Essential Surgery - 6th Edition - ISBN: 9780702076312

Essential Surgery

6th Edition

Problems, Diagnosis and Management

Editors: Clive Quick Tan Arulampalam Suzanne Biers
Paperback ISBN: 9780702076312
Paperback ISBN: 9780702076329
Imprint: Elsevier
Published Date: 18th December 1995
Page Count: 688

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Essential Surgery is well-established as one of the leading textbooks of surgery for medical students, core surgical trainees and in professions allied to medicine. Covering general surgery, trauma, orthopaedics, vascular surgery, paediatric surgery, cardiothoracic surgery and urology, it incorporates appropriate levels of basic science throughout. The book is ideal for contemporary clinical courses as well as being a practical manual for readers at more advanced levels. Its main aim is to stimulate the reader to a greater enjoyment and understanding of the practice of surgery.

Key Features

  • The uniformity of the writing style and the clarity of elucidation will encourage sustained reading, while the emphasis on the principles of surgery will enable a real understanding of the subject matter.
  • The book incorporates a problem-solving approach wherever possible, emphasising how diagnoses are made and why particular treatments are used.
  • The pathophysiological basis of surgical diseases is discussed in relation to their management, acting as a bridge between basic medical sciences and clinical problems.
  • The book’s extensive use of original illustrations, boxes and tables emphasises important concepts and will aid revision.
  • The principles of operative surgery and perioperative care are explained together with outlines of common operations, enabling both students and trainee surgeons to properly understand procedures and to participate intelligently in the operating department.

Table of Contents

Principles of surgical care

  • Mechanisms of surgical disease and surgery in practice
  • Managing physiological change in the surgical patient
  • Immunology, inflammation and infection
  • Shock and resuscitation
  • Imaging and interventional techniques in surgery
  • Screening for adult disease

Perioperative care

  • Preoperative assessment
  • Medical problems
  • Blood transfusion
  • Diagnosis and management of common postoperative problems
  • Principles of operative surgery
  • Complications of surgery
  • Principles of cancer management
  • Principles of transplantation surgery

Principles of accident surgery

  • Major injuries
  • Head and maxillofacial injuries
  • Soft tissue injuries and burns

Symptoms, diagnosis and management

  • Non-acute abdominal pain and other abdominal symptoms and signs
  • The acute abdomen and acute gastrointestinal haemorrhage
  • Gallstone diseases and related disorders
  • Peptic ulceration and related disorders
  • Disorders of the oesophagus
  • Tumours of the stomach and small intestine
  • Tumours of the pancreas and hepatobiliary system
  • Pancreatitis
  • Appendicitis
  • Colorectal polyps and carcinoma
  • Chronic inflammatory disorders of the bowel
  • Disorders of large bowel motility, structure and perfusion.
  • Anal and perianal disorders
  • Thoracic surgery
  • Hernias and other groin problems
  • Disorders of the male genitalia
  • Symptoms and signs and investigation of urinary tract disorders
  • Disorders of the prostate
  • Tumours of the kidney and urinary tract
  • Stone disease of the urinary tract
  • Urinary tract infections
  • Congenital disorders and diseases secondarily involving the urinary tract
  • Pathophysiology, clinical features and diagnosis of vascular disease affecting the limbs
  • Managing lower limb arterial insufficiency, the diabetic foot and major amputations
  • Aneurysms and other peripheral arterial diseases
  • Venous disorders of the lower limb
  • Cardiac surgery
  • Disorders of the breast
  • Disorders of the skin
  • Lumps in the head and neck and salivary calculi
  • Disorders of the mouth
  • Disorders of the thyroid and parathyroid glands
  • Acute surgical problems in children
  • Non-acute abdominal and urological problems in children


No. of pages:
© Elsevier 2020
Paperback ISBN:
Paperback ISBN:

About the Editor

Clive Quick

Affiliations and Expertise

Consultant General and Vascular Surgeon, Hinchingbrooke Hospital, Huntingdon; Associate Lecturer in Surgery, University of Cambridge; Former Examiner in Basic Sciences and Clinical Surgery for FRCS and MRCS(England)

Tan Arulampalam

Affiliations and Expertise

Clinical Director, ICENI Centre for Surgical Training, Research and Education, Colchester, UK

Suzanne Biers


The fifth edition of Essential Surgery remains at heart a traditional surgical text attempting to cover the majority of surgical specialties. It is aimed at medical students, core trainees and allied healthcare professionals. This edition attempts to match the UK intercollegiate Membership of the Royal College of Surgeons (MRCS) syllabus, which I think it achieves. However, this makes it a book much more suited to a core surgical trainee preparing for the MRCS examination rather than your average medical student.

The style is that of a traditional textbook, with long descriptive prose. It claims to be problem orientated but it is not a style that is instantly recognisable. Instead, topics are organised by surgical pathology.

The early sections on the principles of surgical and perioperative care are organised around the pathophysiological basis of surgical disease, and they are excellent, both factually detailed and eminently suitable for the MRCS. The book goes on to cover many areas of surgery including trauma management, general surgery (including breast and vascular), urology, cardiothoracic surgery, otolaryngology and paediatric surgery. It does so with a disease orientated approach, which works well. The authors have attempted to add details of common operative procedures and while they generally cover these common operations well, the details are those of a more traditional surgical practice. Techniques that many of us practise routinely now (particularly the use of laparoscopy) are presented as novel and ‘cutting edge’, making their operative descriptions a little outdated. There is little reference to any

up-to-date level I evidence of operative surgical practice where this exists. Within general surgery, developing subspecialty areas like bariatric surgery and pelvic floor surgery are addressed very superficially. The other significant omission in the book (hard copy) are links to any online resources, particularly society websites and their national guidelines, which would provide the interested reader with any necessary additional information.

The book is nicely presented, in colour, and easy to navigate with good indexing. There are sufficient photos and diagrams to illustrate the points clearly, and the differential boxes and treatment algorithms for common surgical conditions are very useful. On the whole, the authors achieve their aim, which appears to be to pitch the book at the MRCS trainee level. It would, however, also be of great use to those medical students looking to impress on their surgical attachments.

Annals of Royal College of Surgeons 2015