SUR 109 - Basic Operative Procedures

B. Describe hemostasis and surgical exposures for procedures.

C. Explain types and usage of surgical dressings.

D. State names and usages of basic instrumentation, equipment, and supplies.

E. State the sequence of instrumentation for incisions.

F. State the sequence of instrumentation for closures.

G. Describe wound healing, tissue replacement materials, and emergency patient situations.

H. Identify the basic equipment needed for minimal access surgery.

I. Identify the basic equipment needed for endoscopic surgery.

J. Identify the basic patient positioning for the core curriculum surgical procedures, as established by the accrediting body.

K. State the sequential steps, instrumentation, and supplies needed to perform the following basic General Surgery procedures:

1. Herniorraphy (Lap and Open)
2. Appendectomy
3. Breast Biopsy
4. All Types Mastectomies
5. Cholecystectomy (Lap and Open)
6. Gastrectomy
7. Thyroidectomy
8. Exploratory Laparotomy

L. State the sequential steps, instrumentation, and supplies needed to perform the following Gynecological and Obstetrical surgical procedures:

1. D & C
2. Tubal Ligation
3. Total Abdominal Hysterectomy
4. C-section

M. Differentiate between the abdominal approach procedures and the vaginal approach procedures in gynecological surgery.

N. State the sequential steps, instrumentation, and supplies needed to perform the following Urological surgical procedures:

1. Cystoscopy
2. Vasectomy
3. TUR-BT
4. TUR-P

O. State the sequential steps, instrumentation, and supplies needed to perform the following ENT surgical procedures:

1. Laryngoscopy
2. Septoplasty
3. Otoplasty
4. Myringotomy

P. State the sequential steps, instrumentation, and supplies needed to perform the following Orthopedic surgical procedures:

1. Bunionectomy
2. Knee Arthroscopy
3. Shoulder Arthroscopy
4. Tibial Wedge Osteotomy

1. Introduction to Course
   1. Course Syllabus
   2. Course Outcomes
   3. Course Evaluation
   4. Grading Criteria
2. Rationale for Surgery
   1. Prophylactic (preventative)
   2. Restorative (curative)
   3. Palliative
   4. Diagnostic
3. Expected Outcomes/Goals of Surgery
   1. Patient’s Physical Health
   2. Patient’s Mental Health
4. General Surgery and Surgical Modalities
   1. Anatomical Structures of a Laparotomy Incision
5. Incisional Locations for Gastrointestinal Surgeries
   1. Abdominal and Thoracic Incisions
      1. Anatomical Structures
      2. Incisions
      3. Locations
      4. Access
   2. Gastrointestinal Incisional Locations
   3. General Surgery
      1. Names and Usages
         1. Basic Instrumentation
         2. Equipment
         3. Supplies
   4. Gastrointestinal Surgery - Sequence of Instrumentation
      1. Incisions
      2. Closures
6. General Surgery and Surgical Modalities - Basic Equipment
   1. Minimal Access Surgery
   2. Endoscopic Surgery
7. General Surgery Terminology
8. Gastrointestinal Surgery and Repair of Hernias
   1. Review of Normal Anatomy and Pathology
      1. Laparotomy
         1. Sequential Steps
         2. Instrumentation
         3. Supplies
      2. Herniorraphy
         1. Sequential Steps
         2. Instrumentation
         3. Supplies
      3. Appendectomy
         1. Sequential Steps
         2. Instrumentation
         3. Supplies
      4. Cholecystectomy
         1. Sequential Steps
         2. Instrumentation
         3. Supplies
      5. Gastrectomy
         1. Sequential Steps
         2. Instrumentation
         3. Supplies
      6. Thyroidectomy
         1. Sequential Steps
         2. Instrumentation
         3. Supplies
9. Obstetric and Gynecological Surgery
   1. Basic Gynecological and Obstetrical Surgical Procedures
   2. Specialized Instrumentation
   3. Correct Positioning
   4. Various Incisional Locations
   5. Abdominal Approach Versus Vaginal Approach
10. Gynecologic Surgery and Caesarean Birth
    1. Basic Gynecological and Obstetrical Surgical Procedures
    2. Specialized Instrumentation
    3. Correct Positioning
    4. Various Incisional Locations
    5. Abdominal Approach Versus Vaginal Approach
11. Urogenital Surgery (Genitourinary Surgery)
    1. Basic Urological Procedures (closed)
    2. Basic Urological Procedures (open)
    3. Specialized Instrumentation in Urology
12. Ear, Nose, Throat, and Mouth Surgery
    1. Oral and Maxillofacial Surgery, Rhinologic and Sinus Surgery, Laryngologic and Head and Neck Surgery
       1. Basic ENT Surgical Procedures - Ear, Nose, Throat, and Mouth Surgery
       2. Sequential Steps
          1. Otologic Surgery
13. 1. 2. 2. Rhinologic and Sinus Surgery
          3. Laryngologic and Head and Neck Surgery
          4. Specialized Instrumentation Utilized in ENT Surgery
14. Orthopedic Surgery
    1. Basic Orthopedic Procedures
    2. Anatomy Involved in Orthopedic Cases
    3. Specialized Instrumentation
    4. Incisional Locations
    5. Emergent
    6. Non-emergent
    7. Correct Positioning

Surgical Procedures will be covered pursuant to the requirements of the 6th Edition Core Curriculum as Published by the Association of Surgical Technologists, for this course. Surgical Procedures that will be discussed/lectured upon, in meeting the requirements of this course, will include:

General Surgery
 Appendectomy – Open
 Appendectomy – Laparoscopic
 Breast Biopsy – Sentinel Node Biopsy
 Breast Biopsy – Needle Localization
 Modified Radical Mastectomy w/ Axillary Node Dissection
 Cholecystectomy – Open
 Cholecystectomy – Laparoscopic
 Cholecystectomy w/ Cholangiogram
 Colon Resection w/ Colostomy
 Colon Resection w/o Colostomy
 Gastrectomy w/ Gastrostomy
 Gastrectomy w/o Gastrostomy
 Hemorrhoidectomy
Herniorrhaphy – Open – Incisional
Herniorrhaphy – Laparoscopic – Incisional
Herniorrhaphy – Open – Inguinal
Herniorrhaphy – Laparoscopic – Inguinal
Herniorrhaphy – Open – Umbilical
Herniorrhaphy – Laparoscopic – Umbilical
Thyroidectomy

Obstetrics and Gynecologic Procedures
 Cervical Biopsy
 Cervical Cerclage (Shirodkar’s Procedure)
 Dilation and Curettage (D&C)
 Hysteroscopy
 Cesarean Section
 Endometrial Ablation
 Hysterectomy – Laparoscopic
 Hysterectomy – Total Abdominal
 Hysterectomy – Vaginal
Myomectomy
Oophorectomy
Ectopic Pregnancy
Salpingectomy
Sterilization Procedures
Diagnostic Laparoscopy

Genitourinary
 Ureteroscopy
 Ureteropyelithotomy
 TUR-BT
 Suspension (TVT/Sling)
 TURP
 Circumcision
 Epispadius Repair
 Hypospadius Repair
 Hydrocelectomy
 Orchioplexy
 Orchiectomy

Otorhinolaryngologic
 Myringotomy
 Choanal Atresia
 Nasal Antrostomy
 Nasal Polypectomy
 Septoplasty
 Turbinectomy
 Tonsillectomy and Adenoidectomy
 Tracheotomy and Tracheostomy

Orthopedic
 Shoulder – Arthroscopy
 Radius ORIF
 Radius – External Fixator
 Knee – Arthroscopy
 Amputation – Above-the-Knee
 Amputation – Below-the-Knee
 Achilles Tendon Repair
 Bunionectomy

Oral and Maxillofacial
 Cleft Repair – Lip
 Cleft Repair – Palate
 Odontectomy/Tooth Extraction
 ORIF Orbital Fracture

Plastic and Reconstruction
 Blepharoplasty
 Brow Lift 
 Cheiloplasty/Palatoplasty
 Otoplasty
 Rhinoplasty 
 Rhytidectomy
 Breast Augmentation
 Mastopexy
 Mammoplasty – Nipple Reconstruction
 Suction Lipectomy
 Superficial Lesion/Neoplasm
 Skin Graft-Full-Thickness (FTSG)
 Skin Graft-Split-Thickness (STSG)
 Scar Revision
 Radial Dysplasia
 Release of Polydactyly
 Release of Syndactyly

Ophthalmic
 Chalazion Excision
 Entropion/Ectropian Repair
 Extracapsular Cararact Excision
 Laceration Repairs
 
Cardiothoracic
 Bronchoscopy
 Mediastinoscopy – Lymph Node Biopsy
 Thoracoscopy – Video = Assisted Thoracoscopy
 Thoracotomy – Lobectomy
 Thoracotomy – Pneumonectomy
 Thoracotomy – Decortication of the Lung
 Thoracotomy – Pectus Excavation Repair
 Thoracotomy – Pulmonary Embolism
 
Peripheral Vascular
 Angioscopy
 AV Shunts and Bypass – Arteriovenous Fistula and Shunt
 AV Shunts and Bypass – Femoropopliteal Bypass
 Carotid Endarterectomy
 Embolectomy
 Vein Ligation and Stripping 
 Venous Access Device

Neurosurgical
 Carpal Tunnel Release
 Laminectomy – Lumbar – Minimally Invasive
 Rhizotomy
 Stereotactic Procedures
 Ulnar Nerve Transposition
 Ventriculoperitoneal Shunt Placement
 Ventriculoscopy

Discussion: 25%

Group Work/Demonstration: 35%
Mandatory Course Components:
None
Equivalent Courses:
None