Full Description
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.
Contents
1 General Principles.- 1.1 Introduction.- 1.2 Scrubbing and Gowning.- 1.3 Skin Preparation and Draping.- 1.4 Antibiotic Prophylaxis.- 1.5 Protection against HIV and Hepatitis.- 1.6 Accidental Contamination.- 1.7 Patient Consent and Medico-legal Aspects.- 2 Instruments, Sutures and Diathermy.- 2.1 Introduction.- 2.2 Instrumentation.- 2.3 Sutures.- 2.4 Diathermy.- 3 Anaesthetics.- 3.1 Introduction.- 3.2 Types of Local Anaesthetics.- 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.- 4.4 Total Parenteral Nutrition and Tunnelled Venous Lines.- 5 Lesions of the Skin and Subcutaneous Tissue.- 5.1 Introduction.- 5.2 Lacerations.- 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.- 5.11 Pinch Skin Graft.- 5.12 Warts and Verrucas.- 5.13 Skin Biopsy.- 5.14 Other Lesions.- 6 Varicose Veins.- 6.1 Introduction.- 6.2 Indications for Surgery.- 6.3 Investigations.- 6.4 Treatment Rationale.- 6.5 Recurrent Varicose Veins.- 6.6 Sclerotherapy.- 6.7 Junction Ligation.- 6.8 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.- 8.3 Examination under Anaesthesia (EUA).- 8.4 Haemorrhoids.- 8.5 Skin Tags.- 8.6 Anal Fissure.- 8.7 Fistula-in-Ano.- 8.8 Anal Warts.- 9 Miscellaneous.- 9.1 Ganglion.- 9.2 Procedures on Nails.- 9.3 Muscle Biopsy.- 9.4 Temporal Artery Biopsy.- 9.5 Amputation of a Toe.- 9.6 Catheterisation.- 9.7 Circumcision.- 9.8 Vasectomy.- Appendices.- Appendix A Scruband 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.
