Unit VETERINARY SURGERY II

VETERINARY SURGICAL EMERGENCIES

Code	85117002
CFU	2
Teacher	Antonello Bufalari
Teachers	Marco Pepe (Codocenza)
Hours	20 ore (Codocenza) - Marco Pepe
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Academic discipline	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The aim of the course is to improve the knowdlege of the student on most common surical disorders in different system organs and surgical emergencies in large animals Treatment of surgical emergencies: recognition of the clinical condition of the animal; stabilization of the patient; emergency treatment; early intervention in the course of fractures. PROGRAM Introduction to Surgery; Exam methods and rules; Teaching material Traumatized patient, Recognition of the clinical condition of the animal; Treatments in shock, chest, abdominal, nervous; Stabilization of the patient; Hemorrhage treatment and hemocagulation principles (1.5 hours) orthopedic emergencies I: Early interventions undergoing musculoskeletal disorders Specific orthopedic emergencies II (2 hours) Volvolus and SI Invagination Part I; Volvolus and SI Invagination Part II; Intestinal obstruction, PA (2 hours) orthopedic Emergencies III (Sepsis Sinovials) (1.5 hours) Equine Gastro-enteric disorders and their treatment: Part I Equine Gastro-enteric surgical diseases and their treatment: Rectal Lacerations: Internal External hernia Post-operative treatment of colic (4.5 hours) Ophthalmological emergencies (1.5 hours) Surgery Urgency Respiratory system Traumatic diaphragmatic hernia PA (1.5 hours) Emergency Surgical foal; (1.5 hours) Emergency Urinary System (1.5 hours) LA Respiratory Emergencies (1.5 hours) Sto arrivando! Splenic Injuries, Dilation Gastric Torsion PA (3 Hours)
Reference texts	Auer: Equine Surgery, IV edition Saunders Ed. ISBN 0 7216 2860 5 Orsini & Divers Equine Emergiencies, treatment and Procedures; 4th Edition Elsevier
Educational objectives	The course is the first course entirely dedicated to the management of surgical elective and emergencies of small and large animals. The main objective of the course is to provide theoretical and practical sessions of the surgical elective and emergencies in domestic animals. The main focus of the knowledge acquired will be evaluation of the critical patient, preparation for surgical procedures in elective and emergiencies such as colic, management of the superficial and deep wound; management of the disorders of the oral cavity, esophagus and stomach; management of the disorders of the upper respiratory tract; sinus and paranasal cavity, pharynx, larynx; guttural pouch trachea and thorax; management of the disorders of the nervous system; spinal cord peripheral nerves;management of the disorders of the eye; management of the disorders of the muscoloskeletal apparatus: specific front limb abnormalities; specific hind limb abnormalities; Joiint diseases, synovial disease, orthopaedic developemental diseases; management of the disorders of the urinary system: bladder ureters, urethra and external genitalia. General emergency procedures and diagnostics, emergency imaging, endoscopy, laboratory diagnostic and monitoring The main skills (ie the ability to apply their knowledge) will be the acquisition by the student to manage elective surgery and emergencies in small and large animals from diagnosis to surgery
Teaching methods	The course is organized as follows : Classroom lectures on the topics of the course Exercises in ambulatory and surgical suites of the OVUD. The students based on the number will be divided into groups and, possibly with the elective and emergencies caseload dell'OVUD, one group take place directly on the patient diagnostic procedures, another will be involved under the teacher supervision in the elective surgical procedures or therapies and critical care as appropriate. Particular attention will be paid to the logical approach of the elective surgical patient of emergency cases from the referred animals until the therapy and possible dimission of the case.
Other information	Practical and educational activities could be consulted on http://www.medvet.unipg.it Meetings, Journal Club and seminars with PhD students, interns and students by planning and agreeing with the class during the course
Extended program	Introduction to Surgery; Exam methods and rules; Teaching material Traumatized patient, Recognition of the clinical condition of the animal; Treatments in shock, chest, abdominal, nervous; Stabilization of the patient; Hemorrhage treatment and hemocagulation principles (1.5 hours) orthopedic emergencies I: Early interventions undergoing musculoskeletal disorders Specific orthopedic emergencies II (2 hours) Volvolus and SI Invagination Part I; Volvolus and SI Invagination Part II; Intestinal obstruction, PA (2 hours) orthopedic Emergencies III (Sepsis Sinovials) (1.5 hours) Equine Gastro-enteric disorders and their treatment: Part I Equine Gastro-enteric surgical diseases and their treatment: Rectal Lacerations: Internal External hernia Post-operative treatment of colic (4.5 hours) Ophthalmological emergencies (1.5 hours) Surgery Urgency Respiratory system Traumatic diaphragmatic hernia PA (1.5 hours) Emergency Surgical foal; (1.5 hours) Emergency Urinary System (1.5 hours) LA Respiratory Emergencies (1.5 hours) Sto arrivando! Splenic Injuries, Dilation Gastric Torsion PA (3 Hours)

THECNIQUES IN VETERINARY SURGERY

Code	85008803
CFU	3
Teacher	Antonello Bufalari
Teachers	Marco Pepe (Codocenza)
Hours	48 ore (Codocenza) - Marco Pepe
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Academic discipline	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Knowdlege of the main surgical procedures in all apparatus of the domestic animals. The emphasis of this course is development of advanced understanding of relevant surgical procedures in small and large animals that lead to appropriate decision making. There will be particular attention on the principles of reconstructive surgery, intestinal surgery and determination of intestinal viability and postoperative care and complications associated with abdominal surgery. There are also an overview of upper respiratory airway, all procedures af the muscoloscheletral apparatus, uro-genital system, nervous system and eye and adenexa.
Reference texts	Auer: Equine Surgery, IV edition Saunders Ed. ISBN 0 7216 2860 5 Fossum: Chirurgia dei piccoli animali, Masson Ed. ISBN 88 214 2684 X Slatter: Chirurgia dei piccoli animali, III Ed., Antonio Delfino Ed. Roma ISBN 88 72873347
Educational objectives	The course is the first dedicated to teaching all operative medicine of small and large animals. The main objective of the course is to provide theoretical and practical sessions to address the knowledge and techniques of surgical instrumentation an materials, and most common procedures in domestic animals. The main focus of the knowledge gained will be mainly for the knowledge of operating rooms and surgical environments, the concepts of sterilization, antisepsis, surgical patient preparation and surgical instruments as well the knowledge of the techniques and conventional and minimally invasive surgical procedures The main skills (ie the ability to apply their knowledge) will be the acquisition by the student to know practically instrumentations and surgical procedures in small and large animals.
Teaching methods	The course is organized as follows .. Classroom lectures on the topics of the course 32 hours Exercises in ambulatory and surgical suites of the OVUD. The students based on the number will be divided into groups and, possibly with the OVUD caseload, one group take place directly on the patient diagnostic procedures, another will be involved under the teacher supervision in the surgical procedures or therapies and critical care as appropriate. Particular attention will be paid to the logical approach of the emergency from the referred animals until the therapy and possible dimission of the case necessary. 8 hrs student divided in small groups
Extended program	Introduction to the surgery Surgery facilities sterilization, Antisepsis Preparation on the surgical patient sepsis; Sterilization; Post Operative management 2 HRS Shock Patient with trauma Endotoxiemia (1,5 HRS) Biomaterials Surgical theatre 1 HRS Surgical instrumentations Surgical techniques Suture Materials and patterns surgical techniques, 1,5 HRS Surgical implants and instruments Laser in veterinary surgery Wound management and repair Surgical site infection and treatment Drains, Bandages, External Coaptation 2 HRS Wound management 2 hrs Musculoskeletal surgical techniques: method of internal and external fracture fixation 2 hrs Gastrointestinal surgical techniques: surgery of oral cavity, oesophagus, salivary glands, stomach, intestine, rectum and anus, liver and biliary system 2 HRS ORE Respiratory surgical techniques: upper and lower respiratory tract in large and small animals 4 HRS Rectal tears and recto-vaginal laceration 2,5 hrs Laparoscopy 2 hrs Principles of Ophthalmic surgery 2 HRS arthroscopy, tenoscopy, concept of joint treatments 2 ,5 hrs Equine hoof diseases 2 hrs Angular limb deformity 1 hr

VETERINARY ORTHOPAEDICS

Code	85107002
CFU	2
Teacher	Antonello Bufalari
Teachers	Antonello Bufalari
Hours	20 ore - Antonello Bufalari
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Academic discipline	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Provide elements for differential diagnosis of the most common orthopedic pathologies of horse, dog, and cat. Illustrate the main surgical techniques. The student must be able to perform a proper diagnostic pathway in the main orthopedic pathologies of the pet. In particular: 1) Anatomical identification of the urinary site / pathology by orthopedic examination 2) Application of the BOA (Breed Oriented Approach) 3) Differential Diagnostics Setup 4) Propose collateral diagnostic surveys for imaging and laboratory 5) To propose a therapeutic plan
Reference texts	The material used for the lessons will be available to students through the unistudium platform: Permattei D, Flo G. Ortopedia e trattamento delle fratture nei piccoli animali. Masson, 2004. Fossum: Chirurgia dei piccoli animali, Edizioni EV Stashak: La zoppicatura nei cavalli, Ed. it. Ed. SBM,Noceto (Parma). Auer: Equine Surgery, Saunders Ed. ISBN 0 7216 2860 5
Educational objectives	Know The candidate must be able to carry out a proper diagnostic pathway in the main orthopedic pathologies of the pet. The course is the first teaching dedicated to the management of orthopedic surgical pathologies of small and large animals. Know-how The main objective of the course is to provide theoretical and practical sessions with the basics to address the main orthopedic pathologies in domestic animals. The main knowledge gained will be those focused mainly on patient evaluation (history and reporting), diagnostic path to follow and surgical planning to be implemented. The main skills (ie the ability to apply acquired knowledge) will be the acquisition by the student to handle practically orthopedic cases in small and large animals from diagnosis to surgical therapy
Prerequisites	no
Teaching methods	Frontal and practical lessons The course is organized as follows: Classroom lessons on some topics in the course Common Practice Classes and Clinical Rotation: Exercises in UUD Ophthalmic Surgery and Surgery Surgery. Students by number will be divided into groups and, compatible with the case-load of the UOV, as far as orthopedic cases are concerned, while a group will perform diagnostic procedures for the acquisition of orthopedic information directly on the patient. Others will face the teacher, the orthopedic surgery or the appropriate therapies. Particular attention will be given to the logical approach of the orpopedic case and surgical planning.
Extended program	After the presentation of the course; Introduction to the course; Exam methods and rules; Teaching materials; In order to explain the complete diagnostic path, the lecturer will use the first lesson hours to evaluate some basic clinical aspects: history, etiology, diagnosis, therapy and prognosis The topics of the other lessons will be in clinical cases on dogs, cats. In particular, the following topics will also be discussed: A) First approach to the traumatized orthopedic patient; Shoulder straps with particular reference to the dissecting osteocondrite of the shoulder in the dog. Different aspects will be considered including: history, etiology, diagnosis and chirurgic therapy. 4 hours B) Elbow pads with particular reference to elbow dysplasia (FCP, OCD, UAP) in the dog. Different aspects will be considered including: history, etiology, diagnosis and chirurgic therapy. 3 hours C) Elbows in the dog. Different aspects will be considered including: history, etiology, diagnosis and chirurgic therapy. 2 hours D) Back train straps with particular reference to Hip Dislocation in the Dog. Different aspects will be considered including: history, etiopathogenesis, diagnosis and chirurgic therapy. 2 hours E) Rotation of hip horn in the dog. Different aspects will be considered including: history, etiopathogenesis, diagnosis and chirurgic therapy. 2 hours F) Rupture of the frontal crest ligament in the dog, breaking and treating the achilles tendon in the dog. Different aspects will be considered including: history, etiopathogenesis, diagnosis and chirurgic therapy. 2 hours G) Basic concepts for the treatment of simple fractures in small and large animals. Different aspects will be considered including: history, etiopathogenesis, diagnosis and chirurgic therapy. 2 hours H) Rotation of the dog. Different aspects will be considered including: history, etiopathogenesis, diagnosis and chirurgic therapy. 2 hours I) Treatment of traumatic rupture of the Achilles tendons. 1 hour