Ministry of health protection ukraine bukovina state medical university
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MINISTRY OF HEALTH PROTECTION UKRAINE Bukovina state medical university
REFERENCE BOOK FOR STUDENTS FROM STUDY OF DISCIPLINE General surgery with anesthesiaA reference book for a student is made on the basis of operating curriculum and program for the students of higher medical educational establishments of III-IV levels of accreditation It is approved on the methodical conference of department of general surgery "____"___________________ 2007 (Protocol № ) Chair, department of general surgery Professor F.G. Kulachek It is approved on meeting of subject methodical commission of surgical disciplines "____"__________________2007 (Protocol № ) Chairman of methodical commission, professor I.J. Polyanskyy ^Educational discipline ”General surgery with anesthesiology" normative discipline, discipline after the choice of students (necessary to underline) 1. Entry. Determination of discipline. The general questions of surgery are studied: organization of surgical help, features of inspection of surgical patients, asepsis and antisepsis, general questions of surgery and anesthesia, warning and stop bleeding, blood transfusion, surgical operation surgery - and surgery periods, general questions of traumatology, general questions of surgical infection. Amount of educational hours - 150 (5 credits of ECTS), from them: lectures - 20 hours practical employments - 80 hours independent work of students - 50 hours the table of contents of discipline is structured on 2 modules and 8 semantic modules .
* The least of marks, which a student must collect for current educational activity at the study of this module, to be suffer to drafting of final module control .
Description of the modules of discipline (every module is separately and consistently described after the stated chart below) ^ surgery. 4.1. Thematic plan of lectures to the module 1
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MODULE 2. surgical infection. Necroses. The bases of the clinical oncology. Curation of surgical patients ^
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^ 4.7. List of individual tasks (if their implementation at the study of this module is foreseen by an executable educational code from discipline). 1. Modern achievements of surgery. 2. Influence of co-operation of organism and environment on the origin and development of surgical diseases. 3. Rational mode of patient after the leadthrough of operative interferences on the organs of abdominal region. 4. Clinical-laboratory symptoms of surgical diseases. 5. Mechanisms of development of pathological processes in an organism. 6. Clinical displays of surgical diseases (within the limits of on-line tutorial). 7. Prophylaxis and treatment of surgical diseases of skin and hypoderm. 8. Modern principles of organization of surgical help to the population of Ukraine. 9. Types of modern surgery. 10. Prophylaxis of pin and surgery infections. 11. Physiology mechanisms of origin of bleeding. 12. Mechanism of action of narcotic preparations on an organism. 13. Surgery Development of “bloodless” medicine. 15. Traumatism, social value, problems, prophylaxis of traumatism. 16. Surgical problem of сніду. 17. Drug addiction and surgical pathology. 18. Role of alcohol and nicotine in the origin of surgical diseases. 19. Prophylaxis of drug addiction and Surgery. 20. Sanitary-epidemiology mode of surgical separation. ^ 5.1. Evaluation of current educational activity. The system of evaluation of knowledges and abilities of students is carried out in accordance with the requirements of the program of discipline and Instruction about the system of evaluation of educational activity of students at the credit-module system of organization of educational process Ukraine ratified to моз (sheet of моз of Ukraine from 16.06.2005 № 08.01-22/1258). An estimation for the module concernes as sum of estimations of current educational activity (in marks) and estimation of final module control (in marks), which is proposed at the evaluation of theoretical knowledges and practical skills in accordance with lists certain by the program of discipline. At mastering of every theme of the module for current educational activity to the student estimations are proposed on a traditional scale, which are then converted in marks: ^ general surgery with surgery is proposed only to the students which both modules are reckoned to. An estimation concernes as middle arithmetic from marks for two modules which is folded by students during a school year. The got marks are converted in a 4-point scale: Maximal amount of marks, that is appropriated to the students at mastering of each to the module (test credit) - 200, in that number for current educational activity - 120 (117) marks (60%), as a result of module final control - 80 (83) marks (40%). The least of marks for the module 1 - 80, for the module 2 - 72 (64 for practical employments and 8 for individual work). Appropriation of estimations A, B, C, D, E is carried out in relation to students which successfully completed the study of discipline. ^ Module 1: Introduction to surgery. Exigent surgical states. 1. Surgery and his role in development of domestic surgery. 2. Development of surgery in Ukraine and Russia. Merits of domestic and Russian scientists. 3. A desmurgy is a concept. Development of desmurgy. Materials which are used in a desmurgy. 4. Basic types of bandages. 5. Rules of bandaging. 6. Surgery. Essence of method, basic kinds. 7. Physical surgery. 8. Mechanical surgery. 9. Chemical surgery. 10. Biological surgery. 11. Basic groups of antiseptic matters. 12. Antibiotics. Ways of application, complication. 13. Surgery enzymes. Classification, mechanism of action. Methods of application. 14. Surgery infection, ways of distribution and its prophylaxis. 15. Asepsis. History of development, determinations, methods. 16. Principles of action to the autoclave, methods of sterilization of bandaging material and operating linen. 17. Control methods after sterilization. 18. Surgery preparation and methods of sterilization of instruments. 19. Features of sterilization of instruments with the optical system. 20. Classification and requirements to stitch material. 21. Methods of sterilization of stitch material. 22. Methods of preparation of hands of surgeon to the operation. 23. Methods of preparation of the operating field . 24. Basic principles of organization of work in operating and bandaging. 25. Surgical operation. Classification depending on a term and volume of implementation. 26. To the type, surgery and special surgical operations. 27. Basic stages of surgical operation. 28. Surgery period. Determinations, basic tasks. 29. Surgery period. Determinations, tasks. 30. Phases of пі surgery period. 31. Complication in a surgery period, treatment of complications, their prophylaxis. 32. Bleeding, reasons, kinds, diagnostics. 33. Classification of bleeding depending on their origin. 34. Hematocelia, clinic, diagnostics. 35. Temporal methods of stop of bleeding. 36. Eventual methods of stop of bleeding. 37. Surgery, classification after the degree of weight, principles of treatment. 38. Studies about blood types, Rh-factor. 39. Methods and methods of blood and surgery transfusion. 40. Determination of blood and Rh-factor type. 41. Tests on compatibility of blood at surgery. 42. Classification of complications at blood transfusion and their prophylaxis. 43. Surgery reactions, clinic, diagnostics, treatment. 44. Surgery, their classification shows to application. 45. Basic stages of development of surgery. 46. Local anaesthetizing. Testimony, contra-indication. 47. Description of basic of surgery for the local anaesthetizing. 48. Methods of the local anaesthetizing, novocaines blockades. 49. Infiltration anaesthesia . 50. Explorer anaesthesia. 51. surgery anaesthesia, technique of leadthrough. 52. Rachianesthesia, technique of leadthrough. 53. Common anaesthetizing, determinations, theories of origin. 54. Stages of anesthesia. 55. Phlebonarcosis. Testimonies, features of motion, complication. 56. Inhalation anesthesia. Methods of leadthrough. Description of narcotic matters. 57. Complication of anesthesia. Reasons, their prophylaxis. 58. Terminals states. 59. Basic principles of reanimation. 60. Classification of wounds, clinical signs. 61. Physical, clinical and biochemical changes in a wound. Pathogeny of surgery process. 62. Phases (stages) of surgery process. 63. First aid at a present wound. 64. Surgical roughing-out of wound. 65. Types of surgical stitches at surgery of wound. 66. Infectious complications of wound. 67. Treatment of running sore depending on the phase of surgery process. 68. Debriding of running sore, types of stitches depending on time of imposition. 69. Features of action of nuclear explosion. 70. Backwall, surgery, breaks of soft fabrics. Clinic, treatment. 71. Traumatic shock. Theories and modern looks. Clinic, diagnostics, treatment. 72. Breaks. Classification, clinic, diagnostics. 73. Mechanism and types of displacement of bones wreckages. 74. Terms which determine accretion of breaks. 75. First aid at the breaks. Immobilization, transporting. 76. Basic principles of treatment of breaks. 77. Conservative method of treatment of breaks by a gipseous bandage. 78. Treatment of breaks by the method of the permanent drawing out. 79. Basic types of operative treatment of breaks. 80. Complication at treatment of breaks, their treatment prophylaxis. 81. Dislocations. Mechanism of origin. Methods of treatment. 82. Syndrome of the protracted compression. Clinic, treatment. 83. Traumatic damages of arteries and veins and their consequences. 84. Arterial and surgery aneurysm. Clinic, diagnostics, treatment. 85. Burns, classification depending on the degree of damage. 86. Ambustial illness, periods, clinical diagnostics treatment. 87. Methods of determination of ambustial surface of skin. 88. General principles of treatment of burns. 89. Local treatment of burns. 90. Methods of surgical treatment of burns. 91. Description of chemical burns. 92. Surgery, features of influence on the organism of man. First aid at the action of electric current. 93. Getting frost-bitten, pathogeny, classification, clinic. 94. Getting frost-bitten, periods depending on motion. 95. First aid at getting frost-bitten. 96. General principles of conservative and operative treatment at getting frost-bitten. Module 2: Surgical infection. Grew stiff. Bases of clinical oncology. surgery surgical patients.
6.1. List of practical tasks and works to the final module control. 1. To impose a bandage. 2. To impose the bandage of Hippocrates. 3. To impose a bandage on the back of head. 4. To impose a bandage both the eye. 5. To impose a bandage "bridle". 6. To impose a surgery bandage. 7. To impose the bandage. 8. To impose the bandage of. 9. To impose a bandage on a suckling gland. 10. To impose well bandage at the penetrable damage of pectoral cavity. 11. To impose an ear bandage on a humeral joint. 12. To impose a "turtle" bandage on an elbow joint. 13. To impose a bandage "knight's glove". 14. To impose a bandage on a brush and fingers of type (mitten). 15. To define a blood type and rhesus factor. 16. To define individual and rhesus-compatibility of blood of donor and recipient. 17. Macroscopic estimation of high quality of blood. 18. To stop the arterial bleeding by dactylar. 19. To stop the arterial bleeding from a forearm by a plait. 20. To stop the arterial bleeding from a forearm and shoulder by the rollup. 21. To pick up instruments for the operation of bandaging of vessels on a draught. 22. Leadthrough of the closed massage of heart of artificial respiration "mouth in a mouth", "mouth in a nose" on a phantom. 23. Leadthrough of transporting immobilization of overhead and lower extremity. Diagnostics of breaks on sciagrams. 24. Diseases of peripheral arterial vessels. 25. Diagnostics on sciagrams. 26. Diagnostics of bone tuberculosis on sciagrams. 27. Leadthrough of objective inspection of chairman and neck. 28. Leadthrough of objective inspection of organs of thorax. 29. Leadthrough of objective inspection of organs of abdominal region. 30. Leadthrough of objective inspection of locomotorium, determination of absolute and relative length of extremities. ^ Basic literature.
7. Хірургія. Т.1. / за ред. Я.С. Березницького, М.П. Захараша, В.Г. Мішалова Дніпропетровськ, 2006, 443 с. 8. Черенько М.П., Ваврик Ж.М. Загальна хірургія // Київ, "Здоров'я", 2004, 614с. Additional literature.
5. Петров СП. Общая хирургия. Санкт-Петербург, 2003, 750 с. 6 Методика обстеження хірургічного хворого / під ред. М.О.Ляпіса. Тернопіль, 2000. 7. Жизневский Я.А. Основы инфузионной терапии. Минск, 1994. 8. Шевченко Ю.Л., Жибурт Е.Б. Безопасное переливание крови. Санкт-Петербург, 2000 9. Кузин МИ., Костюченко Б.М. Раны и раневая инфекция. Москва, 1990. 10.Даценко Б.М. Теория и практика местного лечения гнойных ран. Киев, 1995. 11.Трещинский АИ., Саенко В.Ф. Сепсис и антибактериальная терапия. Киев, 1997. 12.Попов В.А., Воробьев ВВ. Панариций. Москва, 1986. 13.Колесов А.П., Столбовой А.В., Кочеровец В.И. Анаэробная инфекция в хирургии. Ленинград, 1989. 14.Котельников В.П. Отморожения. Москва, 1988. 15.Мокшонов И.Я., Гарелин П.В., Дубовин О.И. и др. Хирургические операции // Минск, 2004, С. 413. 16..Мокшонов И.Я. Врачебная деонтология // Минск, 1998. 17.Чен Г., Соннендэй К.Дж., Лилремо К.Д. Руководство по технике врачебных манипуляций (2-е издание) перевод с английского // Москва.: Медицинская литература. - 2002. - 384 с. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
