Indication: Delayed primary closure of fasciotomy wounds Sutures that can be used: Anchors: Staples (can apply 2 staples) or Metal clips Knotting pattern: The suture is attached to one side and passed through the incision to be attached on the opposite side, in a sequence that resembles a zigzag from…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Joint Lubrication Made Easy
Boundary lubrication A monolayer of lubricant molecule (lubricin) adsorbed on each surface (boundary) of the joint prevents direct cartilage to cartilage (articular) contact Fluid-film lubrication Cartilage surfaces are separated by a fluid film 1. Hydrodynamic lubrication: 2. Squeeze film lubrication: 2. Elastohydrodynamic lubrication: Combination of hydrodynamic and squeeze film Mixed…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Protected: MRCS Part A, September 2023 – Recalls
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PGMEE, MRCS, USMLE, MBBS, MD/MS 
Surgical Anatomy of Diaphragm
Diaphragm is a thoracoabdominal organ which is musculotendinous. It is the primary muscle of respiration. Extension: There are 2 crura of diaphragm: 3 ligaments: Quadratus lumborum muscle is related to lateral arcuate whereas psoas muscle is related to medial arcuate ligament. The foramen of Morgagni shown in the above picture…
Clinical Skills and Approaches 
An approach to Abdominal Trauma
Abdominal Trauma Abdominal trauma can be broadly classified into: Both of these have different approach of management. In case of any trauma, you need to go serially as per ATLS guidelines, i.e., the primary survey followed by the secondary survey. For quick recap, primary survey includes: Note: according to ATLS,…
Surgical Skills 
Biomechanics in MIPO (Minimally Invasive Plate Osteosynthesis)
1. Provides optimal environment for fracture healing: 2. Relative stability of fracture: 3. Acts as internal fixator: 4. Plate length and Number of screws in Bridge plate function: 5. Plate working length: References:
PGMEE, MRCS, USMLE, MBBS, MD/MS 
SIADH Causes and Diagnosis : Mnemonics
Causes of SIADH Mnemonic: SIADH Diagnosis and Diagnostic Criteria Mnemonic: SOD-IUN TEA
Case Reports 
A Complication following vasectomy and its management
Case Summary A 45-year male presented to emergency with complaints of pain and swelling over scrotum for 10 hours (at around 11:00 pm). Upon further inquiry he had undergone vasectomy (no scalpel) at a local health post camp at around 1 pm on the same day. He had no known…