Common Procedures: General Surgeon

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Brianna Edwards Mrs. Simmons English II, Block 3 12 March, 2013 General Surgical Procedures Thesis: The three most frequently performed surgeries by a general surgeon are an appendectomy, gall bladder removal, and a hernia repair. I. Introduction A. Roman era B. Technologies and technique evolution II. Appendectomy A. Why this procedure is needed 1. Appendicitis a. what it is b. Infection and inflammation of appendix 2. Peritonitis a. Ruptured appendix b. Spread of infection c. life-threatening B. Symptoms and diagnosing 1. Pain in abdomen a. Starts at belly button b. Leads to lower right abdomen 2. Hard to diagnose a. no tests to confirm b. symptoms similar to others c. this leads to 98,000 unneeded appendectomies C. Treatment options 1. Only surgical options a. Life-threatening condition if it ruptures b. Removed anyway for future safety c. You can live without your appendix 1. Open surgery a. Incision at lower right quadrant b. Traditional way 2. Laparoscopic a. 3 smaller incisions b. Less invasive c. Totally outside the patient III. Gall Bladder removal (cholecystectomy) A. Why this procedure is necessary 1. Fatty foods a. affects function of gallbladder b. Causes high number in cholecystectomies c. high statistics shows many can live without their gallbladder 2. Gallstones a. 10-20% of population has gallstones b. Calcium, cholesterol, and bilirubin gather to stone like pieces c. blocks the bile d. can cause cholecystitis 3. Cancer in gallbladder a. Very uncommon b. May start somewhere else and spread B. Treatment options 1. Alternatives to surgery a. Antibiotics b. Analgesics c. You can live without your gall bladder 2. Open surgery a. One bigger incision

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