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Last update: prof. MUDr. Andrej Sukop, Ph.D. (10.12.2019)
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Last update: prof. MUDr. Andrej Sukop, Ph.D. (10.12.2019)
All students must come prepared in all white hospital scrubs and hospital shoes to be prepared for contact with patients. ALL STUDENTS WHO DO NOT RESPECT THIS WILL NOT BE ALLOWED TO TAKE PART IN THE PRACTICE. The aim of this issue is an introduction to the surgery on theorecal and practical way. A. Seminars explain theoretically: Introduction, history of surgery, surgical branches and specializations. Examination of the patient in surgery. Basic guide and keeping of medical documentation in surgery, including the juristic aspects. Basic principles of the first aid and emergency care (blood circulation and cardiovascular system, respiration and ventilation, state of consciousness). Basic characteristics of the shock, preventive care of the shock in the first aid. Common surgical issues: nosologic units (tumors, cysts, ulcers, sinuses and fistulas, necrosis, gangrene), parallel diseases and problems (metabolic, cardiovascular, ventilation, psychological, and psychiatric), specific aspects (childhood, old age). Technologies in surgery- endoscope and endoscopy, microscope and microsurgery, highly specialized devices. Surgical medical supplies- types of bandages and dressings, suture materials, basic instruments. Administration of medicaments: injections, infusions, installations, infiltration, and others (ingestion, sticking-plaster, gel, cream, ointment, eye and ear drops). Surgical drainage, catheterization. Wound types and characteristics, wound healing (first intention, second intention). Hemorrhage, bleeding, physiological and surgical hemostasis. Inflammation and infection in surgery (wound, local, systemic, general), prevention of the tetanus, nosocomial infection. Management of the operation theatre, surgical team. Asepsis, antisepsis, means and types of sterilization and disinfection. Preoperative management of the patient (local, general), including surgical field itself. Local and general postoperative treatment, postoperative complications. Nutrition and dietetics in surgery.Physiotherapy in surgery. B. The next goal presents the practical knowledge and training in dressing techniques, surgical instruments, types of suture material, sutures and other types of skin closure., prepare of surgeon to surgery, donning the gown and gloves, basic techniques of wound suturing, dressings: ward and outpatient department, and assisting of surgery at operating theatres.
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Last update: MUDr. Ing. Martin Ouzký (20.09.2020)
DUŠKOVÁ, M. a kol. Introduction into the Surgery. University mimeographed for students of 3rd Medical Faculty.[CD-ROM]. First edition. Praha: Charles Univerzity in Prague, 3rd Medical Faculty, Department of Plastic Surgery, 2009. Electronic version in PDF formate, available also at WWW: http://www.lf3.cuni.cz/cs/pracoviste/plasticka-chirurgie/. ISBN: 978-80-254-4657-7. |
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Last update: prof. MUDr. Andrej Sukop, Ph.D. (10.12.2019)
seminars, practical training |
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Last update: prof. MUDr. Andrej Sukop, Ph.D. (10.12.2019)
All students must come prepared in all white hospital scrubs and hospital shoes to be prepared for contact with patients. ALL STUDENTS WHO DO NOT RESPECT THIS WILL NOT BE ALLOWED TO TAKE PART IN THE PRACTICE. Conditions for awarding credits from surgical propedeutics: b. Required attendance at a 80% practical exercises c. Answering 1 question from following circuit of topics discussed at seminars: 1) Introduction, history of surgery, surgical branches and specializations. Basic terminology, nomenclature in surgery (incision, excision, exstirpation, punctuation, excochleation, repositioning ...). 2) Patient examination in surgery (anamnesis, physical examination, laboratory examination, basic imaging methods). 3) Basics of keeping medical documentation in surgery, including legal aspects. 4) Basics of first aid and emergency treatment (cardiovascular system and blood circulation, respiration, ventilation, state of consciousness). Fundamentals of cardiopulmonary resuscitation, indication, execution. 5) Basic characteristics of shock, definition, classification, symptomatology, prevention of first aid shock. 6) Common surgical findings (tumors, cysts, ulcers, sinuses, fistula, necrosis, gangrene), concomitant diseases and problems (metabolic, cardiovascular, ventilatory, psychological and psychiatric), specific aspects (childhood, old age). 7) Surgical medical devices - basic instruments, instruments (coagulation, suction, turnstile, magnifying glasses, microscope ...). Types of suture materials. Types of dressings and dressing material. 8) Drug application: injection-distribution and methods of administration, infusion, instillation, infiltration, and more (oral intake, patches, gel, cream, ointment, eye drops and ear drops). 9) Vascular system cannulation (peripheral venous system, central venous system, arterial system, catheterization. 10) Types of wounds and their properties, wound healing (per primam intentionem, per secundam intentionem). Fundamentals of defect coverage. 11) Internal haemorrhage, external, physiological and surgical haemostasis. 12) Transfusion. Indications, application principles, complications. Infusion therapy in surgery. 13) Operating room management, operating group, operational protocol. 14) Asepsis, antisepsis, means and types of sterilization and disinfection. 15) Pre-operative preparation of the patient (local, general) including the actual operating field. 16) Local and general postoperative treatment, postoperative complications-division, prevention, diagnostics, basics of therapy. 17) Inflammation and infections in surgery (morning, local, systemic, total, phlegmone, abscess, furuncle, carbuncle, sepsis, anaerobic infections), tetanus prevention, nosocomial infections. 18) Drainage methods in surgery, principles, indications. Puncture, types, method of execution, indication. 19) Types of anesthesia (total, local and regional anesthesia). 20) Nutrition and dietetics in surgery. 21) Rehabilitation in surgery. |
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Last update: prof. MUDr. Andrej Sukop, Ph.D. (10.12.2019)
All students must come prepared in all white hospital scrubs and hospital shoes to be prepared for contact with patients. ALL STUDENTS WHO DO NOT RESPECT THIS WILL NOT BE ALLOWED TO TAKE PART IN THE PRACTICE. Seminars: S1 Introduction, history of surgery, history of surgery, surgical branches and specialization.Patient examination in surgery (history, physical examination, laboratory examination, basic imaging methods). Basics of conducting medical documentation in surgery, including legal aspects. S2 Basics of first aid and emergency treatment (cardiovascular system and blood circulation, respiration, ventilation, state of consciousness). Fundamentals of cardiopulmonary resuscitation, indication, surgical approach. Basic characteristics of shock, definition, classification, symptomatology, prevention of first aid shock. S3 Basic terminology, nomenclature in surgery (incision, excision, exstirpation, punctuation, excochleation, repositioning, exploration ...). Common surgical terms and findings (tumors, cysts, abscess, ulcers, sinuses, fistula, necrosis, gangrene-pathophysiology, places of the body and treatment), concomitant diseases and problems (metabolic, cardiovascular, ventilatory, psychological and psychiatric) childhood, old age). S4 Surgical medical devices - basic instruments, instruments (coagulation, suction, turnstile, magnifying glasses, microscope). Types of sewing material. Types of dressings and dressing material. Drug application: injection- distribution and administration, infusion, instillation, infiltration, and more (oral intake, patches, gel, cream, ointment, eye drops and ear drops). Vascular system cannulation (peripheral venous system, central venous system, arterial system, catheterization. S5 Types of wounds and their properties, wound healing (per primam intentionem, per secundam intentionem). Fundamentals of defect coverage. Internal haemorrhage, external, physiological and surgical haemostasis. Transfusion. Indications, application principles, complications ... S6 Operating theater management, operating group, operational protocol. Asepsis, antisepsis, means and types of sterilization and disinfection. Pre-operative preparation of the patient (local, general) including the actual operating field. Local and general postoperative treatment, postoperative complications-distribution, prevention, diagnostics, basics of therapy. Infusion therapy in surgery. S7 Inflammation and infections in surgery (morning, local, systemic, general, phlegmone, abscess, furuncle, carbuncle, sepsis, anaerobic infections), tetanus prevention, nosocomial infections. Drainage methods in surgery, principles, indications. Puncture, types, method of execution, indication. Types of anesthesia (total, local and regional anesthesia). Nutrition and Dietetics in Surgery. Rehabilitation in surgery.
Practicals: Students are required to change into all white medical scrubs, coat and shoes otherwise they will be forbidden to attend the practical. P1: Examination of the Surgical Patient. P2: Dressing and plastering techniques, ways of treating wounds. P3: Srubbing in, dressing gowns and gloves. Preparation of the operating area. Surgical instruments, types of suture materials, incision, excision, ligation, knots. P4: Skin suture training, threaded stitches, knotting by hand, knotting by needle P5: Practice of sutures, vascular sutures, suture of peripheral nerve, microsurgery P6: Basic training of bone surgery- osteotomy, trepanation, amputation, reposition osteosynthesis of intramedullary and splint. Basics of plastic surgery - skin graft, local flaps, training on simulators P7: Outpatient, Trauma Theatres, Operating Theatres, Department: (changing dressings, assistance of operations, practical management of the operating theatre and outpatient ward...) P8: Outpatient, Trauma Theatres, Operating Theatres, Department: (changing dressings, assistance of operations, practical management of the operating theatre and outpatient ward...)
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Last update: prof. MUDr. Andrej Sukop, Ph.D. (16.09.2020)
Succesful previous study-passed examination of modul IA |