,i
,TABLE OF CONTENTS
ABDOMINAL WALL DEFECTS ........................................................................................................ 1
ACUTE APPENDICITIS ...................................................................................................................... 3
ANAL FISSURES ................................................................................................................................. 7
ANORECTAL ABSCESS ..................................................................................................................... 9
ANORECTAL MALFORMATIONS ................................................................................................. 10
BENIGN PROSTATIC ENLARGEMENT (BPE).............................................................................. 16
BLADDER CARCINOMA ................................................................................................................. 22
BREAST CANCER: ............................................................................................................................ 24
BURNS ................................................................................................................................................ 30
CARE OF COLOSTOMIES ................................................................................................................ 37
CHEST TRAUMA............................................................................................................................... 39
CLEFT LIP AND PALATE ................................................................................................................ 45
COLORECTAL CANCER .................................................................................................................. 47
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS ............................................................... 50
CRANIOPHARYNGIOMA ................................................................................................................ 51
CRYPTOCHIDISM ............................................................................................................................. 52
CYSTIC HYGROMA.......................................................................................................................... 54
DIABETIC (NEUROPATHIC) ULCERS........................................................................................... 56
EMPYEMA THORACIS..................................................................................................................... 58
ESOPHAGEAL CANCER .................................................................................................................. 61
FISTULA-IN-ANO.............................................................................................................................. 64
GASTRIC CARCINOMA ................................................................................................................... 67
HEAD INJURY ................................................................................................................................... 70
HEMORRHOIDS ................................................................................................................................ 77
HIRSCHSPRUNG'S DISEASE ........................................................................................................... 79
HYDROCEPHALUS........................................................................................................................... 82
INTESTINAL FISTULA ..................................................................................................................... 85
INTESTINAL OSTRUCTION IN PEDRIATRICS ............................................................................ 88
INTESTINAL OBSTRUCTION ......................................................................................................... 91
CHRONIC LEG ULCERS .................................................................................................................. 93
MALIGNANT MELANOMA ............................................................................................................. 95
NUTRITIONAL SUPPORT ................................................................................................................ 99
OBSTRUCTIVE JAUNDICE/ SURGICAL JAUNDICE ................................................................. 104
PAGETS DISEASE OF BREAST .................................................................................................... 108
PENETRATING ABDOMINAL INJURY ....................................................................................... 109
PERITONEAL ADHESIONS ........................................................................................................... 112
POST OPERATIVE CARE OF THE SURGICAL PATIENT AND COMPLICATIONS OF
SURGERY ......................................................................................................................................... 115
POSTERIOR FOSSA TUMORS....................................................................................................... 119
PREPARATION FOR THEATRE OF PATIENT WITH TOXIC GOITRE. ................................... 122
PRESSURE ULCERS ....................................................................................................................... 123
PRIMARY OPEN ANGLE GLAUCOMA ....................................................................................... 126
PROBLEMS OF ILEOSTOMIES ..................................................................................................... 128
PROSTATE CANCER ...................................................................................................................... 129
RAISED INTRACRANIAL PRESSURE ......................................................................................... 132
RHABDOMYOSARCOMA.............................................................................................................. 133
SIGMOID VOLVULUS .................................................................................................................... 135
SKIN INFECTION ............................................................................................................................ 137
ii
, SNAKE BITES .................................................................................................................................. 138
SPINAL DYSRAPHISM/SPINA BIFIDA ........................................................................................ 139
SPINAL INJURY .............................................................................................................................. 142
SUB-ARACHNOID HAEMORRHAGE .......................................................................................... 148
SUB-DURAL HAEMATOMA ......................................................................................................... 152
TESTICULAR TORSION ................................................................................................................. 154
THORACIC OUTLET SYNDROME ............................................................................................... 156
TRACHEOESOPHAGEAL FISTULA ............................................................................................. 158
UPPER GIT BLEEDING .................................................................................................................. 160
URETHRAL STRICTURES ............................................................................................................. 163
URINE RETENTION CAUSES........................................................................................................ 166
VARICOSE VEINS ........................................................................................................................... 167
WOUND HEALING ......................................................................................................................... 170
ESSAYS............................................................................................................................................. 172
iii
,TABLE OF CONTENTS
ABDOMINAL WALL DEFECTS ........................................................................................................ 1
ACUTE APPENDICITIS ...................................................................................................................... 3
ANAL FISSURES ................................................................................................................................. 7
ANORECTAL ABSCESS ..................................................................................................................... 9
ANORECTAL MALFORMATIONS ................................................................................................. 10
BENIGN PROSTATIC ENLARGEMENT (BPE).............................................................................. 16
BLADDER CARCINOMA ................................................................................................................. 22
BREAST CANCER: ............................................................................................................................ 24
BURNS ................................................................................................................................................ 30
CARE OF COLOSTOMIES ................................................................................................................ 37
CHEST TRAUMA............................................................................................................................... 39
CLEFT LIP AND PALATE ................................................................................................................ 45
COLORECTAL CANCER .................................................................................................................. 47
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS ............................................................... 50
CRANIOPHARYNGIOMA ................................................................................................................ 51
CRYPTOCHIDISM ............................................................................................................................. 52
CYSTIC HYGROMA.......................................................................................................................... 54
DIABETIC (NEUROPATHIC) ULCERS........................................................................................... 56
EMPYEMA THORACIS..................................................................................................................... 58
ESOPHAGEAL CANCER .................................................................................................................. 61
FISTULA-IN-ANO.............................................................................................................................. 64
GASTRIC CARCINOMA ................................................................................................................... 67
HEAD INJURY ................................................................................................................................... 70
HEMORRHOIDS ................................................................................................................................ 77
HIRSCHSPRUNG'S DISEASE ........................................................................................................... 79
HYDROCEPHALUS........................................................................................................................... 82
INTESTINAL FISTULA ..................................................................................................................... 85
INTESTINAL OSTRUCTION IN PEDRIATRICS ............................................................................ 88
INTESTINAL OBSTRUCTION ......................................................................................................... 91
CHRONIC LEG ULCERS .................................................................................................................. 93
MALIGNANT MELANOMA ............................................................................................................. 95
NUTRITIONAL SUPPORT ................................................................................................................ 99
OBSTRUCTIVE JAUNDICE/ SURGICAL JAUNDICE ................................................................. 104
PAGETS DISEASE OF BREAST .................................................................................................... 108
PENETRATING ABDOMINAL INJURY ....................................................................................... 109
PERITONEAL ADHESIONS ........................................................................................................... 112
POST OPERATIVE CARE OF THE SURGICAL PATIENT AND COMPLICATIONS OF
SURGERY ......................................................................................................................................... 115
POSTERIOR FOSSA TUMORS....................................................................................................... 119
PREPARATION FOR THEATRE OF PATIENT WITH TOXIC GOITRE. ................................... 122
PRESSURE ULCERS ....................................................................................................................... 123
PRIMARY OPEN ANGLE GLAUCOMA ....................................................................................... 126
PROBLEMS OF ILEOSTOMIES ..................................................................................................... 128
PROSTATE CANCER ...................................................................................................................... 129
RAISED INTRACRANIAL PRESSURE ......................................................................................... 132
RHABDOMYOSARCOMA.............................................................................................................. 133
SIGMOID VOLVULUS .................................................................................................................... 135
SKIN INFECTION ............................................................................................................................ 137
ii
, SNAKE BITES .................................................................................................................................. 138
SPINAL DYSRAPHISM/SPINA BIFIDA ........................................................................................ 139
SPINAL INJURY .............................................................................................................................. 142
SUB-ARACHNOID HAEMORRHAGE .......................................................................................... 148
SUB-DURAL HAEMATOMA ......................................................................................................... 152
TESTICULAR TORSION ................................................................................................................. 154
THORACIC OUTLET SYNDROME ............................................................................................... 156
TRACHEOESOPHAGEAL FISTULA ............................................................................................. 158
UPPER GIT BLEEDING .................................................................................................................. 160
URETHRAL STRICTURES ............................................................................................................. 163
URINE RETENTION CAUSES........................................................................................................ 166
VARICOSE VEINS ........................................................................................................................... 167
WOUND HEALING ......................................................................................................................... 170
ESSAYS............................................................................................................................................. 172
iii