Sumit Chhikara (Late) MBBS
Anupam Kumar Singh MBBS
Sandeep Kumar Thakur MBBS
Pardeep Gupta MBBS
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Manual of Surgery
© 2005, Sumit Chhikara (Late), Anupam Kumar Singh,
Sandeep Kumar Thakur, Pardeep Gupta
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
First Edition : 2005
9788180614422
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A 14, Section 60, Noida
Dedicated to the fond memories of
Dr Sumit Chhikara
(6-11-1981 to 23-4-2004)
7Preface
This book we emphatically state has been written to fill in a need. When we, the authors of this book, started preparing for our final professionals, we found that despite reading standard textbooks and standard clinical manuals, there was something lacking in our preparation.
The elusive something was that we had no insight as to how to answer the grilling question of anatomy and physiology that our surgeons used to ask with cases or the differential diagnoses (in order of importance) or the relevant investigations which we were required to order.
The need drove us to myriad textbooks, our lecture notes, our hospital experiences, college handouts, anatomy and physiology books to synthesize and consolidate how the ‘Theory of Surgery’ is translated into ‘Clinical Practice’ and most importantly how we could handle the grossly overrated clinical cases without mortification.
So, please use this book as an adjuvant to your textbooks, look it up before presenting your cases in wards, brush it again before your ward leavings, and digest it before professionals and we have no doubt whatsoever that you will succeed with flying colours.
This book has been result of our sweat and tears. Destiny snatched one of our dear friends and one of the authors, Dr Sumit Chhikara from us during the publication itself. This book is dedicated to him and his loving memories which will remain with us till end of time.
Best of luck to all of you.
Sumit Chhikara (Late)
Anupam Kumar Singh
Sandeep Kumar Thakur
Pardeep Gupta
9Acknowledgements
Our special thanks to:
Dr Gautam Choudhary
Dr Jasvinder Singh ms surg (std) mamc
Dr Anuj Deep Dangi ms surg (std) mamc
Dr Vivek Mangla ms surg (std) mamc
Dr Deepak Gupta ms surg (std), rohtak
Dr Sandeep Gupta mbbs
Dr Arvind Chaurasia mbbs mamc
Dr Satish Kumar mbbs ucms
Dr Ashish Kakkar mbbs
Dr Sajjan Singh Manana md peds (std) mamc
Pankaj 5th sem, mamc
Vikram 5th sem, mamc
Dr Arvind Dubas mbbs mamc
Dr Sandeep md (std) patel chest
Dr Manoj Sanwal
Dr Santosh Kumar mbbs mamc
Pritesh Kumar Singh 5th sem, mamc
Chandra Mohan 7th sem, mamc
Dr Vikas Mor mbbs mamc
Dr Vikas Bhatia 5th sem, mamc
Dr Surender Dabas ms surg (std) lhmc
Last but not the least, Mr JP Vij, Chairman and Managing Director and Mr Tarun Duneja, General Manager (Publishing) for their unfailing cooperation.