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Mastery of Surgery

Step-by-step descriptions of surgical procedures.

Mastery of Surgery - Fischer, Josef E.,Bland, K. I.

ISBN: 9780781771658

Mastery of Surgery is a unique text/atlas that presents detailed, step-by-step depictions and descriptions of surgical procedures and more than 3,300 illustrations. This authoritative two-volume reference represents the core procedural knowledge taught in most surgical residency programs. The full content of this edition is available You'll have a fast, flexible multimedia library at your service. "

Access Surgery-Your Source for Surgical Information

Access Surgery
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Lastest Titles from Annals of Surgery

Listed below is are 5 titles from the latest Annals of surgery

Finding Information for Surgery

Finding evidence-based answers to clinical questions quickly and effectively

(printable version in pdf)

If you need:

**An overview of a particular disease or condition, or background information**
An ultrasound indicates your patient has gallstones (cholelithiasis). Where can you find an overview of this condition, including its etiology, when surgery is indicated, alternate treatments? How will lung resection effect my patient's physiology? What perioperative care should I be prepared to order?	Textbooks: Access Medicine Access Surgery HOLLIS UpToDate (eCommons) Review article through PubMed

**Differential diagnosis decision support; diagnostic algorithms or pathways**
You have a constellation of symptoms or suspect a certain diagnosis but need a differential structure.. I suspect my patient is in shock. What symptoms should I look for? What do I need to exclude? What tests do I need to order? A 50 y.o. woman presents with angina, syncope upon exercise and dyspnea. Where can you find a DDX for these symptoms? When is surgery indicated?	DxPlain Diagnosaurus Dynamed DX Patient assessment and preoperative management – Access Surgery, Access Medicine Perioperative Medicine- just the facts

**Why is this operation being done? indications? alternatives? timing? Evidence and rationale**
Is surgery the best treatment for this condition? Do the benefits outweigh the risks? In patients with CNS lymphoma what is the most effective treatment: surgery, chemotherapy, or radiation? What is the window of time during which angioplasty has better outcomes than thrombolysis in patients with acute MI?	PDQ database - for cancer topics Dynamed Cochrane Database PubMed Consider terms such as “time factors”[mesh], “comparative study” [Publication Type], “treatment outcome”[mesh], “surgery”[subheading]

**Drug information focus on pain meds and antibiotics**
What is the antibiotic of choice for treating your diverticulitis patient while he is being evaluated for surgery? Your patient is controlled on an IM opioid and must switch to an oral dosage form. Where can you find out how to calculate the equianalgesic dose? Is it safe to use ketorolac in combination with NSAIDS for postoperative pain? What dose is best for geriatric patients? How often should it be given?	Micromedex – search keywords “antibiotic prophylaxis surgery” - consults w/ drugs of choice John Hopkins ABX Guide: diagnosis and treatment of infectious diseases AHFS Drug Information Clinical Pharmacology Pain Management and Sedation A Quick Reference written for the ER Principles and Practice of Pain Medicine - Warfield

**Synthesis of best-practice recomendations / Critically appraised topics / EBM**
When are surgical interventions appropriate for a woman with chronic pelvic pain? What are the pros and cons of removing orthopedic metal work in children? What is the most safe and effective way to prevent venous thromboembolism in neurosurgery? When is surgery indicated for depressed cranial fractures?	Cochrane Database Dynamed National Guidelines Clearinghouse TRIP database

**Quick access to evidence-based primary studies**
Does operative delay increase mortality in hip fracture patients? In elderly patients undergoing cholecystectomy does laparoscopic or open surgery have better outcomes?	Clinical queries- center menu in PubMed homepage Dynamed (links) PDQ (Physicians’ Data Query) for cancer topics

**Information for patients**
What do I need to do to prepare for a mammogram? What will happen during the procedure? (In Somali, by the way.) Where can you find material to give a low literacy patient explaining his diabetic diet?	MedlinePlus.gov Countway Consumer Health Links Español/Multilingual Easy-to-Read Healthy Roads

**Evidence-based information on alternative therapies**
Is the gingko my patient is taking safe before surgery ? What is the wash-out period? Your patient takes quercitin, 1000 mg daily, for prostatitis. You want to prescribe Cipro for postoperative colorectal prophylaxis. Are there any concerns with this combination?	Natural Medicines Comphrensive Database

High Impact Surgery Journals

American Journal of Surgery

American Journal of Transplantation

Annals of Surgery

British Journal of Surgery BJS

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Evidence Updates

EvidenceUpdates

Below are the latest "evidence-updates" for General Surgery courtesy of BMJ and McMaster University . Each entry includes a analytical synopsis of the study and rating of the strengh of evidence and its relevance to clinical practice. To view the update, either register for an account (this lets you set your personal preferences) OR just click NO and you will go right to the text of the update.

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Background Information on Pain

Step-by-Step

Students have asked for information on surgical procedures that show the process step-by-step with explanations and anatomical fearures. Be sure to look at the sources listed on this guide's anatomy page as well.