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SRB’s
Manual of
Surgery
th
Edition
6
SRB’s
Manual of
Surgery
Sriram Bhat M MS (General Surgery)
Professor and Head
Department of Surgery
Kasturba Medical College Mangalore
Mangaluru, Karnataka, India
Honorary Surgeon
Government Wenlock District Hospital
Mangaluru, Dakshina Kannada, Karnataka, India
e-mail: meera_sriram2003@yahoo.com
Forewords
M Venkatraya Prabhu
Thangam Verghese Joshua
JAYPEE BROTHERS MEdicAl PuBliSHERS
The Health Sciences Publisher
New Delhi | London | Panama
Jaypee Brothers Medical Publishers (P) Ltd
https://t.me/medicina_free
Headquarters
Jaypee Brothers Medical Publishers (P) Ltd
4838/24, Ansari Road, Daryaganj
New Delhi 110 002, India
Phone: +91-11-43574357
Fax: +91-11-43574314
Email: jaypee@jaypeebrothers.com
Overseas Offices
J.P. Medical Ltd Jaypee-Highlights Medical Publishers Inc
83 Victoria Street, London
SW1H 0HW (UK)
Phone: +44 20 3170 8910
Fax: +44 (0)20 3008 6180
Email: info@jpmedpub.com
Jaypee Brothers Medical Publishers (P) Ltd
Bhotahity, Kathmandu, Nepal
Phone: +977-9741283608
Email: kathmandu@jaypeebrothers.com
Website: www.jaypeebrothers.com
Website: www.jaypeedigital.com
© 2019, Jaypee Brothers Medical Publishers
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s)
of the book.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying,
recording or otherwise, without the prior permission in writing of the publishers.
All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners.
the publisher is not associated with any product or vendor mentioned in this book.
Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question.
However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of
each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications.
It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability
for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required,
the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been
inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. the CD/DVD-ROM (if any) provided
in the sealed envelope with this book is complimentary and free of cost. Not meant for sale.
Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com
Clayton, Panama City, Panama
City of Knowledge, Bld. 235, 2nd Floor,
Phone: +1 507-301-0496
Fax: +1 507-301-0499
Email: cservice@jphmedical.com
SRB's Manual of Surgery
First Edition : 2004
Second Edition : 2007
Third Edition : 2009; Reprint 2010
Fourth Edition : 2013; Reprint 2013
Fifth Edition : 2016; Reprint 2017
Sixth Edition : 2019
ISBN 978-93-5270-907-6
God could not be everywhere all the time,
https://t.me/medicina_free
so, He created Mothers
This book is in the memory of my mother
Late Mrs Devaki Krishna Bhat
who continues to inspire and guide me
This edition is dedicated to my beloved Professor
https://t.me/medicina_free
Late Professor Kodial Prakash Rao; Mangaluru
Foreword
https://t.me/medicina_free
I am very proud to write a foreword to this book SRB’s Manual of Surgery (6th edition) written by
Dr Sriram Bhat M, Professor and Head, Department of Surgery, Kasturba Medical College Mangalore,
Mangaluru, Karnataka, India. Dr Sriram Bhat was a hard working undergraduate student with me
in 1980s and shaped up as a gifted surgeon and our excellent teacher for undergraduates and
postgraduates. In addition, he has proven to be a good teacher having organized many continuing
medical educations (CMEs) and workshops.
This book is meant for training the students for general surgery especially to face the university
examination. I hope that this book will be different from other books. It will be student-centric rather
author-centric. I am supremely confident that this book will serve as a constant guide to all surgical
issues.
M Venkatraya Prabhu MD (General Medicine)
Kasturba Medical College Mangalore
Dean and Professor
Department of Medicine
Mangaluru, Karnataka, India
https://t.me/medicina_free
Foreword
https://t.me/medicina_free
‘To study the phenomenon of disease without books is to sail an uncharted sea; while to study books without patients is not
to go to sea at all’.
—Sir William Osler (1849–1919)
Professor of Medicine, Oxford, UK
SRB’s Manual of Surgery has helped innumerable young doctors in the making, to start their voyage
on a sea of surgical knowledge, well equipped with a sense of direction. This book is in its sixth edition,
which speaks volumes about its popularity among the medical students. The first edition came out in
2004. It soon gained nationwide recognition as a comprehensible source of information. The text and the
style of writing is easy to understand and to remember, the accompanying diagrams and photographs
are perceivable and unforgettable—a combination which is so very important to a student facing theory
and practical examinations.
With each new edition, this manual has been updated and upgraded with a lot of dedication by the
author. The newer concepts of treatment and staging of malignancies have been documented. Surgical
anatomy has been included wherever the author deemed it essential. The book contains all the important
chapters of general surgery, the common conditions have been dealt with in detail. The reader is also
introduced to the various surgical specialities and is imparted with a basic yet-practical knowledge, which is an essential armament
to both—the student of surgery as well as to the young practicing surgeon.
I consider it a great privilege to be given the honour of writing a foreword to this manual, which has been authored by
Dr Sriram Bhat M, a favourite student of mine. He is a great teacher, a skillful surgeon, renowned author of several surgical books,
but above all a good human being. In spite of all the fame that rests lightly on his shoulders, he remains humble; in spite of being
knowledgeable, he remains eager to learn, and in spite of being busy, he gives quality time to his family and friends.
I wish Dr Sriram Bhat M, the best in his endeavours of inspiring generations of competent surgeons. I also wish the students
who read this book to be greatly benefited, and perhaps one-day surpass their teachers.
Thangam Verghese Joshua MS MCh
Professor and Ex-Head
Department of Surgery
Kasturba Medical College Mangalore
Mangaluru, Karnataka, India
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