Minor Surgery at a Glance

Minor Surgery at a Glance is an essential companion for those who wish to learn or familiarise themselves with minor surgery, including trainees and practising surgeons, dermatologists, GPs, and emergency medicine physicians. Covering the basic principles of minor surgery, as well as offering an overview of techniques and common procedures accompanied by step-by-step illustrations, this book also provides concise summaries of vital information and the clinical practicalities.

Providing an accessible and practical introduction to a rapidly expanding area of practice, Minor Surgery at a Glance is ideal for medical students, foundation programme doctors, and trainees in a wide variety of disciplines who perform minor operations.

Ms. Helen Mohan, MB BCh BAO BMedSci MRCSI is a Surgical Research Registrar, St Vincent's University Hospital, Dublin.

Professor Des C Winter, MD FRCS is a Surgeon, St Vincent's University Hospital, Dublin. He is also the founder of the Institute for Clinical Outcomes Research and Education (iCORE) and editor of the?British Journal of Surgery, and board member of several other journals.

Contributors vii

Preface ix

Part I Avoiding and managing problems: principles of safe surgery 1

1 Consent 2

2 Physical environment 4

3 Set-up 6

4 Instruments 8

5 Infection control and prevention 10

6 Human factors 12

7 Focused history 14

8 Specimen processing and reporting 16

9 Follow-up 18

10 Anaphylaxis 20

11 Emergencies and resuscitation 22

12 Audit and practice 23

13 Communication and conflict resolution 24

Part II Basic pain control and anaesthesia 27

14 Local anaesthesia 28

15 Sedation 30

16 General and regional anaesthesia 33

Part III Core surgical knowledge 37

17 Skin incisions 38

18 Principles of wound closure 40

19 Sutures 42

20 Needles 44

21 Diathermy 46

22 Dressings 48

23 Haemostasis 50

24 Hypertrophic and keloid scarring 52

Part IV Practice of minor surgery 55

Elective minor surgery

25 Biopsy techniques 56

26 Benign and premalignant skin lesions 58

27 Melanoma 60

28 Non-melanoma skin cancer 62

29 Neck lumps 64

30 Sebaceous cysts 66

31 Lipoma 68

32 The reconstructive ladder 70

33 Cryotherapy for verrucae 72

34 Muscle and nerve biopsy 74

35 Ingrown toenail 77

36 Lymph node excision 80

37 Sclerotherapy 82

38 Botulinum toxin 84

Emergency minor surgery

39 Tetanus 86

40 Scalp lacerations 88

41 Foreign bodies 90

42 Facial trauma and lacerations 92

43 Hand injuries 95

44 Trauma assessment 98

45 Psychosocial considerations 100

46 Incision and drainage of abscesses 102

47 Complications 104

48 Difficult locations 106

Index 107

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