Unit GENERAL SURGERY 3

Course
Medicine and surgery
Study-unit Code
GP004549
Location
PERUGIA
Curriculum
In all curricula
CFU
6
Course Regulation
Coorte 2018
Offered
2023/24
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

GENERAL SURGERY - MOD. 3

Code GP004570
Location PERUGIA
CFU 1
Learning activities Caratterizzante
Area Clinica generale medica e chirurgica
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Carlo Boselli
Teachers
  • Carlo Boselli
Hours
  • 12.5 ore - Carlo Boselli
Language of instruction
Italian
Contents
Surgery of the spleen, peritoneum and liver
Breast surgery
Ovarian Surgery
Mediastinum
Abdominal Surgery
Reference texts
textbook of lessons
Sabiston
Trattato di Chirurgia
Edizioni EDRA
Educational objectives
Theoretical-practical preparation of the student in the main surgical pathologies.
Ongoing clinical-practical tests
Prerequisites
none
Teaching methods
Lectures
Practical lessons in the operating room
Interactive lessons with simulators
Other information
frequency in operation room
Learning verification modality
METHOD OF CONDUCTING THE EXAM: Oral test divided into 2 questions, 1 of which is chosen by the candidate and one chosen by the commission, with a discussion aimed at ascertaining the level of knowledge, the ability to understand and summarize achieved by the student as well as verify the acquisition of method, language properties and exposition.
The interview is divided into the different thematic areas that characterize the teaching with a duration varying from 15/30 minutes. which varies in relation to the progress of the test itself. Further questions on the minimum necessary knowledge may be asked in the case of unsatisfactory answers to the previous questions.
TESTING OF CLINICAL SKILLS: interpretation of a clinical case presented verbally by the commission
VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a surgical procedure
METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the votes obtained in the individual disciplines
For information on support services for students with disabilities and/or DSA visit the page http://www.unipg.it/disabilita-e-dsa
Extended program
Surgery of the spleen, peritoneum and liver
Breast surgery
Ovarian Surgery
Mediastinum
Abdominal Surgery

Cognomi M-Z

CFU
1
Teacher
Teachers
  • (Codocenza)
Hours
  • 12.5 ore (Codocenza) -

GENERAL SURGERY - MOD. 4

Code GP004571
Location PERUGIA
CFU 1
Learning activities Caratterizzante
Area Clinica generale medica e chirurgica
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Piero Covarelli
Teachers
  • Piero Covarelli
Hours
  • 12.5 ore - Piero Covarelli
Language of instruction
Italian (english explanation available on demand)
Contents
The basis of the surgical oncology (staging systems, Prognostic assessment and integrated treatments)

More frequent non-oncological surgical pathologies
Reference texts
Sabiston Textbook of Surgery, The Biological Basis of Modern Surgical Practice, 20th Edition

Sabiston Textbook of Surgery, 18 Edizione in lingua italiana, Saunders Company, Philadephia
Educational objectives
To know the most important surgical nosology, to do a general objective examination, specifically oriented to the pathologies of surgical interest, to distinguish the signs and symptoms of the various affections, to understand the degree of severity of the different pathologies.
Prerequisites
To be able to understand the course, the student must have successfully passed the preparatory examinations as described in the course rule book.
The knowledge of general notions of anatomy, pathology and radiology is a prerequisite for the student who wants to follow the course with profit.
Teaching methods
face to face
operating room attendance
Distance online didactic on TEAMS platform
Other information
Site of the course:
Facoltà di Medicina e Chirurgia, Building B, Floor -2, S.Andrea delle Fratte, Perugia
Learning verification modality
METHOD OF CONDUCTING THE EXAM: Oral test divided into 2 questions, 1 of which is chosen by the candidate and one chosen by the commission, with a discussion aimed at ascertaining the level of knowledge, the ability to understand and summarize achieved by the student as well as verify the acquisition of method, language properties and exposition.
The interview is divided into the different thematic areas that characterize the teaching with a duration varying from 15/30 minutes. which varies in relation to the progress of the test itself. Further questions on the minimum necessary knowledge may be asked in the case of unsatisfactory answers to the previous questions.
TESTING OF CLINICAL SKILLS: interpretation of a clinical case presented verbally by the commission
VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a surgical procedure

For information on support services for students with disabilities and/or DSA visit the page http://www.unipg.it/disabilita-e-dsa
Extended program
Inflammatory Bowel Diseases; clinical features, diagnosis, relationship with colonic cancer and principles of surgical management.
Benign proctology; hemorroids, anal fissures, fistulas, abscesses and rectocele.
Surgical treatment of melanoma and soft tissue neoplasms: Lymphectomies, The Sentinel Node Concept , Isolated Limb Perfusions and Infusions, Electrochemotherapy
Soft tissues sarcomas
GI bleeding, gastric cancer and ulcer
Intestinal ischemia.
Hernias

Cognomi M-Z

CFU
1
Teacher
Annibale Donini
Teachers
  • Annibale Donini
  • Emanuel Cavazzoni
Hours
  • 12.5 ore - Annibale Donini
  • 2 ore - Emanuel Cavazzoni
Language of instruction
Italian
Contents
COLO-PROCTOLOGY
Reference texts
ANY GENERAL SURGERY MANUAL
Educational objectives
COMPREHENSION OF SURGICAL ANATOMY, PATHOLOGY AND THERAPY OF ANORECTAL DISORDERS
Prerequisites
PHYSIOLOGY AND ANATOMY
Teaching methods
LECTURES
Other information
NA
Learning verification modality
ORAL DISCUSSION
Extended program
ANAL AND RECTAL DISEASES, BENIGN AND MALIGNANT

GENERAL SURGERY - MOD. 5

Code GP004572
Location PERUGIA
CFU 1
Learning activities Caratterizzante
Area Clinica generale medica e chirurgica
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Francesco Barberini
Teachers
  • Francesco Barberini
Hours
  • 12.5 ore - Francesco Barberini
Language of instruction
Italian
Reference texts
R. Dionigi: Chirurgia. Basi teoriche e chirurgia generale-Chirurgia specialistica: 1-2 (ed. 2017)

Sabiston textbook of Surgery
Educational objectives
The students will be able to: know the surgical pathology and the treatment of surgical deseases
Teaching methods
Face-to-face
Learning verification modality
oral exam
Extended program
Benign and malignant pathology of the breast (general aspects, epidemiology, risk factors, pathological anatomy of lesions, histopathological classification, indications and description of surgical interventions with operating technique notes.)

Acute appendicitis (historical notes pathophysiology, classification, clinical symptoms and signs, laboratory and instrumental examinations, medical and surgical therapy)

Pathology of the biliary tract: cholelithiasis, acute cholecystitis, obstructive jaundice (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy)

Acute abdomen: peritonitis, traumatic hemoteritoneum, visceral perforations, intestinal occlusion (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy)

Surgical pathology of colon, rectum and anus: diverticulosis / diverticulitis, neoplasms, hemorrhoidal disease (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy)

gastrointestinal bleeding : (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy)

Surgical pathology of the stomach: (neoplasms, peptic disease, GERD, gastritis (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy)

- Hernia and incisional hernia

Cognomi M-Z

CFU
1
Teacher
Annibale Donini
Teachers
  • Annibale Donini
Hours
  • 12.5 ore - Annibale Donini
Language of instruction
Italian
Contents
Surgical indications and surgical treatment of colorectal diseases.
- Malignant neoplasms clinical features surgical treatment: colorectal, trasversus, descending colon, sigmaid rectum.
- clinical feature and surgical problems : colon diverticular disease, rectal prolapse, hemorrhoids, fistulas and perianal abscesses, pilonidal disease, neoplasms of the anus.
Reference texts
Sabiston-"Textbook of Surgery"- 18th Edizione - Saunders.
Chirurgia- Dionigi
Educational objectives
Know the most important surgical nosologies, make a general abjective examination, specifically oriented towards pathologies of surgical interest, to distinguish the sign and the symptoms of the varions discases to understand the degree of severity of the varions pathologies.
Prerequisites
To the able to understand and face the course, the student must have successfully completed the preparatory exam described in the degree program regulation, in fact, the general knowledge of anatomy , physiology, biochemistry, pharmacology, pathological anatomy and radiodiagnostics are an indispensable prerequisite for the student who wants to follow the course successfully
Teaching methods
Lecture and pratical activities.
Meeting.
Other information

Learning verification modality
The exam includes an oral test consisting of a discussion-interview of about 30 minutes long aimed to ascertaining the level of knowledge and the capacity of understanding acquired by the student , judging also the properties of language and exposure
Extended program
Surgical indications and surgical treatment of colorectal disease:
chronic inflammatory intestinal diseases, clinical features.
- Elective and Emergency surgical treatment , ileostomies, ileoananastomoses. The pouch and its complications. Polyposis polyps and syndromes.
- Malignant neoplasmsclinical features, surgical treatment: colorectal, transverse, descending colon, sigma, rectum, colorectal cancer follow:
treatmen of relapses and and hepatic metastases.
- Clinical characteristics and surgical problems of: diverticular disease of the colon, rectal prolapse, hemonrrhoids fistulae and perianal accesses,
pilonidal disease, neoplasms of the anus.

GENERAL SURGERY - MOD. 6

Code GP004573
Location PERUGIA
CFU 1
Learning activities Caratterizzante
Area Clinica generale medica e chirurgica
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Piero Covarelli
Teachers
  • Piero Covarelli
Hours
  • 12.5 ore - Piero Covarelli
Language of instruction
Italian (english explanation available on demand)
Contents
The basis of the surgical oncology (staging systems, Prognostic assessment and integrated treatments)

The most common non-oncological diseases of surgical relevance
Reference texts
Sabiston Textbook of Surgery, The Biological Basis of Modern Surgical Practice, 20th Edition

Sabiston Textbook of Surgery, 18 Edizione in lingua italiana, Saunders Company, Philadephia
Educational objectives
To know the most important surgical nosology, to do a general objective examination, specifically oriented to the pathologies of surgical interest, to distinguish the signs and symptoms of the various affections, to understand the degree of severity of the different pathologies.
Prerequisites
To be able to understand the course, the student must have successfully passed the preparatory examinations as described in the course rule book.
The knowledge of general notions of anatomy, pathology and radiology is a prerequisite for the student who wants to follow the course with profit.
Teaching methods
face to face
Operating room attendance
Distance online didactic using the platform Microsoft Teams
Other information
Site of the course:
Facoltà di Medicina e Chirurgia, Building B, Floor -2, S.Andrea delle Fratte, Perugia
Learning verification modality
METHOD OF CONDUCTING THE EXAM: Oral test divided into 2 questions, 1 of which is chosen by the candidate and one chosen by the commission, with a discussion aimed at ascertaining the level of knowledge, the ability to understand and summarize achieved by the student as well as verify the acquisition of method, language properties and exposition.
The interview is divided into the different thematic areas that characterize the teaching with a duration varying from 15/30 minutes. which varies in relation to the progress of the test itself. Further questions on the minimum necessary knowledge may be asked in the case of unsatisfactory answers to the previous questions.
TESTING OF CLINICAL SKILLS: interpretation of a clinical case presented verbally by the commission
VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a surgical procedure


For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa
Extended program
Colon and rectum neoplasms
Gastric cancer
Shocks and hydro-electrolytic imbalances
Acute and chronic pancreatitis, pancreatic tumors.
Spleen diseases.
Thyroid diseases
Adrenal disorders of surgical interest
Portal hypertension
Neoplasms of the liver
Ileal neoplasmas; Merkel diverticula diseases.
Transplants

Cognomi M-Z

CFU
1
Teacher
Roberto Cirocchi
Teachers
  • Roberto Cirocchi
Hours
  • 12.5 ore - Roberto Cirocchi
Language of instruction
Italian
Contents
The aim of the course is to offer at the students a clinical summary of digestive surgery.
Reference texts
Minni F. Chirurgia generale. Casa Editrice Ambrosiana. 2019
Educational objectives
The aim of the course is to provide students with a general overview of the diagnostic-therapeutic pathways in digestive surgery. In addition, the student should be know the main symptoms and clinical signs related to different digestive diseases.
Prerequisites
Basic knowledge is need in anatomy, pathophysiology, semeiotic and surgical pathology.
Teaching methods
Front-end lessons using powerpoint projections. The lesson material (except copyright-protected illustrations) is always made available to students electronically (file in pdf) the day before the lesson on the ateneum platform: https://www.unistudium.unipg.it/unistudium/login/index.php.
Other information

Learning verification modality
Interview lasting approximately 15 minutes divided into 2 questions, 1 of which relating to oncological surgery and 1 to surgery for non-neoplastic pathologies. A further question may be asked in the event of an unsatisfactory answer to the 2 previous questions.
Extended program
Acute appendicitis and their complications
Diverticular disease and their complications
Internal and external abdominal hernia
The gallbladder lithiasis and its complications.
Acute and chronic pancreatitis and its complications.
The complicated peptic ulcer.

PROFESSIONALISING TRAINING IN GENERAL SURGERY I

Code GP005571
Location PERUGIA
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Carlo Boselli
Teachers
  • Carlo Boselli
Hours
  • 25 ore - Carlo Boselli
Language of instruction
Italian
Contents
Initial evaluation and first surgical therapies in politrauma. Kinds of trauma
Reference texts
Sabiston "Textbook of Surgery" 18th edition
Educational objectives
The student will be able to know the most important surgical pathologies, to perform a correct clinical examination and specifically a surgical-oriented examination, to distinguish the signs and symptoms of the different affections and finally to uderstand the severity degree of every single disease
Prerequisites
nobody
Teaching methods
Departmental activities frequency
Learning verification modality
Oral exam
METHOD OF CONDUCTING THE EXAM: Oral test divided into 2 questions, 1 of which is chosen by the candidate and one chosen by the commission, with a discussion aimed at ascertaining the level of knowledge, the ability to understand and summarize achieved by the student as well as verify the acquisition of method, language properties and exposition.
The interview is divided into the different thematic areas that characterize the teaching with a duration varying from 15/30 minutes. which varies in relation to the progress of the test itself. Further questions on the minimum necessary knowledge may be asked in the case of unsatisfactory answers to the previous questions.
TESTING OF CLINICAL SKILLS: interpretation of a clinical case presented verbally by the commission
VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a surgical procedure
METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the votes obtained in the individual disciplines
For information on support services for students with disabilities and/or DSA visit the page http://www.unipg.it/disabilita-e-dsa
Extended program
Trauma: -initial evaluation and first surgical therapies in politrauma.
-trauma in children, adult and pregnant patients
-Kinds of trauma:
a) cranial and spinal
b) cervical and thoracic
c) abdominal and perineal
d) retroperitoneal
e) Non operative treatment of close abdominal trauma

Cognomi M-Z

CFU
1
Teacher
Annibale Donini
Teachers
  • Annibale Donini
Hours
  • 25 ore - Annibale Donini
Language of instruction
Italian
Contents
- Attending surgical visits in Surgical Surgery
- Attend the visit to the ward.
- Completions Forms of informed consent
- Compilation of the Clinical Folder
- Preparation of a sterile field for minor surgery
Reference texts

Educational objectives
To know and be able to fill in motivated requests for diagnostic, laboratory and instrumental investigations, providing relevant clinical information, explaining the methods of execution, motivations and risks to the patient.
Knowing how to fill in a medical record, know how to perform surgical prophylaxis procedures.
Knowing how to perform sterilization procedures for surgical field preparation for outpatient surgery
Prerequisites

Teaching methods
Frequency in Department and Surgery Clinic
Other information

Learning verification modality
Interview regarding a clinical case
Extended program
- Perform an objective examination of the abdomen.
- Knowing how to complete the informed consent form. Compilation of the clinical record.
- Prepare a sterile field for minor surgery
- Perform dressings of external lesions and removal of sutures.

PROFESSIONALISING TRAINING IN GENERAL SURGERY II

Code GP005572
Location PERUGIA
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Piero Covarelli
Teachers
  • Piero Covarelli
Hours
  • 25 ore - Piero Covarelli
Language of instruction
Italian
Contents
- Attending surgical visits in Surgical Surgery
- Attend the visit to the ward.
- Completions Forms of informed consent
- Compilation of the Clinical Folder
- Preparation of a sterile field for minor surgery
Reference texts

Educational objectives
To know and be able to fill in motivated requests for diagnostic, laboratory and instrumental investigations, providing relevant clinical information, explaining the methods of execution, motivations and risks to the patient.
Knowing how to fill in a medical record, know how to perform surgical prophylaxis procedures.
Knowing how to perform sterilization procedures for surgical field preparation for outpatient surgery
Prerequisites

Teaching methods
Frequency in Department and Surgery Clinic
Other information

Learning verification modality
Exercises
Extended program
- Perform an objective examination of the abdomen.
- Knowing how to complete the informed consent form. Compilation of the clinical record.
- Prepare a sterile field for minor surgery
- Perform dressings of external lesions and removal of sutures.

Cognomi M-Z

CFU
1
Teacher
Annibale Donini
Teachers
  • Annibale Donini
Hours
  • 25 ore - Annibale Donini
Language of instruction
Italian
Contents
- Attending surgical visits in Surgical Surgery
- Attend the visit to the ward.
- Completions Forms of informed consent
- Compilation of the Clinical Folder
- Preparation of a sterile field for minor surgery
Reference texts

Educational objectives
To know and be able to fill in motivated requests for diagnostic, laboratory and instrumental investigations, providing relevant clinical information, explaining the methods of execution, motivations and risks to the patient.
Knowing how to fill in a medical record, know how to perform surgical prophylaxis procedures.
Knowing how to perform sterilization procedures for surgical field preparation for outpatient surgery
Prerequisites

Teaching methods
Frequency in Department and Surgery Clinic
Other information

Learning verification modality
Interview regarding a clinical case
Extended program
- Perform an objective examination of the abdomen.
- Knowing how to complete the informed consent form. Compilation of the clinical record.
- Prepare a sterile field for minor surgery
- Perform dressings of external lesions and removal of sutures.
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