Handbook of Reoperative General Surgery | Date: 30 April 2011, 08:24
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Why offer a new Handbook oj Reoperative General Surgery? After all, reoperations have become more and more common as our field continues to grow, and as we care for patients living longer. Just about everyone gets experience, or thinks they do, in many types of reoperation during their training. Once on one’s own, how- ever, the real stakes become clear. Patients rarely present as straightforward and therefore require precise decision-making and tenacious management. The safety and predictability normal anatomy offers is gone. Unusual complications occur. Basic surgical principles may help, but innovation and insight are usually required to achieve the best operative and perioperative care. Will you be ready? Will your care reflect lo$c, knowledge, and confidence? Will you know key principles to help you succeed? Do you have the resources you need?
The guiding objective of this new Handbook is to help you succeed.At the con- cept level, this book was received enthusiastically by nearly all medical students, surgical residents, and faculty that I surveyed. They confirmed that very few pub- lished resources for reoperative general surgery are available. Those that are, while helpful, require updating, given the recent changes across our field.What follows is
a current analysis of the elements of general surgery which most commonly require reoperation. I have invited, as senior chapter authors, some of America’s most admired and talented young surgeons, all accepting with enthusiasm. For you, they have delivered what you need to know to succeed, developing each element along traditional principles of pathophysiology, anatomy, and diagnosis, while revealing the non-traditional challenges reoperation will create. Each chapter pro- vides the key literature citations, both older and new, that you’ll need.
Who better to provide your invited foreword than Josef E. Fischer, MD, FACS, whose clinical legacy is reoperative general surgery? With over 35 years’ experience and countless lessons learned, Dr. Fischer continues to embark on clinical journeys from which most rightfully recoil. Indeed he has what it takes, but more impor- tantly, he now lays it out for you in clear language. He emphasizes preparation, and recommends leaving no stone unturned in your workup.To proper nutritional care he weds meticulous operative technique. His foreword will make you thmk, but it may also instill a new confidence in you as a clinician.
Because hghlighting each chapter will only delay your entry into this
Harzdbook, I will not. Instead, I welcome you to consider what formidable oppo- nents the liver, biliary tract, and pancreas are during reoperation. Consider how critical diagnosis and operative strategy are for breast cancer. Learn the principles and realities of getting the multiply injured patient through repeated operations safely. Galvanize your approach to dealing with reoperations on all areas of the gas- trointestinal tract, including the fistulas it can haunt you with. Learn how to reas-
sure and help the patient with yet another hernia recurrence and pain. Enjoy the only pr6cis on reoperative bariatric surgery I know of.
With this Haizdbook, you can be ready, and you can succeed.You’ll learn basic principles for reoperation that will carry you forward.You’ll hear from experience which will help you understand how to benefit horn your own.You’ll learn to understand why and when you yourself or your resources have reached the limit.
We hope that both you and your patients will benefit from this Handbook. Best wishes for success!
Mark F! Callery, MD, FACS June 2005
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