Textbook of Surgery (4th Edition)

Name: Textbook of Surgery

Edition: 4th

Author: Julian A. Smith; Andrew H. Kaye AM; Christopher Christophi AM; Wendy A. Brown

Subject: Surgery

Language: English

Publisher: John Wiley & Sons Ltd

Textbook of Surgery (4th Edition)

Brief Introduction

The Textbook of Surgery is intended to supply this information, which is especially relevant given the current content of the surgical curriculum for undergraduates. Each topic is written by an expert in the field from his or her own wisdom and experience. All contributors have been carefully chosen from the Australasian region for their authoritative expertise and personal involvement in undergraduate teaching and postgraduate training.

In this textbook we have approached surgery from a practical viewpoint while emphasising the relevance of basic surgical principles. We have attempted to cover most aspects of general surgery including its subspecialties and selected topics of other surgical specialties, including cardiothoracic surgery, neurosurgery, plastic surgery, ophthalmology, orthopaedic surgery, otolaryngology/head and neck surgery, urology and vascular surgery.


Section 1 Principles of Surgery
1 Preoperative management
2 Assessment of surgical risk
3 Anaesthesia and pain medicine
4 Postoperative management
5 Surgical techniques
6 Management of surgical wounds
7 Nutrition and the surgical patient
8 Care of the critically ill patient
9 Surgical infection
10 Transplantation surgery
11 Principles of surgical oncology
12 Introduction to the operating theatre
13 Emergency general surgery

Section 2 Upper Gastrointestinal Surgery
14 Gastro‐oesophageal reflux disease and hiatus hernias
15 Tumours of the oesophagus
16 Peptic ulcer disease
17 Gastric neoplasms
18 Obesity and bariatric surgery

Section 3 Hepatopancreaticobiliary Surgery
19 Gallstones
20 Malignant diseases of the hepatobiliary system
21 Liver infections
22 Pancreatitis
23 Pancreatic tumours
24 Portal hypertension and surgery on the patient with cirrhosis

Section 4 Lower Gastrointestinal Surgery
25 Principles of colorectal and small bowel surgery
26 Physiology of small and large bowel: alterations due to surgery and disease
27 Small bowel obstruction and ischaemia
28 The appendix and Meckel’s diverticulum
29 Inflammatory bowel disease
30 Diverticular disease of the colon
31 Colorectal cancer
32 Large bowel obstruction
33 Perianal disorders I: excluding sepsis
34 Perianal disorders II: sepsis

Section 5 Breast Surgery
35 Breast assessment and benign breast disease
36 Malignant breast disease and surgery

Section 6 Endocrine Surgery
37 Thyroid
38 Parathyroid
39 Tumours of the adrenal gland

Section 7 Head and Neck Surgery
40 Eye injuries and infections
41 Otorhinolaryngology
42 Tumours of the head and neck

Section 8 Hernias
43 Hernias

Section 9 Skin and Soft Tissues
44 Tumours and cysts of the skin
45 Soft tissue tumours
46 Infection of the extremities
47 Principles of plastic surgery

Section 10 Trauma
48 Principles of trauma management
49 Burns

Section 11 Orthopaedic Surgery
50 Fractures and dislocations
51 Diseases of bone and joints

Section 12 Neurosurgery
52 Head injuries
53 Intracranial tumours, infection and aneurysms
54 Nerve injuries, peripheral nerve entrapments and spinal cord compression

Section 13 Vascular Surgery
55 Disorders of the arterial system
56 Extracranial vascular disease
57 Venous and lymphatic diseases of the limbs
58 Endovascular therapies

Section 14 Urology
59 Benign urological conditions
60 Genitourinary oncology

Section 15 Cardiothoracic Surgery
61 Principles and practice of cardiac surgery
62 Common topics in thoracic surgery

Section 16 Problem Solving
63 Chronic constipation
64 Faecal incontinence
65 Rectal bleeding
66 Haematemesis and melaena
67 Obstructive jaundice
68 The acute abdomen, peritonitis and intra‐abdominal abscesses
69 Ascites
70 Neck swellings
71 Acute airway problems
72 Dysphagia
73 Leg swelling and ulcers
74 Haematuria
75 Postoperative complications
76 Massive haemoptysis
77 Epistaxis
78 Low back and leg pain
79 Acute scrotal pain
80 Post‐traumatic confusion
81 Sudden‐onset severe headache
82 The red eye
83 Double vision


There have been many comparative studies of the two techniques over the past 20 years with demonstrated advantages and disadvantages for each modality. In practical terms, both modalities may be necessary and helpful but ultimately the decision to perform one over the other will depend on institutional preferences, specific patient needs and accessibility. In general, CT scans are more widely available, and possibly need less expertise to perform and to interpret than MRI scans. MRI is certainly more prone to artefacts than CT, and detailed and specialised interpretation of the images may not be available outside of specialist centres. In relation to HCC, both modalities have similar sensitivity and specificity when considered on a per‐patient basis, and most clinical practice guidelines recommend either multiphase CT and MRI with extracellular contrast agents as the first‐line investigation for diagnosis and staging. However, MRI may have superior per‐lesion sensitivity in differentiating tumour from non‐tumour tissue, particularly in patients with chronic liver disease. As with all malignant hepatobiliary tumours both techniques are limited in detecting lesions of less than 10 mm in diameter.

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