Novelties in Surgery

Study Course Description

Course Description Statuss:Approved

Course Description Version:10.00

Study Course Accepted:18.08.2022 12:31:39

Study Course Information
Course Code:		KK_028		LQF level:		Level 7
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine; Surgery		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Andrejs Brikuns
Study Course Implementer
Structural Unit:		Department of Surgery
The Head of Structural Unit:
Contacts:		13 Pilsonu Street, State limited liability company “P.Stradiņš Clinical University Hospital”, building 24, Riga; kkrsu[pnkts]lv, +371 67069745
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		2	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		4
Classes (count)		4	Class Length (academic hours)		4	Total Contact Hours of Classes		16
Total Contact Hours								20
Full-Time - Semester No.2
Lectures (count)		3	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		6
Classes (count)		3	Class Length (academic hours)		2	Total Contact Hours of Classes		6
Total Contact Hours								12
Study course description
Preliminary Knowledge:
Study courses in anatomy, morphology, physiology, pathological physiology and surgery (1st – 8th semesters).
Objective:
To extend the students’ knowledge of: minimally invasive surgery options in different areas of surgery, treatment methods in weight loss surgery, proctology, colorectal surgery, pancreatology, breast surgery, current treatment options in hernia surgery, surgical treatment of constipations, hand surgery and basics of microsurgery, modern principles of treatment of trophic ulcers, necrosis, gangrene and pressure sores. Promote the acquisition of laparoscopic surgery skills.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Novelties in endocrine surgery.			Lectures		1.00	other
2	Latest achievements in colorectal surgery. Latest achievements in proctology.			Lectures		1.00	other
3	Surgical suture material. Mechanical suture devices. Modern haemostasis			Classes		1.00	METC
4	Suturing skill training.			Classes		1.00	METC
5	Principles and techniques of laparoscopic surgery.			Classes		1.00	METC
6	Laparoscopic surgery skill training.			Classes		1.00	METC
7	Surgical treatment of constipation. Perineorrhaphy repair.			Lectures		1.00	other
8	Latest achievements in pancreatology.			Lectures		1.00	other
9	Latest achievements in hernia surgery.			Lectures		1.00	other
10	Basics of microsurgery. Hand surgery.			Classes		1.00	other
11	US and CT guided minimally invasive diagnostic manipulations (puncture, biopsy, stenting, drainage).			Classes		1.00	other
12	Trophic ulcers, necrosis, gangrene, pressure ulcers. Treatment methods.			Classes		1.00	other
Assessment
Unaided Work:
- Independent preparation for lectures and classes, using materials, available in E-studies. - Individual training on laparoscopic simulator and moulages. Student first learns the basic laparoscopic skills together with a teacher by completing different tasks (learning instruments, training spatial orientation and basic techniques).
Assessment Criteria:
Watching lectures and attendance of all practical classes is a mandatory criterion for receiving the final assessment (grade) in this study course. Assessment of student's laparoscopic skills are dome by completing different tasks in a specific period of time. The course final grade consists of: - Average grade of all tests in E-studies (50%); - Result of the final test (Exam, 50%).
Final Examination (Full-Time):		Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Upon completion of the course the students will have knowledge and will be able to: • describe options of minimally invasive surgery in oncology; • describe the principles of minimally invasive methods in surgery and their indications; • name the indications for laparoscopic surgery and the application of laparoscopic surgery in clinical practice; • describe the microsurgery treatment basis of various pathologies; • describe the principles of pressure ulcer treatment; • describe the principles of vacuum assisted closure (VAC) system; • describe advanced treatment options in endocrine, colorectal surgery, breast surgery, proctology, pancreatology, hernia surgery, treatment of constipation.
Skills:		Upon completion of the study course, students will be able to perform minimally invasive manipulations (on laparoscopic simulator), will be able to suture using various suturing techniques.
Competencies:		On completion of the study course, students will be able to evaluate indications and advantages of minimally invasive surgery methods in oncology and discuss treatment options in microsurgery. Students will be able to discuss treatment of pressure ulcers, application principles of VAC system in clinical practice, modern treatment methods in endocrine, colorectal surgery, proctology, pancreatology, hernia surgery and constipation surgery.
Clinical Skills:
No.	Skill					Level
1	Basics of Laparoscopy with BoxTrainer					B1 - Basic level
2	Donati suture					B1 - Basic level
3	Intradermal suture					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Lekciju materiāli e-studijās/ lecture materials in E-studies.
2	Townsend, C.M. 2022. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st ed. Elsevier.
3	Zollinger, R.M., Ellison, E.C. 2011. Zollinger's Atlas of Surgical Operations. 11th ed. New York: Mc Graw Hill. (akceptējams izdevums)
Additional Reading
1	Gardovskis, J. 2013. Ķirurģija. 2.izd. Rīga: Rīgas Stradiņa universitāte.
2	DeJong, M.R. 2017. Ultrasound-guided interventional techniques. In: Textbook of Diagnostic Sonography. Mosby, CHAPTER 18, p. 467-498.
3	Rutherford, E.E., Stedman, B., Breen, D.J. 2011. Interventional ultrasound in the abdomen. In: Clinical Ultrasound. Churchill Livingstone, CHAPTER 43, p. 847-864
4	CT-GUIDED INTERVENTIONS, Ashley S. Shaw and Mathias Prokop Grainger & Allison's Diagnostic Radiology, Chapter 4, 76-89.e1 2021
5	Hope, W.W., Cobb, W.S., Adrales, G.L. 2017.Textbook of Hernia. Springer.
6	Mandalia, A., Wamsteker, E.J., DiMagno, M.J. 2019. Recent advances in understanding and managing acute pancreatitis. Available at: https://f1000research.com/articles/7-959/v2
7	Krustiņš J., Krustiņš U., Kapickis M., Tihonovs A. (2012). Plauksta: Izmeklēšana un diagnostika. Latvijas Plastiskās, Rekonstruktīvās un Mikroķirurģijas Centrs.
8	Informatīvi izglītojošie izdevumi “Plastikos” (pieejami http://www.mikrokirurgija.lv/aktuali/plastikos/)
9	Hotchkiss, R. N., Kozin, S. H., & Cohen, M. S. (2022). Green's Operative Hand Surgery, 7th Edition. Elsevier.
10	Ārvalstu studentiem/For International students:
11	DeJong, M.R. 2017. Ultrasound-guided interventional techniques. In: Textbook of Diagnostic Sonography. Mosby, CHAPTER 18, p. 467-498.
12	Rutherford, E.E., Stedman, B., Breen, D.J. 2011. Interventional ultrasound in the abdomen. In: Clinical Ultrasound. Churchill Livingstone, CHAPTER 43, p. 847-864
13	CT-GUIDED INTERVENTIONS, Ashley S. Shaw and Mathias Prokop Grainger & Allison's Diagnostic Radiology, Chapter 4, 76-89.e1 2021
14	Mandalia, A., Wamsteker, E.J., DiMagno, M.J. 2019. Recent advances in understanding and managing acute pancreatitis. Available at: https://f1000research.com/articles/7-959/v2