Veidlapa Nr. M-3 (8)
Study Course Description
General Surgery V
Course Code
RKI_016
Branch of Science
Clinical medicine
ECTS
54.00
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
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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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
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Title
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% from total grade
|
Grade
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|---|---|---|
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1.
Examination |
-
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-
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|
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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Topics
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Critical Care (2) III
Description
Annotation: Abdominal Compartment Syndrome.
Intubation and Difficult Airway.
Hypoxemic Syndromes (Pulmonary Embolism, Pneumonia).
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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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Abdomen - General III
Description
Annotation: Abdominal Exploration.
Peritoneal Dialysis Catheter Insertion.
Rectus Sheath Hematoma.
Minimally Invasive Surgery (MIS) Principles.
Robotic Surgery - Principles.
Safe Use of Surgical Energy.
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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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Biliary neoplasms and jaundice III
Description
Annotation: Bile Duct Neoplasms - 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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Transfusion and Coagulation III
Description
Annotation: Evaluation of Ongoing Bleeding and Laboratory Assessment of Coagulation.
Inherited and Acquired Disorders of Coagulation.
Normal Mechanisms of Haemostasis and Coagulation.
Transfusion - Indications, Risks, Type and Crossmatch, and Component Therapy.
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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 Masses, Pain and Infection III
Description
Annotation: Abdominal Pain – Acute and Chronic.
Desmoids and Fibromatoses.
Peritoneal Neoplasms.
Intraabdominal Infections.
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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 (1) III
Description
Annotation: Vagotomy and Drainage.
Postgastrectomy Syndromes – Revisional Procedures.
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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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Inflammatory Bowel Disease III
Description
Annotation: Crohn Disease – Surgical Management.
Ulcerative Colitis - Surgical 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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Perioperative Evaluation (1) III
Description
Annotation: Evaluation of Surgical Risk.
Preoperative Assessment and Management of Coexisting Infection.
Ventilatory Support/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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Transplantation and Immunology (1) III
Description
Annotation: Brain Death.
Organ Donors and Selection Criteria.
En Bloc Abdominal Organ Retrieval.
Organ Preservation.
Live Donor Hepatectomy.
Live Donor 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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Spleen III
Description
Annotation: Hematologic Diseases of the Spleen.
Splenectomy.
Splenic Abscesses, Cysts and 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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Transplantation and Immunology (3) I
Description
Annotation: Transplant Immunology.
Components of the Immune System.
Immune Response to Injury and Infection.
Surgery and Surgical Conditions in Immunocompromised Hosts.
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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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Perioperative Evaluation (2) III
Description
Annotation: Common Postoperative Problems.
Management of Perioperative Risk.
Prophylaxis for Venous Thromboembolism.
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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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Organ System Dysfunction (3) III
Description
Annotation: Hepatic Failure and Hepatorenal Syndrome.
Pain, Agitation, and Delirium.
Neurologic Dysfunction.
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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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Organ System Dysfunction (2) III
Description
Annotation: Derangements of Electrolytes.
Derangements of Acid-Base Balance.
Renal Failure.
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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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Nutrition III
Description
Annotation: Nutritional Assessment.
Nutritional Pharmacology and Immunonutrition.
Nutritional Requirements.
Nutritional Support.
Effect of Surgery, Illness, and Injury on Nutritional Requirements.
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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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Transplantation and Immunology (2) III
Description
Annotation: Renal Transplantation.
Liver Transplantation.
Pancreas Transplantation.
Infections – Opportunistic
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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 (1) III
Description
Annotation: Esophageal Perforation.
Esophageal Perforation - Repair/Resection.
Esophageal Neoplasms – Benign and Malignant.
Esophagectomy and Esophagogastrectomy.
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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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Organ System Dysfunction (1) III
Description
Annotation: Acute Respiratory Distress Syndrome (ARDS).
Respiratory Failure.
Endocrine Dysfunction.
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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 - Arterial (1) III
Description
Annotation: Acute Thrombosis and Ischemia.
Amputations - Lower Extremity.
Compartment Syndromes.
Diabetic Foot Infections.
Nonatherosclerotic Occlusive 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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-
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Topics
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Esophagus (2) III
Description
Annotation: Esophageal Motility Disorders.
Esophageal Caustic Ingestion and Foreign Bodies.
Esophagomyotomy (Heller).
Cricopharyngeal Myotomy with Zenker's Diverticulum - 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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Arterial Occlusive Disease (3) III
Description
Annotation: Peripheral Arterial Emboli.
Embolectomy/Thrombectomy - Arterial.
Endovascular Intervention Principles.
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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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Liver Neoplasms and Portal Hypertension III
Description
Annotation: Liver Segmentectomy and Lobectomy.
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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 - Arterial (2) III
Description
Annotation: Acute Aortic Dissection.
Vascular Graft Infections.
Graft-enteric Fistula - Management.
Thoracic Outlet 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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-
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Topics
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Breast (2) III
Description
Annotation: Axillary Sentinel Lymph Node Biopsy and Lymphadenectomy.
Percutaneous Breast Biopsy and Cyst Aspiration.
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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 (2) III
Description
Annotation: Splenic Injury.
Splenectomy and Splenorrhaphy.
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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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Miscellaneous Trauma III
Description
Annotation: Geriatric Trauma.
Pediatric Trauma.
Trauma in Pregnancy.
Traumatic Brain Injury.
Spine Fracture.
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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 and Pancreatitis III
Description
Annotation: Pancreatectomy - Total.
Pancreaticoduodenectomy.
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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) III
Description
Annotation: Postmastectomy Reconstruction Options.
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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 Biliary (1) III
Description
Annotation: Common Bile Duct Exploration and Choledochoscopy.
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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) III
Description
Annotation: Morbid Obesity.
Morbid Obesity - 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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Large Intestine III
Description
Annotation: Colectomy – Total and Subtotal.
Colectomy – Partial.
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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 III
Description
Annotation: Rectal Cancer - Abdominoperineal 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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Soft Tissue Neoplasm (1) III
Description
Annotation: Ilioinguinal-Femoral Lymphadenectomy.
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Total ECTS (Creditpoints):
54.00
Number of Residency Seminars:
33
Length (weeks):
40
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