GENERAL SURGERY

Degree course: 
Corso di First cycle degree in Nursing
Academic year when starting the degree: 
2017/2018
Year: 
2
Academic year in which the course will be held: 
2018/2019
Partizione: 
Como
Course type: 
Compulsory subjects, characteristic of the class
Credits: 
2
Period: 
First Semester
Ore minime di frequenza: 
22.5
Standard lectures hours: 
30
Requirements: 

CHIRURGIA GENERALEPre-requisites are stated by the degree program. In order to be able to follow the course, the student should have knowledge of semeiotics, surgical pathology, anatomy and diagnostics of the major pathologies that require surgical treatment

Assessment: 
Voto Finale

CHIRURGIA GENERALEThe aim is to teach the student, through the frontal lessons, the diagnostic and therapeutic aspects and the main clinical aspects of the most common pathologies that need a surgical treatment. The student will have to acquire the basic knowledge of pathophysiology of the various organs and apparatus, the theoretical knowledge and practices necessary for the recognition of diseases affecting the different organism systems. At the end of the course, the student should have the basic concepts to provide nursing professional assistance in the most common surgical pathologies. He will need to know how to handle them, through a critical nurse decisional process and through a nurse practice based on evidence.
Particular attention will be given to explanation of the nurse assistance achievable with indipendent and complementary specific interventions. The student will have to recognize the functional clinical signes of the deseases of organs and apparatus.

CHIRURGIA GENERALE1. Thyroid disease: anatomy and physiology; hyperthyroidism, hypothyroidism and nodular pathology: diagnosis and treatment; nurse role in the management of the post operative complications.
2. Breast disease: anatomy and physiology; breast tumors: diagnosis and surgery treatment; the case-menager nurse; radiotherapy; reconstructive surgery.
3. Thoracic disease: anatomy and physiology; pleural effusion, pneumothorax, lung tumors.
4. Esophageal and gastric disease: anatomy and physiology; GERD, hiatal hernias and esophageal diverticula, esophageal tumors, gastritis and peptic ulcer, gastric tumors.
5. Abdominal wall disease: epidemiology, anatomy, abdominal wall hernias and incisional hernias classification. Surgical techniques.
6. Colo-rectal disease: anatomy and physiology; the diverticular disease and the diverticulitis; colo-rectal tumors. Enterostomas: indications, typologies and post operative management.
7. Pancreatic disease: anatomy and physiology; acute pancreatitis: diagnosis and treatment; pancreatic tumors.
8. Hepatic disease: anatomy, physiology, clinical picture, clinical examination, liver imaging and laboratory. Epidemiology, diagnosis and hints on the surgical technique of the malignant tumours of the liver.
9. Bile ducts disease: anatomy, physiology, bile ducts imaging and laboratory . Epidemiology, pathophysiology, clinical picture, acute and chronic cholecystitis and jaundice diagnosis and treatement.
10. Day Surgery: history and evaluation, guidelines, DS system pathway for patient. Surgical procedures available in DS. Ambulatory Surgery service.
11. The post operative management of the patient: nurse role.
12. Laparoscopic surgery: indications and most performed surgical procedure (cholecystectomy and hemicolectomy); surgical techniques; post operative care.
13. Esophagogastroduodenoscopy and colonoscopy: indications and operative procedures.
14. Vascular surgery: aneurysm and dissection, supraaortic vessel disease, limb ichaemia, venous disease.
15. Transplant surgery: general information, immunology; kidney transplant (surgical thecnique and post-operative care)

CHIRURGIA GENERALER. Dionigi – Chirurgia - VI edizione, Masson, 2016
G. Carcano e R. Dionigi - Principi di Tecnica Chirurgica - Masson 1999