General Surgery
Study Course Implementer
Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No 24, kk@rsu.lv, +371 67069745
About Study Course
Objective
Preliminary Knowledge
Learning Outcomes
Knowledge
1.On completion of the study course student acquires basic knowledge and understanding of patient treatment process in surgical department; of infection control requirements; asepsis/antiseptic agent and method application; bleedings and their control methods; available preparations for transfusion; wound healing and wound management; surgical infection causes; acute abdominal surgical diseases and most frequent surgical disease and injury management.
Skills
1.Students will have acquired practical skills in wound dressing; surgical hand scrub and hand hygiene rules in surgical department and operating theatre dress policy. The students will be able to maintain asepsis and antisepsis; to apply temporary bleeding control methods; they will be able to determine the blood type and to manage transfusion request proceedings; to evaluate the patient’s condition and to provide/organise aid in trauma and acute situations.
Competences
1.The students will qualify for comprehensive participation in common basic surgical patient treatment processes observing requirements in surgical departments – blood transfusion, postoperative wound care and diagnostic options in usual surgical emergencies.
Assessment
Individual work
Examination
Study Course Theme Plan
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Principles of surgical diseases treatment. Preoperative, operative and postoperative management. Risks and complications of surgery
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Surgical operation. Types of procedures. Nosocomial infections. Infection prophylaxis. Sutures.
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Wounds, wound healing. Wound management. Bleeding and bleeding control. Transfusiology principles.
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Abdominal Trauma. “Acute abdomen” – diseases, diagnostic and treatment principles.
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Traumatic injuries. Head and chest trauma.
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Endocarditis. Necrotizing descending mediastinitis.
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Aseptic and antiseptic methods used in hospitals to prevent nosocomial infection. Concept of sterility. Antibiotic prophylaxis of surgery. Antibacterial treatment in surgery. Most common nosocomial infection and it’s prevention. Patient preparation for surgical procedure. Preoperative workup. Postoperative period.
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Principles of anaesthesia. Regional and local anaesthesia. Principles of intensive care. Deep venous thrombosis, prophylaxis and consequences of thrombosis and emboli. Wounds. Wound healing. Wound management. Wound dressings. Trauma. Closed fractures, contusions and dislocations of extremities. Head and spinal injuries. Polytrauma. Tetanus, rabies emergency prophylaxis.
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Surgical site infection - classification, treatment methods. Surgical infection. Skin and soft tissue purulent diseases. General infection – sepsis, it’s complex treatment. Descending necrotizing mediastinitis.
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Practical class in METC. Suturing technique, different sutures. Knotting. Preparation of surgical field. Scrubbing, gowning and gloving.
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Acute abdomen. Abdominal open and closed trauma. Most common acute abdominal surgical diseases. Acute appendicitis, acute cholecystitis. Oesophageal perforation. Test.
Bibliography
Required Reading
Ķirurģija. J. Gardovska red. 2.izd. Rīga: Rīgas Stradiņa universitāte, 2013
Lawrence P.F., Bell R.M. Dayton M.T., Ahmed M.I. Essentials of General Surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2013
Current Diagnosis and Treatment Surgery, 15th Edition, Gerard M. Doherty, 2020
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st Edition, Courtney Townsend, R. Daniel Beauchamp, B. Mark Evers, Kenneth Mattox, 2021
Schwartz’s Principles of Surgery, 11th edition F. Charles Brunicardi, Dana K. Andersen, et.al. 2019
Ārvalstu studentiem/For international students
Lawrence P.F., Bell R.M. Dayton M.T., Ahmed M.I. Essentials of General Surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2013
Current Diagnosis and Treatment Surgery, 15th Edition, Gerard M. Doherty, 2020
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st Edition, Courtney Townsend, R. Daniel Beauchamp, B. Mark Evers, Kenneth Mattox, 2021
Schwartz’s Principles of Surgery, 11th edition F. Charles Brunicardi, Dana K. Andersen, et.al. 2019
Additional Reading
Quick C.R.G. Essential Surgery: Problems, Diagnosis and Management 5th ed. Edinburgh: Churchill Livingstone, 2020
Browse N.L., Black J., Burnand K., Thomas W. Browse's Introduction to the Symptoms and Signs of Surgical Disease. 5th ed. London: Hodder Arnold 2015
Other Information Sources
E-studijās ievietotie materiāli un ievietoto tīmekļa saikņu saturs.