استكشف المجموعة الواسعة من العناوين المتاحة.

\"In a city not quite of any particular era, a distant and calculating man named Lenz Buchmann works as a surgeon, treating his patients as little more than equations to be solved: life and death no more than results to be worked through without the least compassion. Soon, however, Buchmann's ambition is no longer content with medicine, and he finds himself rising through the ranks of his country's ruling party...until a diagnosis transforms this likely future president from a leading player into just another victim.\"--P. [4] of cover.

Tracheobronchial ruptures can be extremely dramatic and life threatening and are encountered in approximately 5 out of 100,000 cases after orotracheal intubation. They can occur as a result of intubation, tracheostomy, and bronchoscopy. In this case report, we presented a 56-year-old female patient with a history of thyroid surgery 27 years prior who presented to our clinic with recurrent multinodular goiter. The patient underwent a complementary complication-free thyroidectomy assisted by intermittent intraoperative nerve monitoring. After hemostasis, final controls involving digital palpation of the possible remnants of the thyroid gland and a search for pathological lymph nodes in the central compartments, a mass structure with a rubbery consistency suspicious for residue thyroid tissue was palpated in both posterolateral aspects of the trachea, but more prominently in the left. The anesthesia team was asked to decrease the cuff pressure, assuming that the palpated mass could be the cuff of the endotracheal tube, and the mass was noted to shrink. The membranous tracheal rupture due to the endotracheal tube cuff was closed with sutures running superiorly, and a superiorly based strap muscle flap was placed over during thyroid surgery. The patient was discharged on day 7. A simple routine digital examination by the attending surgeon dealing with the thyroid surgery would contribute favorably to prognosis, as such a precaution would allow early repair in cases where such injuries occur. Keywords: Endotracheal tube cuff; thyroidectomy; tracheal rupture. Balikesir Universitesi Tip Fakultesi, Genel Cerrahi Ana Bilim Dali, Balikesir, Turkiye Trakeobronsiyal ruptur son derece dramatik ve yasami tehdit edici olabilir ve orotrakeal entubasyon sonrasi yaklasik 100.000 vakanin 5'inde gorulur. Entubasyon, trakeostomi ve bronkoskopi sonucunda meydana gelebilir. Bu olgu sunumunda 27 yil once bir tiroid cerrahisi gecirmis olan ve klinigimize nuks multinoduler guatr sebebiyle basvuran 56 yasinda bir kadin hastayi sunduk. Aralikli intraoperatif sinir monitorizasyonu esliginde tamamlayici tiroidektomi operasyonu komplikasyonsuz olarak uygulanan hastada hemostaz sonrasinda, olasi rezidu tiroid dokusu ve santral kompartmanlarda olasi patolojik lenf nodlarinin parmak palpasyonu ile aranmasini iceren son kontroller sirasinda solda daha belirgin olmak uzere trakeanin her iki posterolateralinde rezidu tiroid dokusu oldugundan suphe edilen lastik kivaminda kitle yapisi palpe edildi. Palpe edilen kitlenin endotrakeal tupun kafi olabilecegi dusunulerek anestezi ekibinden endotrakeal tup manson basincinin dusurulmesi istendi ve manson basincinin dusurulmesiyle birlikte palpe edilen kitlenin kuculdugu gozlendi. Endotrakeal tup mansonunun neden oldugu membranoz trakeal ruptur suturlerle kapatildi ve uzerine superior bazli strap kas fleb ile rekonstruksiyon uygulandi. Hasta 7. gun saglikla taburcu edildi. Tiroid cerrahisi ile ugrasan cerrahlar tarafindan ameliyat sonunda yapilacak basit bir rutin dijital muayene bu tur yaralanmalarin meydana geldigi durumlarda erken onarima izin verecegi icin prognoza olumlu katkida bulunacaktir. Anahtar sozcukler: Endotrakeal kaf; trakeal ruptur; tiroidektomi.

Norman Bethune was a surgeon, medical inventor, tumultuous romantic, and advocate for the poor.

Background: Canadian surgical residency programs are designed to prepare trainees to develop into competent and safe surgeons. Multiple innovative teaching models and strategies have been reported to support prospective surgeons in their training. However, common constraints to teaching time include pressures for efficiency, complexity of cases, complexity of technologies, and shorter work weeks, among others. Accordingly, a substantial number of trainees have reported concerns with regard to confidence surrounding preparedness for independent practice. Consequently, there is a need for a more structured and deliberate approach to surgical knowledge and skill acquisition. The purpose of this study is to characterize the current status of perioperative and intraoperative education and experience at a large single centre. Methods: A literature review was performed, and experts were consulted to design a comprehensive survey to capture respondents' demographic information and their perceptions of perioperative briefing practices, notably setting of objectives, review of indications and imaging, technical manoeuvres, procedural pitfalls, intraoperative decision-making, as well as perceptions of autonomy, independence and influence on performance. The survey included a mixture of Likert-scale responses, multiple-choice questions and free-text response questions. A request for participation was sent to all surgical residents and surgical staff of the Department of Surgery. Summary statistics and thematic analysis were used to analyze these data, respectively. The results of this study will provide valuable perspectives and support the design of an efficient tool to facilitate perioperative review of evidence and surgical steps to improve perioperative knowledge and skill among surgical trainees.

Set against the backdrop of an antibiotic apocalypse in near future London. Rosa Scott, a brilliant and obsessive surgeon becomes Surgeon X, a vigilante doctor who uses experimental surgery and black market drugs to treat patients. But as Surgeon X, Rosa soon develops a godlike-complex, deciding who will live and who will die. Ultimately, she believes that to survive in this compromised world her own warped moral code is the one she must follow--even if it endangers those closest to her.

It is with great regret that we inform the surgical community of the untimely death of Stephen Grobler on 18 June 2022. Stephen was the prototype of a perfectionist surgeon whose national contribution to the development of medicine and surgery in general extended far beyond his outstanding reputation as a surgical gastroenterologist.

\"Lake Charles: 1908-1926 Along the cool sequester'd vale of life, They kept the noiseless tenor of their way. September 23, 1996 KLM Flight 287 rolled to a seamless stop on the tarmac, and settled on its wheels under the translucent Moscow sky. A contingent of American heart surgeons and support staff blinked and stretched. Their leader was famous for dozing off as soon as the wheels were up on any flight of length, and more than one of his retinue had mimicked that feat on this last leg of their journey from Houston via Amsterdam. This was not the first sojourn to Russia for their Chief - that had been back in 1958, when the country had another name and quite another polity. Many other visits had followed, accompanied by accolades and fetes, mostly with a Cold War political undertone he neither shared nor acknowledged. By nature he was fond of reflecting on change and history, and he did not miss the significance of returning to this place, the both of them now so different, in a position to alter the life path of a man who, himself, was responsible for much of this country's metamorphosis. The President of Russia, Boris Yeltsin, was suffering from congestive heart failure and severe coronary artery disease. The situation was grave; he was not expected to live without open-heart surgery - coronary bypass - but it was not clear that he could survive the procedure itself. The leading Russian heart surgeons and cardiologists had asked this Houston team to come to Moscow to assess the risks and provide recommendations as to how to proceed. In the geopolitically-charged climate of the immediate post-Cold War period, bringing in a coterie of Americans as consultants on the medical care of the most powerful man in Russia provoked all manner of responses on both sides of the Atlantic. The world's major news organizations focused on the story, covering every aspect. This fuss was of little consequence to the team from Texas, however. They were there to do a job, and their very presence in the Russian capital was as much of a validation as any that they were the most qualified group in the world for the task\"-- Provided by publisher.

Abstract INTRODUCTION Vascular structures are intraoperatively visualized through the eye-piece of a surgical microscope. The blood flow within the blood vessels can be demonstrated via indocyanine green (ICG) fluorescence. In this study we wanted to find out whether the development of a novel fluorescent surgical microscope, overlapping a multispectral fluorescent image on a white light image, is superior, equal or inferior, compared to the previous models. Moreover, it shall be proved, whether multispectral fluorescence enhances surgeon's orientation through the precise and clearer visualization of blood vessels and the blood flow. METHODS A total of 8 porcine animal models were used. After fixation of the animal's head the parietal cortex and the cortical blood vessels were exposed. A digital imaging of the arterial perfusion, capillary transition and venous drainage after intravenous injection of ICG (5 ml; 5 mg/ml) was then performed. The blood flow was artificially blocked by a surgical clip. After repetitive intravenous injection of ICG and visualisation with multispectral view, the surgical clip was removed and the reperfusion of the brain tissue was visualized with the real time ICG perfusion. RESULTS >The visualization of the anatomical structures of the surgical field under white light as well as the image overlapping were easily performed. The occlusion of blood vessels with surgical clips demonstrate a blockage of the ICG perfusion on the multispectral fluorescent image. The ICG perfusion was again demonstrated after removing the surgical clip and reperfusion of the blood vessel. CONCLUSION Multispectral fluorescence was shown to be superior to the classic ICG fluorescence. With the development of a novel multispectral surgical microscope, which overlaps a fluorescent image on a white light image, the data delivered to the surgeon are enhanced, compared to the previous models. Moreover, the surgeons's orientation is improved thanks to the clear visualization of blood vessels and the blood flow.