Operative Surgery and Topographic Anatomy - 2016

Topic 20. Summary Module Control of Students' Theoretical and Practical Training

1. Relevance of the topic: building on the acquired knowledge of the Surgical anatomy of the HEAD and Neck regions, thoracic regions and Organs, and Abdominal Regions and organs, the session aims to assess each student's level of preparation in the specified sections of the subject.

2. Specific objectives:

1. To assess each student's level of theoretical preparation regarding the surgical Anatomy of the head and neck regions, thoracic regions and organs, and abdominal regions and organs.

2. To verify each student's mastery of practical skills concerning the fundamentals of surgical interventions in the head and neck regions, thoracic regions and organs, and abdominal regions and organs.

3. Class content

Questions for module control

1. Content and objectives of the course in topographic anatomy.

2. Classification of surgical interventions.

3. Principles and stages of surgical interventions.

4. Topographic anatomy of the frontoparietooccipital region. Boundaries, layered Structure, Blood supply, innervation, lymphatic drainage. Fascial spaces.

5. Topographic anatomy of the mastoid region. Trepanation triangle (MacEwen's / Shipo's triangle). Age-related features.

6. Topographic anatomy of the parotideomasseteric region.

7. Arterial Blood supply to the facial region of the head.

8. Topographic anatomy of the deep facial region.

9. Venous systems of the cranial and facial Regions of the head, and their connections.

10. Topographic anatomy of the temporal region. Boundaries, layered structure, blood supply, innervation, lymphatic drainage.

11. Kronlein-Brusova and Yegorov craniocerebral topography schemes. Main sulci and gyri of the Brain. Topographic anatomy of the middle meningeal artery (a. meningea media). Circle of Willis (arterial circle of the brain).

12. Meninges of the brain. Subarachnoid spaces. Dura mater, its sinuses and projections (falx, tentorium, etc.).

13. Topographic anatomy of the Trigeminal nerve and its branches.

14. Topographic anatomy of the Facial Nerve and its branches.

15. Facial phlegmons. Incisions for inflammatory processes of the face.

16. Primary surgical debridement of maxillofacial wounds.

17. Principles of primary surgical debridement of craniocerebral wounds.

18. Trepanation of the Skull. Principles of decompressive and cranioplastic surgeries.

19. Topographic anatomy of the fascial spaces of the neck.

20. Topographic anatomy of the carotid triangle of the neck.

21. Topographic anatomy of The Thyroid Gland.

22. Topographic anatomy of the Larynx.

23. Fasciae of the neck according to V.N. Shevkunenko, Triangles of the neck.

24. Features of primary surgical debridement of neck wounds.

25. Surgical approach to the carotid Arteries in the carotid triangle.

26. Upper and lower tracheotomy.

27. Subtotal subcapsular strumectomy according to O.V. Nikolayev.

28. Topographic anatomy of the intercostal spaces.

29. Topographic anatomy of the mammary gland.

30. Topographic anatomy of the scapular region. Collateral Circulation at the scapular level.

31. Topographic anatomy of the Mediastinum. Its division into compartments (anterior, posterior, middle). Relationship of organs to the mediastinal compartments.

32. Topographic anatomy of The Heart and its vessels. Features of topography in children.

33. Surgical anatomy of Congenital heart defects and great vessels. Principles of Surgical Treatment.

34. Topographic anatomy of the Lungs. Segmental and lobar structure.

35. Mastitis and its surgical treatment.

36. Operations for benign and malignant breast tumors.

37. Rib resection.

38. Pneumothorax. Methods of management.

39. Principles of lung surgery: lung suture, segmental resection, lobectomy, pneumonectomy.

40. Heart suture. Indications, surgical technique.

41. Endocoronary interventions. Coronary artery bypass grafting.

42. Topographic anatomy of the anterolateral abdominal wall. Layers, blood supply.

43. Topographic anatomy of the internal surface of the anterior abdominal wall. Peritoneal folds and fossae.

44. Topographic anatomy of the Inguinal Canal. Sex differences of the inguinal canal and its contents.

45. METABOLISM/2.html">THE CONCEPT OF hernia. Classification of hernias.

46. Surgical anatomy of oblique, direct, sliding, and congenital inguinal hernias.

47. Surgical anatomy of femoral hernias.

48. Surgical approaches to Abdominal cavity organs and their topographic-anatomic rationale.

49. Surgery for direct inguinal hernias.

50. Surgery for oblique inguinal hernias.

51. Surgery for femoral hernias.

52. Surgery for umbilical hernias and hernias of the linea alba.

53. Topographic anatomy of the Peritoneum. Course of the peritoneum. Relations of organs to the peritoneum.

54. Channels, sinuses, and recesses of the ABDOMINAL CAVITY AND their clinical significance.

55. Topographic anatomy of The Stomach.

56. Topographic anatomy of the Liver.

57. Topographic anatomy of the Gallbladder and Bile ducts.

58. Topographic anatomy of the Pancreas.

59. Topographic anatomy of the Small Intestine. Meckel's diverticulum.

60. Topographic anatomy of the Large Intestine.

61. Theoretical principles and techniques of intestinal sutures. Closure of intestinal wounds.

62. Intestinal resection. Types of intestinal anastomoses.

63. Topographic anatomy of the Spleen. Ligamentous apparatus of the spleen. Blood supply, innervation, and lymphatic drainage.

64. Appendectomy. Surgical technique and principles of appendiceal stump management.

65. Principles of gastric closure surgery.

66. Gastrostomy and its types.

67. Gastroenterostomy. Types. Prevention measures against vicious circle syndrome.

68. Principles of gastric resection, types, and modifications.

69. Principles and types of vagotomy. Drainage Procedures.

70. Methods and technique of cholecystectomy.

Practical skills for modular control

1. Technique of primary surgical wound debridement.

2. Venipuncture technique.

3. Venesection technique.

4. Technique of External Carotid Artery ligation.

5. Technique of common carotid artery ligation.

6. Tracheostomy technique.

7. Technique of vagosympathetic block according to Vishnevsky.

8. Pleural puncture technique.

9. Hernia repair technique according to Spasokukotsky-Girard.

10. Hernia repair technique according to Bassini.

11. Hernia repair technique according to Martynov.

12. Appendectomy technique.

13. Cholecystostomy technique.

14. Technique of anterior gastroenterostomy creation.

15. Technique of posterior gastroenterostomy creation.

16. Technique of side-to-side intestinal anastomosis.

17. Technique of end-to-end intestinal anastomosis.

18. Witzel gastrostomy technique.

19. Kader gastrostomy technique.

20. Toprover gastrostomy technique.

21. Technique of gastric wound closure.

22. Technique for suturing a small intestine wound.

23. Technique for suturing a large intestine wound.

24. Technique for applying the Kuznetsov-Pensky suture.

References

Main

1. Operative Surgery and Topographic Anatomy; ed. by M.S. Skrypnikov. — Kyiv: Vyshcha Shkola, 2000.

2. Operative Surgery and Topographic Anatomy; ed. by M.P. Kovalsky. — Kyiv: Medytsyna, 2010.

Supplementary

1. Kovanov, V.V. Operative Surgery and Topographic Anatomy / V.V. Kovanov. — Moscow, 2001.

2. Operative Surgery and Topographic Anatomy; ed. by G.E. Ostroverkhov. — Moscow, 1972.

3. Elizarovsky, S.I. Operative Surgery and Topographic Anatomy / S.I. Elizarovsky, R.N. Kalashnikov. — Moscow, 1979.

4. Vishnevsky, A.V. Local Anesthesia by the Method of Creeping Infiltration / A.V. Vishnevsky. — Moscow, 1956.

5. Matyushin, I.F. Introduction to the Course of Operative Surgery and Topographic Anatomy / I.F. Matyushin. — Gorky, 1976.

6. Tomashuk, I.P. Guide to Surgical Technique for Beginning Surgeons / I.P. Tomashuk, I.I. Tomashuk. — Kyiv: European University Publishing House, 2001. — 860 p.

7. Operative Surgery and Topographic Anatomy; ed. by K.I. Kulchytsky. — Kyiv: Vyshcha Shkola, 1994. — 464 p.

8. Medical Catalog. — MIZ. — Vorskla, 2003. — 266 p.

9. Medical Instrument Catalog. — Tumborino, 2003. — 148 p.