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Basic Surgical Techniques

2018/2019 Academic Year Second Semester

 


Location: NET-Z Lecture Hall
5/February
György Wéber: Introduction and the curriculum of the department. The structure and equipments of the operating room.
12/February
József Sándor: Asepsis, antisepsis, desinfection. Surgeon in the operating room. Prevention of Surgical Site Infection (SSI).
19/February
Andrea Ferencz: Basic surgical tools and suture materials.
26/February
Andrea Ferencz: Basic and special suturing techniques in surgery.
5/March
Györgyi Szabó: Classification and management of wounds, principle of wound-healing. Haemorrhage and bleeding control.
12/March
Masashi Yoshida MD, PhD: Surgical procedures: acute, elective. Preoperative patient management. Surgical approaches.
19/March
György Wéber: Basics of laparoscopic surgery.


Practices
Each group has seven practices in the semester, so you have to attend the course every second week. (Week ’A’ starts the Semester)
The topics of the practices:
1. Knotting and basic suturing techniques on the skill models (simple interrupted suture).
2. Getting acquainted with the operating room, rules and behavior in the operating room, scrubbing-in and preparation of the surgical field. Basic surgical instruments and their usage.
3. Basic suturing techniques on ex-vivo animal model (interrupted sutures).
4. Basic suturing techniques on ex-vivo animal model (continuous sutures).
5. Demonstration of the laparoscopic tower and instruments.
6. Practicing eye-brain-hand coordination and fine hand movements using a laparoscopic pelvitrainer.
7. Tissue dissection and suturing tasks on anesthetized rats (removal of „pigmented naevus”, median laparotomy and splenectomy).
PLEASE NOTE! During each course proper nail hygiene is necessary (fingertip-high nails). In addition, use of nail-polish, artificial nails, any jewelry, including watches are prohibited. Offenders of this policy will take part in the practice but this will be an absent.

Schedule

eng

The following practices should be retaken after consultation with you teacher:

The TDK Conference is from 13 to 15 February. Week ’B’ Group 3, 4, 11, 13, 15 should change the date of the 1st practice.
National Holiday: Week ‘B’ 14/March (3rd practice) Gr. 11, 13 should change the date of the 3rd practice.
The Easter Holiday is from 15 to 18 April. This is officially not the educational part of the Semester.
University Day: Week ’B’ 30/April Gr. 6, 8 should change the date of the 6th practice.
National Holiday: Week ’B’ 1/May Gr. 11, 13 should change the date of the 6th practice.


Presence-absence at the practices
„Basic surgical techniques” practices will be held seven times during the semester. The attendance is mandatory for each practice. The presence will be regularly checked and documented by the Department. EVERYBODY SHOULD VISIT THE GROUP PRACTICES IN WHICH HE OR SHE IS REGISTERED IN THE NEPTUN. Due to the fact that the capacity of the Operating Lab is limited it is not allowed to have more than 12 students in a group – 10 registered place + 2 free place for re-taking the missed practice. The number of missed practices and lectures may not exceed more than 25%. That means only ONE absence is acceptable during the semester. If any student misses two or more practices, the Department will refuse to sign the subject. Due to the limited capacity of the Operating Lab, only one absence can be repeated during the semester after registration (HERE) by joining another group.

Everybody should register for himself/herself. We do not register anybody!


Practice location
From the 1st to 4th and the 7th practices are taking place in the Operating Lab in the NET building. The Operating Lab is accessed from the Main Hall of the NET. Follow the signs down by the stairs. The 5th and the 6th practices will be held in the 1st Seminar room.


Security and lost objects
At the first lesson, students will acknowledge in writing that they understand and accept the rules and regulations of the labor safety and fire service during the surgical practices. In the Operating Lab lockers are available to place all values. The Experimental Surgical Department recommends to practice vigilance and you must not leave your personal values – such as jeweler, watches or others – in unsafe areas or accidentally in the pockets of the scrubbing suits. The department and its management cannot be reliable for the lost or stolen items. On the other hand, if anything is being lost or misplaced, you may contact: Vódliné Schum Ibolya assistant (NET, Operating Theatre, Phone: tel:+36-1-459-1500 ext.: 56378; email: mutettan@gmail.com)

The lost and found objects will be stored by the end of the semester. If nobody comes for them, they will be offered!


Competitions in 2018/19 Academic Year 2nd Semester

SUTURA competition
Participants: The most skillful student from each group based on the 2nd, 3rd and 4th practices
DATE: 02/April PLACE: Operating Lab
Laparoscopic competition
Participants: The most skillful student from each group based on the 5th and 6th practices
DATE: 07/May PLACE: 1st Seminar room

Exam
The textbook, the lectures, the practices and the videos on the DVD give the basic knowledge for the exam.
The exam starts with a written test including a minimum requirement of achieving at least 80 %.
The colloquium comprises of two parts:
1. a practical – and 2. a theoretical part
The practical exercises:
1.) scrubbing- in – gowning and gloving
2.) knowledge of basic surgical instruments
3.) manual knots
4.) making stitches
5.) knowledge of laparoscopic instruments
6.) laparoscopic practice in pelvitrainer
During the oral exam, the student chooses an item. The questions will be read at the department homepage.
Can be downloaded: here
The shortened slide shows of the lectures can be downloaded above.
The textbook and DVD can be downloaded from the Neptun portal: semmelweis.hu/English/Neptun login/information/education/documentation of faculties. Recommended textbooks: R. M. Kirk: Basic Surgical Techniques ed. Elsevier
Some pictures are presented with the permission of the SE Transplantation Clinique or based on internet sources.
Point limits:
The final grade is determined by both of the practical – and the theoretical achievements of the exam.
0-59 points: failed (1)
60-69 points: satisfactory (2)
70-79 points: moderate (3)
80-89 points: good (4)
90-100 points: excellent (5)