idi surgical skill in primary care dr maman

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    Nama : Dr. R. Maman Abdurahman, SpB(K)Onk

    TTL : Bandung, 2 September 1966

    Alamat : Divisi Bedah Onkologi, Kepala dan LeherDept/SMF Ilmu Bedah FK Unpad/ RSHS

    Jabatan : Kepala Instalasi Bedah Sentral RSHS

    Ketua PERABOI Jawa Barat

    Pendidikan : FK Unpad Lulus 1991, Sp.B Unpad2000, Sp.B(K)Onk Bandung 2006

    Email : [email protected]

    No. Hp : 08122346578

    CURRICULUM VITAE

    mailto:[email protected]:[email protected]
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    Dr. Maman Abdurahman, SpB(K)Onk

    Dr. Nurhayat Usman, SpB-KBD

    Dept/SMF Ilmu Bedah FK UNPAD/RSHS

    Surgical Skill in Primary Care

    Your Logo

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    CURRICULUM VITAENama : Dr. R. Maman Abdurahman, SpB(K)Onk

    TTL : Bandung, 2 September 1966

    Alamat : Divisi Bedah Onkologi, Kepala dan LeherDept/SMF Ilmu Bedah FK Unpad/ RSHS

    Jabatan : Kepala Instalasi Bedah Sentral RSHSKetua PERABOI Jawa Barat

    Pendidikan : FK Unpad Lulus 1991, Sp.B Unpad2000, Sp.B(K)Onk Bandung 2006

    Email : [email protected]. Hp : 08122346578

    mailto:[email protected]:[email protected]
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    Surgery: the neglected component of

    primary care

    Director-General of the WHO Dr. Mahler (1980)identified the important role of Surgery in primaryhealth care, citing the availability of emergency surgicaltreatment in injuries as an essential component.

    "Without it, in spite of preventive measurespeoplewill not have faith in primary health carepeople in

    need must have access to skilled surgical care at thefirst-line referral hospitals. Yet the vast majority of the

    world's population has no access whatsoever to skilledsurgical care and little is being done to find a solution."

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    Some people think Surgery

    addresses only a small part

    of the global burden ofdisease

    is not cost-effective

    can only be delivered by

    surgeons

    cannot scale

    In reality

    11% of the global burden of

    disease can be treated withsurgery

    surgical care in Africa iscomparable to measlesimmunization (USD 32.78 vs. 30

    per DALY* averted) (Gosselin, etal.)

    midwives in Mozambiqueperform most obstetricoperations with good outcomes

    (Pereira, et al.) rural, resource-poor surgical

    programs in Haiti and Mongoliahave been successfully scaled-up(Ivers, et al.)

    * Disability-adjusted life years, equal to one

    year of healthy life lost

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    Some people think Surgery

    is too complicated to set up

    and provide (need high-tech

    equipment)

    can only be introduced after

    health systems have beenstrengthened

    In reality

    simple surgical procedures

    like circumcision to protect

    against HIV, and casting tocorrect clubfoot have been

    done on a large scale

    building surgical services,

    infrastructure, andworkforce CAN strengthen

    health systems

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    41 27

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    41-27

    Instruments Used in Minor Surgery

    Cutting and dissecting instruments

    Scalpels

    Scissors

    Curettes

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    41-28

    Instruments Used in Minor

    Surgery (cont.) Grasping and clamping instruments

    Forceps

    Hemostats

    Towel

    clamps

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    41-29

    Retracting, dilating, and probing instruments

    Retractors

    Dilators

    Probes

    Instruments Used in Minor

    Surgery (cont.)

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    41-30

    Suturing instruments

    Needles

    Needle

    holders

    Packaged

    sutures

    Instruments Used in Minor

    Surgery (cont.)

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    41-31

    Syringes and needles Inject anesthetic

    solutions

    Withdraw fluids

    Obtain biopsy specimens

    Instrument trays andpacks Laceration repair tray

    Incision and drainage

    tray Foreign body and growth

    removal tray

    Onychectomy (nailremoval) tray

    Vasectomy tray

    Suture and stapleremoval trays

    Instruments Used in Minor

    Surgery (cont.)

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    41 35

    Surgery in the Physicians Office

    Minor surgical procedure Safely performed in office or clinic

    without general anesthetic

    Use local anesthetics affectingonly a particular area

    Reasons

    Diagnose illnesses

    Repair an injury

    Removal of small growths

    Cosmetic

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    41-36

    Surgery in the Physicians Office:Common Procedures

    Draining an abscesscollection of pus formeddue to an infection

    Obtaining a biopsyspecimen

    Removal of a small amount

    of tissue for examination Specimens are placed in a

    preservative

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    41-37

    Caring for wounds

    Accidental

    Lacerationjagged,open wound

    Puncture wounddeep wound causedby a sharp object

    Intentional surgicalincision

    Cleaning a non-

    surgical wound

    Wash with soap and

    water

    Irrigate with sterile

    solution

    Debridement

    removal of debris or

    dead tissue

    Surgery in the Physicians Office:Common Procedures (cont.)

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    Video link for Basic Surgical Skills

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    Video link for Basic Surgical Skills

    https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/

    https://www.youtube.com/playlist?list=PLz27Rlp3y6XsJDswTZ42jf4E7CoOM1MfW

    https://www.youtube.com/user/drmishmish87/videos

    http://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GB

    https://www.mededportal.org/publication/9683

    https://www.google.co.id/search?newwindow=1&biw=122

    7&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzU

    https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://www.youtube.com/playlist?list=PLz27Rlp3y6XsJDswTZ42jf4E7CoOM1MfWhttps://www.youtube.com/playlist?list=PLz27Rlp3y6XsJDswTZ42jf4E7CoOM1MfWhttps://www.youtube.com/user/drmishmish87/videoshttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttps://www.mededportal.org/publication/9683https://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.google.co.id/search?newwindow=1&biw=1227&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzUhttps://www.mededportal.org/publication/9683http://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttp://learning.bmj.com/learning/course-intro/surgical-skills-course.html?courseId=10045147&locale=en_GBhttps://www.youtube.com/user/drmishmish87/videoshttps://www.youtube.com/playlist?list=PLz27Rlp3y6XsJDswTZ42jf4E7CoOM1MfWhttps://www.youtube.com/playlist?list=PLz27Rlp3y6XsJDswTZ42jf4E7CoOM1MfWhttps://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/https://doctorprodigious.wordpress.com/2014/05/02/basic-surgery-skills-royal-college-of-surgeons/
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