SURG 2040 Syllabus

Subject Code

SURG

Course Number

2040

Course Title

Surgical Procedures II

Prerequisites

SURG 1010 with a grade of C or higher, SURG 1020 with a grade of C or higher, SURG 1080 with a grade of C or higher, SURG 1100 with a grade of C or higher

Corequisites

SURG 2030, SURG 2110

Terms Offered

Credit Hours

Course Description

This course introduces the surgical specialties to include Oral and Maxillofacial Surgery, Plastic and Reconstructive Surgery, Ophthalmic Surgery, Cardiothoracic Surgery, Peripheral Vascular Surgery, and Neurosurgery. Topics for each surgical specialty will include Anatomy and Physiology, Pathophysiology, Diagnostic Intervention, specialty supplies, equipment, and instrumentation and the Surgical Procedure. There are similar surgical procedures as far as instrumentation, supplies, patient positioning, and operative sequence. This is referred to as the Co-Related Procedures Concept. The purpose of using the Co-Related Procedures Concept is to allow the instructor time to teach surgical procedures and avoid repetition. As with co-related procedures, the concept of minimally invasive surgery (MIS) as an approach is used and describes any surgical approach other than open. Robotic-assisted and endoscopic procedures are categorized as MIS. Interventional radiology is a medical subspecialty that refers to a range of techniques utilizing radiologic image guidance and minimally invasive procedures to diagnose and treat diseases in several surgical specialties.

Course Outcomes

Overall Learning Objectives

  • Correlate the relevant surgical anatomy and physiology to the surgical procedures.

  • Correlate the relevant pathophysiology to the surgical procedure.

  • Explain the diagnostic interventions that are utilized for obtaining a diagnosis

  • Discuss specific factors that are unique to the surgical procedure.

  • List the supplies, equipment, and instrumentation needed for the procedure.

  • Explain the correct order of steps taken during the surgical procedure.

  • Discuss the postoperative care of the patient according to the procedure.

  • List the wound classification and correlate to wound management.

Oral and Maxillofacial Surgery

  • Include I: Maxillary and mandibular fractures

      • ORIF

      • Arch bar application

    • II: Cleft repair

      • Lip

      • Palate

    • III: Odontectomy

      • Tooth extraction

    • IV: Maxillary fractures

      • LeFort I

      • LeFort II

      • LeFort III

    • V: Frontal fractures

      • ORIF orbital fractures

  • Include II: Anatomy and Physiology

  • Include III: Pathophysiology

  • Include IV: Diagnostic interventions

    • Diagnostic exams

    • Preoperative testing

  • Include V: Surgical procedures

    • Special considerations

      • Patient factors

      • Room set-up

      • X-rays

      • Blood bank

      • Pathology (frozen section)

      • Radiology (C-arm, etc.)

    • Anesthesia

    • Patient position

      • Positioning aids

    • Patient skin prep

    • Draping

    • Time Out

    • Incision

    • Supplies

      • Routine

      • Specialty

      • Suture

      • Medications

      • Catheters and drains

    • Equipment

    • Surgical instrumentation

    • Surgical procedure steps

      • Counts

      • Dressing materials

        • Intraoperatively

        • Postoperatively

    • Postoperative

      • Postoperative destination

      • Postoperative patient care considerations

      • Prognosis

      • Complications

    • Wound care

      • Would classifications

      • Wound management

Plastic and Reconstructive Surgery

  • Include I: Head and face

      • Blepharoplasty

      • Brow lift

      • Cheiloplasty/palatoplasty

      • Malar implants

      • Mentoplasty

      • Otoplasty

      • Rhinoplasty

      • Rhytidectomy

    • II: Breast

      • Augmentation

      • Mastopexy

      • Mammoplasty

        • Nipple reconstruction

        • Transverse rectus abdominis musculocutaneous flap (TRAM)

    • III: Abdomen

      • Abdominoplasty

      • Suction lipectomy

    • IV: Superficial lesion/neoplasm

    • V: Skin grafts

      • Full thickness skin graft (FTSG)

      • Split Thickness skin graft (STSG)

      • Microvascular pedicle graft

    • VI: Scar revision

    • VII: Hand procedures

      • Dupuytren’s contracture

      • Traumatic injury repairs

    • VIII: Correction of congenital defects

      • Radial dysplasia

      • Release of polydactyly

      • Release of syndactyly

  • Include II: Anatomy and Physiology

  • Include III: Pathophysiology

  • Include IV: Diagnostic interventions

    • Diagnostic exams

    • Preoperative testing

  • Include V: Surgical procedures

    • Special considerations

      • Patient factors

      • Room set-up

      • X-rays

      • Blood bank

      • Pathology (frozen section)

      • Radiology (C-arm, etc.)

    • Anesthesia

    • Patient position

      • Positioning aids

    • Patient skin prep

    • Draping

    • Time Out

    • Incision

    • Supplies

      • Routine

      • Specialty

      • Suture

      • Medications

      • Catheters and drains

    • Equipment

    • Surgical instrumentation

    • Surgical procedure steps

      • Counts

      • Dressing materials

        • Intraoperatively

        • Postoperatively

    • Postoperative

      • Postoperative destination

      • Postoperative patient care considerations

      • Prognosis

      • Complications

    • Wound care

      • Would classifications

      • Wound management

Ophthalmic Surgery

  • Include I:

    • Chalazion excision

    • Dacryocystorhinostomy

    • Entropion/ectropion repair

    • Enucleation

    • Extracapsular cataract excision

    • Iridectomy

    • Keratoplasty

    • Laceration repairs

    • Scleral buckle

    • Strabismus correction

    • Recession and resection

    • Vitrectomy

  • Include II: Anatomy and Physiology

  • Include III: Pathophysiology

  • Include IV: Diagnostic interventions

    • Diagnostic exams

    • Preoperative testing

  • Include V: Surgical procedures

    • Special considerations

      • Patient factors

      • Room set-up

      • X-rays

      • Blood bank

      • Pathology (frozen section)

      • Radiology (C-arm, etc.)

    • Anesthesia

    • Patient position

      • Positioning aids

    • Patient skin prep

    • Draping

    • Time Out

    • Incision

    • Supplies

      • Routine

      • Specialty

      • Suture

      • Medications

      • Catheters and drains

    • Equipment

    • Surgical instrumentation

    • Surgical procedure steps

      • Counts

      • Dressing materials

        • Intraoperatively

        • Postoperatively

    • Postoperative

      • Postoperative destination

      • Postoperative patient care considerations

      • Prognosis

      • Complications

    • Wound care

      • Would classifications

      • Wound management

Cardiothoracic Surgery

  • Include I: Thoracic

      • Bronchoscopy

      • Mediastinoscopy

        • Lymph node biopsy

      • Thoracoscopy

        • Video assisted thoracoscopy

      • Thoracotomy

        • Lobectomy

        • Pneumonectomy

        • Decortication of the lung

        • Lung transplant

        • Pectus excavatum repair

        • Pulmonary embolectomy

    • II: Cardiothoracic

      • Aortic/mitral valve replacement

      • Atrial/ventricular septal defect repair

      • Cardia

        • Closure of patent ductus arteriosus

        • Coronary artery bypass graft (CABG)

          • Intra-aortic balloon pump

          • Minimally invasive direct – CABG (MID-CABG)

          • Off pump CABG

          • Ventricular assistive device (VAD) insertion

        • Heart Transplant

        • Repair of coarctation of the aorta

        • Tetralogy of Fallot repair

        • Ventricular aneurysm

  • Include II: Anatomy and Physiology

  • Include III: Pathophysiology

  • Include IV: Diagnostic interventions

    • Diagnostic exams

    • Preoperative testing

  • Include V: Surgical procedures

    • Special considerations

      • Patient factors

      • Room set-up

      • X-rays

      • Blood bank

      • Pathology (frozen section)

      • Radiology (C-arm, etc.)

    • Anesthesia

    • Patient position

      • Positioning aids

    • Patient skin prep

    • Draping

    • Time Out

    • Incision

    • Supplies

      • Routine

      • Specialty

      • Suture

      • Medications

      • Catheters and drains

    • Equipment

    • Surgical instrumentation

    • Surgical procedure steps

      • Counts

      • Dressing materials

        • Intraoperatively

        • Postoperatively

    • Postoperative

      • Postoperative destination

      • Postoperative patient care considerations

      • Prognosis

      • Complications

    • Wound care

      • Would classifications

      • Wound management

Peripheral Vascular Surgery

  • Include I: Abdominal aortic aneurysm wit graft insertion

    • II: Angioplasty

      • Endograft placement

      • Endostent insertion

    • III: Angioscopy

    • IV: AV shunts and bypass

      • Aortofemoral bypass

      • Arteriovenous fistula and shunt

      • Femoropopliteal bypass

    • V: Cartoid endarterectomy

    • VI: Embolectomy

    • VII: Vena cava device

    • VIII: Vein ligation and stripping

    • IX: Venous access device

  • Include II: Anatomy and Physiology

  • Include III: Pathophysiology

  • Include IV: Diagnostic interventions

    • Diagnostic exams

    • Preoperative testing

  • Include V: Surgical procedures

    • Special considerations

      • Patient factors

      • Room set-up

      • X-rays

      • Blood bank

      • Pathology (frozen section)

      • Radiology (C-arm, etc.)

    • Anesthesia

    • Patient position

      • Positioning aids

    • Patient skin prep

    • Draping

    • Time Out

    • Incision

    • Supplies

      • Routine

      • Specialty

      • Suture

      • Medications

      • Catheters and drains

    • Equipment

    • Surgical instrumentation

    • Surgical procedure steps

      • Counts

      • Dressing materials

        • Intraoperatively

        • Postoperatively

    • Postoperative

      • Postoperative destination

      • Postoperative patient care considerations

      • Prognosis

      • Complications

    • Wound care

      • Would classifications

      • Wound management

Neurosurgery

  • Include I: Carpal tunnel release

    • II: Laminectomy

      • Cervical

        • Anterior

        • Posterior

      • Thoracic

      • Lumbar

        • Minimally invasive

        • Spinal fixation

    • III: Craniotomy

      • Aneurysm repair

      • Cranioplasty

      • Cranisynostosis repair

    • IV: Rhizotomy

    • V: Stereotactic procedures

    • VI: Transphenoidal hypophysectomy

    • VII: Ulnar nerve transposition

    • VIII: Ventriculoperitoneal shunt placement

    • IX: Ventriculoscopy

  • Include II: Anatomy and Physiology

  • Include III: Pathophysiology

  • Include IV: Diagnostic interventions

    • Diagnostic exams

    • Preoperative testing

  • Include V: Surgical procedures

    • Special considerations

      • Patient factors

      • Room set-up

      • X-rays

      • Blood bank

      • Pathology (frozen section)

      • Radiology (C-arm, etc.)

    • Anesthesia

    • Patient position

      • Positioning aids

    • Patient skin prep

    • Draping

    • Time Out

    • Incision

    • Supplies

      • Routine

      • Specialty

      • Suture

      • Medications

      • Catheters and drains

    • Equipment

    • Surgical instrumentation

    • Surgical procedure steps

      • Counts

      • Dressing materials

        • Intraoperatively

        • Postoperatively

    • Postoperative

      • Postoperative destination

      • Postoperative patient care considerations

      • Prognosis

      • Complications

    • Wound care

      • Would classifications

      • Wound management