This text explains basic surgical principles and techniques. It covers surgical techniques in a step-by-step format that enables learners to effectively apply basic principles to clinical practice. The eleventh edition features a full-color design, a new chapter on spinal surgery, new Patient and Team Safety boxes, perioperative flash cards, expanded teaching supplements for instructors. It includes: Detailed coverage which presents the fundamentals of perioperative nursing and surgical technology roles ; A strong focus on the physiological, psychological, and spiritual considerations of perioperative patients which gives the knowledge needed to plan and implement comprehensive, individualized care ; Discussions of perioperative patient care for both inpatient and ambulatory procedures ; Highlights key considerations for each setting, as well as for individual surgical procedures ; In-depth discussions of patients with special needs related to age or health status that teaches how to develop a plan of care tailored to the unique care parameters of all patients ; Helpful features such as chapter outlines with page numbers, chapter objectives, and key terms and definitions for quick accessibility to important information and focus study time.

Fundamentals of Theory and Practice. Perioperative education -- Foundations of perioperative patient care standards -- Legal, regulatory, and ethical issues. -- The Perioperative Patient Care Team. The perioperative patient care team and professional credentialing -- The surgical first assistant -- Administration of perioperative patient care services. -- The Patient as a Unique Individual. The patient: the reason for your existence -- Perioperative pediatrics -- Perioperative geriatrics. -- The Perioperative Environment. Physical facilities -- Ambulatory surgery centers and alternative surgical locations -- Care of the perioperative environment -- Potential sources of injury to the caregiver and the patient. -- Surgical Asepsis and Sterile Technique. Surgical microbiology and antimicrobial therapy -- Principles of aseptic and sterile techniques -- Appropriate attire, surgical hand hygiene, and gowning and gloving -- Decontamination and disinfection -- Sterilization. -- Surgical Instrumentation and Equipment. Surgical instrumentation -- Specialized surgical equipment. -- Preoperative Patient Care. Preoperative preparation of the patient -- Diagnostics, specimens, and oncologic considerations. -- Pharmacology and Anesthesia. Surgical pharmacology -- Anesthesia: techniques and agents. -- Intraoperative Patient Care. Coordinated roles of the scrub person and the circulating nurse -- Positioning, prepping, and draping the patient -- Physiologic maintenance and monitoring of the perioperative patient. -- Surgical Site Management. Surgical incisions, implants, and wound closure -- Wound healing and hemostasis. -- Perianesthesia and Postprocedural Patient Care. Postoperative patient care -- Potential perioperative complications. -- Surgical Specialties. Endoscopy and robotic-assisted surgery -- General surgery -- Gynecologic and obstetric surgery -- Urologic surgery -- Orthopedic surgery -- Neurosurgery of the brain and peripheral nerves -- Spinal surgery -- Ophthalmic surgery -- Plastic and reconstructive surgery -- Otorhinolaryngologic and head and neck surgery -- Thoracic surgery -- Cardiac surgery -- Vascular surgery -- Organ procurement and transplantation.