Manual of Ambulatory General Surgery: A Step-By-Step Guide to Minor and Intermediate Surgery

ISBN-13: 9781447111870 / Angielski / Miękka / 2011 / 136 str.

Shukri K. Shami; Delilah A. Hassanally; C. Munklinde

Opis

Manual of Ambulatory General Surgery provides a step-by-step guide to the most commonly performed minor operations. Most of these operations will be done under a local anaesthetic on a day case basis, although some may require general anaesthetic. The book is profusely illustrated with clear diagrams. Designed to be a practical guide rather than an exhaustive reference, the book is aimed at those who are required to carry out these procedures such as general surgeons, junior doctors, general practitioners and podiatrists. It will also be of interest to medical students.

Spis treści

1 General Principles.- 1.1 Introduction.- 1.2 Scrubbing and Gowning.- 1.3 Skin Preparation and Draping.- 1.4 Antibiotic Prophylaxis.- 1.4.1 Principles.- 1.4.2 Types of Antibiotics, Dosages and Routes of Administration.- 1.4.3 Timing of Prophylactic Antibiotics.- 1.5 Protection against HIV and Hepatitis.- 1.6 Accidental Contamination.- 1.6.1 Contamination of the Operation Field.- 1.6.2 Contamination of a Member of the Operating Team.- 1.7 Patient Consent and Medico-legal Aspects.- 1.7.1 Consent.- 1.7.2 Operation Record.- 1.7.3 Medical Notes.- 2 Instruments, Sutures and Diathermy.- 2.1 Introduction.- 2.2 Instrumentation.- 2.2.1 Scalpels.- 2.2.2 Forceps.- 2.2.3 Needle Holders.- 2.2.4 Retractors.- 2.2.5 Curettes.- 2.2.6 Infiltration Needles.- 2.2.7 Tourniquets.- 2.3 Sutures.- 2.3.1 Principles.- 2.3.2 Materials.- 2.3.3 Technique.- 2.3.4 Needles.- 2.3.5 Knots.- 2.3.6 Clips and Staples.- 2.3.7 Removal of Sutures and Clips.- 2.4 Diathermy.- 2.4.1 Monopolar (unipolar).- 2.4.2 Bipolar.- 3 Anaesthetics.- 3.1 Introduction.- 3.2 Types of Local Anaesthetics.- 3.2.1 Short-acting Local Anaesthetics.- 3.2.2 Long-acting Local Anaesthetics.- 3.2.3 Mixtures.- 3.2.4 Precautions.- 3.3 Local Infiltration.- 3.4 Ring Block.- 3.5 Nerve Block.- 4 Vascular Access.- 4.1 Introduction.- 4.2 Venous Cutdown.- 4.3 Central Lines.- 4.3.1 Subclavian Vein Access.- 4.3.2 Internal Jugular Vein Access.- 4.4 Total Parenteral Nutrition and Tunnelled Venous Lines.- 5 Lesions of the Skin and Subcutaneous Tissue.- 5.1 Introduction.- 5.2 Lacerations.- 5.2.1 Suturing Lacerations.- 5.2.2 Other Methods of Closing Skin Lacerations.- 5.2.3 Special Cases.- 5.3 Skin Tag and Papilloma.- 5.4 Sebaceous Cyst.- 5.5 Dermoid Cyst.- 5.6 Lipoma.- 5.7 Pigmented Naevus.- 5.8 Keloid Scar.- 5.9 Abscess.- 5.10 Skin Cancers.- 5.10.1 Basal Cell Carcinoma.- 5.10.2 Squamous Cell Carcinoma.- 5.10.3 Malignant Melanoma.- 5.11 Pinch Skin Graft.- 5.12 Warts and Verrucas.- 5.13 Skin Biopsy.- 5.14 Other Lesions.- 5.14.1 Solar Keratosis.- 5.14.2 Seborrheic Wart.- 5.14.3 Bowen’s Disease.- 5.14.4 Miscellaneous Skin Lesions.- 6 Varicose Veins.- 6.1 Introduction.- 6.2 Indications for Surgery.- 6.3 Investigations.- 6.4 Treatment Rationale.- 6.4.1 Sapheno-femoral Junction Incompetence with Long Saphenous Varices.- 6.4.2 Sapheno-popliteal Junction Incompetence with Short Saphenous Varices.- 6.4.3 Combined Sapheno-femoral and Sapheno-popliteal Junction Incompetence with Long and Short Saphenous Varices.- 6.4.4 Varicosities with no Junction Incompetence.- 6.4.5 Calf Perforator Incompetence.- 6.5 Recurrent Varicose Veins.- 6.6 Sclerotherapy.- 6.7 Junction Ligation.- 6.7.1 Sapheno-femoral Junction.- 6.7.2 Sapheno-popliteal Junction.- 6.8 Stripping.- 6.8.1 Conventional Stripping.- 6.8.2 Inversion stripping.- 6.9 Avulsion of Varicosities (Phlebectomies).- 6.10 Post-operative Care.- 7 Hernia Repair.- 7.1 Introduction.- 7.2 Inguinal Hernia.- 7.3 Femoral Hernia.- 7.4 Para-umbilical Hernia.- 7.5 Other Herniae.- 8 Anal Procedures.- 8.1 Introduction.- 8.2 Investigative Procedures.- 8.2.1 Proctoscopy.- 8.2.2 Rigid Sigmoidoscopy.- 8.2.3 Flexible Sigmoidoscopy.- 8.3 Examination under Anaesthesia (EUA).- 8.4 Haemorrhoids.- 8.4.1 Injection of Haemorrhoids.- 8.4.2 Banding of Haemorrhoids.- 8.5 Skin Tags.- 8.6 Anal Fissure.- 8.6.1 Anal Stretch.- 8.6.2 Lateral (Internal) Sphincterotomy.- 8.7 Fistula-in-Ano.- 8.8 Anal Warts.- 9 Miscellaneous.- 9.1 Ganglion.- 9.2 Procedures on Nails.- 9.2.1 Paronychia.- 9.2.2 Subungual Haematoma.- 9.2.3 Simple Avulsion of Nail.- 9.2.4 Lateral Wedge Excision.- 9.2.5 Zadek’s Operation.- 9.3 Muscle Biopsy.- 9.4 Temporal Artery Biopsy.- 9.5 Amputation of a Toe.- 9.6 Catheterisation.- 9.6.1 Urethral Catheterisation.- 9.6.2 Suprapubic Catheterisation.- 9.7 Circumcision.- 9.7.1 Conventional Technique.- 9.7.2 Plastibell Technique.- 9.8 Vasectomy.- Appendices.- Appendix A Scrub and Operative Field Preparation Solutions.- Appendix B Dosages of Popular Local Anaesthetics, Sedatives and Analgesics used in Local Anaesthetic Operations.- Appendix C Prophylactic Antibiotic Regimens and Dosages.- Appendix D Consent Forms.- Appendix E Medical Defence Organisations in the UK.