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Supervisor
Guntars Pupelis

Study Course Description

Course Description Statuss:Approved
Course Description Version:5.00
Study Course Accepted:10.09.2019
Study Course Information
Course Code:KK_017LQF level:Level 6
Credit Points:3.00ECTS:4.50
Branch of Science:Medicine; SurgeryTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Guntars Pupelis
Study Course Implementer
Structural Unit:Department of Surgery
The Head of Structural Unit:Jānis Gardovskis
Contacts:Rīga, Pilsoņu iela 13, VSIA P.Stradiņa KUS, 24.korpuss, kkatrsu[pnkts]lv, kkatrsu[pnkts]lv, +371 67069745
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)Lecture Length (academic hours)Total Contact Hours of Lectures0
Classes (number)15Class Length (academic hours)4Total Contact Hours of Classes60
Total Contact Hours60
Study course description
Preliminary Knowledge:
Knowledge of the normal anatomy, normal and pathological physiology of the human body as a whole and of each of its major organ systems. Knowledge of the mechanisms important in maintaining the body's homeostasis. Knowledge of the clinical propaedeutics. Basics in radiology and clinical laboratory testing. Knowledge of the general surgery.
Objective:
Students will acquire knowledge about aetiology, pathogenesis, clinical presentation, main diagnostic steps and principles of prevention and treatment of different surgical pathologies including thoracic, cardiac, vascular and abdominal diseases; will acquire knowledge how to differentiate urgent and elective conditions; will learn to define correct indication for surgical intervention; preoperative risk assessment and management of the postoperative period.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Acute abdominal pain, definition and concept, main causes, type of the abdominal pain depending on the localisation of the pain receptors. Acute abdomen – diagnostics and differential diagnostics, the most common diagnostic errors. Indications for urgent surgical intervention in case of symptomatology of acute abdomen. Presentation of acute surgical diseases in geriatric patients.Classes1.00clinical base
2Systemic body response to surgical trauma. The most frequent postoperative complications secondary to the postoperative period (bleeding, thromboembolism, impairment of bowel transit, wound dehiscence, postoperative peritonitis). Peculiarities of surgical diseases in oncology patients. Surgical treatment principles of oncological diseases.Classes1.00clinical base
3Minimally invasive surgery – benefits, risk factors and methods in general surgery practice (endoscopic, laparoscopic, NOTES and SILS). Hybrid operations.Classes1.00clinical base
4Pre- and postoperative period. Risk factors in surgery. Disturbances of coagulation. Preparation of the patient for elective and urgent operations. Principles of the nutritional support, enteral and parenteral nutrition. Diabetes and surgery.Classes1.00clinical base
5Basics and principles of organ transplantation.Classes1.00clinical base
6Thoracic trauma (rib fractures, pneumothorax, haemothorax – manipulations).Classes1.00clinical base
7Lung cancer, pathologies of mediastinum.Classes1.00clinical base
8Purulent diseases of the lungs and pleural cavity.Classes1.00clinical base
9Oesophageal diseases (achalasia, strictures, cancer, diverticula). Diseases of diaphragm (hernias, lesions).Classes1.00clinical base
10Epidemiology of vascular heart disease. Prevention, treatment options, financial resources.Classes1.00clinical base
11Valvular heart disease, causes, diagnostics, indications for surgical treatment. Surgical options in valvular heart disease. Anticoagulation options after heart valve operations.Classes1.00clinical base
12Diagnostics of coronary heart disease, indications for invasive diagnostic methods and surgical treatment. Types of surgical myocardial revascularisation. Guideline meaning. Postoperative management.Classes1.00clinical base
13Pathophysiological mechanism of heart failure, classification. Surgical options in heart failure. Analysis of mechanical assist. device methods. Heart transplantation. Congenital heart disease, classification, surgical options.Classes1.00clinical base
14Differential diagnosis of surgical diseases.Classes2.00clinical base
Assessment
Unaided Work:
Students prepare PowerPoint presentation which highlights epidemiology, clinical presentation, main diagnostic steps, criteria for the formulation of the diagnosis and the treatment options of the surgical pathology.
Assessment Criteria:
Active participation in practical classes, qualitatively and timely written home works, qualitative oral answers in all classes. Presentation: students give PowerPoint presentation that highlights epidemiology, clinical presentation, main diagnostic steps, criteria for the formulation of the diagnosis and the treatment options of the surgical pathology. Theoretical knowledge will be tested by discussions during practical classes and discussion of case reports. Clinical skills will be evaluated at the patient's bed.
Final Examination (Full-Time):Test
Final Examination (Part-Time):
Learning Outcomes
Knowledge:On successful completion of the course, the students will be able to: • list and describe urgent and elective abdominal and vascular surgical diseases, their aetiology and pathogenesis; • understand and describe the clinical picture, diagnostics, principles of treatment and prevention of urgent and elective abdominal and vascular surgical diseases; • recognise the clinical picture and possible complications of these diseases; • describe up-to-date methods of clinical, laboratory and instrumental investigation; • compare surgical treatment methods and their indications; • describe clinics and diagnostic methods of the heart surgical pathology; • define indications for surgical correction and management of the postoperative period; • describe heart disease epidemiology, symptoms and signs during the preoperative period; • indicate surgical procedures for surgical heart disease (myocardial revascularization, heart valve procedures, pacemaker implantation); • describe basic principles of cardiopulmonary bypass and assisted circulation.
Skills:On successful completion of the course, the students will be able to: • examine a surgical patient with surgical, thoracic pathology; • analyse the obtained data; • explain how to do thoracentesis in case of hydrothorax and pneumothorax; • define indications for invasive diagnostic manipulations; • describe treatment principles of oncological diseases; • collect the patient’s complaints and anamnesis; • prepare a patient for cardiac surgery and evaluate the preparation of the patient; • manage postoperative rehabilitation and evaluate the patient status; • choose appropriate treatment in heart pathology and timely refer the patient for surgical treatment.
Competencies:On successful completion of the course, the students will be able to: • analyse the results of the patient examination; • prepare necessary laboratory and instrumental investigation plan for the patient; • analyse a surgical case and interpret data acquired from laboratory and instrumental investigation methods; • evaluate the patient risk factors before surgery; • formulate and justify a full clinical diagnosis; • plan tactics for the surgical clinical case; • define indications for surgical and conservative treatment; • give first aid to patients with acute surgical diseases; • state indications for timely surgical treatment in different groups of cardiac pathology; • be competent in ethical praxis including the role and limitations of performing different procedures themselves or referring patients properly.
Bibliography
No.Reference
1Mācību grāmata “Ķirurģija”, prof. J.Gardovska redakcijā, Rīga: RSU, 2013.
2Baltiņa D., Baltiņš M., Doniņa S. Klīniskā onkoloģija. - Rīga: Zvaigzne, 1999.
3Textbook of surgery: the biological basis of modern surgical practice. - Ed. by D.C. Sabiston, Jr. - 18th ed. - Philadelphia: W.B.Saunders, 2007.
4Ķirurģija, ed by J.Gardovskis, Rīga, 2001.
5Heart Disease ed by. E.Braunwald, Philadelphia: W.Saunders comp. 6th ed.
6Cardiac Surgery in the Adult and ed by H.Edmunds, New York, Mc Graw – Hill comp.
7Cardiac Syrgery 3rd ed. J.W.Kirklin. Ed Churchill Livingstone Comp.
810. http://www.medscape.com/
9http://www.uptodate.com/home
1Mann C.V., Russell R.C.G. Bailey & Love’s Short Practice of Surgery 23rd ed. London, Champan & Hall Medical, 2000.
2Schwartz's Principles of Surgery: Single Volume 9th Revised edition McGraw-Hill Medical, 2009.
3The Cancer Handbook. Ed. by Malcolm R.Alison – 2nd ed. - Wiley, 2007.
4John L. Cameron, Andrew M. Cameron. Current Surgical Therapy: Expert Consult - Online and Print 10th Revised edition. Churchill Livingstone Inc, 2010.
5Acute Care Surgery: Principles and Practice. Ed. by L.D.Britt. – Springer, 2007.
6Zollinger`s. Atlas of Surgical Operations. 9th ed. – McGraw-Hill Education – Europe, 2002.
7Laparoscopic Surgical Oncology. Ed. by Theodore T.Pappas, Emmanouel Leandros. - McGraw-Hill, 2005.
8Laparoscopic Colorectal Surgery. Ed. by Jeffrey W.Milsom, Bartholomaus Bohm, Kiyokazu Nakajama – 2nd ed. - Springer, 2006.
9Laparoscopic Surgery. Ed. by Jorge Cueto-Garsia, Mosies Jakobs, Michel Gagner. - McGraw-Hill, 2003.
10Laparoscopic Surgery: Principles and Procedures Ed. by Daniel B.Jomes,
11Justin S.Wu, Nathaniel J.Soper – 2nd ed. – Marcel Dakker, 2004.
12Chest Medicine: Essentials of Pulmonary and Critical Care Medicine 5th Revised edition by Michael A. Matthay, Richard W. Light, R.A. Matthay, Ronald B. George; ISBN-13: 9780781752732; ISBN-10: 0781752736; 2005; Lippincott Williams and Wilkins.
13Esophagus 4th Revised edition by Joel E. Richter, Donald O. Castell; ISBN-13: 9780781741996; ISBN-10: 0781741998; 2003; Lippincott Williams and Wilkins.
14General thoracic surgery. Fifth edition. Volume 1.Edited by Thomas W. Shields, Joseph LoCicero III, Ronald B. Form, Lippincott Williams & Wilkins. 2000.
15Pleural Diseases 5th Revised edition by Richard W. Light; ISBN-13: 9780781769570; ISBN-10: 0781769574; 2007; Lippincott Williams and Wilkins.