Tuesday, August 13, 2013

Surgery Note

Hernia 
  • Herniotomy 
  • Herniorhaphy-approximate the inferior border inguinal ligament 
  • Hernioplasty 
  • Incisional hernia  
  • Children inguinal hernia-rx:herniotomy, coz no post wall 
  • Must know-anatomy of inguinal ligament. 
  • Pure tissue repair 
  • Mesh,sutures used 

Varicose vein  
  • Tests 
  • Hemorrhage  
  • Complications  
  • Investigation 
  • Treatments 

Carcinoma of stomach 


Appendicitis 
  • Left iliac fossa pain radiating to right aggravated on hip flexion n adduction 

Gall Bladder palpable  
  • Troisiers law, in jundiced pt, any palpable gallbladder is not due to stones. 


Jaundice  
  • Obstructive jaundice 
  • Achylorius jaundice 
  • Typhoid Mary : enteric fever 
  • Back pressure 
  • Surgical jaundice 
  • Congenital hyperbilirubinemia 
  • Splenectomy 
  • ERCP 
  • Charcot's Law:  
  •  itching 
  • Parts of CHD : supra,retro.inferior,intra 

Umbilical hernia 
  • Infant: no surgery,self limiting 
  • Linea alba,  
  • Vertical vs transverse incision  
  • Induce hernia, child n adult. Cough n cry baby 


Colon 
  • Choletectomy 
  • Choletotomy 
  • Valvulos colon 
  • Haustra 
  • Sigmoid colon,maize 
  • Congenital mega colon 
  • Hiershsprung disease,ganglia... 

Epigastric Hernia 
  • Many multiple defect 
  • Weakness over the fascia 
  • Linea alba is further defect 
  • Mesh sutured around,the defect 
  • Below or above the umbilicus 
  • Paraumbilical vs umbilical hernia 







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