8th Term 4 modules
Module (1)
Lower
G.I.
tract
Lectures
Abdominal wall,
Incisional Hernia
Module (2)
16 Lectures
Organ transplantation
Module (3)
Lower
16
Lectures
Hernia, Hydrocoele
------------------------------
9th Term
Revision Lectures/ tutorials/ lecture cum demonstrations 4 8
--------------------------------
--------------------------------
TUTORIALS
6TH Term Surgical pathology
8th Term
Operative Surgery + Instruments
32
9th Term
Interpretation of Investigations
28
----------------------------------
300
Course contents- General Surgery - including paediatric surgery
COURSE CONTENTS
I. A. GENERAL PRINCIPLES
1. Wound healing and management, scars: Hypertrophic scar and keloid; First aid
management of severely injured.
2. Asepsis, antisepsis, sterilisation.
4. Surgical infections and rational use of antibiotics: Causes of infection, prevention of
infection, common organisms causing infection.
5. Boils, cellulitis, abscess, necrotising fascitis.
6. Tetanus and Gas gangrene: Prevention of Tetanus and Gas Gangrene.
8. Antibiotic therapy.
9. Hospital infection.
10. AIDS and Hepatitis B; Occupational hazards and prevention.
I . B . 1. Mechanism and management of missile, blast and gunshot injuries.
3. Bites and stings.
4. Organ transplantation - Basic principles.
5. Nutritional support to surgical patients.
II. RESUSCITATION.
2. Shock: Aetiology, pathophysiology and management.
3. Blood transfusion : Indication and hazards.
4. Common postoperative complications.
III. COMMON SKIN AND SUBCUTANEOUS CONDITIONS.
conditions of the skin, basal cell carcinoma, naevi and malignant melanoma.
2. Sinus and fistulae. Pressure sores; prevention and management.
IV. ARTERIAL DISORDERS.
1. Acute arterial obstruction : diagnosis and initial management; types of gangrene ;
athreosclerosis and crush injuries.
2. Investigations in cases of arterial obstruction. Amputations;
3. Vascular injuries : basic principles of management.
V. VENOUS DISORDERS.
prevention, principles of therapy; thrombophlebitis.
VI. LYMPHATICS AND LYMPH NODES.
1. Diagnosis and principles of management of lymphangitis, lymphedema, acute and
chronic lymphadenitis; cold abscess, lymphomas, surgical manifestations of filariasis.
1. Causes, prevention and first aid management; pathophysiology; assessment of depth
and surface area, fluid resuscitation; skin cover; prevention of contractures.
VIII. SCALP, SKULL AND BRAIN.
1. Wounds of scalp and its management: recognition, diagnosis and monitoring of patients
chronic cerebral compression.
IX. ORAL CAVITY, JAWS, SALIVARY GLANDS.
1. Oral cavity: I) Cleft lip and palate; Leukoplakia; retention cyst; ulcers of the tongue.
II) Features, diagnosis and basic principles of management of carcinoma
carcinomas.
2. Salivary glands: I) Acute sialoadenitis, neoplasm: diagnosis and principles of
treatment.
IX. B. Epulis, cysts and tumours of jaw: Maxillofacial injuries; salivary fistulae
X. NECK.
1. Branchial cyst; cystic hygroma.
2. Cervical lymphadenitis: Non-specific and specific, tuberculosis of lymphnodes,
secondaries of neck.
X. B. Thoracic outlet syndrome: diagnosis.
1. Thyroid: Surgical anatomy, physiology, investigations of thyroid disorders; types,
clinical features, diagnosis and principles of management of goitre, thyrotoxicosis
and malignancy, thyroglossal cyst and fistula.
XI. B. Thyroiditis, Hypothyroidism.
1. Clinical features and diagnosis of hyperparathyroidism, adrenal hyperfunction/
hypofunction.
XIII. BREAST.
1. Surgical anatomy; nipple discharge; acute mastitis, breast abscess; mammary
2. Assessment and investigations of a breast lump.
3. Cancer breast : diagnosis, staging, principles of management.
XIV. THORAX.
1. Recognition and treatment of pneumothorax, haemothorax, pulmonary embolism:
pulmonary complications.
XIV. B. Principles of management of pyothorax; cancer lung.
XV. HEART AND PERICARDIUM.
1. Cardiac tamponade
XVI. OESOPHAGUS.
1. Dysphagia: Causes, investigations and principles of management.
2. Cancer oesophagus : Principles of management.
XVII. STOMACH AND DUODENUM.
diagnosis and management of peptic ulcer, cancer stomach; upper gastrointestinal
haemorrhage with special reference to bleeding varices and duodenal ulcer.
XVIII. LIVER
1. Clinical features , diagnosis and principles of management of : Amoebic liver
XVIII. B. Surgical anatomy; primary and secondary neoplasms of liver.
XIX. SPLEEN
1. Splenomegaly: causes, investigations and indications for splenectomy: splenic
injury.
1. Anatomy, physiology and investigations of biliary tree; clinical features, diagnosis,
complications and principles of management of cholelithiasis and cholecystitis;
obstructive jaundice.
XX. B. Carcinoma of gall bladder, choledochal cyst.
1. Acute pancreatitis : Clinical features, diagnosis, complications and management.
2. Chronic pancreatitis, pancreatic tumours.
XXII. PERITONEUM, OMENTUM, MESENTERY AND RETROPERITONEAL SPACE.
1. Peritonitis : Causes, recognition and principles of management; intraperitoneal
XXII B. Laparoscopy and laparoscopic surgery.
XXIII. SMALL AND LARGE INTESTINES
1. Diagnosis and principles of treatment of : Intestinal amoebiasis, tuberculosis of
intestine, carcinoma colon; lower gastrointestinal haemorrhage; Enteric fever,
XXIII. B. Ulcerative colitis, premalignant conditions of large bowel.
XXIV. INTESTINAL OBSTRUCTION.
1. Types, aetiology, diagnosis and principles of management; paralytic ileus.
XXV. ACUTE ABDOMEN.
XXVI. APPENDIX
1. Diagnosis and management of acute appendicitis, appendicular lump and abscess.
XXVII. RECTUM.
1. Carcinoma rectum: diagnosis, clinical features and principles of management;
XXVII. B. Management of carcinoma rectum; prolapse of rectum.
XXVIII. ANAL CANAL .
1. Surgical anatomy. Clinical features and management of: fissure, fistula in ano,
perianal and ischiorectal abscess and haemorrhoids; Diagnosis and referral of
XXVIII. B. Anal carcinoma.
XXIX. HERNIAS.
1. Clinical features, diagnosis, complications and principles of management of :
Umbilical, Inguinal, epigastric and femoral hernia.
XXIX . B. Umbilical fistulae, Burst abdomen, ventral hernia.
XXX. GENITO- URINARY SYSTEM.
1. Symptoms and investigations of the urinary tract.
XXXI. KIDNEY AND URETER
hydronephrosis, pyonephrosis, and perinephric abscess, congenital anomalies of
kidney & Ureter and renal tumours.
2. Renal tuberculosis.
XXXII. URINARY BLADDER.
retention of urine.
XXXIII. PROSTATE AND SEMINAL VESICLES.
1. Benign prostatic hyperplasia: diagnosis and management.
XXXIII. B. Carcinoma prostate.
1. Diagnosis and principles of management of Phimosis, paraphimosis and carcinoma
penis.
2. Principles of management of urethral injuries.
3. Urethral strictures.
1. Diagnosis and principles of treatment of undescended testis; torsion testis;
Hydrocoele, hematocoele, pyocoele, varicocele, epididymo-orchitis and testicular
tumours.
XXXVI PAEDIATRIC SURGERY
2. Anorectal malformations
3. Constipation in children: Hirschsprung's disease, Acquired megacolon,
4. Congenital diaphragmatic hernia
5. Extrophy, Epispadias complex and hypospadias
7. Urinary tract infections in children- Vesicoureteral reflux, posterior urethral Valves,
Vesico Ureteral Junction obstruction/Duplex ureter, Obstructive uropathy in
Children : Hydronephrosis, Hydroureteronephrosis
8. Testicular Maldescent
10. Wilm's Tumours: Neuroblastoma, Ganglionioneuloblestoma, Ganglioneuroma,
Endo-dermal Sinus Tumours.
11. Hamartomas in Children: Lymphangioma and Cystic hygroma, Haemangioma.
Biliary Atresia and Surgical jaundice
VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
Suggested lecture program Distribution of syllabus in respective semesters
This is suggested programme and can vary at institute
Total 300 hours of teaching has to be done in General Surgery including Tutorials
Details of syllabus is given separately below after distribution as per semester
1) Introduction to Surgery
2) Body response to injury
3) Wound and wound healing
5) Chronic infections
6) Tetanus and Gas gangrene
7) Neoplasm General Consideration
8) Surgical Nutrition
10) Sepsis and Anti Spesis
11) Burns
12) Shock
13) Fluid and Electrolyte Balance
15) Hemostasis and Blood transfusion.
6th Term 3 modules
Module l
a. Polytrauma
b. Missiles and their effects & blast injuries
c. Management of war wounds
e. Minimally invasive surgery
f. Principal of Radiotherapy
g. OT Techniques
h. AIDS in surgery
j. Hand and hand infection
Vascular Surgery
1. Acute arterial obstruction: diagnosis and initial management; types of gangrene ;
diagnosis of chronic arterial insufficiency with emphasis on Burger's disease,
athreosclerosis and crush injuries.
2. Investigations in cases of arterial obstruction. Amputations;
4. Surgically correctable Hypertension
* VENOUS DISORDERS.
1.Varicose veins: diagnosis and management; deep venous thrombosis :
diagnosis, prevention, principles of therapy; thrombophlebitis.
Diagnosis and principles of management of lymphangitis, lymphedema, acute and chronic
lymphadenitis; cold abscess, lymphomas, surgical manifestations of filariasis.
Module 2
1.
1.ORAL CAVITY , JAWS, SALIVARY GLANDS.
1.Oral cavity :
I) Cleft lip and palate; Leukoplakia ; retention cyst; ulcers of the tongue.
III) Features, diagnosis and basic principles of management of carcinoma lip, buccal mucosa
2. Salivary glands :
I) Acute sialoadenitis, neoplasm : diagnosis and principles of treatment
II). Salivary fistulae
2.. Epulis, cysts and tumours of jaw: maxilofacial injuries
3. Branchial cyst; cystic hygroma.
4. Cervical lymphadenitis : Non specific and specific,
5. Tuberculosis of lymphnodes, secondaries of neck.
4. Thoracic outlet syndrome : diagnosis.
ENDOCRINE SURGERY
8 lecture
I) Thyroid : Surgical anatomy, physiology, investigations of thyroid disorders; types,
clinical features, diagnosis and principles of management of goitre, thyrotoxicosis and
malignancy, thyroglossal cyst and fistula.
ii) Thyroiditis, Hypothyroidism.
Clinical features and diagnosis of hyperparathyroidism,
Tumours of the adrenal gland
Adrenal hyperfunction/ hypofunction
C.Diseases of thymus
Module 3
1.NEURO-SURGERY 6 lectures
1. Head injury
2. Intracranial tumours & other ICSOL
4. Surgery of peripheral nerves & diseases
2. Surgery of Breast 5 lectures
1. Surgical anatomy; nipple discharge; acute mastitis, breast abscess;
mammary dysplasia; gynaecomastia; fibroadenomas.
3. Cancer breast : diagnosis, staging, principles of management
3. PLASTIC & RECONSTRUCTIVE SURGERY 6
1.Management of burns
2.Skin grafting including flaps
of
the
hand
4.Infections of the hand
7 th Semester
Module (1)
Cardio Thoracic surgery 8
8 16 lecture
CARDIO-THORACIC SURGERY
1. Injuries of the chest
3. congenital heart disease
4. Acquired heart disease
5. Surgery of ischaemic heart disease
6. Diseases of pericardium
Paediatric Surgery
1. Oesophageal atresia and Intestinal atresia
2. ..Anorectal malformations
3. .Constipation in children: Hirschsprung's disease, Acquired megacolon,
5. Extrophy, Epispadias complex and hypospadias
6. Spinal diastrophism and Hydrocephalus
7. Urinary tract infections in children- Vesicoureteral reflux, posterior urethral Valves,
Vesico Ureteral Junction obstruction/Duplex ureter, Obstructive uropathy in
8. Testicular Maldescent
9. Umbilical Hernia, Exompholos : Major/minor
10. Wilm's Tumours: Neuroblastoma, Ganglionioneuloblestoma, Ganglioneuroma, Endo-
dermal Sinus Tumours.
12. Biliary Atresia and Surgical jaundice
Module 2
TROPICAL SURGERY
1. Surgical consideration in Amoebiasis & Enteric fever
Dracontiasis
&
Ascariasis
3. Hydatid disease
Hepatobiliary Pancreatic surgery + Spleen
A.LIVER
Clinical features, diagnosis and principles of management of: Amoebic liver abscess, Liver
trauma
SPLEEN
Splenomegaly: causes, investigations and indications for splenectomy: splenic injury.
GALL BLADDER AND BILE DUCTS
Anatomy, physiology and investigations of biliary tree; clinical features, diagnosis,
obstructive jaundice.
.Carcinoma of gall bladder, choledochal cyst.
PANCREAS.
Acute pancreatitis: Clinical features, diagnosis, complications and management.
PORTAL HYPERTENSION
Clinical presentation, Investigation and management
Upper gastrointestinal Tract and Peritoneum
PERITONEUM, OMENTUM, MESENTERY AND
1. Peritonitis: Causes, recognition and principles of management;
2. Intraperitoneal abscess
OESOPHAGUS.
3. Dysphagia: Causes, investigations and principles of management.
STOMACH AND DUODENUM.
2. Anatomy; Physiology, Congenital hypertrophic pyloric stenosis;
aetiopathogenesis, diagnosis and management of peptic ulcer, cancer
stomach; upper gastrointestinal haemorrhage with special reference to
SMALL INTESTINES
2. Diagnosis and principles of treatment of, tuberculosis of intestine,
8th Semester
Module 1
Lower gastrointestinal Tract and abdominal wall
Acute Abdomen
Types, aetiology, diagnosis and principles of management; paralytic ileus Aetiology,
Clinical Features. Invesigations and management
Abdominal Wall
1.Features, diagnosis, complications and principles of management of :
LARGE INTESTINES
Ulcerative colitis, premalignant conditions of large bowel carcinoma colon; lower
gastrointestinal haemorrhage;, parasitic infestations.
APPENDIX
RECTUM.
Carcinoma rectum: diagnosis, clinical features and principles of management;
indications and Management of colostomy. Management of carcinoma rectum;
Prolapse of rectum.
Surgical anatomy. Clinical features and management of: fissure, Fistula in ano,
perianal and ischiorectal abscess and haemorrhoids; Diagnosis and referral of
anorectal anomalies. Anal carcinoma.
Umbilicus and Abdominal wall
Module 2
Upper genito-urinary Tract and Organ Transplantation
Symptoms and investigations of the urinary tract.
KIDNEY AND URETER
Anatomy and Embryology of Kidney and ureter Congenital anomalies of kidney &
Ureter Investigations of renal mass; Diagnosis and principles of management of
Renal tuberculosis.
Module 3
URINARY BLADDER.
Causes, diagnosis and principles of management of haematuria, Anuria and Acute retention
of urine.
Benign prostatic hyperplasia: diagnosis and management. Carcinoma prostate.
URETHRA AND PENIS
Diagnosis and principles of management of Phimosis , paraphimosis and Principles of
management of urethral injuries. Urethral strictures. Carcinoma penis
Diagnosis and principles of treatment of undescended testis; torsion testis; Hydrocoele,
hematocoele, pyocoele, Varicocele, epididymo-orchitis and Testicular tumours
HERNIAS.
Clinical features, diagnosis, complications and principles of management of: Umbilical,
RECOMMENDED BOOKS FOR GENERAL SURGERY
TEXT BOOKS:
of Surgery, 23rd Edition, 2000 Chapman and Hall.
2. K.Das: Clinical Methods in Surgery, 8th Edition, 1968, Suhas Kumar Dhar, Calcutta.
3. JSP Lumley : Hamilton Bailey's Physical Signs 18th Edn Butterworth/Heinemann.
1997,
Calcutta
Module (1)
Lower
G.I.
tract
--- Content provided by FirstRanker.com ---
16Lectures
Abdominal wall,
Incisional Hernia
Module (2)
--- Content provided by FirstRanker.com ---
Upper GUT16 Lectures
Organ transplantation
Module (3)
Lower
--- Content provided by FirstRanker.com ---
GUT16
Lectures
Hernia, Hydrocoele
------------------------------
--- Content provided by FirstRanker.com ---
160 Hours9th Term
Revision Lectures/ tutorials/ lecture cum demonstrations 4 8
--------------------------------
--- Content provided by FirstRanker.com ---
208--------------------------------
TUTORIALS
6TH Term Surgical pathology
--- Content provided by FirstRanker.com ---
328th Term
Operative Surgery + Instruments
32
9th Term
--- Content provided by FirstRanker.com ---
Imaging sciences-Interpretation of Investigations
28
----------------------------------
300
--- Content provided by FirstRanker.com ---
------------------------------------Course contents- General Surgery - including paediatric surgery
COURSE CONTENTS
--- Content provided by FirstRanker.com ---
I. A. GENERAL PRINCIPLES
1. Wound healing and management, scars: Hypertrophic scar and keloid; First aid
management of severely injured.
2. Asepsis, antisepsis, sterilisation.
--- Content provided by FirstRanker.com ---
3. Surgical sutures, knots, drains, bandages and splints.4. Surgical infections and rational use of antibiotics: Causes of infection, prevention of
infection, common organisms causing infection.
5. Boils, cellulitis, abscess, necrotising fascitis.
6. Tetanus and Gas gangrene: Prevention of Tetanus and Gas Gangrene.
--- Content provided by FirstRanker.com ---
7. Chronic specific infections: Tuberculosis, Filariasis, and Leprosy.8. Antibiotic therapy.
9. Hospital infection.
10. AIDS and Hepatitis B; Occupational hazards and prevention.
I . B . 1. Mechanism and management of missile, blast and gunshot injuries.
--- Content provided by FirstRanker.com ---
2. Surgical aspects of diabetes mellitus.3. Bites and stings.
4. Organ transplantation - Basic principles.
5. Nutritional support to surgical patients.
II. RESUSCITATION.
--- Content provided by FirstRanker.com ---
1. Fluid electrolyte balance.2. Shock: Aetiology, pathophysiology and management.
3. Blood transfusion : Indication and hazards.
4. Common postoperative complications.
III. COMMON SKIN AND SUBCUTANEOUS CONDITIONS.
--- Content provided by FirstRanker.com ---
1. Sebaceous cyst, dermoid cyst, lipoma, haemangioma, neurofibroma, premalignantconditions of the skin, basal cell carcinoma, naevi and malignant melanoma.
2. Sinus and fistulae. Pressure sores; prevention and management.
IV. ARTERIAL DISORDERS.
1. Acute arterial obstruction : diagnosis and initial management; types of gangrene ;
--- Content provided by FirstRanker.com ---
diagnosis of chronic arterial insufficiency with emphasis on Burger's disease,athreosclerosis and crush injuries.
2. Investigations in cases of arterial obstruction. Amputations;
3. Vascular injuries : basic principles of management.
V. VENOUS DISORDERS.
--- Content provided by FirstRanker.com ---
1. Varicose veins: diagnosis and management; deep venous thrombosis: diagnosis,prevention, principles of therapy; thrombophlebitis.
VI. LYMPHATICS AND LYMPH NODES.
1. Diagnosis and principles of management of lymphangitis, lymphedema, acute and
chronic lymphadenitis; cold abscess, lymphomas, surgical manifestations of filariasis.
--- Content provided by FirstRanker.com ---
VII. BURNS.1. Causes, prevention and first aid management; pathophysiology; assessment of depth
and surface area, fluid resuscitation; skin cover; prevention of contractures.
VIII. SCALP, SKULL AND BRAIN.
1. Wounds of scalp and its management: recognition, diagnosis and monitoring of patients
--- Content provided by FirstRanker.com ---
with head injury including unconsciousness; Glasgow coma scale recognition of acute /chronic cerebral compression.
IX. ORAL CAVITY, JAWS, SALIVARY GLANDS.
1. Oral cavity: I) Cleft lip and palate; Leukoplakia; retention cyst; ulcers of the tongue.
II) Features, diagnosis and basic principles of management of carcinoma
--- Content provided by FirstRanker.com ---
lip, buccal mucosa and tongue, prevention and staging of oralcarcinomas.
2. Salivary glands: I) Acute sialoadenitis, neoplasm: diagnosis and principles of
treatment.
IX. B. Epulis, cysts and tumours of jaw: Maxillofacial injuries; salivary fistulae
--- Content provided by FirstRanker.com ---
X. NECK.
1. Branchial cyst; cystic hygroma.
2. Cervical lymphadenitis: Non-specific and specific, tuberculosis of lymphnodes,
secondaries of neck.
X. B. Thoracic outlet syndrome: diagnosis.
--- Content provided by FirstRanker.com ---
XI. THYROID GLAND1. Thyroid: Surgical anatomy, physiology, investigations of thyroid disorders; types,
clinical features, diagnosis and principles of management of goitre, thyrotoxicosis
and malignancy, thyroglossal cyst and fistula.
XI. B. Thyroiditis, Hypothyroidism.
--- Content provided by FirstRanker.com ---
XII. PARATHYROID AND ADRENAL GLANDS.1. Clinical features and diagnosis of hyperparathyroidism, adrenal hyperfunction/
hypofunction.
XIII. BREAST.
1. Surgical anatomy; nipple discharge; acute mastitis, breast abscess; mammary
--- Content provided by FirstRanker.com ---
dysplasia; gynaecomastia; fibroadenomas.2. Assessment and investigations of a breast lump.
3. Cancer breast : diagnosis, staging, principles of management.
XIV. THORAX.
1. Recognition and treatment of pneumothorax, haemothorax, pulmonary embolism:
--- Content provided by FirstRanker.com ---
Prevention/ recognition and treatment, flail chest; Stove in chest ; Postoperativepulmonary complications.
XIV. B. Principles of management of pyothorax; cancer lung.
XV. HEART AND PERICARDIUM.
1. Cardiac tamponade
--- Content provided by FirstRanker.com ---
2. Scope of cardiac surgery.XVI. OESOPHAGUS.
1. Dysphagia: Causes, investigations and principles of management.
2. Cancer oesophagus : Principles of management.
XVII. STOMACH AND DUODENUM.
--- Content provided by FirstRanker.com ---
1. Anatomy; Physiology, Congenital hypertrophic pyloric stenosis; aetiopathogenesis,diagnosis and management of peptic ulcer, cancer stomach; upper gastrointestinal
haemorrhage with special reference to bleeding varices and duodenal ulcer.
XVIII. LIVER
1. Clinical features , diagnosis and principles of management of : Amoebic liver
--- Content provided by FirstRanker.com ---
abscess, hydatid cyst and portal hypertension. Liver trauma.XVIII. B. Surgical anatomy; primary and secondary neoplasms of liver.
XIX. SPLEEN
1. Splenomegaly: causes, investigations and indications for splenectomy: splenic
injury.
--- Content provided by FirstRanker.com ---
XX. GALL BLADDER AND BILE DUCTS1. Anatomy, physiology and investigations of biliary tree; clinical features, diagnosis,
complications and principles of management of cholelithiasis and cholecystitis;
obstructive jaundice.
XX. B. Carcinoma of gall bladder, choledochal cyst.
--- Content provided by FirstRanker.com ---
XXI. PANCREAS.1. Acute pancreatitis : Clinical features, diagnosis, complications and management.
2. Chronic pancreatitis, pancreatic tumours.
XXII. PERITONEUM, OMENTUM, MESENTERY AND RETROPERITONEAL SPACE.
1. Peritonitis : Causes, recognition and principles of management; intraperitoneal
--- Content provided by FirstRanker.com ---
abscess.XXII B. Laparoscopy and laparoscopic surgery.
XXIII. SMALL AND LARGE INTESTINES
1. Diagnosis and principles of treatment of : Intestinal amoebiasis, tuberculosis of
intestine, carcinoma colon; lower gastrointestinal haemorrhage; Enteric fever,
--- Content provided by FirstRanker.com ---
parasitic infestations.XXIII. B. Ulcerative colitis, premalignant conditions of large bowel.
XXIV. INTESTINAL OBSTRUCTION.
1. Types, aetiology, diagnosis and principles of management; paralytic ileus.
XXV. ACUTE ABDOMEN.
--- Content provided by FirstRanker.com ---
1. Causes, approach, diagnosis and principles of management.XXVI. APPENDIX
1. Diagnosis and management of acute appendicitis, appendicular lump and abscess.
XXVII. RECTUM.
1. Carcinoma rectum: diagnosis, clinical features and principles of management;
--- Content provided by FirstRanker.com ---
indications and management of colostomy.XXVII. B. Management of carcinoma rectum; prolapse of rectum.
XXVIII. ANAL CANAL .
1. Surgical anatomy. Clinical features and management of: fissure, fistula in ano,
perianal and ischiorectal abscess and haemorrhoids; Diagnosis and referral of
--- Content provided by FirstRanker.com ---
anorectal anomalies.XXVIII. B. Anal carcinoma.
XXIX. HERNIAS.
1. Clinical features, diagnosis, complications and principles of management of :
Umbilical, Inguinal, epigastric and femoral hernia.
--- Content provided by FirstRanker.com ---
2. Omphalitis.XXIX . B. Umbilical fistulae, Burst abdomen, ventral hernia.
XXX. GENITO- URINARY SYSTEM.
1. Symptoms and investigations of the urinary tract.
XXXI. KIDNEY AND URETER
--- Content provided by FirstRanker.com ---
1. Investigations of renal mass; diagnosis and principles of management of urolithiasis,hydronephrosis, pyonephrosis, and perinephric abscess, congenital anomalies of
kidney & Ureter and renal tumours.
2. Renal tuberculosis.
XXXII. URINARY BLADDER.
--- Content provided by FirstRanker.com ---
1. Causes, diagnosis and principles of management of haematuria, anuria and acuteretention of urine.
XXXIII. PROSTATE AND SEMINAL VESICLES.
1. Benign prostatic hyperplasia: diagnosis and management.
XXXIII. B. Carcinoma prostate.
--- Content provided by FirstRanker.com ---
XXXIV. URETHRA AND PENIS1. Diagnosis and principles of management of Phimosis, paraphimosis and carcinoma
penis.
2. Principles of management of urethral injuries.
3. Urethral strictures.
--- Content provided by FirstRanker.com ---
XXXV. TESTES AND SCROTUM1. Diagnosis and principles of treatment of undescended testis; torsion testis;
Hydrocoele, hematocoele, pyocoele, varicocele, epididymo-orchitis and testicular
tumours.
XXXVI PAEDIATRIC SURGERY
--- Content provided by FirstRanker.com ---
1. Oesophageal atresia and Intestinal atresia2. Anorectal malformations
3. Constipation in children: Hirschsprung's disease, Acquired megacolon,
4. Congenital diaphragmatic hernia
5. Extrophy, Epispadias complex and hypospadias
--- Content provided by FirstRanker.com ---
6. Spinal diastrophism and Hydrocephalus7. Urinary tract infections in children- Vesicoureteral reflux, posterior urethral Valves,
Vesico Ureteral Junction obstruction/Duplex ureter, Obstructive uropathy in
Children : Hydronephrosis, Hydroureteronephrosis
8. Testicular Maldescent
--- Content provided by FirstRanker.com ---
9. Umbilical Hernia, Exompholos: Major/minor10. Wilm's Tumours: Neuroblastoma, Ganglionioneuloblestoma, Ganglioneuroma,
Endo-dermal Sinus Tumours.
11. Hamartomas in Children: Lymphangioma and Cystic hygroma, Haemangioma.
Biliary Atresia and Surgical jaundice
--- Content provided by FirstRanker.com ---
VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
Suggested lecture program Distribution of syllabus in respective semesters
--- Content provided by FirstRanker.com ---
This is suggested programme and can vary at institute
Total 300 hours of teaching has to be done in General Surgery including Tutorials
Details of syllabus is given separately below after distribution as per semester
--- Content provided by FirstRanker.com ---
4 th Semester : 16 Lectures1) Introduction to Surgery
2) Body response to injury
3) Wound and wound healing
--- Content provided by FirstRanker.com ---
4) Acute infection, Boils, Carbuncle etc5) Chronic infections
6) Tetanus and Gas gangrene
7) Neoplasm General Consideration
8) Surgical Nutrition
--- Content provided by FirstRanker.com ---
9) Pre operative and Post operative Care10) Sepsis and Anti Spesis
11) Burns
12) Shock
13) Fluid and Electrolyte Balance
--- Content provided by FirstRanker.com ---
14) Monitoring of surgical Patients15) Hemostasis and Blood transfusion.
6th Term 3 modules
Module l
--- Content provided by FirstRanker.com ---
General surgerya. Polytrauma
b. Missiles and their effects & blast injuries
c. Management of war wounds
--- Content provided by FirstRanker.com ---
d. Surgical diseases skin conditionse. Minimally invasive surgery
f. Principal of Radiotherapy
g. OT Techniques
h. AIDS in surgery
--- Content provided by FirstRanker.com ---
i. Foot including Diabetic Footj. Hand and hand infection
Vascular Surgery
--- Content provided by FirstRanker.com ---
* ARTERIAL DISORDERS.1. Acute arterial obstruction: diagnosis and initial management; types of gangrene ;
diagnosis of chronic arterial insufficiency with emphasis on Burger's disease,
athreosclerosis and crush injuries.
2. Investigations in cases of arterial obstruction. Amputations;
--- Content provided by FirstRanker.com ---
3. Vascular injuries : basic principles of management.4. Surgically correctable Hypertension
* VENOUS DISORDERS.
1.Varicose veins: diagnosis and management; deep venous thrombosis :
diagnosis, prevention, principles of therapy; thrombophlebitis.
--- Content provided by FirstRanker.com ---
LYMPHATICS AND LYMPH NODES.Diagnosis and principles of management of lymphangitis, lymphedema, acute and chronic
lymphadenitis; cold abscess, lymphomas, surgical manifestations of filariasis.
Module 2
1.
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HEAD, FACE, NECK 8 lectures1.ORAL CAVITY , JAWS, SALIVARY GLANDS.
1.Oral cavity :
I) Cleft lip and palate; Leukoplakia ; retention cyst; ulcers of the tongue.
III) Features, diagnosis and basic principles of management of carcinoma lip, buccal mucosa
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and tongue, prevention and staging of oral carcinomas.2. Salivary glands :
I) Acute sialoadenitis, neoplasm : diagnosis and principles of treatment
II). Salivary fistulae
2.. Epulis, cysts and tumours of jaw: maxilofacial injuries
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3 NECK .3. Branchial cyst; cystic hygroma.
4. Cervical lymphadenitis : Non specific and specific,
5. Tuberculosis of lymphnodes, secondaries of neck.
4. Thoracic outlet syndrome : diagnosis.
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2.ENDOCRINE SURGERY
8 lecture
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A.THYROID GLANDI) Thyroid : Surgical anatomy, physiology, investigations of thyroid disorders; types,
clinical features, diagnosis and principles of management of goitre, thyrotoxicosis and
malignancy, thyroglossal cyst and fistula.
ii) Thyroiditis, Hypothyroidism.
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B.PARATHYROID AND ADRENAL GLANDS.Clinical features and diagnosis of hyperparathyroidism,
Tumours of the adrenal gland
Adrenal hyperfunction/ hypofunction
C.Diseases of thymus
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Module 3
1.NEURO-SURGERY 6 lectures
1. Head injury
2. Intracranial tumours & other ICSOL
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3. Congenital anomalies of brain & spinal cord4. Surgery of peripheral nerves & diseases
2. Surgery of Breast 5 lectures
1. Surgical anatomy; nipple discharge; acute mastitis, breast abscess;
mammary dysplasia; gynaecomastia; fibroadenomas.
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2. Assessment and investigations of a breast lump.3. Cancer breast : diagnosis, staging, principles of management
3. PLASTIC & RECONSTRUCTIVE SURGERY 6
1.Management of burns
2.Skin grafting including flaps
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3.Injuriesof
the
hand
4.Infections of the hand
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7 th Semester
Module (1)
Cardio Thoracic surgery 8
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Paediatric surgery8 16 lecture
CARDIO-THORACIC SURGERY
1. Injuries of the chest
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2. Tumours of the lung & bronchial tree3. congenital heart disease
4. Acquired heart disease
5. Surgery of ischaemic heart disease
6. Diseases of pericardium
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7. Cardiac arrestPaediatric Surgery
1. Oesophageal atresia and Intestinal atresia
2. ..Anorectal malformations
3. .Constipation in children: Hirschsprung's disease, Acquired megacolon,
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4. Congenital diaphragmatic hernia5. Extrophy, Epispadias complex and hypospadias
6. Spinal diastrophism and Hydrocephalus
7. Urinary tract infections in children- Vesicoureteral reflux, posterior urethral Valves,
Vesico Ureteral Junction obstruction/Duplex ureter, Obstructive uropathy in
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Children : Hydronephrosis, Hydroureteronephrosis8. Testicular Maldescent
9. Umbilical Hernia, Exompholos : Major/minor
10. Wilm's Tumours: Neuroblastoma, Ganglionioneuloblestoma, Ganglioneuroma, Endo-
dermal Sinus Tumours.
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11. Hamartomas in Children : Lymphangioma and Cystic hygroma,Haemangioma.12. Biliary Atresia and Surgical jaundice
Module 2
TROPICAL SURGERY
1. Surgical consideration in Amoebiasis & Enteric fever
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2. Filariasis,Dracontiasis
&
Ascariasis
3. Hydatid disease
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4. Leprosy, Madura foot, Tropical ulcer ActionomycosisHepatobiliary Pancreatic surgery + Spleen
A.LIVER
Clinical features, diagnosis and principles of management of: Amoebic liver abscess, Liver
trauma
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Surgical anatomy; primary and secondary neoplasms of liver.SPLEEN
Splenomegaly: causes, investigations and indications for splenectomy: splenic injury.
GALL BLADDER AND BILE DUCTS
Anatomy, physiology and investigations of biliary tree; clinical features, diagnosis,
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complications and principles of management of cholelithiasis and cholecystitis;obstructive jaundice.
.Carcinoma of gall bladder, choledochal cyst.
PANCREAS.
Acute pancreatitis: Clinical features, diagnosis, complications and management.
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Chronic pancreatitis, pancreatic tumours.PORTAL HYPERTENSION
Clinical presentation, Investigation and management
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Module 3Upper gastrointestinal Tract and Peritoneum
PERITONEUM, OMENTUM, MESENTERY AND
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RETROPERITONEAL SPACE.1. Peritonitis: Causes, recognition and principles of management;
2. Intraperitoneal abscess
OESOPHAGUS.
3. Dysphagia: Causes, investigations and principles of management.
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4. Cancer oesophagus: Principles of management.STOMACH AND DUODENUM.
2. Anatomy; Physiology, Congenital hypertrophic pyloric stenosis;
aetiopathogenesis, diagnosis and management of peptic ulcer, cancer
stomach; upper gastrointestinal haemorrhage with special reference to
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bleeding varices and duodenal ulcer.SMALL INTESTINES
2. Diagnosis and principles of treatment of, tuberculosis of intestine,
8th Semester
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Module 1
Lower gastrointestinal Tract and abdominal wall
Acute Abdomen
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INTESTINAL OBSTRUCTION.Types, aetiology, diagnosis and principles of management; paralytic ileus Aetiology,
Clinical Features. Invesigations and management
Abdominal Wall
1.Features, diagnosis, complications and principles of management of :
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Umbilical, epigastric hernia., incisional; hernia ventral herniaLARGE INTESTINES
Ulcerative colitis, premalignant conditions of large bowel carcinoma colon; lower
gastrointestinal haemorrhage;, parasitic infestations.
APPENDIX
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Diagnosis and management of acute appendicitis, Appendicular lump and abscess.RECTUM.
Carcinoma rectum: diagnosis, clinical features and principles of management;
indications and Management of colostomy. Management of carcinoma rectum;
Prolapse of rectum.
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ANAL CANALSurgical anatomy. Clinical features and management of: fissure, Fistula in ano,
perianal and ischiorectal abscess and haemorrhoids; Diagnosis and referral of
anorectal anomalies. Anal carcinoma.
Umbilicus and Abdominal wall
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Umbilical fistulae, Burst abdomen, ventral hernia.Module 2
Upper genito-urinary Tract and Organ Transplantation
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GENITO- URINARY SYSTEM.Symptoms and investigations of the urinary tract.
KIDNEY AND URETER
Anatomy and Embryology of Kidney and ureter Congenital anomalies of kidney &
Ureter Investigations of renal mass; Diagnosis and principles of management of
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urolithiasis, Hydronephrosis, pyonephrosis, perinephric abscess, Renal tumours.Renal tuberculosis.
Module 3
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Upper genito-urinary Tract and HerniaURINARY BLADDER.
Causes, diagnosis and principles of management of haematuria, Anuria and Acute retention
of urine.
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PROSTATE AND SEMINAL VESICLES.Benign prostatic hyperplasia: diagnosis and management. Carcinoma prostate.
URETHRA AND PENIS
Diagnosis and principles of management of Phimosis , paraphimosis and Principles of
management of urethral injuries. Urethral strictures. Carcinoma penis
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TESTES AND SCROTUM.Diagnosis and principles of treatment of undescended testis; torsion testis; Hydrocoele,
hematocoele, pyocoele, Varicocele, epididymo-orchitis and Testicular tumours
HERNIAS.
Clinical features, diagnosis, complications and principles of management of: Umbilical,
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Inguinal, epigastric and femoral hernia.RECOMMENDED BOOKS FOR GENERAL SURGERY
TEXT BOOKS:
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1 . Charles V. Mann, R.C.G. Russel, Norman S., Williams, Bailey and Love's Short Practiceof Surgery, 23rd Edition, 2000 Chapman and Hall.
2. K.Das: Clinical Methods in Surgery, 8th Edition, 1968, Suhas Kumar Dhar, Calcutta.
3. JSP Lumley : Hamilton Bailey's Physical Signs 18th Edn Butterworth/Heinemann.
1997,
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4.. Somen Das ; A Practical Guide to Operative Surgery, 4th Edition, 1999, s. Das,Calcutta