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TOPIC PLAN
of practical classes on topographical anatomy and operative surgery
for students of second course of international faculty
in fourth (spring) semester of 2014 studying year.
The topics
The studying questions
The list
of practical classes
of practical skills
The subject of
topographical anatomy
and operative surgery.
Connection and
disconnection of the
tissues. Surgical
instruments.
Topographical anatomy
of
fronto-parietooccipital region of head.
Surgical anatomy of
brain department of
head.
Operations on the head.
The
topographical
anatomy of the internal
basis of the skull. The
cranial
nerves
and
places of their output
from skull.
The subject and tasks of topographical anatomy and
operative surgery. Acquaintance with the departments of the
chair. Arrangement and equipment of operating department.
Classification of surgical operations. Groups of surgical
instruments. Technique of disconnection and connection of
soft tissues.
4.
Topographical anatomy
of temporal of head.
Kronlein-Brysov’s
scheme.
Operations on the head.
Topographical anatomy of temporal of head. KronleinBrysov’s scheme. Decompressive and osteoplastic
trepanation of the skull. Trepanation of the skull.
Decompression trepanation: indications, technology of the
execution, special toolbox. Topographical anatomy of a
segment of the mastoid process. Trepanation triangle Shypo,
guidelines to determine its limits. Anthrotomy
(mastoidotomy). Special surgical instruments.
5.
Topographical anatomy
of lateral region of face
Surgical anatomy of
facial department of
head. Incisions for
drainage of facial
phlegmon.
6.
Topographical anatomy
of the deep area of the
face.
7.
Surgical anatomy of the
neck.
8.
Surgical anatomy of the
neck.
Sternocleidomastoid
region.
Topographical anatomy of lateral region of face. The face
department of the head: borders, division by area, blood
supply, venous and lymphatic outflow, innervation. Parotid
Masseteric Region (Regio Parotidomassetericae). Cheek
region (Regio Buccales). Connections of fat tissue spaces of
head. Facial nerve, its branches. Parotid salivary gland. The
topographical anatomy of parotidea-chewing area: borders,
layers, vessels, nerves.
The topographical anatomy of the deep area of the face: fat
tissue space, vessels, nerves, venous net and their
connections with sinuses of the hard brain covering and
veins of the face. Temporal Pterygoid space (Spatium
temporopterygoidea). The maxillary artery. The pterygoid
venous plexus. The mandibular nerve. Pterygopalatine Fossa.
Parapharyngeal and retropharyngeal spaces, their contents
and links. Means of drainage.
Accessory cavities of nose. Fronto- and maxillary
sinusotomy. Special surgical instruments.
Topographical anatomy of triangles, fasciae, fat tissue
spaces of the neck. Surgical anatomy of fasciae neck V.M.
Shevkunenko. Submandibular (digastric) triangle. Surgical
anatomy of the submandibular salivary gland, its bed i
ductless. Carotid triangle. Surgical anatomy of the main
neurovascular bundle neck.
Sternocleidomastoid region. Topography of base vascularnerve bundle of the neck. Cervical Plexus. Technology
conductive anesthesia of the cervical plexus. Surgical anatomy
of the cervical sympathetic trunk of the Department. Vagosympathetic novocaine blockade by Vishnevskiy.
1.
2.
3.
Topographical anatomy of fronto-parieto-occipital region of
head. Blood supply of brain, venous outflow. Non
penetrating and penetrating skull injury. Primary surgical
processing wounds of brain department of the head.
Base of the skull. Meninges of brain. Topographical
anatomy of anterior, middle and posterior cranial fosses.
Localization of cranial nerves, vessels of base of brain.
Blood supply of brain Intermeningeal spaces. Sinuses of
dura mater of brain. The sinuses of the hard brain covering
and their connections with veins of the face and vault of the
skull. Special surgical instruments.
1. Ownership by
technique of
disconnection and
connection of the tissues.
2. Correct using of
surgical instruments.
3. Tying of surgical knots.
1. Preparation layer-bylayer of studying regions.
1. Finding places of way
out of cranial nerves on
skull.
2. Anatomic and
physiological study of
fractures clinical picture
of the front, middle and
posterior cranial fosses.
1. Executing of some
stages trepanation of the
skull.
1. On one’s own
preparation of regions.
2. Incisions at phlegmon
of lateral region of face.
1. Executing of some
stages of fronto- and
maxillary sinusotomy
1. On one’s own
preparation of regions.
1. Vagosympathetic
novocaine blockade by
Vishnevskiy.
2. Brachial plexus
anesthesia by
9.
10.
11.
12.
13.
Topographical anatomy the spatium antescalenum, the limits
of its contents. Scaleno-vertebral triangle (spatium) .
Surgical anatomy of the thoracic lymph duct. Drainage
channels. Indications, technique. The topographical anatomy
lateral neck triangle. Surgical anatomy of the brachial plexus
supraclavicular branches of it. Brachial plexus anesthesia by
Kulenkampfa. Incisions at phlegmon of the neck.
Surgical anatomy of the Topographical anatomy of Thyroid gland. Technique of
neck organs. Operations resection of the thyroid gland with diffuse toxic and nodular
on organs of the neck.
goitre. Resection of thyroid gland by Nikolaev.
Topographical anatomy of larynx. Topographical anatomy
of trachea. Techniques top i bottom traheotomiya.
Conicotomy. Tracheostomy.Indications. Engineering
operations.Topographical anatomy of pharynx.
Topographical anatomy of esophagus.. Surgical accesses to
esophagus. Instrumentariy general and special purpose
The topographical
The topographical anatomy subclavian region. Surgical
anatomy subclavian
anatomy of the neurovascular structures clavicular-thoracic
region of thoracic wall
and thoracic triangles Surgical anatomy of the subclavian
and operations on it.
vein. Puncture and catheterization of the subclavian vein by
The topographical
Seldynher, rationale, methods and technology intervention.
anatomy of thoracic
Exposure of the subclavian artery by Dzhanelidze and
wall and operations on
Petrovsky. Ways of collateral circulation after ligation of the
it.
artery. The mammary glands: structure, topography, blood
supply, venous and lymphatic outflow, innervations. The
motivation of dissection by mastitis. Operations on the
mastitis’s. Current treatments for breast cancer. Technique
for mastectomy Holsted-Mayer and Peyti.
The topographical
The topographical anatomy of the thorax: borders,
anatomy of the chest
orientation lines. The thoracic wall: layers. The intercostals
wall. Surgical anatomy
space and its contains. The cavity of the thorax. Pleural
of the pleura and pleural cavities, interpleural areas (triangles). The topographical
sinuses. Puncture of the anatomy motivation of pleural puncture. The diaphragm:
pleural cavity. Primary
parts, weak places, blood supply, venous and lymphatic
surgical treatment of
outflow, innervations. Blockade of intercostal nerves.
penetrating wounds of
Indications. Technics.
the chest wall. Surgical
Surgical
anatomy
of
internal
thoracic
artery.
anatomy of the
Mammarokoronarny anastomosis. Indications. Technics.
diaphragm.
Pleural puncture. Resection of the rib: indications,
contraindications and technique. The preventive surgical
processing of penetrating and not penetrating thoracic
wounds complicated with the fractures of the ribs, pneumoand hemothorax. Surgical instruments for general and
special purpose used in thoracic surgery
The surgical anatomy of Mediastinum: classifications, divisions, the contents. Surgical
mediastinum.
anatomy of the organs of anterior mediastinum: the great
The topographical
vessels, thymus, phrenic and vagus nerves. Trachea. The
anatomy and operative
ascending aorta and aortic arch. The lungs: holotopy,
surgery lungs.
skeletopy, syntopy. The topography of lung’s roots, lobes,
segments; vascularization, venous and lymphatic outflow,
innervations.
Operations on the lungs and mediastinum: the accesses,
its topographic anatomy’s basing and clinical estimation.
Pulmonectomy, lobectomy, segmental resection.
Surgical anatomy of the Surgical anatomy of the pericardial. The puncture of the
heart, pericardium, the
pericardial cavity. Surgical anatomy of the heart.
great vessels.
Operative accesses to the heart. Operations on the heart and
great vessels. The common principles of operations on the
congenital and acquired vices of the heart. Modern methods
of surgical treatment of coronary heart disease. Indications,
technique.The mitral comissurotomy. The operative accesses
to the heart. The technique of the stitches of the heart
wound. The aorto-coronal by-pass.
Kulenkampfa.
1. Executing of
tracheostomy.
On one’s own executing
of typical operations on
head and neck.
1. Preparation of regions;
2. Subclavian vein
puncture.
3. Operations on the
mastitis’s.
1. Preparation of regions;
2. Pleural puncture
1. Preparation of anterior
mediastinum;
2. Operations on the lungs
and mediastinum.
1. Preparation of posterior
mediastinum;
2. Puncture of the
pericardial cavity.
14.
The surgical anatomy of
posterior mediastinum.
The
topographical
anatomy and operative
surgery esophagus.
15. Exam lesson "The
topographic anatomy and
operative surgery"
The organs of posterior mediastinum: esophagus,
descending thoracic aorta, ductus thoracicus, vagus and
splanchnicus nerves, sympathetic trunks. Esophagotomy, the
resection and plastics of the esophagus. The surgical
treatment of the atresia of the gullet. Surgery for esophageal
damage. Ezofahotomiya. Resection of the esophagus. Stitch
of esophagus. Fundoplication. Indications. Modern
possibilities of plastic replacement esophagus.
Surgical anatomy of the thoracic lymphatic duct. Exposure
of the thoracic lymphatic duct. Indications. Technology
implementation.
Surgical anatomy of the azygos and hemyazygos veins.
1. Operations on the
esophagus and
mediastinum