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Scientific Principles & Practice
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Main description:

The Fifth Edition of Greenfield's Surgery has been thoroughly revised, updated, and refocused to conform to changes in surgical education and practice. Reflecting the increasingly clinical emphasis of residency programs, this edition features expanded coverage of clinical material and increased use of clinical algorithms. Key Points open each chapter, and icons in the text indicate where Key Points are fully discussed. Many of the black-and-white images from the previous edition have been replaced by full-color images.

This edition has new chapters on quality assessment, surgical education, and surgical processes in the hospital. Coverage of surgical subspecialty areas is more sharply focused on topics that are encountered by general surgeons and included in the current general surgery curriculum and ABSITE exam. The vascular section has been further consolidated. A new editor, Diane M. Simeone, MD, PhD, has joined the editorial team.

This edition is available either in one hardbound volume or in a four-volume softbound set. The lightweight four-volume option offers easy portability and quick access. Each volume is organized by organ system so you can find the facts you need within seconds.  

The companion website presents the fully searchable text, an instant-feedback test bank featuring over 800 questions and answers, and a comprehensive image bank. Unique to this new edition's website are 100 "Morbidity and Mortality" case discussions. Each case reviews a specific surgical complication, how the complication was addressed, and reviews the literature on approaches and outcomes.


Contents:

Contributors v

Preface xvii

Acknowledgments xix

PART ONE :

SCIENTIFIC PRICIPLES

1

Reading Effectively to Attain Proficiency in Surgery . . 3Richard H. Bell, Jr., Linnea S. Hauge, and Debra A. DaRosa

2

Substrate Metabolism in Surgery . . . . . . . . . . . . . . . 9Steven E. Raper

3

Nutrition and Metabolism . . . . . . . . . . . . . . . . . . . 21J. Stanley Smith, Jr. and David C. Frankenfield

4

Wound Healing . . . . . . . . . . . . . . . . . . . . . . . . . . . 48Robert D. Galiano and Thomas A. Mustoe

5

Hemostasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70Peter K. Henke and Thomas W. Wakefield

6

Inflammation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91Matthew R. Rosengart and Timothy R. Billiar

7

Surgical Infections . . . . . . . . . . . . . . . . . . . . . . . . 132E. Patchen Dellinger

8

Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147Joseph Cuschieri

9

Critical Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166Avery B. Nathens and Ronald V. Maier

10

Fluids, Electrolytes, and Acid–Base Balance . . . . . 189Richard B. Wait and Reginald Alouidor

11

Burns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214Nicole Gibran

12

Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237

Anesthesiology and PainSachin Kheterpal, Timothy W. Rutter, and Kevin K. Tremper

13

Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261Steven K. Libutti

14

Policy Approaches to Improving Surgical Quality . . 287John D. Birkmeyer and Justin B. Dimick

15

Measuring the Quality of Surgical Care . . . . . . . . . 291Justin B. Dimick and John D. Birkmeyer

16

Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . 298Darrell A. Campbell, Jr.



PART TWO:

SURGICAL PRACTICE

SECTION A: TRAUMA

17

Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . 309

Trauma and Trauma Care: GeneralRonald V. Maier

18

Prehospital and Resuscitation Care . . . . . . . . . . . 327Eileen M. Bulger

19

Head Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337Randall M. Chesnut

20

Maxillofacial Trauma . . . . . . . . . . . . . . . . . . . . . . 354Richard A. Hopper and Joseph S. Gruss

21

Neck Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359Saman Arbabi

22

Chest Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . 370Thomas K. Varghese Jr.

23

Abdominal Trauma . . . . . . . . . . . . . . . . . . . . . . . 385David H. Wisner, Joseph M. Galante, Matthew O. Dolich,

and David B. Hoyt

24

Genitourinary Trauma . . . . . . . . . . . . . . . . . . . . . 405Thomas G. Smith III and Hunter Wessells

25

Vascular Trauma . . . . . . . . . . . . . . . . . . . . . . . . . 414Benjamin W. Starnes

26

Orthopaedic Trauma . . . . . . . . . . . . . . . . . . . . . . 423Jens R. Chapman, Richard J. Bransford, and Carlo Bellabarba

27

Pediatric Trauma . . . . . . . . . . . . . . . . . . . . . . . . . 431Mary E. Fallat

28

End-of-Life Decisions . . . . . . . . . . . . . . . . . . . . . . 445

Geriatric Trauma andWilliam P. Schecter

29

Trauma in Pregnancy . . . . . . . . . . . . . . . . . . . . . . 450Amy D. Wyrzykowski and Grace S. Rozycki

30

Critical Care and Postinjury Management . . . . . . 456Grant E. O’Keefe

31

Environmental Injuries . . . . . . . . . . . . . . . . . . . . . 466Gregory J. Jurkovich

32

Terrorism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 486Eric R. Frykberg

SECTION B: TRANSPLANTATION & IMMUNOLOGY

33

Transplantation Immunology . . . . . . . . . . . . . . . . 497Jeffrey L. Platt and Marilia Cascalho

34

Organ Preservation . . . . . . . . . . . . . . . . . . . . . . . . 515Robert M. Merion

35

Renal Transplantation . . . . . . . . . . . . . . . . . . . . . 531Chris Freise and Peter Stock

36

Hepatic Transplantation . . . . . . . . . . . . . . . . . . . . 542Theodore H. Welling and Shawn J. Pelletier

37

Cardiac Transplantation . . . . . . . . . . . . . . . . . . . . 565Richard N. Pierson III

38

Pulmonary Transplantation . . . . . . . . . . . . . . . . . 576Raja S. Mahidhara, Jules Lin, and Andrew C. Chang

39

Pancreas and Islet Transplantation . . . . . . . . . . . . 590Randall S. Sung

SECTION C: HEAD AND NECK

40

Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . . 609Matthew C. Miller, Jeffrey S. Moyer, and Theodoros N. Teknos

SECTION D: ESOPHAGUS

41

and Physiology and Gastroesophageal

Reflux Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . 629

Esophageal AnatomyJeffrey H. Peters, Virginia R. Little, and Thomas J. Watson

42

and Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 666

Esophagus: TumorsPhilip A. Rascoe, John C. Kucharczuk, and Larry R. Kaiser

SECTION E: STOMACH AND DUODENUM

43

Gastric Anatomy and Physiology . . . . . . . . . . . . . 685Michael W. Mulholland

44

Gastroduodenal Ulceration . . . . . . . . . . . . . . . . . . 699Michael W. Mulholland

45

Morbid Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . 713Rebecca P. Petersen, Christopher J. Myers, and Eric J. DeMaria

46

Gastric Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . 722Rebecca M. Minter

SECTION F: SMALL INTESTINE

47

of the Small Intestine . . . . . . . . . . . . . . . . . . . . . . 737

Anatomy and PhysiologyEric T. Kimchi, Niraj J. Gusani, and Jussuf T. Kaifi

48

Ileus and Bowel Obstruction . . . . . . . . . . . . . . . . 748David I. Soybel and Wendy B. Landman

49

Crohn Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . 772Fabrizio Michelassi and Sharon L. Stein

50

Small-intestinal Neoplasms . . . . . . . . . . . . . . . . . . 784Douglas J. Turner, Ajay Jain, and Barbara L. Bass

SECTION G: PANCREAS

51

Pancreas Anatomy and Physiology . . . . . . . . . . . . 799Taylor S. Riall

52

Acute Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . 818Jason S. Gold and Edward E. Whang

53

Chronic Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . 827Nicholas J. Zyromski and Thomas J. Howard

54

Neoplasms of the Exocrine Pancreas . . . . . . . . . . 837Attila Nakeeb and Keith D. Lillemoe

55

Neoplasms of the Endocrine Pancreas . . . . . . . . . 857Eugene P. Kennedy, Jonathan R. Brody, and Charles J. Yeo

SECTION H: HEPATOBILIARY AND PORTAL VENOUS SYSTEM

56

Hepatobiliary Anatomy . . . . . . . . . . . . . . . . . . . . 873Richard D. Schulick

57

Hepatic Infection and Acute Hepatic Failure . . . . 888Aruna Subramanian, Ahmet Gurakar, Andrew Klein, and

Andrew Cameron

58

Cirrhosis and Portal Hypertension . . . . . . . . . . . . 904Michael R. Marvin and Jean C. Emond

59

Hepatic Neoplasms . . . . . . . . . . . . . . . . . . . . . . . 935Christopher J. Sonnenday, Theodore H. Welling, and Shawn J. Pelletier

60

Calculous Biliary Disease . . . . . . . . . . . . . . . . . . . 960Henry A. Pitt, Steven A. Ahrendt, and Attila Nakeeb

61

Cholangitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 981

Biliary Injuries and Strictures and SclerosingKeith D. Lillemoe

62

Biliary Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . 998Sharon Weber, Brett Yamane, and Yuman Fong

SECTION I: COLON, RECTUM, AND ANUS

63

Colonic and Rectal Anatomy and Physiology . . . 1017Elizabeth C. Wick

64

Gastrointestinal Motility Disorders . . . . . . . . . . .1026Sandra A. Tan and George A. Sarosi Jr.

65

Acute Gastrointestinal Hemorrhage . . . . . . . . . . 1038Lawrence T. Kim and Richard H. Turnage

66

Ulcerative Colitis . . . . . . . . . . . . . . . . . . . . . . . . 1056Emily Finlayson

67

Colonic Polyps and Polyposis Syndromes . . . . . . 1069C. Richard Boland and Robert S. Bresalier

68

Colorectal Cancer . . . . . . . . . . . . . . . . . . . . . . . . 1090Arden Morris

69

Diverticular Disease . . . . . . . . . . . . . . . . . . . . . . 1120Lauren Kosinski, Kirk Ludwig, and Mary Otterson

70

Anorectal Disorders . . . . . . . . . . . . . . . . . . . . . . 1130Bard C. Cosman, Arden M. Morris,

Santhat Nivatvongs, and Robert D. Madoff

SECTION J: HERNIA, ACUTE ABDOMEN, AND SPLEEN

71

Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . 1159Robert J. Fitzgibbons Jr., Samuel Cemaj, and Thomas H. Quinn

72

Acute Abdomen and Appendix . . . . . . . . . . . . . . 1199Jeffrey B. Matthews and Richard A. Hodin

73

The Spleen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1212Douglas L. Fraker

SECTION K: SURGICAL ENDOCRINOLOGY

74

Breast Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . 1241Tari A. King and Monica Morrow

75

Thyroid Gland . . . . . . . . . . . . . . . . . . . . . . . . . . 1282Barbra S. Miller and Paul G. Gauger

76

Parathyroid Glands . . . . . . . . . . . . . . . . . . . . . . 1303Gerard M. Doherty

77

Adrenal Gland . . . . . . . . . . . . . . . . . . . . . . . . . . 1325John A. Olson, Jr., and Randall P. Scheri

78

Pituitary Gland . . . . . . . . . . . . . . . . . . . . . . . . . . 1345William F. Chandler, Ariel L. Barkan, and Ricardo V. Lloyd

SECTION L: LUNG NEOPLASMS

79

Lung Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . 1359Andrew C. Chang and Jules Lin

80

Nonneoplastic Lung Disease . . . . . . . . . . . . . . . . 1390

Chest Wall, Pleura, Mediastinum, andRishindra M. Reddy



SECTION M: ARTERIAL SYSTEM

81

Congenital Heart Disease . . . . . . . . . . . . . . . . . . 1425Jennifer C. Hirsch, Eric J. Devaney, Richard G. Ohye, and

Edward L. Bove

82

Valvular Heart Disease and Cardiac Tumors . . . 1449Tomislav Mihaljevic, Craig M. Jarrett, and A. Marc Gillinov

83

Ischemic Heart Disease . . . . . . . . . . . . . . . . . . . . 1462Jonathan W. Haft

84

Cardiac Failure . . . . . . . . . . . . . . . . . . . . . . . . . . 1483

Mechanical Circulatory Support forSanjeev Aggarwal, Keith D. Aaronson, and Francis D. Pagani

85

Pericardium . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1505Jules Lin

86

Vascular Diagnostics . . . . . . . . . . . . . . . . . . . . . . 1514Gregory L. Moneta

87

of Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1537

Endovascular TreatmentMatthew J. Eagleton and Sunita D. Srivastava

88

Vascular Infections . . . . . . . . . . . . . . . . . . . . . . . 1556G. Patrick Clagett

89

Occlusive Disease . . . . . . . . . . . . . . . . . . . . . . . . 1569

Atherosclerosis and the Pathogenesis ofAnton N. Sidawy, Robyn R. Macsata,

Matthew A. Goettsch, Niten Singh, and Subodh Arora

90

Occlusive Disease . . . . . . . . . . . . . . . . . . . . . . . . 1584

CerebrovascularPeter H. Lin and Tam T. Huynh

91

Arterial Disease . . . . . . . . . . . . . . . . . . . . . . . . . 1598

Upper ExtremityMark D. Morasch

92

Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1608

Renal Artery Occlusive and AneurysmalGilbert R. Upchurch, Jr., Peter K. Henke,

John Rectenwald, Jonathan L. Eliason, and James C. Stanley

93

Aneurysmal Disease . . . . . . . . . . . . . . . . . . . . . . 1629

Splanchnic Vascular Occlusive andJohn E. Rectenwald, Jonathan L. Eliason, Peter K. Henke,

Gilbert R. Upchurch, Jr., and James C. Stanley

94

Aortoiliac Disease . . . . . . . . . . . . . . . . . . . . . . . . 1653Daniel J. Reddy, Mitchell R. Weaver, and Alexander D. Shephard

95

Femoropopliteal and Tibial Occlusive Disease . . . 1668William P. Robinson, Matthew T. Menard, and Michael Belkin

96

Lower Extremity Amputation . . . . . . . . . . . . . . . 1683Matthew J. Sideman, Kevin E. Taubman, and Bradley D. Beasley

97

Pathogenesis of Aneurysms . . . . . . . . . . . . . . . . . 1696B. Timothy Baxter and G. Matthew Longo

98

Thoracic Aortic Aneurysms . . . . . . . . . . . . . . . . 1706Gorav Ailawadi

99

Thoracoabdominal Aortic Aneurysms . . . . . . . . 1719Hazim J. Safi, Anthony L. Estrera, Charles C. Miller III,

Ali Azizzadeh, and Dianna Milewicz

100

Abdominal Aortic Aneurysms . . . . . . . . . . . . . . . 1733Thomas S. Huber and W. Anthony Lee

101

Lower Extremity Aneurysms . . . . . . . . . . . . . . . 1768Amy B. Reed



SECTION N: VENOUS SYSTEM

102

Venous Disease . . . . . . . . . . . . . . . . . . . . . . . . . . 1777Thomas W. Wakefield and Michael C. Dalsing

SECTION O: PEDIATRICS

103

Surgical Physiology of Infants and Children . . . . 1803Federico G. Seifarth and David K. Magnuson

104

Fetal Intervention . . . . . . . . . . . . . . . . . . . . . . . . 1832George B. Mychaliska and Darrell L. Cass

105

Pediatric Head and Neck . . . . . . . . . . . . . . . . . . 1842Keith T. Oldham and John J. Aiken

106

The Pediatric Chest . . . . . . . . . . . . . . . . . . . . . . 1853Tony Capizzani, Ronald B. Hirschl, and Robert E. Cilley

107

Pediatric Abdomen . . . . . . . . . . . . . . . . . . . . . . . 1884Thomas T. Sato and Keith T. Oldham

108

The Pediatric Genitourinary System . . . . . . . . . . 1946Eugene Minevich and Curtis A. Sheldon

109

Childhood Tumors . . . . . . . . . . . . . . . . . . . . . . . 1956Barrie S. Rich and Michael P. La Quaglia



SECTION P: GENITOURINARY SYSTEM

110

The Pregnant Patient . . . . . . . . . . . . . . . . . . . . . 1983Cosmas J. M. Vandeven, N. Scott Adzick, and

Alexander S. Krupnick



SECTION Q: SKIN AND SOFT TISSUE

111

Cutaneous Neoplasms . . . . . . . . . . . . . . . . . . . . 1999Michael S. Sabel, Timothy M. Johnson, and

Christopher K. Bichakjian

112

Sarcomas of Soft Tissue and Bone . . . . . . . . . . . 2018Sandra L. Wong

113

Plastic and Reconstructive Surgery . . . . . . . . . . . 2039David l. Brown, Steven R. Buchman, Paul S. Cederna,

Kevin C. Chung, Edwin G. Wilkins, and William M. Kuzon, Jr.


PRODUCT DETAILS

ISBN-13: 9781605473550
Publisher: Lippincott Williams & Wilkins
Publication date: October, 2010
Pages: 2112
Weight: 9g
Availability: Not available (reason unspecified)
Subcategories: General, General Issues
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CUSTOMER REVIEWS

Average Rating 

"This update of Greenfield's Surgery maintains the excellent production standards of previous editions...Greenfield's Surgery, which features an online image bank and search engine, remains the leader in its class."

Doody's Enterprises, Inc. book review February 2011