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General Surgery Hospitals and Clinics

General Surgery

Modern surgery has developed to such a degree that the body of knowledge and specialized skills required have contributed to surgeons specialising in certain areas, usually an anatomical area of the body or sometimes in a specific procedure or type of patient.

What exactly do general surgeons perform?
As the name indicates, this is a wide-ranging region of operation with several subspecialties. The defining characteristic of surgeons is that they have a vast selection of knowledge and expertise to manage all kinds of surgical crises, with an emphasis on severe abdominal problems. They also conduct a significant number of elective operations.

General surgeons are crucial to support the A&E division and therefore are especially needed in rural or remote settings because of their broad assortment of competence. In trauma services they deal with injuries to the abdomen and chest.

In the UK, the large majority of elective processes performed by general surgeons, about 80 per cent, fall out subspecialty areas. For example, most general surgeons deal with the common conditions of the gall bladder and also execute hernia repairs. But, almost all general surgeons have a particular interest, such as intestinal surgery (upper or lower) or breast operation. Some have become highly educated and restrict their activities to a small number of complex, relatively unusual operations.

Many areas of general surgery have increased in extent because surgery develops, and most working on arteries or adhering to transplants have specialised exclusively in these areas. But they maintain their overall surgical abilities and base.

There were 1,910 consultant general surgeons operating at the NHS in England in 2011, which makes them among the two most common types of consultant surgeon in the UK, 25 per cent of their total. The other big surgical specialization is trauma and orthopaedics.

Subspecialties
Given the wide range of work undertaken by general surgeons, one of identifying features of general surgery is the assortment of sub-specialties that lie within it. These include:

Breast — evaluation of the large number of patient with breast symptoms, and surgery on breast cancer, frequently including reconstructive procedures which don’t require plastic surgeons.
Endocrine — surgery for disease of the thyroid and other endocrine glands.
Upper Gastrointestinal — surgery for diseases affecting the liver, oesophagus and stomach. This also covers obesity surgery. Important surgeries for cancer are usually performed in regional specialist units.
Transplant — liver and kidney transplantation are the regular processes, but many different organs may be transplanted.

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