Veidlapa Nr. M-3 (8)

Study Course Description

Vascular Surgery

Main Study Course Information

Course Code

RTL_003

Branch of Science

Clinical medicine; Surgery

ECTS

14.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Jānis Jušinskis

Residency Speciality

Speciality

Transplantologist

Supervisor of Medical Speciality

Jānis Jušinskis

Contacts

About Study Course

Objective

to ensure the acquisition and improvement of theoretical knowledge and practical skills in vascular surgery, in accordance with the requirements of the regulation of the specialty of transplantology, in order to prepare the doctor for certification in the specialty of transplantologist, in accordance with the regulatory documents of the Republic of Latvia.

Learning Outcomes

Knowledge

1.- etiology, pathogenesis, symptoms, diagnosis, differential diagnosis of the most common acute and chronic vascular surgical diseases in transplantation. - interpret US, CT, CT and MR angiography data in angiosurgery and phlebology. - diagnosis of non-invasive and invasive vascular pathology in transplantation. - possibilities of transluminal revascularization, stent implantation, embolization. Indications, contraindications, complications. - possible complications in the postoperative period, diagnosis and treatment.

Skills

1.- examine a patient with vascular pathology - correctly choose transluminal revascularization or conventional surgical methods for treatment - correctly choose the treatment method for occlusive diseases of arteries and aortas in transplant patients - prescribe adequate conservative treatment for transplant patients with pathology of arteries, veins, lymphatic vessels. - provide first and urgent qualified aid to patients with traumatic damage to blood vessels, in case of thrombosis and embolism. - interpret the results of applied diagnostic methods (clinical analyses, radiological, etc.) and examinations. - learn the most common surgical approaches to blood vessels; - the control of arterial bleeding, techniques and final stopping of bleeding in the practice of a transplantologist, the peculiarities of using vascular clamps; - end-to-end, side-to-side and end-to-side anastomosis of arteries; - intravasal use of balloon-catheter.

Competences

1.Ensure vascular anastomosis in case of organ transplantation; Perform necessary reconstructive operations in case of transplantation (kidney, liver, pancreas); Provides vascular access (e.g. for dialysis), incl. in patients with vascular access complications.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Resident should acquire detailed theoretical knowledge about the etiology, pathogenesis, symptoms, diagnosis, differential diagnosis of the most common acute and chronic vascular surgical diseases in transplant recipients; diagnostic methods, instruments and equipment used in vascular surgery. Must learn practical skills for performing diagnostic and therapeutic manipulations, as well as the practical use of therapeutic methods (surgery) for transplant recipients with vascular pathology; indications for conservative and surgical treatment of vascular diseases; draw up an examination and treatment plan for patients with vascular pathology. Must be able to provide qualified emergency care to transplant patients with acute vascular diseases and traumatic injuries.

Examination

Title	% from total grade	Grade
1. Examination	-	-
2. Examination	-	-
Teacher evaluates the practical skills in a 10-point system, recording it in the resident's book. The test of theoretical knowledge is conducted in writing and is graded in a 10-point system.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Auditorium

Topics

Acute and chronic arterial ischemia in limbs before and after transplantation, dialysis. Indications for special investigation and operation. Conservative and operative treatment.

Seminar

Modality	Location
On site	Auditorium

Topics

Aortic and iliac artery and vein diseases in prospective transplant recipients: clinic, diagnosis, and treatment

Seminar

Modality	Location
On site	Auditorium

Topics

Vascular access surgery for hemodialysis: patient examination before choosing an approach, pre- and intraoperative use of ultrasound.

Seminar

Modality	Location
On site	Auditorium

Topics

Vascular access for hemodialysis: acute and long-term central venous catheters.

Seminar

Modality	Location
On site	Auditorium

Topics

Surgery of hemodialysis vascular access: arterio-venous fistulas.

Seminar

Modality	Location
On site	Auditorium

Topics

Surgery of hemodialysis vascular access: arterio-venous prostheses.

Seminar

Modality	Location
On site	Auditorium

Topics

Surgical provision of peritoneal dialysis

Total ECTS (Creditpoints):

14.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Abhinav Humar, Mark L. Sturdevant. Atlas of Organ Transplantation, 2nd ed. 2015.

Carol E.H.Scott-Conner. Essential operative techniques and anatomy. 4th editioin. Wolters Kluwer | Lippincott Williams and Wilkins, Philadelphia, 2014.

Hemodialysis vascular access: practice and problems. (edit. Peter J.Conlon, Steve J Schwab, Michael L. Nicholson). Oxford University Press, Oxford, 2000.

Ķirurģija. (red. J.Gardovskis). Rīgas Stradiņa Universitāte, rīga, 2013

Guide to the quality and safety of organs for transplantation. 7th edition. EDQM, Strasbourg, 2018

Additional Reading

Textbook of organ transplantation, vol 1, 2. (edit. Allan D. Kirk). Willey Blackwell, Oxford, 2014.

Dialysis Access. A multidisciplinary approach. (edit. Richard J. Gray, Jeffrey J. Sands). Lippincott Williams & Wiulkins, Philadelphia, 2002.

Other Information Sources

Periodika: Transplant International, Nephrology Dialysis Transplantation, Transplantation Proceedings, Transplantation, JAMA, Lancet, NEJM, Transplant Newsletter, American Journal of Transplantation, cita transplantoloģijas periodika