2860-Flyer Surgical-08-doc1:2860-Flyer Surgical-08-doc1 · The Departement has identified education...

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Surgical Care at the District Hospital 2002 , 512 pages [E] ISBN 92 4 154575 5 CHF/US$ 50.00 In developing countries: CHF/US$ 25.00 Order no.1150522 Many patients who present to district (first-referral) level hospitals require surgical treatment for trauma, obstetric, abdominal or orthopaedic emergencies. Often surgery cannot be safely postponed to allow their transfer to a secondary or tertiary-level hospital, but many district hospitals in developing countries have no specialist surgical teams and are staffed by medical, nursing and paramedical personnel who perform a wide range of surgical procedures, often with inadequate training. The quality of surgical and acute care is often further constrained by poor facilities, inadequate low-technology apparatus and limited supplies of drugs, materials and other essentials. The mission of the team responsible for Clinical Procedures in the World Health Organization Department of Essential Health Technologies (EHT) is to promote the quality of clinical care through the identification, promotion and standardization of appropriate procedures, equipment and materials, particularly at district hospital level. The Departement has identified education and training as a particular priority, especially for non-specialist practitioners who practise surgery and anaesthesia. It has therefore developed Surgical Care at the District Hospital as a practical resource for individual practitioners and for use in undergraduate and postgraduate programmes, in-service training and continuing medical education programmes. The manual is a successor of three earlier publications that are widely used throughout the world and that remain important reference texts: General Surgery at the District Hospital (WHO, 1988), Surgery at the District Hospital: Obstetrics Gynaecology, Orthopaedics and Traumatology (WHO, 1991), Anaesthesia at the District Hospital (WHO, 1988; second edition 2000). This new manual draws together material from these three publications into a single volume which includes new and updated material, as well as material from Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors (WHO, 2000). "...Indispensable manual for outlying health centres." - International Federation of Surgical Colleges "... While the general reader is most likely enjoying all the advantages of sophisticated surgery, much of the world's population has no access to even simpler procedures and trauma care. This worthwhile manual goes a long way to closing that gap." - Annals of Burns and Fire Disasters

Transcript of 2860-Flyer Surgical-08-doc1:2860-Flyer Surgical-08-doc1 · The Departement has identified education...

Surgical Careat the District Hospital

2002 , 512 pages [E] ISBN 92 4 154575 5CHF/US$ 50.00In developing countries: CHF/US$ 25.00Order no.1150522

Many patients who present to district (first-referral) level hospitalsrequire surgical treatment for trauma, obstetric, abdominal ororthopaedic emergencies. Often surgery cannot be safelypostponed to allow their transfer to a secondary or tertiary-levelhospital, but many district hospitals in developing countries haveno specialist surgical teams and are staffed by medical, nursing andparamedical personnel who perform a wide range of surgicalprocedures, often with inadequate training. The quality of surgicaland acute care is often further constrained by poor facilities,inadequate low-technology apparatus and limited supplies ofdrugs, materials and other essentials.

The mission of the team responsible for Clinical Procedures in theWorld Health Organization Department of Essential HealthTechnologies (EHT) is to promote the quality of clinical carethrough the identification, promotion and standardization ofappropriate procedures, equipment and materials, particularly atdistrict hospital level. The Departement has identified educationand training as a particular priority, especially for non-specialistpractitioners who practise surgery and anaesthesia. It has thereforedeveloped Surgical Care at the District Hospital as a practicalresource for individual practitioners and for use in undergraduateand postgraduate programmes, in-service training and continuingmedical education programmes.

The manual is a successor of three earlier publications that arewidely used throughout the world and that remain importantreference texts: General Surgery at the District Hospital (WHO,1988), Surgery at the District Hospital: Obstetrics Gynaecology,Orthopaedics and Traumatology (WHO, 1991), Anaesthesia at the District Hospital (WHO, 1988; second edition 2000).

This new manual draws together material from these threepublications into a single volume which includes new and updatedmaterial, as well as material from Managing Complications inPregnancy and Childbirth: A Guide for Midwives and Doctors(WHO, 2000).

"...Indispensable manualfor outlying

health centres."- International Federation

of Surgical Colleges

"... While the generalreader is most likely

enjoying all theadvantages of

sophisticated surgery,much of the world's

population has no accessto even simpler

procedures and traumacare. This worthwhile

manual goes a long wayto closing that gap."

- Annals of Burns and Fire Disasters

Surgical service

• Organization and management of the district surgical service

• The district hospital • Leadership, team skills and

management • Ethics • Education • Record keeping • Evaluation • Disaster and trauma planning • The surgical domain: creating

the environment for surgery• Infection control and asepsis • Equipment • Operating room • Cleaning, sterilization and

disinfection • Waste disposal

Fundamentals of surgical practice

• Approach to the surgical patient• The paediatric patient • Surgical techniques• Tissue handling • Suture and suture technique • Prophylaxis • Basic Surgical Procedures• Wound and lacerations

management • Burns • Foreign bodies • Cellulitis and abscess• Excision and biopsies

The abdomen

• Laparotomy and abdominal trauma

• Assessment and diagnosis of acute abdominal conditions

• Intestinal obstruction • Peritonitis • Stomach and duodenum • Gallbladder • Appendix • Abdominal wall hernia

and groin hernias • Surgical repair of inguinal hernia • Surgical repair of femoral hernia • Surgical treatment

of strangulated groin hernia • Surgical repair of umbilical

and para-umbilical hernia • Surgical repair of epigastric

hernia • Incisional hernia • Urinary tract and perineum• Urinary bladder, male urethra,

male circumcision

Resuscitation andpractical anaesthesia

• Management of emergencies and cardiopulmonary resuscitation

• Intravenous access and fluids • Drugs in resuscitation • Preoperative assessment

and investigations • Anaesthetic issues

in the emergency situation • Important medical conditions

for the anaesthetist • General anaesthesia • Anaesthesia during pregnancy

and for operative delivery • Paediatric anaesthesia • Conduction anaesthesia • Specimen anaesthetic techniques • Monitoring the anaesthetized

patient • Postoperative management • Anaesthetic equipment and

supplies for different level hospitals

• Anaesthesia and oxygen • Fires, explosions and other risks • Care and maintenance

of equipment

Traumatology and orthopaedics

• Acute trauma management• Principles of Primary Trauma Care • Six phases of Primary Trauma Care • Orthopaedic techniques• Traction • Casts and splints • Application of external fixation • Diagnostic imaging • Physical therapy • Cranial burr holes • Orthopaedic trauma• Upper extremity injuries • Fractures of the pelvis and hip • Injuries of the lower extremity • Spine injuries • Fractures in children • Amputations • Complications • War related trauma • General orthopaedics• Congenital and developmental

problems • Bone tumours • Infection • Degenerative conditions

Emergency obstetric care

• Hypertension in pregnancy• Assessment and management • Delivery • Postpartum care • Chronic hypertension • Complications • Management of slow progress

of labour• Slow progress of labour • Progress of labour • Operative procedures • Bleeding in pregnancy

and childbirth• Diagnosis and initial

management • Specific management • Procedures • Aftercare and follow-up

Organizing the district hospital

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In developing countries: CHF/US$ 25.00 (Order no. 1150522)___ Please add CHF 12.00/US$10.80 for postal mail charges___ Please add CHF 34.00/US$ 30.60 for courier servicescharges

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