Veidlapa Nr. M-3 (8)
Study Course Description
General Surgery III
Course Code
RKI_026
Branch of Science
Clinical medicine; Surgery
ECTS
63.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Zenons Narbuts
Residency Speciality
Speciality
Surgeon
Supervisor of Medical Speciality
Zenons Narbuts
Contacts
-
About Study Course
Objective
To provide students with and improve their theoretical knowledge and practical skills in general surgery in accordance with the requirements of the surgery speciality regulations in order to prepare the doctor for certification in surgeon’s speciality.
Learning Outcomes
Knowledge
1.- Detailed theoretical knowledge on aetiology, pathogenesis, symptoms, diagnostics, differential diagnostics of congenital and acquired, acute and chronic surgical diseases, as well as indications for conservative and surgical treatment of surgical diseases must be mastered; - diagnostic methods, instruments used in surgery must be learnt.
Skills
1.- to deliver emergency medical assistance in acute cases to a patient with a surgical pathology; - to create a correct diagnostic scheme and treatment tactics for a patient with a surgical pathology; - to perform diagnostic and therapeutic manipulations.
Competences
1.To provide surgical assistance according to the requirements of the Latvian Cabinet of Ministers, the Ministry of Health and the Association of Surgeons. A certified specialist is competent to perform diagnostics of a surgical pathology, conservative and surgical treatment.
Assessment
Individual work
|
Title
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% from total grade
|
Grade
|
|---|---|---|
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1.
Individual work |
-
|
-
|
|
The doctor must master diagnostic methods, instruments and equipment used in surgery, practical skills in performing diagnostic and therapeutic manipulations, as well as practical application of therapeutic methods (surgeries) in patients of a surgical profile according to the scope envisaged by the programme.
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||
Examination
|
Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Examination |
-
|
-
|
|
Theoretical knowledge evaluation in a 10-point grade system.
Asessment of practical skills in a 10-point grade system of surgical manipulations.
Cholecystectomy and SimPraxis Cognitive Training - on LapSim simulator.
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||
Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Parathyroid II
Description
Annotation: Parathyroid Cancer.
Multiple Endocrine Neoplasias.
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-
Seminar
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Modality
|
Location
|
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|---|---|---|
|
-
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-
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Topics
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Thyroid II
Description
Annotation: Thyroid Cancer.
Hypothyroidism - Postoperative.
Thyroidectomy - Partial or Total.
Ultrasound of the Thyroid.
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-
Seminar
|
Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Biliary neoplasms and jaundice II
Description
Annotation: Gallbladder Cancer - Operation.
Bile Duct Cancer- Operation.
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-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
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-
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Topics
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Small intestine (2) II
Description
Annotation: Ileostomy and Ileostomy Closure.
Enteric Infections and Blind Loop Syndrome.
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-
Seminar
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Modality
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Location
|
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|---|---|---|
|
-
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-
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Topics
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Abdominal trauma (1) II
Description
Annotation: Duodenal and Pancreatic Injury.
Duodenal and Pancreatic Injury – Operations.
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-
Seminar
|
Modality
|
Location
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|
|---|---|---|
|
-
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-
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Topics
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Stomach (1) II
Description
Annotation: Gastric Adenocarcinoma.
Gastrectomy - Partial/Total.
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-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
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Topics
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Thermal trauma II
Description
Annotation: Frostbite and Hypothermia.
Lower Extremity Fasciotomy.
Smoke Inhalation Injury and Carbon Monoxide Poisoning.
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-
Seminar
|
Modality
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Location
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|
|---|---|---|
|
-
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-
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Topics
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Pancreas and pancreatitis II
Description
Annotation: Pancreatic Pseudocyst - Drainage.
Pancreatitis, Chronic - Operative Management.
Pancreatic Ultrasound - Intraoperative.
Pancreatic Debridement.
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-
Seminar
|
Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Small intestine (3) II
Description
Annotation: Small Intestinal Neoplasms.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Arterial Occlusive Disease (2) II
Description
Annotation: Renal Artery Disease.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Arterial Occlusive Disease (1) II
Description
Annotation: Aortoiliac Reconstruction for Occlusive Disease.
Lower Extremity Bypass.
Extra-anatomic Bypass.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Pediatrics (3) II
Description
Annotation: Hypertrophic Pyloric Stenosis.
Pyloromyotomy.
Cryptorchidism.
Abdominal Mass.
Gastroschisis/Omphalocele.
Gastroschisis/Omphalocele - Repair.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Critical Care (1) II
Description
Annotation: Cardiac Arrhythmias - Common.
Noninvasive and Invasive Cardiac Pacing.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Retroperitoneal Trauma II
Description
Annotation: Pelvic Fractures and Retroperitoneal Hematoma.
Urinary Tract Injuries - Operations.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Critical Care (3) II
Description
Annotation: Vascular Access.
Ultrasound Use for Intravascular Access.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Chest Trauma II
Description
Annotation: Cardiac Injury.
Cardiac Injury - Repair.
Esophageal Injury.
Esophageal Injury - Repair.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Vascular Access II
Description
Annotation: Venous Access Devices - Insertion.
Arteriovenous Graft/Fistula.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Benign Anorectal (2) II
Description
Annotation: Anal Dysplasia and STDs.
Perianal Condylomas - Excision.
Fecal Incontinence.
Rectal Prolapse.
Rectal Prolapse - Repair.
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-
Seminar
|
Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Vascular Trauma II
Description
Annotation: Vascular Injury - Extremities.
Vascular Injury - Thorax.
Vascular Injuries – Operations.
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-
Seminar
|
Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Extremity Trauma II
Description
Annotation: Lower extremity Injuries.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Oncology and Tumor Biology II
Description
Annotation: Genetic Susceptibility.
Screening and Biomarkers.
Adjunctive Therapy for Cancer.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Liver Neoplasms and Portal Hypertension II
Description
Annotation: Hepatic Neoplasms - Metastatic.
|
-
Seminar
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Modality
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Location
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|
|---|---|---|
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-
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-
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Topics
|
Aneurysms II
Description
Annotation: Arterial Aneurysms - Visceral.
Arterial Aneurysms - Peripheral.
Peripheral Aneurysms - Repair.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
|
Breast (2) II
Description
Annotation: Breast Cancer - Hereditary.
Breast Cancer - Inflammatory.
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-
Seminar
|
Modality
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Location
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|
|---|---|---|
|
-
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-
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Topics
|
Abdominal Trauma (2) II
Description
Annotation: Hepatic Injury.
Hepatic Injury - Packing and Repair/Resection.
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-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
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-
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Topics
|
Wound Healing and Soft Tissue Trauma II
Description
Annotation: Wound Closure and Postoperative Care.
Wounds, Major - Debride/Suture.
Bite and Envenomation Injuries.
|
-
Seminar
|
Modality
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Location
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|
|---|---|---|
|
-
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-
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Topics
|
Surgical Infection II
Description
Annotation: Antimicrobial Stewardship.
Prevention and Treatment of Surgical Site Infection.
Antimicrobial Agents in Surgical Infections.
Intra-abdominal Infections.
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-
Seminar
|
Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Fluids and Electrolytes II
Description
Annotation: Hypocalcemia and Hypercalcemia.
Hyponatremia and Hypernatremia.
Magnesium and Phosphorous Disorders.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
|
Benign Biliary (1) II
Description
Annotation: Benign Biliary Obstruction.
Ultrasound of the Biliary Tree.
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-
Seminar
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Modality
|
Location
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|---|---|---|
|
-
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-
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Topics
|
Inguinal and Femoral Hernias II
Description
Annotation: Inguinal and Femoral Hernia - Repair.
Laparoscopic inguinal hernia repair.
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-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
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-
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Topics
|
Benign Biliary (2) II
Description
Annotation: Choledochoenteric Anastomosis.
Choledochal Cyst.
Primary Sclerosing Cholangitis.
|
-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Head and Neck II
Description
Annotation: Oral Cavity/Pharynx, Laryngeal, and Salivary Gland Cancer.
Parotidectomy.
Modified Neck Dissection.
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-
Seminar
|
Modality
|
Location
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|---|---|---|
|
-
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-
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Topics
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Liver II
Description
Annotation: Primary Hepatic Neoplasms - Benign and Malignant.
Hepatic Biopsy.
Hepatic Ultrasound - Intraoperative.
|
Total ECTS (Creditpoints):
63.00
Number of Residency Seminars:
33
Length (weeks):
46
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Townsend, Courtney M. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. Elsevier, 2021.
3.
Sade, Robert M. The Ethics of Surgery. New York: Oxford University Press USA - OSO, 2015.
4.
Program, American College of Surgeons Clinical Research, Heidi D Nelson, Kelley K Hunt, and Alliance for Clinical Trials in Oncology. Operative Standards for Cancer Surgery. Lippincott Williams & Wilkins, 2015.
5.
Program, American College of Surgeons Clinical Research, and Matthew Katz. Operative Standards for Cancer Surgery. Philadelphia: Wolters Kluwer, 2018.
6.
Robert M. Zollinger, E.Cristopher Ellison. Zollinger`s Atlas of Surgical Operations. 11th ed. McGraw-Hill, 2022.
7.
Nathaniel J. Soper, Carol E.H. Scott-Conner. The SAGES Manual: Basic Laparoscopy and Endoscopy, Vol.1. 3rd ed., Springer, 2012.
8.
Asensio, Juan A, and Donald D Trunkey. Current Therapy in Trauma and Critical Care. Current Therapy. Philadelphia: Elsevier, 2015.
9.
Adzick, N. Scott, Robert Shamberger, Anthony Caldamone, Jean-Martin Laberge, Arnold G Coran, and Thomas M Krummel. Pediatric Surgery. Elsevier, 2014.
10.
Raymond Fonseca. Oral and Maxillofacial Surgery, 3-Volume Set. 3rd ed., Elsvier, 2016.
11.
Jānis Gardovskis. Ķirurģija. Rīgas Stradiņa universitāte, 2013.
Other Information Sources
1.
slimnieka pirmsoperācijas izvērtēšana un sagatavošana anestēzijai un operācijai
2.
abdominālās ķirurģijas grāmata
3.
aprakstītas dažādas operācijas vispārīgajā ķirurģijā
4.
apraksts par laparoskopiju
5.
dažādi laparoskopijas video
6.
Pasaules Veselības organizācijas veidota grāmata par ķirurģijas principiem neatliekamos gadījumos
7.
Abdominal Surgery
8.
Advances in Laparoscopic Surgery
9.
Risks Associated with Laparoscopic Surgery
10.
Acute Pancreatitis
11.
Breast Reconstruction - Current Techniques
12.
Rectal Cancer - A Multidisciplinary Approach to Management
13.
Abdominal trauma