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45NOTESTOPG-IMAGES

—Dr.AnkitYadavendra,M.B.B.S.,Dr.V.M.G.M.C.,Solapur

18-SURGERY

Johnsonclassificc/cgastriculcer

I-a/c

I-c/c,1-lessercurvature,2-gastric ulcer+duodulcer,3-pREpyloric,4-<2cmfrom GEJ,5-NSAIDinduced

Menetrierds-hypertrophicgastricfold, hypoproteinemia,foveolarhyperplasia

CouinaudSxanatomyliver

kidneystone

McNealzone-prostate

branchialcyst

hernia

Maydle/herniaenw-intraabdbowel

Richter-partofbowelcircumference

Amyand-Appendix

dual/pantaloon/Romberg/saddlebagindirect+directing

Spigelian-Spigelianfascia(fasciafr tipof9thcostalcart→pubictubercle)

exomphalosmajor-umbilicalcordatachto infaspectsac

erythemainduratum

Lipschutz(ulcusvulvaeacutum)-Behcetds

Maleny(burrowing)-Microhemophilic nonhemolytstreptoc+aerobhemolytic streptocinf

rodent-BCC

Snailtrack-Syphilis

Martorel-HTN,atherosclerosis

trophic-bedsore

Marjolinulcer

tuberculousulcer

punchedoutulcer

underminedulcer

Alisforceps(sharpteeth)- grasptoughtslikefascia

Backhaustowelclip-holdtowel&drape

surgicalblade

Doyencrossactiontowelclip-fix drapetowel,diathermycable, suctiontube,rib

Giglisaw-cutingbone/amputation

Heathsuturecutingscissor

irissuturescissors

Kelyhemostat(serrated)-clamplargevess

Kocherforceps(toothed)-graspheavyts

Listerbandagescissors-cutbandage

Listersinusforceps-I&DHiltonmeth,hold gaugeswabtocleanabscess

Marylandforceps-laparoscopic

Sx

Mayo/suturescissors-cuttough struct(lineaalba,rectussheath), delicatestruct(holowviscus)

Metzenbaumscissor-cutdelicatets

Mosquitohemostat(serrated)-clampsmal vess

needleholder-holdneedlewhen suture

nontoothedforceps

Rampleyswabholdingforceps

Seldingerneedle-arteriography

chROmic/21dcatgut(bROwn)- catgut+chromicsalt,time=15- 25d,roundbodyneedle,2-0- thicknsuture,goodknoting, preservative-70%isopropyl alcohol+5%glycerine(keepsoft)

dExon/pOLYglyColicacid(CrEamyYeLLOw)- braided=4-6mth

polydioxanone(creamy)=6mth

polyglyconate/maxon

monocryl/polyglycaprone

VIcryl/polyglactIN(VIolet)-glycolide+lactide, absorbedbyhydrolysis,canbeusedinINf, INtestanastomosis

pLain/7dcatgut(violin-yeLLow)-sheep intestsubmucosa,time=7-10d,fatstitch

mersilk(black)

blacksilk-cocoonsilkwormlarva,morets rxn

coton(white)

proLEne/polyproylene(bLuE)-abdclosure, herniarepair,highmemory

nylon/ethilon/nurolon/polyamide(green)

polyester/mersilene/ethibond

Sxsteel

Bilrothgastrectomy

hypospadias

hydroceletypes

cleftlip&palate