Surgery I is designed to develop specific clinical skills concerning the diagnostic and therapeutics issues related to the pathologies of greatest interest and the most frequently encountered in surgery, from the more General Aspects to Thoracic Diseases, Morbid Obesity, Digestive Tract Surgery, Video-Laparoscopic Surgery, the Acute Abdomen, and the Lymphatic / Chylous Disease Surgery (Microsurgery and Additional New Procedures), also including the most important aspects of Plastic and Urologic Surgery.

At the end of the Course, the Student should be able to affront discussions on problems of clinical / surgical relevance, showing themselves autonomously capable and able to give differential diagnostic reasoning, based on observation, knowledge of epidemiological data, rational use of instrumental and laboratory investigations, as well as on the possibility of prevention for the most common diseases, with reference to content of the Course program, indicated below (Section 3).

It requires the Student to have the ability to give the correct therapeutic indications, to be generally oriented on the most common surgical techniques, and the "timing" of surgery and prognosis, considering the psycho-physical and social characteristics of the patient. A good knowledge is also required of issues relating to pre- and post-operative periods, with reference to the system of day-surgery, as well as that of major surgery.

TEACHING METHODS

- Plenary Lectures in Classroom

- Training Seminars (clinical case discussions)

- Educational / Professional Training (for small

  groups of students) on the Hospital Ward, in

  Outpatient Clinics, and in the Operating

  Room / Radiological - Instrumental

  Diagnostics

Attendance is mandatory, with distributed hours, according to the type of activities and in relation to the Educational Credits (CFU) provided for the 5th Year - 1st Semester for the Discipline of General Surgery MED / 18 - Integrated Course of Surgery I: 5 CFU,

(1 CFU = 25 hours)

The detailed Calendar of Educational Activities is specified, each academic year, in the Student Guide published online.

- Pre-operative Risk Assessment

- Typical complications of the elderly patient

- Fluids, Electrolytes, Acid-Base Balance and

  Nutritional aspects in Surgical Patients

- Wound Healing

- Infections and Sepsis in Surgery

- Haemostasis and Transfusions

- Surgical Diseases of the Thorax (including

  Breast Diseases) and Abdomen (differential

  diagnosis, principles of treatment and  

  prognosis)

- Acute Abdomen  and Peritonitis (differential

  diagnosis, principles of treatment and prognosis)

- Upper Digestive Tract Hemorrhage (Multi-

  Disciplinary Team Management)

- Morbid Obesity (indications and principles of

  surgical treatment)

- Minimally-Invasive / Video-Laparoscopic

  Surgery (indications and techniques)

- The Lymphatic System in General Surgery

  (Diagnosis and Treatment of Lymphedema and

  Chylous Disorders): Role of Microsurgery and

  Additional New Techniques

- Inter-disciplinary correlations between General

  Surgery, Plastic Surgery and Urologic Surgery

TEXTBOOKS / BIBLIOGRAPHY

Bellantone R., De Toma G., Montorsi M. (Eds), Chirurgia Generale, Metodologia – Patologia – Clinica Chirurgica -  Edizioni Minerva Medica, Torino, 2009

Townsend C., Beauchamp RD., Evers BM.,  Mattox KL., Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 19th Ed. Elsevier, Philadelphia, USA, 2012.

Additional material is made available to Students through the Portal AulaWeb.

EVALUATION METHODS

The assessment takes place only through the final oral examination, which seeks to determine the effective acquisition by the student of the expected learning outcomes.

Students, therefore, to pass the exam, achieving a vote of no less than 18/30, must demonstrate the knowledge and skills contained in the Educational Goals defined above (see Section 2).

The following contribute, therefore, to the final mark out of thirty:

- Ability to transverse and critically deal with the  

  required arguments;

- Fairness, clarity, synthesis and exhibiting

  fluidity;

- Mastery of the subject;

- Adoption of appropriate terminology.

The vote of 30/30 cum laude, will be eventually granted where the knowledge / skills of the subject are excellent

For further details, it is recommended to consult the web page:

http://cdlmedicina.medicina.unige.it/index.php/2014-08-19-07-17-03/a-a-2016-2017

Non-attending students will be able to communicate their possible requirements concerning only the General Surgery part of Teaching, at the following email address: campisi@unige.it

Reception and Counselling Mode for Students:

Wednesday / Friday, from 11.00 am  to noon,

at the Chair of Director Prof. Corradino Campisi,

“Pad. Ex. Isolamento, I° piano / ponente, IRCCS AOU San Martino – IST”

National Institute for Cancer Research, Genoa, with a prior phone advisement to one of the following numbers:

010- 555 4292 / Cell. 338 1 71 80 67