Seven Bypasses

Seven Bypasses PDF

Author: Michael T. Lawton

Publisher: Thieme

Published: 2018-03-21

Total Pages: 1122

ISBN-13: 1626234841

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Seven Bypasses: Tenets and Techniques for Revascularization is the third book in a trilogy of bravura, technical nuance, and strategy by master neurosurgeon Michael Lawton. Like his first two books on aneurysms and AVMs, Seven Bypasses provides unparalleled firsthand insights and guidance on complex pathologies in vascular neurosurgery. The fundamentals of microsurgical anastomosis and the craft of bypass surgery are explored in depth with clinical pearls in every chapter. Lawton eloquently reveals the art of cerebral revascularization in exquisite, metaphorical detail. The surgeon performing bypass surgery is like an architect envisioning and building a beautiful structure. A bypass is designed to fit the patient's unique anatomy; blueprints designate anastomotic sites, connections, and conduits; the anastomoses are constructed; and the bypass is brought to life with pulsations, flow, and reperfusion. The book highlights Lawton's aesthetic, which has evolved from the common STA-MCA bypasses to IC-IC bypasses and elaborate arterial reconstructions. Key Highlights Stepwise discussion of the three anastomoses that form the building blocks of all bypasses: end-to-side, side-to-side, and end-to-end anastomoses Ten tenets delineate nuances of bypass: dexterity, preparing donors and recipients, establishing a working zone, temporary arterial occlusion, arteriotomy, suturing technique, tissue handling, knot tying, patency, and aneurysm occlusion Step-by-step guidance on the seven bypasses: EC-IC bypass, EC-IC interpositional bypass, arterial reimplantation, in-situ bypass, reanastomosis, IC-IC interpositional bypass, and combination bypass Strategies and algorithms for aneurysms organized by specific anatomical sites, including the MCA and the Sylvian cistern, ACA and the interhemispheric cistern, basilar artery and the basal cisterns, and PICA and the cisterna magna More than 1,500 radiographs, operative photographs, and exquisite illustrations drawn by artist Kenneth Xavier Probst elucidate anatomy, surgical principles, and clinical cases Dr. Lawton has bequeathed a remarkable treasure of knowledge to current and future generations of neurosurgeons and their patients. The Seven series is destined to be an enduring classic for residents, fellows, and neurosurgeons specializing in the treatment of cerebrovascular disease, and for those who believe that manual dexterity and technical skill still matter. Michael T. Lawton, MD, is Chairman, Department of Neurological Surgery; Professor of Neurological Surgery; President and Chief Executive Officer, Barrow Neurological Institute; Chief of Vascular and Skull Base Neurosurgery Programs; and Robert F. Spetzler Endowed Chair in Neurosciences, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. An award-winning international medical and scientific publisher, Thieme has demonstrated its commitment to the highest standard of quality in the state-of-the-art content and presentation of all its products. Founded in 1886, the Thieme name has become synonymous with high quality and excellence in online and print publishing.

Seven Bypasses

Seven Bypasses PDF

Author: Michael T. Lawton

Publisher: Thieme

Published: 2018-02-21

Total Pages: 980

ISBN-13: 1638534551

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Seven Bypasses: Tenets and Techniques for Revascularization is the third book in a trilogy of bravura, technical nuance, and strategy by master neurosurgeon Michael Lawton. Like his first two books on aneurysms and AVMs, Seven Bypasses provides unparalleled firsthand insights and guidance on complex pathologies in vascular neurosurgery. The fundamentals of microsurgical anastomosis and the craft of bypass surgery are explored in depth with clinical pearls in every chapter. Lawton eloquently reveals the art of cerebral revascularization in exquisite, metaphorical detail. The surgeon performing bypass surgery is like an architect envisioning and building a beautiful structure. A bypass is designed to fit the patient's unique anatomy; blueprints designate anastomotic sites, connections, and conduits; the anastomoses are constructed; and the bypass is brought to life with pulsations, flow, and reperfusion. The book highlights Lawton's aesthetic, which has evolved from the common STA-MCA bypasses to IC-IC bypasses and elaborate arterial reconstructions. Key Highlights Stepwise discussion of the three anastomoses that form the building blocks of all bypasses: end-to-side, side-to-side, and end-to-end anastomoses Ten tenets delineate nuances of bypass: dexterity, preparing donors and recipients, establishing a working zone, temporary arterial occlusion, arteriotomy, suturing technique, tissue handling, knot tying, patency, and aneurysm occlusion Step-by-step guidance on the seven bypasses: EC-IC bypass, EC-IC interpositional bypass, arterial reimplantation, in-situ bypass, reanastomosis, IC-IC interpositional bypass, and combination bypass Strategies and algorithms for aneurysms organized by specific anatomical sites, including the MCA and the Sylvian cistern, ACA and the interhemispheric cistern, basilar artery and the basal cisterns, and PICA and the cisterna magna More than 1,500 radiographs, operative photographs, and exquisite illustrations drawn by artist Kenneth Xavier Probst elucidate anatomy, surgical principles, and clinical cases Dr. Lawton has bequeathed a remarkable treasure of knowledge to current and future generations of neurosurgeons and their patients. The Seven series is destined to be an enduring classic for residents, fellows, and neurosurgeons specializing in the treatment of cerebrovascular disease, and for those who believe that manual dexterity and technical skill still matter.

Seven Aneurysms

Seven Aneurysms PDF

Author: Michael T. Lawton

Publisher: Thieme

Published: 2011-01-01

Total Pages: 346

ISBN-13: 1638533520

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The art of aneurysm microsurgery in a beautifully illustrated, step-by-step volume Finalist in 2012 IBPA Benjamin Franklin Awards Seven Aneurysms: Tenets and Techniques for Clipping combines the instructive nature of a textbook with the visual aspects of an atlas to guide readers through the surgical principles, approaches, and techniques they need to dissect and clip cerebral aneurysms. Comprised of three concise sections, the book distills the distinguished author's vast experience into a series of easily accessible tutorials presented through clear, systematic descriptions and stunning, full-color illustrations. The first section explains the critical concepts and basic tenets of aneurysm microsurgery followed by a section on the various craniotomies and exposures necessary for successful clipping. The final section covers microsurgical anatomy, dissection strategies, and clipping techniques for each of the seven most common aneurysm types that are the focus of this book. Features: Strategies for handling the seven aneurysms most often seen by neurosurgeons: PCoA, MCA, ACoA, OphA, PcaA, basilar bifurcation, and PICA 383 full-color surgical photographs demonstrate operative techniques; 77 high-quality drawings display anatomy and spatial relationships Succinct text facilitates quick reading and easy reference Clipping remains an essential treatment method for the most frequently encountered aneurysms. This must-have guide will enable neurosurgery residents, fellows, or practicing neurosurgeons to handle the majority of the aneurysms they will encounter with confidence and poise.

Seven AVMs

Seven AVMs PDF

Author: Michael T. Lawton

Publisher: Thieme

Published: 2014-03-10

Total Pages: 502

ISBN-13: 1638530939

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An exquisitely illustrated guide to AVMs Honorable Mention at 2015 PROSE Awards! This sequel to Dr. Lawton's best-selling Seven Aneurysms focuses on microsurgical resection techniques for AVMs found in the lobes and deep regions of the brain. It categorizes the techniques into subtypes to simplify the broad spectrum of brain AVMs neurosurgeons may encounter. The book is organized into three sections: The Tenets, which establishes eight steps for AVM resection; The Seven Arteriovenous Malformations, which describes the anatomical terrain and surgical strategies for thirty-two AVM subtypes; and The Selection section, in which Dr. Lawton discusses what he believes to be the keys to successful AVM surgery: good patient selection and best application of multiple treatment modalities. Key Features: Includes more than 700 spectacular full-color illustrations developed exclusively for this book Creates a system for conceptualizing and approaching AVMs Illustrates a stepwise process for AVM resection using strategic "battle plans" Summarizing the common AVMs encountered in practice, neurosurgeons and neurosurgical residents will find this hybrid atlas-text to be an essential part of their armamentarium.

Planet Narnia

Planet Narnia PDF

Author: Michael Ward

Publisher: Oxford University Press

Published: 2008-01-15

Total Pages: 655

ISBN-13: 0199740933

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For over half a century, scholars have laboured to show that C. S. Lewis's famed but apparently disorganised Chronicles of Narnia have an underlying symbolic coherence, pointing to such possible unifying themes as the seven sacraments, the seven deadly sins, and the seven books of Spenser's Faerie Queene. None of these explanations has won general acceptance and the structure of Narnia's symbolism has remained a mystery. Michael Ward has finally solved the enigma. In Planet Narnia he demonstrates that medieval cosmology, a subject which fascinated Lewis throughout his life, provides the imaginative key to the seven novels. Drawing on the whole range of Lewis's writings (including previously unpublished drafts of the Chronicles), Ward reveals how the Narnia stories were designed to express the characteristics of the seven medieval planets - - Jupiter, Mars, Sol, Luna, Mercury, Venus, and Saturn - - planets which Lewis described as "spiritual symbols of permanent value" and "especially worthwhile in our own generation". Using these seven symbols, Lewis secretly constructed the Chronicles so that in each book the plot-line, the ornamental details, and, most important, the portrayal of the Christ-figure of Aslan, all serve to communicate the governing planetary personality. The cosmological theme of each Chronicle is what Lewis called 'the kappa element in romance', the atmospheric essence of a story, everywhere present but nowhere explicit. The reader inhabits this atmosphere and thus imaginatively gains connaître knowledge of the spiritual character which the tale was created to embody. Planet Narnia is a ground-breaking study that will provoke a major revaluation not only of the Chronicles, but of Lewis's whole literary and theological outlook. Ward uncovers a much subtler writer and thinker than has previously been recognized, whose central interests were hiddenness, immanence, and knowledge by acquaintance.

Photo Atlas of Skull Base Dissection

Photo Atlas of Skull Base Dissection PDF

Author: Masahiko Wanibuchi

Publisher: Thieme

Published: 2011-01-01

Total Pages: 454

ISBN-13: 1638532680

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An invaluable resource for gaining a visual orientation to skull base surgery Praise for this book: "[Four stars] Populated with superb pictures of anatomical dissections...highly recommend[ed]...to any clinician dealing with skull base conditions." - Doody's Review A richly illustrated, step-by-step guide to the full range of approaches in skull base surgery, this book is designed to enable the surgeon to gain not only the technical expertise for common procedures, but to be able to confidently modify standard approaches when necessary. Full-color images of cadavers orient the surgeon to the clinical setting by presenting in precise detail the perspective encountered in the operating room. The images demonstrate surgical anatomy and the relevant structures adjacent to the exposures. Special emphasis on the relationship between the operative corridor and the surrounding anatomy helps the surgeon develop a clear understanding of whether tissues adjacent to the dissection can be exposed without complications. Features: More than 1,000 high-quality images demonstrate key concepts Brief lists of "Key Steps" guide the surgeon through each step of the dissection Concise text supplements each photograph, providing descriptions of technical maneuvers and clinical pearls Coverage of the latest innovative approaches enables surgeons to optimize clinical techniques Through detailed coverage of surgical anatomy and relevant adjacent structures, this book enables clinicians to develop a solid understanding of the entire operative region as well as the limits and possibilities of each skull base approach. It is an indispensable reference for neurosurgeons, head and neck surgeons, and otolaryngologists, and residents in these specialties.

Landmark Papers in Neurosurgery

Landmark Papers in Neurosurgery PDF

Author: Reuben D. Johnson

Publisher:

Published: 2014

Total Pages: 417

ISBN-13: 0199674027

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Evidence-based medicine is a concept that has come to the fore in the past few years. Clinicians are increasingly encouraged to practise patient management based on available evidence in the scientific literature. For example, new pharmacological therapies are only used when large randomized trials have 'proven' that a particular drug is better than existing ones. This is also the case in surgical specialties, although surgery has traditionally seen a lack of useof this information, with individual surgeon's preferences being most influential in treatment choices. However, more recently, there has been a large expansion of trials and studies aimed at providingsurgeons with information to guide their choices using firm evidence. This new edition has been revised and expanded to include new data where relevant, and also features a new chapter on pituitary surgery. Landmark Papers in Neurosurgery 2e remains a key collection of the most important trials and studies in neurosurgery, allowing the reader to rapidly extract key results, and making it essential reading for all neurosurgeons and trainees in the field.

Recovering Spirituality

Recovering Spirituality PDF

Author: Ingrid Clayton

Publisher: Simon and Schuster

Published: 2011-08-24

Total Pages: 168

ISBN-13: 1616492007

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Guides those in recovery in developing the awareness and skills to deal with life's issues by practicing authentic spirituality and emotional sobriety. Spirituality is a critical aspect of the Twelve Steps and other recovery programs. Yet, for those of us disposed to addiction, it can be easy to get so caught up in the idea of our Higher Power and the abundant joys of a spiritual life that we experience "spiritual bypass"--the use of spirituality to avoid dealing with ourselves, our emotions, and our unfinished business.In Recovering Spirituality, researcher and clinical psychologist Ingrid Mathieu uses personal stories and practical advice to teach us how to grow up emotionally and take responsibility for ourselves. Without turning away from the true benefits of an active spiritual program, she shows us how to work through life's challenges and periods of pain while evolving and maintaining an authentic relationship with our Higher Power.

Institutional Bypasses

Institutional Bypasses PDF

Author: Mariana Mota Prado

Publisher: Cambridge University Press

Published: 2018-11-22

Total Pages: 354

ISBN-13: 1108619150

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Institutional bypass is a reform strategy that creates alternative institutional regimes to give citizens a choice of service provider and create a form of competition between the dominant institution and the institutional bypass. While novel in the academic literature, the concept captures practices already being used in developing countries. In this illuminating book, Mariana Mota Prado and Michael J. Trebilcock explore the strengths and limits of this strategy with detailed case studies, showing how citizen preferences provide a benchmark against which future reform initiatives can be evaluated, and in this way change the dynamics of the reform process. While not a 'silver bullet' to the challenge of institutional reform, institutional bypasses add to the portfolio of strategies to promote development. This work should be read by development researchers, scholars, policymakers, and anyone else seeking options on how to promote change and implement reforms in developing countries around the world.

The Craniotomy Atlas

The Craniotomy Atlas PDF

Author: Andreas Raabe

Publisher: Thieme

Published: 2019-06-24

Total Pages: 397

ISBN-13: 313258178X

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"… the neurosurgical primer that every resident will own and study" - Robert Spetzler Given that the great majority of brain surgeries are preceded by a craniotomy, mastering the procedure is essential for junior residents. Choosing the appropriate craniotomy and executing it safely is the difference between a straightforward case with good access to the target and a procedure where access to the target is needlessly traumatic and may even be impossible. Professor Raabe's The Craniotomy Atlas provides precise instructions for performing all common neurosurgical cranial exposures, including: convexity approaches, midline approaches, skull base approaches, transsphenoidal approaches and more. Instructions for each craniotomy include positioning, head fixation, aesthetic considerations, and protecting the dura mater. Special Features: More than 600 high-quality operative photographs and brilliant illustrations support the step-by-step descriptions, with all the precision and attention to detail that neurosurgeons have come to expect from the editor Professor Raabe, and the associate editors Professors Meyer, Schaller, Vajkoczy, and Winkler. Full coverage of complications and risk factors Checklist with summaries of the critical steps All residents and trainees in neurosurgery will treasure this essential resource, which will help build confidence when performing these critical neurosurgical procedures.