Basic Surgical Techniques
2024/2025 Academic Year Second Semester
REQUREMENTS
Lectures
Location: NET-Z (Green) Lecture Hall
11/February Dr. József Sándor: Welcome to the brave, new surgery.
18/February Prof. Dr. József Sándor: Asepsis, antisepsis, desinfection. Surgeon in the operating room. Prevention of Surgical Site Infection (SSI).
25/February Dr. Daniella Fehér: Basic surgical tools and suture materials.
4/March Prof. Dr. Masashi Yoshida: Surgical procedures: acute, elective. Preoperative patient management. Surgical approaches.
11/March Dr. Éva Toronyi: Basic and special suturing techniques in surgery. Haemorrhage and bleeding control.
18/March Dr. Györgyi Szabó: Classification and management of wounds, principle of wound-healing.
25/March Prof. Dr. József Sándor: Basics of laparoscopic surgery.
Practices
Practices
Shedule
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:
- Basic suturing techniques on ex-vivo animal model (simple interrupted suture). Knotting techniques. Introduction the basic surgical instruments.
- Heart and Vasular Center (Address: 1122 Budapest, Gaál József 9-11.) Getting acquainted with the operating room, rules and behavior in the operating room, scrubbing-in and preparation of the surgical field.
- Basic suturing techniques on ex-vivo animal model (interrupted sutures). Demonstration of the laparoscopic tower and instruments. Practicing eye-brain-hand coordination and fine hand movements using a laparoscopic pelvitrainer.
- Basic suturing techniques on ex-vivo animal model (continuous sutures). Practicing eye-brain-hand coordination and fine hand movements using a laparoscopic pelvitrainer.
- Practicing eye-brain-hand coordination and fine hand movements using a laparoscopic pelvitrainer. Microsurgery.
- Scrubbing in and preparation of the surgical fied. Consultation.
- Practical exam.
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.
Practices that should be retaken in the 2nd Semester:
6th practice week ‘A’ Monday, 21/April gr. 13, 15
RETAKING DATE: Friday (25/April) from 2.00 to 4.15 pm
6th practice week ‘B’ Thursday 1/May gr. 2, 4, 18, 21
RETAKING DATE for gr. 2,4: 22/April Tuesday from 2.00 to 4.15pm
RETAKING DATE for gr. 18, 21: 25/April Friday from 11.30am to 1.45pm
Other date – Depending on the timetable of the groups
The 7th practice is the practical part of the exam. Please, participate in your original group.
Presence-absence at the practices
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 15 students in a group. The number of missed practices 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
Practice location From the 1st to 4th and the 7th practices are taking place in the Operating Lab (OL) in the NET building. OL is accessed from the Main Hall of the NET. Follow the signs down by the stairs. The 2nd practices will be held at the Heart and Vascular Clinic in Városmajor (Budapest XII. district, Gaál József út 9-11.). Assembly in front of the cloakroom at the entrance on Gaál József street 15 minutes before the practice time. The 5th and the 6th practices will be held partly in the 3rd Seminar room (gathering at OL).
Security and lost objects
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 Department of Experimental Cardiology and Surgical Techniques 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: Ibolya Schum and Karolina Csépke assistants (NET, Operating Theatre, Phone: tel:+36-1-459-1500 ext.: 56378; email: kksmtnet@semmelweis.hu)
The lost and found objects will be stored by the end of the semester. If nobody comes for them, they will be offered!
Exam
Preparation materials:
Textbook
https://www.semmelweiskiado.hu/termek/1732/basic-surgical-techniques
Lectures and the slides
Practices
The colloquium is divided into two parts
1. Practical exam
The practical exam is taken in the 7th practice.
The requirements in the practical exam:
- Scrub-in, gowning and gloving
- Recognize basic surgical intruments (see the list)
- Demonstrate the hand-tie knots
- Demonstrate a suture line in an ex vivo tissue (interrupted and continuous)
- Recognize the laparoscopic instruments
- FLS in Pelvitrainer
If someone gets 0 points for BOTH scrub-in-gowning-gloving procedure AND for the suture line she/he fails immediately.
- Theoretical exam is a written test in the exam period.
The theoretical part of the examination consists of a test, which will be taken in person at the specified examination times during the examination period. 60 questions in 45 minutes should be solved. The minimum requirement for the written test is 40 points of 60. If this is less, only the written test must be repeated. Students who attend the classroom lectures get 3 test questions at the end of the lecture. If he/she answers correctly the 3 test questions and collect minimum 14 points of 21 in 7 lectures he/she gets an additional 10 points, which will be added to their score in the theoretical test.
The results of the practical test (60 points) and the written test (60 points) are summed up and the final mark is determined on the basis of a 120-points system.
Grading:
Unsatisfactory(1) 0 -69,99 points
Pass (2) 70 – 89,99 points
Average (3) 90 – 99,99 points
Good (4) 100 – 109,99 points
Excellent (5) 110 – 120 points
If you want to improve your grade you must repeat the practical + theoretical parts of the exam again! You can improve in the exam period after you have both the practical and the theoratical results.
Competitions
Competitions in the 2nd semester
Sutura competition – to the selected students who are the most skilful in exercises
Instrument competition – online, for anyone who would like to participate
Laparoscopic competition – to the selected students who are the most skilful in exercises
Laparoscopic instrument competition – online, for anyone who would like to participate