The surgeon aims at a direct, complete removal of the pathology. In spite of the modern advancements of imaging facilities and precision instrumentations, unsatisfactory results and recurrences are not uncommon. This paper provides a general review of the four specific areas in surgery that would benefit from Chinese medicine. Extensive searches were made on four surgical areas based on available English language journals, viz. low-back pain, chronic ulcers, renal calculus, and enuresis in children, in the past 10 years. The quoted communications are mainly related to clinical evidences, while a smaller number of crucial laboratory reports are also included. Low-back pain, a most frequent orthopaedic problem, would benefit from acupuncture treatment. Chronic leg ulcers could achieve better results of healing using herbal supplements. Problems of renal stones, besides the conventional methods of removal, could be further supplemented with herbal drinks that aim at prevention of recurrences. Enuresis in children, an untreatable common condition, may respond well to acupuncture. Surgeons should keep an open mind. In case of difficulties, they could seriously consider options of traditional treatment.
Combined Modality Therapy ; General Surgery ; Humans ; Medicine, Chinese Traditional ; Physicians

The terms "Surgery 1.0" to "Surgery 4.0" came from the term "Industry 4.0" . In 2011, the German Government at the Hannover Messe introduced the term "Industry 4.0" to describe the four stages of industrial developments: Industrial revolution, which happened in England in the 18th century, was considered as "Industry 1.0" . The beginning of "Industry 1.0" and the subsequent developments into "Industry 2.0" , "Industry 3.0" and "Industry 4.0" were all based on important scientific discoveries at those material time periods. In 2018, Hooshair A first introduced the concept of similar developments from "surgery 1.0" to "surgery 4.0" . Similar to industrial developments, these stages of surgical developments were based on important scientific discoveries, although the time periods of developments of these surgical stages were slightly different from those of the industrial developmental stages. "Surgery 4.0" started at the beginning of the 21st century. Its development is based on the scientific advances in big data, artificial intelligence, automation, modern robots and 5G technology. Within a short period of 20 years, each of these scientific discoveries has rapidly progressed. As each of these developments leads to increase in demand of another one, this leads to a virtuous cycle with rapid developments in all these individual scientific discoveries. Is there any room for further development of "Surgery 4.0" ? The authors predict that there will be a rapid development into "Surgery 5.0" by integrating these discoveries. Instead of individual and rapid development of each of the scientific advances, these advances will integrate into a single system with further fast and rapid growth. It is ambitions for the authors to make such a prediction when "Surgery 4.0" is still at an developmental stage. However the authors are confident that "surgery 5.0" will not only come, but it will come within a reasonably short time, as this is the natural development of science.

No abstract available.
Hong Kong* ; Rehabilitation* ; Stroke*