Veidlapa Nr. M-3 (8)
Study Course Description
General Surgery
Course Code
KK_043
Branch of Science
Clinical medicine; Surgery
ECTS
2.00
Target Audience
Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Donats Breiva
Structure Unit Manager
Jānis Gardovskis
Structural Unit
Department of Surgery
Contacts
-
About Study Course
Objective
To enable students to learn and master the most important principles of surgery and basic skills in infection control/methods in surgical department, the most common types of bleeding and haemorrhage control methods/agents and tools, preoperative care and intensive care in acute surgical patients and patients operated electively, perioperative and postoperative care of surgical patient, to understand and acquire knowledge in treatment of surgical infections and common surgical diseases.
Preliminary Knowledge
Knowledge in anatomy, physiology, biochemistry ann patologic physiology.
Learning Outcomes
Knowledge
1.Students will acquire basic knowledge and understanding of the organisation and prevention of infections in surgical department; the symptoms and forms of surgical bleeding and haemorrhage control methods and tools; principles of wound healing and treatment; most common postoperative surgical complications, importance of prevention and treatment of postoperative complications; surgical infectious diseases, the most important diagnostic/treatment methods of common acute surgical diseases and traumatic injuries and its possible complications. By learning and understanding these processes, the student will be able to: • identify and explain the spread of infection in surgical department or clinic; • manage surgical wounds; • identify and manage patients with surgical bleeding, to diagnose the bleeding and know agents/tools to stop it; • explain the most important parts of surgical operations, concepts of local anesthesia and postoperative period; • recommend measures of prevention of postoperative complications; • recognise simple surgical infectious deseases and "acute abdomen" and recommend a treatment plan.
Skills
1.On completion of the study course, the student will be able to follow infection control regime in surgical department; will be able to apply the wound dressings, will be able to use the temporary haemorrhage control methods/agents and tools; will be able to acquire anamnesis, evaluate general condition of surgical patient during pre- and postoperative period; will be able to provide first aid to patients with acute surgical diseases.
Competences
1.On completion of the study course, the students will be able to understand the origin of nosocomial infections; asses and manage the wounds; to understand the most common causes of bleeding, recommend measures/agents and tools to stop the bleeding, and will be able to compensate the blood loss, perform blood transfusion; understand the most important course of surgical operation and postoperative period.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
During the study course, after acquiring basic principles of surgery, students will be able to work with patients and clinical case histories.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Students can pass the study course by fulfilling theses conditions: watching all lectures, attending all practical classes and showing active work in classes.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Introduction. Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Surgical infections. Sepsis.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Traumatic injuries. Classification of traumatic injuries. Traumatic brain injuries. Thoracic and abdominal organ injuries. Tetanus and Rabies – preventive measures. Wounds. The wound healing process. Principles of wound treatment – options for wound closure.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Acute surgical diseases of abdominal organs – "Acute abdomen".
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Surgical bleeding. Bleeding symptoms. Haemorrhage control. Hematologic principles in surgery. Gastrointestinal bleeding.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Preoperative preparation of surgical patient. Postoperative care. Early postoperative period.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Labour organisation in surgical department. Surgical infection. Sepsis. Infections of skin and subcutaneous tissue.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Wound classification. The wound healing process/phases. Principles of wound management: first aid, use of dressings and medication. Traumatic injuries. Traumatic brain injuries – closed cranial trauma. Thoracic and abdominal organ injuries. Tetanus and rabies – preventive measures.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Surgical operation. Preoperative preparation of surgical patient. Early postoperative period. Postoperative complications (early and late-onset). Acute surgical diseases of abdominal organs – "Acute abdomen".
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
3
|
Topics
|
Surgical bleeding. Bleeding symptoms. Gastrointestinal bleeding. Haemorrhage control. Hematologic principles in surgery: indications for blood transfusion, determination of blood group and Rh factor (typing and cross-matching). Test.
|
Total ECTS (Creditpoints):
2.00
Contact hours:
22 Academic Hours
Final Examination:
Test
PART-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Introduction. Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Surgical infections. Sepsis.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Traumatic injuries. Classification of traumatic injuries. Traumatic brain injuries. Thoracic and abdominal organ injuries. Tetanus and Rabies – preventive measures. Wounds. The wound healing process. Principles of wound treatment – options for wound closure.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Acute surgical diseases of abdominal organs – "Acute abdomen".
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Surgical bleeding. Bleeding symptoms. Haemorrhage control. Hematologic principles in surgery. Gastrointestinal bleeding.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Preoperative preparation of surgical patient. Postoperative care. Early postoperative period.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Labour organisation in surgical department. Surgical infection. Sepsis. Infections of skin and subcutaneous tissue.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Wound classification. The wound healing process/phases. Principles of wound management: first aid, use of dressings and medication. Traumatic injuries. Traumatic brain injuries – closed cranial trauma. Thoracic and abdominal organ injuries. Tetanus and rabies – preventive measures.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Surgical operation. Preoperative preparation of surgical patient. Early postoperative period. Postoperative complications (early and late-onset). Acute surgical diseases of abdominal organs – "Acute abdomen".
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
3
|
Topics
|
Surgical bleeding. Bleeding symptoms. Gastrointestinal bleeding. Haemorrhage control. Hematologic principles in surgery: indications for blood transfusion, determination of blood group and Rh factor (typing and cross-matching). Test.
|
Total ECTS (Creditpoints):
2.00
Contact hours:
22 Academic Hours
Final Examination:
Test
Bibliography
Required Reading
1.
Ķirurģija. J. Gardovska red. 2.izd. Rīga: Rīgas Stradiņa universitāte, 2013.
2.
Madrevica I., Krieviņš D. – Ko darīt?, Rīga, Zvaigzne, 2006. (akceptējams izdevums)
3.
Modernās tehnoloģijas ķirurģijā / Prof. J.Gardovska red. – Rīga: Latvijas Ķirurgu asociācija, 1999. (akceptējams izdevums)
4.
Volkolakovs J. Vispārīgā ķirurģija. Rīga: Zvaigzne, 1985. (akceptējams izdevums)
5.
Lawrence P.F., Bell R.M. Dayton M.T., Ahmed M.I. Essentials of General Surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2013.
6.
Tjandra J., Clunie G.J.A., Kaye A., Smith J. Textbook of Surgery. Wiley-Blackwell, 2020.
7.
Gostishchev V.K. General Surgery Moscow: Geotar-Media, 2003. (akceptējams izdevums)
Additional Reading
1.
Quick C.R.G. Essential Surgery: Problems, Diagnosis and Management. Edinburgh: Churchill Livingstone, 2019.
2.
Browse N.L., Black J., Burnand K., Thomas W. An Introduction to the Symptoms and Signs of Surgical Disease. London: Hodder Arnold 2015.