Long Cases in General Surgery

Long Cases in
General Surgery
Long Cases in
General Surgery
R Rajamahendran
MBBS MS MRCS FAGE
Assistant Professor of Surgery
Srimanakula Vinayagar Medical College and Hospital
Pondicherry
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Long Cases in General Surgery

© 2008, R Rajamahendran
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or
transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise,
without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by author is original. Every effort
is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible
for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi
jurisdiction only.
First Edition: 2008

ISBN 81-8448-178-0
Typeset at JPBMP typesetting unit
Printed at Rajkamal Press
To
My Parents, Teachers, Friends and the Students
of Kilpauk Medical College, Chennai
Foreword
It is with considerable pleasure and delight that I am writ-

ing the foreword to the book Long Cases in General Surgery
by Dr Rajamahendran.
He has been associated with me for the past nine years
as medical student. He has ventured to bring out a good
readable volume in its best contents and outcome for exam
going undergraduates. The unique feature of this book is the crispy nature of
chapters then long cases presentation.
The author must be congratulated for his efforts to present this book to the
medical students which provides them uptodate guidance with personal and
individual emphasis on the preparation for clinical examination.
I wish Dr Rajamahendran all the success.
Dr D Amudan
MS (General Surgery)
Assistant Professor
Department of General Surgery
Thoothukudi Medical College
Tamil Nadu
Preface
When I was studying for my final year examinations, I found that although
many theory books were excellent in all aspects yet clinical case discussions
were not sufficient. So it compelled me to pen down the various clinical points
and the relevant theory of the major exam cases, which are the deciding criteria
for practical examinations.
I started collecting points from various books, materials and clinical discus-
sions of all professors from various colleges and made a complete study mate-
rial. Many of my friends and juniors who studied those materials encouraged
me to produce it in book form, which made me bring it to you as Long Cases in
General Surgery. I hope it will help you to go to the practical examination hall
with confidence.
Friends, kindly send your suggestions and opinions to my E-mail:
minnalraja@gmail.com
All the best for your examinations.
R Rajamahendran
Acknowledgements
My sincere thanks to the students of Kilpauk Medical College, Chennai who
encouraged me during my work. I would like to thank my friends
Dr Karthikeyan, Dr Vijay Anand, Dr Rajarajan and Dr Dhanasekar for their
constant support throughout my career.
I would like to give special thanks to my ward friends, Dr Priyadharshini.
and Dr Preetha who encouraged me to write this book.
The credit of this book also goes to Dr Amudan, Assistant Professor of
Surgery, Tuticorin, who aided me a lot in writing the book.
I would like to take this opportunity to thank my teachers,
Prof Dr G Gunaseelan, Prof Dr PK Baskaran, Dr S Suresh, Dr B Sathya Priya.
Also I would like to thank Mr Jayanandan, author co-ordinator, M/s Jaypee
Brothers Medical Publishers, Chennai Branch for his constant support through-
out the steps in bringing my material as book.
Contents
1. Inguinal Hernia ............................................................................................. 1
2. Thyroid Gland ............................................................................................. 27

3. Carcinoma Breast ........................................................................................ 65
4. Epigastric Swelling ..................................................................................... 93
5. Right Iliac Fossa Mass .............................................................................. 128

6. Liver Secondaries ...................................................................................... 151
7. Varicose Veins ........................................................................................... 166
Index ............................................................................................................. 185

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Long Cases in

JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD

Long Cases in General Surgery

First Edition: 2008

It is with considerable pleasure and delight that I am writ-

1. Inguinal Hernia ............................................................................................. 1

2. Thyroid Gland ............................................................................................. 27

4. Epigastric Swelling ..................................................................................... 93

5. Right Iliac Fossa Mass .............................................................................. 128

7. Varicose Veins ........................................................................................... 166

Index ............................................................................................................. 185

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