Comprehensive Vascular and Endovascular Surgery, 2nd Edition, edited by John W. Hallett, Jr., MD, FACS, Joseph L. Mills, MD, Jonothan Earnshaw, DM, FRCS, Jim A. Reekers, MD, PhD, and Thom Rooke, MD delivers in-depth, clinically focused coverage of all aspects of vascular surgery in an exceptionally well-designed single reference. Each disease chapter follows the same consistent format, for quick consultation and better comprehension. The revised 2nd Edition features several new chapters, increased endovascular treatment coverage, and updated data from the latest trials...bringing you the newest advances from the field. More than 1,000 photographs, line drawings and tables-including many revised illustrations now in color-depict key concepts and procedures. With its practical user friendly approach-and online access through Expert Consult functionality-this resource offers convenient access to complete guidance.
Presents the work of a team of nearly 80 internationally respected vascular surgeons and interventional radiologists who focus on the issues and challenges you face in everyday practice.
Uses a highly structured, templated format in each chapter to quickly and consistently deliver information on basic science, clinical presentation, non-invasive testing, medical management, surgical management, complications, outcome, and follow up-making information easy to access and understand.
Includes Key Points boxes in every chapter that allow for quick reference and efficient study.
Features over 1,000 photographs, line drawings, charts and tables that make important information easy to comprehend.
Integrates clinical information with basic science making the material relevant to everyday practice.
Covers treatment and interventions from an evidence-based perspective, whenever possible.
Provides short, clinical vignettes in the same style as those found on oral exams.
Provides online access to the text via expertconsult.com where you can perform quick searches of the complete contents, download all of the images, further your study with bonus review and self assessment questions, and follow links to PubMed abstracts for convenient consultation whwere and when you need it most.
Offers new chapters on vascular diagnosis, graft infections, aortic dissection, and visceral aneurysms for greater coverage of the field.
Includes a significant increase in endovascular treatment coverage in many of the chapters, reflecting the growing need for experience in these procedures.
Presents current data from DREAM and EVAR 1 and 2 trials.
Features a revised artwork program-including many revised illustrations and former black and white images now in color-for an enhanced visual understanding of concepts.
Includes bonus review and self assessment questions accompany the online version.
Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.
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这本书的排版和插图简直是灾难,完全不符合一本专业教材应有的水准。随便翻开一页,你会发现文字拥挤得像沙丁鱼罐头,根本无法让人集中注意力去理解那些复杂的手术步骤。更别提那些所谓的“彩色图解”了,色彩失真严重,很多关键的解剖结构根本看不清楚,仿佛是用最廉价的打印机印出来的。我花了很大力气才分辨出哪些是动脉,哪些是静脉,这在血管外科这种对精准度要求极高的领域是绝对不能容忍的。作者似乎完全不理解读者在面对大量解剖信息时的学习体验,他们似乎更热衷于堆砌术语和晦涩的描述,而不是提供清晰、直观的学习路径。如果不是因为这是我们科室推荐的唯一参考书,我真想立刻把它扔到一边。希望未来的版本能够彻底重做设计,毕竟知识再好,如果传递效率低下,那也是徒劳。我常常需要对照其他在线资源,才能勉强跟上这本书的思路,这无疑增加了学习的难度和时间成本。
评分我必须得指出,这本书对新兴技术的覆盖面显得非常滞后和保守。在这个日新月异的血管腔内治疗时代,我期待一本“综合”的教材能紧跟最新的设备和指南,但这本书给我的感觉像是停留在十年前的知识水平。很多最新的生物材料、新型支架的设计思路,甚至是机器人辅助手术的初步应用,在书中都只是一笔带过,或者干脆没有提及。这使得我用这本书来准备现代的外科手术模拟训练时,感到力不从心。它更像是一本专注于传统开放手术的参考手册,对于需要熟练掌握微创技术的住院医师来说,其参考价值大打折扣。我理解经典技术的保留是重要的,但一本科普性或教育性的书籍,如果不能全面反映行业前沿动态,就不能称之为“综合”。我希望作者能明白,临床实践的快速演进,要求教材必须保持高度的敏感性和及时性。
评分内容深度方面,这本书的表现很不均匀,某些部分简直是泛泛而谈,而在另一些我特别关注的领域,又显得过于冗长和细节化,但这些细节似乎又并非临床决策的关键点。举个例子,它花费了大量的篇幅描述某个不常用缝合线类型的物理特性,却在讨论糖尿病足的清创标准时,用了一段话就草草收场,缺乏对不同严重程度的量化标准指导。这种详略失当,让读者很难判断哪些信息是真正需要背诵和掌握的,哪些只是作为拓展阅读。阅读体验就是,你必须具备一定的基础知识储备,否则你无法从那些模糊的描述中提炼出有价值的临床要点。对于我们这些需要通过考试并立即投入临床工作的人来说,这种“摸着石头过河”的学习模式,无疑增加了不必要的压力和不确定性。
评分这本书的语言风格简直是学术界陈词滥调的集中体现,充满了晦涩难懂的被动语态和冗长的从句结构。阅读起来非常费力,我常常需要反复阅读一个句子好几遍,才能确定作者到底想表达哪个关键概念。它似乎没有意识到,清晰、简洁的表达是有效教学的前提。很多本可以用一个清晰的图表或一个简单的句子解释清楚的机制,在这里却被复杂的句式包裹得严严实实,让人感到作者在刻意炫耀其词汇量,而不是致力于知识的传播。我甚至怀疑,作者在撰写时是否使用了大量的机器翻译或者没有经过严格的编辑润色。总之,如果把这本书比作一场对话,那无疑是一场单向的、充满术语壁垒的演讲,而不是一次富有成效的学术交流。我不得不投入大量精力去“翻译”这些文字,而不是直接吸收内容。
评分这本书的叙事逻辑简直是天马行空,读起来完全没有章节间的连贯性。某一章还在详细讨论主动脉瘤的介入治疗,下一章突然就跳到了外周动脉疾病的桥接技术,中间完全没有平滑的过渡,让我感觉自己像是在一堆零散的讲义中摸索。作者似乎更倾向于罗列各种手术技术,而忽略了如何将这些技术置于一个完整的临床思维框架中。例如,对于一个复杂的病例,这本书往往只给出了几种处理方案,却很少深入探讨每种方案背后的病理生理学基础和长期随访数据对比。这对于需要建立系统化知识体系的初学者来说,简直是一场噩梦。我发现自己不得不频繁地在不同章节之间来回翻找,试图拼凑出一个完整的治疗流程。这种碎片化的信息呈现方式,极大地影响了对血管病变整体管理概念的形成,更像是不同专家各自为战的论文集,而非一本“综合”的教科书。
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