Copyright Year 2023

Edition Number  14

Page Count  1.552

ISBN Number 9780323796835

An essential resource for written, oral, and recertifying board study, as well as an excellent reference for everyday clinical practice, Current Surgical Therapy, 14th Edition, provides trusted, authoritative advice on today’s best treatment and management options for general surgery.

Residents and practitioners alike appreciate the concise, highly formatted approach to each topic, as well as the practical, hands-on advice on selecting and implementing current surgical approaches from today’s preeminent general surgeons.

This highly regarded text remains the only surgical reference of its kind, offering a complete array of topics and delivering just the key facts. 

Key Features

• Covers virtually every problem that a general surgeon may encounter, synthesizing vast amounts of information into concise, digestible chapters.

• Provides thoroughly updated information throughout, including focused revisions to the most in-demand topics.

• Presents each topic using the same easy-to-follow format: disease presentation, pathophysiology, diagnostics, and surgical therapy.

• Includes eight all-new surgical videos covering enteral stents in the treatment of colonic obstruction; multiple management approaches to spigelian, obturator, and lumbar hernias; spontaneous and secondary pneumothorax, and acute mesenteric ischemia.

• Features more than 2,000 illustrations—line drawings, graphs, algorithms, clinical/operative photographs, micrographs, and radiological images—including hundreds new to this edition.

• Integrates minimally invasive surgical techniques, basic science, and critical care aspects of surgical practice throughout.

• Discusses which approach to take, how to avoid or minimize complications, and what outcomes to expect.

• Provides a quick, efficient review prior to surgery and when preparing for surgical boards and ABSITEs.

• Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

TABLE OF CONTENTS 

1 Esophageal Function Tests

2 The Surgical Management of Gastroesophageal Reflux Disease

3 New Approaches to Gastroesophageal Reflux Disease (LINX)

4 The Management of Barrett’s Esophagus

5 The Endoscopic Treatment of Barrett’s Esophagus

6 The Management of Paraesophageal Hiatal Hernia

7 Management of Zenker’s Diverticulum

8 Achalasia of the Esophagus

9 Management of Disorders of Esophageal Motility

10 The Management of Esophageal Cancer

11 Multimodality Therapy in Esophageal Cancer

12 The Use of Esophageal Stents

13 The Management of Esophageal Perforation

14 Benign Gastric Ulcer

15 The Management of Duodenal Ulcers

16 Management of Zollinger-Ellison Syndrome

17 The Management of the Mallory-Weiss Syndrome

18 The Management of Gastric Adenocarcinoma

19 Familial Gastric Cancer

20 Management of Gastrointestinal Stromal Tumors

21 Gastrointestinal Tubes for Feeding and Decompression

22 The Management of Morbid Obesity

23 The Management of Small Bowel Obstruction

24 The Management of Crohn’s Disease of the Small Bowel

25 The Use of Strictureplasty in Crohn’s Disease

26 The Management of Small Bowel Tumors

27 Management of Diverticulosis of the Small Bowel

28 Diagnosis and Management of Motility Disorders of the Stomach and

Small Bowel in the Current Era

29 The Management of Intestinal Failure

30 The Management of Enterocutaneous Fistulas

31 Management of Radiation-induced Injury to the Small and Large Bowel

32 Preoperative Bowel Preparation: Is It Necessary?

33 Diverticular Disease of the Colon

34 Management of Chronic Ulcerative Colitis

35 The Management of Toxic Megacolon

36 Surgical Management of Crohn’s Colitis

37 Ischemic Colitis

38 Management of Clostridioides difficile Colitis

39 Management of Large Bowel Obstruction

40 Enteral stents in the treatment of colonic obstruction

41 Acute Colonic Pseudo-Obstruction (Ogilvie’s Syndrome)

42 The Management of Colonic Volvulus

43 Management of Rectal Prolapse

44 Surgical Management of Constipation

45 Surgical Management of the Polyposis Syndromes

46 Surgical Management of Colon Cancer

47 PET Scanning in the Management of Colorectal Cancer

48 Neoadjuvant and Adjuvant Therapy for Colorectal Cancer

49 The Management of Colon Polyps

50 The Management of Peritoneal Surface Malignancies

51 Management of Lower Gastrointestinal Bleeding

52 Appendicitis: Diagnosis and Management

53 The Management of Hemorrhoids

54 Management of Fissure-in-ano

55 The Management of Anorectal Abscess and Fistula

56 Anal Stenosis

57 Management of Pruritus Ani

58 Surgical Management of Fecal Incontinence

59 Rectovaginal Fistula

60 Anal Condyloma

61 The Management of Pilonidal Disease

62 Pneumatosis Intestinalis and the Importance for the Surgeon

63 Management of Rectal Cancer

64 The Management of Tumors of the Anal Region

65 Cystic Disease of the Liver

66 The Management of Echinococcal Cyst Disease of the Liver

67 The Management of Liver Hemangioma

68 The Management of Benign Liver Tumors

69 Management of Malignant Liver Tumors

70 Hepatic Malignancy: Resection versus Transplantation

71 Management of Colorectal Liver Metastases

72 «Ablation of Colorectal Liver Tumors »

72 Ablation of Colorectal Carcinoma Liver Metastases

73 Management of Hepatic Abscesses

74 Transarterial Therapies for Primary and Metastatic Liver Tumors

75 Portal Hypertension:  The Role of Shunting Procedures

76 The Role of Liver Transplantation in Portal Hypertension

77 Endoscopic Therapy for Esophageal Variceal Hemorrhage

78 Transjugular Intrahepatic Portosystemic Shunt

79 Management of Refractory Ascites

80 The Management of Hepatic Encephalopathy

81 The Management of Budd Chiari Syndrome

82 The Management of Asymptomatic (Silent) Gallstones

83 Management of Biliary Dyskinesia

84 The Management of Acute Cholecystitis

85 Proper Use of Cholecystostomy Tubes

86 The Management of Common Bile Duct Stones

87 The Management of Acute Cholangitis

88 The Management of Benign Biliary Strictures

89 Management of Cystic Disorders of the Bile Ducts

90 Management of Primary Sclerosing Cholangitis

91 The Management of Intrahepatic, Hilar, and Distal Cholangiocarcinomas

92 Biomarkers for Hepatobiliary Tumors

93 The Surgical Management of Gallbladder Cancer

94 Management of Gallstone Ileus

95 Transhepatic Interventions for Obstructive Jaundice

96 Obstructive Jaundice: Endoscopic Therapy

97 The Management of Acute Necrotizing Pancreatitis

98 Gallstone Pancreatitis

99 Pancreas Divisum and Other Variants of Dominant Dorsal Duct Anatomy

100 Diagnosis and Management of Autoimmune Pancreatitis

101 The Management of Pancreatic Necrosis

102 The Management of Pancreatic Pseudocyst

103 Pancreatic Ductal Disruptions Leading to Pancreatic Fistula, Pancreatic Ascites, or Pancreatic Pleural Effusions

104 The Management of Chronic Pancreatitis

105 Genetic Testing and High Risk Pancreatic Cancer Screening

106 The Management Of Periampullary Cancer

107 Management of Complications After the Whipple Procedure

108 Vascular Reconstruction During the Whipple operation

109 Palliative Therapy for Pancreatic Cancer

110 Neoadjuvant and Adjuvant Therapy of Pancreatic Cancer

111 Rare and Unusual Pancreatic Tumors

112 Intraductal Papillary Mucinous Neoplasms (IPMN) of the Pancreas

113 Pancreatic Neuroendocrine Tumors of the Pancreas Excluding

Gastrinoma

114 Intraoperative Radiation for Pancreatic Cancer

115 Pancreas Transplantation

116 Total Pancreatectomy and Islet Autotransplantation for Chronic

Pancreatitis

117 Splenectomy for Hematologic Disorders

118 The Management of Cysts, Tumors, and Abscesses of the Spleen

119 Management of Inguinal Hernia

120 The Management of Recurrent Inguinal Hernia

121 Incisional, Epigastric and Umbilical Hernias, Part 1

122 Incisional, Epigastric and Umbilical Hernias, Part 2

123 The Management of Spigelian, Obturator, and Lumbar Hernias

124 Athletic Pubalgia: The “Sports Hernia”

125 Abdominal Wall Reconstruction

126 Loss of Domain in Hernia Repair

127 Use of Various Meshes in Hernia Repair

128 Benign Breast Disease

129 Screening for Breast Cancer

130 The Role of Stereotactic Breast Biopsy in the Management of Breast Disease

131 Molecular Targets in Breast Cancer

132 Breast Cancer: Surgical Therapy

133 Management of Breast Cancer During Pregnancy

134 Ablative Techniques in the Treatment of Benign and Malignant Breast

Disease

135 Lymphatic Mapping and Sentinel Lymph Node Biopsy

136 Surgical Management of the Axilla

137 Inflammatory Breast Cancer

138 Ductal and Lobular Carcinoma In Situ of the Breast

139 Advances in Neoadjuvant and Adjuvant Therapy for Breast Cancer

140 Management of Recurrent and Metastatic Breast Cancer

141 The Management of Male Breast Cancer

142 A Surgeon’s Practical Guide to Breast Imaging

143 Genetic Counseling and Testing

144 Contralateral Prophylactic Mastectomy

145 Margins: How to and How Big?

146 Breast Reconstruction Following Mastectomy: Indications, Techniques

and Results, Part 1

147 Breast Reconstruction Following Mastectomy: Indications, Techniques

and Results, Part 2

148 Breast Surgery Associated with Anoplastic Large Cell Lymphoma

149 Adrenal Incidentaloma

150 The Management of Adrenal Cortical Tumors

151 The Management of Pheochromocytoma

152 Management of Thyroid Nodules

153 Nontoxic Goiter

154 The Management of Thyroiditis

155 The Management of Hyperthyroidism

156 Surgical Management of Thyroid Cancer

157 Primary Hyperparathyroidism

158 Evaluation and Management of Persistent or Recurrent Primary Hyperparathyroidism

159 The Surgical Management of Secondary and Tertiary Hyperparathyroidism

160 Metabolic Changes Following Bariatric Surgery

161 Glycemic Control and Cardiovascular Risk Reduction After Bariatric Surgery

162 Non-Melanoma Skin Cancers

163 The Management of Cutaneous Melanoma

164 The Management of Soft Tissue Sarcoma

165 The Management of Solitary Neck Mass

166 Hand Infections

167 Nerve Injury and Repair

168 Necrotizing Skin and Soft Tissue Infections

169 Management of Spontaneous and Secondary Pneumothorax

170 The Management of Primary Chest Wall Tumors

171 Mediastinal Masses

172 Primary Tumors of the Thymus

173 Management of Tracheal Stenosis

174 The Management of Acquired Esophageal Respiratory Tract Fistula

175 Repair of Pectus Excavatum

176 Open Repair of Abdominal Aortic Aneurysms

177 Endovascular Treatment of Abdominal Aortic Aneurysm

178 The Management of Ruptured Abdominal Aortic Aneurysms

179 Abdominal Aortic Aneurysm and Unexpected Abdominal Pathology

180 The Management of Descending Thoracic and Thoracoabdominal Aortic Aneurysms

181 Management of Acute Aortic Dissection

182 Carotid Endarterectomy

183 The Management of Recurrent Carotid Artery Stenosis

184 Balloon Angioplasty and Stents in Carotid Artery Occlusive Disease

185 The Management of Aneurysms of the Extracranial Carotid and

Vertebral Arteries

186 Brachiocephalic Reconstruction

187 Upper Extremity Arterial Occlusive Disease

188 Aortoiliac Occlusive Disease

189 Femoropopliteal Occlusive Disease

190 Tibioperoneal Arterial Occlusive Disease

191 Popliteal and Femoral Artery Aneurysm

192 The Treatment of Claudication

193 Pseudoaneurysms and Arteriovenous Fistulas

194 Management of Peripheral Arterial Thromboembolism

195 Acute Peripheral Arterial and Bypass Graft Occlusion: Thrombolysis and

Thrombectomy

196 The Management of Infected Grafts

197 Atherosclerotic Renal Artery Stenosis

198 Raynaud’s Phenomenon

199 Thoracic Outlet Syndrome

200 The Diabetic Foot

201 Gangrene of the Foot

202 Buerger’s Disease (Thromboangiitis Obliterans)

203 Takayasu’s Arteritis

204 Acute Mesenteric Ischemia

205 Chronic Mesenteric Ischemia

206 Hemodialysis Access Surgery

207 Venous Thromboembolism: Prevention, Diagnosis and Treatment

208 Vena Cava Filters

209 The Treatment of Varicose Veins

210 Lymphedema

211 Lower Extremity Amputation

212 Initial Assessment and Resuscitation of the Trauma Patient

213 Pre-Hospital Management of the Trauma Patient

214 The Use of REBOA in Resuscitation of the Trauma Patient

215 Airway Management in the Trauma Patient

216 The Surgeon’s Use of Ultrasound in the Trauma and Critical Care Settings

217 Emergency Department (ED) Resuscitative Thoracotomy

218 The Management of Traumatic Brain Injury

219 Chest Wall Trauma, Hemothorax, and Pneumothorax

220 Management of Pulmonary Parenchymal Injury

221 Blunt Abdominal Trauma

222 Penetrating Abdominal Trauma

223 The Management of Diaphragmatic Injuries

224 Management of Traumatic Liver Injury

225 Pancreatic and Duodenal Injuries

226 Injuries to Small and Large Bowel

227 Current Management of Rectal Injury

228 The Injured Spleen

229 Retroperitoneal Injuries: Kidney and Ureter

230 Tenets of Damage Control

231 Early Management of Pelvic Ring Disruption

232 Urologic Complications of Pelvic Fracture

233 Spine and Spinal Cord Injuries

234 Evaluation and Management of Facial Injuries

235 Penetrating Neck Trauma

236 Blunt Cardiac Injury

237 Abdominal Compartment Syndrome and Management of the Open

Abdomen

238 Coagulation Issues and the Trauma Patient, Part 1

239 Coagulation Issues and the Trauma Patient, Part 2

240 The Abdomen That Will Not Close

241 Management of Vascular Injuries

242 Endovascular Management of Vascular Injuries

243 Management of Extremity Compartment Syndrome

244 Trauma and Emergency Care: Burn Wound Management

245 Medical Management of the Burn Patient

246 The Management of Frostbite, Hypothermia, and Cold Injuries

247 Electrical Injury and Lightning Injuries

248 ERAS Protocols for General Surgery

249 Fluid and Electrolyte Therapy

250 Common Pediatric Surgical Emergencies

251 Surgery in the Elderly and the Frail

252 Perioperative Optimization

253 Is Nasogastric Tube Necessary After Alimentary Tract Surgery?

254 Surgical Site Infections

255 The Management of Intra-Abdominal Infections

256 Epidemiology, Prevention, and Management of Occupational Exposure to Bloodborne Infections

257 Antifungal Therapy in the Surgical Patient

258 The Use of Opioids in the Postoperative Period

259 Management of Postoperative Delirium

260 Management of the COVID-19 Patient

261 Surgical Palliative Care

262 Cardiovascular Pharmacology

263 Glucose Control in the Postoperative Period

264 Postoperative Respiratory Failure

265 Ventilator-Associated Pneumonia

265 Acid-Base Problems

266 Extracorporeal Membrane Oxygenation For Respiratory Failure in Adults

267 Tracheostomy

268 Acute Kidney Injury in the Injured and Critically Ill

269 Fluids and Electrolytes and Acid-Base Problems

270 Catheter Sepsis in the Intensive Care Unit

271 The Septic Response and Management

272 Multiple Organ Dysfunction and Failure

273 Antibiotics for Critically Ill Patients

274 Endocrine Changes in Critical Illness

275 Nutrition Therapy in the Critically Ill Surgical Patient

276 Coagulopathy In The Critically Ill Patient

277 Post-Intensive Care Syndrome (PICS)

278 The American Board of Surgery Certifying Exam (CE) (The Oral Boards)

Author Information

Edited by John L. Cameron, MD, FACS, FRCS(Eng) (hon), FRCS(Ed) (hon), FRCSI(hon), The Alfred Blalock Distinguished Service Professor, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD, USA and Andrew M. Cameron, MD, PhD, FACS, Chief, Division of Transplantation,Surgical Director of Liver Transplantation, Department of Surgery, Baltimore, Maryland, USA