Intro -- Title Page -- Copyright -- Contributors -- Preface -- Part 1 Avoiding and managing problems: principles of safe surgery -- 1 Consent -- The nature of consent -- How detailed should information be? -- What is material risk? -- The adult patient -- The child patient -- The patient with cognitive impairment or intellectual disability -- Seeking medico-legal advice -- 2 Physical environment -- Suitable settings for minor surgery -- Facilities required -- 3 Set-up -- Patient positioning -- Surgical safety -- Preparation of the surgical site -- 4 Instruments -- Scissors -- Grasping forceps
Clips -- Tissue holders -- Needle holder -- Retractors -- 5 Infection control and prevention -- Infection prevention -- Types of pathogens -- Minor surgery and infection -- 6 Human factors -- What are human factors? -- Safe surgery initiatives -- Asking for help -- 7 Focused history -- Focused history for minor surgery -- Past medical history -- Drug history -- Social history -- Family history -- Systems review and summary -- Patient-centred care -- Day surgery -- 8 Specimen processing and reporting -- Specimen handling and labelling -- Tissue preservation -- Processing and staining of tissue
The frozen section technique (intraoperative consultation) -- Stage of disease -- The surgical pathology report -- 9 Follow-up -- Introduction -- Dressings -- Analgesia -- Complications -- Follow-up plan -- Information for GP letter -- 10 Anaphylaxis -- Anaphylaxis -- Recognition of anaphylaxis -- Medical interventions for anaphylaxis -- Surgical interventions for anaphylaxis -- Follow-up for anaphylaxis -- 11 Emergencies and resuscitation -- Advanced life support algorithm -- 12 Audit and practice -- Clinical governance -- Audit -- 13 Communication and conflict resolution -- Communication skills
Conflict resolution -- Part 2 Basic pain control and anaesthesia -- 14 Local anaesthesia -- What is a local anaesthetic? -- Safety considerations -- Adrenaline -- 15 Sedation -- Sedation and analgesia -- Levels of sedation and analgesia -- 4 P's of safe sedation -- Patient -- Procedure -- Provider -- Place -- Monitoring the level of sedation -- Complications of sedation -- Reversal of sedation (if required) -- Discharge -- 16 General and regional anaesthesia -- Introduction -- General anaesthesia -- Regional anaesthesia -- Spinal anaesthesia -- Epidural anaesthesia -- Peripheral nerve blocks
Part 3 Core surgical knowledge -- 17 Skin incisions -- Scalpels -- Holding the scalpel to make an incision -- Basic principles for incision -- Minor surgical incisions -- Techniques for a good scar -- Electrodissection to incise -- 18 Principles of wound closure -- Plan the skin incision -- Choosing the suture size -- Choosing the suture material -- Suture placement -- Technique for simple interrupted sutures -- When should I use a different suturing technique? -- Removing sutures -- Anaesthesia -- 19 Sutures -- Introduction -- Properties of the ideal suture material -- Types of suture material
