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General Surgery Department

The broad goal of the teaching of undergraduate students in Surgery is to produce graduates capable of delivering efficient first contact surgical care.

Objectives

Knowledge: At the end of the course, the student should be able to:

• Describe etiology, pathophysiology, principles of diagnosis and management of common surgical problems including emergencies, in adults and children.

• Define indications and methods for fluid and electrolyte replacement therapy including blood transfusion.

• Define asepsis, disinfection and sterilization and recommended judicious use of antibiotics.

• Describe common malignancies in the country and their management including prevention.

• Enumerate different types of anesthetic agents, their indications, and mode of administration, contraindications and side effects.

Skills: At the end of the course, the student should be able to:

• Diagnose common surgical conditions both acute and chronic, in adult and children.

• Plan various laboratory tests for surgical conditions and interpret the results.

• Identify and manage patients of hemorrhagic, septicaemic and other types of shock.

• Be able to maintain patent air-way and resuscitate:
  A critically injured patient.
  Patient with cardio-respiratory failure.
  A drowning case.

• Monitor patients of head, chest, spinal and abdominal injuries, both in adults and children.

• Provide primary care for a patient of burns.

• Acquire principles of operative surgery, including pre-operative, operative and post-operative care and monitoring.

• Treat open wounds including preventive measures against tetanus and gas gangrene.

• Diagnose neonatal and pediatric surgical emergencies and provide sound primary care before referring the patient to secondary/tertiary centers.

• Identify congenital anomalies and refer them for appropriate management.

• In addition to these, he should have observed/assisted/ performed the following:

  • Incision and drainage of abscess

  • Debridement and suturing open wound
  • Venesection
    Excision of simple cyst and tumors
  • Biopsy of surface malignancy
  • Catheterization and nasogastric intubation
  • Circumcision
  • Meatotomy
  • Vasectomy
  • Peritoneal and pleural aspirations
  • Diagnostic proctoscopy
  • Hydrocele operation
  • Endotracheal Intubation
  • Tracheostomy and cricothyroidotomy
  • Chest tube insertion