Titlebook: Manual of Ambulatory General Surgery; A Step-by-Step Guide Shukri K. Shami,Delilah A. Hassanally Book 2000 Springer-Verlag London Limited 2

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paradigm

https://doi.org/10.1007/978-1-4471-0723-1General Practice; Surgery; care; general surgery; nutrition; treatment

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Instruments, Sutures and Diathermy,Correct equipment and instruments are essential to perform surgery successfully. This chapter describes the basic instruments needed to perform day-case surgery with instruction on their correct handling.

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Anaesthetics,A large number of operations can be performed under local anaesthesia, especially operations on skin and subcutaneous tissue.

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Lesions of the Skin and Subcutaneous Tissue,Most skin lesions are fairly small and can be removed under local anaesthetic. They are, therefore, ideal for day-case surgery. The skin requires suitable preparation with antiseptic solution, after which the lesion is excised (ideally in one piece), and then the wound is closed to achieve a neat cosmetically acceptable scar.

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General Principles,fections during surgery, protecting the surgeon against infections that may be acquired from the patient, and ensuring that the operation is done in a “l(fā)egal” and defensible manner. All the procedures described in this manual should be done in a specially designed operating theatre using sterile technique.

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Hernia Repair,irs and other more complicated hernia repairs are not discussed as we feel that it would be inappropriate for an SHO or GP to undertake these procedures. Only one safe and effective method of repair is described for each hernia. More comprehensive texts will need to be consulted for descriptions of other repairs.