Journal of Surgery Archives

Changing Face of Medicine: Reclaiming Humanity in a Tech-Driven Era

Pratapsinh Appasaheb Varute — 2025-11-05

‘Wherever the art of medicine is loved, there is also a love for humanity’- Hippocrates
Few professions have been transformed by science as dramatically as medicine. In recent years, technology has become so deeply embedded in the medical landscape that the idea of doctors being replaced by machines is no longer a pure science fiction. Robots perform complex surgeries, artificial intelligence assists in diagnosis, and dazzling advancements offer hope for conditions once deemed untreatable. Yet, as medicine races into the future, we find ourselves confronting an uncomfortable paradox: despite these triumphs, a growing mistrust now festers between the lay public, layperson and the medical profession as such.

The Evolution of Breast Cancer Treatment in India: Lessons Learnt Over Three Decades

Vedant Kabr — 2025-11-05

Breast cancer treatment in India has transformed over the last few decades with the paradigm changing from “Maximum Tolerable Treatment” to “Minimum Effective Treatment”. Better understanding of tumor biology, availability of more effective drugs, improved surgical techniques and precise radiation delivery have enabled us to personalize the treatment for individual patients and achieve “MORE” (better results) by doing “LESS” (de-escalating treatment).

The Inspiring Journey of a Legend

H S Asopa — 2025-11-05

Legends aren’t born – they are carved through years of precision, patience, perseverance and purpose. The inaugural Prof HS Asopa Memorial oration is an opportunity to pay our tribute to the “Gentle Giant” of Surgery who left for his heavenly abode at the age of 91 years on November 21, 2023 Prof Hari Shankar Asopa was well known not only in India but all over the world for his expertise in reconstructive surgery, especially in the field of hypospadias and stricture urethra. He served as President UPASI (1993), President of Associations of Surgeons of India (1996) and Founder President of International Society of Hypospadias & Intersex Disorders which awards the “Asopa Lecture” to eminent international authorities in its Biennial Conference.

Shaping the Future: Acute Care Surgery & Traumatology for General Surgeons in India

Samir Misra — 2025-11-05

Acute Care Surgery (ACS) represents an integrated approach that combines emergency general surgery (EGS), trauma, and surgical critical care into a cohesive subspecialty. In the USA and UK, ACS has evolved into a structured discipline, while Australia has progressively built trauma systems that integrate ACS principles. For India, where injury and emergency surgical burdens remain among the highest globally, the absence of an organized ACS framework creates gaps in care delivery. This perspective paper synthesizes global lessons, explores Indian realities, and argues for urgent policy, training, and system reformto embed ACS in national surgical services.

Negative Pressure Wound Therapy: A Journey made Easy

Akshit Agrawal — 2025-11-05

Background: Large degloving wounds and crushed injuries are the common finding in trauma victims. The treatment includes prolonged period of hospitalization and dressing. The negative pressure wound therapy is the modality which is shown to reduce not only the priosd of hospitalization but also reduces the burden on healthcare system by decreasing the need of frequent dressing and early preparation of wound bed.
Aims : To assess the efficacy of negative pressure wound therapy as compared to conventional wound dressings for wound bed preparation in acute traumatic wounds in following aspects: Rate of Granulation tissue Formation.
Methods: A total of 100 patients with traumatic wounds who were admitted in department of generalsurgery, Trauma Centre of Institute of Medical Science BHU Varanasi were included in the study.
Results: 100 patients, a total of 80 (80%) patients were male and 20 (20%) patients were female with male to female ratio of 4:1 in entire study population. 50 patients received treatment with NPWT and 50 patients were treated with conventional dressings. The mean age of patients treated with NPWT was 37.30–6.81 years while in conventional dressing group it was 36.72–7.20 years.
Conclusion: The study outcome studied & was assessed in terms of Rate of Granulation tissue Formation and number of days required before grafting. This showed that NPWT is a much better modality of treatment than conventional dressing in traumatic wounds.

Moderation in Cancer Surgery

Anshika Mittal Arora — 2025-11-05

Management of cancer has always been an evolving process. Surgery has been one of the pivotal tools in the armamentarium of cancer treatment. In the age of personalised medicine, molecular tumor boards, better understanding of tumor biology and game changing new molecules; the role and especially the extent of cancer surgery has come under scrutiny. This is the era of limited surgery for best oncological outcomes, reduced long term surgical morbidity and functional recovery.