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Introduction

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Baily & Love
1 Metabolic response to injury
10 Principles of minimal access surgery
11 Tissue and molecular diagnosis
12 Principles of oncology
13 Surgical audit and research
14 Ethics and law in surgical practice
15 Human factors, patient safety and quality impro
15 Human factors, patient safety and quality improvement
16 Global health and surgery
17 Paediatric surgery
18 Neonatal surgery
19 T rauma in children
2 Shock, haemorrhage and transfusion
20 Paediatric urology
21 Preoperative care including the high-risk surgi
21 Preoperative care including the high-risk surgical patient
22 Day case surgery
23 Anaesthesia and pain relief
24 Postoperative care including perioperative opti
24 Postoperative care including perioperative optimisation
25 Nutrition and f_l uid therapy
26 Introduction to trauma
27 Early assessment and management of severe traum
27 Early assessment and management of severe trauma
28 T raumatic brain injury
29 T orso and pelvic trauma
3 Wound healing and tissue repair
30 T_h e neck and spine
31 Maxillofacial trauma
32 Extremity trauma
33 Disaster surgery
34 Con f_l ict surgery
35 History taking and clinical examination in musc
35 History taking and clinical examination in musculoskeletal disease
36 Sports medicine and sports injuries
37 T_h e spine
38 T_h e upper limb
39 T_h e hip
4 Tissue engineering and regenerative therapies
40 T_h e knee
41 T_h e foot and ankle
42 Musculoskeletal tumours
43 Infection of the bones and joints
44 Paediatric orthopaedics
45 Skin and subcutaneous tissue
46 Burns
47 Plastic and reconstructive surgery
48 Cranial neurosurgery
49 T_h e eye and orbit
5 5 5 5
5 Surgical infection
50 Developmental abnormalities of the face, mouth
50 Developmental abnormalities of the face, mouth and jaws cleft lip and palate
51 T_h e ear, nose and sinuses
52 T_h e pharynx, larynx and neck
53 Oral cavity cancer
54 Disorders of the salivary glands
55 T_h e thyroid gland
56 T_h e parathyroid glands
57 T_h e adrenal glands and other abdominal endoc
57 T_h e adrenal glands and other abdominal endocrine disorders
58 T_h e breast
59 Cardiac surgery
6 T ropical infections and infestations
60 T_h e thorax
61 Arterial disorders
62 Venous disorders
63 History and examination of the abdomen
64 T_h e abdominal wall, hernia and umbilicus
65 T_h e peritoneum, mesentery, greater omentum a
66 T_h e oesophagus
67 T_h e stomach and duodenum
68 Bariatric and metabolic surgery
69 T_h e liver
7 Basic surgical skills
70 T_h e spleen
71 T_h e gallbladder and bile ducts
72 T_h e pancreas
73 Functional disorders of the intestine
74 T_h e small intestine
75 In f_l ammatory bowel disease
76 T_h e vermiform appendix
77 T_h e large intestine
78 Intestinal obstruction
79 T_h e rectum
8 Diagnostic imaging
80 T_h e anus and anal canal
81 Urinary symptoms and investigations
82 T_h e kidney and ureter
83 T_h e urinary bladder
84 T_h e prostate and seminal vesicles
85 T_h e urethra and penis
86 T_h e testis and scrotum
87 Gynaecology
88 Kidney transplantation and the principles of tr
89 Liver transplantation
9 Gastrointestinal endoscopy
90 Pancreas transplantation
91 Intestinal and multivisceral transplantation
92 Heart and lung transplantation

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Baily & Love

47 Plastic and reconst...

Introduction

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AVO I DA B L E FAC TO R S T H AT COMPOUND THE RESP

AVO I DA B L E FAC TO R S T H AT COMPOUND THE RESPONSE TO

Agonists and antagonists an uncertain balance

Alterations in hepatic protein metabolism the acu

Alterations in hepatic protein metabolism the acute-phase protein response

Alterations in skeletal muscle protein metabolism

C A a n

CHANGES IN BODY COMPOSITION FOLLOWING INJURY

ENHANCED RECOVERY AFTER SURGERY

FURTHER READING

Homeostasis

Hypothermia

INJURY

Immobilisation

Immobility

Introduction

Learning objectives

MANAGING THE CATABOLIC STRESS RESPONSE

MEDIATORS OF THE METABOLIC RESPONSE TO INJURY Tiss

MEDIATORS OF THE METABOLIC RESPONSE TO INJURY Tissue damage and inﬂammation

METABOLIC CHANGES AFTER SURGERY AND TRAUMA

Modern surgical care

Neuroendocrine response to injury

RESPONSE

Starvation

Systemic inﬂammation and tissue

Tissue oedema

Volume loss

b b o

l i i

s s m m

t a a

underperfusion

Analgesia

DEFINITION

DISCHARGE FROM HOSPITAL

Direct robotic systems and hybrid robotic surgery

Disadvantages of robotic surgery

Drains

Endoluminal endoscopy and natural oriﬁce surgery

Endoscopic surgery

FURTHER DEVELOPMENTS Augmented reality and minimal access surgical adjuncts

FURTHER DEVELOPMENTS Augmented reality and minimal

GENERAL INTRAOPERATIVE PRINCIPLES

History of minimal access surgery

History of robotic surgery

Hybrid minimal access surgery

Introduction

LIMITATIONS OF MINIMAL ACCESS SURGERY

Learning objectives

MINIMAL ACCESS APPROACHES Laparoscopy

Mobility and convalescence

Operative problems

Oral feeding

Oral ﬂuids

Orogastric or nasogastric tube

PERIOPERATIVE PLANNING FOR MINIMAL ACCESS SURGERY

POSTOPERATIVE CARE

Perivisceral endoscopy

Port site pain and numbness

Preparation of the patient

Principles of electrosurgery during laparoscopic s

Principles of electrosurgery during laparoscopic surgery

ROBOTIC SURGERY

SURGICAL TRAUMA IN OPEN, MINIMALL Y INVASIVE AND R

SURGICAL TRAUMA IN OPEN, MINIMALL Y INVASIVE AND ROBOTIC SURGERY

Shoulder tip pain

Single-incision minimal access surgery

Skin sutures

THE FUTURE

THEATRE SET-UP AND TOOLS

Thoracoscopy

Uptake of robotic surgery

Urinary catheter

surgery

ACKNOWLEDGEMENTS

ASSESSMENT Light microscopy

AUTOPSY

BRAF V600E mutation

Basic methods in diagnostic molecular pathology