Core Topics in General & Emergency Surgery: Companion to Specialist Surgical Practice (94 page)
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Authors: Simon Paterson-Brown MBBS MPhil MS FRCS
BOOK: Core Topics in General & Emergency Surgery: Companion to Specialist Surgical Practice
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H
Haematemesis,
118
118
Haemorrhage
acute pancreatitis,
151
151
anorectal,
211
211
control,
236
236
upper (UGI),
119
119
intra-abdominal,
234
234
post-pancreatectomy,
152–153
152–153
Haemorrhoids,
210
210
Hamman’s sign,
105–106
105–106
Head
chest, abdominal injuries, combined,
234
234
and neck procedures,
51
51
Health Service Statistics Division (Scotland),
142
142
Health Services Research Unit,
5
5
Health Technology Assessment Database (HTA),
5
5
Healthcare Resource Group (HRG) code,
42–43
42–43
Health-related quality of life,
29–30
29–30
Healthy years equivalent (HYE),
28
28
Heaney technique,
244–245
244–245
Heart injury scale,
256t
256t
Height,
312
312
Helicopter Emergency Medical Services (HEMS),
229–230
229–230
Helsinki scoring system,
145
145
Hemospray®,
124
124
Heparin,
274
274
-induced thrombocytopenia (HIT),
271
271
Hernias
Hirschsprung’s disease (HD),
219
219
Homan’s sign,
275
275
Hong Kong scoring system,
145
145
Hormone level, changes,
309b
309b
Hormone replacement therapy (HRT),
271–272
271–272
Hunger hormone (ghrelin),
345
345
Hypercoagulability,
270
270
Hyperhomocysteinaemia,
270
270
I
Icodextrin (ADEPT®),
162
162
Ileal perforation, isolated,
222–223
222–223
Ileal transposition,
349
349
Imipenum,
147
147
Immune competence,
313
313
Immunological scoring system,
145
145
Immunosuppression,
329
329
Impedance plethysmography (IP),
276
276
Implantable neuroregulators,
349–350
349–350
Imrie score,
150
150
Incarcerated inguinal hernia,
223
223
Incisional hernias,
72–76
72–76
aetiology,
72–73
72–73
laparoscopic repair,
75–76
75–76
mesh repair,
74–76
74–76
Infancy, surgical emergencies,
224–225
224–225
Infantile hernias
inguinal,
64–65
64–65
umbilical,
61–62
61–62
Infection
colonic,
191–194
191–194
enteral nutrition,
317b
317b
mesh repairs,
77–78
77–78
necrotising,
208
208
port problems,
353
353
wound,
175
175
Inferior mesenteric artery (IMA),
179–180
179–180
Inferior vena cava (IVC)
filters,
280
280
injury,
246
246
Inflammation, colonic,
191–194
191–194
Inflammatory bowel disease (IBD),
208
208
nutritional support,
321–322
321–322
Inflammatory conditions, neonatal,
221–223
221–223
assessment,
221
221
specific forms,
221–223
221–223
Information
analysis, value of,
37
37
Inguinal hernias,
63–71
63–71
adult,
66–70
66–70
aetiology,
66
66
complications,
69
69
contralateral repair,
70
70
intraperitoneal prosthetic,
68
68
laparoscopic repair,
68–69
68–69
suture vs mesh vs laparoscopic repair,
69–70
69–70
totally extraperitoneal prosthetic (TEP) repair,
68–69
68–69
transabdominal pre-peritoneal prosthetic (TAPP) repair,
68
68
anatomy,
63
63
asymptomatic,
71
71
incarcerated neonatal,
223
223
infants/children,
64–65
64–65
clinical presentation,
64
64
complications,
65
65
management,
64–65
64–65
operative details,
64–65
64–65
recurrent,
70–71
70–71
laparoscopic repair,
70–71
70–71
tension-free prosthetic mesh repair,
70
70
Inherited protein C deficiency,
270
270
Institute for Innovation and Improvement,
50
50
Insulin,
309b
309b
Integrated care pathways (ICPs),
13
13
Intermittent pneumatic compression (IPC) devices,
273
273
Internal validity,
3
3
Internet resources,
4
4
Interventional Procedures Programme (IPP) (NICE),
5
5
Interventional radiology, abdominal trauma,
249–251
249–251
Intestinal obstruction, neonatal,
215–221
215–221
specific forms,
218–221
218–221
Intestinal obstruction, postoperative,
164
164
Intestinal stenosis,
219
219
Intra-abdominal bleeding,
234
234
haemorrhage,
234
234
Intracranial contents,
239
239
complications,
355–356
355–356
Intraperitoneal abscesses,
334b
334b
Intraperitoneal prosthetic repair,
68
68
Intussusception,
164
164
infancy,
224–225
224–225
Iron,
311b
311b
Ischaemic colitis,
179–181
179–181
treatment,
181
181
ISIS-4 trial,
10–11
10–11
Isolated ileal perforation,
222–223
222–223
L
Ladd procedure,
221
221
Laparoscopic appendicectomy,
170–171
170–171
technique,
171
171
Laparoscopic cholecystectomy,
50
50
Laparoscopic Groin and Hernia Trial Group (MRC),
2–3
2–3
re-laparotomy,
337
337
Lateral internal sphincterotomy (LIS),
210
210
Leg exercises,
273
273
Lidocaine,
49t
49t
Limb/abdominal injuries,
234
234
Lipid disturbances,
319b
319b
Liver disturbances,
319b
319b
Liver injury
angio-embolisation,
249–250
249–250
scale,
258t
258t
Lockwood approach,
71–72
71–72
Loperamide,
340
340
Lung injury scale,
256t
256t
M
femoral hernias,
72
72
McVay procedure,
70
70
Malignancy
fistulas,
208
208
small-bowel obstruction,
162–163
162–163
venous thromboembolism (VTE),
271
271
Malignant Bowel Obstruction (MBO) Study (ACPGBI),
289
289
Malignant large-bowel obstruction,
187–190
187–190
management,
188–190
188–190
presentation,
187
187
Mallory–Weiss syndrome,
121
121
Malnutrition Universal Screening Tool (MUST),
313–314
313–314
Marginal costing,
32
32
Markov model,
103
103
Mayo (‘vest-over-pants’) procedure,
73
73
Meconium peritonitis,
221
221
Medical Research Council (MRC),
273
273
Laparoscopic Groin and Hernia Trial Group,
2–3
2–3
Medical Technologies Evaluation Programme (MTEP) (NICE),
12
12
Medicare risk assessment model,
289–290
289–290
Melaena,
118
118
Mesa-oesophagus, gastric band,
353
353
infection, management,
77–78
77–78
vs suture/laparoscopic repair,
69–70
69–70
Meta-analysis,
9–11
9–11
Metabolic issues
enteral nutrition,
317b
317b
parenteral nutrition (PN),
319b
319b
metabolism,
310
310
Midazolam,
48
48
Mild acute pancreatitis, defined,
142b
142b
metabolism,
310
310
Mobilisation,
273
273
Modular diets,
316
316
Morphine,
48
48
Mucosal/submucosal tumours, endotherapy,
110
110
Multi-criteria decision analysis (MDCA),
37
37
Multidisciplinary teams,
320
320
Multiple factor scoring systems,
145
145
defined,
329b
329b
Muscle function,
313
313
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