CITY UNIVERSITY OF
SCIENCES AND
TECHNOLOGY [CUST]
Introduction to Surgery
Mr. R. Banda
M.L [CUZ]
Introduction
• The Science and Art of surgery involves
managing patients that already have
wounds or will require wounds to treat
their condition / or it’s an illegal assault.
Bed Side Manners
• One’s conduct with the patient as he/she
try to obtain and manage the patient’s
disease
- Anxiety reduction
- Pain reduction
- Communication
- Tactful invasion of personal space
History taking
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Personal bio data
Residential back ground
Presenting complaint
Development of symptoms
Past medical/surgical history
Family history
Allergies
Examination
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Gen examination
Systemic examination
Local Examination
Elicit any special signs if any
Differential diagnosis
Investigations
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X-ray
FBC/ESR
U/E, creatinine
Blood sugar
Special test
Diagnosis
Surgery
• Definitive/exploratory
• Biopsy (Excision, incisional)
• Histology report
Terminologies
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Incisions
Midline
Kocher’s
Lanz, grid iron
Bikini
paramedian
Abdominal areas
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RUQ
LUQ
Epigastrium
Hypogastrium
RIF
LIF
Left lateral
Right lateral
Umbilical
Terminologies
– Ostomy
Artificial opening
Colostomy, tracheostomy, gastrostomy
- Ectomy
Removal of part or whole
- Otomy
Cutting open
- Plasty
refashioning
- Gram
radiological image
- Trans
Going across a structure
- Per
Going through a structure
Terminologies
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Ulcer
Sinus
Fistula
Abscess
Conclusion
• Surgery is science, and practiced
evidence based
• Surgery is an art and learnt by learning
from others
• Respect the patient at all times.
QUESTIONS