Plastic surgery is a surgical specialty involving the
restoration, reconstruction, or alteration of the human body. It can be divided
into two main categories: reconstructive surgery and cosmetic surgery.
Reconstructive surgery includes craniofacial surgery, hand surgery,
microsurgery, and the treatment of burns. While reconstructive surgery aims to
reconstruct a part of the body or improve its functioning, cosmetic (or
aesthetic) surgery aims at improving the appearance of it.
Reconstructive plastic surgery is performed to correct
functional impairments caused by burns; traumatic injuries, such as facial bone
fractures and breaks; congenital abnormalities, such as cleft palates or cleft
lips; developmental abnormalities; infection and disease; and cancer or tumors.
The goal of reconstructive plastic surgery is to restore both form and
function.
The most common reconstructive procedures are tumor removal,
laceration repair, maxillofacial surgery, scar revision, hand surgery and
breast reduction plasty. According to the American Society of Plastic Surgeons,
the number of reconstructive breast reductions for women decreased in 2018 by 4
percent from the year before. Breast reduction in men decreased in 2018 by 8
percent. In 2018, there were 57,535 performed.
Some other common reconstructive surgical procedures include
breast reconstruction after a mastectomy for the treatment of cancer, cleft lip
and palate surgery, contracture surgery for burn survivors, and creating a new
outer ear when one is congenitally absent.
Plastic surgeons use microsurgery to transfer tissue for
coverage of a defect when no local tissue is available. Free flaps of skin,
muscle, bone, fat, or a combination may be removed from the body, moved to
another site on the body, and reconnected to a blood supply by suturing
arteries and veins as small as 1 to 2 millimeters in diameter.
- Abdominal Paracentesis including Diagnostic Peritoneal Lavage
- Insertion of Arterial lines
- Application of Splints for Fractures
- Ability to teach UG’s and Interns
- Insertion of Central venous lines
- Arterial and Venous Lines
- Blood sampling - venous and arterial
- Insertion of Endotracheal tubes
- Assessment and initial management of Poly trauma
- Bone Marrow Aspiration
- Insertion of Peritoneal Dial Catheters
- Cardiopulmonary Resuscitation
- Burns dressing Intercostal Drainage
- Management of Airway Obstruction
- Communication skills with patients
- relatives
- colleagues and paramedical staff
- Suprapubic Puncture/Stab Cystectomy
- Management of Shock and Cardiac/Respiratory failure
- Ordering of the requisite laboratory and Radiological investigations and Interpretation of the reports in light of the clinical findings
- Tracheotomy
- Recognition and Initial management of Surgical Emergencies
- Performing common ward procedures
- Working Knowledge of ventilators
- Suturing Techniques
- Thoracocentesis
- Interpretation of Arterial blood gases Correction of Electrolyte disturbances
- Universal precautions against communicable diseases
- Prescribing Parenteral & enter nutrition -
- Venesection
- Circumcision under local Anesthesia
- Ability for adequate pre-operative preparation in special situations like Diabetes
- renal failure
- cardiac and Respiratory failure etc. and risk Stratification
- Appendicectomy
- Drainage of Abscesses
- Communication skills with special reference to obtaining Informed Consent
- PNAC
- Proper pre-operative assessment and preparation of patients including DVT prophylaxis. Blood transfusion and Antibiotics
- Cholecystectomy
- Major dressings Removal of simple subcutaneous swellings
- Closure of Colostomy
- Minor Anorectal Procedures (Hemorrhoids-Banding
- Cryo- therapy
- suturing etc.; Anal dilatation and Fissures)
- Sigmoidoscopy and Upper G.I. endoscopy (preferable in an endoscopy room)
- Closure of peptic ulcer/under-running bleeding ulcer/vagotomy
- Lymph node
- ulcer
- swellings etc.-Biopsies
- Suturing Techniques
- Colostomy
- Reduction and plaster application of simple fractures and dislocations
- Vasectomy
- Cysts and sinuses of the neck
- Opening and closing the chest
- Wound debridement
- Diagnostic laparoscopy
- Laparotomy for intestinal obstruction/Bowel resections/bowel anastamosis
- Parotidectomy
- Drainage of breast abscess/Excision breast lump
- Management of complex wounds
- Release of bands and simple adhesive obstruction
- Groin Hernia repair
- Mastectomy
- Thyroid lobectomy
- Gynaecomastia
- Opening and closing the abdomen
- UGI endoscopy/Flexible sigmoidoscopy
- Haemorrhoidectomy/Fissurectomy/simple fistulectomy See Monor OT Procedures Hemicolectomy
- Ventilation
- Herniotomy/Orchidopexy in children
- Wide excision of breast tumors/mastectomy
- Laparotomy for abdominal trauma/splenectomy
- Lip surgery
- Management of epidural analgesia
- Skin preparation-painting and draping
- Local blocks in anaesthesia
- Management of Fistulae
- Technique of scrubbing and gowning
- Minor hand injuries (specify)
- Management of postoperative hypotension
- Nerve repair
- Management of postoperative hypertension
- Post excision reconstruction
- Postoperative pain control
- Re-implantation of digits
- Skills for Nutritional rehabilitation of patients -
- Skin flap surgery
- Skills for proper Fluid & Antibiotic -
- Split skin graft
- Stoma care -
- Stitch craft
- Tendon repair
- Wound debridement