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Syllabus
Syllabus
I week
I week
1. The Metabolic Response To Injury.
1. The Metabolic Response To Injury.
Classical concepts of homeostasis. Mediators of the metabolic response to injury. Physiochemical and biochemical changes that occur during injury and recovery. Changes in body composition that accompany surgical injury. Avoidable factors that compound the metabolic response to injury. Concepts behind optimal perioperative care.
II week
II week
2. Bleeding.
2. Bleeding.
Classification of bleeding, the body's reaction to bleeding, the clinical picture; Temporary and permanent hemostasis; blood transfusion; Blood groups, group determination; Rhesus (Rh) factor in the blood; Blood transfusion methods, complications of blood transfusion, postransfusion complications.
III week
III week
3. Shock.
3. Shock.
Shock- classification and definition. The pathophysiology of shock and ischaemia–reperfusion injury. The different patterns of shock and the principles and priorities of resuscitation. The appropriate monitoring and endpoints of resuscitation. Hypovolemic shock, cardiogenic shock, neurogenicic shock, obstructive shock, septic shock.
IV week
IV week
4. Basic surgical Skills and Anastomoses.
4. Basic surgical Skills and Anastomoses.
Surgical approaches, incisions and the use of appropriate instruments in surgery in general. The indications for alternative technologies (glues and staples).The materials and methods used for surgical wound closure and anastomosis (sutures, knots and needles) The techniques for skin closure, artery and bowel anastomosis
V week
V week
5. Wounds.
5. Wounds.
Wounds, Tissue repair and Scars. Normal healing and how it can be adversely affected. How to manage wounds of different types, of different structures and at different sites. Aspects of disordered healing which lead to chronic wounds. The variety of scars and their treatment
VI week
VI week
6. Surgical infections.
6. Surgical infections.
Surgical site infections, abscesses, cellulites, specific local wound infections, necrotizing fasciitis, clostridium tetani and gas gangrene. The importance of aseptic and antiseptic techniques. The factors that determine whether a wound will become infected. The classification of sources of infection and their severity. The indications for and choice of prophylactic antibiotics. The characteristics of the common surgical pathogens and their sensitivities. The spectrum of commonly used antibiotics in surgery and the principles of therapy.
Test #1
Test #1
Open questions and MCQ (2 hours).
VII week
VII week
7. Evaluation and management of the surgical patient.
7. Evaluation and management of the surgical patient.
Evaluation of the surgical patient with cardiac and lung disease. Evaluation of the surgical patient with renal and liver disease, with diabetes.
Presentations #1
Presentations #1
5-7 min each.
VIII -IX week
VIII -IX week
Midterm exam - Open questions and MCQ (2 hours).
Midterm exam - Open questions and MCQ (2 hours).
X week
X week
8. Preoperative Preparation.
8. Preoperative Preparation.
The tasks involved in preparing a patient for theatre. The common problems affecting a patient's fitness for operation. How to optimise a patient's medical state prior to anaesthesia/surgery. How to take informed consent. The organisation of an operating list.
XI week
XI week
9. Postoperative Care.
9. Postoperative Care.
The system of postoperative care The common and serious postoperative complications, their recognition, avoidance and treatment, postoperative fever, myocardial infactation, fluid status. The system of daily entries in patients’ records. The system for discharging patients
XII week
XII week
10. Postoperative complications.
10. Postoperative complications.
The system of postoperative care The common and serious postoperative complications, their recognition, avoidance and treatment, postoperative fever, myocardial infactation, fluid status. The system of daily entries in patients’ records. The system for discharging patients
Test #2
Test #2
Open questions and MCQ (2 hours).
XIII week
XIII week
11. Fluid Therapy.
11. Fluid Therapy.
Fluid and electrolyte requirements in the preand postoperative patient.
XIV week
XIV week
12. Nutrition.
12. Nutrition.
The causes and consequences of malnutrition in the surgical patient. The nutritional requirements of surgical patients and the nutritional consequences of intestinal resection.The different methods of providing nutritional support and their complications
Test #3
Test #3
Open questions and MCQ (2 hours).
XV week
XV week
13. Principals of oncology.
13. Principals of oncology.
The biological nature of cancer The principles of cancer prevention and early detection. The principles of cancer aetiology and the major known causative factors. The likely shape of future developments in cancer management. The multidisciplinary management of cancer. The principles of palliative care.
Presentations #2
Presentations #2
5-7 min each.
XVI week
XVI week
14. Minimal access surgery.
14. Minimal access surgery.
Principles of Laparascopic and Robotic Surgery. The principles of laparoscopic and robotic surgery. The advantages and disadvantages of such surgery. The safety issues and indications for laparoscopic and robotic surgery. The principles of postoperative care
XVII-XIX week
XVII-XIX week
Final exam - MCQ. 2 hours.
Final exam - MCQ. 2 hours.
XX week
XX week
Retake exam
Retake exam
Mandatory Textbook:
Bailey & Love's Short Practice of Surgery, 27th Edition, Norman S. Williams, 2018
Bailey & Love's Short Practice of Surgery, 27th Edition, Norman S. Williams, 2018
Additional reading
Schwartz's Principles of Surgery, Eleventh Edition, 2019
Schwartz's Principles of Surgery, Eleventh Edition, 2019
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