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General Surgeon

A general surgeon is a physician who has been educated and trained in the diagnosis and preoperative, operative, and postoperative management of patient care. Surgery requires knowledge of anatomy, emergency and intensive care, immunology, metabolism, nutrition, pathology, physiology, shock and resuscitation, and wound healing.

The general surgeon is trained to provide surgical care for the whole patient. This includes making a diagnosis; preoperative, operative and postoperative management of the patient; and the surgical treatment of the:

  • alimentary tract;
  • abdomen and its contents, including the pelvis;
  • breast, skin and soft tissue; and
  • endocrine system.

It includes head and neck surgery, pediatric surgery, surgical critical care, surgical oncology, trauma and burns, transplants and vascular surgery.

The exact profile of a general surgeon's practice may vary depending on whether the practice is in an academic centre, an urban community or a more rural centre. In rural practice, some surgeons may do gynecologic, urologic, orthopedic and ENT surgeries. In some academic centres, a general surgeon might limit his/her practice to one subspecialty.

Source & Credit: https://cags-accg.ca/patient-care/what-is-a-general-surgeon/

The scope of general surgery

General surgery is a discipline that requires knowledge of and responsibility for the preoperative, operative, and postoperative management of patients with a broad spectrum of diseases, including those which may require nonoperative, elective, or emergency surgical treatment. The breadth and depth of this knowledge may vary by disease category. Surgical management requires skill in complex decision making; general surgeons should be competent in diagnosis as well as treatment and management, including operative intervention.

The certified general surgeon demonstrates broad knowledge and experience in conditions affecting the:

  • Alimentary Tract
  • Abdomen and its Contents
  • Breast, Skin and Soft Tissue
  • Endocrine System
  • In addition, the certified general surgeon demonstrates broad knowledge and experience in.
  • Surgical Critical Care
  • Surgical Oncology
  • Trauma

The field of general surgery as a specialty comprises, but is not limited to, the performance of operations and procedures relevant to the content areas listed above. It is expected that the certified surgeon will also have additional knowledge and experience relevant to the above areas in the following categories:

Related disciplines, including anatomy, physiology, epidemiology, immunology, and pathology (including neoplasia).Clinical care domains, including wound healing; infection and antibiotic usage; fluid and electrolyte management; transfusion and disorders of coagulation; shock and resuscitation; metabolism and nutrition; minimally invasive and endoscopic intervention (including colonoscopy and upper endoscopy); appropriate use and interpretation of radiologic diagnostic and therapeutic imaging; and pain management.

The certified general surgeon also is expected to have knowledge and skills for diseases requiring team-based interdisciplinary care, including related leadership competencies. Certified general surgeons additionally must possess knowledge of the unique clinical needs of the following specific patient groups:

Terminally ill patients, to include palliative care and pain management; nutritional deficiency; cachexia in patients with malignant and chronic conditions; and counseling and support for end-of-life decisions and care.

Morbidly obese patients, to include metabolic derangements; surgical and non-surgical interventions for weight loss (bariatrics); and counseling of patient and families.

Geriatric surgical patients, to include management of comorbid chronic diseases.

Culturally diverse and vulnerable patient populations.

In some circumstances, the certified general surgeon provides care in the following disease areas. However, comprehensive knowledge and management of conditions in these areas generally requires additional training.

  • Vascular Surgery
  • Pediatric Surgery
  • Thoracic Surgery
  • Burns
  • Solid Organ Transplantation

In unusual circumstances, the certified general surgeon may provide care for patients with problems in adjacent fields such as obstetrics and gynecology, urology, and hand surgery.

Source & Credit:http://www.absurgery.org/default.jsp?aboutsurgerydefined

What Does a Specialist General Surgeon Do?

A simple answer is that we operate on every part of the body except the BRAIN, HEART AND BONES. The details of what we do are a bit more more complicated to explain.

The following are some of the conditions which we treat:

  • Breast conditions: Breast pain, breast lumps and breast cancer.
  • Constipation.
  • Diseases of the liver e.g yellow eyes, liver cancer.
  • Diseases of the gallbladder e.g gallstones and infections.
  • Abdominal pains which need to be investigated.
  • Stomach Ulcer problems ( acid problems).
  • Reflux of acid problems ( heartburn).
  • Piles (haemorrhoids).
  • Bleeding from the rectum and anus.
  • Pain in the anus and rectum.
  • Injuries /Trauma.
  • Abscesses and infections of the body and skin.
  • Conditions of the thyroid gland and other neck swellings eg Goitres.
  • Pain and swelling of the testicles and scrotum.
  • Hernias eg abdominal wall, inguinal hernias, umbilical hernias and incisional.
  • Cancers of the intestines, colon, stomach and oesophagus.
  • Cancer of the pancreas and the liver.
  • Diseases of the veins of the legs e.g varicose veins.
  • Swellings in the neck e.g Lymph nodes.

Common Operations and Procedures we do:

  • Operations on all conditions of the abdomen.
  • Circumcisions ( children and adults).
  • Appendicectomy ( removal of the appendix).
  • Removal of lumps and bumps on the body eg lipomas.
  • Removal of breast lumps.
  • Operations for breast cancer eg mastectomy.
  • Cholecystectomy- operation for gallstones and gallbladder infections.
  • Gastroscopy ( telescope operation to look in the stomach for ulcers).
  • Colonoscopy ( telescope test to look in the large inestine eg for bleeding).
  • Haemorrhoidectomy – operation to remove piles.
  • Incision and drainage of abscesses( infections).
  • Operations for ingrown toe nails ( painful toe nails).
  • Amputations of infected or dead body parts. Eg from diabetes mellitus.
  • Surgery for fissure-in-ano or fistula-in-ano.
  • Surgery to prevent reflux of acid.
  • Operations to repair hernias: Inguinal, umbilical, Incisional, Hiatus.

We do Screening procedures to check for cancers of the following:

  • Skin cancers e.g melanomas. Cancer of the pancreas, Breast cancer, Colon cancer, Stomach cancer.
  • Liver cancers, Thyroid cancer, Cancer of the Oesophagus.

Source & Credit: http://www.drchamisasurgicals.co.za/what-does-a-specialist-general-surgeon-do/

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