- Medicine and Surgery
- Single Cycle Master Degree (6 years)
- Medicine and Surgery [H4102D]
- Courses
- A.A. 2023-2024
- 5th year
- Abdominal Surgery
- Summary
Course Syllabus
Sustainable Development Goals
Aims
The aim of the Abdominal Surgery section of Clerckship 9 are:
A) To integrate the knowledge on the surgical management of the disorders of the digestive tract (Esophagus, stomach, intestine, liver pancreas, spleen, portal system, abdominal wall) completing and elaborating on the arguments presented during the frontal lessons by:
- providing the basic knowledge on surgical management, including physiopathology of the surgical trauma response, surgical nutrition, surgical infections, perioperative medicine
- providing the necessary knowledge on the surgical aspects of the disorders of the digestive system and the abdominal wall
- providing the knowledge on the surgical indications, contraindications, preoperative evaluation (including appropriate tests), surgical techniques and outcomes for the aforementioned disorders
- providing familiarity with the surgical process, including history taking and diary & chart management
physical examination of the patients, surgically oriented Interpretation of laboratory test, endoscopy and imaging, medical management of the surgical patient, basic surgical maneuvers - providing familiarity with the skills of communication with patient and relatives
- providing familiarity with the the relationship with collegues and health personel
Contents
Main analysis and understanding of the surgical aspects and management of the GI disorders
Detailed program
(Shared with the General Surgery part of the GI Track)
General aspects of perioperative medicine:
• physiopathology of the response to surgical trauma
• surgical infections
• nutrition in surgery
• the concept of ERAS (Enhanced Recovery After Surgery)
Surgical management of the following digestive and abdominal disorders: Indications, techniques,
results
• benign disorders of the esophagus: Diverticula, Achalasia Gastroesophageal reflux
• malignant neoplasms of the esophagus
• benign disorders of the stomach: volvulus, foreign bodies, benign neoplasms
• malignant neoplasms of the stomach
• benign disorders of the small and large bowel , benign neoplasms, IBD , volvulus, intestinal
occlusion
• malignant neoplasms of the small and large bowel
• disorders of the anus: Fissures, Hemorroids, fistula, neoplasms, condylomata
• benign disorders of the liver: cysts, angiomas, adenomas , nodal focal hyperplasia
• malignant neoplasms of the liver: primary and metastatic
• liver transplantation
• portal hypertension
• benign disorders of the bile ducts: lithiasis of the gallbladder, and of the intra- and
extrahepatic ducts
• malignant neoplasms of the bile ducts
• benign disorders of the pancreas: acute and chronic pancreatitis, cysts and pseudocysts
• endocrine neoplasms of the pancreas
• malignant neoplasms of the pancreas
• disorders of the spleen
Anatomy, physiopathology, natural history and surgical repair of abdominal hernias: hiatal and
other diaphragmatic hernias, inguinal and crural, hernias, incisional hernias, general aspects of less
common hernias (epigastric, lateral ventral, ischiatic, obturator hernias)
Acute abdomen: peritonitis, intestinal occlusion, hemoperitoneum: Clinical features, assessment
and surgical management.
Transplantation of the the lung, the pancreas, the small bowel the kidney
Prerequisites
knowledge of the preparatory courses as indicated in the regulations of the degree course in Medicine and Surgery.
Teaching form
the clerckship sessions will alternate practical sessions (in the surgical
wards, in the outpatient clinc and in the operatory room) and interactive activities as follows:
Frontal lessons with interactive presentation and discussion.
PBL sessions (integrated with the gastroenterological staff)
Multidisciplinary cases discussions
In case of pandemic resurgence the lessons will be through webinar
Textbook and teaching resource
Suggested Textbook: Sabiston textbook of surgery, the biological basis of modern surgical practice
By Courtney Townsend. 21st edition. Elsevier 2021
Semester
V Year, second semester
Assessment method
The exam will be carried out in an integrated manner according to the modality envised by the overall digestive disease vertical track which is based on:
Multiple Choice Test (45 questions)
Oral exam on the topics covered during the lectures, discussion on clinical problem solving and clinical case
analysis
All assessments will be done in English language
The evaluation of clerckship 9 shall be: Idoneous or Non Idoneous (and is considered propedeutical to the general exam of the Digestive disease Tract)
• In the event of pandemic emergency period, only telematics exams will be available. They will be carried out
using the WebEx platform and on the e-learning page there will be displayed a public link where possible virtual
spectators may get access and assist to the examination
Office hours
The professor receives by appointment upon agreement by e-mail
Sustainable Development Goals
Key information
Staff
-
Flavia Neri