Injuries to the spleen, liver, bladder, gut, etc., are not an uncommon cause of preventable death and their proper clinical assessment is vital. The spleen,liver, retroperitoneum, small bowel, kidneys, bladder, collorectum, diaphragm, and pancreas tend to be the most commonly…
The aims of postoperative care are to: Monitor the patient’s postoperative period to detect and correct any anomalies. Keep the patient comfortable and give adequate analagesia. Rectal diclofenac 100 mg(adults), paracetamol for children or pethidine 1 mg/kg TDS. Offer supportive…
Antimicrobial prophylaxis can decrease the incidence of infection, particularly wound infection after certain operation, but this benefit must be weighed against cost, risks of toxic or allergic reactions, and emergence of resistant bacteria. The administration of antibiotic agents to prevent…
The golden rule of blood transfusion should be that no transfusion is given unless the benefit of the transfusion outweighs the risks. Before all blood transfusion,therefore,there must be a balance among the risks associated with the transfusion, the indications for…
The HIV/AIDS disease in Kenya is currently affecting all age groups, including teens. It is important for the surgeon to appreciate the varying surgical presentations this disease has. Strict surgical barriers must be implemented at all times to avoid…
Theatre Etiquette In order to attain optimal results, a doctor operating in theatre is expected to maintain the following “rules”. Be involved in the preoperative selection and preparation of patients including obtaining of the informed consent. As the team leader,…
Preoperative Patient Evaluation A patient for elective surgery needs thorough evaluation not only for suitability for general anesthesia but also for possible complications related to or arising from the operations(e.g,. A toxic goitre, chronic cough in a hernia patient). Surgical…
