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Daniele Bissacco - Primary Management in General, Vascular and Thoracic Surgery: A Practical Approach

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Daniele Bissacco Primary Management in General, Vascular and Thoracic Surgery: A Practical Approach

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Thinking as a specialist, acting as an ER doctor

The emergency setting remains one of the most important parts of daily clinical practice for surgeons. Moreover, the triage surgeon may be faced with complicated patients, who are often suffering from a wide range of diseases and emerging conditions. To this end, the emergency surgeon must know how to interpret the symptoms/signs of each condition and initiate appropriate management before directing the patient to the most correct path and specialist. Although several books have been published concerning a specific surgical field (e.g. emergencies in vascular, thoracic or general surgery), this book provides a concise and quick point of view describing the clinical and instrumental surgical pictures in all vascular, thoracic, and general surgical emergencies. This approach can be useful in gaining a practical understanding of different clinical scenarios in order to adopt a correct management and treatment. It offers a simple guide to discriminating between urgent and non-urgent conditions, avoiding unnecessary diagnostic and interventional workup. This book would like to be a practical help also for general practitioners and emergency physicians to learn more about primary management of life threatening pathologies.

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Book cover of Primary Management in General Vascular and Thoracic Surgery - photo 1
Book cover of Primary Management in General, Vascular and Thoracic Surgery
Editors
Daniele Bissacco , Alberto M. Settembrini and Andrea Mazzari
Primary Management in General, Vascular and Thoracic Surgery
A Practical Approach
The Springer logo Editors Daniele Bissacco Vascular Surgery Unit - photo 2

The Springer logo.

Editors
Daniele Bissacco
Vascular Surgery Unit, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan, Italy
Alberto M. Settembrini
Vascular Surgery Unit, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan, Italy
Andrea Mazzari
Mini-invasive and General Surgery Unit, Ospedale Cristo Re, Rome, Italy
ISBN 978-3-031-12562-1 e-ISBN 978-3-031-12563-8
https://doi.org/10.1007/978-3-031-12563-8
The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

A specialist doctor is a man who knows more and more about less and less.

Dr. William J. Mayo

Fudit equum magno tellus percussa tridenti.

Virgilio, Georgiche 1 1-42

These are two phrases that strike us to the heart.

Mayo is the founder of one of the most important hospitals in the world, and his phrase is a motto for all doctors who have married their work following the deep meaning of the word doctor by taking care of all patients.

Virgils phrase must be translated into medical words considering that the teacher must prepare young surgeons to learn and make their own the lessons received from the experience of the elders.

Medicine is a field where changes are inevitable, but changes are not always evolutions. To be good doctors, it is imperative to know the biology and processes of the bodys biological behavior and, from there, try to identify changes and evolutions in therapies and treatments.

Indeed, in surgery it is essential to know the difference between the basics and the evolution of techniques.

The basics of surgery are the cornerstones of surgical growth for surgeons, but all good doctors and surgeons must keep in mind that the first approach to the patient is the correct diagnosis and management.

Why? The question can be answered by tracing its historical development over the centuries to identify the fundamental steps that depend closely on the evolution of thought. Why? The basis of surgery is not the hands but the head.

The decision-making process is the first and sometimes the most important condition to be addressed before treatment.

Our book is intended to be a concise but comprehensive guide for quick consultation by our younger colleagues on various clinical situations.

This book is for young surgeons by young surgeons. SPIGC (Italian Polyspecialistic Society of Young Surgeons) has endorsed this publication because who can be a better advisor to a young surgeon than another young surgeon who is more experienced, more skilled, and knowledgeable in a specific field.

Practical advice is given for all stages of management, and all chapters are rich in references and illustrations to provide additional reading to those who want more in-depth coverage.

This is the reason why the authors have written very practical and up-to-date chapters on different but frequent pathologies of the most critical surgical fields: general, thoracic, and vascular surgery.

Daniele Bissacco
Alberto M. Settembrini
Andrea Mazzari
Milan, Italy Milan, Italy Rome, Italy
Contents
E. Botteri , F. Bongiovanni , R. L. Meniconi and E. Grespi
Part ISurgical Instruments and Materials
Andrea Mazzari , Pasquina M. C. Tomaiuolo and Roberto Luca Meniconi
Valeria Musso and Francesco Damarco
Ilenia DAlessio and Matteo Marone
Part IINeck
Enza Lucia Castronovo , Daniele Bissacco , DOria Mario , Alberto M. Settembrini and Sirignano Pasqualino
Diotti Cristina and Francesco Damarco
Emanuela Fuccillo and Marco Giovenzana
Part IIIChest
Valeria Musso and Francesco Damarco
Andrea Xodo , Andrea Gallo , Paolo Magagna and Mario DOria
Francesco Damarco
Marco Giovenzana , Beatrice Giuliani and Nicol Maria Mariani
Francesco Damarco , Marco Giovenzana , Diotti Cristina and Valeria Musso
Part IVAbdomen
Sarah Molfino , Giampaolo Bertoloni and Gian Luca Baiocchi
Davide Esposito and Elena Giacomelli
Emanuele Botteri , Gianmaria Casoni Pattacini , Alessio Giordano and Francesca Ratti
Andrea Mazzari , Pasquina M. C. Tomaiuolo , Alessio Giordano , Roberto Luca Meniconi and Alberto M. Settembrini
Part VUpper and Lower Limbs
Matteo Marone and Ilenia DAlessio
Giuseppe Galzerano , Edoardo Pasqui , Gianluca Chierchini , Alberto M. Settembrini and Pasqualino Sirignano
Alberto M. Settembrini and Pasqualino Sirignano
Part VISpecific Clinical Pictures: Surgeon Perspectives
Emanuele Botteri , Nicoletta Lazzeri , Silvia Mazzoleni and Frank A. Rasulo
Samuele Colombo and Daniele Bissacco
Matteo Marone and Ilenia DAlessio
The Author(s), under exclusive license to Springer Nature Switzerland AG 2022
D. Bissacco et al. (eds.) Primary Management in General, Vascular and Thoracic Surgery https://doi.org/10.1007/978-3-031-12563-8_1
1. Historical Overview
E. Botteri
(1)
General Surgery Unit, ASST Spedali Civili di Brescia, Brescia, Italy
(2)
Department of Anesthesiology and Intensive Care Medicine II, Spedali Civili, University of Brescia, Brescia, Italy
(3)
Department of General Surgery and Organ Transplantation, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy
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