Professional Documents
Culture Documents
Fundamentals of Surgical
Practice
Third Edition
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Fundamentals of Surgical
Practice
Third Edition
Edited by
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Contents
List of contributors
Preface x
vii
Fundamentals of surgical
microbiology 41
Richard Cunningham
Fundamentals of radiology
Arvind Pallan
54
71
Preoperative assessment
Jeffrey L. Tong
Fundamentals of anaesthesia
Jeffrey L. Tong
127
134
181
190
151
15 Management of sepsis
Mark J. Midwinter
230
248
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Contents
20 Oesophago-gastric surgery
Tim Wheatley
343
392
430
28 Fundamentals of orthopaedics
Jon Clasper
378
521
537
564
31 Fundamentals of organ
transplantation 608
Matthew Bowles
Index 625
vi
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Contributors
Donald J. Adam
Consultant Surgeon, Heart of England NHS
Foundation Trust and Senior Lecturer, Department of
Vascular Surgery, Birmingham University,
Birmingham, UK
Matthew Bowles
Consultant Surgeon, Derriford Hospital, Plymouth,
UK
Douglas M. Bowley
Consultant Surgeon, Heart of England NHS
Foundation Trust, and Senior Lecturer, Academic
Department of Military Surgery and Trauma, Royal
Centre for Defence Medicine, Birmingham, UK
Tim Campbell Smith
Department of Colon and Rectal Surgery, University
College London Hospitals, London, UK
Peter Cant
Consultant Surgeon, Department of Surgery,
Derriford Hospital, Plymouth, UK
Martin W. Claridge
Specialist Registrar in Surgery, Birmingham
University Department of Vascular Surgery, Heart of
England NHS Foundation Trust, Birmingham, UK
Jon Clasper
Consultant Surgeon, Frimley Park NHS Foundation
Trust and Defence Professor of Trauma and
Orthopaedics, Academic Department of Military
Surgery and Trauma, Royal Centre for Defence
Medicine, Birmingham, UK
Jamie J. Coleman
Senior Lecturer, Department of Clinical
Pharmacology, College of Medical and Dental
Sciences, University of Birmingham, Birmingham,
UK
Mark G. Coleman
Consultant Surgeon, Department of Surgery,
Derriford Hospital, Plymouth, UK
Angela Cottrell
Department of Urology, Derriford Hospital,
Plymouth, UK
Nicholas J. Cowley
Specialist Registrar, Department of Anaesthesia,
University Hospitals Birmingham NHS Foundation
Trust, Birmingham, UK
Anthony R. Cox
Lecturer in Clinical Therapeutics, School of
Pharmacy, Aston University, Birmingham,
UK
Tania C.S. Cubison
Consultant Surgeon, Department of Burns,
Reconstruction and Plastic Surgery, Queen Victoria
Hospital, East Grinstead, East Sussex, UK, and Royal
Army Medical Corps, UK
Chris Cunningham
Colorectal Surgeon, Department of Colorectal
Surgery, John Radcliffe Hospital, Oxford, UK
Richard Cunningham
Consultant Microbiologist, Department of
Microbiology, Derriford Hospital, Plymouth,
UK
Ross Davenport
Trauma Research Fellow, Trauma Clinical Academic
Unit, Royal London Hospital, Whitechapel, London,
UK
Andrew Dickinson
Consultant Surgeon, Department of Urology,
Derriford Hospital, Plymouth, UK
vii
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List of contributors
Mark Duxbury
Clinical Scientist and Honorary Consultant Surgeon,
University of Edinburgh, Royal Infirmary, Edinburgh,
UK
John Evans
St. Marks Hospital, Middlesex, UK
Deborah Harrington
Specialist Registrar, Department of Thoracic Surgery,
Heart of England NHS Foundation Trust,
Birmingham, UK
Steven D. Heys
Professor of Surgical Oncology and Consultant
Surgeon, Deputy Head, Division of Applied
Medicine, School of Medicine and Dentistry,
University of Aberdeen, Aberdeen, UK
Riffatt Hussein
Education Fellow, Heart of England NHS Foundation
Trust, Birmingham, UK
Anant Kamat
Consultant Surgeon, Department of Neurological
Surgery, Derriford Hospital, Plymouth, UK
Robin H. Kennedy
Consultant Surgeon, Department of Colorectal
Surgery, St. Marks Hospital, Middlesex, UK
Walter W.K. King
Clinical Professor, Department of Surgery, Chinese
University of Hong Kong and Centre Director, Plastic
and Reconstructive Surgery Centre, Hong Kong
Sanatorium and Hospital, Hong Kong
Andrew N. Kingsnorth
Consultant Surgeon, Derriford Hospital and
Honorary Professor of Surgery, Peninsula College of
Medicine and Dentistry, Plymouth, UK
Gerald Langman
Consultant Histopathologist, Heart of England NHS
Foundation Trust, Birmingham, UK
Evangelos Mazaris
PhD Student, The West London Renal and Transplant
Centre, Imperial College NHS Healthcare Trust,
Hammersmith Hospital, London, UK
Chantal Meystre
Consultant, Palliative Care Physician, Heart of
England NHS Foundation Trust and Medical
Director, Marie Curie Hospice, Solihull, Birmingham,
UK
Mark J. Midwinter
Consultant Surgeon, University Hospitals
Birmingham NHS Foundation Trust and Defence
Professor of Surgery, Royal Centre for Defence
Medicine, Birmingham, UK
Angela L. Neville
Assistant Professor of Surgery, Harbor-UCLA
Medical Center, Los Angeles, CA, USA
Arvind Pallan
Consultant Radiologist, Heart of England NHS
Foundation Trust, Birmingham, UK
James Palmer
Consultant Surgeon, Department of Neurological
Surgery, Derriford Hospital, Plymouth, UK
Vassilios Papalois
Consultant Transplant and General Surgeon, The
West London Renal and Transplant Centre, Imperial
College NHS Healthcare Trust, Hammersmith
Hospital, London, UK
Rowan W. Parks
Consultant Surgeon, Edinburgh Royal Infirmary and
Reader in Surgery, Department of Clinical and
Surgical Sciences, University of Edinburgh,
Edinburgh, UK
Michael A. Scott
Consultant Surgeon, Department of Surgery,
Gloucestershire Royal Hospital, Gloucester, UK
Richard S. Steyn
Consultant Surgeon, Department of Thoracic
Surgery, Heart of England NHS Foundation Trust,
Birmingham, UK
Nigel Tai
Consultant Trauma and Vascular Surgeon, Trauma
Clinical Academic Unit, Royal London Hospital and
Senior Lecturer, Royal Centre for Defence Medicine,
Birmingham, UK
viii
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List of contributors
Tim Wheatley
Consultant Surgeon, Department of Upper
Gastrointestinal Surgery, Derriford Hospital,
Plymouth, UK
Antonius B.M. Wilmink
Consultant Vascular Surgeon, Birmingham
University Department of Vascular Surgery, Heart of
England NHS Foundation Trust, Birmingham, UK
Alistair Windsor
Consultant Surgeon, Department of Colorectal Surgery,
University College London Hospitals, London, UK
John K.S. Woo
Clinical Associate Professor, Chinese University of
Hong Kong and Consultant, Department of Surgery,
Prince of Wales Hospital, Hong Kong
ix
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Preface
skills, technical skills and professional attitudes, a surgeon must develop skills as a Communicator, Collaborator, Manager, Health Advocate, Scholar and Professional. These are admirable goals and the examination
system is indeed evolving to assess the full range of
these qualities.
This new edition of Fundamentals of Surgical Practice is aimed at the surgeon in training preparing for
the Intercollegiate MRCS Examination. The book follows the syllabus for the examination, which has been
agreed by, and is common to, the Surgical Royal Colleges of Great Britain and Ireland. The syllabus integrates basic sciences, principles of surgery-in-general
and important generic surgical topics. The authors are
dedicated surgical educators and we hope this book
will communicate some of our passion for surgery to
you as much as we hope it helps you progress in your
professional careers.
Andrew Kingsnorth and Douglas Bowley
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