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100 CASES
in Surgery

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100 CASES
in Surgery

James A Gossage

MBBS BSc MRCS

Specialist Registrar in General Surgery

Bijan Modarai

MBBS BSc PhD MRCS

Specialist Registrar in General Surgery

Arun Sahai

MBBS BSc MRCS

Specialist Registrar in Urology

Richard Worth

MBBS BSc MRCS

Orthopaedic Research Fellow

Volume Editor:
Kevin G Burnand

MS FRCS

Professor of Vascular Surgery, Academic Department of Surgery, King’s College London School of Medicine at Guy’s, King’s and St Thomas’ Hospitals, London, UK

100 Cases Series Editor:
P John Rees MD FRCP
Dean of Medical Undergraduate Education, King’s College London School of Medicine at Guy’s, King’s and St Thomas’ Hospitals, London, UK

First published in Great Britain in 2008 by
Hodder Arnold, an imprint of Hodder Education and a member of the Hodder Headline Group, An Hachette Livre UK Company, 338 Euston Road, London NW1 3BH http://www.hoddereducation.com
© 2008 James A Gossage, Bijan Modarai, Arun Sahai and Richard Worth All rights reserved. Apart from any use permitted under UK copyright law, this publication may only be reproduced, stored or transmitted, in any form, or by any means with prior permission in writing of the publishers or in the case of reprographic production in accordance with the terms of licences issued by the Copyright Licensing Agency. In the United Kingdom such licences are issued by the Copyright licensing Agency: Saffron House, 6–10 Kirby Street, London EC1N 8TS.

Hodder Headline’s policy is to use papers that are natural, renewable and recyclable products and made from wood grown in sustainable forests. The logging and manufacturing processes are expected to conform to the environmental regulations of the country of origin. Whilst the advice and information in this book are believed to be true and accurate at the date of going to press, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. In particular, (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages; however it is still possible that errors have been missed. Furthermore, dosage schedules are constantly being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult the drug companies’ printed instructions before administering any of the drugs recommended in this book.

British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data
A catalog record for this book is available from the Library of Congress ISBN

978 0 340 94170 6

1 2 3 4 5 6 7 8 9 10
Commissioning Editor:
Project Editor:
Production Controller:
Cover Design:
Indexer:

Sara Purdy
Jane Tod
Lindsay Smith
Laura DeGrasse
Laurence Errington

Typeset in 10/12 RotisSerif by Charon Tec Ltd (A Macmillan Company), Chennai, India www.charontec.com
Printed and bound in Spain

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CONTENTS
Preface
Abbreviations
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Index

General and colorectal
Upper gastrointestinal
Breast and endocrine
Vascular
Urology
Orthopaedic
Ear, nose and throat
Neurosurgery
Anaesthesia
Postoperative complications

vii
ix
1
43
85
97
129
149
187
195
203
213
225

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PREFACE
We hope this book will give a good introduction to common surgical conditions seen in everyday surgical practice. Each question has been followed up with a brief overview of the condition and its immediate management. The book should act as an essential revision aid for surgical finals and as a basis for practising surgery after qualification. I would like to thank my co-authors for all...
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