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Surgery Techniques and Topographical Anatomy II

Course developers

Prior knowledge

Vete4105, Pharmacology, Pharmacotherapy and Toxicology I

VeteB004, Anatomy of the Domestic Animals III

VeteB010, Physiology II

VeteB023, Surgery Techniques and Topographical Anatomy I

VeteB031, Clinical and Laboratory Diagnostics I

Replaced course

Vete4113 [GVET4117] Surgery Techniques and Topographical Anatomy II

Course abstract

Surgery techniques study the basic principles of general surgery, the laws and techniques of surgical intervention to restore the productivity and working capacity of sick animals, or to increase the productivity of healthy animals. The subject of Surgery techniques explores such topics as: Bone and joint diseases, fractures and their stabilization with bandages, basics of neurology, basics of hollow organ surgery (bladder, stomach, intestines), operations in the head, neck, chest area, hernias. In topographical anatomy lessons, one must be able to identify and determine the position of bones, connective tissue, muscles, blood vessels, nerves and internal organs in the relevant area.
At the end of semester students have the chance to perform basic surgeries accompanied by the teacher in the LBTU Veterinary clinic if the student has fulfilled all course requirements.

Learning outcomes and their assessment

Knowledge of surgical disease diagnosis, differential diagnosis and treatment options. As well as knowledge of the body regions of different species of animals, the location of muscles, blood vessels, nerves and internal organs - 7 tests (3 in Surgery techniques and 4 in Topographic Anatomy).
Skills: There will be skills related to performing surgical manipulations, evaluating the indications and necessity of performing surgical manipulations, providing adequate care after surgery. To practically determine the localization of certain muscles, blood vessels, nerves and internal organs in the bodies of animals - practical lessons.
Competence: Will be competent on preventive measures to prevent the development of surgical diseases and complications. Will be able to evaluate the relevance of the topography of organs, analyze possible deviations and disorders, accurately indicate and describe the location of therapeutic manipulations.

Course Content(Calendar)

Course plan for – Operative surgery:
Lecture plan:

1. Basics of neurology, basics of orthopedics - lecture 2 h,
2. Bone diseases, joint diseases, fractures - lecture - 2 h, ,
3. Surgical pathologies and operations in the head area -2h
4. Diseases of the oral cavity, basics of stomatology - 2h
5. Basics of hollow organs - bowel, bladder, stomach surgery - 2h

Practical work plan:
1) Interactive test of last semester's practical and theoretical skills 2h
2) Basics of neurological and orthopedic examination, neuroanatomical localization 2h
3) Classification of fractures, biomechanics, stabilization with bandages 2h
4) Test No. 1 - Basics of neurology and orthopedics 1h, Analysis of clinical cases - 1h
5) First test of skills in preparation for surgery in the clinic with a simulator - 2h
6) Repeated test of skills in preparation for surgery in the clinic with a simulator - 2h
7) Surgical operation performed by students accompanied by a teacher - 2h
8) Test no. 2 - Surgery of the oral cavity, head area - 1h, Analysis of clinical cases - 1h
9) Surgical operation performed by students accompanied by a teacher - 2h
10) Surgical operation performed by students accompanied by a teacher - 2h
11) Hollow organ suturing principles on tissue or simulator - 2h
12) Test No. 3 - Basics of hollow organ surgery - 1h, defense of CECA works, group discussions on topics - 1h,
13) Defense of CECA works, group discussions on topics, final lesson of the semester - 2h

Topographical anatomy plan:

1) Foreleg area (shoulder, antebrachium, carpal, metacarpal, toe area), hind leg area (hip, thigh, lower thigh, tarsal, metatarsal, toe area), topography of bones, muscles, arteries, veins, lymph centers, lymph nodes and nerves - 5 hours (1 st colloquium).

2) Topography of muscles, blood vessels, lymph nodes and lymph centers, nerves, salivary glands of the head area (face and brain). Paranasal sinuses. – 5 hours (2nd colloquium).

3) Topography of muscles, arteries, veins, lymph nodes, lymph centers and nerves in the neck and chest area. Topography of chest cavity organs - 3 hours (3rd colloquium).

4) Abdominal area, topography of abdominal organs, blood supply and innervation. Topography of pelvic cavity organs blood supply and innervation – 3 hours (4th colloquium).

Requirements for awarding credit points

1. Completed 3 tests in operative surgery/surgical techniques part of the course according to course rules in the allocated time frame.

2. Completed 4 colloquia in topographic anatomy part of the course according to course rules in the allocated time frame.

3. The theoretical work of KEGA has been developed and defended in accordance with the course requirements.

The final evaluation with a grade can be obtained cumulatively by passing all the tests in the allocated time frame and meeting the evaluation criteria by collecting the required number of points during the course.

Students are informed about required points and course requirements in the first practical of the course "Operative Surgery and Topographic Anatomy I".

If the student failed to meet the rules of the cumulative assessment, the final grade is obtained by taking an exam, which consists of test questions and includes topics from the entire academic year.

Description of the organization and tasks of students’ independent work

Clinical and epidemiological case analysis (CECA) work: Development of a clinical case analysis (CECA) theoretical work using the topics proposed by the lecturers or the work topic chosen by the student, in coordination with the head of the subject.
At least ten literature sources must be used in the work and it must be presented in the 6th semester. The preparation of the CECAwork must be done in accordance with the regulations adopted by the VMF methodological commission. The work is evaluated with points (from 1 to 10). In order for a student to be admitted to the final exam of the Surgery techniques and Topographic Anatomy course, he must have submitted and presented a paper to CECA.

If the work is evaluated with at least 7 points, and the work is defended with a presentation that is evaluated with at least 3 points, then the student can apply for the cumulative exam. If the CECA is not written and presented by the end of the sixth semester and the beginning of the spring session, the student is not allowed to take the final exam.

At the end of the semester, students may have the opportunity to assist in a surgical operation under the lecturer's supervision, provided they meet the course requirements.

During the semester, students must individually visit the simulation lab to develop the Day One competencies based on the list provided by the lecturer in e-studies at the beginning of the semester. At the end of the semester, there will be an assessment where students will draw a ticket of 10 clinical procedures. To pass, students must perform at least 8 of these procedures correctly

Criteria for Evaluating Learning Outcomes

1. participation in practical work;
2. all 3 surgery technique colloquiums have been completed on time and according to the requirements;
3. passed the topographical anatomy colloquiums at the end of the 6th semester, which consists of 4 colloquia.
4. Presented and defended CECA work.

In order to obtain the cumulative assessment, it is necessary to fulfill all course requirements in time and accumulate the relevant amount of points in the total sum of all tests by the end of the sixth semester. Students are informed about the required number of points and course requirements in the first practical lesson of the course "Surgery Techniques and Topographic Anatomy I".
Only those students are allowed to work with live animals within the study course, who have successfully passed the colloquia provided for in the plan and have demonstrated their knowledge within the course, as well as prepared for work before the lesson, showing a high sense of responsibility.
A student who has not been able to complete the course requirements within the allotted time must repeat the course in its entirety the following year

Compulsory reading

1. Auer J.A., Stick J. (2011) Equine surgery. Fourth Edition. ELSVIER.1536 p.
2. Colville T.P., Bassert J.M. Clinical Anatomy and Physiology for Veterinary Technicians. 3rd Revised edition. Mosby: Elsevier-Heatth Sciences Division, 2015.
3. Fossum T. W. Small Animal Surgery. 4th Edition. Mosby, 2013. 1618 p.
4. Fubini L. S., Ducharme N. (2004). Farm Animal Surgery. Second Edition. ELSVIER. 662 p.
5. Gardiner A. Dog Anatomy Workbook:a guide to the canine body. London: J.A.Allen, 2014. 200 p.

6. Tobias K.M., Johnston S.A. Veterinary Surgery Small Animal. 2 Volume. Philadelphia: Saunders comp. 2012. 2128 p.

Further reading

1. Colville T.P., Bassert J.M. (2015) Clinical Anatomy and Physiology for Veterinaty Technicians 3rd Revised edition. published by Elsevier-Heatth Sciences Division.
2. Muir W.W., Hubbell J.A.E., Skarda R.T., Bednarski R.M. Handbook of Veterinary Anestesia. Third edition. Mosby. 2000. 574 lpp.
3. Raynor M. Horse Anatomy Workbook: A Learning Aid for Students. 2006. 144 p.
4. The Merck Veterinary Manual. (2010) 10th Ed. Merck * Co., Inc. Rahway. N.J., V.S.A. p.1832.

5. Wayne C.M., Frisbie D.D., Kawcak C.E., Weeren P.R. (2016) Joint disease in the horse. Second edition.352p.

Periodicals and other sources

1. The Veterinary Journal, ISSN 1090-0233.
2. Journal of Veterinary Anatomy, ISSN 2357-0504.
3. Journal of the American Veterinary Medical Association (J Am Vet Med Assoc; JAVMA). 2000-2016, USA: American Medical Assoc., ISSN 0003-1488.
4. Journal of Small Animal Practice (J Small Anim Pract). 2000-2016, UK: British Small Animal Veterinarian Association, ISSN 0022-4510.
5.https://onlinelibrary.wiley.com/journal/1532950x

6. https://www.acvs.org/veterinary-surgery-journal

Notes

Compulsory study course of second cycle professional higher education study programme Veterinary Medicine.