACSSenior Lecturer in Surgery, Monash UniversityUpper Gastrointestinal Surgeon, Alfred HealthMelbourne, Victoria, Australia
John F. Cade AMMD, PhD, FRACP, FANZCA, FCICMProfessorial Fellow, Department of Medicine, University of MelbourneEmeritus Consultant in Intensive Care, Royal Melbourne HospitalMelbourne, Victoria, Australia
Paul A. CashinMBBS, FRACSClinical Associate Professor of Surgery, Monash UniversityDirector of General Surgery, Monash HealthMelbourne, Victoria, Australia
Steven T.F. ChanMBBS, PhD, FRACSProfessor of Surgery, University of MelbourneUpper Gastrointestinal Surgeon, Western HealthMelbourne, Victoria, Australia
Raaj ChandraMBBS, BMed Sci, MEd, FRACSAdjunct Senior Lecturer in Surgery, Monash UniversityColorectal Surgeon, Royal Melbourne HospitalMelbourne, Victoria, Australia
Christine ChenMBBS, PhD, FRANZCOClinical Associate Professor of Surgery, Monash UniversityHead, Department of Ophthalmology, Monash HealthMelbourne, Victoria, Australia
Peter F. ChoongMBBS, MD, FRACS, FAOrthA, FAAHMSProfessor of Surgery, University of MelbourneDirector of Orthopaedics, St. Vincent’s HospitalChair, Bone and Soft Tissue Sarcoma Service Peter MacCallum Cancer CentreMelbourne, Victoria, Australia
Britt ChristensenBSc, MBBS(Hons), MPH, FRACPHead, Inflammatory Bowel Disease Unit, Department of Gastroenterology, Royal Melbourne HospitalMelbourne, Victoria, Australia
Christopher Christophi AMMBBS (Hons), MD, FRACS, FRCS, FACSHead of Surgery (Austin Health), University of MelbourneMelbourne, Victoria, Australia
S.C. Sydney ChungMD, FRCS (Edin), FRCP (Edin)Formerly Dean, Faculty of Medicine, Chinese University of Hong KongSenior Consultant in Surgery, Union HospitalHong Kong
Heather ClelandMBBS, FRACSDirector, Victorian Adult Burns Service and Plastic Surgeon, Alfred HealthMelbourne, Victoria, Australia
Anthony J. Costello AMMBBS, MD, FRACS, FRCSI (Hon)Professorial Fellow, University of MelbourneHead, Department of Urology, Royal Melbourne HospitalMelbourne, Victoria, Australia
Daniel M. CostelloMBBS, DipSurgAnatSurgical Resident, St. Vincent’s HospitalMelbourne, Victoria, Australia
Scott K. D’AmoursBSc, MDCM, FRCSC, FRACS, FRCS(Glasg), FACSConjoint Senior Lecturer in Surgery, University of New South WalesDirector, Department of Trauma Services, Liverpool HospitalSydney, New South Wales, Australia
Helen V. Danesh‐MeyerMBChB, MD, PhD, FRANZCOProfessor of Ophthalmology, School of Medicine, University of AucklandAuckland, New Zealand
Andrew DanksMBBS, MD, FRACSAssociate Professor of Surgery, Monash UniversityHead, Department of Neurosurgery, Monash HealthMelbourne, Victoria, Australia
Anthony DatMBBS, MSUrology Registrar, Eastern HealthMelbourne, Victoria, Australia
Rajiv V. DaveMBChB, FRCSEd, MD, BSc(Hons)Fellow in Oncoplastic Breast and Endocrine Surgery, Royal Melbourne HospitalMelbourne, Victoria, AustraliaThe Nightingale Centre, Manchester University NHS Foundation TrustManchester, UK
Stephen A. Deane AMMBBS, FRACS, FACS, FRCSC, FRCSEd (ad hom), FRCSThailand (Hon)Associate Dean, Clinical Partnerships, Macquarie University, SydneyConjoint Professor of Surgery, University of NewcastleHonorary Consultant Surgeon, Hunter and New England Local Health DistrictNew South Wales, Australia
Peter De CruzMBBS, PhD, FRACPSenior Lecturer in Medicine, University of MelbourneGastroenterologist and Director, Inflammatory Bowel Disease Service, Austin HealthMelbourne, Victoria, Australia
Peter DevittMBBS, MS, FRCS, FRACSAssociate Professor of Surgery, University of AdelaideGeneral and Upper Gastrointestinal Surgeon, Royal Adelaide HospitalAdelaide, South Australia, Australia
Michael A. FinkMBBS, MD, FRACSSenior Lecturer in Surgery, University of MelbourneHepatopancreatobiliary and Liver Transplant Surgeon, Austin HealthMelbourne, Victoria, Australia
Jonathan FooMBChB, DipGrad(Arts), PhD, FRACSUpper Gastrointestinal Surgery Fellow, Austin HealthMelbourne, Victoria, Australia
David M.A. FrancisBSc (Med Sci), MS, MD, PhD (Arts), FRCS (Eng), FRCS (Edin), FRACSRenal Transplant Surgeon, Department of Urology, Royal Children’s Hospital, Melbourne, Victoria, AustraliaVisiting Professor of Surgery and Renal Transplant Surgeon, Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Michael J. GriggAM, MBBS, FRACSProfessor of Surgery, Monash UniversityDirector of Surgery, Eastern HealthMelbourne, Victoria, Australia
Ian HastieMBBS, FRACSSenior Lecturer in Surgery, University of MelbourneColorectal Surgeon, Royal Melbourne HospitalMelbourne, Victoria, Australia
Ian HayesMBBS, MS, MEpi, FRCS(Gen Surg), FRACSClinical Associate Professor of Surgery, University of MelbourneHead, Colorectal Surgery Unit, Royal Melbourne HospitalMelbourne, Victoria, Australia
Andrew G. HillMBChB, MD, EdD, FRACS, FACSProfessor of Surgery, University of AucklandColorectal Surgeon, Middlemore HospitalAuckland, New Zealand
Thomas J. HughMD, FRACSProfessor of Surgery, University of SydneyHead, Upper Gastrointestinal Surgery Unit, Royal North Shore Hospital
