The color photographs and illustrations appearing in select monographs over the past decade represent a significant advance in surgical commu nication. Previously, black and white renderings were standard because color printing had not been perfected and its cost was prohibitive. We be lieve the gradual change from black and white etchings and reproductions to detailed color illustrations represents a tremendous twentieth century achievement. In our own urologic practices it became evident that the use of black and white sketches for teaching operative urology, while helpful, left too much to the surgeon's imagination. Even the dimension of depth, produced by varying the intensity of shading, often was inadequate in demonstrat ing subtle surgical details in a fossa or bed. Since color photography recently has been used to demonstrate oper ative techniques, we climbed on the bandwagon and photographed in color many of the major operative procedures. However, the reflection of light caused by normal tissue fluid significantly reduces the clarity of photo graphs. Not infrequently, the crucial operative step is obscured by light reflected on a trickle of blood. Even when meticulous care is taken to ir rigate and clean the surgical field, the tissue sheen obscures portions of the field. Color paintings by a gifted artist are not only unique, but can be extraordinary; the vividness with which subtleties can thus be portrayed cannot be matched by photography, black and white or color.

ment of those endocrine diseases encountered by the general surgeon. Opera tions on the pituitary gland are, therefore, specifically excluded. It should be most useful to general surgical residents and practicing surgeons, but we hope it will also prove useful to the wide range of physicians who deal with surgically correctable endocrine disorders. The book has four sections - Surgery of the Parathyroids, Thyroid, Pan creas, and Adrenals. Each section deals in a systematic manner with practical aspects of surgical anatomy, physiology, pathology, diagnosis, and treatment. Specific attention has been given to a detailed description of operative strategy, operative technique, and postoperative management. Individual operative steps are illustrated in full color, with specific figure legends on facing pages. The artwork represents the distillation of twelve months intensive collabora tion between the authors and a staff of medical illustrators to 'ensure anatomic fidelity and clarity. We believe that the use of full color has opened up a new dimension in surgical illustration by providing greater realism and allowing accent of important features. The techniques described herein represent personal preferences. The authors recognize that there may be several satisfactory alternate approaches in every case. Where there is controversy, we have outlined our approach to the problem somewhat dogmatically in the belief that in certain circumstances a single point of view is better than several without selection.

Of all the developing fields of surgery, few have had the impact of vascular surgery in affecting so large a section of the population by offering the potential relief of disability and the prolongation of life. As would be anticipated, the interest of surgeons in this evolving specialty has largely been focused upon the selection of the most appropriate operations and the development of modifi cations or new procedures that overcome the limitations of previous ones. The literature contains numerous conflicting claims about the relative merits of various procedures, and those aPlJoaching this field for the first time may understandably be confused. Yet, if one were to approach any single vascular surgeon at any given time, he would upon request be given a firm and precise listing of preferred procedures. The procedures described in this two-volume publication are those that we currently favor. Their selection is the result of continuing analyses of our own experience during the past 30 years. All patients have been available for prolonged follow-up evaluation. Late failures often helped us to identify techniques that lessened the durability of an initially satisfactory operation, and they became a stimulus for the development of modifications or trials with alternative operations. Particular attention is directed to the manner in which knowledge of the natural history of disease influences the choice of operations.

It is appropriate that a surgical teacher. Robert E. Hermann. M.D . . with a large experience in a specialized field should author the beautifully il lustrated Manual of StlrRery of the Gallbladder. Bile Ducts. and Exocrine Pancreas. This manual. which takes its place in the distinguished series sponsored by RiChard H. Egdahl, M.D . . is designed for the working sur geon. resident or practitioner. who wishes to refresh his memory or to bring himself abreast of current thinking and technics. The carefully planned format and the elegant color illustrations of Mr. Robert Reed per mit this with the expenditure of a minimum of time and effort. and sur geons who must operate on the organs and structures it covers will wish to have it available for reference. Stanley O. Hoerr. M.D. former Chairman. Division of Surgery Cleveland Clinic Chairman. Department of Surgery Fairview General Hospital Cleveland. Ohio Preface Operations on the gallbladder and bile ducts are among the surgical proce dures most commonly performed by general surgeons. In most hospitals, cholecystectomy is the most frequently performed operation within the ab domen; approximately 6()(), OOO are performed each year in the United States. In addition, an estimated 120,000 bile duct operations are performed yearly. Pancreatic surgery is less frequent, but because of the close relation between the biliary system and the pancreas, knowledge of pancreatic problems is equally essential to the surgeon.

Regarded as the most authoritative surgical atlas in the field, Hinman’s Atlas of Urologic Surgery brings you the detailed visual guidance and unmatched expertise you need to confidently perform virtually any urologic surgical procedure. Detailed color illustrations and clinical photographs — accompanied by commentary from leading urologists—lead you step by step through each technique. Instructions and commentary from a veritable "who’s who" in urologic surgery equip you to successfully deliver optimal results. Know what to do and expect with comprehensive coverage of nearly every surgical procedure you might need to perform. Get a true-to-life view of each operation through illustrations, full-color photographs. Find answers fast thanks to a quick, clear, and easy-to-use format - ideal for residents as well as experienced surgeons. Turn to the companion reference, Hinman’s Atlas of UroSurgical Anatomy, 2nd Edition, for a more in-depth view of the complex structures you must navigate when performing any procedure. Master the latest techniques with new and revised chapters on laparoscopic urologic surgery, robotic-assisted laparoscopic prostatectomy, decision making in hypospadius surgery, Holmium: YAG laser treatment of benign prostatic disease, urethral sling for male and female incontinence, suture techniques, vascular surgery, and many other timely topics and recent advancements. Get all the accuracy, expertise, and dependability you could ask for from new editors who are among the most important names in urology, for expert guidance and a fresh understanding of the subject. Avoid pitfalls and achieve the best outcomes thanks to a step-by-step approach to each procedure, complete with commentary, tips, and tricks of the trade from leading experts.

Depend on Hinman's for up-to-date, authoritative guidance covering the entire scope of urologic surgery. Regarded as the most authoritative surgical atlas in the field, Hinman's Atlas of Urologic Surgery, 4th Edition, by Drs. Joseph A. Smith, Jr., Stuart S. Howards, Glenn M. Preminger, and Roger R. Dmochowski, provides highly illustrated, step-by-step guidance on minimally invasive and open surgical procedures, new surgical systems and equipment, and laparoscopic and robotic techniques. New chapters keep you up to date, and all-new commentaries provide additional insight from expert surgeons. - Provides access to procedural videos online, including Percutaneous Renal Cryotherapy, Greenlight Photovaporization of the Prostate, Holmium Laser Enucleation of the Prostate, Cryoablation of a Renal Tumor, and Sling Procedures in Women. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices. - Features 10 new chapters, including Radical Cystectomy in the Male, Robotic Urinary Diversion, Laparoscopic and Robotic Simple Prostatectomy, Transrectal Ultrasound-Directed Prostate Biopsy, Transperineal Prostate Biopsy, Prostate Biopsy with MRI Fusion, Focal Therapies in the Treatment of Prostate Cancer, Brachy Therapy, Male Urethral Sling, and Botox Injection for Urologic Conditions. - Includes new commentaries in every chapter from today's leading urologists. - Offers a step-by-step incremental approach, highlighted by new illustrations, photos, and images. - Keeps you current with significant revisions to all female sling chapters, urethroplasty chapters, and more. - Helps you find what you need quickly with a clear, easy-to-use format – now reorganized to make navigation even easier.

The Manual of Pulmonary Surgery has been designed primarily as a guide to the techniques of surgery on the lungs of adults and older children. The information included and the technical points stressed are those in which, in more than 20 years of teaching thoracic surgery, I have found residents to most commonly need instruction. An effort has been made to depict the usual anatomy of the lung and its more frequent variations, as it is encountered by the surgeon. This was necessary because a detailed description of pulmonary anatomy is not readily available. The excellent monograph on Segmental Anat omy of the Lung by Professor Edward Boyden, one of my teachers, is no longer in print. The techniques illustrated are those preferred by the author; no attempt has been made to describe all of the possible variations. Deanne McKeown has illustrated the entire book. Her drawings of the procedures are based on sketches or photographs made in the operating room. The use of full color illustrations to emphasize important technical or anatomical detail adds to the ease of understanding the text. A section on the indications for pulmonary resection that contains the information commonly used for surgical decision-making has been included.

The Mallila/ qf Gyn('c%Ric SurRery is a comprehensive guide for opera tive decision-making and technique in female pelvic surgery. For a wide array of problems requiring surgical intervention, this volume examines the anatomy, preoperative evaluation, surgical strategy, details of tech nique, postoperative management, and anticipated results. The manage ment of operative complications and injuries to bowel, urinary system, and pelvic vessels is discussed. This volume is divided into three sections: ambulatory, vaginal, and abdominal surgery. The ambulatory section will be particularly useful to the family physician. The abdominal section explains complication man agement for the gynecologist whose surgical background may not include gastrointestinal or urinary tract surgery.. The section on ovarian surgery contains additional data for the general surgeon who may encounter unexpected ovarian lesions. Although the book should be most useful to gynecologic residents-in-training and practicing gynecologists, it will also be of use to general surgeons who perform gynecologic operations and to all physicians who perform ambulatory gynecologic procedures. The operative techniques depicted are currently used procedures based on the newer concepts of wound healing and suturing, utilizing mod ern surgical instrumentation. When several techniques are available, the author's personal preference is described. This book, which was produced by the project manager system, rep resents the efforts of 21 persons in three cities. Christine G. Williamson managed the project with drive, understanding, and skill. She was responsi ble also for coordinating information retrieval, organizing the chapters, and editing the text.

Initially we asked Springer-Verlag why they thought the world needed another book about aesthetic surgery. They pointed to the popularity of the Compre hensive Manual of Surgical Specialties Series, suggesting that completeness required our contribution. We recalled the current masters of aesthetic surgery: Rees, Sheen, among others. Each had produced his own monograph-all of them established classics. What could we add? Furthermore none of us was recognized exclusively for aesthetic surgery achievements. Nevertheless, each of us was committed to the challenge of teaching residents aesthetic surgery during their residency, not afterward as was done in the past. Furthermore, Dick Egdahl, Senior Editor and designer of CMSS, made clear to us the specific orientation of the manuals to residents-in-training. as did Springer-Verlag, well known for their commitment He won our support, to high-quality color illustrations. We appreciate being asked by Dr. Egdahl to contribute to CMSS. We were not even offended by his original plan to embrace all of plastic surgery in one volume. He should have known better! The Manual of Reconstructive Surgery will follow this volume in 2 years. Defining its scope remains an unmet challenge. Limiting the scope of Manual of Aesthetic Surgery has been an easier task. It is a sourcebook for beginning residents, not an encyclopedic reference.

for a significant portion of the new information in this book. His ability to select the important developments from the literature of the last five years was essential to the completion of this second edition. Further, Dr. Stone's original research on wounds and sutures is included in this volume. Dr. Felix Rutledge and Dr. Laman Gray, Sr., in addition to all the named authors, made valuable comments. Their years of experience were especially helpful in updating the chapters on ovarian surgery and vaginal hysterectomy. My personal Administrative Assistant, Elizabeth Davies, successfully coor dinated my various clinical schedules, speaking engagements and department obligations, providing me the time necessary for writing this book. The advice and support of Jerry Stone, Senior Medical Editor, Springer Verlag, also were invaluable in the production of this edition. Lastly, one of our team became ill while we were preparing this book and subsequently died of a rare malignancy. Her outstanding work while with us and her continued interest and encouragement, even though quite of us. Mrs. Sue Koenig was a bright, competent ill, was an inspiration to all and effective co-worker whom is missed by all of us in the Department of Obstetrics and Gynecology at the University of Louisville.