Current Problems in Surgery RSS feed: Current Issue. Current Problems in Surgery keeps readers up-to-date on the latest surgical advances. Each month, this publication examines a single clinical problem or condition commonly seen by general surgeons. Issues also focus on topics in surgical research and emerging ideas in surgical subspecialties. Current Problems in Surgery is ideal for information too urgent to await book publication, yet too important to be summarized in a brief journal article. 2012 Topics, Volume 49 January Advances in Preoperative Risk Assessment and Managementt Angela M. Bader February Current Management of Short Bowel Syndrome Jon S. Thompson, Fedja A. Rochling, Rebecca A. Weseman, and David F. Mercer March Primary Vascular Infection R. James Valentine and Jayer Chung April Unexpected Gynecological Findings During Abdominal Surgery Casey A. Boyd and Taylor S. Riall May Contemporary Issues in Rural Surgery Thomas H. Cogbill, Joseph B. Cofer, and Benjamin T. Jarman June Surgery in Pregnancy Stephen R.T. Evans, Babak Sarani, Parag Bhanot, and Elizabeth Feldman http://www.currprobsurg.com/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Current Problems in Surgery0011-3840496June 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.currprobsurg.com/article/PIIS0011384012000597/abstract?rss=yesTable of Contents10.1067/S0011-3840(12)00059-7Current Problems in Surgery 49, 6 (2012)2012-06-01Current Problems in Surgery2012-06-01496S0011-3840(11)X0019-9323324http://www.currprobsurg.com/article/PIIS0011384012000251/abstract?rss=yesThe surgical care of the pregnant patient continues to represent a significant challenge. Pregnancy not only alters anatomy, requiring different technical approaches, but also has dramatic effects on physiology that require significant alterations in anesthesia, fluid management, and the use of medications. The magnitude of these changes varies through each trimester. In addition, the surgeon really is caring for two patients simultaneously and diagnostic and therapeutic approaches must balance sometimes conflicting risk-benefit considerations for mother and fetus. In this issue of Current Problems in Surgery, Drs. Stephen R.T. Evans, Babak Sarani, Parag Bhanot, and Elizabeth Feldman from the Georgetown University School of Medicine in Washington, DC have written a masterful overview on this topic entitled, “Surgery in Pregnancy.” Dr. Evans brings a unique perspective, having trained first in obstetrics and gynecology before he entered general surgery. They begin with a discussion of the physiological alterations of pregnancy with an emphasis on those considerations critical for the surgical management. Optimal evaluation of the pregnant patient with surgical disease, including the unique radiologic considerations, is then addressed in significant detail. They conclude by addressing the specifics of the most common surgical conditions in the pregnant patient, including abdominal pain and disorders of the small bowel, colon, hepatobiliary tree, pancreas, abdominal wall, breast, thyroid, and adrenal. Unique management considerations after trauma in the pregnant patient are also outlined. This superb review should become a valued addition to the literature on this complex topic and a resource for all caregivers involved in the care of the pregnant patient.ForewordStanley W. Ashley10.1067/j.cpsurg.2012.02.001Current Problems in Surgery 49, 6 (2012)2012-06-01Current Problems in Surgery2012-06-01496S0011-3840(11)X0019-9325325http://www.currprobsurg.com/article/PIIS0011384012000263/abstract?rss=yesThe challenges associated with the surgical management of the pregnant patient are significant, not only as a more difficult technical exercise, but also related to the complexity of evaluation and diagnosis, intraoperative management, and postoperative care. This monograph on “Surgery in Pregnancy” addresses the physiological changes associated with pregnancy, the optimal radiologic evaluation, and evaluation of the pregnant patient with associated surgical conditions and then addresses specific surgical entities commonly encountered by the general surgeon.In BriefStephen R.T. Evans, Babak Sarani, Parag Bhanot, Elizabeth Feldman10.1067/j.cpsurg.2012.02.002Current Problems in Surgery 49, 6 (2012)2012-06-01Current Problems in Surgery2012-06-01496S0011-3840(11)X0019-9326331http://www.currprobsurg.com/article/PIIS0011384012000275/abstract?rss=yesThe pregnant woman undergoes significant physiological change that affects almost every organ system and whose magnitude of derangement relative to the nonpregnant state increases as the gestation progresses (). The general surgeon must be aware of the expected changes to discern illness from normal aberrant physiology properly, to discern impending deterioration, and to plan operative intervention and postoperative care.Surgery in PregnancyStephen R.T. Evans, Babak Sarani, Parag Bhanot, Elizabeth Feldman10.1067/j.cpsurg.2012.02.003Current Problems in Surgery 49, 6 (2012)2012-06-01Current Problems in Surgery2012-06-01496S0011-3840(11)X0019-9333388