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General Surgery

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General Surgery

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Academic year 2024/2025

Course ID
SCB0229
Teachers
Francesco Leo (Coordinator)
Alberto Arezzo (Lecturer)
Year
6th year
Teaching period
First semester
Type
Basic
Credits/Recognition
9 (56 hours of lectures, 28 hours of exercises)
Course disciplinary sector (SSD)
MED/18 - general surgery
MED/21 - thoracic surgery
Delivery
Lecture
Language
English
Attendance
Mandatory
Type of examination
Oral
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Sommario del corso

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Course objectives

Clinical assessment of diseases and conditions, considering the indications for and contraindications to possible surgical treatment options, particularly in keeping with the principles of minimally invasive surgery.

OBJECTIVES OF THEORETIC-PRACTICAL TEACHING

Preoperative assessment of the surgical patient, focusing on the diagnostic process and formulation of a treatment plan, with extensive use of case studies and role play.

  • Acquire basic knowledge of the clinical presentation of thoracic and general surgery disorders (as specified below).
  • Learn the main techniques and principles of clinical history taking.
  • Demonstrate knowledge of rational diagnostic procedures that guide the choice of therapeutic decisions.
  • Demonstrate knowledge of surgical interventions and their relative indications in relation to a patient’s condition.
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Results of learning outcomes

Functional approach to diagnostic and therapeutic processes of the diseases managed by thoracic and general surgeons.

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Program

Part 1 - Essentials


  • The surgical setting: the operating room and appropriate sterile techniques.
  • The general outpatient surgery, day surgery, and day hospital. Organizational relationship with the Emergency Department and the inpatient wards.
  • The surgical instrumentarium. Materials and surgical sutures.
  • Basics of minor surgery: wounds.
  • Local infections and common “outpatient problems”: furuncles, whitlows, onychocryptosis, inflammation, abscess, favus, hidradenitis.
  • Systemic infections in the surgical patient: septicemia, septicopyemia, bacteremia.
  • Analysis of main factors that increase perioperative risk, preparation of the surgical patient and management during the immediate postoperative period.
  • Hemorrhage, hemostasis, and hemoderivatives in surgery.
  • Basics of organ transplantation: brain death and organ donation. Indications for and contraindications against liver transplant. Pancreas transplant. Lung transplant.

Part 2 - Specifics


Thyroid and parathyroid glands

  • Hyperthyroidism of surgical interest
  • Multinodular goiter
  • Benign and malignant thyroid cancer
  • Primary, secondary, and tertiary hyperparathyroidism

Thoracic wall

  • Congenital deformities
  • Inflammatory lesions
  • Tight chest syndrome
  • Chest wall tumors
  • Trauma injuries

Lungs

  • Congenital anomalies of the respiratory system
  • Spontaneous and acquired pneumothorax
  • Solitary pulmonary nodule
  • Lung emphysema
  • Bronchiectasis and adeno-bronchial syndrome
  • Lung abscess
  • Mycosis (aspergillosis)
  • Tuberculosis (aspects of surgical interest)
  • Lung metastasis
  • Bronchial carcinoma
  • Neuroendocrine tumors
  • Lung transplantation

Pleura

  • Pleural empyema
  • Pleural mesothelioma
  • Chylothorax

Mediastinum

  • Neoplastic and neoplastic-like mediastinal lesions
  • Mediastinal syndrome
  • Tracheal stenosis
  • Foreign bodies

Esophagus

  • Esophageal diverticula. Caustic burns
  • Achalasia and gastroesophageal reflux disease. Hiatus hernia. Barrett’s esophagus
  • Perforations, esophagotracheal fistula, Boerhaave syndrome
  • Benign and malignant tumors

Stomach

  • Peptic disorders: presentation, differential diagnosis and surgical indications
  • Benign and malignant tumors

Duodenum

  • Benign (diverticulitis) and malignant disorders

Pancreas

  • Acute pancreatitis
  • Pseudocysts and cysts
  • Chronic pancreatitis
  • The exocrine pancreas: benign and malignant neoplasms
  • The endocrine pancreas: benign and malignant neoplasms

Spleen

  • Hypersplenism
  • Splenic hydatidosis
  • splenic trauma

Liver and biliary ducts

  • Congenital anomalies (cysts, polycystosis, Caroli’s disease, etc.)
  • Cholelithiasis  and obstructive jaundice
  • Liver abscess
  • Hydatidosis
  • Benign and malignant disorders of the liver and biliary ducts
  • Liver transplantation

Jejunum and ileum

  • Adherential syndrome
  • Terminal ileitis: surgical indications
  • Meckel’s diverticulum

Colon-rectum

  • Inflammatory bowel diseases (Crohn’s disease, ulcerative colitis)
  • Diverticulosis and diverticulitis of the colon
  • Acute appendicitis
  • Benign and malignant tumors of the colon/rectum
  • polyps and polyposis; familial disorders
  • Benign anorectal disorders (fistula, hemorrhoids, rhagades, prolapse)

Abdominal wall

  • Hernia and laparocele

Vascular diseases of surgical interest

  • Chronic peripheral obstructive arteriopathy
  • Abdominal aortic aneurysm
  • Peripheral aneurysm
  • Acute peripheral arteriopathy
  • Embolism
  • Thrombosis
  • Supraaortic trunk disease
  • Vascular trauma
  • Deep venous thrombosis
  • Chronic lower limb venous insufficiency
  • Leg varices

 

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Course delivery

Frontal lectures

The first 12 lectures  will be given by Prof. Francesco Leo and the following 16 lectures by Prof. Alberto Arezzo

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Learning assessment methods

Learning assessment will be done through oral exams, in which several questions will try to evaluate different topics (at least 3 main topics) both for Thoracic and for General Surgery

Suggested readings and bibliography



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Book
Title:  
Greenfield' s Chirurgia - Principi scientifici e pratica
Year of publication:  
2010
Publisher:  
Delfino
Author:  
Mulholland - Lillemoe - Doherty - Maier - Upchurch, Jr - Greenfield
ISBN  
Notes:  
Testo consigliato
Required:  
No


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Book
Title:  
Sabiston Textbook of Surgery. The Biological Basis of Modern Surgical Practice
Year of publication:  
2021
Publisher:  
Elsevier
Author:  
Sabiston - Townsend - Mattox - Beauchamp - Evers
ISBN  
Required:  
No


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Notes

Students with DSA or disabilities are kindly requested to take note of the reception services and support services offered by the University of Turin, and in particular of the procedures required for exam support.

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Teaching Modules

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Last update: 02/04/2024 09:41
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