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Chaptersonly use Sample personal For Review of Surgery for Students AUTHORS Dr. Krishna Adit Agarwal, MBBS Alumnus of Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India Founder, I-MediSTAR Innovation in Medical Science, Technology and Research only www.IMediSTChaptersAR.com AND MBBS use Dr. Avantika Singh, Alumna of Vardhman Mahavir Medical College and SampleSafdarjung Hospital, New Delhi, India Founder, I-MediSTAR Innovation in Medical Science, Technology and Research personalwww.IMediSTAR.com For PEEPEE PUBLISHERS AND DISTRIBUTORS (P) LTD. Review of Surgery for Students Published by Pawaninder P. Vij and Anupam Vij Peepee Publishers and Distributors (P) Ltd. Head Office: 160, Shakti Vihar, Pitam Pura Delhi-110034 (India) Correspondence Address: 7/31, First Floor, Ansari Road Daryaganj, New Delhi-110002 (India) Ph: 65195868, 23246245, 9811156083 e-mail: [email protected] e-mail: [email protected] only e-mail: [email protected] Chapters www.peepeepub.com use © 2014 Peepee Publishers and Distributors (P) Ltd. All rightsSample reserved No part of this publication may be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopy, recording, translated, or any information storage and retrieval system, without permission in writing from the editor and the publisherpersonal. This book has been published in good faith that the material provided by authors/contributors is original. Every effort is made to ensure accuracy of material, but publisher and printer will not be held responsible for any inadvertent errors.For In case of any dispute, all legal matters to be settled under Delhi jurisdiction only. First Edition : 2014 ISBN: 978-81-8445-167-2 FOREWORD Dr. Devi Prasad Shetty Chairman and Founder Narayana Health Healthcare delivery in India is at a tipping point requiring major interventions. Even if investments are made available to create the necessary infrastructure, the big challenge of creating skilled manpower remains an uphill task. For a country with a population of 1.21 billion, we might have the largest number of medical colleges producing 50,000 doctors, yet, today we have only 18,000 surgeons in the country, i.e., one surgeon for 67,000 people! Due to the vast gap in demand and supply of post-graduate seats, entry into higher medical education has remained elusive to majority of MBBS graduates. In spite of large number of medical graduates, we are contending with only 2,030 post-graduate seats in General Surgery. With the scenario tough and competitive, the aspirants for General Surgery course need well-organizedonly material for preparation and better outcomes in the entrance tests.Chapters In this direction, the book ‘Review of Surgery for Students’ by Dr. Krishna Adit Agarwal and Dr. Avantika Singh should come handy. With well classified and clearly laid out content, the effort of the young authorsuse in their maiden publication deserves admiration. I am sure they will be able to enrich subsequent editions with valuable feedback from students and faculty alike. I wish Samplethe authors as also the students a resounding success. Dr. Devi Prasad Shettypersonal For Chaptersonly use Sample personal For INTRODUCTION TO THE AUTHORS Dr. Krishna Adit Agarwal Dr. Avantika Singh Krishna is a recent medical graduate Avantika is a recent medical graduate of Vardhman Mahavir Medical College from Vardhman Mahavir Medical and Safdarjung Hospital, New Delhi. College and Safdarjung Hospital, New He aspires to specialize in the field of Delhi. She aspires to specialize in the Renal Medicine and has been offered field of Neonatal Medicine and has a position at the prestigious Beth been offered a position at the Israel Deaconess Medical Center (a teaching affiliate of prestigious Boston Children’s Hospital (a teaching affiliate Harvard Medical School) as a Research Fellow from of Harvard Medical School) as a Research Fellow from August 2014. August 2014. He has consistently performed well in his medical school Avantika has excelled in her medical school, winning examinations and displayed the ability to approach numerous accolades. She topped the University in the academic and practical problems in a logical, analytical third and final professional examinations. She was awarded and systemic manner. gold medals in Community Medicine and Obstetrics and Gynecology, silver medals in Pediatrics, Surgery, He has also undertaken several initiatives for the medical Ophthalmology and ENT, and bronze medal in Internal students like envisioning and organizing the Medical Medicine besides a distinction in Pharmacology. Students’ International Conference (MEDSICON) at VMMC. As the founder of the first MEDSICON conducted in 2011, Besides excelling in academics, she has founded an Krishna aimed at providing undergraduate (bio) medical organization – Innovation in Medical Science, Technology students an opportunity to showcase their research and Research (I-MediSTAR). The organization provides potential and take their research ideas forward. It has mentorship to medical students and graduatesonly seeking grown over the past three years and now receivesChapters a to sharpen their clinical and research skills. It conducts handsome international and national participation. various skill-based hands-on workshops to help students learn the science and art of medicine. Krishna has also been a co-founder of Innovation in Medical Avantika has alsouse been the co-founder of Medical Science, Technology and Research (I-MediSTAR) which is an organization providing medical students and Students’ International Conference (MEDSICON) and graduates with various opportunities to hone their clinical organized it at VMMC for the past three years. The and research skills. He has also been instrumental in conference provided the much-needed platform to young setting up of the ‘Journal of Young Medical Researchers’ researchers to share their research ideas with the medical Sample community. She is also the Student Editorial Board (JYMR), an open access journal providing an exclusive avenue for young researchers to publish their work. Coordinator at the Journal of Young Medical Researchers (JYMR). Krishna is a highly intellectual, dedicated and practical thinking doctor who excelspersonal in thinking beyond the Avantika is a brilliant doctor, who strives to excel in life. boundaries of the fixed academic curriculum. She is compassionate and caring towards her patients and has the ability to make the best possible medical For decisions. Prof. Dr. Renuka Sharma Professor, Dept. of Physiology VMMC and SJH, New Delhi Chaptersonly use Sample personal For PREFACE Review of Surgery for Students is aimed at providing the most concise and high-yielding information to undergraduate students preparing for their surgery final professional examination in India and abroad. There are a lot of surgery textbooks available in the market but no review book was so far available to help the students properly revise what they have learnt at their medical school. Our book is based on the Indian examination pattern and features a point-wise approach to topics. It is a book that has been written keeping in mind the last minute examination stress faced by students and it strives to help them retain the matter and answer well in the examinations. Only the must-know line diagrams have been included in the book. These diagrams are easy to remember as well as draw in the exam and will help achieve higher scores. We have consulted the standard surgery textbooks, Bailey and Love’s Short Practice of Surgery (26th Ed.) and Manipal Manual of Surgery (3rd Ed.) alongwith various online resources in preparing this review book. Although, we have tried our best to include the latest guidelines and management protocols but these guidelines are continuously being updated and we encourage our readers to keep themselves up-to-date with the future advances in surgery. Being the first edition, there might be some inadvertent errors in the book. We request our readers to kindly email us any corrections, suggestions and contributions in the form of latest protocols, line diagrams, newer topics asked in exams etc. to surgery@imedistar .com . We welcome your feedback and will surely incorporate it inonly the next edition of this book. Chapters “Let the young know they will never find a moreuse interesting, more instructive book than the patient himself” Sample - Giorgio Baglivi Most importantly, attendpersonal your clinics and listen to the patient, for the patient teaches you far more than any book ever can!For Dr. Krishna Adit Agarwal Dr. Avantika Singh New Delhi, India Chaptersonly use Sample personal For ACKNOWLEDGEMENTS We are thankful to… Gods in Heaven Gods on Earth, Our Parents Our Gurus, Guides and Mentors Dr. Jayashree Bhattacharjee Dr. Chintamani, Dr. Harish Chellani Dr. Renuka Sharma, Dr. Rajeev Tiwari Dr. Sugandha Arya, Dr. Harpreet Singh Our great friends, especially Manmohan for igniting the spark to write this book Our Dear Readers Chaptersand only The awesome team at Peepee Publishers and Distributors Pvt. Ltd. use for their wonderful work with this book. Sample personal For Chaptersonly use Sample personal For CONTRIBUTING AUTHORS Joyutpal Biswas Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi Arteries, Veins & Lymphatics and Burns Akriti Sinha Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi Miscellaneous Questions asked in exams Arushi Devgan Vardhman Mahavir Medical College and Safdarjung Hospital,
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