Multidisciplinary Approaches to Common Surgical Problems
Emergent general surgical diseases are the most frequent causes of in-hospital deaths and are the most costly diseases to treat. The purpose of this book is to provide clinicians with an understanding of their roles and that of other disciplines for the t
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Multidisciplinary Approaches to Common Surgical Problems
Robert Lim Editor
Multidisciplinary Approaches to Common Surgical Problems
Editor Robert Lim Department of Surgery Tripler Army Medical Center Honolulu, HI USA
ISBN 978-3-030-12822-7 ISBN 978-3-030-12823-4 (eBook) https://doi.org/10.1007/978-3-030-12823-4 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG. The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
I would like to dedicate this book to my children, all of whom I’m extremely proud of. Grace, who has a beautiful, Christ-centered heart, and she has been smarter than me since she was two. Alec, who has a gentle, sweet soul and empathy for the less fortunate that started several years ago. Viktoria, who despite her physical limitations always greets everyone with a smile and a happy face, and Luke, who keeps our family together with his laughter, hugs, and an undying willingness to help out. I am blessed so much more than I deserve.
Preface
Just two and a half decades ago when I started my residency training, the decisions made for acute general surgery problems used to require only a single provider, the general surgeon. While surgery, at that time, often afforded the patient the best chance to survive a perforated diverticulitis or a bleeding duodenal ulcer, there was still a high morbidity rate and survivors endured a long hospitalization and recovery. With the advancement of surgical techniques, radiologic technology, endolumenal therapy, radiation therapy, and chemotherapy, many of the acute surgical diseases require a multidisciplinary approach and are even now managed primarily by other specialties. This has changed the skill set of the general surgeon. They now require more
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