GENERAL SURGERY

GENERAL SURGERY

INFRASTRUCTURE :

Clinical Demonstration Room- 1
  • Size:40’x15’, Capacity – 50
Audio-visual equipment available: Overhead Projector, LCD projector

Departmental Library-cum-Seminar Room:

There a separate departmental library

  • Size – 15’x20’  , Capacity – 20
  • Number of books – 254, Journal:  IJS

Office accommodation –

  • Professor and HOD – 1 2 rooms,
  • Associate Professors/Readers – 6 rooms,
  • Registrars/Sr. Residents – 1 rooms,
  • Jr. Residents – 1 rooms
  • Non-teaching and clerical staff – 2 rooms

TEACHING HOSPITAL:

  • Number of Teaching Beds – 240 (including ID ward),
  • Number of Units – 8,
  • Number of beds per unit – 30
  • Indoor admissions (2014-2015) – 8935
  • OPD (2014-2015) – 125352
  • Average Bed occupancy per day – 85%
  • Intensive care Unit – 10 Beds in central 20 Bedded ICU

MAJOR EQUIPMENT AVALIABLE IN THE DEPARTMENT :

  • Laparoscopic instrument (stortz HD), Harmonic Scalpel, ERBE vessel sealer
  • Mono polar and Bipolar Cautery, G.I. Stapler, Operating microscope, Piped O2 and N2O system, Boyle’s apparatus with O2 & N2O cylinder-11, M.P. Monitor-1, S.P. Monitor, Oxymeter-10, OT light, OT table, Capnometer-1, Cardiomonitor-3, Difibrilator-1, Ventilator-1, Vessel sealer -1, Surgical work station-1( Monopolar, Biopolar, Argon plasama Coagolotor, water jet), Anaesthesia Workstation

OUT-PATIENT DEPARTMENT:

  • Arrangement for clinical instructions to student in is available in the OPD
  • Average Daily OPD Attendance –  Old Patients – 21, New Patients – 123
  • Facilities available in out-patient department – Dressing room for men, Dressing room for women, Operation theatres for out patient surgery

TEACHING AND TRAINING FACILITIES :

  • In OPD – Clinical demonstration room – 1
  • Number of rooms in the OPD for seeing the patients by various faculty members and resident staff  –  3
  • In-door- Bedside teaching is done
  • Clinical demonstration room/seminar room – 1

OPERATION THEATRE UNIT:

  • Operation theatres – Major OT – 05, Emergency OT –  01

Equipment: (along with anesthesia equipment)

  • Piped O2 and N2O system, Boyle’s apparatus with O2 & N2O cylinder-15, M.P. Monitor-18, S.P. Monitor, Oxymeter-13, OT light, OT table, Capnometer-4, Cardiomonitor-2, Difibrilator-2, Ventilator-6, Anaesthesia Workstation -2, BP instruments-5, Suction machine-20
  • Facilities available in each O.T. unit – Waiting room for patients, soiled linen room, sterilization room, nurses duty room, surgeons & anesthetists room, store room, washing room for surgeons & assistants, students washing up and dressing up room – available. Arrangement of Anesthesia – Pre and post-anaesthetic care is available. Nature of anesthesia used: GA/LA/RA
  • Pre-operative ward (no. of beds) – 110, Post-operative ward (no. of beds) – 70
  • Resuscitation facilities and special equipments are available
  • Number of surgeries performed during (2014-2015) –
  • General Surgery including Paediatric Surgery-2042 (major), 9941(minor), Vasectomies performed – 45

TEACHING PROGRAMME         :

Curriculum of studies – as prescribed by MCI

Methodology:

  • Total of clinical postings monthly in groups of 25 on rotation basis:15 days
  • Didactic Lectures – As per MCI guidelines the routine is prepared by the Dean and Principal.
  • Demonstration – 30, Tutorials – 30, Seminars conducted during the year – 210, Practical – 30. Duration of operation theatre postings – daily
  • Bedside Clinics – Daily in different units
  • Number of hours a student spend daily at the wards for clerkship – 3hrs/day         Average Number of students posted at a time for indoor OPD postings – 25
  • Students write case histories in a prescribed book that are corrected by allotted faculty.Training is given by assistant professors posted on the day give the training in the casualty. Out-patients teaching is by Sr. teacher -1hr
  • Internship training programme – Period of posting in the department – Gen.Surg is 2 months including Aneathesiology for 15days
  • Method of Assessment for Internship – logbook/assessment sheet
  • Students taken for Post Graduation – Yes

SCHEDULE FOR UNDERGRADUATE TEACHING (from 3rd Sem. To 9th Sem)

Semester Approx.No. of Classes TOPICS TO BE COVERED
3rd Sem. 22 General Principles-Wound Healing & Management,Scar-Hypertrophic & Keloid,First aid Management of severely injured,Asepesis.Antisepsis,Sterilization,Surgical Sutures,Knots,Drains

Bandages,Splints,Surgical Infections,Rational use of antibiotics,Nosocomoial infections,Boils

Cellulities,Abscess,Nectrotising Fascities,Tetanus and gas gangrene
4th Sem. 22 Chronic specific infection
5th Sem 22 Chronic Specific infection- TB,Filariasis, Leprosy,AIDS and Hepatitis, Surgical Importance, Fluid &Electolyte Balance,Shoke—Aetiology,Pathophysiology & Management,Blood Transfusion,  Indication,Hazards,Common postoperative     complitions, Burn– Cause, Prevenition,    & Management,pathophysiology, Assessment of Depth & Surface,Fluid  Resuscitation, Skin cover & Prevention of Contracture.
6th 96 Lymphatics & lymphnodes scalp,skull & brain,Oral cavity,salivary glands,epulis,Cysts &

Tumours of Jaws,Mazxilofacial injuries,Salivary fistula.Thyroid glands,Parathyroid  & adrenal

Glands,communication and managerial skills,Neck- Bronchial cyst,Cystic Hygroma,Cervical

Lymphadenitis,TB lymphnodes,secondary in the neck

Skin & S/C conditions,Sebacious Cyst,Dermoid Cyst,Lipoma,Haemangioma,Neuro fibroma,

Premalignant conditions of skin,basal cell carcinoma,squamous cell carcinoma,naevous,malignant

Melanoma,Sinus & Fistula(TB & Skin) Pressures Sore-Prevention & Management,Arterial

Disease-Acute arterial obstruction ,Burger’s disease,diagnostic of arterial insufficiency and Arteriosclerosis,investigation of arterial obstruction,vascular Injury,Basic Principles & Management,DVT-Diagnosis & presentation,Principles of therapy & thrombophelibities.

Omphalitis,Fistula,Granuloma & tumours of Umbilicus,Testies & scrotum,Undescended testies

Tortion testies,Hydrocele,Haemmotocele,pyocele,Epididymo-orchitis,Testicular Tumors,Verico-Cele,& its effect of spermatogenesis
7th Sem. 72 classes Spleen,splenomegaly,Casuses,Investigations,Indication For splenoctomy,Spilinic Injury,  Pancreas-Pancreatitis,Carcinoma Pancreas,Pseudopancreatic Cyst and Pancreatic cyst. – Thorax-Pneumothorax, Haemothorax Pulmonary embolism,Flail chest,Stove in chest, Postoperative complications.

Breast– Surgical anatomy, Nipple Discharge,Acute Infections,Breast Abscess,Mamary Dysplasia, Gynaecom

astia,Fibroadenoma,Assessment and Inv.Of BreastLump, Cancer Breast – Diaagnosis ,Staging& Principles ofManagement.

Rectum & anal Canal- Carcinoma Rectum,Diagnosis Clinical Features and Principles of Malignant,Indication and Management of Clostomy,Prolapse Rectum,Anal Canal—Surgical Anatomy, Clinical Features, Management of Fissures, Fistual in Ano, Perianal and Ischiorectal Abscess, Hemorrhoids,Diagnosis and referral of anorectal anomalies, carcinoma of anal canal
8th Sem 96 classes Surgical Specimens,Surgical Anatomy,Surgical Instruments,Operative Surgery-

I&D Abscess,Debridment & Surgery of Hand,Venesection,Excision of Simple Cyst

And tumour,Biopsy of Surface Malignancy,Cathetrization,Nasogastric Intubation,

Circumcision,Meatotomy,Vasectomy,Peritoneal & pleural aspiration,diagnostic

Proctoscopy,Hydrocoele operation,endotracheal intubation,tracheostomy,Chest tube

Insertion,Operation of Hernia.
9th Sem 72 classes Thyroid Glands,Parathyroids & Adrenal glands,Appendix,Intestinal obstruction. Peritoneum,Omentum,Mesentary,Retroperitoneal space Peritonitis,intraperitoneal   abscess,laparoscopy,Acute abdomen,Hemias,Gall bladder & bile duct.
Small & large intestines(T.B,Carcinoma, Amoebiasis), Lower ,G.I.Bleeding , Chrons disease,Ulcerative colitis,Premalignant Condition. Hernia,Gal bladder & Bile Duct