Surgery - EA0908400

• Title: Surgery I
• Guaranteed by: Department of Surgery (14-400)
• Faculty: Faculty of Medicine in Pilsen
• Actual: from 2022
• Semester: winter
• Points: 4
• E-Credits: 4
• Examination process: winter s.:
• Hours per week, examination: winter s.:2/2, C [HT]; summer s.:2/2, C [HT]
• Capacity: winter:unlimited / unlimited (unknown); summer:unlimited / unlimited (unknown)
• Min. number of students: unlimited
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: taught
• Language: English
• Teaching methods: full-time
• Guarantor: prof. MUDr. Jiří Moláček, Ph.D.; prof. MUDr. Josef Vodička, Ph.D.
• Teacher(s): MUDr. Jakub Fichtl, Ph.D.; MUDr. Karel Houdek, Ph.D.; prof. MUDr. Václav Liška, Ph.D.; prof. MUDr. Jiří Moláček, Ph.D.; MUDr. Jáchym Rosendorf, Ph.D.; MUDr. Martin Skála, Ph.D.; doc. MUDr. Jarmil Šafránek, Ph.D.; MUDr. Jakub Šebek; MUDr. Vladimír Veselý
• Is co-requisite for: EA0909034
• In complex pre-requisite: EA0910361, EA0910477, EA0910479, EA0910481, EA0910483, EA0910485

Annotation

Surgery – history and future. Asepsis, anti-sepsis, disinfection, sterilisation. Wounds – classification, healing, healing disorders, temporary and definite treatment. Strategy for diagnostics and therapy of infections in surgery. Sepsis. Anaerobic and mixed infections. Purulent infections of skin, subcutaneous tissue and skin adnexa. Panaritia and purulent infections of the hand. Nosocomial infections. Pathophysiological changes caused by surgery and trauma. Metabolic disorders in surgical patients and their correction. Nutritional issues and intensive care in surgery. Basic algorithm for diagnostics of surgical disorders. General principles of surgical therapy. Preparation of a patient for surgery. Surgical procedure – general rules, terminology of basic surgeries, instrumentation. Basic surgical procedures. Basic rules for post-operation care. Complications in the surgical wound. Post-operation gastrointestinal complications. Post-operation respiratory complications. Post-operation circulatory and thromboembolic complications. Post-operation urinary, allergic and neurological complications. Blood transfusion. Shock. Basic procedures in the first aid and pre-hospital life support. Heat injury. Crush syndrome, reperfusion syndrome, blast syndrome. Basic characteristics of war surgery. Basics of plastic and reconstructive surgery. General issues of oncosurgery. Transplantology.
Surgery of biliary tract. Surgery of pancreas and spleen. Surgery of liver, portal hypertension. Surgery of retroperitoneum, endocrinosurgery. Surgery of esophagus and stomach. Surgery of intestines. Proctology. Hernias. Acute abdomen. Hemorrhagia. Traumatology of abdomen. Pleural syndromes. Primary and secondary lung tumours. Injury to the chest. Mediastinal inflammation and tumours. Breast inflammation and tumours. Peripheral vascular disorder of the lower limbs. Diabetic foot. Aneurysm of aorta and peripheral arteries. Acute limb ischemia. Organ transplantation. The most frequent surgical disorders in paediatrics.

Last update: Vodička Josef, prof. MUDr., Ph.D. (29.08.2023)

Course completion requirements

Credit given upon fulfilling compulsory attendance.

Last update: Vodička Josef, prof. MUDr., Ph.D. (19.06.2022)

Literature

Valenta J., Gral T. et al. Introduction to Surgery. Praha, Galén Karolinum, 2002. Garden O.J., Bradbury A.W., Forsythe J.L.R., Parks R.W. Principles & Practice of Surgery. 5^th Edition. Philadelphia, Churchill Livingstone Elsevier, 2007. Henry M.M., Thompson J.N. Clinical Surgery. 3^rd Edition. Philadelphia, Saunders Elsevier, 2012.

Last update: Vodička Josef, prof. MUDr., Ph.D. (05.09.2013)

Syllabus

Surgery – history and future. Asepsis, anti-sepsis, disinfection, sterilisation. Wounds – classification, healing, healing disorders, temporary and definite treatment. Strategy for diagnostics and therapy of infections in surgery. Sepsis. Anaerobic and mixed infections. Purulent infections of skin, subcutaneous tissue and skin adnexa. Panaritia and purulent infections of the hand. Nosocomial infections. Pathophysiological changes caused by surgery and trauma. Metabolic disorders in surgical patients and their correction. Nutritional issues and intensive care in surgery. Basic algorithm for diagnostics of surgical disorders. General principles of surgical therapy. Preparation of a patient for surgery. Surgical procedure – general rules, terminology of basic surgeries, instrumentation. Basic surgical procedures. Basic rules for post-operation care. Complications in the surgical wound. Post-operation gastrointestinal complications. Post-operation respiratory complications. Post-operation circulatory and thromboembolic complications. Post-operation urinary, allergic and neurological complications. Blood transfusion. Shock. Basic procedures in the first aid and pre-hospital life support. Heat injury. Crush syndrome, reperfusion syndrome, blast syndrome. Basic characteristics of war surgery. Basics of plastic and reconstructive surgery. General issues of oncosurgery. Transplantology.

Surgery of biliary tract. Surgery of pancreas and spleen. Surgery of liver, portal hypertension. Surgery of retroperitoneum, endocrinosurgery. Surgery of esophagus and stomach. Surgery of intestines. Proctology. Hernias. Acute abdomen. Hemorrhagia. Traumatology of abdomen. Pleural syndromes. Primary and secondary lung tumours. Injury to the chest. Mediastinal inflammation and tumours. Breast inflammation and tumours. Peripheral vascular disorder of the lower limbs. Diabetic foot. Aneurysm of aorta and peripheral arteries. Acute limb ischemia. Organ transplantation. The most frequent surgical disorders in paediatrics.

Last update: Vodička Josef, prof. MUDr., Ph.D. (29.08.2023)