General Surgery II
Academic/Subject Sector
Year
Semester
Total number of credits
Integrated Course coordinator
MED/18-General Surgery.
V
2
8
Casula G. (gcasula@unica.it)
Even student numbers:
Casula G. (gcasula@unica.it)
Ribuffo D. (diegoribuffo@pacs.unica.it)
Integrated Course lecturers
Odd student numbers:
Daniele G.M. (daniele@unica.it)
Ribuffo D. (diegoribuffo@pacs.unica.it)
Aims of the course
To train students to interpret signs, symptoms, structural and functional alterations through the
study of practical and theoretical case histories, enabling them to make global assessments of
various pathologies of surgical interest from different profiles: preventive, diagnostic, therapeutic
and rehabilitative. Knowledge gained in the study of systemic and specialistic pathologies will
provide students with a holistic vision of patients.
Syllabus
This is a two-year course: Semester 2 of the V year and semester 1 of the VI year with frontal
lectures and theoretical and practical teaching contact hours (laboratory and hospital wards).
Semester 2 of the VI year is dedicated entirely to practical activity in hospital wards. Optional
courses are available, consisting of seminars, specialist study areas and internships in hospital
wards (variable from 15 days to 1 year). Students are divided into two groups according to their
student numbers (odd and even), and will attend lessons with the same lecturer in General
Surgery
in
both
the
V
and
VI
years.
Students are divided into two groups according to their student numbers (odd and even), and will
attend lessons with the same lecturer in General Surgery in both the V and VI years. Therefore,
each lecturer will teach a V year course one year, followed by a VI year course the following year.
Course content:
General Surgery:
OESOPHAGUS: Caustic lesions, Motor functional pathology, Achalasia, Diverticulitis, Reflux disease,
Neoplasms. DIAPHRAGM: Hernias. STOMACH: Benign pathologies, Peptic ulcers (surgical
indications), Precancerosis, Neoplasms, Post surgery. UPPER DIGESTIVE TRACT: Haemorrhages.
LIVER: Surgical Anatomy and Resective Surgery, Abcesses - Cysts - Hydatidosis, Benign
neoplasms, Primitive and secondary malignant neoplasms, Portal hypertension, Transplants.
BILARY TRACT: Cholecystitis calculosis - Acute and chronic cholecystitis, Calculosis of bilary tracts,
Neoplasms. PANCREAS: Acute pancreatitis, Chronic pancreatitis, Exocrine neoplasms. SMALL
INTESTINE: Benign pathologies, Neoplasms. SMALL INTESTINE-COLON-RECTUM: Polyposis
syndromes, Crohn's disease. COLON-RECTUM: Ulcerative colitis, Appendicitis, Diverticular disease,
Volvulus, Constipation, Incontinence, Benign neoplasms, Malignant neoplasms, Prolapse. ANUS:
Neoplasms, Hemorrhoids, Raghas, Suppurative pathology, Sexually transmitted disease. LOWER
DIGESTIVE TRACT: Haemorrhages, intestinal obstruction. ABDOMINAL WALL: Hernias. ABDOMEN:
Acute abdomen. SPLEEN: Indications for surgery. THYROID: Benign pathology (Indications for
surgery), Neoplasms. PARATHYROID: Hyper- and hypofunction syndromes. BREAST: Benign
pathologies, Neoplasms. PANCREAS: Endocrinous tumours. ADRENAL GLAND: Neoplasms. POLYENDOCRINOUS SYNDROMES. OBESITY: Indications for surgery. VEINS: Varices, Venous
thrombosis and thromboembolism. ARTERIES: Acute and chronic obstructive pathologies,
Aneurysms. LUNG: Neoplasms. HYDRO-ELECTROLYTIC BALANCE PATHOLOGIES. TECHNIQUES
AND TECHNOLOGY IN GENERAL SURGERY. DOCTOR-PATIENT RELATIONSHIP (informed consent,
responsibilities of the surgeon, specialist physician and general practitioner).
Plastic surgery:
Introduction to the course in Plastic Surgery (Definition, history, fields of application). Scar tissue
healing and repair (Pathological scars and medication). Basic techiques (Grafts and flaps).
Neoplastic skin pathologies (Etiology, clinical, diagnosis and treatment). Burns (Types,
classification, physiopathology and treatment). Congenital malformations (Cephalic malformations,
of the torso and mammary regions, hand and external genitalia). Basic notions of reconstructive
surgery (Cephalic malformations, of the torso and mammary regions, hand and upper limbs, lower
limbs and genitalia). Basic notions of cosmetic surgery (Hair transplanting, tarsoplasty, rhinoplasty,
otoplasty, lifting, botulin, brachioplasty, cosmetic surgery of the breast and abdomen, liposuction)
Reference texts
Dionigi: Chirurgia: basi teoriche e chirurgia generale, IV ed., Masson Ed.
Colombo: Trattato di Chirurgia, Minerva Medica Ed.
Sabiston: Trattato di Chirurgia, Delfino Ed.
Stipa: Manuale di chirurgia, Monduzzi Ed.
Norton et al.: Surgery: basic science and clinical evidence, Springer
Scuderi, Rubino: Chirurgia Plastica, Piccin Ed.
Teaching methods
Preliminary written test (multiple choice or clinical
Assessment methods
record, at end of semester or in-sessional exam).
Oral exam at end of course.
Requirements to take the exam
Language of instruction
Where we are
Interactive
teaching
centre:
Azienda
Ospedaliero-Universitaria
di
Cagliari:
Presidio Monserrato (Prof. Casula G., Prof. Daniele G.M., Prof. Nicolosi A., Prof. Ribuffo D.)
Ospedale "S.Giovanni di Dio" (Prof. Uccheddu A.)
Further information