General Surgery
General surgery is a surgical specialty that focuses on alimentary
canal and abdominal contents including the esophagus, stomach, small intestine, large
intestine, liver, pancreas, gallbladder, appendix and bile ducts, and often the thyroid
gland. They also deal with diseases involving the skin, breast, soft tissue, trauma,
peripheral artery disease and hernias and perform endoscopic as such as gastroscopy,
colonoscopy and laparoscopic procedures.
In many parts of the world including North America, Australia and the
United Kingdom, the overall responsibility for trauma care falls under the auspices of
general surgery. Some general surgeons obtain advanced training in this field (most
commonly surgical critical care) and specialty certification surgical critical care.
General surgeons must be able to deal initially with almost any surgical emergency.
Often, they are the first port of call to critically ill or gravely injured patients,
and must perform a variety of procedures to stabilize such patients, such as
thoracostomy, cricothyroidotomy, compartment fasciotomies and emergency laparotomy or
thoracotomy to stanch bleeding. They are also called upon to staff surgical intensive
care units or trauma intensive care units.