Syllabus
Lectures:
Introduction, history of surgery, surgical branches and specializations.
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.
Examination of the patient in surgery.
Basic guide and keeping of medical documentation in surgery, including the juristic aspects.
Preoperative management of the patient (local, general), including surgical field itself.
Types of the anesthesia.
Common surgical problems: 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).
Asepsis, antisepsis, means and types of sterilization and disinfection.
Technologies in surgery- endoscope and endoscopy, microscope and microsurgery, lasers.
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 and run of the operation theatre, surgical team.
Local and general postoperative treatment, postoperative complications.
Nutrition and dietetics in surgery.
Physiotherapy in surgery.
Practical training:
Dressing technique.
Surgical instruments,types of suture material, sutures and other types of skin closure, suturing.
Donning the gown and gloves.
Examination of the abdomen.
Dressings: ward and outpatient department.
Operating theatres: run, assisting of surgery.
Annotation
Sub-course module IIB.
Surgical Propaedeutics introduces basic surgical concepts, terminology, instruments, concepts of asepsis, antisepsis, and sterilization, examination of surgical patient, preparing for the operation, the basic surgical techniques, practical training of wound suturing , bandage and dressing techniques, and the care of the wounds.