84386 - Emergency Surgery

Learning outcomes

Recognize conditions that require emergency surgery on the basis of patient examination and emergency device/laboratory data. Formulate an accurate differential diagnosis and propose first-line therapy and its surgical approach. Describe the pathophysiologic consequences of surgical interventions in relation to initial and follow-up therapy. Propose a follow-up therapeutic strategy, and direct patients to relevant specialized care providers. Present and critically analyze clinical cases.

Course contents

UpperGI emergencies

HPB emergencies

Colorectal and alimentary tract emergencies (bowel obstruction, ischemia, volvolous; diverticulitis, appendicitis)

Trauma (splenic, hepatic, pelvic)

Emergency conditions of the abdominal wall (hernias, incisional hernias)

Other emergencies (deep tissue infections, pneumothorax, acute pancreatitis, ischemia)

Readings/Bibliography

The World Society of Emergency Surgery guidelines

https://www.wses.org.uk/guidelines

 

Current Surgical Therapy 13th Edition

Teaching methods

Frontal and interactive lessons, including videos.

Attendance to learning activities is mandatory; the minimum attendance requirement to be admitted to the final exam is 60% of lessons. Students who fail to meet the minimum attendance requirement will not be admitted to the final exam of the course, and will have to attend relevant classes again during the next academic year.

Professors may authorize excused absences upon receipt of proper justifying documentation, in case of illness or serious reasons. Excused absences do not count against a student’s attendance record to determine their minimum attendance requirement.

Assessment methods

The oral exam will cover all the subjects of the course. The student has to answer questions to demonstrate their knowledge of specific subjects, the ability to understand the links between different parts of the course, and the use of appropriate terminology.

Gradation of the final grade:

Insufficient: lack of preparation. Serious and repeated conceptual errors.

18-19: knowledge of the basic concepts without serious gaps. Exposition of concepts and language as a whole acceptable.

20-24: knowledge of the basic concepts without gaps. Ability to analyze and link in partial autonomy. Exposure of discrete concepts and language.

25-29: preparation of good or very good level or even excellent preparation but with inaccuracies in the presentation that compromise the achievement of full marks. Ability to analyze and link independently. Exposure of concepts in the right succession and mastery of the language.

30-30L: full preparation, consolidated and without inaccuracies on the topics covered in the course. Ability to promptly frame the topic. Ability to analyze and connect independently. Concepts in the right succession and full command of the specific language.

Teaching tools

Surgical videos

Scientific articles

Office hours

See the website of Matteo Rottoli