Mohan, Helen.
Minor Surgery at a Glance. - 1 online resource (215 pages) - New York Academy of Sciences Ser. . - New York Academy of Sciences Ser. .
Intro -- Title Page -- Copyright -- Contributors -- Preface -- Part 1 Avoiding and managing problems: principles of safe surgery -- 1 Consent -- The nature of consent -- How detailed should information be? -- What is material risk? -- The adult patient -- The child patient -- The patient with cognitive impairment or intellectual disability -- Seeking medico-legal advice -- 2 Physical environment -- Suitable settings for minor surgery -- Facilities required -- 3 Set-up -- Patient positioning -- Surgical safety -- Preparation of the surgical site -- 4 Instruments -- Scissors -- Grasping forceps -- Clips -- Tissue holders -- Needle holder -- Retractors -- 5 Infection control and prevention -- Infection prevention -- Types of pathogens -- Minor surgery and infection -- 6 Human factors -- What are human factors? -- Safe surgery initiatives -- Asking for help -- 7 Focused history -- Focused history for minor surgery -- Past medical history -- Drug history -- Social history -- Family history -- Systems review and summary -- Patient-centred care -- Day surgery -- 8 Specimen processing and reporting -- Specimen handling and labelling -- Tissue preservation -- Processing and staining of tissue -- The frozen section technique (intraoperative consultation) -- Stage of disease -- The surgical pathology report -- 9 Follow-up -- Introduction -- Dressings -- Analgesia -- Complications -- Follow-up plan -- Information for GP letter -- 10 Anaphylaxis -- Anaphylaxis -- Recognition of anaphylaxis -- Medical interventions for anaphylaxis -- Surgical interventions for anaphylaxis -- Follow-up for anaphylaxis -- 11 Emergencies and resuscitation -- Advanced life support algorithm -- 12 Audit and practice -- Clinical governance -- Audit -- 13 Communication and conflict resolution -- Communication skills -- Conflict resolution -- Part 2 Basic pain control and anaesthesia. 14 Local anaesthesia -- What is a local anaesthetic? -- Safety considerations -- Adrenaline -- 15 Sedation -- Sedation and analgesia -- Levels of sedation and analgesia -- 4 P's of safe sedation -- Patient -- Procedure -- Provider -- Place -- Monitoring the level of sedation -- Complications of sedation -- Reversal of sedation (if required) -- Discharge -- 16 General and regional anaesthesia -- Introduction -- General anaesthesia -- Regional anaesthesia -- Spinal anaesthesia -- Epidural anaesthesia -- Peripheral nerve blocks -- Part 3 Core surgical knowledge -- 17 Skin incisions -- Scalpels -- Holding the scalpel to make an incision -- Basic principles for incision -- Minor surgical incisions -- Techniques for a good scar -- Electrodissection to incise -- 18 Principles of wound closure -- Plan the skin incision -- Choosing the suture size -- Choosing the suture material -- Suture placement -- Technique for simple interrupted sutures -- When should I use a different suturing technique? -- Removing sutures -- Anaesthesia -- 19 Sutures -- Introduction -- Properties of the ideal suture material -- Types of suture material -- Suture sizes -- 20 Needles -- Understanding surgical needles -- Selecting a needle -- 21 Diathermy -- Introduction -- Principles in electrosurgery -- Types of diathermy -- Tissue effects -- Using diathermy -- Risks and complications -- 22 Dressings -- Choosing a dressing -- 23 Haemostasis -- Pressure and elevation -- Diathermy for haemostasis -- Ligation or suture ligation -- What to do if haemostasis cannot be achieved? -- 24 Hypertrophic and keloid scarring -- What are they? -- Part 4 Practice of minor surgery -- 25 Biopsy techniques -- Introduction -- Biopsy techniques -- Anatomical areas for caution -- Punch biopsy -- Shave biopsy -- 26 Benign and premalignant skin lesions -- Introduction -- Benign pigmented lesions. Seborrhoeic keratosis -- Pyogenic granuloma -- Skin tag -- Keratin horn -- Keratoacanthoma -- Actinic keratosis -- Bowen's disease -- Dermatoses -- 27 Melanoma -- Malignant melanoma -- Excisional biopsy and margins -- Procedure of excisional biopsy -- Wider excision of margins -- Referral to specialist skin cancer multidisciplinary team -- Staging -- 28 Non-melanoma skin cancers -- Introduction -- Basal cell carcinoma -- Squamous cell carcinoma -- 29 Neck lumps -- Introduction -- Anatomical considerations -- Differential diagnosis -- Lymph nodes -- Investigation and management -- 30 Sebaceous cysts -- Introduction -- Consent -- 31 Lipoma -- Preoperative planning -- 32 The reconstructive ladder -- The reconstructive ladder -- Skin grafting (Table 32.1) -- Flap reconstruction -- 33 Cryotherapy for verrucae (plantar wart) -- Verrucae -- Existing treatment options -- Cryotherapy -- When to refer to a specialist service -- 34 Muscle and nerve biopsy -- Introduction -- Indications and contraindications -- Open muscle biopsy procedure -- Needle muscle biopsy procedure -- 35 Ingrown toenail -- Introduction and pathogenesis -- Aetiology/risk factors -- Anatomy -- Management -- Note -- 36 Lymph node excision -- Preparation -- Procedure -- Specimen preparation -- 37 Sclerotherapy -- Indications -- Considerations -- Consent/risks -- Preparation -- The procedure -- Post-procedure -- 38 Botulinum toxin -- Botulinum toxin -- Injection -- Side effects -- 39 Tetanus -- What is tetanus? -- Epidemiology -- The disease -- Prophylaxis -- Tetanus immunoglobulin (TIG) -- 40 Scalp lacerations -- Introduction -- Anatomy and neurovascular supply -- Wound preparation -- Techniques of repair -- Follow-up care -- When to refer -- 41 Foreign bodies -- Introduction -- Assessment for foreign bodies -- Removal of foreign bodies -- 42 Facial trauma and lacerations. Assessment of facial lacerations -- Management of facial lacerations -- Management of trauma to the ear -- Management of eyebrow lacerations -- Management of lip lacerations -- 43 Hand injuries -- Assessment -- Management -- 44 Trauma assessment -- Mechanism of injury -- Primary survey -- 45 Psychosocial considerations -- Domestic violence -- Dealing with domestic violence presentations -- Deliberate self-harm -- Non-accidental injury in children -- 46 Incision and drainage of abscesses -- Definition of an abscess -- Causes -- Clinical features -- Management -- Anal abscesses -- Hidradenitis supparativa -- 47 Complications -- Background -- Common complications in minor surgery -- 48 Difficult locations -- Where are difficult locations? -- Pretibial lacerations -- INDEX -- End User License Agreement.
9781118561430
Electronic books.
Minor Surgery at a Glance. - 1 online resource (215 pages) - New York Academy of Sciences Ser. . - New York Academy of Sciences Ser. .
Intro -- Title Page -- Copyright -- Contributors -- Preface -- Part 1 Avoiding and managing problems: principles of safe surgery -- 1 Consent -- The nature of consent -- How detailed should information be? -- What is material risk? -- The adult patient -- The child patient -- The patient with cognitive impairment or intellectual disability -- Seeking medico-legal advice -- 2 Physical environment -- Suitable settings for minor surgery -- Facilities required -- 3 Set-up -- Patient positioning -- Surgical safety -- Preparation of the surgical site -- 4 Instruments -- Scissors -- Grasping forceps -- Clips -- Tissue holders -- Needle holder -- Retractors -- 5 Infection control and prevention -- Infection prevention -- Types of pathogens -- Minor surgery and infection -- 6 Human factors -- What are human factors? -- Safe surgery initiatives -- Asking for help -- 7 Focused history -- Focused history for minor surgery -- Past medical history -- Drug history -- Social history -- Family history -- Systems review and summary -- Patient-centred care -- Day surgery -- 8 Specimen processing and reporting -- Specimen handling and labelling -- Tissue preservation -- Processing and staining of tissue -- The frozen section technique (intraoperative consultation) -- Stage of disease -- The surgical pathology report -- 9 Follow-up -- Introduction -- Dressings -- Analgesia -- Complications -- Follow-up plan -- Information for GP letter -- 10 Anaphylaxis -- Anaphylaxis -- Recognition of anaphylaxis -- Medical interventions for anaphylaxis -- Surgical interventions for anaphylaxis -- Follow-up for anaphylaxis -- 11 Emergencies and resuscitation -- Advanced life support algorithm -- 12 Audit and practice -- Clinical governance -- Audit -- 13 Communication and conflict resolution -- Communication skills -- Conflict resolution -- Part 2 Basic pain control and anaesthesia. 14 Local anaesthesia -- What is a local anaesthetic? -- Safety considerations -- Adrenaline -- 15 Sedation -- Sedation and analgesia -- Levels of sedation and analgesia -- 4 P's of safe sedation -- Patient -- Procedure -- Provider -- Place -- Monitoring the level of sedation -- Complications of sedation -- Reversal of sedation (if required) -- Discharge -- 16 General and regional anaesthesia -- Introduction -- General anaesthesia -- Regional anaesthesia -- Spinal anaesthesia -- Epidural anaesthesia -- Peripheral nerve blocks -- Part 3 Core surgical knowledge -- 17 Skin incisions -- Scalpels -- Holding the scalpel to make an incision -- Basic principles for incision -- Minor surgical incisions -- Techniques for a good scar -- Electrodissection to incise -- 18 Principles of wound closure -- Plan the skin incision -- Choosing the suture size -- Choosing the suture material -- Suture placement -- Technique for simple interrupted sutures -- When should I use a different suturing technique? -- Removing sutures -- Anaesthesia -- 19 Sutures -- Introduction -- Properties of the ideal suture material -- Types of suture material -- Suture sizes -- 20 Needles -- Understanding surgical needles -- Selecting a needle -- 21 Diathermy -- Introduction -- Principles in electrosurgery -- Types of diathermy -- Tissue effects -- Using diathermy -- Risks and complications -- 22 Dressings -- Choosing a dressing -- 23 Haemostasis -- Pressure and elevation -- Diathermy for haemostasis -- Ligation or suture ligation -- What to do if haemostasis cannot be achieved? -- 24 Hypertrophic and keloid scarring -- What are they? -- Part 4 Practice of minor surgery -- 25 Biopsy techniques -- Introduction -- Biopsy techniques -- Anatomical areas for caution -- Punch biopsy -- Shave biopsy -- 26 Benign and premalignant skin lesions -- Introduction -- Benign pigmented lesions. Seborrhoeic keratosis -- Pyogenic granuloma -- Skin tag -- Keratin horn -- Keratoacanthoma -- Actinic keratosis -- Bowen's disease -- Dermatoses -- 27 Melanoma -- Malignant melanoma -- Excisional biopsy and margins -- Procedure of excisional biopsy -- Wider excision of margins -- Referral to specialist skin cancer multidisciplinary team -- Staging -- 28 Non-melanoma skin cancers -- Introduction -- Basal cell carcinoma -- Squamous cell carcinoma -- 29 Neck lumps -- Introduction -- Anatomical considerations -- Differential diagnosis -- Lymph nodes -- Investigation and management -- 30 Sebaceous cysts -- Introduction -- Consent -- 31 Lipoma -- Preoperative planning -- 32 The reconstructive ladder -- The reconstructive ladder -- Skin grafting (Table 32.1) -- Flap reconstruction -- 33 Cryotherapy for verrucae (plantar wart) -- Verrucae -- Existing treatment options -- Cryotherapy -- When to refer to a specialist service -- 34 Muscle and nerve biopsy -- Introduction -- Indications and contraindications -- Open muscle biopsy procedure -- Needle muscle biopsy procedure -- 35 Ingrown toenail -- Introduction and pathogenesis -- Aetiology/risk factors -- Anatomy -- Management -- Note -- 36 Lymph node excision -- Preparation -- Procedure -- Specimen preparation -- 37 Sclerotherapy -- Indications -- Considerations -- Consent/risks -- Preparation -- The procedure -- Post-procedure -- 38 Botulinum toxin -- Botulinum toxin -- Injection -- Side effects -- 39 Tetanus -- What is tetanus? -- Epidemiology -- The disease -- Prophylaxis -- Tetanus immunoglobulin (TIG) -- 40 Scalp lacerations -- Introduction -- Anatomy and neurovascular supply -- Wound preparation -- Techniques of repair -- Follow-up care -- When to refer -- 41 Foreign bodies -- Introduction -- Assessment for foreign bodies -- Removal of foreign bodies -- 42 Facial trauma and lacerations. Assessment of facial lacerations -- Management of facial lacerations -- Management of trauma to the ear -- Management of eyebrow lacerations -- Management of lip lacerations -- 43 Hand injuries -- Assessment -- Management -- 44 Trauma assessment -- Mechanism of injury -- Primary survey -- 45 Psychosocial considerations -- Domestic violence -- Dealing with domestic violence presentations -- Deliberate self-harm -- Non-accidental injury in children -- 46 Incision and drainage of abscesses -- Definition of an abscess -- Causes -- Clinical features -- Management -- Anal abscesses -- Hidradenitis supparativa -- 47 Complications -- Background -- Common complications in minor surgery -- 48 Difficult locations -- Where are difficult locations? -- Pretibial lacerations -- INDEX -- End User License Agreement.
9781118561430
Electronic books.