Sisir Kumar Saha BSc MBBS FRCS
Consultant General Surgeon United Kingdom
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India
Phone: +91-11-43574357 (30 lines)
Registered Office
B-3, EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672 Rel: +91-11-32558559
Fax: +91-11-23276490, +91-11-23245683 e-mail: jaypee@jaypeebrothers.com
Website: www.jaypeebrothers.com
Branches
- 2/B, Akruti Society, Jodhpur Gam Road SatelliteAhmedabad 380 015 Phones: +91-79-26926233, Rel: +91-79-32988717Fax: +91-79-26927094 e-mail: ahmedabad@jaypeebrothers.com
- 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park EastBengaluru 560 001 Phones: +91-80-22285971, +91-80-22382956, +91-80-22372664Rel: +91-80-32714073 Fax: +91-80-22281761 e-mail: bangalore@jaypeebrothers.com
- 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon RoadChennai 600 008 Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089Fax: +91-44-28193231 e-mail: chennai@jaypeebrothers.com
- 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross RoadHyderabad 500 095 Phones: +91-40-66610020, +91-40-24758498, Rel: +91-40-32940929Fax: +91-40-24758499, e-mail: hyderabad@jaypeebrothers.com
- No. 41/3098, B & B1, Kuruvi Building, St. Vincent RoadKochi 682 018, Kerala Phones: +91-484-4036109, +91-484-2395739, +91-484-2395740e-mail: kochi@jaypeebrothers.com
- 1-A Indian Mirror Street, Wellington SquareKolkata 700 013 Phones: +91-33-22651926, +91-33-22276404, +91-33-22276415Rel: +91-33-32901926 Fax: +91-33-22656075, e-mail: kolkata@jaypeebrothers.com
- Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira NagarLucknow 226 016 Phones: +91-522-3040553, +91-522-3040554e-mail: lucknow@jaypeebrothers.com
- 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, ParelMumbai 400012 Phones: +91-22-24124863, +91-22-24104532, Rel: +91-22-32926896 Fax: +91-22-24160828, e-mail: mumbai@jaypeebrothers.com
- “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred RoadNagpur 440 009 (MS) Phone: Rel: +91-712-3245220, Fax: +91-712-2704275e-mail: nagpur@jaypeebrothers.com
USA Office
1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA
Foundation in Operative Surgery
© 2009, Sisir Kumar Saha
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 author and the publisher.
First Edition: 2009
9788184486513
Typeset at JPBMP typesetting unit
Printed at Replica
To
My Parents
My wife Dipa
Daughter Mowe
and
Son Shironjit
5Preface
This book provides comprehensive operative procedures dealing with all surgical problems related to general surgery, gastro-intestinal surgery and urological surgery. Emergency vascular operations on Embolectomy and rupture aortic aneurysm have been described in detail because these cases are often admitted under the general surgery department.
Responsibility of the surgeon has been highlighted before the operative procedures being undertaken. This book has included postoperative care related to respective operative procedures that would make the trainees as well as trained surgeons confident how to deal with any unexpected postoperative complication. In this book, methods of preoperative assessment, preparations, consultation to the patients, merits of the varieties of operative techniques and outcome of the operations have been described in detail.
This book would assist the surgeons and particularly the trainee surgeons about how to deal with the patients and their relatives as soon as they enter into the surgical ward and how to avoid the wrong operation or operation on the wrong site.
In this book, merits of all sorts of operative techniques have been highlighted to resolve the confusion in understanding the operative techniques. Although experience is gained from working with the senior surgeons, but this is not always available at workplace. In most instances, resident surgeons need to rely upon the seniors in dealing with the unexpected problems, developed in the postoperative period. As a result, patients become the victim of poor surgical care due to lack of knowledge and understanding of the surgical care. All these problems have been highlighted in this book.
This book has described the basic surgical principle on the skin preparations, technique of skin incision, wound closure, relief of postoperative pain and wound infection. The principle aim of this book is to encourage the students about how to proceed with the minor or day surgery. With this objective in mind, smaller cases have been included in the first few chapters. These are lumps, bumps, hernias, phimosis, abscess and varicose veins. In the gastrointestinal surgery, the basic principle of postoperative care, wound healing, operative 6procedures has been described. It deals with most of the intestinal diseases from the stomach right down to the anus. In the Surgery of Urology, investigative procedures, assembling and use of the optical instruments and operative procedures have been described in detail.
This book will be of immense importance to the trainee surgeons since many specialties have been separated from the umbrella of the general surgery, and the work practice has changed recently. As a result, they are not frequently exposed to all varieties of surgical procedures. Over and above, their working hours have reduced the opportunity to carry out the continuity of care of their own patients. Hence, they are missing the practical experiences. Furthermore, the opportunity to develop confidence seems to be few and far in between the hand on tools; but they could fulfil their inquest of knowledge from this book.
Sisir Kumar Saha