Wikisurgery
Wikisurgery is a free surgical encyclopaedia for surgeons and their patients. It has been set-up by Surgical Associates Ltd, owners of the International Journal of Surgery. Contributions in the form of new articles and editing can be made by anyone at anytime anywhere in the world. The site is totally upfront about the possibility of vandalism, and in the ‘About Wikisurgery’ section it says:
“older articles tend to be more comprehensive and balanced, while newer articles may still contain significant misinformation, unencyclopedic content, or vandalism. Users need to be aware of this in order to obtain valid information and avoid misinformation which has been recently added and not yet removed (see Wikisurgery:Researching with Wikisurgery for more details).”
There is an interesting Basic Surgical Skills Program. Authored by Michael Edwards, the program begins by checking the trainee’s aptitude for surgical handicraft, learning ability profile, suitability for surgery, attitude and preparedness. It then provides 15 surgical sections, progressing through putting on gloves, swabbing, using suckers, retracting, and using haemostats, to excising a mole from simulated skin and suturing the wound. The program starts at http://wikisurgery.com/index.php?title=PrimeSkills_in_Surgery.
If, like me, you have lesser ambitions, take a look at
http://wikisurgery.com/index.php?title=Scissors_07_How_to_cut_with_scissor . Forget about ‘how to cut’, how to hold scissors was a real eye-opener for me. I have now tried the techniques suggested and found that I have lot more control over the scissors when tackling our very fluffy, long-haired cat’s matted fur!
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Hello Karen,
Many thanks for your kind words.
I hope your cat’s coat is now immaculate after using scissors the surgical way.
As well as the Basic Surgical Skills program, Wikisurgery contains operating instructions in the form of unique surgical scripts.
These scripts aim to provide all the information that an expert surgeon uses when operating, including all the “what ifs”.
I call the scripts PANTOGENS (all the gen). They contain 5-10 times the information provided in operative textbooks, videos or DVDs.
I call each item of expert information a PANTINO.
For the non-surgeon, the scripts may be of interest in displaying the different types of pantino that a surgeon may use when performing any particular step in an operation.
Basic pantinos (Acronym http://WWW.WIMBLEDON)
Why do this step?
What are the anatomy/ physiology/ pathology in the
step?
What does it (eg the organ))look like/ feel like/ smell
like?
What does it do? (eg the ureter will contract when
squeezed)
Instruments
Materials
Beginning
Landmarks
End point
Do it this way
Other ways
No-no’s
Problem-avoiding pantinos (Acronym DITCHES)
Dangers
If:
Algorithms
(eg If a happens, then do b)
Alternatives
(eg If you can’t do b, then do c.
If c doesn’t work, then do d, etc.)
Inferences
(eg If e and f and g happen, then probably do h)
Tips
Checks
Hints
Evidence
Suggestions
Problem-solving pantinos (Acronym SUPERMAN)
Surprises (i.e Possibly the opposite to logic.)
Unpredictable (i.e. No way of working this out from
basic principles)
Problems
Errors
Rectifying errors
May day (eg.When to call a more experienced surgeon)
Anything else
Notable cases
Variants of surgical pantogens may be applicable to any procedure universally.
I should welcome feedback.
Best wishes,
Michael