Surgical Care at the District Hospital 1st Edition

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Many patients who present to district (first-referral) level hospitals require surgical treatment for trauma, obstetric, abdominal and 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. WHO/BCT 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. Table of ContentsPart-1: Organizing the District Hospital Surgical Service Organization and Management of the Districts Surgical Service The Surgical domain: Creating the Environment for surgery Part-2: Fundamentals of Surgical Practice The Surgical Patient Surgical Techniques Basic Surgical Procedures Part-3: The Abdomen Laparotomy and Abdominal trauma Acute Abdominal Conditions Abdominal Wall hernia Urinary tract and Perineum Part-4: Emergency Obstetric Care Hypertension in Pregnancy Management of slow progress of labour Bleeding in Pregnancy and Childbirth Part-5: Resuscitation and Anaesthesia Resuscitation and Preparation for anaesthesia and Surgery Practical anaesthesia Anaesthesia infrastructure and supplies Part-6: Traumatology and Orthopaedics Acute trauma management Orthopaedic techniques Orthopaedic trauma General Orthopaedics.