Veidlapa Nr. M-3 (8)
Study Course Description

Hand Surgery and Microsurgery

Main Study Course Information

Course Code
RTO_036
Branch of Science
Anatomy; Clinical medicine
ECTS
16.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To provide theoretical knowledge and practical skills to assess the need and indications for microvascular operative therapy, to provide emergency assistance to victims of traumatic limb injuries, subtotal and total traumatic amputations.

Learning Outcomes

Knowledge

1.The student has acquired and extended knowledge of: a) indications, possibilities, types and consequences of microvascular surgery, b) the basic requirements of hand surgery, c) the latest treatment options for hand tissue injuries.

Skills

1.The student will be able to: a) provide emergency care to victims with sub-total or total traumatic amputation and prepare, transport for microsurgery, b) perform surgical wound dressing of hand trauma, c) apply tendon suture, finger nerve suture, d) perform adequate osteosynthesis of the bone.

Competences

1.Student will be able to: a) assess the severity of hand injury, b) describe and justify the principles of action for hand injuries of different severity, c) be able to explain treatment options and objectives for the patient’s injury in a reasonable manner, d) describe the rehabilitation options and draw up a rehabilitation plan for each specific case.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Under the supervision of a certified physician, the resident curates 4-5 patients, participates in microsurgical operations, is on duty in the admission ward, learns independent skills in emergency medical manipulations and diagnostic techniques. Prepare a presentation on the patient or a topical issue and present it at a medical conference.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
The resident answers two theoretical questions in writing and reports on the practical skills learnt in the resident’s book. Receive a “pass” if 75% of the questions are answered.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
-
-

Topics

Indications for microvascular operative therapy in patients with subtotal and total traumatic limb amputations
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Reimplantation, indications, options, required equipment, technique, results, consequences, rehabilitation principles.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Microsurgical reconstructive operations, their possibilities.
  1. Seminar

Modality
Location
-
-

Topics

Fundamentals of modern hand surgery.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Types of hand injuries.
  1. Seminar

Modality
Location
-
-

Topics

Common hand diseases requiring microsurgical intervention.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Microsurgical options for patients with limb bone, blood vessel, tendon, deep skin damage and their consequences.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Post-burn and post-traumatic deformation of the wrist and fingers.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Emergency surgery for hand injuries that can be performed without optical magnification.
Total ECTS (Creditpoints):
16.00
Number of Residency Seminars:
9
Length (weeks):
12
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Green's Operative Hand Surgery. 2-Volume Set. 8th Edition. Scott W. Wolfe, William C. Pederson, et.al. Elsevier, 2021.

2.

Surgical exposures in orthopaedies the anatomic approach. S.Hoppenfield, P.De Boer. Lippincott, Williams. 2009, 327.