GENERAL SURGERY. Autumn semester of 2020-2021

GENERAL SURGERY

Autumn semester of 2020-2021

№	Topics
	Introduction in surgery. Infection, ways of its spreading. Intrahospital infection, its prophylaxis. Organizational management of surgical department. Asepsis. Methods of sterilization. Steam-electric autoclave. Sterilization of a surgical garb, wound textile etc. in autoclave. Operation unit, zones of sterility, kinds of cleaning. Processing of surgeon’s hands. Processing of an operation field.
	Antisepsis, its classification: mechanical, physical, biological, chemical types. Drugs for chemical antisepsis.
	Bleeding, blood loss. Temporary and final arrest of bleeding. Replacement of blood loss. Hemorrhagic shock.
	Doctrine of blood. Blood groups and rhesus-factor. Methods of blood grouping. Determination of Rh-factor. Indications and contraindications to blood transfusion. Blood transfusion: The sequence of actions of a doctor during a blood transfusion. Compatibility tests. Methods of blood infusion.
	The effects of transfused blood. Classification of blood products and blood substitutes. Current trends in transfusiology. Reactions and complications during blood transfusion (diagnosis, prevention, treatment).
	Сheck Point (Asepsis. Аntisepsis. Bleeding. Blood groups and rhesus-factor. Blood transfusion).
	General anesthesia (inhalation, non-inhalation). The concept of sedation. The technique of anesthesia, types of respiratory circuits. Types of non-inhalation anesthesia. Complications, tactics of treatment.
	Local anesthesia, types, indications, contraindications. Blockades. Spinal and epidural anesthesia. Complications and tactics of treatment. The choice of anesthesia method.
	Wounds, classification. Aseptic and purulent wounds. The course of the wound process. Types of wound healing. Treatment methods for clean and purulent wounds.
	Traumatism. Classification of injuries. Soft tissue damage. Traumatic shock. Crush-syndrome, positional syndrome. First aid for injuries. Transport immobilization. Methods of transportation.
	Сheck Point (General anesthesia. Local anesthesia. Wounds. Traumatism. Traumatic shock. Crush-syndrome. First aid for injuries).
	Dislocations (causes, classification, clinical manifestations, first aid, treatment).
	Fractures (causes, classification, clinical manifestations, first aid, treatment). Types of plaster casts.
	Desmurgy. Types of dressings, methods of applying of bandages.
	Closed head injury (classification, clinical manifestations, treatment). Closed chest injury (classification, clinical manifestations, treatment).
	Closed abdominal injury (classification, clinical manifestations, treatment). Intraabdominal bleeding. Peritonitis.
	Сheck Point (Dislocations. Fractures. Desmurgy. Closed head injury. Closed chest injury. Closed abdominal injury).

Head of GS department _________________________ V. Mihaylichenko