General surgery is a surgical specialty that focuses on abdominal organs, such as the intestines, esophagus, liver, pancreas and kidneys; endocrine organs, such as the thyroid gland and the adrenal glands; blood vessels, such as the abdominal aorta and other abdominal related problems such as hernias and abscesses.
Notable General surgeons Edit
- Dr. Richard Webber (Attending General Surgeon at Grey Sloan Memorial Hospital)
- Dr. Miranda Bailey (Attending General Surgeon at Grey Sloan Memorial Hospital)
- Dr. Sydney Heron (Final year resident at Seattle Grace Hospital)
- Dr. Ellis Grey (former Attending General Surgeon at Mayo Clinic and Massachusetts General Hospital)
- Dr. Meredith Grey (Attending General Surgeon at Grey Sloan Memorial Hospital)
- Dr. Jake Reilly (General surgeon, OB/GYN, and REI Specialist at Seaside Health and Wellness)
Surgical Procedures Edit
- Appendectomy: Surgical removal of the appendix.
- Cholecystectomy: Surgical removal of the gallbladder.
- Laparoscopic procedures: Procedures taking place using this method are carried out using small incisions in the body, typically 1-2cm, with tools being placed into the body through these holes, including a camera, to perform the procedure. Commonly used for appendectomies and cholecystectomies.
- Laparotomy: Cutting into the abdomen to gain access to the abdominal organs. This may be the first step of the procedure (therapeutic) where the surgeons know the area they need to access, or it may not be (diagnostic, or exploratory) where they are looking for a cause of illness, more commonly carried out in trauma cases.
- Whipple Procedure: Known formally as a Pancreaticoduodenectomy, this operation is used most commonly to treat Pancreatic Cancer. The procedure involves removing the head of the pancreas along with the Gallbladder, duodenum, part of the stomach, bile duct, and sometimes lymph nodes close to the pancreas. Once these have been removed, the remainder of the pancreas, stomach, and bile duct are directly attached to the small bowel. According to Elizabeth Fallon, Whipple Procedures are rare and only seen once about every six months at a hospital Seattle Grace's size. This is due most likely to the fact that in the majority of cases, Pancreatic Cancer is not diagnosed until the disease is advanced and surgery is not an option.
- Domino Transplant of Kidneys (There's No 'I' in Team): Bailey heads up a surgical team to arrange the nephrectomy and transplantation of six kidneys between six pairs of patients.
- Resection of leiomyosarcoma with celiac, splenic and left gastric arterial involvement (Life During Wartime): Tori Begler has an abdominal tumor that is wrapped around multiple artieries and multiple abdominal organs are affected, deemed removable. The Chief, Bailey and Hahn perform an ex-vivo resection and autotransplantation, that is, removing all her abdominal organs, removing the tumor and transplanting her organs back into her body.
Notes and TriviaEdit
- General surgery residency is a prerequisite for the following sub-specialties:
- For this reason, most surgeons in Grey's Anatomy and Private Practice, unless otherwise stated by dialogue or promotional material, were, at one point or another, general surgeons early in their careers. For example, during the season 10 premiere, Arizona acted as a general surgeon due to the staff shortage caused by the storm, and Callie said that Arizona was an excellent general surgeon.
- While in the real-world, neurosurgery is not a sub-specialty of general surgery, and thus, does not require a general surgery residency in order to practice, Grey's Anatomy and Private Practice, as evidenced by Amelia's dialogue and Richard mentoring Derek during his residency, neurosurgery does require a general surgery residency.
- General surgery is often mentioned or simplified as just "surgery" or permutations of "surgery".
- In season one, Cristina likened surgery to the "jocks" along with plastics, and trauma.