Table of Contents

 

 

 

 

Preface

xv

PART I

BEFORE YOUR OPERATION: AN INTRODUCTION TO SURGERY AND SURGICAL PROCEDURES

 

Chapter 1

What You Need to Know if You’re Having Surgery

3

Chapter 2

Types of Surgeons and Selected Specialties

11

Chapter 3

Approaches to Surgery

17

Chapter 4

Surgery Statistics: Most Popular Procedures and Surgical Trends

23

Section 4.1

Recent Statistics on Inpatient Procedures

24

Section 4.2

Ambulatory and Hospital Surgical Procedures

27

Chapter 5

Getting a Second Opinion Before Surgery: Your Choices

29

Chapter 6

Guide to Health Care Quality

33

Chapter 7

How to Pay for Surgery

47

Section 7.1

Assessing Costs Associated with Surgery

48

Section 7.2

Managed Care and Your Surgery

50

Chapter 8

Hospitalization for Surgery

55

Chapter 9

Hospital Choice and Surgical Patient Death Rates

69

Chapter 10

Frequently Asked Questions About Ambulatory Surgery Centers

75

Chapter 11

Guided Imagery may Reduce Preoperative Anxiety

79

Chapter 12

Just in Case: Preparations to Make Before Undergoing Surgery

83

Section 12.1

Making Decisions About the End of Life

84

Section 12.2

Understanding Advance Directives

85

Chapter 13

Sedation and Anesthesia

89

Section 13.1

Questions and Answers About Sedation during Minor Surgery

90

Section 13.2

Pain Control during Surgery: The Basics of Anesthesia

92

Section 13.3

Anesthesia for Ambulatory Surgery

96

Section 13.4

Patient Awareness during Anesthesia: What is It?

103

Chapter 14

Surgical Considerations in Children and Adolescents

107

Section 14.1

What is a Pediatric Surgeon?

108

Section 14.2

Preparing Your Child for Surgery

111

Section 14.3

Advice for Teens: What is it Like to have Surgery?

116

PART II

COMMON SURGERIES AND SURGICAL PROCEDURES

 

Chapter 15

Dental, Oral, and Maxillofacial Surgery

123

Chapter 16

Eye Surgery

131

Section 16.1

Cataract Surgery in Adults

132

Section 16.2

Glaucoma Surgical Treatments

137

Section 16.3

LASIK Eye Surgery for Refractive Errors

139

Section 16.4

Phakic Intraocular Lenses for Refractive Errors

145

Section 16.5

Surgical Treatments for Wet Age-Related Macular Degeneration

152

Chapter 17

Gastrointestinal Surgery for Acute or Chronic Conditions

157

Section 17.1

Appendectomy: Surgical Treatment for Appendicitis

158

Section 17.2

Cholecystectomy: Surgical Removal of the Gallbladder

161

Section 17.3

Colon Surgery

174

Section 17.4

Gastroesophageal Reflux (GERD) Surgical Treatment

177

Section 17.5

Hemorrhoid Surgery

181

Section 17.6

Hernia Repair Surgery

183

Section 17.7

Ileostomy, Colostomy, and Ileoanal Reservoir Surgery

185

Chapter 18

Gastrointestinal Surgery for Severe Obesity

187

Section 18.1

Overview of Weight-Loss Surgery

188

Section 18.2

Weight-Loss Surgeries Quadrupled in Five Years

197

Section 18.3

Predicting Obesity Surgery Risk

199

Chapter 19

Weight-Loss Surgery in Children and Teens

205

Section 19.1

Bariatric Surgery in Children and Teens: The Risks and Rewards

206

Section 19.2

More Obese Teens Undergoing Bariatric Surgery

208

Chapter 20

Gynecological and Obstetric Surgery

211

Section 20.1

Surgery to Diagnose Uterine Problems: Hysteroscopy

212

Section 20.2

Dilatation and Curettage for Miscarriage

216

Section 20.3

What You Need to Know About Episiotomy

220

Section 20.4

All About Cesarean Sections

222

Section 20.5

Hysterectomy: Surgical Removal of the Uterus

225

Chapter 21

Surgery of the Head and Neck

233

Section 21.1

Cochlear Implant Surgery

234

Section 21.2

Ear Tube Surgery for Ear Infections

239

Section 21.3

Sinus Surgery

243

Section 21.4

Thyroidectomy

245

Section 21.5

Tonsillectomy and Adenoidectomy

248

Chapter 22

Implantable Devices for Heart Problems

251

Section 22.1

Surgery to Implant a Cardioverter Defibrillator

252

Section 22.2

Surgery to Implant a Cardiac Pacemaker

254

Chapter 23

Heart and Vascular Surgery

257

Section 23.1

Coronary Angioplasty

258

Section 23.2

Angioplasty More Cost-Effective Than Bypass Surgery for Some Men

267

Section 23.3

Heart Bypass Surgery

269

Section 23.4

Heart Valve Surgery

275

Section 23.5

Minimally Invasive Cardiovascular and Thoracic Surgeries

277

Section 23.6

Questions and Answers About Carotid Endarterectomy to Prevent Stroke

281

Chapter 24

Surgery of the Nerves, Bones, Muscles, and Joints

285

Section 24.1

Carpal Tunnel Syndrome and Surgical Treatment Options

286

Section 24.2

Operative Treatments for Chronic Back Pain or Spinal Problems

292

Section 24.3

Study Shows Surgery Better for Some Back Pain Than Nonsurgical Alternatives

299

Section 24.4

Joint Replacement Surgery and You

301

Chapter 25

Cosmetic and Reconstructive Surgery

307

Section 25.1

Overview of Plastic Surgery

308

Section 25.2

Facts and Statistics About Cosmetic and Reconstructive Surgery

312

Section 25.3

Safety Considerations if You are Considering Plastic Surgery

318

Chapter 26

Most Popular Cosmetic Surgeries

323

Section 26.1

Liposuction

324

Section 26.2

Breast Implants

327

Section 26.3

Eyelid Surgery (Blepharoplasty)

332

Section 26.4

Tummy Tuck (Abdominoplasty)

338

Section 26.5

Breast Reduction Surgery

344

Chapter 27

Urological Surgery

351

Section 27.1

Circumcision

352

Section 27.2

Surgical Removal of the Prostate Gland

356

Chapter 28

Surgery for Cancer

363

Section 28.1

How Surgery is Used to Prevent, Detect, and Treat Cancer

364

Section 28.2

Lasers in Cancer Treatment: Questions and Answers

371

Section 28.3

Cryosurgery in Cancer Treatment: Questions and Answers

374

Section 28.4

Examining Breast Cancer Surgery Options

378

Chapter 29

Emergency, Critical Care, or Traumatic Surgical Procedures

383

Section 29.1

Understanding Critical Care

384

Section 29.2

Chest Tube Thoracostomy

386

Section 29.3

Tracheostomy

388

Section 29.4

Traumatic Amputation

389

Chapter 30

Organ Transplant Surgery

393

Section 30.1

Questions and Answers About Transplant Surgery

394

Section 30.2

How a Heart Transplant is Performed

402

Section 30.3

How a Kidney/Pancreas Transplant is Performed

404

Section 30.4

How a Liver Transplant is Performed

405

Section 30.5

How a Lung Transplant is Performed

407

Section 30.6

Preventing Organ Rejection After Transplant Surgery

408

PART III

RISKS AND COMPLICATIONS THAT MAY OCCUR DURING OR AFTER SURGERY

 

Chapter 31

Surgical Infections

413

Section 31.1

Understanding Surgical Site Infection

414

Section 31.2

Preventing Infections Before and during Surgery

417

Section 31.3

Preventing Infections After Surgery

418

Chapter 32

Bleeding during Surgery

421

Section 32.1

Blood Transfusions: What You Need to Know

422

Section 32.2

Keeping Blood Transfusions Safe

425

Section 32.3

Surgical Sealant Promotes Clotting during Surgery

427

Section 32.4

Bloodless Medicine: What is It and Who Uses It?

428

Chapter 33

Surgical Adverse Events Associated with Medications, Supplements, or Herbs

435

Section 33.1

Ibuprofen Use may Cause Bleeding during Oral Surgery

436

Section 33.2

Warning for Viagra Users Undergoing Surgery

438

Section 33.3

Problems Associated with Using Herbs or Dietary Supplements Before Surgery

440

Chapter 34

Deep Vein Thrombosis and Pulmonary Embolism: Serious Complications from Surgery

445

Chapter 35

Immunosuppression: Impaired Immune Response could Cause Surgery Complications

451

Chapter 36

Smoking Increases the Risk of Problems during Surgery

457

Chapter 37

The Importance of Blood Sugar Control Before and After Surgery

461

Chapter 38

Surgery Carries Risk of Cognitive Dysfunction

465

Chapter 39

Medication Errors Injure Millions and Cost Billions Annually

469

Chapter 40

Doctor Fatigue Hurts Patients

475

Chapter 41

Avoiding Errors during Surgery and Hospitalization

479

Section 41.1

Ensuring Correct-Site Surgery

480

Section 41.2

Tips to Prevent Medical Errors in Adults

482

Section 41.3

Tips to Prevent Medical Errors in Children

487

PART IV

POST-SURGICAL HEALING AND RECOVERY CONCERNS

 

Chapter 42

What You Need to Know About Pain Control After Surgery

495

Chapter 43

Nondrug Methods to Control Pain

505

Chapter 44

Acupuncture’s Effect on Postsurgical Pain

513

Chapter 45

Reducing Children’s Pain from Surgery: Tips for Parents

517

Chapter 46

Surgical Wound Care: Questions and Answers

521

Chapter 47

Care of the Jackson-Pratt (JP) Drain

525

Chapter 48

Using an Incentive Spirometer

529

Chapter 49

Nutrition After Surgery

533

Section 49.1

Ostomy Nutrition Guide

534

Section 49.2

Nutrition After Stomach Surgery

547

Section 49.3

Home Nasogastric Tube Feeding

551

Chapter 50

Other Postsurgical Concerns

555

Section 50.1

Surgery and Insomnia

556

Section 50.2

Depression Common After Surgery for Brain Tumors

557

Section 50.3

Depression Doubles Risk of Death After Bypass Surgery

559

PART V

SURGICAL INNOVATIONS AND CONTROVERSIES

 

Chapter 51

Computer-Assisted Surgery: What is the da Vinci Surgical System?

565

Chapter 52

Robots Lend Surgeons a Helping Hand

569

Chapter 53

Stereotactic Radiosurgery

579

Section 53.1

What is Radiosurgery?

580

Section 53.2

The Gamma Knife: The Latest in Radiosurgery Devices

581

Chapter 54

Cutting-Edge Surgical Techniques

583

Section 54.1

Presurgical Brain Mapping Aids Neurosurgeons

584

Section 54.2

New Surgical Procedure Reduces Pain and Scarring from Surgery

587

Chapter 55

Surgical Trends and Controversies

589

Section 55.1

The Growing Trend of Ethnic Plastic Surgery

590

Section 55.2

Outpatient Plastic Surgery: Is it Safe?

592

Section 55.3

The Rise of Medical Tourism: International Travel for Surgical Procedures

594

PART VI

ADDITIONAL HELP AND INFORMATION

 

Chapter 56

Glossary of Terms Related to Surgery

601

Chapter 57

Directory of Agencies that Provide Information About Surgery

607

 

Index

619