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CURRICULUM VITAE

Nama
TTL
Alamat

: Dr. R. Maman Abdurahman, SpB(K)Onk


: Bandung, 2 September 1966
: Divisi Bedah Onkologi, Kepala dan Leher
Dept/SMF Ilmu Bedah FK Unpad/ RSHS
Jabatan
: Kepala Instalasi Bedah Sentral RSHS
Ketua PERABOI Jawa Barat
Pendidikan : FK Unpad Lulus 1991, Sp.B Unpad
2000, Sp.B(K)Onk Bandung 2006
Email
: mamanar99@gmail.com
No. Hp
: 08122346578

Surgical Skill in Primary Care


Dr. Maman Abdurahman, SpB(K)Onk
Dr. Nurhayat Usman, SpB-KBD
Dept/SMF Ilmu Bedah FK UNPAD/RSHS

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CURRICULUM VITAE

Nama
: Dr. R. Maman Abdurahman, SpB(K)Onk
TTL
: Bandung, 2 September 1966
Alamat
: Divisi Bedah Onkologi, Kepala dan Leher
Dept/SMF Ilmu Bedah FK Unpad/ RSHS
Jabatan
: Kepala Instalasi Bedah Sentral RSHS
Ketua PERABOI Jawa Barat
Pendidikan : FK Unpad Lulus 1991, Sp.B Unpad
2000, Sp.B(K)Onk Bandung 2006
Email
: mamanar99@gmail.com
No. Hp
: 08122346578

Surgery: the neglected component of


primary care
Director-General of the WHO Dr. Mahler (1980)
identified the important role of Surgery in primary
health care, citing the availability of emergency surgical
treatment in injuries as an essential component.
"Without it, in spite of preventive measurespeople
will not have faith in primary health carepeople in
need must have access to skilled surgical care at the
first-line referral hospitals. Yet the vast majority of the
world's population has no access whatsoever to skilled
surgical care and little is being done to find a solution."

Some people think Surgery

In reality

addresses only a small part


of the global burden of
disease
is not cost-effective

11% of the global burden of


disease can be treated with
surgery
surgical care in Africa is
comparable to measles
immunization (USD 32.78 vs. 30
per DALY* averted) (Gosselin, et
al.)
midwives in Mozambique
perform most obstetric
operations with good outcomes
(Pereira, et al.)
rural, resource-poor surgical
programs in Haiti and Mongolia
have been successfully scaled-up
(Ivers, et al.)

can only be delivered by


surgeons
cannot scale

* Disability-adjusted life years, equal to one


year of healthy life lost

Some people think Surgery


is too complicated to set up
and provide (need high-tech
equipment)

can only be introduced after


health systems have been
strengthened

In reality
simple surgical procedures
like circumcision to protect
against HIV, and casting to
correct clubfoot have been
done on a large scale
building surgical services,
infrastructure, and
workforce CAN strengthen
health systems

41-27

Instruments Used in Minor Surgery


Cutting and dissecting instruments
Scalpels

Scissors
Curettes

Instruments Used in Minor


Surgery (cont.)
Grasping and clamping instruments
Forceps

Hemostats
Towel
clamps

41-28

Instruments Used in Minor


Surgery (cont.)
Retracting, dilating, and probing instruments
Retractors

Dilators
Probes

41-29

Instruments Used in Minor


Surgery (cont.)
Suturing instruments
Needles

Needle
holders
Packaged
sutures

41-30

Instruments Used in Minor


Surgery (cont.)
Syringes and needles
Inject anesthetic
solutions
Withdraw fluids
Obtain biopsy specimens

41-31

Instrument trays and


packs
Laceration repair tray
Incision and drainage
tray
Foreign body and growth
removal tray
Onychectomy (nail
removal) tray
Vasectomy tray
Suture and staple
removal trays

41-35

Surgery in the Physicians Office


Minor surgical procedure
Safely performed in office or clinic
without general anesthetic
Use local anesthetics affecting
only a particular area

Reasons

Diagnose illnesses
Repair an injury
Removal of small growths
Cosmetic

Surgery in the Physicians Office:


Common Procedures
Draining an abscess
collection of pus formed
due to an infection
Obtaining a biopsy
specimen
Removal of a small amount
of tissue for examination
Specimens are placed in a
preservative
41-36

Surgery in the Physicians Office:


Common Procedures (cont.)
Caring for wounds
Accidental
Laceration jagged,
open wound
Puncture wound
deep wound caused
by a sharp object

Intentional surgical
incision
41-37

Cleaning a nonsurgical wound


Wash with soap and
water
Irrigate with sterile
solution
Debridement
removal of debris or
dead tissue

Video link for Basic Surgical Skills


https://doctorprodigious.wordpress.com/2014/05/02/basic
-surgery-skills-royal-college-of-surgeons/
https://www.youtube.com/playlist?list=PLz27Rlp3y6XsJDsw
TZ42jf4E7CoOM1MfW
https://www.youtube.com/user/drmishmish87/videos
http://learning.bmj.com/learning/course-intro/surgicalskills-course.html?courseId=10045147&locale=en_GB
https://www.mededportal.org/publication/9683
https://www.google.co.id/search?newwindow=1&biw=122
7&bih=581&tbm=vid&q=surgical+skills+video&oq=surgical
+skills+video&gs_l=serp.3...18536.27748.0.31676.4.4.0.0.0.
0.119.335.3j1.4.0....0...1c.1.64.serp..1.3.273.uVZoVKshqzU

* Trademark

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