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Course title Surgery Techniques and Topographical Anatomy I
Course code VeteB023
Credit points (ECTS) 4
Total Hours in Course 108
Number of hours for lectures 20
Number of hours for seminars and practical classes 32
Number of hours for laboratory classes 0
Independent study hours 56
Date of course confirmation 20/12/2023
Responsible Unit Clinical Institute
 
Course developers
First-cycle professional higher education(līm.), pasn. Gusts Indāns

Prior knowledge
VeteB004, Anatomy of the Domestic Animals III
VeteB010, Physiology II
Replaced course
Vete4112 [GVET4116] Surgery Techniques and Topographical Anatomy I
Course abstract
Surgery techniques and topographical anatomy studies the basic principles of general surgery, the rules 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 surgical techniques examines such issues as: prevention of surgical infection, basics of surgical work, fixation of dogs, cats, horses, farm animals, basics of anesthesia, injection/puncture elements, injuries and the body's response to the trauma, thermal injuries, female and male dog and cat castration, wound healing, tumors, surgical plastic surgery, surgical anatomy.
Learning outcomes and their assessment
Knowledge of surgical disease diagnosis, differential diagnosis and treatment options, infection prevention and control, approach and execution of basic surgery planning.
Skills: Animal preparation for surgical manipulation, fixation, sedation, anesthesia, intubation, intravenous catheter placement, surgical tissue ligation and apposition with sutures and other methods, post-operative animal care and communication with the animal owner pre-operatively and post-operatively. Competence: To evaluate indications and contraindications for performing surgical manipulations, ensuring safe working conditions for the surgeon, the team and the patient. Perform basic surgical manipulations and evaluate the postoperative process.
Course Content(Calendar)
Lecture plan:
1)Introduction to operative surgery, surgeon and animal preparation operations, animal restraint, injections, infusions - 2h
2)Trauma, bleeding, inflammation. Surgical hemostasis. - 2h
3)Basics of anesthesia and analgesia in small animal surgery - 2h.
4)Fixation of horses, cattle and small ruminants, clinical manipulations - 2h
5)Wounds, their examination, healing process. Surgical infection - 2h
6)Decision making in wound treatment and surgical closure. -2h
7)Tissue apposition techniques, necessary materials. Basics of plastic surgery, wounds with tissue deficit. - 2h
8)Interrupted and continuous skin - muscle sutures. - 2h
9)Castration of female and male dogs and cats. - 2h
10)Neoplasia and their differential diagnosis methods. Thermal tissue damage - burns and frostbite. - 2h.


Practical work plan:

1)Introduction to the subject, course planning and scoring. -2h
2)Basic materials and instruments in operative surgery, restraint of small animals, materials necessary for injections, infusions. - 2h
3)Preparation of the surgical field, injections, IV catheter placement, intubation. -2h
4)Test no. 1. Working with drugs in operative surgery, calculating the dose of drugs. -2h
5)Practical work with cattle and small ruminants - safe restraint, injections, preparation for surgical manipulations - 2h.
6)Practical work with horses - safe restraint, injections, preparation for surgical manipulations - 2h.
7)Surgical infection control, hand washing technique, correct donning of surgical gowns and gloves. -2h.
8)Wound care in small animal surgery. Decision making for surgical closure of wounds. -2h.
9)Test No. 2. Basic suturing technique, interrupted knot suture. -2h.
10)Simulation: Preparing an animal for surgery in the premises of a small animal clinic. - 2h.
11)Interrupted skin - muscle sutures. -2h.
12)Continuous skin - muscle sutures. -2h.
13)Test no. 3. Castration of male cats and dogs. Working with video footage, technique and operation progress. -2h.
14)Castration of female cats and dogs. Working with video footage, technique and operation progress. -2h.
15)Surgical operation performed by teachers- demonstration. - 2h.
16)Test no. 4. Analysis of clinical cases, preparation for the winter session test. -2h.
Requirements for awarding credit points
Successful completion of four theoretical tests and knowledge test in winter individual studies and examination period, which consist of a theoretical part and a practical part - demonstration of sutures on simulator, calculations or other practical skills learned during the semester.
Completing the course requirements results in a formal test.
Description of the organization and tasks of students’ independent work
Independent work with scientific literature and publications, in the second part of the course (Operative Surgery and Topographic Anatomy II), the student develops a Clinical and Epidemiological Case Analysis (KEGA) work.

Clinical and epidemiological case analysis (KEGA) thesis: Development of a theoretical paper on clinical case analysis (KEGA), using topics proposed by lecturers or the student's chosen thesis topic, in coordination with the subject supervisor.
Half of the students must choose to write about surgical topics and half about anesthesia topics.
The paper must use at least ten literature sources and must be presented in the 6th semester. The KEGA thesis must be prepared in accordance with the standards adopted by the LBTU VMF Methodological Commission. The paper is evaluated with points (from 1 to 10). In order for a student to be admitted to the final exam of the Operative Surgery and Topographic Anatomy course, the student must have submitted and presented the KEGA thesis.

After submitting the work it must be presented at the end of semester. The maximum length of the presentation is 10 minutes and the presenter has to be able to answer questions about the chosen topic. If the work is evaluated with at least 7 points, and the is defended with a presentation evaluated with at least 3 points, then the student can apply for a cumulative exam. If the KEGA is not written and presented by the end of the sixth semester and the beginning of the spring session, then the student is not allowed to take the final exam.
At the end of the semester, students have the opportunity to participate in surgical operations under the guidance of a lecturer, if the course prerequisites are met.
During the semester, the student must individually visit the simulator laboratory to acquire the first-day skills, guided by the list that the lecturer posts in e-studies at the beginning of the semester. At the end of the semester, a test is scheduled - the student draws a ticket, which includes 5 clinical manipulations. To receive a pass, at least 3 manipulations must be performed correctly.
Criteria for Evaluating Learning Outcomes
The maximum number of points in one test is 15, it is necessary to obtain at least 7 points for the test to pass and at least 12 points to be eligible for the cumulative exam grade in the second part of the course in the spring semester.
By writing the test on time - on the scheduled date, the student gets one extra point.
During the semester, it is possible to rewrite one passed test in order to raise the grade and continue to qualify for the cumulative grade.
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 course of second cycle professional higher education study programme Veterinary Medicine.