SUR 110 - Advanced Surgical Procedures

B. Analyze the preoperative diagnostic tests and preoperative preparation required for representative examples general, thoracic, vascular, plastic, EENT (eye, ear, nose, throat), gynecologic, genitourinary, neurologic, and orthopedic general surgical categories.

C. Demonstrate interventions used in common surgical complication scenarios.

D. Critique roles and anticipatory skills for purposes of advanced skill levels.

E. List typical operative sequencing for a variety of surgical procedures in general, thoracic, vascular, plastic, EENT (eye, ear, nose, throat), gynecologic, genitourinary, neurologic, and orthopedic following surgical categories.

F. Identify by name and function, surgical instrumentation and typical specialty equipment required in specific surgical specialty procedures including but not limited to flexible fiberoptic exams, obstetrical deliveries, organ tissue harvests, autopsy, and emergency trauma.

G. Assimilate necessary equipment and sequential steps for selected procedures:

1. Billroth I & II
2. Abdominoperineal Resection
3. Whipple
4. Bowel Resections
5. Roux-en-Y
6. Cholecystoduodenostomy
7. Cholecystojejunostomy
8. Choledochoduodenostomy
9. Choledochojejunostomy
10. Laparoscopic Nissen Fundoplication
11. Cystectomy with creation of Ileal Conduit
12. Radical Prostatectomies
13. Penile Implants
14. Hysterectomies
15. Uterine Balloon Therapy
16. Myomectomy
17. Oophorectomy
18. Salpinectomy
19. LAVH
20. Mastoidectomy
21. Tympanoplasty
22. Triple Arthrodesis
23. Bankart Procedure
24. ORIF of Hip
25. Total Hip Arthroplasty
26. Total Knee Arthroplasty
27. ACL
28. Cleft Lip/Palate Repair
29. LeFort III
30. Mediastinoscopy
31. Thoracotomy
32. Batista Procedure
33. Aortic Arch Aneurysm Repair
34. Cross-femoral Bypass
35. AAA with Graft
36. Carotid Endarterectomy
37. Lumbar Laminectomy
38. Craniotomy
39. Scleral Buckle
40. Cataract Extraction
41. Parotidectomy
42. Stapedectomy
43. Breast Augmentation
44. Rhinoplasty
45. Rhytidectomy
46. Transverse Rectus Abdominus Musculocutaneous Flap (TRAM)

H. Explain the biological (science) aspects as they relate to the surgical patient, procedures, and their future impact on the profession.

 
Course Outline:

1. Introduction to Course
   1. Course Syllabus
   2. Course Outcomes
   3. Course Evaluation
   4. Grading Criteria
   5. Intermediate and Advanced Surgical Procedures
   6. Patient Care
   7. Pathophysiology
   8. Anatomy
   9. Surgical Intervention
   10. Treatment and Prognosis
   11. Expected Outcomes
   12. Unexpected Outcomes
   13. Non-invasive Options
   14. Special Instrumentation
   15. Procedural Sequencing
   16. Anticipatory Critical Thinking Skills
2. Intermediate and Advanced General Surgical Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
3. Intermediate and Advanced Vascular and Peripheral Vascular Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
4. Intermediate and Advanced Urological Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
5. Intermediate and Advanced Thoracic and Cardio-Thoracic Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
6. Intermediate and Advanced Plastic Surgical Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
7. Intermediate and Advanced Orthopedic Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
8. Intermediate and Advanced Gynecological Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
9. Intermediate and Advanced Neurological Procedures
   1. Patient Care
   2. Pathophysiology
   3. Anatomy
   4. Surgical Intervention
   5. Treatment and Prognosis
   6. Expected Outcomes
   7. Unexpected Outcomes
   8. Non-invasive Options
   9. Special Instrumentation
   10. Procedural Sequencing
   11. Anticipatory Critical Thinking Skills
10. Intermediate and Advanced EENT Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
11. Biomedical Sciences
    1. Robotics
    2. Information Technology
    3. Electricity

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, to ensure that ALL surgical procedures have been covered, in meeting such expectations for minimum compliance to accreditation standards.  The entirety of Surgical Procedures that will be discussed/lectured upon in this course will include:

General Surgery
 Laparoscopic Nissen Fundoplication
 Liver Resection
 Splenectomy – Open
 Splenectomy – Laparoscopic
 Pancreaticoduodenectomy (Whipple Procedure)

Obstetrics and Gynecologic Procedures
 Hysterectomy – Robotic-Assisted
 Uterine Radiation Seeding
 Tuboplasty
 Labioplasty
 Perineal Laceration
 Vulvectomy
 Ablation of Condylomata
 Marsupialization of Bartholin’s Gland (Cystectomy)
 Anterior and Posterior Repair (Colporrhaphy)
 Total Pelvic Exenteration
 Wertheim Procedure

Genitourinary
 Nephrectomy
 Kidney Transplant
 Wilm’s Tumor Excision (Adrenalectomy)
 Cystectomy w/ Creation of lleal Conduit
 Prostatectomy – Laparoscopic w/ Robot
 Prostatectomy – Suprapubic
 Prostate Seeding
 Penile Implant Insertion
 Penectomy
 
Otorhinolaryngologic
 Cochlear Implant
 Mastoidectomy
 Stapedectomy
 Tympanoplasty
 Endoscopic Sinus Surgery (FESS)
 Laryngectomy
 Parotidectomy
 Radical Neck Dissection – Glossectomy
 Radical Nect Dissection – Mandibulectomy
 Temporomandibular Joint Arthroplasty (TMJ)
 Uvulopalatopharyngoplasty

Orthopedic
 Acromioplasty – Open
 Acromioplasty – Arthroscopic
 Bankart Procedure – Open
 Bankart Procedure – Arthroscopic
 Shoulder – Total Arthroplasty
 Hip – Total Arthroplasty
 Hip – ORIF
 Femur – Femoral Shaft Fracture
 Anterior Cruciate Ligament Repair (ACL)
 Knee- Total Arthroplasty
 Triple Arthrodesis

Oral and Maxillofacial
 Maxillary and Mandibular Fractures – ORIF
 Maxillary and Mandibular Fractures – Arch Bar Application
 Maxillary Fractures – LeForte I
 Maxillary Fractures – LeForte II 
 Maxillary Fractures – LeForte III

Plastic and Reconstruction
 Malar Implants
 Mentoplasty 
 Mammoplasty – TRAM Flap
 Abdominoplasty
 Microvascular Pedicle Graft
 Dupuytren’s Contracture
 Traumatic Injury Repairs
 
Ophthalmic
 Dacryocystohinostomy
 Enucleation
 Iridectomy
 Keratoplasty
 Scleral Buckle
 Strabismus Correction – Recession & Resection
 Vitrectomy

Cardiothoracic
 Thoracotomy – Lung Transplant
 Aortic/Mitral Valve Replacement
 Atrial/Ventricular Septal Defect Repair
 Closure of Parent Ductus Arteriosus
 Coronary Artery Bypass Graft – Intraaortic Baloon Pump
 Coronary Artery Bypass Graft – Minimally Invasive Direct (MID-CABG)
 Coronary Artery Bypass Graft – Off-Pump CABG
 Coronary Artery Bypass Graft – Ventricular Assistive Device (VAD)

Insertion
 Heart Transplant
 Repair of Coarctation of the Aorta
 Tetralogy of Fallot Repair
 Ventricular Aneurysm Repair

Peripheral Vascular
 Abdominal Aortic Aneurysm w/ Graft Insertion
 Angioplasty – Endograft Placement
 Angioplasty –Endostent Insertion
 AV Shunts and Bypass – Aortofemoral Bypass
 Vena Cava Device
 
Neurosurgical
 Laminectomy – Cervical – Anterior
 Laminectomy – Cervical – Posterior
 Laminectomy – Thoracic
 Laminectomy – Lumbar – Spinal Fusion
 Craniotomy – Aneurysm Repair
 Craniotomy – Cranioplasty
 Craniotomy – Craniosynostosis Repair
 Transphenoidal Hypophysectomy

Discussion 10%

Group Work 10%

Demonstration 20%
Mandatory Course Components:
None
Equivalent Courses:
None