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Surgical Handicraft ✂️📚
Where surgical knowledge meets craftsmanship. We are not affiliated with the Royal Colleges of Surgeons or any official MRCS body.

Surgical Handicraft
Where surgical knowledge meets craftsmanship.

🔹 Educational discussions - MRCS
🔹 Revision tips & clinical pearls
🔹 Academic resources crafted for clarity
🔹 Motivation for the surgical journey This page is dedicated to supporting MRCS aspirants, surgical trainees, and lifelong learners with:
🔹 Educational discussions
🔹 Revision tips & clinical pearls
🔹 Academic resources crafted for clarity
🔹 Motivation for the surgical journey

⚠️ Disclaimer: This is an independent educational platform. All content is for academic purposes only.

👨‍⚕️ Curated by Dr Shahriar
📩 For queries & updates: [email protected]

25/10/2026

If you know you know ….. ✌🏽😍😳😉🚑

24/10/2026

22/10/2026

How much caffeine do you consume in a duty day ?

19/10/2026

Did you feel the same on OT …..

06/10/2026

A Recall Based MRCS OSCE Notes that cover all important most repeated OSCE topics up to 2026 ….

Fourth Version will be published on December 2027 … to get the sample chapters ..comment your mail address below or WhatsApp or telegram us …

23/09/2026

A best book for MRCS OSCE PREPARATION FOR 2027 …
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18/09/2026

A book that is the masterpiece of MRCS OSCE 2026 !!

16/09/2026

Question :@ Postoperative Complications @ Surgical Infection

A 67-year-old man with poorly controlled diabetes undergoes an above-knee amputation for an ischaemic, infected limb. Eighteen hours later he develops rapidly increasing pain at the stump and becomes tachycardic and hypotensive. Examination shows tense oedema of the stump with dusky skin discolouration, haemorrhagic bullae and palpable crepitus.

What is the single most likely diagnosis?

A. Clostridial myonecrosis
B. Necrotising fasciitis
C. Deep incisional surgical-site infection
D. Postoperative stump haematoma
E. Acute pulmonary embolism

Correct answer: A. Clostridial myonecrosis

Explanation:
Clostridial myonecrosis (gas gangrene) is a rapidly progressive, toxin-mediated infection of skeletal muscle, most commonly caused by Clostridium perfringens. The combination of very rapid postoperative deterioration, severe increasing pain, tense oedema, skin discolouration, haemorrhagic bullae, crepitus and cardiovascular collapse is characteristic.

This is a surgical emergency requiring immediate resuscitation, broad-spectrum intravenous antibiotics and urgent radical surgical debridement; amputation may be required when infection is extensive.

Why the other options are incorrect

B. Necrotising fasciitis: Can cause severe pain, systemic toxicity and skin necrosis, but predominantly tracks along fascial planes. The very rapid progression with prominent muscle involvement, gas formation and profound toxicity favours clostridial myonecrosis.
C. Deep incisional surgical-site infection: Usually develops less explosively and does not typically produce extensive crepitus, haemorrhagic bullae and rapid cardiovascular collapse within hours.
D. Postoperative stump haematoma: May cause swelling and pain but would not explain crepitus, haemorrhagic bullae and severe infective toxicity.
E. Acute pulmonary embolism: Could cause tachycardia and hypotension after major surgery but would not account for the rapidly progressive local stump abnormalities.

05/09/2026

OSCE notes for MRCS

19/05/2026

The evolution of MRCS Q pattern 2014-2026 !!!
we have the best MRCS Recall Q book available .....Grab Your book !!!

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