Documente Academic
Documente Profesional
Documente Cultură
The
Philippine
College
of
Surgeons
The
Philippine
Society
of
General Surgery
o Patient Safety in Surgery
HISTORICAL PERSPECTIVES
Chirurgery
Latin: chirurgia
Anglicized to Surgery
Trephanation
o Boring holes in the head to release
evil spirits; relieve intracranial
pressure and drain intracranial
fluid
o Neolithic
Dentistry
o 7000 BC- Mehgarh, Pakistan
o 2650 BC- Egypt
ANCIENT EGYPT
2000-2500 BC
Trephination
Circumcision
Castration
Amputation
Lithotomy
Opiates
ANCIENT INDIA
Rhinoplasty
Bowel anastomosis
Cataract removal
Prostatectomy
Tonsillectomy
o Leeches- for sucking out edema and
blood
o Ethical Code
o Technical skills lab
*Flies- for dead debris
ANCIENT GREECE
3rd century BC
o Herophilus: allowed to dissect
o Arcagathus: famous for enthusiastic
use of knife and cautery
130 AD-200 AD
o Claudius Galen- Gladiators surgeon,
advanced practice
MIDDLE AGES
5th-14th century AD
o Practice of surgery declines
o Left to barbers
o Dark Ages- all negative info
dessiminated;
no
renowned
scientific breakthrough/invention
Bleeding
o 10th century: Ligatures- Abulcasis
o 16th century: ligatures over cauteryAmbroise Pare
o 20th/21st century: ABO system (1901Karl Landsteiner); Diathermy; Harmonic
Scalpel
(Increases
operation
efficiency by 70% because it
reduces operation time; ligate big
arteries instead of using cautery)
Infection
o 1847: Handwashing- Ignaz Semmelweis
o 1860: Germ theory- Louis Pasteur
o 1867: Cleanliness and gloves- Joseph
Lister
Awareness of Nosocomial
Infection
o 1928: Penicillin- Alexander Flemming
Anaesthesia
o 200: Hua tuo
o 1842: Ether- Crawford Long
o 1844: Nitrous Oxide- Horace Wells
o 1846: Ether- William Morton
o
Chirurgia magna
o 1616- William Harvey
Describes capillaries
o 18th century- John Hunter
Hunters Canal/ adductor
canal
X-rays
o 1953- John Gibbon
Modern Laparoscopy
o 1901- Cystoscope, Kelling
Used
in
TURP
(Transurethral Resection of
the Prostate
o 1911- Proctoscope, Bernheim
o 1918- Pneumoperitoneum, Goetze
Introduction of CO2 to
peritoneum to visualize
abdominal organs
o 1929- 135o scope, Kalk
Before, only 90o scope
(limited vision)
o 1934- Forceps and Cautery, Ruddock
o 1936- Sterilization, Boesch
o 1938- Veress Needle
o 1977- Assisted appendicectomy, Dekok
o 1983- Appendicectomy, Semm
o 1985- Cholecystectomy, Muhe
o 1996- Robotic telesurgery
SURGICAL TRAINING
Mission:
o We are a fellowship of highly
competent, safe, compassionate, and
ethical surgeons dedicated to pursue
excellence in the art and science of
general surgery as a distinct specialty,
promote the welfare of its members,
uphold the highest standards of
o
Vision:
o The Philippine Society of General
Surgeons is the premier organization of
general surgeons, highly esteemed and
recognized
for
their
pioneering
achievements in continuing surgical
education, training and research,
dedicated to promote the welfare of its
members, to provide compassionate
and quality health care, and responsive
to the needs of the community.
Knowledge
Comprehension
Intellectual skills
Data-gathering
Analysis
Problem-solving
Decision-making
Critical thinking
o Psychomotor Domain:
Technical skills
Communication skills
o Affective Domain:
Interpersonal skills
Professionalism
*There is more to Surgery than Science
Surgeons are not (should not be) mere technicians
SENSEI!
PATIENT SAFETY
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