Textbook of Surgery is a core book for medical and surgical students providing a comprehensive overview of general and speciality surgery. Each topic is written by an expert in the field.

The book focuses on the principles and techniques of surgical management of common diseases. Great emphasis is placed on problem-solving to guide students and junior doctors through their surgical training.

THE EDITORS

JULIAN A. SMITH is Professor of Surgery and Head, Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Australia.

ANDREW H. KAYE is Professor of Surgery and Head, Department of Surgery, The University of Melbourne, Australia.

CHRISTOPHER CHRISTOPHI is Professor and Head of Surgery, Austin Health, The University of Melbourne, Australia.

WENDY A. BROWN is Professor of Surgery and Head, Department of Surgery, Central Clinical School, Alfred Health, Monash University, Australia.

Contributors viii

Preface xiii

Acknowledgements xiv

Section 1 Principles of Surgery

1 Preoperative management 3Julian A. Smith

2 Assessment of surgical risk 13Benjamin N.J. Thomson

3 Anaesthesia and pain medicine 19David Story

4 Postoperative management 25Peter Devitt

5 Surgical techniques 35Benjamin N.J. Thomson and David M.A. Francis

6 Management of surgical wounds 45Rodney T. Judson

7 Nutrition and the surgical patient 49William R.G. Perry and Andrew G. Hill

8 Care of the critically ill patient 57Jeffrey J. Presneill, Christopher MacIsaac and John F. Cade

9 Surgical infection 65Marcos V. Perini and Vijayaragavan Muralidharan

10 Transplantation surgery 75Michael A. Fink

11 Principles of surgical oncology 87G. Bruce Mann and Robert J.S. Thomas

12 Introduction to the operating theatre 93Andrew Danks, Alan C. Saunder and Julian A. Smith

13 Emergency general surgery 109Benjamin N.J. Thomson and Rose Shakerian

Section 2 Upper Gastrointestinal Surgery

14 Gastrooesophageal reflux disease and hiatus hernias 115Paul Burton and Geraldine J. Ooi

15 Tumours of the oesophagus 123Ahmad Aly and Jonathan Foo

16 Peptic ulcer disease 133Paul A. Cashin and S.C. Sydney Chung

17 Gastric neoplasms 143John Spillane

18 Obesity and bariatric surgery 151Yazmin Johari and Wendy A. Brown

Section 3 Hepatopancreaticobiliary Surgery

19 Gallstones 163Arthur J. Richardson

20 Malignant diseases of the hepatobiliary system 173Thomas J. Hugh and Nigel B. Jamieson

21 Liver infections 191Vijayaragavan Muralidharan, Marcos V. Perini and Christopher Christophi

22 Pancreatitis 199Peter S. Russell and John A. Windsor

23 Pancreatic tumours 209David Burnett and Mehrdad Nikfarjam

24 Portal hypertension and surgery on the patient with cirrhosis 219Michael A. Fink

Section 4 Lower Gastrointestinal Surgery

25 Principles of colorectal and small bowel surgery 229Ian Hayes

26 Physiology of small and large bowel: alterations due to surgery and disease 237Jacob McCormick and Ian Hayes

27 Small bowel obstruction and ischaemia 243Ian Hayes and the late Joe J. Tjandra

28 The appendix and Meckels diverticulum 249Rose Shakerian and the late Joe J. Tjandra

29 Inflammatory bowel disease 255Susan Shedda, Brit Christensen and the late Joe J. Tjandra

30 Diverticular disease of the colon 267Ian Hastie and the late Joe J. Tjandra

31 Colorectal cancer 273Ian T. Jones and the late Joe J. Tjandra

32 Large bowel obstruction 285Raaj Chandra

33 Perianal disorders I: excluding sepsis 293Ian Hayes and Susan Shedda

34 Perianal disorders II: sepsis 301Ian Hayes and the late Joe J. Tjandra

Section 5 Breast Surgery

35 Breast assessment and benign breast disease 309Rajiv V. Dave and G. Bruce Mann

36 Malignant breast disease and surgery 317Rajiv V. Dave and G. Bruce Mann

Section 6 Endocrine Surgery

37 Thyroid 331Jonathan Serpell

38 Parathyroid 339Jonathan Serpell

39 Tumours of the adrenal gland 345Jonathan Serpell

Section 7 Head and Neck Surgery

40 Eye injuries and infections 353Helen V. DaneshMeyer

41 Otorhinolaryngology 359Stephen OLeary and Neil Vallance

42 Tumours of the head and neck 369Rodney T. Judson

Section 8 Hernias

43 Hernias 381Roger Berry and David M.A. Francis

Section 9 Skin and Soft Tissues

44 Tumours and cysts of the skin 397Rodney T. Judson

45 Soft tissue tumours 403Peter F. Choong

46 Infection of the extremities 415Mark W. Ashton and David M.A. Francis

47 Principles of plastic surgery 423Mark W. Ashton

Section 10 Trauma

48 Principles of trauma management 431Scott K. DAmours, Stephen A. Deane and Valerie B. Malka

49 Burns 443Ioana Tichil and Heather Cleland

Section 11 Orthopaedic Surgery

50 Fractures and dislocations 457Peter F. Choong

51 Diseases of bone and joints 465Peter F. Choong

Section 12 Neurosurgery

52 Head injuries 483Andrew H. Kaye

53 Intracranial tumours,infection and aneurysms 493Andrew H. Kaye

54 Nerve injuries,peripheral nerve entrapments and spinal cord compression 511Andrew H. Kaye

Section 13 Vascular Surgery

55 Disorders of the arterial system 527Raffi Qasabian and Gurfateh Singh Sandhu

56 Extracranial vascular disease 537Raffi Qasabian and Gurfateh Singh Sandhu

57 Venous and lymphatic diseases of the limbs 545Hani Saeed and Michael J. Grigg

58 Endovascular therapies 553Timothy Buckenham

Section 14 Urology

59 Benign urological conditions 565Anthony J. Costello, Daniel M. Costello and Fairleigh Reeves

60 Genitourinary oncology 577Homayoun Zargar and Anthony J. Costello

Section 15 Cardiothoracic Surgery

61 Principles and practice of cardiac surgery 587James Tatoulis and Julian A. Smith

62 Common topics in thoracic surgery 603Julian A. Smith

Section 16 Problem Solving

63 Chronic constipation 617Kurvi Patwala and Peter De Cruz

64 Faecal incontinence 625Andrew Bui

65 Rectal bleeding 633Adele Burgess

66 Haematemesis and melaena 637Wendy A. Brown

67 Obstructive jaundice 643Frederick Huynh and Val Usatoff

68 The acute abdomen,peritonitis and intraabdominal abscesses 649Paul Cashin, Michael Levitt and the late Joe J. Tjandra

69 Ascites 659David A.K. Watters, Sonal Nagra and David M.A. Francis

70 Neck swellings 667Rodney T. Judson

71 Acute airway problems 675Stephen OLeary

72 Dysphagia 679Wendy A. Brown

73 Leg swelling and ulcers 685Alan C. Saunder, Steven T.F. Chan and David M.A. Francis

74 Haematuria 693Kenny Rao and Shomik Sengupta

75 Postoperative complications 699Peter Devitt

76 Massive haemoptysis 707Julian A. Smith

77 Epistaxis 711Robert J.S. Briggs

78 Low back and leg pain 715Jin W. Tee and Jeffrey V. Rosenfeld

79 Acute scrotal pain 727Anthony Dat and Shomik Sengupta

80 Posttraumatic confusion 735John Laidlaw

81 Suddenonset severe headache 745Alexios A. Adamides

82 The red eye 749Christine Chen

83 Double vision 757Christine Chen

Answers to MCQs 763

Index 767