SURGERY II
Academic year and teacher
If you can't find the course description that you're looking for in the above list,
please see the following instructions >>
- Versione italiana
- Academic year
- 2022/2023
- Teacher
- CARLO FEO
- Credits
- 7
- Didactic period
- Secondo Semestre
Training objectives
- The integrated course of Surgery II includes the modules of:
1. General surgery
2. Heart surgery
3. Thoracic surgery
4. Vascular surgery
The teaching aims to integrate the courses of Surgery I (4th year) and Surgery III (6th year) to introduce the pathophysiology, clinical presentation, diagnostics, and the principles of treatment of the diseases of surgical interest.
The specific educational objectives of the integrated course are:
- diagnose the surgical diseases faced with independent judgment by integrating an accurate medical history with a scrupulous physical examination, proceeding with the prescription, evaluation, and interpretation of laboratory and diagnostic imaging and instrumental tests, taking into account sex / gender differences.
- know the principles of treatment of the addressed surgical diseases.
- know the principles for the preoperative preparation of the surgical patient and the perioperative care protocols.
- refine communication skills with the surgical patient.
- learn basic maneuvers in clinical care.
- know the physiopathology and the clinic of the most frequent thoracic, vascular and cardiac diseases,
- diagnose diseases through symptoms, suggesting laboratory tests and specific instrumental tests.
- know the indications for treatment and the prognosis with and without surgery.
- know the traditional surgical procedures and the innovations in the treatment of cardiovascular pathologies and in particular the endovascular treatment.
At the end of the course, students should be able to:
In terms of knowledge:
- examine a patient by performing a physical examination
- evaluate pre- and post-operative laboratory tests
- evaluate the postoperative clinical conditions.
In terms of skills:
- collect patient history
- prescribe treatments. Prerequisites
- ------------------------------------------------------------
Modulo: 005987 - CHIRURGIA GENERALE
------------------------------------------------------------
GENERAL SURGERY
The knowledge acquired in previous courses are fundamental, in particular: Anatomy, Pathology 2 and pathophysiology, Clinical methodology, Diagnostic imaging and radiation protection, Surgery I, Gastroenterology, Endocrinology, Oncology, and Anatomical pathology.
------------------------------------------------------------
Modulo: 011227 - CHIRURGIA CARDIACA
------------------------------------------------------------
CARDIAC SURGERY
The student must know the anatomy, physiology, pathology, epidemiology, etiology, and surgical symptoms of cardiovascular diseases. In particular, diseases of the great vessels, valves and ischemic heart disease. Students must have a good knowledge of topographic anatomy, surgical semeiotics and internal medicine, and all the basic sciences useful for simplifying clinical learning.
------------------------------------------------------------
Modulo: 019563/3 - CHIRURGIA VASCOLARE
------------------------------------------------------------
VASCULAR SURGERY
Knowledge of anatomy, and physiology, and pathophysiology of the vascular diseases.
------------------------------------------------------------
Modulo: 019563/4 - CHIRURGIA TORACICA
------------------------------------------------------------
THORACIC SURGERY
Knowledge of anatomy, physiology, and pathophysiology of the thoracic and lung diseases. Course programme
- ------------------------------------------------------------
Modulo: 005987 - CHIRURGIA GENERALE
------------------------------------------------------------
GENERAL SURGERY
1. General surgical issues
1.1 Perioperative care
- Preoperative evaluation and optimization
- Perioperative nutritional management
- Preoperative evaluation
- Informed consent
- Intraoperative issues
- Intraoperative monitoring
- Enhanced recovery after surgery (ERAS) protocols
1.2 Surgical infections and surgical site infections
2. Specific surgical issues
2.1 Thyreoid gland
- Surgical anatomy
- Goiter
- Adenoma
- Carcinoma
- Complications of thyreoid surgery
2.2 Parathyreoid gland
- Surgical anatomy
- Hyperparathyreoidism
- Hypoparatihyreoidism
2.3 Breast
- Surgical anatomy
- Mastitis
- Tumors
2.4 Stomach and duodenum
- Surgical anatomy
- Peptic ulcer disease
- Tumors
2.5 Small bowel
- Surgical anatomy
- Short bowel syndrome
- Tumors
2.6 Colon
- Surgical anatomy
- Tumors
2.6 Rectum and anus
- Surgical anatomy
- Haemorroids, fissure, anal fistula, perianal abscess
- Rectal prolapses
- Malignant tumors
2.8 Liver
- Surgical anatomy
- Abscess, echinococcosis, amoebiasi
- Tumors
2.9 Gallbladder and bile ducts
- Surgical anatomy
- Acute (biliary and not) and chronic cholecystitis
- Tumors
2.10 Pancreas
- Surgical anatomy
- Cysts and pseudocysts
- Tumors
2.11 Adrenals glands
- Surgical anatomy
- Incidentaloma
2.12 Hernia
- Surgical anatomy
- Groin and femoral hernias
- Umbilical hernia
- Incisional hernia
------------------------------------------------------------
Modulo: 011227 - CHIRURGIA CARDIACA
------------------------------------------------------------
CARDIAC SURGERY
Anatomy of the heart and great vessels
Laboratory tests
Instrumental tests for the diagnosis of cardiovascular diseases
Cardiac objective examination
Extracorporeal circulation
Surgical accesses
Ischemic heart disease
Thoracic aortic aneurysms
Aortic arch surgery
Diseases of the valves
Outline of post-operative intensive care
------------------------------------------------------------
Modulo: 019563/3 - CHIRURGIA VASCOLARE
------------------------------------------------------------
VASCULAR SURGERY
INTRODUCTION AND CIRCULATION PATHOPHYSIOLOGY
- Pathophysiology of the arterial system. Acute and chronic arterial diseases.
- Pathophysiology of the venous system. Classification of vascular diseases and diseases of the venous system.
- Semiotics of the arterial system: history & physical examination. Acute ischemia.
- Chronic peripheral obliterating arteriopathy. Cerebrovascular insufficiency. Aneurysms.
- Deep vein thrombosis. Pulmonary thromboembolism. Post-thrombotic syndrome.
PATHOLOGY OF THE TSA AND THE WORKING BRAIN
- Pathophysiology. Epidemiology of stroke. Pathogenesis of the atherosclerotic plaque. Carotid disease. Instrumental investigations. Treatment.
ABDOMINAL AORTIC ANEURYSMS
- Introduction. Anatomy. Etiology. Pathogenesis. Classifications. Morphology. Natural history and clinical course. Diagnostics. Indications for surgical treatment.
THORACIC AORTIC ANEURYSMS
- Introduction. Anatomy. Etiology. Pathophysiology. Epidemiology. Diagnosis. Surgical treatment. Endovascular treatment.
PERIPHERAL ARTERIOPATHY
- Aorto-iliac, femoro-popliteal, and tibio-fibular failure.
- Instrumental diagnostics. Principles of treatment.
DISEASES OF THE VENOUS SYSTEM
- Chronic venous insufficiency (CVI): definition
Superficial venous system. Deep venous system. Hemodynamic of the macrocirculation.
- Etiopathology and pathophysiology of CVI.
- Basics of phlebologic semiotics. Outline of phlebologic instrumental diagnostics. Classification of CVI: C.E.A.P. Classifiacation. Ablative surgery. Endovascular treatment. Sclerotherapy.
- Superficial vein thrombosis. Deep venous thrombosis and venous thromboembolism.
PATHOLOGY OF THE LYMPH SYSTEM
- Lymphedema: Definition. Clinical classification. Primary and secondary lymphedema.
- Clinical History. Physical examination. Complications. Diagnostics. Differential diagnosis. Non-surgical treatments. Interventions of excision. Lympho-venous anastomosis.
------------------------------------------------------------
Modulo: 019563/4 - CHIRURGIA TORACICA
------------------------------------------------------------
THORACIC SURGERY
- Diagnosis and staging of lung cancer
- Diagnosis and staging of the carcinoid
- Lung resections: general considerations and video-assisted surgery
- Pleural mesothelioma
- Pleural effusions
- Pathophysiology and treatment of thoracic trauma Didactic methods
- ------------------------------------------------------------
Modulo: 005987 - CHIRURGIA GENERALE
------------------------------------------------------------
Lectures, rotations on the surgical ward, outpatient office, and operating room.
------------------------------------------------------------
Modulo: 011227 - CHIRURGIA CARDIACA
------------------------------------------------------------
Lectures, rotations on the surgical ward, outpatient office, and operating room
------------------------------------------------------------
Modulo: 019563/3 - CHIRURGIA VASCOLARE
------------------------------------------------------------
Lectures, rotations on the surgical ward, outpatient office, and operating room.
------------------------------------------------------------
Modulo: 019563/4 - CHIRURGIA TORACICA
------------------------------------------------------------
Lectures, rotations on the surgical ward, outpatient office, and operating room. Learning assessment procedures
- The achievement of learning outcomes will be verified by written and oral exam.
Written test:
Single test of 60 multiple choice questions (5 choices, one exact), 10 for CFU (30 of general surgery, 10 of thoracic surgery, 10 of cardiac surgery, and 10 of vascular surgery) on the topics included in the "Course content"
The exam will take place in a computer room, on the computer, the order of the questions and the related answer options is random and varies for each candidate
Evaluation criteria:
1 point will be awarded for each correct answer (+1) and 0 points for each answer NOT given, while 0.20 points will be subtracted for each incorrect answer (-0.20)
The time available to complete the test will be 75 minutes
The mark of the written test will be out of thirty, thus dividing the score obtained in half
The passing score for the written is 16/30 and it is needed for access to the oral exam.
Oral examination:
The oral exam will be taken with a randomly assigned professor of general, thoracic, cardiac or vascular surgery or, possibly, on the basis of critical issues that emerged with the written test
Approximate duration of the exam 10-15 minutes
Evaluation criteria:
The ability to connect and use the various notions acquired, the appropriateness of communication as well as the clarity and rigor of presentation will be assessed.
The oral exam can raise the score of the written one and will give the final vote out of thirty
Rotations: the final grade will also take into account the practical part. Reference texts
- ------------------------------------------------------------
Modulo: 005987 - CHIRURGIA GENERALE
------------------------------------------------------------
GENERAL SURGERY
- S.Dionigi, Chirurgia, Ed. Masson
- S.I. Schwartz, Principi di chirurgia, Ed. UTET
- D.C. Sabiston, Trattato di chirurgia, Ed. Piccin
------------------------------------------------------------
Modulo: 011227 - CHIRURGIA CARDIACA
------------------------------------------------------------
CARDIAC SURGERY
- Adult Cardiac surgery Bojar RM
- Cardiac Surgery Kirklin Barratt-Boyes
------------------------------------------------------------
Modulo: 019563/3 - CHIRURGIA VASCOLARE
------------------------------------------------------------
VASCULAR SURGERY
- R. Rutherford: Chirurgia Vascolare - Antonio Delfino Editore
------------------------------------------------------------
Modulo: 019563/4 - CHIRURGIA TORACICA
------------------------------------------------------------
THORACIC SURGERY
- Adult Chest Surgery David Surgarbaker
- Surgery of the chest Waldhausen
