General Surgery
Allocation of teaching hours
Unit I Unit II Total
Theor Clinical/ Theor Clinical/
y Practical y Practical
30 45 30 45 150
Unit I
Learning objectives
Students should be able to:
1. Know the evolution of surgery as a discipline
2. Classify, assess and manage various wounds
3. Assess hydration status and common electrolyte anomalies in surgical
patients
4. Assess the nutritional status of the patients and identify common nutritional
problems
5. Classify and understand the process of inflammation and its sequelae and
the responses of the body against inflammation
6. Identify and treat common and important infections
7. Learn the principles of infection prevention
8. Understand the transmission, prevention and prophylaxis of surgically
transmissible viral infections
9. Apply principles of universal precautions in regular dental practice
10.Classify and evaluate different kinds of shock and basic principles of
management
11.Identify haemorrhage and bleeding disorders and principles of haemostasis
12.Understand the use of blood products in surgery
13.Apply the principles of fracture, clinical features and treatment
14.Understand concept of fracture healing and rehabilitation
15.Have working knowledge on Soft tissue injuries- bruise, lacerations,
avulsions
16.Apply the principles of operative surgery in regular dental practice
17.Apply the principles of biopsy in dental practice
18.Identify life threatening problems and basic principles of management
19.Identify and treat/refer common acute abdominal conditions
20.Identify and treat/refer for UGI or LGI bleeding
21.Understand the evaluation and management of Obstructive jaundice
22.Understand the evaluation and management of Inguinoscrotal swelling
UNIT I – GENERAL SURGERY
History of surgery
Contribution of various scientists, teachers and investigators
Understand the relations of various specialties in the practice of
modern surgery
Wounds
Healing and management
Identify associated complications
Medico-legal aspects and documentation of wounds
Fluid, electrolytes and nutrition
Assess the state of hydration and basic fluid management
Nutritional assessment, relevance to surgery, management of
common nutritional disorders
Inflammation and SIRS
Types of inflammation
Systemic response to inflammation
SIRS, MODS
Infections
Common infections- acute and chronic abscesses, cellulitis,
carbuncle, furunculosis, erysipelas
Specific infections- Tetanus, Gangrene, Syphilis, Gonorrhea, TB,
Vincent's and Ludwig's angina
Systemic infections- Pyemia, Septicemia and Toxemia
Asepsis, Antiseptics and Sterilization
Transmissible viral infections
HIV, Hepatitis B and C
PEP and universal precautions
Shock and haemorrhage
Shock, including haemorrhagic shock
Types of haemorrhage, causes and clinical features, principles of
hemostasis
Blood transfusion- principles, blood products and complications
of transfusion
Bleeding disorders- clinical features, management and relevance
to dental practice
Fractures and soft tissue injuries
Common fractures- long bone, spinal, pelvis
Treatment of fractures- principles, methods including newer
methods
Fracture healing and rehabilitation
Soft tissue injuries- bruise, lacerations, avulsions
Principles of operative surgery
Principles of Anaesthesia (local, regional and general) and
Analgesia
Describe minor surgical procedures- I/D, excision of cysts and
simple suturing
Working knowledge of sutures, drains, diathermy and lasers in
surgery
Principles of wound cover- flaps, grafts
Biopsy
Different types of biopsies (excisional and incisional, FNAB, tru-
cut, wedge)
Indications and advantages/disadvantages and complications
Trauma and life threatening injuries
Trauma- mechanism, impacts
Facial trauma, facial burn
Head injury and cervical spine injury
BLS/ATLS
Acute abdomen for dental surgeons
Causes of acute abdomen
Evaluation of acute abdomen
Specific diseases
- Acute appendicitis
- Gallstone diseases and its complications
- Acute pancreatitis
- Perforation/ peritonitis
- Intestinal obstruction
Upper and lower GI bleeding
Causes and evaluation
Principles of management
Obstructive jaundice
Evaluation and management
Inguino-scrotal swellings
Hernia
Hydrocele
Testicular lesions
Unit II
Learning Objectives
Students should be able to:
1. Classify and apply the principles of management of tumors, cysts, sinus and
fistula related to head and neck region
2. Apply the knowledge of Lymphovascular anatomy and pathology of diseases
with special reference to head/neck region
3. Apply the knowledge of anatomy and pathology to the management of
diseases of oral cavity
4. Apply the knowledge of anatomy and pathology to the management of
diseases of salivary glands
5. Apply the knowledge of anatomy and pathology to the management of
diseases of larynx and pharynx
6. Understand the principles of nerve healing and apply it to manage nerve
injuries
7. Understand the embryogenesis of the developmental anomalies of the face
8. Identify and treat various conditions of the thyroid and parathyroid glands
9. Identify and treat various swellings of the jaw
UNIT II- ENT AND HNS
Tumors, Cysts, Ulcers, Sinus and Fistula
Cysts- classification, clinical presentation and management
Tumors- classification, clinical presentation and management
Differentiate benign and malignant tumors
Sinus/fistula- classification, clinical presentation and
management
Ulcers- classification, clinical presentation and management
Diseases of lymphatic system and vascular system
Lymphatic anatomy of head and neck
Causes of Lymphadenopathy (general and local), including
cervical Lymphadenopathy with occult primary
TB, Lymphomas, Leukemia, Metastatic lymph node disease
Lymphangiomas including Cystic hygroma
AV malformations and Hemangiomas
Diseases of the oral cavity
Infective and malignant diseases of oral cavity
Premalignant lesions of the oral cavity
Clinical features and management of diseases of
-Tongue- benign and malignant diseases
- Cheek
- Palate
Salivary gland diseases
Sialadenitis/Parotiditis
Ranula
Tumors of salivary gland
Diseases of Larynx, nasopharynx
Infections
Benign and malignant conditions
Tracheostomy- indications and complications
Diseases of Nervous system
Peripheral nerve injuries- classification, management
Principles of nerve healing and regeneration
Specific nerve injuries- facial nerve, trigeminal nerve
Anomalies of development of face
Surgical anatomy and development of face
Cleft lip and palate - principles of management
Diseases of thyroid and parathyroid
Surgical anatomy
Pathogenesis, clinical features and management of Thyroid and
Parathyroid dysfunctions
Malignant diseases of Thyroid and Parathyroid
Swellings of jaw
Differential diagnosis and management of different types of
swellings of jaw
