Volume I
Editor
SP
Kaushik
MBBS (Lko) FRCS (Edin) PhD (London) FICS FACG FAMS (Academy of Medical Sciences, India)
FormerProfessor and Head, Department of Surgical Gastroenterology Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow, India
Professor and HeadDepartment of Surgery Government Medical College and Hospital Chandigarh, India
PresidentIndian Association of Surgical Gastroenterology Member, Governing Council Association of Surgeons of India Indian Society of Gastroenterology
AdvisorIndian Armed Forces Rajiv Gandhi Cancer Institute and Research Centre New Delhi, India
Foreword
Prof Michael Hobsley
13FOREWORD
Jitendar P Vij
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Operative Procedures in Surgical Gastroenterology Volume I
© 2009, SP Kaushik
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 editor and the publisher.
First Edition: 2001
Second Edition: 2009
9788184485691
Typeset at JPBMP typesetting unit
Printed at
7CONTRIBUTORS
- N Ananthakrishnan
- Professor and Head
- Department of Surgery
- Jawaharlal Nehru Institute of Postgraduate Medical Education and Research
- Pondicherry
- A Behari
- Senior Resident
- Department of Surgical GE
- Sanjay Gandhi PGI
- Lucknow
- Debanshu Bhaduri
- Department of Surgical Oncology
- Tata Memorial Hospital
- Mumbai
- Abhijit Chandra
- Senior Resident
- Department of GI Surgery
- GB Pant Hospital, New Delhi
- TK Chattopadhyaya
- Professor and Head
- Department of GI Surgery
- AIIMS, New Delhi
- A Chaudhary
- Professor and Head
- Department of GI Surgery
- GB Pant Hospital
- New Delhi
- DN Dwivedi
- Senior Resident
- Department of Surgery
- AIIMS, New Delhi
- Sanjiv P Haribhakti
- Hon Assistant Professor
- Gastroenterology Surgery
- Seth VS General Hospital and HL Medical College
- Ahmedabad
- Md Ibrarullah
- Assistant Professor and Head
- Department of Gastroenterology
- Sri Venkateshwara Institute of Medical Sciences
- Tirupati
- P Jagannath
- Consultant Surgeon
- Department of Surgical Oncology
- Tata Memorial Hospital
- Mumbai
- VK Kapoor
- Professor and Head
- Department of Surgical GE
- Sanjay Gandhi PGI
- Lucknow
- Ashok Kumar
- Assistant Professor
- Department of Surgical GE
- Sanjay Gandhi PGI
- Lucknow
- PK Mishra
- Assistant Professor
- Department of Surgery
- University College of Medical Sciences, New Delhi
- SK Mitra
- Ex-Professor of Paediatric Surgery PGIMER
- Chandigarh
- SK Mathur
- Consultant GE Surgeon
- Bombay Hospital and Medical Research Center
- Mumbai
- KL Narasimhan
- Assistant Professor
- Department of Paediatric Surgery
- PGIMER
- Chandigarh
- Sujoy Pal
- Senior Resident
- Department of Surgery
- AIIMS
- New Delhi
- P Radhakrishna
- Senior Resident
- Department of Surgical GE
- Nizam Institute of Medical Sciences
- Hyderabad
- H Ramesh
- Assistant Director and Chief Surgeon
- Digestive Diseases Center
- PVS Memorial Hospital
- Cochin
- KLN Rao
- Professor and Head
- Department of Paediatric Surgery, PGIMER
- Chandigarh
- KV Ravindra
- Assistant Professor
- Department of Surgery
- St John's Medical College
- Bengaluru
- Ajay K Sachdev
- Additional Professor
- Department of GI Surgery
- GB Pant Hospital
- New Delhi
- Anuj Sarkari
- Senior Resident
- Department of Surgical GE
- Sanjay Gandhi PGI
- Lucknow
- RA Sastry
- Professor
- Department of Surgical GE
- Nizam Institute of Medical Sciences
- Hyderabad
- Sadiq S Sikora
- Associate Professor
- Department of Surgical GE
- Sanjay Gandhi PGI
- Lucknow
- PG Thomas
- Professor
- Department of Surgery
- St John's Medical College, Bengaluru
- GD Wagholikar
- Senior Resident
- Department of Surgical GE
- Sanjay Gandhi PGI, Lucknow
Textbooks describing surgical operations abound, but Prof Kaushik's Operative Procedures in Surgical Gastroenterology incorporates some features of special importance.
Firstly, it is devoted to surgical gastroenterology, a specialty that is only recently beginning to develop— an advance that owes much to the dedicated zeal of Prof Kaushik himself.
Secondly, the list of contributors is impressive: it comprises those who are not only the colossi of the surgical stage but well-known actors in the world theatre of surgery. The reader can confirm this by checking the bibliography for further reading at the end of each chapter.
Thirdly, its intended readers are specified in Prof Kaushik's Preface as aspiring young surgeons, not necessarily those about to specialise in gastroenterological surgery. He realises well that most surgeons in the world, have to take wider responsibilities on their shoulders as ‘general’ surgeons, but it remains true that the problems of the alimentary tract dominate their labours and provide a real challenge to their skills. For this reason, the information about each operation is provided in terse, lucid prose with careful definitions of all terms used, and with a brief historical introduction to set the information in context. There 14is a justifiable concentration on indications and adequate discussion of preparation for operation, aftercare and complications, and alternative methods of management where practice has still not been codified into a ‘best bet’.
My own ‘best bet’ is, that this book will be a winner. I congratulate Prof Kaushik and his colleagues and wish them success.
Michael Hobsley
FRCS, MCh, PhD, DSc (Med)
Emeritus Professor
University College and Middlesex Hospital and
Medical School, London
Fellow of the Association of Surgeons of India
and the American Surgical Association
15PREFACE
In the career graph of a surgeon, choosing a highly specialised surgical field of work, is one of the most challenging experiences. To be able to achieve it successfully is indeed a matter of great satisfaction. The excitement and the thrills of performing a specialised surgical technique and taking it to its logical end point, in accordance to the health care needs of a community/country, elevates the level of this satisfaction further to almost an ecstasy. If one looks back to his/her entry point into a medical college, it is a rather long and arduous journey.
The ability to perform successfully an operative procedure on a patient is the most important part of a surgeon's commitment. The operative procedures described in this book are all major gastroenterological surgeries, which a budding and aspiring surgeon needs to learn and perform under guidance and supervision of great teachers in institutionalised set-ups. The book is only meant to be a support, to learn the basic indications, steps of operation and postoperative care. It should help a young faculty, an MCh/MS postgraduate and a practitioner of surgery, to remember the basics and essential steps, inside and/ or outside the operation theatre complex.
I am highly indebted to my professional colleagues, who have contributed their write-ups to this volume. 16They are all well-known experts in the superspecialty of surgical gastroenterology in this country and are very busy practitioners in their profession. I am grateful to them for having spared their time to write on request.
The best possible reward for the author would be if the book is able to help and contribute even to a small measure, making of Great Surgeons of tomorrow.