OVERVIEW

Surgery course 2 (first semester of 6th year) includes:

     in the field of general surgery: pathologies of surgical interest in the gastrointestinal tract (from fasting to anus), endocrine system.
     in the field of specialized surgery:
         the vascular pathology
         the pathology of the locomotor system

AIMS AND CONTENT

LEARNING OUTCOMES

After the acquisition of nosography, etiology, pathophysiology, signs and symptoms of the disease, the course is aimed at the development of specific clinical skills through the presentation of clinical cases, diagnostic-therapeutic problems, concerning the most important morbose cases most commonly found in surgical practice.

At the end of the course, the student must be able to address the discussion on issues of clinical relevance, showing that he is able to set the differential diagnosis reasoning based on observation, knowledge of epidemiological data, rational use of instrumental and laboratory, on the possibilities of preventing the most common pathologies.

The student must demonstrate the ability to make correct therapeutic indications, to be generally oriented on the most common surgical techniques, surgical timing and prognosis, taking into account the psycho-physical and social characteristics of the patient. It is also required to have adequate knowledge of pre and post-operative problems related to both day-surgery and major surgery.

AIMS AND LEARNING OUTCOMES

Surgery is one of the most engaging, fascinating and exciting medical branches. The evolution of knowledge and operating techniques has led to the progressive identification of various surgical specialties.

The technological evolution of surgical devices has led to a radical progress of procedures: today there's a tendency to operate surgery without large incisions, thanks to the introduction of miniinvasive techniques, or even with only one access (single port technique) or through natural orifices (NOTES) that does not provide any abdominal access, achieving no scar surgery.

In addition, the evolution of pain therapy techniques along with pharmacological progress allows you to approach "painless surgery".

SYLLABUS/CONTENT

Surgery 2

General Surgery Program

 

Differential diagnosis between adenocarcinoma, GIST and neuroendocrine tumor

Diagnosis and therapy of neuroendocrine tumors: carcinoid

Diagnosis and therapy of neuroendocrine tumors: insulinoma, glucagonoma, etc.

Differential diagnosis between mechanical ileum and paralytic ileum.

Differential diagnosis in a patient with intestinal obstruction

Principles of treatment of syndromes

Differential diagnosis of arterial and venous intestinal infarction

Therapeutic possibilities in the event of intestinal arterial and venous intestinal infarction

Clinical presentation of the patient with chronic ischemia

Patient framing and stabilization with lower digestive hemorrhage

Diagnostic procedure and patient therapy with inferior digestive hemorrhage

Differential diagnosis of the patient with pain in the fossa iliaca

Principles of therapy in case of appendicitis

Diagnostic pathway in a patient with acute pain in the fossa iliaca

Staging, therapeutic options (medical, radiological, surgical) in patients with acute diverticulitis

Differential diagnosis in sub-occluded patients between colon cancer, chronic inflammatory disease and complications of diverticular disease

Colon cancer polyp: when advanced colon neoplasms: therapeutic strategy

General Diagnosis, Diagnostics procedures in proctorragie

Stage and multimodal treatment of rectum carcinoma

Follow-up of rectum carcinoma

Differential diagnosis of a perianal mass

Anal epidermoid carcinoma, adenocarcinoma, cloacogenic tumors: differences in therapeutic strategy compared to rectum carcinoma

Hemorrhoids: Indications for medical and surgical treatment

Anal rags: treatment and its pathophysiological bases

Differential diagnosis of acute pain in the perianal region

Abscess and perianal fistulas: classification and treatment

Tumors of peritoneum and of retroperitoneal space: classification

Mesothelioma and retroperitoneal sarcomas

Differential diagnosis of intra-abdominal masses

Jaundice: differential diagnosis

Cholestatic jaundice: radiological, endoscopic and surgical therapy

Differential diagnosis of cholangitis (with particular attention to suppurative colangitis and primitive colangitis)

Abdominal suppression and amebic abscesses

Differential diagnosis of hepatic cysts and in particular between simple cysts, cysts from echinococcus and M. of Caroli

Liver and biliary neoplasms: classification

Differential diagnosis of liver nodules in the healthy and cirrhotic liver

Hepato-cell carcinoma: principles of multidisciplinary treatment (radiological, surgical, medical)

Intraepathic cholangiocarcinoma: differential diagnosis and treatment principles

Secondary colorectal and neuroendocrine liver tumors: multimodal treatment principles. Directions and Limits of Surgery

Principles of Hepatic Surgery: Anatomy of surgical and radiological anatomy

Complexions of portal hypertension and their treatment

Acute pancreatitis: differential diagnosis, severity classification

Principles of medical and surgical treatment of acute pancreatitis

Acute pancreatitis complications: septic complications, pancreatic pseudocysts.

Directions for surgery

Diagnosing chronic pancreatitis

Chronic pancreatitis: principles of treatment

Exocrine pancreas tumors: classification

Differential diagnosis of solid and cystic pancreas masses at head and tail levels

Staging and prognosis of carcinoma

Principles of radical and palliative treatment in exocrine pancreas neoplasms. Complications of surgical therapy

Indications for splenectomy in thesaurismosis, in Wehrlof's disease, in hematopoietic diseases

General principles of organ transplants

Indications, technique and results of kidney and liver transplantation

Complications of chronic inflammatory diseases: abscesses, visceral and cutaneous fistulas, toxic megacolones

Differential diagnosis in a patient with enterorragia.

Differential diagnosis between Crohn's disease and ulcerative colitis

Surgical indications in Crohn's Mash and ulcerative colitis

TEACHERS AND EXAM BOARD

Exam Board

FRANCESCO BOCCARDO (President)

MARCO CASACCIA (President)

FRANCO DE CIAN (President)

PIERO FREGATTI (President)

MICHELE MINUTO (President)

EMANUELA VARALDO (President)

ANDREA ZANIRATO (President)

RICCARDO FERRACINI

MATTEO FORMICA

GIOVANNI PRATESI

FRANCESCA SANGUINETI

GIOVANNI SALVATORE GIUSEPPE SPINELLA

MARCO FRASCIO (President and Coordinator of Integrated Course)