Veidlapa Nr. M-3 (8)
Study Course Description
General Surgery I
Course Code
RKI_018
Branch of Science
Clinical medicine
ECTS
40.00
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 with an aim 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
|
% from total grade
|
Grade
|
|---|---|---|
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1.
Individual work |
-
|
-
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|
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 |
-
|
-
|
|
At the end of the first year of studies– to successfully pass a theoretical and practical test: - assessment of theoretical knowledge: multiple-choice computer test. LapSim Global Study Basic Skills - Intermediate.
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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 I
Description
Annotation: Hyperparathyroidism.
Parathyroidectomy.
|
-
Seminar
|
Modality
|
Location
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|
|---|---|---|
|
-
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-
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Topics
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Thyroid I
Description
Annotation: Thyroid Nodule.
Hyperthyroidism.
Thyroiditis.
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-
Seminar
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Modality
|
Location
|
|
|---|---|---|
|
-
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-
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Topics
|
Biliary neoplasms and jaundice I
Description
Annotation: Benign Biliary Obstruction. Biliary Neoplasms.
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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 (2) I
Description
Annotation: Meckel Diverticulum.
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-
Seminar
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Modality
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Location
|
|
|---|---|---|
|
-
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-
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Topics
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Abdominal trauma (1) I
Description
Annotation: Colon and Rectal Injury.
Gastric and Small Intestinal Injury.
Gastrointestinal Tract Injury - Repair.
|
-
Seminar
|
Modality
|
Location
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|
|---|---|---|
|
-
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-
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Topics
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Stomach (1) I
Description
Annotation: Peptic Ulcer Disease.
Gastroduodenal Perforation - Repair.
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-
Seminar
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Modality
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Location
|
|
|---|---|---|
|
-
|
-
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Topics
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Thermal trauma I
Description
Annotation: Burns.
Thermal 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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Topics
|
Pancreas and Pancreatitis I
Description
Annotation: Pancreatitis - Acute/Pancreatic Necrosis/Abscess.
Pancreatitis - Chronic (Including Hereditary Pancreatitis)/Pancreatic Insufficiency.
|
-
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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Small intestine (3) I
Description
Annotation: Mesenteric Ischemia - Acute (Arterial, Venous, and Nonocclusive).
Superior Mesenteric Artery Embolectomy/Thrombectomy.
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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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Arterial Occlusive Disease (2) I
Description
Annotation: Mesenteric Occlusive Disease - Treatment.
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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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Arterial Occlusive Disease (1) I
Description
Annotation: Peripheral Vascular Occlusive 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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-
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Topics
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Pediatrics (3) I
Description
Annotation: Inguinal Hernia and Repair.
Umbilical Herniaand 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) I
Description
Annotation: Cardiac Arrest.
Cardiac Failure and Cardiogenic Shock.
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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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Retroperitoneal Trauma I
Description
Annotation: Lower Urinary Tract Injuries.
Upper Urinary Tract 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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Topics
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Critical Care (3) I
Description
Annotation: Anaphylaxis
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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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Chest Trauma I
Description
Annotation: Chest Wall, Pleura, and Diaphragm Injuries.
Tracheobronchial and Lung Injury.
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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 I
Description
Annotation: Vascular Exposure – Principles.
Vascular Access for Dialysis.
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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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Benign Anorectal (2) I
Description
Annotation: Hemorrhoids.
Hemorrhoids – Management.
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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 Trauma I
Description
Annotation: Vascular Injury - Abdomen.
|
-
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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Extremity Trauma I
Description
Annotation: Upper Extremity Injuries.
Hand Tendon Repairs.
|
-
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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Oncology and Tumor Biology I
Description
Annotation: Tumor Immunology.
|
-
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 I
Description
Annotation: Cirrhosis, Portal Hypertension, Ascites.
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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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Aneurysms I
Description
Annotation: Arterial Aneurysms - Aortic.
Abdominal and Aortoiliac Aneurysm – 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
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Breast (2) I
Description
Annotation: Breast Cancer - Invasive Carcinoma.
Ductal Carcinoma In Situ.
|
-
Seminar
|
Modality
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Location
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|
|---|---|---|
|
-
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-
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Topics
|
Abdominal Trauma (2) I
Description
Annotation: Focused Assessment with Sonography for Trauma (FAST).
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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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Wound Healing and Soft Tissue Trauma I
Description
Annotation: Wound Healing.
|
-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
|
Surgical Infection I
Description
Annotation: Infections - Hospital-Acquired.
Diagnostic Approach to Infection.
|
-
Seminar
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Modality
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Location
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|---|---|---|
|
-
|
-
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Topics
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Fluids and Electrolytes I
Description
Annotation: Hypokalemia and Hyperkalemia.
|
-
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) I
Description
Annotation: Cholecystitis.
Cholecystostomy.
Cholecystectomy with or without Cholangiography.
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-
Seminar
|
Modality
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Location
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|---|---|---|
|
-
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-
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Topics
|
Inguinal and Femoral Hernias I
Description
Annotation: Inguinal and Femoral Hernia.
|
-
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 (2) I
Description
Annotation: Bile Duct Injury - Iatrogenic.
Bile Duct Injury, Iatrogenic - Acute Repair.
|
-
Seminar
|
Modality
|
Location
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|
|---|---|---|
|
-
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-
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Topics
|
Head and Neck I
Description
Annotation: Lymph Node Biopsy.
Neck Mass - Evaluation.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
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Topics
|
Liver I
Description
Annotation: Hepatic Abscess.
Hepatic Abscess - Drainage.
|
Total ECTS (Creditpoints):
40.00
Number of Residency Seminars:
33
Length (weeks):
30
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.
Acute Pancreatitis
2.
Breast Reconstruction - Current Techniques
3.
Rectal Cancer - A Multidisciplinary Approach to Management