India has given the world Sushruta Samhita, the venerable treatise on surgery by Sushruta considered the first Indian Surgeon and ‘the Father of Plastic Surgery’, in the 6th century BC; the medieval times were then known as the Golden Age of Surgery in ancient India. A savant surgeon, philosopher and above all, a great teacher, Sushruta emphasized the need of following up theory with practice, ordained that anyone wishing to attain surgical skill should learn Anatomy by practical observations on the various structures of the human body and revolutionized treatment procedures including usage of pain relief measures during and after procedures.
Surgery is not for the feeble minded and hearted, but for the perseverer. The Department of Surgery at P K Das Hospital has been keeping up with the high ideals of such a great legacy, both in patient care as well as in imparting surgical education.
The department of Surgery is one of the core clinical departments of the hospital and has functioned since the inception of P K Das Hospital. The department at present has a judicious mix of senior experienced as well as highly motivated and trained junior faculty members providing out-patient services, diagnostic services and elective and round the clock emergency surgical services.
Patient care services include General Surgical OPD on six days of the week. An average of 100 patients is seen per day in the OPD and about 10 admissions are made in the emergency hours. Annually about 1000 major and 3000 minor surgical procedures are performed. The range of surgical services provided by the department includes gastrointestinal surgery, breast and endocrine surgery and minimally invasive surgery; in addition to taking care of patients with chronic wounds. Trauma and non-trauma emergencies are also managed by the department. The Department has a dedicated Endoscopy program where diagnostic and therapeutic upper and lower GI endoscopies are performed on all working days.
Undergraduate MBBS teaching comprising of lectures, seminars, integrated teaching with pre and para clinical departments, OPD cases discussions, bed side clinics, Operation theatre observations, minor procedures training and emergency department postings are aimed at producing a student who has attained the goals and objectives listed below.
The broad goal of teaching the undergraduate medical students in Surgery is producing graduates capable of delivering efficient first contact surgical care.
At the end of the course, the student should be able to describe aetiology, pathophysiology and principles of diagnosis and management of common surgical problems including emergencies, in adult and children, define indications and methods for fluid and replacement therapy including blood transfusion, define asepsis, disinfection and sterilization and recommended judicious use of antibiotics, describe common malignancies in the country and their management including prevention and enumerate different types of anaesthetic agents, their indications, mode of administration, contraindications and side effects
At the end of the course, the student should be able to diagnose common surgical conditions in adult and children, both acute and chronic, plan various laboratory tests for surgical conditions and interpret the results, identify and manage patients of haemorrhagic, septicaemic and other types of shock, be able to maintain patients’ air-way and resuscitate a critically injured patient, a patient with cardiorespiratory failure and a drowning case, monitor patient of head, chest, spinal and abdominal injuries, both in adult and children, provide primary care for a patient of burns, acquire principles of operative surgery, including pre-operative, operative and postoperative care and monitoring, treat open wounds including preventing measures against tetanus and gas gangrene, diagnose neonatal and paediatric surgical emergencies and provide sound primary care, identify congenital anomalies and refer them for appropriate management.
In addition to the skills referred above in items the student should assist the following procedures like incision and drainage of abscess, debridement and suturing open wound, venesection, excision of simple cyst and tumours, biopsy of surface malignancy, catheterisation and nasogastric intubation, circumcision, meatotomy, Vasectomy, Peritoneal and pleural aspirations, diagnostic proctoscopy, hydrocele surgery, endotracheal intubation, tracheostomy, chest tube insertion.
The Department lays ample stress on research work and projects under the guidance of the faculty will be undertaken. It has publications in International and National medical journals. Emphasis on teamwork with continual self assessment and realist goals are aimed at propelling the Department to greater heights.