00166 - Surgical Clinical Medicine

Learning outcomes

At the end of the course, the student will have acquired knowledge of the main clinical features of the most common conditions requiring surgical treatment, and will be able to recognize them in individual patients.

They will be able to correlate specific symptoms with these diseases within the context of community medicine and understand the basic principles of their diagnostic workup.

The student will also become familiar with the terminology of the main surgical procedures and basic notions of surgical technique, in order to understand the potential — particularly functional — consequences of an operation.

Finally, the student will acquire fundamental knowledge of the sequelae of the most common surgical procedures and the principles of follow-up, especially in the field of neoplastic diseases.

Course contents

Course Overview

Surgical pathway: Prehabilitation, PBM (Patient Blood Management), Nutritional status, ERAS (Enhanced Recovery After Surgery)

Surgical techniques: Open surgery, minimally invasive surgery, Artificial Intelligence in surgery

Postoperative complications: Surgical risk assessment, Classification of complications, Clinical auditing

Management of surgical wounds: Principles of antisepsis and management of infected wounds

Liver and biliary tract: Surgical anatomy of the liver; Benign liver tumors; Primary and secondary liver malignancies; Tumors of the bile ducts and the ampulla of Vater

Gallbladder and bile duct lithiasis and related complications

Pancreas and endocrine system: Neuroendocrine tumors; Malignant pancreatic tumors; IPMN (Intraductal Papillary Mucinous Neoplasm) and cystic pancreatic tumors; Surgically relevant adrenal diseases

Esophagus: Esophageal diverticula; Benign and malignant esophageal strictures; Hiatal hernias and gastroesophageal reflux disease

Stomach: Gastric tumors

Small intestine: Tumors of the small bowel

Colon: Diverticular disease; Chronic inflammatory bowel diseases (Ulcerative colitis, indeterminate colitis, etc.); Crohn’s disease; Sporadic and hereditary colorectal cancer

Rectum and anus: Rectal and anal tumors; Benign anorectal diseases (hemorrhoids, fissures, abscesses, fistulas, condylomas)

Spleen: Surgical diseases of the spleen

Breast: Breast tumors

Abdominal wall: Hernias and incisional hernias

Retroperitoneum: Retroperitoneal neoplasms

Bariatric surgery: Indications, gastric bypass, sleeve gastrectomy

Readings/Bibliography

CHIRURGIA (Editor: Renzo Dionigi) E-Book available on Unibo-Proxy

Sabiston: Textbook of surgery. 2019 (19th edition in italian)

Sabiston Textbook of surgery: The biological basis of Modern Surgery 21 st Edition (in English)

Didactic material published on Virtuale

Teaching methods

Lectures with interactive clinical case discussions.

Presentations of educational videos.

Assessment methods

Oral and/or written examination.

To pass the exam, the student must achieve a satisfactory grade.

The final grade is expressed on a scale from 18 to 30 with honors (cum laude), based on the exam performance.

If the student does not demonstrate an adequate level of preparation, the exam is considered failed.

Office hours

See the website of Giampaolo Ugolini

See the website of Davide Zattoni

See the website of Federico Ghignone