Surgery Quick Notes
High-Yield Facts: Fractures, Tumors, and Operations
Main Fractures
Pott's Fracture
Fracture and fracture dislocation around the Ankle.
LeFort's Fracture
Facio-maxillary Fracture.
Colles Fracture
Fracture of Radius within 2.5 cm of the wrist.
Smith's Fracture
Reversed Colles fracture.
Monteggia Fracture
Fracture of upper 1/3 of Ulna + dislocation of superior radio-ulnar joint.
Bennet's Fracture
Oblique, vertical 1st metacarpal with dorsal dislocation.
Common Sites
Rheumatoid Arthritis
Small joints of hand
Gout
Metatarsophalangeal joint of toe
Pseudo Gout
Knee
Paget's Disease
Pelvis
T.B. Spine
T9, T10, T11, T12
Main Tumors
Wilm's Tumor
Nephroblastoma (Children)
Grawitz's Tumor
Hypernephroma (Adults)
Krukenberg Tumor
Atypical secondary of Ovaries
Pott's Puffy Tumor
Edema of scalp in osteomyelitis of cranial bones
Schneeberg Cancer
Ca lung by radio-active substance
Main Operations
| Operation Name | Indication / Procedure |
|---|---|
| Billroth 1st | Gastric Resection + Gastro duodenal Anastomosis |
| Billroth 2nd | Gastric Resection + Gastro jejunostomy |
| Fothergill's / Manchester | For prolapse uterus (Excision of cervix) |
| Halsted's Op. | Mastectomy for carcinoma breast |
| Trendelenburg's Op. | For varicose veins / pulmonary embolectomy |
| Nissen's Fundoplication | Hiatus hernia |
| Ramstedt's Op. | For congenital pyloric stenosis |
| Palomo Op. | For Varicocele |
Clinical Timelines
Pregnancy: Contraindicated within 3 years after operation for breast carcinoma.
Appendectomy: Should be done after 3 months of acute attack (Interval Appendicectomy).
Cleft Lip: Operate at 3 months of age.
Cleft Palate: Operate at 1.5 to 2 years of age.
Orchidopexy: Should be done at 2 years of age.