█ _ وائل متولي 2017 حصريا كتاب ❞ principles of general surgery VOL2 ❝ 2025 VOL2: VOL2 By: Dr Wael Metwaly 2 CONTENTS DEVELOPING A SURGICAL DIAGNOSIS BASIC NECESSITIES FOR SURGERY ASEPTIC TECHNIQUE INCISIONS FLAP DESIGN Prevention flap necrosis dehiscence tearing TISSUE HANDLING HEMOSTASIS Means promoting wound hemostasis Dead space management DECONTAMINATION AND DEBRIDEMENT EDEMA CONTROL PATIENT GENERAL HEALTH NUTRITION 3 PRINCIPLES OF Human tissues ,due to their innate properties ,react injury fairly predictably So ,with experience certain set are evolved for optimal healing These called as 4 Important decisions regarding made from : Identifying signs and symptoms by 1 Complete thorough history 2 Physical examination Radiographic findings Laboratory investigations Record keeping data in an organized form Differential diagnosis 5 Adequate visibility is based on access m o uth p e ning , s urg ic a l x ure re tra c tio n light Surgical field free excess blood other fluids Assistance 6 It includes minimizing contamination pathogenic microbes through: Medical asepsis asepsis 7 TECHNIQUE(CONTD ) 3 Universal precautions applied prevent sepsis efforts fall under the following headings Instrument sterilization Operatory disinfection staff preparation Hand arm Clean technique Sterile 8 Incisions necessary many OMFS procedures The apply Use sharp blade proper size firm continuous strokes Avoid cutting vital structures Incise perpendicular epithelial surface Intraoral incisions should be properly placed 9 Principles design help prevent: Flap 10 Preventing 4 tip never wider than base unless major artery present at length no more twice width In oral cavity, exceed When possible, include axial supply base Emphasizing both science craft surgery, Fischer’s Mastery Surgery, Sixth Edition, embraces scope consistent with broad training surgeon, providing extensive coverage vascular well common thoracic, breast, esophageal, endocrine, colorectal, gastric, pancreatic, liver, biliary Organized ease use, each procedural chapter reviews essentials diagnosis, anatomy, pre operative planning, but focuses most heavily step depictions descriptions Each concludes, traditional this classic text, editorial commentary that puts material context provides helpful critiques recent literature كتب الطب البشري مجاناً PDF اونلاين هو من أكثر التخصصات التي تفيد المجتمع وأكثرها تواصلاً معه يشارك الطبيب العديد الحملات الصحية التثقيفية والمشاركة البرامج الوقائية وحماية البيئة واستخدام كل وسيلة فعَّآلة لتحقيق ذلك ويساهم أيضاً رفع مستوى الوعي الصحي وتقديم المشورة للمجتمع يحتوي هذا القسم علي مجموعة الكتب المتميزة تشمل: الإلمام الكامل بالأمراض تصيب جسم الإنسان والأعراض المصاحبة لهذه الأمراض وطرق تطوير صحة ويتخصص المجال أطباء يحصلون شهادة MD وهي أول الشهادات يحصل عليها المبتدأ مجال الطب