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Prophylactic Surgery
Osman Nuri Dilek Selman Uranues Rifat Lati
Editors
123
Osman Nuri Dilek • Selman Uranues Rifat Lati
Editors
Prophylactic Surgery
Editors
Osman Nuri Dilek Department of Surgery, Section of Hepatopancreatobiliary Surgery Izmir Kâtip Çelebi University School of Medicine İzmir, Turkey
Rifat Lati Department of Surgery, Westchester Medical Center and New York Medical College Valhalla, NY USA
Selman Uranues Department of Surgery, Section for Surgical Research Medical University of Graz Graz, Steiermark Austria
ISBN 978-3-030-66852-5 ISBN 978-3-030-66853-2 (eBook)
https://doi.org/10.1007/978-3-030-66853-2
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms 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 specic 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, expressed 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 afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Foreword
The best chance to cure cancer is to remove the tissue at risk before malignant transformation, and this concept extends to abnormal tissue that may ulti­mately require radical surgical resection. This comprehensive and timely text, and the rst, addresses the increasingly recognized and accepted role of sur­gical resection to prevent cancer mortality and long-term morbidity of dys­functional tissue. Genetic testing for personalized medicine has progressed rapidly and includes single-gene testing, panel testing, genome sequencing, and chromosomal microarrays. Perhaps the best known example is prophy­lactic mastectomy for breast cancer, the so-called Angelina Jolie effect. The decision to proceed with prophylactic surgery requires knowledge and skills of the surgeon and courage on behalf of the patient.
The editors author the rst three chapters that provide compelling rationale for prophylactic surgery and emphasize the benets to the individual patient as well as society in general. The patient has improved chances for survival and importantly reduced morbidity due to the opportunities to perform many of these operative procedures with minimally invasive techniques. Timely sur­gery also avoids chemotherapy, radiation, and immunotherapy. While there has been remarkable improvement in survival for many malignancies, the obligatory multimodal therapy and imaging to assess responses is costly.
Consequently, this text should be of great interest to surgeons, primary care physicians, patients and their family members, and health-care policy makers.
ErnestE.Moore
University of Colorado Denver
Denver, CO, USA
v
Preface
Dear Readers,
Prophylactic surgery can be dened as procedures to partially or com­pletely remove organs or tissues that may appear normal or functional now, but are likely to transform into signicant pathologies such as malignancies or other diseases in future.
Such transformation is multifactorial; environmental and genetic fac­tors play an important role. Various measures can be taken to mitigate these two etiological factors in order to prevent the development of life- or quality of life-threatening diseases. Prophylactic surgery has started to be applied increasingly in recent years as a preventive procedure, especially in cases where genetic transition features are revealed. In this respect, breast, colon, stomach, thyroid, and ovarian cancer syndromes are known classic examples.
In this book, the conditions and organ-specic applications that require prophylactic surgery for the elimination or prevention of pathologies that occur primarily for genetic and environmental reasons are examined in the light of current literature. In addition to the applications in the General Surgery subdisciplines, chapters from related branch authors have been added to give an idea of other surgical branch applications.
The aim of the book is to reveal the potential, limits, and applicability of prophylactic surgery in a number of conditions and clinical situation. Some risk-reducing procedures, applied in different disciplines in many symptom­atic or asymptomatic cases, are also discussed.
It is understood that prophylactic surgery will become a discipline of its own in the very near future. In this book, we believe that physicians from every branch can nd a topic of relevance to their own work.
Sixty-nine authors from 31 different institutions in 10 countries con­tributed to the preparation of the book. We would like to thank each indi­vidual contributor to this book for their valuable input and all authors for sharing their vast experience through their contributions. In addition, we would like to thank Donatella Rizza and Aruna R Sharma from the Springer Nature team for their kind collaboration and support in realizing this unique project.
vii
viii
Our hope/aim is that Prophylactic Surgery, which is the rst book in its eld, will give the reader a different view and approach style to this emerging and exciting prospective eld.
İzmir, Turkey OsmanNuriDilek
Preface
Graz, Steiermark, Austria SelmanUranues
Valhalla, NY, USA RifatLati
Contents
1 Prophylactic Surgery: Why, When, and How? . . . . . . . . . . . . . . 1
Osman Nuri Dilek
2 Minimally Invasive Procedures and Prophylactic Surgery . . . . . 15
Viktor Justin and Selman Uranues
3 Prophylactic Approaches in Abdominal Wall Surgery:
Preventing and Repairing the Burst Abdomen . . . . . . . . . . . . . . 23
Rifat Lati, James Choi, Shekhar Gogna, and Selman Uranues
4 Cost-Effectiveness of Prophylactic Surgeries in
Preventing Hereditary Predisposition Syndromes . . . . . . . . . . . . 33
Charles Sabbagh
5 Prophylactic Thyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Xiang Da Dong and Rifat Lati
6 Prophylactic Parathyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Maria Castaldi, Sacha Roberts, and Rifat Lati
7 Genetic Predispositions and Prophylactic
Mastectomy in Breast Cancer Patients . . . . . . . . . . . . . . . . . . . . . 61
Atilla Soran and Kazim Senol
8 Prophylactic Mastectomy for Benign Pathologies . . . . . . . . . . . . 77
Murat Kemal Atahan and Beyza Özçınar
9 Prophylactic Surgery for Liver Pathologies . . . . . . . . . . . . . . . . . 85
Osman Nuri Dilek, Feyyaz Güngör, and Arif Atay
10 Prophylactic Resections of the Pancreas Pathologies . . . . . . . . . 101
Osman Nuri Dilek and Turan Acar
11 Prophylactic Surgery for Gallbladder and
Biliary Tract Pathologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Osman Nuri Dilek and Nihan Acar
12 Prophylactic Splenectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Nuru Yusifoglu Bayramov, Ruslan Aydınoglu Mammadov, and Farah Alqızı Gahramanova
ix
x
13 Prophylactic Surgical Procedures for
Esophageal Pathologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Osman Nuri Dilek, Halis Bağ, Mustafa Ufuk Uylaş, and Serkan Karaisli
14 Stomach and Duodenum Resections for
Genetic Predispositions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Mustafa Özsoy and Faik Yaylak
15 Prophylactic Surgery for Benign Diseases of
Stomach and Duodenum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Nuru Bayramov and Nadir Zeynalov
16 Prophylactic Surgery for Small Intestines . . . . . . . . . . . . . . . . . . 173
Faik Yaylak and Mustafa Özsoy
17 Prophylactic Appendectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Osman Nuri Dilek, Haldun Kar, and Turan Acar
18 Vascular Problems Related to Colectomy: Habitual and
Variant Anatomy, Prevention, and Tactical Aspects . . . . . . . . . . 193
Abe Fingerhut, Hayato Kurihara, and William Tzu-Liang Chen
19 Prophylactic Resections for Genetic
Predisposition of Colon and Rectum . . . . . . . . . . . . . . . . . . . . . . . 201
Emrah Akin, Emre Gonullu, and Fatih Altintoprak
Contents
20 Prophylactic Colon and Rectum Resections for
Benign Pathologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Baris Mantoglu, Necattin Firat, and Fatih Altintoprak
21 Prophylactic Adrenalectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Mehmet Haciyanli, Emine Ozlem Gur, and Selda Gucek Haciyanli
22 Omentectomy: Whether to Perform Should Be Questioned . . . . 243
Arif Atay, Yunus Sür, and Osman Nuri Dilek
23 Open Access in Laparoscopic Surgery to
Prevent Entry Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Viktor Justin, Diletta Di Miceli, and Selman Uranues
24 Prophylactic Surgery in Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . 261
Kartik Prabhakaran, Josh Klein, Peter Rhee, and Rifat Lati
25 Surgical Prophylaxis of Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
Erdinc Kamer and Fevzi Cengiz
26 Histopathological Findings in Prophylactic
Surgical Specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Fatma Hüsniye Dilek and Dilara İrem Arslan Kahraman
Contents
xi
27 Prophylactic Surgery for Genetic Predisposition of
Female Organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301
Nuri Yildirim, Duygu Guzel, and Ali Akdemir
28 Prophylactic Surgery for Benign Gynecologic Pathologies . . . . . 313
Sabahattin Anil Ari and Ali Akdemir
29 Prophylactic Surgical Procedures in Plastic Surgery . . . . . . . . . 325
Ömer Faruk Dilek, Fuat Uslusoy, and Mustafa Asım Aydın
30 Prophylactic Cardiac and Vascular Surgery Procedures . . . . . . 359
Tahir Yağdı, Mustafa Özbaran, and Çağatay Engin
31 Prophylactic Chest Surgery Procedures . . . . . . . . . . . . . . . . . . . . 371
İrfan Yalçınkaya and Mahmut Talha Doğruyol
32 Prophylactic Surgery for Urologic Pathologies . . . . . . . . . . . . . . 379
Yiğit Akın, Maria Del Pilar Laguna, and Jean De La Rosetta
33 Prophylactic Procedures in Pediatric Surgery . . . . . . . . . . . . . . . 391
Gökhan Köylüoğlu and Mustafa Onur Öztan
34 Prophylactic Surgery for Neurosurgical Pathologies. . . . . . . . . . 401
Nurullah Yüceer
35 Prophylactic Procedures for Orthopedic Pathologies . . . . . . . . . 423
Fuat Akpinar, Korhan Ozkan, Krishna Reddy, Esat Uygur, Erhan Okay, and Mehmet Salih Soylemez
36 Ethical and Legal Dimensions of Prophylactic Surgery . . . . . . . 435
Zeynep Esra Tarakçıoğlu and İlhan Üzülmez
37 Psychiatric Aspects of Prophylactic Surgery in Adults . . . . . . . . 447
Semra Etyemez and William W. Eaton
38 Child and Adolescent Aspects in Prophylactic Surgery . . . . . . . 457
Ayşe Serra Dilek Kasap and Ingo Spitczok von Brisinski
39 Endoscopic Approaches for Prophylactic Purposes . . . . . . . . . . . 469
Ömer Karahan and Barış Sevinç
40 The Place of Prophylactic Surgery in Guidelines . . . . . . . . . . . . 477
Nihan Acar and Osman Nuri Dilek
41 Interventional Procedures Reducing the
Needs for Conventional Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 487
Gökhan Kahraman, Özgür Özen, and Ali Harman
42 Radiological Screening for Hereditary
Cancer Predisposition Syndromes . . . . . . . . . . . . . . . . . . . . . . . . . 497
Gökhan Kahraman, Pınar Çeltikçi, and Şebnem Karasu
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