DESCRIPTION OF THEORETICAL CONTENTS.
Block 1. INTRODUCTION AND CONCEPT OF SURGERY.
Introduction to the subject. Development of teaching.
Surgery as a component of Medicine.
Historical review of the surgery. What is surgery. Fundamentals of surgical performance.
Surgery as a method for diagnosis, treatment and prevention.
The historical phenomenon of specialization and its repercussion in the current surgical assistance.
The operative act. Actions of the surgeon.
Description of the acts of which the surgical technique is composed (incision, excision, suture, anastomosis, drainage, hemostasis ...).
Characteristics of the current healthcare of the surgical intervention: Framework of care of the surgery.
Modalities of the surgery: surgery urgent program, major, minor, without income etc.
The care circuit.
Quality of health care. Resource management.
New means of surgery: laparoscopy, minimally invasive, robotic. Telemedicine.
Transplantation of organs. Stem cell surgery. Manufacture of organs for implantation.
Block 2. METHODS OF WORK IN SURGERY.
Contact with the patient.
The interview and the medical record.
Fundamentals of operative indication
Informed consent; its fundamentals.
Preoperative; assessment of operative risks.
Standard and special preoperative preparation.
Postoperative. Description of the standard postoperative.
Standard postoperative treatment.
Concept and fundamentals of enteral and parenteral nutrition.
Postoperative complications. Prevention measures.
Surgical patient safety.
Seminar A. CONTACT. EXHIBIT OF THE GUARDIAN ON THE DEVELOPMENT OF TEACHING IN SEMINARS. Aspects of handling and problems on the contents of Blocks 1 and 2.
Block 3. Great Man Illness Modes (1). LOCAL RESPONSE TO AGGRESSION. HEALING TISSUE REPAIR.
Local response: The inflammatory response.
Healing as a local response.
Block 4. Great Man Illness Modes (1). SYSTEMATIC RESPONSE TO AGGRESSION. HEMORRHAGE. SHOCK.
Systemic biological response to aggression.
Aggression to internal environment:
Hemorrhage and hemostasis.
Shock. Hypovolemic Shock.
Distributive shock and systemic inflammatory response.
Seminar B.Supuestos and clinical management problems corresponding to Blocks 3 and 4.
Block 5. Great Man Illness Modes (II). TRAUMATISMOS.
General etiological and pathophysiological and clinical aspects.
Types of injuries.
Wounds. Thermal trauma. Its pathophysiology and clinical repercussion.
The polytraumatized. Basics of basic life support.
Bases for assistance at the scene of the accident.
Seminar C. Assumptions and clinical management problems corresponding to Block 5.
Block 6. Great Man Illness Modes (III). INFECTIONS.
Causes, local response, frequent clinical forms of infections. Clinical features of anaerobic infections.
Epidemiology of infection.
Surgery for infections.
Prevention of infection. Concept; Asepsis-antisepsis. Fundamentals of disinfection and sterilization techniques.
Infection in surgery.
Estimating the risk of infection according to the types of infections.
Antibiotic prophylaxis and chemotherapy.
Seminar D. Clinical management assumptions and problems corresponding to Block 6.
Block 7. Great Man Illness Modes. THE CANCER (I).
Tumors as a form of the disease of man: causes types and natural history, mechanisms of invasion ... and their clinical repercussion.
Principles of cancer treatment: multidisciplinary assistance, tumor committees ..., functional units for treatment ....
Importance and function of the staging: the TNM.
Cancer surgery. Principles of oncologic surgery. Curative surgery, palliative, cytoreductive, rescue, metastasis ... Oncoplastic and reconstructive surgery.
Factors influencing the prognosis and quality of life of the tumor disease.
Importance of screening and early diagnosis in oncology.
Block 8. Great Man Illness Modes. THE CANCER (II)
Working methodology of oncologic surgery in patients with breast cancer and melanoma as prototypes of this disease.
Lymphadenectomy. Study of sentinel lymph node and its usefulness in current oncology.
Principles of surgical oncology in organs, apparatus and systems.
Seminar E. Assumptions, clinical, management and video issues for Blocks 7 and 8.
Block 9. ANESTHESIA.
Concept. Historical review. Meaning as method of work in the surgical field. General anesthesia and its most common types and drugs. Locoregional anesthesia, its types and characteristics: intradural, epidural, intravenous, local ....
Block 10. RESUME UNIT. MONITORING. PAIN.
Concept of resuscitation, d