Surgery - EA0112133

• Title: Surgery
• Guaranteed by: Department of Surgery (14-400)
• Faculty: Faculty of Medicine in Pilsen
• Actual: from 2022 to 2023
• Semester: winter
• Points: 16
• E-Credits: 16
• Examination process: winter s.:
• Hours per week, examination: winter s.:0/0, C [HT]
• Extent per academic year: 9 [weeks]
• Capacity: unknown / unknown (unknown)
• Min. number of students: unlimited
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: taught
• Language: English
• Teaching methods: full-time
• Teaching methods: full-time
• Guarantor: prof. MUDr. Jiří Moláček, Ph.D.; prof. MUDr. Josef Vodička, Ph.D.
• Teacher(s): prof. MUDr. Jiří Moláček, Ph.D.
• Is incompatible with: EAP0106400
• Is interchangeable with: EAP0106400

Annotation

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

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. Basics of plastic and reconstructive surgery. 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. General issues of oncosurgery. Transplantology.
Thyroid gland surgery. Parathyroid glands surgery. Pleural syndromes. Primary and secondary lung tumours. Injury to the chest. Mediastinal inflammation and tumours. Breast inflammation and tumours. External and internal hernias. Non-neoplastic oesophageal disorders. Gastroduodenal ulcer. Tumours of the oesophagus and stomach. Crohn’s disease. Inflammatory disorders of the large bowel. Non-neoplastic disorders of the anorectum. Colorectal carcinoma. Benign and malignant disorders of the liver. Injuries to intra-abdominal organs. Cholecystolithiasis and its complications. Differential diagnostic of obstructive icterus. Pancreatic tumours. Bleeding to the gastrointestinal tract. Acute appendicitis. Inflammatory acute abdomen. Ileous acute abdomen. 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.
Diagnostic procedures, methods of treatment and perioperative care in neurosurgery. Intracranial hypertension. Surgery of congenital and developmental disorders of nervous system. Head and brain trauma. Spinal trauma with spinal cord and spinal roots trauma. Intracranial expansive lesions (tumorous and nontumorous expansions, vascular lesions, inflammatory lesions). Expansions in spinal channel, spinal cord tumorous lesions, spinal cord compressive syndromes. Surgery of peripheral nerves. Functional neurosurgery (treatment of pain, epilepsy and movement disorders, lesional functional neurosurgery). Surgery of brain ischaemia (carotid endarterectomy, EC-IC bypass, decompressive craniectomy). Haemorrhagic vascular diseases (aneurysms, AVM, cavernomas, hypertonic haematomas). Benign intracranials tumours. Malignant intracranials tumours. Degenerative diseases of cervical and lumbar spine. Hydrocephalus.
Basic principles of cardiopulmonary bypass systems. Basic principles and examples of cardiac assist devices. Surgical tretament of coronary artery disease. Complications of coronary artery disease and their surgical treatment. Acquired valve diseases and their surgical treatment. Surgical treatment of atrial fibrillation. Frequent congenital valve diseases and basics of their surgical treatment. Diagnosis and treatment of ascending aorta and aortic arch diseases. Acute aortic dissection (diagnosis and treatment). Heart transplant. Postoperative care in cardiac surgery. Nonpenetrating cardiac injuries. Penentrating cardiac injuries. Cardiac tamponade (diagnosis and treatment). Frequent cardiac tumors (diagnosis and treatment).

Course completion requirements

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

The Final State Exam in Surgery is both oral and taken in personal attendance. During the exam, the student draws 3 questions, one each from general surgery, special surgery and alternatively from neurosurgery or cardiac surgery.

Literature

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

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.

Requirements to the exam

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

Credit given upon fulfilling compulsory attendance.

Syllabus

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

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. Basics of plastic and reconstructive surgery. 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. General issues of oncosurgery. Transplantology.

Thyroid gland surgery. Parathyroid glands surgery. Pleural syndromes. Primary and secondary lung tumours. Injury to the chest. Mediastinal inflammation and tumours. Breast inflammation and tumours. External and internal hernias. Non-neoplastic oesophageal disorders. Gastroduodenal ulcer. Tumours of the oesophagus and stomach. Crohn’s disease. Inflammatory disorders of the large bowel. Non-neoplastic disorders of the anorectum. Colorectal carcinoma. Benign and malignant disorders of the liver. Injuries to intra-abdominal organs. Cholecystolithiasis and its complications. Differential diagnostic of obstructive icterus. Pancreatic tumours. Bleeding to the gastrointestinal tract. Acute appendicitis. Inflammatory acute abdomen. Ileous acute abdomen. 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.

Diagnostic procedures, methods of treatment and perioperative care in neurosurgery. Intracranial hypertension. Surgery of congenital and developmental disorders of nervous system. Head and brain trauma. Spinal trauma with spinal cord and spinal roots trauma. Intracranial expansive lesions (tumorous and nontumorous expansions, vascular lesions, inflammatory lesions). Expansions in spinal channel, spinal cord tumorous lesions, spinal cord compressive syndromes. Surgery of peripheral nerves. Functional neurosurgery (treatment of pain, epilepsy and movement disorders, lesional functional neurosurgery). Surgery of brain ischaemia (carotid endarterectomy, EC-IC bypass, decompressive craniectomy). Haemorrhagic vascular diseases (aneurysms, AVM, cavernomas, hypertonic haematomas). Benign intracranials tumours. Malignant intracranials tumours. Degenerative diseases of cervical and lumbar spine. Hydrocephalus.

Basic principles of cardiopulmonary bypass systems. Basic principles and examples of cardiac assist devices. Surgical tretament of coronary artery disease. Complications of coronary artery disease and their surgical treatment. Acquired valve diseases and their surgical treatment. Surgical treatment of atrial fibrillation. Frequent congenital valve diseases and basics of their surgical treatment. Diagnosis and treatment of ascending aorta and aortic arch diseases. Acute aortic dissection (diagnosis and treatment). Heart transplant. Postoperative care in cardiac surgery. Nonpenetrating cardiac injuries. Penentrating cardiac injuries. Cardiac tamponade (diagnosis and treatment). Frequent cardiac tumors (diagnosis and treatment).

Course completion requirements

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

The Final State Exam in Surgery is both oral and taken in personal attendance. During the exam, the student draws 3 questions, one each from general surgery, special surgery and alternatively from neurosurgery or cardiac surgery.