Box 1.
Operations that should be
available at the district hospital (in the hospital in rural and urban districts: report of a WHO Study Group on the Functions of Hospitals at the first referral 1992) [6]
| General surgery | Obstetrics and gynaecology | Orthopaedics and trauma |
|---|---|---|
| Biopsies | Caesarean section | Amputations |
| Circumcision | Craniotomy | Plaster techniques |
| Extraction of teeth | Delivery | Traction (skull, limbs) |
| Laparotomy | Dilatation and curettage | Management of: |
| Tracheostomy | Episiotomy | Bone fractures |
| Bladder puncture | Evacuation of uterine cavity | Burn wounds |
| Colostomy | Insertion and removal of IUD | Dislocation of joints |
| Feeding gastrostomy | Management of: | Head injuries |
| Management of: | Cord prolapse | Spinal injuries (without cord damage) |
| Abdominal wall hernias | Ectopic pregnancy | |
| Anal fissures and fistulae | Ruptured uterus | |
| Fluid and electrolyte balance | Ruptured cervix | |
| Intestinal obstruction | Ruptured perineum | |
| Intussusception | Ruptured vagina | |
| Perforated intestine, ulcers | Sterilization, female | |
| Catheterization | Symphysiotomy | |
| Control of epistaxis | Version and extraction | |
| Hydrocelectomy | ||
| Removal of foreign body | ||
| Transport of severely injured patients | ||
| Cholecystectomy | ||
| Debridement and care of wounds | ||
| Incision and drainage of abscesses | ||
| Sterilization, male | ||
| Anaesthesia: | Care of airways | Conduction anaesthesia |
| Anaesthesia for emergency cases | Intubation and management of its complications | Postoperative recovery care |
| Induction and maintenance of general anaesthesia | ||