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Chapter-03 General Care Principles in Surgery

BOOK TITLE: Operative Obstetrics and Gynecology

Author
1. Shah PK
2. Kore Shailesh
3. Hegde Aparna
ISBN
9788184485370
DOI
10.5005/jp/books/11088_3
Edition
1/e
Publishing Year
2009
Pages
11
Author Affiliations
1. LTM Medical College and LTMG Hospital, Sion, Mumbai, Seth GS Medical College and KEM, Hospital, Mumbai, Maharashtra, India, Seth GS Medical College, KEM Hospital, Mumbai, Maharashtra, India, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India; FOGSI 2012, KEM Hospital, Mumbai, Maharashtra, India, Mumbai, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India, Lokmanya Tilak Municipal General Hospital, Mumbai, Seth GS Medical College and King Edward VII Memorial Hospital, Mumbai, Maharashtra, India; Fogsi 2012, Mumbai, Maharashtra, India, Seth GS Medical College and King Edward VII, Memorial Hospital, Mumbai, Maharashtra, India, Cedars Sinai Medical Center, Los Angeles, California, USA, KEM Hospital, Parel, Mumbai, Maharashtra, India, Seth GS Medical College, Mumbai, Maharashtra, India, KEM Hospital, Mumbai, Maharashtra, India; FOGSI 2012, LTMG Hospital, Mumbai, Maharashtra, India, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, I
2. Mumbai, Maharashtra, India, TN Medical College and BYL Nair, Charitable Hospital; MOGS; Genetic and Fetal Medicine Committee, FOGSI, Mumbai, Lokmanya Tilak Municipal Medical College, Mumbai; Website Committee, FOGSI; Managing Council, MOGS, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India, LTM Medical College, Sion Mumbai, Maharashtra, India; Genetics and Fetal Medicine Committee FOGSI; FOGSI Website Committee, L.T.M. Medical College, Sion, Mumbai-22; FOGSI Website Committee; Fetal Medicine committee, FOGSI, LTM Medical College, Sion, Mumbai, Maharashtra, India
3. Mumbai, Maharashtra, India, Mumbai
Chapter keywords
infection, catheters, homely environment, dressing, epidural spare, pelvic drains, bowel, nutritional stores, tissue necrosis, instrument, operative field

Abstract

This chapter discusses some general care principles in surgery. The six aspects of good surgical care are proper patient evaluation, communication, patient selection, asepsis, efficient patient follow-up, and cordial patient-administration liaisons. Preoperative care principles, examination, preoperative evaluation, laboratory investigations, intraoperative care principles, postoperative management, and postoperative care, are discussed. Disscetion must be meticulous with proper hemostasis and appropriate and any suture that will be buried in tissues should be either absorbable or monofilament. For patients undergoing major abdominal and vaginal surgery, totally sodium-free intravenous fluids should be given with great caution postoperatively. Early mobilization is useful not only in reducing risk of thromboembolic disease and respiratory infection but helps the patient to come back to normal activity as early as possible.

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