Systematic Review and Meta-analysis Comparing Proximal Gastrectomy with Double-tract-reconstruction and Total Gastrectomy in Gastric and Gastroesophageal Junction Cancer Patients: Still No Sufficient Evidence for Clinical Decision-making

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Systematic Review and Meta-analysis Comparing Proximal Gastrectomy with Double-tract-reconstruction and Total Gastrectomy in Gastric and Gastroesophageal Junction Cancer Patients: Still No Sufficient Evidence for Clinical Decision-making by : Julian Hipp

Download or read book Systematic Review and Meta-analysis Comparing Proximal Gastrectomy with Double-tract-reconstruction and Total Gastrectomy in Gastric and Gastroesophageal Junction Cancer Patients: Still No Sufficient Evidence for Clinical Decision-making written by Julian Hipp and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background To compare proximal gastrectomy with double-tract reconstruction and total gastrectomy in patients with gastroesophageal junction (AEG II-III) and gastric cancer. Methods We conducted systematic searches in Medline, Web of Science, and Cochrane Library until December 20, 2021 (PROSPERO registration number: CRD42021291500). Risk of bias was assessed using the revised Cochrane risk of bias tool and the ROBINS-I tool, as applicable. Evidence was rated by the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Results One randomized controlled trial (RCT) and 13 non-RCTs with 1,317 patients (715 patients with total gastrectomy and 602 patients with proximal gastrectomy with double-tract reconstruction) were included. Patients treated by total gastrectomy had a significantly higher proportion of advanced cancer stages International Union Against Cancer IB-III (odds ratio: 0.68, 95% confidence interval: 0.51-0.91, P = .01). This heterogeneity biases the observed improved overall survival of patients after proximal gastrectomy with double-tract reconstruction (odds ratio: 0.67, 95% confidence interval: 0.44-1.01, P = .05). Both procedures were comparably efficient regarding perioperative parameters. Postoperative/preoperative bodyweight ratio (mean difference: 3.56, 95% confidence interval: 1.32-5.79, P = .002), postoperative/preoperative serum-hemoglobin ratio (mean difference 3.73, 95% confidence interval: 1.59-5.88, P .001), and postoperative serum vitamin B12 levels (mean difference 42.46, 95% confidence interval: 6.37-78.55, P = .02) were superior after proximal gastrectomy with double-tract reconstruction, while postoperative/preoperative serum-albumin ratio (mean difference 1.24, 95% confidence interval: -4.76 to 7.24, P = .69) and postoperative/preoperative serum total protein ratio (mean difference 1.12, 95% confidence interval: -2.77 to 5.00, P = .57) were not different. Health-related quality of life data were reported in only 2 studies, which found no significant advantages for proximal gastrectomy with double-tract reconstruction.brbrConclusion

Proximal Gastrectomy and Double-tract Reconstruction Vs Total Gastrectomy in Gastric and Gastro-esophageal Junction Cancer Patients — a Systematic Review and Meta-analysis Protocol (PROSPERO Registration Number: CRD42021291500)

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Book Rating : 4.:/5 (14 download)

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Book Synopsis Proximal Gastrectomy and Double-tract Reconstruction Vs Total Gastrectomy in Gastric and Gastro-esophageal Junction Cancer Patients — a Systematic Review and Meta-analysis Protocol (PROSPERO Registration Number: CRD42021291500) by : Julian Hipp

Download or read book Proximal Gastrectomy and Double-tract Reconstruction Vs Total Gastrectomy in Gastric and Gastro-esophageal Junction Cancer Patients — a Systematic Review and Meta-analysis Protocol (PROSPERO Registration Number: CRD42021291500) written by Julian Hipp and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background In Germany and Western Europe, gastroesophageal junction cancer (AEG) and proximal gastric cancer are currently treated with (transhiatal-extended) total gastrectomy (TG) according to the latest treatment guidelines. TG leads to a severe and long-lasting impairment of postoperative health-related quality of life (HRQoL) of the treated patients. Recent studies have suggested that HRQoL of these patients could be improved by proximal gastrectomy with double-tract reconstruction (PG-DTR) without compromising oncologic safety. Our aim is therefore to conduct a randomized controlled non-inferiority trial comparing PG-DTR with TG in AEG II/III and gastric cancer patients with overall survival as primary endpoint and HRQoL as key secondary endpoint. Methods This protocol is written with reference to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P 2015) statement. We will conduct searches in the electronic databases MEDLINE, Web of Science Core Collection, ScienceDirect, and Cochrane Library. We will also check references of relevant studies and perform a cited reference research. Titles and abstracts of the records identified by the searches will be screened, and full texts of all potentially relevant articles will be obtained. We will consider randomized trials and non-randomized studies. The selection of studies, data extraction, and assessment of risk of bias of the included studies will be conducted independently by two reviewers. Meta-analysis will be performed using RevMan 5.4 (Review Manager (RevMan) Version 5.4, The Cochrane Collaboration). Discussion This systematic review will identify the current study pool concerning the comparison of TG and PG-DTR and help to finally refine the research questions and to allow an evidence-based trial design of the planned multicenter randomized-controlled trial. Ethics and dissemination Ethical approval is not required for this systematic review. Study findings will be shared by publication in a peer-reviewed journal

Staging Laparoscopy

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Publisher : Springer Science & Business Media
ISBN 13 : 3642562906
Total Pages : 206 pages
Book Rating : 4.6/5 (425 download)

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Book Synopsis Staging Laparoscopy by : P. Hohenberger

Download or read book Staging Laparoscopy written by P. Hohenberger and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Included here is a discussion of the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.

Managing Failed Anti-Reflux Therapy

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Publisher : Springer Science & Business Media
ISBN 13 : 1846280117
Total Pages : 194 pages
Book Rating : 4.8/5 (462 download)

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Book Synopsis Managing Failed Anti-Reflux Therapy by : Mark K. Ferguson

Download or read book Managing Failed Anti-Reflux Therapy written by Mark K. Ferguson and published by Springer Science & Business Media. This book was released on 2006-01-16 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive and up-to-date analysis of GERD Has focus on remedies to failed treatment of the disease

Laparoscopic Gastrectomy for Gastric Cancer

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Publisher : Springer
ISBN 13 : 9401798737
Total Pages : 357 pages
Book Rating : 4.4/5 (17 download)

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Book Synopsis Laparoscopic Gastrectomy for Gastric Cancer by : Chang-Ming Huang

Download or read book Laparoscopic Gastrectomy for Gastric Cancer written by Chang-Ming Huang and published by Springer. This book was released on 2015-05-05 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents surgical techniques and detailed illustrations of laparoscopic gastrectomy for gastric cancer, focusing on effective, concise steps and techniques. It describes in detail the perigastric anatomy, and the incidences of each anatomical structure are analyzed statistically. It also discusses lessons learned and best practices in the management of gastric cancer patients, and includes video captures of precise operational techniques -essential resources for gastrointestinal laparoscopic surgeons. Given its close connection to clinical practice, it offers a valuable reference work for general surgeons and residents.​

Illustrative Handbook of General Surgery

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Publisher : Springer
ISBN 13 : 3319245570
Total Pages : 801 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Illustrative Handbook of General Surgery by : Herbert Chen

Download or read book Illustrative Handbook of General Surgery written by Herbert Chen and published by Springer. This book was released on 2016-02-08 with total page 801 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical surgical atlas focuses on a variety of surgical procedures in a portable format, allowing students, residents and even attending surgeons to carry it around with them throughout the day to check up on operations at any given time. The comprehensive illustrations help the reader to understand the procedures described, thanks to inter-operative photographs which provide accurate representations of the various techniques of the operations. The wide scope of this book ensures coverage of the most common general surgery procedures and the most common operations that faculty, residents and students encounter.

Operative Standards for Cancer Surgery

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496320387
Total Pages : 614 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Operative Standards for Cancer Surgery by : American College of Surgeons Clinical Research Program

Download or read book Operative Standards for Cancer Surgery written by American College of Surgeons Clinical Research Program and published by Lippincott Williams & Wilkins. This book was released on 2015-05-28 with total page 614 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presented by the American College of Surgeons and the Alliance for Clinical Trials in Oncology, the first comprehensive, evidence-based examination of cancer surgery techniques as standards distills the well-defined protocols and techniques that are critical to achieve optimal outcomes in a cancer operation. This unique, one of a kind collaboration between the American College of Surgeons and the Alliance for Clinical Trials in Oncology focuses on best practices and state-of-the-art methodologies. Operative Standards for Cancer Surgery clearly describes the surgical activities that occur between skin incision and skin closure that directly affect cancer outcomes.

Management of Gastric Cancer

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Publisher : Springer Science & Business Media
ISBN 13 : 1461538823
Total Pages : 405 pages
Book Rating : 4.4/5 (615 download)

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Book Synopsis Management of Gastric Cancer by : Paul H. Sugarbaker

Download or read book Management of Gastric Cancer written by Paul H. Sugarbaker and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 405 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gastric cancer has been one of the great malignant scourges affecting man kind for as long as medical records have been kept. Until operative resection pioneered by Bilroth and others became available, no effective treatment was feasible and death from cancer was virtually inevitable. Even with resection by total gastrectomy, the chances of tumor eradication remained small. Over recent years, however, the situation has been changing. Some changes have resulted from better understanding of the disease, early detec tion, and better management techniques with applied clinical research, but the reasons for other changes are poorly understood. For example, the incidence of gastric cancer is decreasing, especially in westernized societies, where it has fallen from one of the most common cancers to no longer being in the top five causes of cancer death. Still it remains the number one killer of adult males in Japan and Korea. Whether the reduced incidence in western societies is a result of dietary changes or methods of food preservation, or some other reason, is as yet uncertain. Improvements in outcome have been reported from mass screening and early detection; more refined techniques of establishing early diagnosis, tumor type, and tumor extent; more radical surgical resection; and resection at earlier stages of disease.

Hepato-Pancreato-Biliary and Transplant Surgery

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Publisher : Beaux Books Publishing, LLC
ISBN 13 : 0997772182
Total Pages : 1352 pages
Book Rating : 4.9/5 (977 download)

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Book Synopsis Hepato-Pancreato-Biliary and Transplant Surgery by : Quyen D Chu

Download or read book Hepato-Pancreato-Biliary and Transplant Surgery written by Quyen D Chu and published by Beaux Books Publishing, LLC. This book was released on 2018-01-08 with total page 1352 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique textbook provides a concise and practical approach to clinical dilemmas involving the liver, pancreas, and biliary tree. Six major sections encompass (1) Hepatic, (2) Biliary, (3) Pancreas, (4) Transplantation, (5) Trauma, and (6) Innovative Technology. Each topic is written by recognized experts from an "e;experiential"e; viewpoint combined with evidence-based medicine. The book contains over 170 chapters and over 350 contributors. It is relevant to Surgical Oncologists, Hepato-Pancreato-Biliary (HPB) Surgeons, Transplant Surgeons, Traumatologists, HPB Interventionalists, General Surgeons, and trainees and students. The title of each chapter is in a form of a clinical scenario and each chapter begins with a Case Scenario and ends with Salient Points. Special debates are included in each section. There are numerous compelling images, detailed illustrations, comprehensive tables, thorough algorithms, and other adjunctive tools that enhance learning. The authors emanate from different corners of the world. The book is a valuable resource for faculty, students, surgical trainees, fellows, and all health care providers in the HPB/Trauma/Transplant/Oncology fields.

GI Surgery Annual

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Publisher : Springer
ISBN 13 : 9811332274
Total Pages : 269 pages
Book Rating : 4.8/5 (113 download)

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Book Synopsis GI Surgery Annual by : Peush Sahni

Download or read book GI Surgery Annual written by Peush Sahni and published by Springer. This book was released on 2019-03-29 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 25th volume of this highly successful series covers a range of interesting topics, including biological therapy in inflammatory bowel disease, recent surgical approaches in rectal cancer, tumor markers in HPB and GI malignancies, bridging therapy for hepatocellular carcinoma, adjuncts to liver resection, IgG-related HPB diseases, ERCP-induced perforations and superior mesenteric artery syndrome. As in the previous volumes, the chapter on advances in GI surgery reviews the important new developments in the field. The GI Surgery Annual 25th Volume provides up-to-date information on current hot topics.

Tumor Board Review

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Publisher : Demos Medical Publishing
ISBN 13 : 193628717X
Total Pages : 377 pages
Book Rating : 4.9/5 (362 download)

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Book Synopsis Tumor Board Review by : Robert F. Todd

Download or read book Tumor Board Review written by Robert F. Todd and published by Demos Medical Publishing. This book was released on 2011-10-19 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tumor Board Reviews provides comprehensive coverage of all topics in oncology. Each of the 32 chapters focuses on a specific major disease. A brief overview of epidemiology and risk factors is followed by a sequence of specific presentations organized by tumors stage or disease classification. Each discussion features a case presentation that mimics the format of a tumor board presentation and thus illustrates key diagnostic and management decisions. There is also a discussion of the evidence that supports the clinical management decisions taken in the case, based on current expert panel guidelines. Algorithms and decision tree graphics are used extensively to provide visual support of the decision process. The combination of case presentations and evidence-based management discussions make this volume a unique tool for keeping current with clinical guidelines and provides the reader with a clear understanding of applications of new information for use in daily practice.

Ehlers-Danlos Syndrome: A Multidisciplinary Approach

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Publisher : IOS Press
ISBN 13 : 1614998787
Total Pages : 370 pages
Book Rating : 4.6/5 (149 download)

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Book Synopsis Ehlers-Danlos Syndrome: A Multidisciplinary Approach by : J.W.G. Jacobs

Download or read book Ehlers-Danlos Syndrome: A Multidisciplinary Approach written by J.W.G. Jacobs and published by IOS Press. This book was released on 2018-08-14 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Generalized hypermobility has been known since ancient times, and a clinical description of Ehlers-Danlos syndrome (EDS) is said to have first been recorded by Hippocrates in 400 BC. Hypermobility syndromes occur frequently, but the wide spectrum of possible symptoms, coupled with a relative lack of awareness and recognition, are the reason that they are frequently not recognized, or remain undiagnosed. This book is an international, multidisciplinary guide to hypermobility syndromes, and EDS in particular. It aims to create better awareness of hypermobility syndromes among health professionals, including medical specialists, and to be a guide to the management of such syndromes for patients and practitioners. It is intended for use in daily clinical practice rather than as a reference book for research or the latest developments, and has been written to be understandable for any healthcare worker or educated patient without compromise to the scientific content. The book is organized as follows: chapters on classifications and genetics are followed by chapters on individual types, organ (system) manifestations and complications, and finally ethics and therapeutic strategies, with an appendix on surgery and the precautions which should attend it. A special effort has been made to take account of the perspective of the patient; two of the editors have EDS. The book will be of interest to patients with hypermobility syndromes and their families, as well as to all those healthcare practitioners who may encounter such syndromes in the course of their work.

Minimally Invasive Surgical Oncology

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Publisher : Springer Science & Business Media
ISBN 13 : 3540450211
Total Pages : 556 pages
Book Rating : 4.5/5 (44 download)

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Book Synopsis Minimally Invasive Surgical Oncology by : Ronald Matteotti

Download or read book Minimally Invasive Surgical Oncology written by Ronald Matteotti and published by Springer Science & Business Media. This book was released on 2011-06-15 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally Invasive Surgical Oncology is aimed at the minimal invasive surgeon as well as at the general surgeon and surgical trainee who wish to explore this field. It covers disciplines like gastroenterology, gynecology, urology, thoracic and pediatrics and builds bridges to oncologists and internal medicine. It gives a state-of-the art overview and perspectives for future developments and research as well. The book serves as an operative guide for a new generation of surgeons and offers the extraordinary feature being a text book, an operative atlas and a quick reference guide as well. The reader is provided with a tool in hand which synthesizes the latest knowledge in traditional therapies like chemotherapies and gives a comprehensive overview how to proceed in treating a cancer patient using minimal access techniques.

Medical-Surgical Nursing

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Publisher : Mosby Incorporated
ISBN 13 : 9780323026963
Total Pages : 2176 pages
Book Rating : 4.0/5 (269 download)

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Book Synopsis Medical-Surgical Nursing by : Sharon Mantik Lewis

Download or read book Medical-Surgical Nursing written by Sharon Mantik Lewis and published by Mosby Incorporated. This book was released on 2003-12-01 with total page 2176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Package includes Medical-Surgical Nursing: Assessment and Management of Clinical Problems Two Volume text and Virtual Clinical Excursions 2.0

Textbook of Gastrointestinal Oncology

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Publisher : Springer Nature
ISBN 13 : 3030188906
Total Pages : 716 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Textbook of Gastrointestinal Oncology by : Suayib Yalcin

Download or read book Textbook of Gastrointestinal Oncology written by Suayib Yalcin and published by Springer Nature. This book was released on 2019-09-05 with total page 716 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook discusses core principles and practices in gastrointestinal oncology and covers a wide range of practice areas such as pathology and radiologic images, epidemiology, genetics, staging, multidisciplinary management of specific gastrointestinal cancer, and pathology for each primary tumor site. The comprehensive coverage makes Textbook of Gastrointestinal Oncology a useful resource for the practitioner wishing to gain a greater understanding of the principles of managing malignant gastrointestinal disease, as well as medical oncology fellows, surgeons, radiation oncologists, gastroenterologists and fellows, and residents.

Surgery in the Multimodal Management of Gastric Cancer

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Publisher : Springer Science & Business Media
ISBN 13 : 8847023181
Total Pages : 265 pages
Book Rating : 4.8/5 (47 download)

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Book Synopsis Surgery in the Multimodal Management of Gastric Cancer by : Giovanni De Manzoni

Download or read book Surgery in the Multimodal Management of Gastric Cancer written by Giovanni De Manzoni and published by Springer Science & Business Media. This book was released on 2012-02-04 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although there has been a slow but steady decrease in incidence, gastric cancer remains the second leading cause of cancer death worldwide. Several aspects of the oncological and surgical management are still controversial and so gastric cancer represents a challenge for the surgeon. This book aims to delineate the state of the art in the surgical and oncological treatment of gastric cancer, describing the new TNM staging system, the extent of visceral resection and lymphadenectomy focusing on the different open and minimally invasive surgical techniques and discussing intraoperative chemohyperthermia and neoadjuvant and adjuvant treatment. Operative endoscopy and endoscopic ultrasonography are also discussed, as these now have an important role in both diagnostic work-up and palliative care of gastric cancer patients. Only a multidisciplinary approach involving the surgeon, gastroenterologist, and oncologist can produce the comprehensive and integrated overview that today constitutes a winning strategy for the optimization of results.What we hope we have achieved is a flexible, up-to-date, exhaustive publication, rich in illustrations and consistent with evidence-based medicine.

The Role of Laparoscopy in Emergency Abdominal Surgery

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Publisher : Springer Science & Business Media
ISBN 13 : 8847023270
Total Pages : 215 pages
Book Rating : 4.8/5 (47 download)

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Book Synopsis The Role of Laparoscopy in Emergency Abdominal Surgery by : Vincenzo Mandala

Download or read book The Role of Laparoscopy in Emergency Abdominal Surgery written by Vincenzo Mandala and published by Springer Science & Business Media. This book was released on 2011-12-07 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first time a book about laparoscopy in emergency abdominal surgery has been published. Numerous articles have been published in specific surgical journals, but, until now, there has not been a book that collates all the aspects of this little-known field. The aim of this volume is to achieve a complete and easy presentation of all the implications associated with laparoscopy in emergency abdominal surgery. The book should be a manual that can be easily consulted by digestive, general, and specialized surgeons, especially in an emergency. The authors’ contributions are founded on evidence-based medicine, which give the book scientific credibility, but this is coupled with their experience of daily practice, which adds an important complementary dimension to evidence-based medicine. This is balanced by an emphasis on clarity and accessibility, because the ultimate aim of the book is educational. We hope this book will be frequently consulted, in depth, not only by specialist practitioners, but also by undergraduate students, new graduates and surgeons in training.