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SURGERY A PLANNED ACCIDENT

Surgery – a planned Accident! – Part II.
Like a Road Traffic Accident (RTA), all surgical procedures performed on patients by Surgeons, inflicts injury of varying extent on the human body system. It is for a GOOD Surgeon to see that the operation performed is safe and is beneficial to the patient. The risks and benefits have to be carefully evaluated and discussed with the patient and relatives .


Planned Elective Surgery

Preoperative Diagnosis & Evaluation.
“More Diagnosis are missed, By not taking a look, than by not knowing , What is in the book !” Proper “Diagnosis” (identifying the disease/ailment accurately) is the basic foundation on which the entire treatment, medical or surgical depends. And for making proper and accurate diagnosis, the doctor has to make a thorough clinical examination – which includes detailed history taking, noting and recording past illnesses and events, a family history and personal history etc. This will be followed by a systematic and thorough examination of the patient. At this time, the doctor will often be in a position to make a “Diagnosis” and alternate possibilities or “Differential Diagnosis”. Most often, to confirm the diagnosis and to evaluate the patient for fitness to withstand either medical or surgical therapy, suitable and RELEVENT tests or special investigations are performed. These should be relevent to the Diagnosis and Differential Diagnosis made by examining the patient. The art of proper clinical diagnosis are still very relevent, though not practiced by many present day clinicians.

A hurried and slipshod clinical examination, not listening to patient’s problems and symptoms, not making any diagnosis at all, and ordering for ALL POSSIBLE tests and special investigations, fishing for a diagnosis among the investigative reports – all these lead to wrong diagnosis and treatment and and also greatly increase the cost of medical treatment.

Before performing any surgery, accurate diagnosis and complete evaluation of the patient to assess if he or she is fit enough for safely undergoing surgery are essential. Sometimes, in spite of all tests, the diagnosis may not be arrived at or patient has various complicating problems like high BP, Diabetes, Heart disease, kidney disease, asthma or some uncontrolled infection etc. In these instances, surgery will be advised only if essential and the increased risks involved in surgery must be explained to patient and relatives. This “Informed Consent” is taken before every surgery and absolutely mandatory in patients with increased risk.

Controlling concurrent medical diseases like Diabetes, BP, Heart diasese, Asthma & other infections, brings down the risk at surgery considerably, making surgery safer for the patient. Only in Emergency Surgery, where it may be life saving, more risks have to be taken, of course, with “ informed consent”.

Success following Surgery:
Apart from the preliminary steps to be taken as mentioned above, success depends on many more factors, like O.T design and instrumentation, O.T Discipline followed by surgeons and all paramedical staff, Surgeon’s skill in performing surgery, careful post operative monitoring and nursing care etc.

These details will be shared with you in our future communications.

We at Dr U Mohan Rau Memorial Hospital try our best to follow and achieve the best standards in Surgery and also in Medical care in ALL the Disciplines that we have!

With Best Wishes to Be Healthy,

Yours Sincerely,

Dr. M.Mohan Rao, MBBS, MS, FICS, MCH,
M.D. & Chief Surgeon,
Dr. UMR Memorial Hospital.
962, Poonamallee High Road, Chennai 600084.
Tel. 6424396, 6411621, 6412474.
E-mail: mmr@mohanraohospital.com

 

Updated on 01.01.2013.
 

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