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This issue of Clinics in Plastic Surgery offers the surgeon information on the most recent approaches to body contouring, primarily focused on this procedure performed after massive weight loss. Gastric bypass surgery practically foretells abdominoplasty, with ~75% of patients undergoing plastic surgery following gastric bypass. A total of almost one-half million body contouring procedures are performed annually by plastic surgeons according to ASPS statistics. Topics in this issue include: Assessing outcomes in body contouring; Preoperative evaluation of the body contouring patient; What happens to the skin after weight loss; Effect of further weight loss following body contouring; Effect of weight gain following body contouring; Anesthesia considerations; Procedures for Brachioplasty; Bra line back lift; Breast contouring; Abdomen contouring; the Fleur Di Lis Abdominoplasty; Extended abdominoplasty; Medial thigh lift; Buttock contouring; Truncal contouring; Lower body lift; and Prevention and management of complications.

Non-neoplastic diseases are the focus of coverage in this issue of Surgical Pathology Clinics. Topics include: Non-neoplastic diseases in kidney cancer; Nephrectomy for non-neoplastic causes; Autopsy renal pathology; Practical approach to kidney donation workup; Kidney allograft pathology; Renal infections; Amyloidosis - all subtypes; Histologic classifications in renal pathology - pros and cons; Renal molecular pathology; Emerging concepts and controversies in renal pathology. This issue is intended for surgical pathologists and those with clinical practices in diagnostic renal pathology and kidney research. Anthony Chang, whose clinical practice and research is focused on renal pathology, leads this issue.

This issue of Clinics in Plastic Surgery offers the plastic surgeon (and facial plastic surgeon, reconstructive surgeon, burn surgeon, any surgeon working with face or body reconstruction or rejuvenation) an intensive review of all aspects of working with fat. The title succinctly sums it up that clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here.  The Editors and their selected are peerless in the field that focuses on biology of fat, adipose derived stem cells, and growth factors; harvesting, processing, and storage of harvested fat; how to maximize the results of fat grafting; and safety issues with fat grafting and growth factors.  Practical clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here. Because of the depth and comprehensiveness of the material presented by the experts in this field, this issues is presented in two parts; Part 1 topics include: Adipose Tissue and Stem/Progenitor Cells: Discovcery and Development; Cryopreservation of Adipose Tissue and Adipose Derived Stem Cells; Adipose Stem Cells: Biology, Safety, Regulation, and Regenerative Potential; History and Development of Fat Grafting: from Ram Fat to Stem Cells; Condensation of Tissue and Stem Cells for Fat Grafting; Can We STtandardize the Techniques for Fat Grafting;  How Fat Survives and Remodels after Grafting; The Role of Fat Grafting in Facial Rejuvenation; Gluteal Augmentation with Fat Grafting-the "Brazilian Buttock Technique:" 30 Years'' Experience; Fat Grafting for Treatment of Burns, Burn Scars, and other Difficult Wounds.

The evidence-based medicine movement is gaining influence in many medical specialties. This issue will cover topics from patient safety in neurosurgery and medical errors, to measuring outcomes for neurosurgical procedures.

For "Aging Face" procedure, rejuvenation of the midface and periocular region is important and in this issue, Editor Anthony Sclafani leads a talented and expert author team who span facial plastic surgery, oculoplasty, and plastic surgery. This publication presents topics such as: Brow and Upper Lid Anatomy, Aging and Aesthetic Analysis; Midface Anatomy, Aging and Aesthetic Analysis; Minimally Invasive Options for the Brow and Upper Lid; Surgical Adjuncts to Upper Lid Blepharoplasty; Surgical Treatment of the Brow and Upper Lid; Midfacial Skeletal Enhancement; Management of the Midface during Rhytidectomy; Endoscopic Midfacial Rejuvenation; Transpalpebral Midface Lifting; Midfacial Sculpting with Autologous Fat; Midfacial Volumization with Injectable Fillers; Role of Neurotoxins in the Periorbital and Midfacial Areas; Avoiding and Managing Complications in the Periorbital Area and Midface.

"Function” is the focus of any hand surgery, a frequently performed procedure by reconstructive plastic surgeons. The topics in this volume of Clinics in Plastic Surgery work their way through soft tissue procedures of the fingers and hand through the upper arm. The more common conditions and commonly performed surgeries are presented here along with the more difficult and complicated procedures. Topics include: Current practice of soft tissue repair of fingertip; Microsurgical soft tissue and bone transfers in complex hand trauma; Full cosmetic reconstruction of the digits by composite tissue grafting; Methods, pitfalls, and common mistakes in treatment of fractures in the digits; Venous flap and freesytle free flap in hand surgery; Management of pain in peripheral nerves; Technical difficulties of surgical treatment and salvage of treatment failure in Dupuytren''s disease; Surgical treatment of cubital tunnel syndrome; Distal radius fracture: indications, treatment, controversies; Repair, autografts, conduits, and allografts for digital and forearm nerves: current guidelines. Two experts renown in hand surgery lead this issue - Dr Michael Neumeister and Dr Jin Bo Tang.

This issue of Surgical Clinics of North America focuses on Rural Surgery and is edited by Dr. Tyler G. Hughes. Articles will include: Status of the rural workplace: Hospital survival and economics; Rural standards and the quality equation; Scope of practice of the rural surgeon; Advanced technology and the rural surgeon; Qualitative research in rural surgery; Perioperative support in the rural surgery world; Initial and ongoing training of the rural surgeon; Demographics in rural populations; Dealing with the sick rural surgery patient in need of transfer; National quality projects and patient selection decisions; Status of the rural surgical workforce; Regionalization of rural surgery; and more!

This issue of Surgical Clinics of North America focuses on Robotic Surgery, and is edited by Dr. Julio Teixeira. Articles will include: History of Computer-assisted Surgery; Robotic Cardiac Surgery; Robotic Thoracic Surgery; Robotic Foregut Surgery; Robotic Liver Resection; Robotic Cholecystectomy; Robotic Pancreatic and Solid Surgery; Robotic Colorectal Surgery; Robotic Urology Surgery; Robotic Vental Hernia Surgery; Robotic Inguinal Hernia Surgery; Robotic Bariatric Surgery; Robotic Pediatric Surgery; Robotic Gynecological Surgery; Complications of Robotic Surgery; and more!

This issue of Surgical Clinics of North America, guest edited by Drs. Ronald Martin and Paul Schenarts, is devoted to Development of a Surgeon: Medical School through Retirement. They have assembled expert authors to review the following topics: Residency Surgical Training at a University Academic Medical Center; Fellowship Training: Need and Contributions; Evolving Educational Techniques in Surgical Training; Transition to Practice: From Trainee to Staff Surgeon; The Value of the Surgeon Emeritus; Alternative Methods and Funding for Surgical Training; Medical School Training for the Surgeon; Residency Surgical Training at an Independent Academic Medical Center; Assessment of Competence: The ACGME/RRC Perspective; Assessment of Competence: The American Board of Surgery Perspective; The Impaired Surgeon; Continuing Medical Education: The American College of Surgeons Perspective; Workforce Needs and Demands in Surgery, and more!

Caring for the Geriatric Surgical Patient is covered extensively in this important Surgical Clinics of North America issue. Articles include: Changing Demographics of the American Population; Effect of Aging on Cardiac Function plus Monitoring and Support; Effect of Aging on Vascular System plus Monitoring and Support; Effect of Aging on Pulmonary Function plus Monitoring and Support; Effect of Aging on Renal Function plus Monitoring and Support; Management of the Gastrointestinal Tract and Nutrition in the Geriatric Surgical Patient; Management of Skin/Soft Tissue/Pressure Sores in the Geriatric Surgical Patient; Hematologic Issues in the Geriatric Surgical Patient; Healthcare-Economic Impact of Caring for the Elderly; Operative Risk Stratification in the Geriatric Surgical Patient; Management of Fractures in the Geriatric Surgical Patient; Pharmacology for the Geriatric Surgical Patient; Rehabilitation of the Geriatric Surgical Patient; End-of-Life Care of the Geriatric Surgical Patient, and more.

Surgeon are presented an in-depth view of current surgical management of the cleft lip and palate patient in this issue of Clinics in Plastic Surgery. Focusing on aspects most relevant to plastic surgeons, each article offers an evidence-based assessment of current management options along with detailed descriptions of the author's preferred surgical technique. Outcomes measures for each aspect of cleft care are discussed, along with an update on current inter-center outcomes studies in the US and abroad. This issue of The Clinic's brings the current state of the art in cleft treatment to the practicing plastic surgeon, highlighting the changes and ongoing developments in the field. Topics include the nuanced management of Pierre Robin Sequence and Velo-cardio-facial syndrome, the continued evolution of naso-alveolar molding, and new developments in orthognathic surgery.

This issue of Facial Plastic Surgery Clinics, guest edited by Dr. William H. Truswell, is devoted to Day-to-day Challenges in Facial Plastic Surgery. This issue is one of four selected each year by the series Consulting Editor, Dr. J. Regan Thomas. Articles in this issue include: Guiding the Patient on Their Journey through Facial Rejuvenation Surgery; Incorporating Nonsurgical Options and Aesthetic Services into a Facial Plastic Surgery Practice; Evaluating, Purchasing, and Incorporating High Tech Equipment into a Facial Plastic Surgery Practice; Identifying and Handling Personality Disorders when Selecting Patients for Surgery; Unhappy Patients Can Turn into Angry Patients; Balancing University Obligations and a Cosmetic Surgery Practice in a Full Time Academic Environment; The Art of Teaching, Training, and Putting the Scalpel in Residents'' Hands; Facial Plastic Surgery Journals; Recognizing, Managing, and Guiding the Patient Through Complications in Facial Plastic Surgery; Recognizing and Managing Complications in Laser Resurfacing, Chemical Peels, and Dermabrasion; Life in an Academic Practice vs. a Solo Private Practice; How to Leverage Social Media in Private Practice; The Best Business Moves You Can Use to Enhance Your Practice; Understanding and Getting Involved in the International Facial Plastic Surgery Community; and Securing Operating Room Time for Elective Cases.

This issue of Neurosurgery Clinics, guest edited by Dr. R. Mark Richardson and Dr. Vasileios Kokkinos, will focus on Epilepsy Surgery: The Network Approach. This issue is one of four selected each year by our series consulting editors, Dr. Russell R. Lonser and Dr. Daniel K. Resnick. Topics discussed in this issue will include: History of the network approach in epilepsy surgery, Networks in temporal lobe epilepsy, Networks in frontal lobe epilepsy, Networks in parietal and occipital lobe epilepsy, Structures facilitating epileptogenic network formation, Extracranial interictal and ictal EEG in sEEG planning, Ictal semiology as a tool for sEEG planning, The significance of MRI lesions in sEEG planning, Functional networks in epilepsy presurgical evaluation, Automation advances in sEEG planning, Interpretation of the intracranial sEEG signal, Electrical cortical stimulation, Epileptogenic index, Modeling the epileptogenic network, Machine learning in epilepsy surgery evaluations, Neuromodulation of epilepsy networks, and Decision-making in epilepsy surgery.

This issue of Surgical Oncology Clinics of North America, guest edited by Dr. James Howe, is devoted to Management of GI and Pancreatic Neuroendocrine Tumors. Dr. Howe has assembled expert authors to review the following topics: Introduction and History of GI and Pancreatic Neuroendocrine Tumors (GEPNETs); Surgical Management of Colorectal Neuroendocrine Tumors; Management of Metastatic GEPNETs; Pathologic considerations in GEPNETs; Medical Management of GEPNETs; Workup of GEPNETs; Peptide Radioreceptor Therapy (PRRT); Surgical Management of Small Bowel Neuroendocrine Tumors; The Role of Functional Imaging in GEPNETs; Surgical Management of Pancreatic Neuroendocrine Tumors; Surgical Management of Other Gastric and Duodenal Neuroendocrine Tumors; and more!

This issue of Clinics in Plastic Surgery, guest edited by Drs. Jin Bo Tang and Michel Saint-Cyr, is devoted to Microsurgery: Global Perspectives, An Update. This issue will include updates on topics such as: A Global View of Digital Replantation and Revascularization; Severe Crush Injury to the Forearm and Hand; Medial Femoral Trochlea Osteochondral Flap; Vascularized Small-Bone Transfers for Fracture Nonunion and Bony Defects; Microvascular Tissue Transfers for Severe Upper Extremity Trauma; Compound or Specially Designed Flaps in the Lower Extremities; Complex Microsurgical Reconstruction After Tumor Resection in the Trunk and Extremities; Pediatric Microsurgery; Innovations and Future Directions in Head and Neck Microsurgical Reconstruction; Microsurgical Tissue Transfer in Breast Reconstruction; Maximizing the Utility of the Pedicled Anterolateral Thigh Flap for Locoregional Reconstruction; Keystone and Pedicle Perforator Flaps in Reconstructive Surgery; Unique Techniques or Approaches in Microvascular and Microlymphatic Surgery; and Microsurgical Reconstruction of Neck, Trunk, and Extremities.

This issue of Otolaryngologic Clinics, Guest Edited by Drs. Melissa A. Pynnonen and Cecelia E. Schmalbach, is devoted to Office-Based Surgery in Otolaryngology. Articles in this important issue include: Introduction to Office-Based Surgery in Otolaryngology; Office-based Cosmetic Procedures in Otolaryngology; Mohs Reconstruction and Scar Revision; Office-based Sinus Procedures; In-office Functional Nasal Surgery; Office-based Otology Procedures; In-office Eustachian Tuboplasty; In-office Laryngology Injectables; Office-based Management of Laryngeal Neoplasms; Ultrasound of the Thyroid and Neck; In-office Evaluation and Management of Dysphagia; Patient Safety and Regulatory Considerations; Instrument Sterilization in Otolaryngology; and Facility Accreditation and Coding for Otolaryngology Office Procedures.

This issue of Otolaryngologic Clinics, Guest Edited by Drs. Umamaheswar Duvvuri, Arun Sharma, and Erica Thaler, is devoted to Robotics in Otolaryngology. This issue is one of six selected each year by our series Consulting Editor, Sujana S. Chandrasekhar. Articles in this important issue include: Past, present and future of Robotic Surgical Systems; History and acceptance of TORS; Current indications for TORS in OP cancer; Role of TORS for workup of unknown primary SCCa; TORS and de-escalation of cancer treatment; Pediatric Applications of TORS; TORS for OSA; Robotic thyroidectomy; Robotic Neck Dissection; Robotic management of salivary glands; Robotic Ear Surgery; Robotic skull base surgery; Salvage Surgery for TORS; Complications of TORS; QOL implications after TORS for OP CA; and Cost Considerations for Robotic Surgery.

This issue of Surgical Clinics of North America focuses on Endoscopy and is edited by Drs. John Rodriguez and Jeffrey L. Ponsky. Articles will include: History of Flexible Endoscopy; Quality Measures in Diagnostic Endoscopy; Endoscopic Equipment from Simple to Advanced; Endoscopic Ultrasound; Polypectomy Techniques; Endoscopic Mucosal Resection; Enteral Access; Advanced Colonic Polypectomy; Principles of Intramural Surgery; Per Oral Esophageal Myotomy; Per Oral Pyloromyotomy; Per Oral Zenker''s Diverticulotomy; Submucosal Tunneling Esophageal Resection; Endoscopic Management of Pancreato-biliary Disease; Endoscopic Management of Post-Operative Complications; and more!

This issue of Thoracic Surgery Clinics, guest edited by Dr. Bryan M. Burt, is devoted to Malignant Pleural Mesothelioma. Dr. Burt has assembled expert authors to review the following topics: Biomarkers for the Diagnosis and Monitoring of Malignant Pleural Mesothelioma; Taken Together: Effective Multimodal Approaches for Malignant Pleural Mesothelioma; Pleurectomy/Decortication for Malignant Pleural Mesothelioma; Preoperative Identification of Benefit from Surgery for Malignant Pleural Mesothelioma; The Role of Extrapleural Pneumonectomy in Malignant Pleural Mesothelioma; The Molecular Basis of Malignant Pleural Mesothelioma; Radiation Therapy for Malignant Pleural Mesothelioma; The Staging of Malignant Pleural Mesothelioma; Intraoperative Adjuncts for Malignant Pleural Mesothelioma: The Fourth Dimension; The Pathology of Malignant Pleural Mesothelioma; and more!

The guest editors, Dr. William Huang and Dr. Ezequiel Becher, have assembled a state-of-the art issue devoted to Advanced and Metastatic Renal Cell Carcinoma (RCC). They have secured expert authors to contribute clinical reviews on the important topics involving treating and managing patients with RCC. Specific articles are devoted to the following topics: Imaging for Metastatic RCC; Adjuvant Therapy for Localized High Risk RCC; Current Standards for Therapeutic Sequencing for Advanced RCC; Role of Lymphadenectomy in patients with advanced RCC; Cytoreductive Nephrectomy in the Era of TKI/IO - Who, When and Why; Minimally Invasive Surgery for Patients with Locally Advanced and Metastatic Disease RCC; Evolving Role of Urologists in the Management of Advanced RCC; Neoadjuvant Therapy for Locally Advanced RCC; Epidemiology and Risk Assessment/Biomarkers for Patients with Advanced RCC; Radiation Therapy for Patients with Metastatic RCC; Evolving Role of Metastatectomy for Patients with Metastatic RCC; and Management of Non-Clear Cell Metastatic RCC. Readers will come away with the information they need to treat and manage patients and to improve outcomes.

This issue of Surgical Pathology Clinics, guest edited by Dr. Raul Gonzalez, will cover key topics in Gastrointestinal Pathology. This issue is one of four selected each year by our series consulting editor, Dr. Jason L. Hornick. Topics discussed in this issue will include: Grossing of Gastrointestinal Specimens: Best Practices and Current Controversies, Subspecialty Signout and Interobserver Variability in Gastrointestinal Pathology, Diagnosis and Management of Gastrointestinal Neuroendocrine Neoplasms, Daily Dilemmas in Pediatric Gastrointestinal Pathology, Upper Gastrointestinal Tract Manifestations of Inflammatory Bowel Disease, Gastric Polyps, Approaches to Biopsy and Resection Specimens of the Ampulla, Updates in Appendix Pathology, HER2 in Colorectal Carcinoma, Histology of Colorectal Carcinoma: Proven and Purported Prognostic Factors, Diagnoses and Difficulties in Mesenteric Pathology, Advances and Annoyances in Anus Pathology, among others.

This issue of Surgical Clinics of North America focuses on Wound Management, and is edited by Drs. Michael D. Caldwell and Michael J. Harl. Articles will include: Complex wounds, calciphylaxis and burns; What makes wounds chronic; Clinical management of difficult and slow-healing wounds; The effect of comorbidities on wound healing; Foot surgery for chronic non-healing wounds; The role of biofilms in wound healing; Plastic surgery techniques for wound coverage; Biologic and synthetic skin substitutes and "smart” wound dressings/coverings; Bacteria and wound healing; Use of hyperbaric oxygen therapy as an adjunct to wound healing; The history of wound healing; and more!

This issue of Clinics in Plastic Surgery, guest edited by Drs. Alan Matarasso and James E. Zins, is devoted to Abdominoplasty. Topics in this issue include: Lipoabdominoplasty, Progressive Tension Sutures, Abdominoplasty with Combined Surgery, Non-invasive Abdominal Surgery, Abdominoplasty in the Massive Weight Loss Patient, Lower Body Lift, Abdominal Etching, Deep Venous Thrombosis (DVT) Prophylaxis, High Definition Liposuction, and Body Q.

This issue of Neurosurgery Clinics, edited by Dr. Michael G. Fehlings and Dr. Junichi Mizuno, focuses on Cervical Myelopathy. Topics include, but are not limited to, Epidemiology and overview of the clinical spectrum of degenerative cervical myelopathy; Pathobiology of degenerative cervical myelopathy; Natural history of degenerative cervical myelopathy; Imaging evaluation of degenerative cervical myelopathy: current state of the art and future directions; Pathophysiology of CPPD and OYL(OLF); Radiological evaluation of OPLL with dural ossification; Relationship of OALL, OPLL and OYL (OLF); Importance of sagittal alignment of the cervical spine in the management of degenerative cervical myelopathy; Anterior cervical options to manage degenerative cervical myelopathy; Laminectomy with or without fusion to manage degenerative cervical myelopathy; History and evolution of laminoplasty; Prediction of outcomes in managing degenerative cervical myelopathy; Neurological complications in managing degenerative cervical myelopathy; Options to manage the patient with mild degenerative cervical myelopathy; Management of the patient with cervical cord compression but no evidence of myelopathy; Intraoperative neurophysiological monitoring for CDD; Future Directions and New Technology, and more!

This issue of Thoracic Surgery Clinics, guest edited by Dr. Gaetano Rocco, is devoted to Single-port/Uniportal Video-Assisted Thoracic Surgery. Dr. Rocco has assembled expert authors to review the following topics: The Geometric and Ergonomic Appeal of Uniportal VATS; Management of Intraoperative Difficulties During Uniportal VATS; Hybrid Theatre and Uniportal VATS: the Perfect Match for Lung Nodule Localization; Important Technical Details in Uniportal VATS Standard Major Pulmonary Resections; When Uniportal VATS is Contraindicated; Subxyphoid Uniportal VATS Procedures; Uniportal VATS Segmentectomy; The Case for Non Intubated/Awake Anesthesia  for Uniportal VATS Procedures; Uniportal VATS Esophagectomy; Complex Pulmonary Resections Through Uniportal VATS; Training in Uniportal VATS; Fast-tracking Patients Through the Diagnostic and Therapeutic Pathways of Intrathoracic Conditions: the Role of Uniportal VATS; and more!