Veidlapa Nr. M-3 (8)
Study Course Description
Novelties in Surgery
Course Code
KK_028
Branch of Science
Clinical medicine; Surgery
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Andrejs Brikuns
Structure Unit Manager
Jānis Gardovskis
Structural Unit
Department of Surgery
Contacts
13 Pilsonu Street, State limited liability company “P.Stradiņš Clinical University Hospital”, building 24, Riga; kk@rsu.lv, +371 67069745
About Study Course
Objective
To extend the students’ knowledge of: minimally invasive surgery options in different areas of surgery, treatment methods in weight loss surgery, proctology, colorectal surgery, pancreatology, breast surgery, current treatment options in hernia surgery, surgical treatment of constipations, hand surgery and basics of microsurgery, modern principles of treatment of trophic ulcers, necrosis, gangrene and pressure sores. Promote the acquisition of laparoscopic surgery skills.
Preliminary Knowledge
Study courses in anatomy, morphology, physiology, pathological physiology and surgery (1st – 8th semesters).
Learning Outcomes
Knowledge
1.Upon completion of the course the students will have knowledge and will be able to: • describe options of minimally invasive surgery in oncology; • describe the principles of minimally invasive methods in surgery and their indications; • name the indications for laparoscopic surgery and the application of laparoscopic surgery in clinical practice; • describe the microsurgery treatment basis of various pathologies; • describe the principles of pressure ulcer treatment; • describe the principles of vacuum assisted closure (VAC) system; • describe advanced treatment options in endocrine, colorectal surgery, breast surgery, proctology, pancreatology, hernia surgery, treatment of constipation.
Skills
1.Upon completion of the study course, students will be able to perform minimally invasive manipulations (on laparoscopic simulator), will be able to suture using various suturing techniques.
Competences
1.On completion of the study course, students will be able to evaluate indications and advantages of minimally invasive surgery methods in oncology and discuss treatment options in microsurgery. Students will be able to discuss treatment of pressure ulcers, application principles of VAC system in clinical practice, modern treatment methods in endocrine, colorectal surgery, proctology, pancreatology, hernia surgery and constipation surgery.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
- Independent preparation for lectures and classes, using materials, available in E-studies.
- Individual training on laparoscopic simulator and moulages. Student first learns the basic laparoscopic skills together with a teacher by completing different tasks (learning instruments, training spatial orientation and basic techniques).
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Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Watching lectures and attendance of all practical classes is a mandatory criterion for receiving the final assessment (grade) in this study course.
Assessment of student's laparoscopic skills are dome by completing different tasks in a specific period of time.
The course final grade consists of:
- Average grade of all tests in E-studies (50%);
- Result of the final test (Exam, 50%).
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Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Novelties in endocrine surgery.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Latest achievements in colorectal surgery. Latest achievements in proctology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Surgical suture material. Mechanical suture devices. Modern haemostasis
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Suturing skill training.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Principles and techniques of laparoscopic surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Laparoscopic surgery skill training.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
20 Academic Hours
Final Examination:
Test (Semester)
Part 2
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Surgical treatment of constipation. Perineorrhaphy repair.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Latest achievements in pancreatology.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Latest achievements in hernia surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Basics of microsurgery. Hand surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
US and CT guided minimally invasive diagnostic manipulations (puncture, biopsy, stenting, drainage).
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Trophic ulcers, necrosis, gangrene, pressure ulcers. Treatment methods.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
12 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Lekciju materiāli e-studijās/ lecture materials in E-studies.
2.
Townsend, C.M. 2022. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st ed. Elsevier.
3.
Zollinger, R.M., Ellison, E.C. 2011. Zollinger's Atlas of Surgical Operations. 11th ed. New York: Mc Graw Hill. (akceptējams izdevums)
Additional Reading
1.
Gardovskis, J. 2013. Ķirurģija. 2.izd. Rīga: Rīgas Stradiņa universitāte.
2.
DeJong, M.R. 2017. Ultrasound-guided interventional techniques. In: Textbook of Diagnostic Sonography. Mosby, CHAPTER 18, p. 467-498.
3.
Rutherford, E.E., Stedman, B., Breen, D.J. 2011. Interventional ultrasound in the abdomen. In: Clinical Ultrasound. Churchill Livingstone, CHAPTER 43, p. 847-864
4.
CT-GUIDED INTERVENTIONS, Ashley S. Shaw and Mathias Prokop Grainger & Allison's Diagnostic Radiology, Chapter 4, 76-89.e1 2021
5.
Hope, W.W., Cobb, W.S., Adrales, G.L. 2017.Textbook of Hernia. Springer.
6.
Mandalia, A., Wamsteker, E.J., DiMagno, M.J. 2019. Recent advances in understanding and managing acute pancreatitis. Available at: https://f1000research.com/articles/7-959/v2
7.
Krustiņš J., Krustiņš U., Kapickis M., Tihonovs A. (2012). Plauksta: Izmeklēšana un diagnostika. Latvijas Plastiskās, Rekonstruktīvās un Mikroķirurģijas Centrs.
8.
Informatīvi izglītojošie izdevumi “Plastikos” (pieejami http://www.mikrokirurgija.lv/aktuali/plastikos/)
9.
Hotchkiss, R. N., Kozin, S. H., & Cohen, M. S. (2022). Green's Operative Hand Surgery, 7th Edition. Elsevier.
10.
Ārvalstu studentiem/For International students:
11.
DeJong, M.R. 2017. Ultrasound-guided interventional techniques. In: Textbook of Diagnostic Sonography. Mosby, CHAPTER 18, p. 467-498.
12.
Rutherford, E.E., Stedman, B., Breen, D.J. 2011. Interventional ultrasound in the abdomen. In: Clinical Ultrasound. Churchill Livingstone, CHAPTER 43, p. 847-864
13.
CT-GUIDED INTERVENTIONS, Ashley S. Shaw and Mathias Prokop Grainger & Allison's Diagnostic Radiology, Chapter 4, 76-89.e1 2021
14.
Mandalia, A., Wamsteker, E.J., DiMagno, M.J. 2019. Recent advances in understanding and managing acute pancreatitis. Available at: https://f1000research.com/articles/7-959/v2