Textbook of Surgery is a core book for medical and surgical students providing a comprehensive overview of general and speciality surgery. Each topic is written by an expert in the field.

The book focuses on the principles and techniques of surgical management of common diseases. Great emphasis is placed on problem-solving to guide students and junior doctors through their surgical training.

THE EDITORS

JULIAN A. SMITH is Professor of Surgery and Head, Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Australia.

ANDREW H. KAYE is Professor of Surgery and Head, Department of Surgery, The University of Melbourne, Australia.

CHRISTOPHER CHRISTOPHI is Professor and Head of Surgery, Austin Health, The University of Melbourne, Australia.

WENDY A. BROWN is Professor of Surgery and Head, Department of Surgery, Central Clinical School, Alfred Health, Monash University, Australia.

Contributors viii

Preface xiii

Acknowledgements xiv

Section 1 Principles of Surgery

1 Preoperative management 3
Julian A. Smith

2 Assessment of surgical risk 13
Benjamin N.J. Thomson

3 Anaesthesia and pain medicine 19
David Story

4 Postoperative management 25
Peter Devitt

5 Surgical techniques 35
Benjamin N.J. Thomson and David M.A. Francis

6 Management of surgical wounds 45
Rodney T. Judson

7 Nutrition and the surgical patient 49
William R.G. Perry and Andrew G. Hill

8 Care of the critically ill patient 57
Jeffrey J. Presneill, Christopher MacIsaac and John F. Cade

9 Surgical infection 65
Marcos V. Perini and Vijayaragavan Muralidharan

10 Transplantation surgery 75
Michael A. Fink

11 Principles of surgical oncology 87
G. Bruce Mann and Robert J.S. Thomas

12 Introduction to the operating theatre 93
Andrew Danks, Alan C. Saunder and Julian A. Smith

13 Emergency general surgery 109
Benjamin N.J. Thomson and Rose Shakerian

Section 2 Upper Gastrointestinal Surgery

14 Gastro‐oesophageal reflux disease and hiatus hernias 115
Paul Burton and Geraldine J. Ooi

15 Tumours of the oesophagus 123
Ahmad Aly and Jonathan Foo

16 Peptic ulcer disease 133
Paul A. Cashin and S.C. Sydney Chung

17 Gastric neoplasms 143
John Spillane

18 Obesity and bariatric surgery 151
Yazmin Johari and Wendy A. Brown

Section 3 Hepatopancreaticobiliary Surgery

19 Gallstones 163
Arthur J. Richardson

20 Malignant diseases of the hepatobiliary system 173
Thomas J. Hugh and Nigel B. Jamieson

21 Liver infections 191
Vijayaragavan Muralidharan, Marcos V. Perini and Christopher Christophi

22 Pancreatitis 199
Peter S. Russell and John A. Windsor

23 Pancreatic tumours 209
David Burnett and Mehrdad Nikfarjam

24 Portal hypertension and surgery on the patient with cirrhosis 219
Michael A. Fink

Section 4 Lower Gastrointestinal Surgery

25 Principles of colorectal and small bowel surgery 229
Ian Hayes

26 Physiology of small and large bowel: alterations due to surgery and disease 237
Jacob McCormick and Ian Hayes

27 Small bowel obstruction and ischaemia 243
Ian Hayes and the late Joe J. Tjandra

28 The appendix and Meckel’s diverticulum 249
Rose Shakerian and the late Joe J. Tjandra

29 Inflammatory bowel disease 255
Susan Shedda, Brit Christensen and the late Joe J. Tjandra

30 Diverticular disease of the colon 267
Ian Hastie and the late Joe J. Tjandra

31 Colorectal cancer 273
Ian T. Jones and the late Joe J. Tjandra

32 Large bowel obstruction 285
Raaj Chandra

33 Perianal disorders I: excluding sepsis 293
Ian Hayes and Susan Shedda

34 Perianal disorders II: sepsis 301
Ian Hayes and the late Joe J. Tjandra

Section 5 Breast Surgery

35 Breast assessment and benign breast disease 309
Rajiv V. Dave and G. Bruce Mann

36 Malignant breast disease and surgery 317
Rajiv V. Dave and G. Bruce Mann

Section 6 Endocrine Surgery

37 Thyroid 331
Jonathan Serpell

38 Parathyroid 339
Jonathan Serpell

39 Tumours of the adrenal gland 345
Jonathan Serpell

Section 7 Head and Neck Surgery

40 Eye injuries and infections 353
Helen V. Danesh‐Meyer

41 Otorhinolaryngology 359
Stephen O’Leary and Neil Vallance

42 Tumours of the head and neck 369
Rodney T. Judson

Section 8 Hernias

43 Hernias 381
Roger Berry and David M.A. Francis

Section 9 Skin and Soft Tissues

44 Tumours and cysts of the skin 397
Rodney T. Judson

45 Soft tissue tumours 403
Peter F. Choong

46 Infection of the extremities 415
Mark W. Ashton and David M.A. Francis

47 Principles of plastic surgery 423
Mark W. Ashton

Section 10 Trauma

48 Principles of trauma management 431
Scott K. D’Amours, Stephen A. Deane and Valerie B. Malka

49 Burns 443
Ioana Tichil and Heather Cleland

Section 11 Orthopaedic Surgery

50 Fractures and dislocations 457
Peter F. Choong

51 Diseases of bone and joints 465
Peter F. Choong

Section 12 Neurosurgery

52 Head injuries 483
Andrew H. Kaye

53 Intracranial tumours, infection and aneurysms 493
Andrew H. Kaye

54 Nerve injuries, peripheral nerve entrapments and spinal cord compression 511
Andrew H. Kaye

Section 13 Vascular Surgery

55 Disorders of the arterial system 527
Raffi Qasabian and Gurfateh Singh Sandhu

56 Extracranial vascular disease 537
Raffi Qasabian and Gurfateh Singh Sandhu

57 Venous and lymphatic diseases of the limbs 545
Hani Saeed and Michael J. Grigg

58 Endovascular therapies 553
Timothy Buckenham

Section 14 Urology

59 Benign urological conditions 565
Anthony J. Costello, Daniel M. Costello and Fairleigh Reeves

60 Genitourinary oncology 577
Homayoun Zargar and Anthony J. Costello

Section 15 Cardiothoracic Surgery

61 Principles and practice of cardiac surgery 587
James Tatoulis and Julian A. Smith

62 Common topics in thoracic surgery 603
Julian A. Smith

Section 16 Problem Solving

63 Chronic constipation 617
Kurvi Patwala and Peter De Cruz

64 Faecal incontinence 625
Andrew Bui

65 Rectal bleeding 633
Adele Burgess

66 Haematemesis and melaena 637
Wendy A. Brown

67 Obstructive jaundice 643
Frederick Huynh and Val Usatoff

68 The acute abdomen, peritonitis and intra‐abdominal abscesses 649
Paul Cashin, Michael Levitt and the late Joe J. Tjandra

69 Ascites 659
David A.K. Watters, Sonal Nagra and David M.A. Francis

70 Neck swellings 667
Rodney T. Judson

71 Acute airway problems 675
Stephen O’Leary

72 Dysphagia 679
Wendy A. Brown

73 Leg swelling and ulcers 685
Alan C. Saunder, Steven T.F. Chan and David M.A. Francis

74 Haematuria 693
Kenny Rao and Shomik Sengupta

75 Postoperative complications 699
Peter Devitt

76 Massive haemoptysis 707
Julian A. Smith

77 Epistaxis 711
Robert J.S. Briggs

78 Low back and leg pain 715
Jin W. Tee and Jeffrey V. Rosenfeld

79 Acute scrotal pain 727
Anthony Dat and Shomik Sengupta

80 Post‐traumatic confusion 735
John Laidlaw

81 Sudden‐onset severe headache 745
Alexios A. Adamides

82 The red eye 749
Christine Chen

83 Double vision 757
Christine Chen

Answers to MCQs 763

Index 767