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General Surgery
Study Course Description
Course Description Statuss:Approved
Course Description Version:1.00
Study Course Accepted:01.03.2024 12:17:33
| Study Course Information | |||||||||
| Course Code: | KK_043 | LQF level: | Level 6 | ||||||
| Credit Points: | 1.33 | ECTS: | 2.00 | ||||||
| Branch of Science: | Clinical Medicine; Surgery | Target Audience: | Rehabilitation | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Donats Breiva | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Surgery | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | |||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 4 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 12 | ||||
| Total Contact Hours | 22 | ||||||||
| Part-Time - Semester No.1 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 4 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 12 | ||||
| Total Contact Hours | 22 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Knowledge in anatomy, physiology, biochemistry ann patologic physiology. | ||||||||
| Objective: | To enable students to learn and master the most important principles of surgery and basic skills in infection control/methods in surgical department, the most common types of bleeding and haemorrhage control methods/agents and tools, preoperative care and intensive care in acute surgical patients and patients operated electively, perioperative and postoperative care of surgical patient, to understand and acquire knowledge in treatment of surgical infections and common surgical diseases. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Introduction. Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Surgical infections. Sepsis. | Lectures | 1.00 | other | |||||
| 2 | Traumatic injuries. Classification of traumatic injuries. Traumatic brain injuries. Thoracic and abdominal organ injuries. Tetanus and Rabies – preventive measures. Wounds. The wound healing process. Principles of wound treatment – options for wound closure. | Lectures | 1.00 | other | |||||
| 3 | Acute surgical diseases of abdominal organs – "Acute abdomen". | Lectures | 1.00 | other | |||||
| 4 | Surgical bleeding. Bleeding symptoms. Haemorrhage control. Hematologic principles in surgery. Gastrointestinal bleeding. | Lectures | 1.00 | other | |||||
| 5 | Preoperative preparation of surgical patient. Postoperative care. Early postoperative period. | Lectures | 1.00 | other | |||||
| 6 | Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Labour organisation in surgical department. Surgical infection. Sepsis. Infections of skin and subcutaneous tissue. | Classes | 1.00 | clinical base | |||||
| 7 | Wound classification. The wound healing process/phases. Principles of wound management: first aid, use of dressings and medication. Traumatic injuries. Traumatic brain injuries – closed cranial trauma. Thoracic and abdominal organ injuries. Tetanus and rabies – preventive measures. | Classes | 1.00 | clinical base | |||||
| 8 | Surgical operation. Preoperative preparation of surgical patient. Early postoperative period. Postoperative complications (early and late-onset). Acute surgical diseases of abdominal organs – "Acute abdomen". | Classes | 1.00 | clinical base | |||||
| 9 | Surgical bleeding. Bleeding symptoms. Gastrointestinal bleeding. Haemorrhage control. Hematologic principles in surgery: indications for blood transfusion, determination of blood group and Rh factor (typing and cross-matching). Test. | Classes | 1.00 | other | |||||
| Topic Layout (Part-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Introduction. Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Surgical infections. Sepsis. | Lectures | 1.00 | other | |||||
| 2 | Traumatic injuries. Classification of traumatic injuries. Traumatic brain injuries. Thoracic and abdominal organ injuries. Tetanus and Rabies – preventive measures. Wounds. The wound healing process. Principles of wound treatment – options for wound closure. | Lectures | 1.00 | other | |||||
| 3 | Acute surgical diseases of abdominal organs – "Acute abdomen". | Lectures | 1.00 | other | |||||
| 4 | Surgical bleeding. Bleeding symptoms. Haemorrhage control. Hematologic principles in surgery. Gastrointestinal bleeding. | Lectures | 1.00 | other | |||||
| 5 | Preoperative preparation of surgical patient. Postoperative care. Early postoperative period. | Lectures | 1.00 | other | |||||
| 6 | Concept of infection in surgery. Asepsis. Antisepsis. Nosocomial infection and principles of its prevention. Labour organisation in surgical department. Surgical infection. Sepsis. Infections of skin and subcutaneous tissue. | Classes | 1.00 | clinical base | |||||
| 7 | Wound classification. The wound healing process/phases. Principles of wound management: first aid, use of dressings and medication. Traumatic injuries. Traumatic brain injuries – closed cranial trauma. Thoracic and abdominal organ injuries. Tetanus and rabies – preventive measures. | Classes | 1.00 | clinical base | |||||
| 8 | Surgical operation. Preoperative preparation of surgical patient. Early postoperative period. Postoperative complications (early and late-onset). Acute surgical diseases of abdominal organs – "Acute abdomen". | Classes | 1.00 | clinical base | |||||
| 9 | Surgical bleeding. Bleeding symptoms. Gastrointestinal bleeding. Haemorrhage control. Hematologic principles in surgery: indications for blood transfusion, determination of blood group and Rh factor (typing and cross-matching). Test. | Classes | 1.00 | other | |||||
| Assessment | |||||||||
| Unaided Work: | During the study course, after acquiring basic principles of surgery, students will be able to work with patients and clinical case histories. | ||||||||
| Assessment Criteria: | Students can pass the study course by fulfilling theses conditions: watching all lectures, attending all practical classes and showing active work in classes. | ||||||||
| Final Examination (Full-Time): | Test | ||||||||
| Final Examination (Part-Time): | Test | ||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Students will acquire basic knowledge and understanding of the organisation and prevention of infections in surgical department; the symptoms and forms of surgical bleeding and haemorrhage control methods and tools; principles of wound healing and treatment; most common postoperative surgical complications, importance of prevention and treatment of postoperative complications; surgical infectious diseases, the most important diagnostic/treatment methods of common acute surgical diseases and traumatic injuries and its possible complications. By learning and understanding these processes, the student will be able to: • identify and explain the spread of infection in surgical department or clinic; • manage surgical wounds; • identify and manage patients with surgical bleeding, to diagnose the bleeding and know agents/tools to stop it; • explain the most important parts of surgical operations, concepts of local anesthesia and postoperative period; • recommend measures of prevention of postoperative complications; • recognise simple surgical infectious deseases and "acute abdomen" and recommend a treatment plan. | ||||||||
| Skills: | On completion of the study course, the student will be able to follow infection control regime in surgical department; will be able to apply the wound dressings, will be able to use the temporary haemorrhage control methods/agents and tools; will be able to acquire anamnesis, evaluate general condition of surgical patient during pre- and postoperative period; will be able to provide first aid to patients with acute surgical diseases. | ||||||||
| Competencies: | On completion of the study course, the students will be able to understand the origin of nosocomial infections; asses and manage the wounds; to understand the most common causes of bleeding, recommend measures/agents and tools to stop the bleeding, and will be able to compensate the blood loss, perform blood transfusion; understand the most important course of surgical operation and postoperative period. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Ķirurģija. J. Gardovska red. 2.izd. Rīga: Rīgas Stradiņa universitāte, 2013. | ||||||||
| 2 | Madrevica I., Krieviņš D. – Ko darīt?, Rīga, Zvaigzne, 2006. (akceptējams izdevums) | ||||||||
| 3 | Modernās tehnoloģijas ķirurģijā / Prof. J.Gardovska red. – Rīga: Latvijas Ķirurgu asociācija, 1999. (akceptējams izdevums) | ||||||||
| 4 | Volkolakovs J. Vispārīgā ķirurģija. Rīga: Zvaigzne, 1985. (akceptējams izdevums) | ||||||||
| 5 | Lawrence P.F., Bell R.M. Dayton M.T., Ahmed M.I. Essentials of General Surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2013. | ||||||||
| 6 | Tjandra J., Clunie G.J.A., Kaye A., Smith J. Textbook of Surgery. Wiley-Blackwell, 2020. | ||||||||
| 7 | Gostishchev V.K. General Surgery Moscow: Geotar-Media, 2003. (akceptējams izdevums) | ||||||||
| Additional Reading | |||||||||
| 1 | Quick C.R.G. Essential Surgery: Problems, Diagnosis and Management. Edinburgh: Churchill Livingstone, 2019. | ||||||||
| 2 | Browse N.L., Black J., Burnand K., Thomas W. An Introduction to the Symptoms and Signs of Surgical Disease. London: Hodder Arnold 2015. | ||||||||
