An easy to follow step-by-step guide to the most useful surgical skills from knot tying to simple procedures. Illustrated with colour photographs and video clips to demonstrate techniques, this book makes these practical skills as clear and easy to follow as possible.
Including coverage of surgical instruments, wound management and suturing, and minor surgical procedures, it also explains how to use these essential surgical skills to make the most of a surgical placement. Healthcare students or junior professionals undertaking a placement in surgery or emergency medicine will feel confident and capable, and will be able to take an active role in surgical placements. Learning basic surgical skills is important for such placements, as well as for undertaking exams such as the Membership of the Royal College of Surgeons (MRCS).
Author(s): Graeme M. Downes
Edition: 1
Publisher: CRC Press
Year: 2023
Language: English
Commentary: TRUE PDF
Tags: Basic Surgical Skills; General Surgery; Emergency Medicine
Cover
Half Title
Title Page
Copyright Page
Dedication
Table of Contents
List of videos
Acknowledgements
Author bio
Chapter 1: Introduction
Chapter 2: Scrubbing
The seven-step World Health Organization technique
Chapter 3: Basic surgical instruments
The scalpel
Blades
Forceps
Needle holders
Scissors
Retractors
Chapter 4: Sutures
Classification of sutures
Absorbable or non-absorbable
Monofilament or braided
Natural or synthetic
Some common sutures
Suture size
Needle selection
Chapter 5: Tying surgical knots
Instrument ties (Video 5.1)
Hand ties (Video 5.2)
Chapter 6: Local anaesthesia
Local anaesthetic administration (Video 6.1)
Properties of local anaesthetics
Adrenaline containing preparations
Safe dosing of local anaesthetic
Lidocaine
Bupivacaine
Levobupivacaine
Infiltration technique
Local anaesthetic toxicity
Notes
Chapter 7: Suture techniques
Wound healing
Haemostasis
Inflammation: Days 1–6
Proliferative phase: Day 4 – Week 3
Remodelling: One year or longer
Factors affecting wound healing
Wound cleaning
How best to manage a wound?
Suture decision making
Simple interrupted (Video 7.1)
Horizontal mattress (Video 7.2)
Vertical mattress (Video 7.3)
Corner stitch (Video 7.4)
Deep dermal (Video 7.5)
Subcuticular (Video 7.6)
Locking techniques
Tendon repair
Modified Kessler technique
Adelaide repair
The epitendonous repair
Underrunning a bleeding point (Video 7.7)
Note
Chapter 8: Electrosurgery
Principles of electrosurgery
Monopolar and bipolar systems
Principles of patient electrode placement with monopolar diathermy
Risks of surgical smoke
Note
Chapter 9: Wound debridement
Wound debridement (Video 9.1)
Debriding a wound
After debridement
Negative pressure wound therapy
Advice from the clinical setting
Notes
Chapter 10: Cyst excision
Overview of common cysts
Epidermoid cysts
Pilar cysts
Abscess
Other cysts
Assessment of a cyst
Excision of a cyst (Video 10.1)
Common pitfalls
Notes
Chapter 11: Making the most of your surgical placement
Introduction
Medical school
Foundation years
Core Surgical Training
Conclusion
Appendix 1: Suturing checklist
Appendix 2: Advice after sutures
Protecting your stitches
Signs of infection
When to remove your stitches
Index
