Veidlapa Nr. M-3 (8)
Study Course Description
General Surgery IV
Course Code
RKI_027
Branch of Science
Clinical medicine; Surgery
ECTS
57.00
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
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Title
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% from total grade
|
Grade
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|---|---|---|
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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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|---|---|---|
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1.
Examination |
-
|
-
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|
When the fifth year of studies ends – to pass the final examination of residency successfully:
- assessment of theoretical knowledge – multiple-choice computer test;
- Assessment of practical skills: 1) LapSim Global Study Basic Skills and Cholecystectomy; 2) Appendectomy Long Course - Intermediate (LapSim simulator);
- presentation of a scientific research paper.
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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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Pediatrics (1) II
Description
Annotation: Choledochal Cysts.
Congenital Diaphragmatic Hernia.
Congenital Diaphragmatic Hernia - Repair.
Biliary Atresia.
Branchial Cleft Anomaly - Excision.
Chest Wall Deformity - 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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Soft Tissue Neoplasm (1) II
Description
Annotation: Melanoma and Nevi.
Melanoma - Wide Excision.
Sentinel Lymph Node Biopsy for Melanoma.
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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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Small Intestine (1) II
Description
Annotation: Enterocutaneous Fistula.
Radiation Enteritis.
Small Intestinal Resection.
Short Bowel 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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Appendicitis and diverticulitis II
Description
Annotation: Diverticulitis.
Colostomy and Colostomy Closure.
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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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Colon Cancer II
Description
Annotation: Colon 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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-
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Topics
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Benign Anorectal (1) II
Description
Annotation: Anal Sphincterotomy.
Anorectal Fistulae - Repair.
Anal Fissure.
Pilonidal Cyst/Sinus.
Pilonidal Cystectomy.
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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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Anorectal Neoplasms
Description
Annotation: Rectal Cancer.
Rectal Cancer - Transanal Resection.
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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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Breast (1) II
Description
Annotation: Benign Disease - Fat Necrosis, Fibrocystic Changes, and Radial Scar.
Fibroadenoma and Phyllodes Tumors.
Male Breast Disease: Gynecomastia and Breast Cancer.
Nipple Discharge and Intraductal Papilloma.
Duct Excision.
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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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Adrenal II
Description
Annotation: Pheochromocytoma.
Hypercortisolism - Cushing Syndrome/Disease.
Adrenal Cancer.
Adrenalectomy.
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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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Dysmotility II
Description
Annotation: Functional Biliary Disorders.
Gastric Foreign Bodies.
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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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Large Intestine II
Description
Annotation: C. difficile Colitis.
Colitis - Ischemic.
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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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Thoracic (1) II
Description
Annotation: Mediastinal Tumors and Cysts.
Mediastinitis.
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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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Abdominal Trauma (3) II
Description
Annotation: Abdominal Exploration for Trauma.
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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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Gynecology and Obstetrics II
Description
Annotation: Ectopic Pregnancy.
Cesarean Section.
Surgical Considerations in the Pregnant Patient.
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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 - Venous II
Description
Annotation: Thrombophlebitis.
Venous Thromboembolism.
Venous Insufficiency/Varicose Veins - Operation.
Vena Cava Filter Insertion.
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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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Thoracic (2) II
Description
Annotation: Pneumothorax and Pleurodesis.
Superior Vena Cava Syndrome.
Chylothorax.
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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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Pain and Anesthesia II
Description
Annotation: Postoperative Pain Management.
Best Practices in Prescribing Opioids.
Choice of Anesthesia.
Conscious Sedation - Agents and Techniques.
Intraoperative Monitoring and Common Intraoperative Problems.
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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 (2) II
Description
Annotation: Orchiopexy.
Thyroglossal Duct Cyst - Excision.
Aerodigestive Tract Foreign Bodies.
Necrotizing Enterocolitis.
Necrotizing Enterocolitis - Operation.
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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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Esophagus (3) II
Description
Annotation: Antireflux Procedures.
Paraesophageal Hernia – 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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Soft Tissue Neoplasm (2) II
Description
Annotation: Soft Tissue Sarcomas.
Soft Tissue Sarcoma - Resection.
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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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Urology II
Description
Annotation: Hydrocele.
Scrotal Pain and Masses.
Genitourinary Neoplasms.
Nephrectomy.
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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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Shock II
Description
Annotation: Sepsis and Septic Shock.
Neurogenic 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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Cerebrovascular Disease II
Description
Annotation: Cerebrovascular Disease.
Ultrasound in the Diagnosis and Management of Vascular Diseases.
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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 (4) II
Description
Annotation: Congenital Aganglionosis (Hirschsprung Disease).
Hirschsprung Disease - Operation.
Esophageal Atresia/Tracheoesophageal Fistula.
Esophageal Atresia/Tracheoesophageal Fistula - Repair.
Anorectal Malformations.
Anorectal Malformations - Operation.
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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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Soft Tissue Infection II
Description
Annotation: Necrotizing Soft Tissue Infections.
Soft Tissue Infections - Incision, Drainage, Debridement.
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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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Stomach (2) II
Description
Annotation: GISTs and Miscellaneous 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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-
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Topics
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Endoscopy II
Description
Annotation: Bronchoalveolar Lavage and Bronchoscopy.
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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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Breast (3) II
Description
Annotation: Excisional Breast Biopsy and Partial Mastectomy.
Mastectomy - Simple, Modified Radical, and Radical.
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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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Ventral and Miscellaneous Hernias II
Description
Annotation: Diaphragmatic Hernia - Repair.
Miscellaneous Hernias and 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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Plastics II
Description
Annotation: Skin Grafting.
Complex Wound Closure.
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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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Pancreas Cysts and Tumours II
Description
Annotation: Intraductal Papillary Mucinous Neoplasms.
Ampullary Resection for Tumor.
Pancreatectomy - Distal.
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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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Neck Trauma II
Description
Annotation: Vascular Injury - Neck.
Upper Aerodigestive Tract Injury.
Neck Injuries – Management.
Brachial Plexus 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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Topics
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Pain Management II
Description
Annotation: Pain, Chronic - Management.
Nerve Blocks - Digital and Peripheral.
|
Total ECTS (Creditpoints):
57.00
Number of Residency Seminars:
33
Length (weeks):
42
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