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General Surgery

WHAT IS LAPAROSCOPIC SURGERY?
April 26, 2017

Stage 1

Basic

12 hours      Overview and Definition

General Surgery is a specialty where surgeons achieve general surgery procedures for a wide range of common illnesses. They are also accountable for patient care before, during, and after the surgery. General surgeons can identify and surgically treat many diseases, especially those related to the abdominal organs. These include liver, pancreas, bile ducts, spleen, appendix, small intestine, large intestine, rectum, and stomach.

With so numerous general surgery subspecialties, people often get disorderly with general surgery and other specialties like cardiovascular or oncology. The main difference is the kind of knowledge imparted to the overall surgeons during their training. While general surgeons receive core knowledge during their postgraduate training and, after that anything that requires a more comprehensive approach is passed on to a specific surgeon or specialist during their superspeciality course training.

1Scope of General Surgery

These surgeons are trained to perform general surgery procedures on the following:-

  • Alimentary tract
  • Abdomen and its contents
  • Breast, skin, and soft tissue
  • Endocrine system

In addition, general surgeons also possess knowledge and experience in the field of:

  • Surgical critical care
  • Cancers
  • Trauma
2Who is a General Surgeon?

A general surgeon is a professional doctor who has established education and training in preoperative, operative, and postoperative organization of patient care. General surgeons need to be equipped with all sorts of information related to emergencies, intensive care, anatomy, metabolism, immunology, nutrition, pathology, physiology, shock & resuscitation and wound healing.

3When to See a General Surgeon?

You may visit a general surgeon if:-

  • You have been referred by your doctor/general physician: General physicians and other specialty doctors work closely with general surgeons if the treatment plan requires a more invasive approach. It can be because the medications are not working or there is a disease that needs to be surgically removed by a general surgeon.
  • You need to undergo a weight loss surgery: Weight loss surgeries are often related to the abdomen and its contents. Hence, they are carried out by general surgeons.
  • You require emergency care: Some wounds and injuries can be so severe that the patients require surgery as early as possible. The emergency cases include resuscitating in case of shock, an amputated limb, skin burns, internal bleeding, and intestinal obstruction or perforation.
  • You need both preoperative and postoperative care: General surgeons are expected to have knowledge in the evaluation and diagnosis of pre and postoperative situations. Moreover, they need to possess skills in pain management, especially after an operation, infection control, or wound healing. With these skills, general surgeons provide the best medical care possible before, during, and after surgery.
4What are the diseases treated by a General Surgeon?
  • Anal Fissure
  • Anorectal Abscess
  • Appendicitis
  • Breast Abscess
  • Hemorrhoids
  • Lipomas
  • Varicose Veins
  • Abdominal Abscess
  • Abdominal Hernias
  • Abdominal Stab Wound
  • Abdominal Trauma
  • Bile Duct Tumors
  • Cholecystitis
  • Diabetic Foot Infections
  • Diabetic Ulcers
  • Fistula-in-Ano
  • Gallstones
  • Inguinal Hernia
  • Intestinal Perforation
  • Keloids
5Common Procedures Performed by General Surgeons
  • Excision of Fistula in Ano
  • Excision of Sebaceous Cysts
  • Excision of Sentinel Piles
  • Laparoscopic / Open Appendicectomy
  • Laparoscopic / Open Cholecystectomy
  • Minimal Invasive Haemrrhoidectomy (Stapled hemorrhoidectomy)
  • Modified Radical Mastectomy
  • Pilonidal Sinus Excision
  • Stripping for Various Veins
  • Surgery for Gynaecomastia
Dr. Sudhanshu Mishra

Dr. Sudhanshu Mishra practices at Apex Clinic, Shalimar Bagh, New Delhi. Dr. Sudhanshu Mishra is MBBS, MS, DNB . You can Book Online Appointment
Phone: 098100 47462.

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Stage 2

The Road Down General Surgery

18 hours      Beginners

The road is rather rocky and long, but in the end, it’s totally worth the effort. Doctors have to spend five & a half years to achieve an MBBS degree from a medical college followed by another three years in post-graduation in general surgery. Furthermore, to enhance their skills, doctors also pursue certain fellowships courses in Minimal Access Surgery, Laparoscopic Bariatric Surgery, or Endoscopic Hernia Surgery.

1Bariatric Surgery

The risk of obesity is increasing in India. The hypothesis suggests that for obese people infected with COVID-19, the body overreacts to infection with inflammation and irritating Lungs. Obesity is a pro-inflammatory condition that directly contributes to the worst outcomes of COVID-19 infection in obese people. The American Society for Metabolic and Bariatric Surgery has stated that bariatric surgery can reduce the risk of COVID-19 outcomes. Hence, it is essential to resume bariatric surgery amid COVID-19.

2HERNIA: Definition, Causes, Symptoms & Treatment

Hernia Definition:

Hernia occurs when there is a weakness or hole in the muscular wall that usually keeps abdominal organs in place. A hernia can be found in different areas like:

• Inguinal Hernia – A bulge in the groin (more common in men)

• Femoral Hernia – A bulge just below groin (more common in women)

• Umbilical Hernia – A bulge around the belly button

• Incision Hernia – A bulge through previous surgical scar

• Congenital Hernia – A bulge in the groin by birth

3Gall Bladder Stones

Approximately 12% of the population has gallstones but only a few of them cause problems. Now, with “Mini Laparoscopic Chole”, you have an option for stitch-less and scar-less surgery. 

Dr. SUDHANSHU MISHRA says the size of gallstones may vary from small grains to very large stones. The complications can include empyema (acute inflammation associated with pus-filled gallbladder), obstructed jaundice (stone-slipped in the common bile duct), and acute pancreatitis.

What are the common symptoms of gall stones?

  • Severe upper abdominal pain
  • Chronic diarrhea
  • Pain extending to right shoulder blade or back
  • Heartburn
  • Vomiting, nausea, and fullness
  • Chest pain
  • Jaundice

 

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