KNOWLEDGE AND COMPREHENSION
The main aim of the course is to provide students with the basic surgical knowledge, useful for their future profession. The dentist is in fact a health profession which includes many different surgical activities/actions devoted to a specific anatomic area. During the course students will be taught about the procedure of a clinical approach in case of patients with surgical problems, about prevention and treatment of surgical complications. The main surgical pathologies will be also presented, along with their physiopathology, symptoms, how to do a diagnosis, seriousness, prognosis and therapy.


CAPACITY TO APPLY KNOWLEDGE AND COMPREHENSION
The student will have to acquire specific terms, concepts, competences and an aware personal evaluation capacity related to the main surgical pathologies, both degenerative, inflammatory and tumoral. In particular he must be able to apply the procedure for a clinical diagnosis of these pathologies and to give a prognostic and therapeutic assessment/judgment. For the neoplastic diseases the student will have to show understanding of significance and mode of staging and knowledge of the main prognostic parameters.


INDEPENDENT JUDGMENT
The student will have to show the ability to use the acquired knowledge by reasoning according to the principles of the matter. He must be able to evaluate the surgical risk and to prepare a patient for surgery. He must be able to identify the relations between a pathology and the symptoms referred by a patient, complications and the most appropriate therapy, even in terms of costs and benefits.

A basic knowledge of the human body phisiology and anatomy.

History and physical examination of patient. Characteristics of pain.
Semiotics of nodules. Acute abdomen.
Intestinal obstruction. Acute peritonitis.
Acute appendicitis.
Abdominal wall patologies - Hernia.
Acute cholecystitis.
Cholelithiasis and complications.
Pathologies of the esophagus.
Gastroduodenal peptic pathology. Gastro-intestinal tumors: GIST. jaundice.
Pathologies of the pancreas.
Hepatic and biliary tract neoplasms.
Inflammatory bowel diseases (IBD).
Acute diverticulitis.
Colorectal malignancies, screening. Upper digestive hemorrhages.
Lower digestive bleeding.
Abdominal Trauma. Diagnostic and therapeutic approach to thyroid nodule.
Hyperparathyroidism.
Adrenal pathologies of surgical interest.
Shock.
Abdominal compartment syndrome.
Benign proctological lesions.
Wounds and surgical infections. Minor pathologies of the skin and subcutaneous tissue. Skin burns.
Foreign bodies.
Breast cancer

TEXT BOOK: Chirurgia Generale per Corso di Laurea in Odontoiatria e Protesi Dentarie (Petrin-Pelizzo) - Piccin Editore.

ANAMNESIS AND GENERAL AND SPECIFIC EXAMINATION OF THE PATIENT
PAIN : somatic and visceral pain
SEMEIOTICS of the tumors
SURGERY RISK ASSESSMENT
PREVENTION AND TREATMENT OF SURGICAL COMPLICATIONS AFTER SURGERY
HOSPITAL INFECTIONS
ROLE OF THE SURGEON IN ONCOLOGICAL PATIENTS
Acute abdomen: definition and classification; clinical evaluation; diagnostic and therapeutic procedure, Bowel obstuction. Acute peritonitis;
Acute appendicitis.
Hernias of the abdominal wall: inguinal; Umbilical; postoperative kernias; rare hernias.
Acute cholecystitis.
Biliary tract: cholelithiasis and complications.
Esophagus: surgical anatomy. Reflux pathology, diverticula, achalasia, stenosis.
Gastroduodenal peptic pathology, neoplasms and precancerous lesions of the stomach. Gastro-intestinal tumors: GIST; Gastric cancer.
Jaundice.
Pathologies of the pancreas Acute and chronic pancreatitis. Pancreatic tumors; pancreatic pseudocysts.
Hepatic and biliary tract neoplasms.
Inflammatory bowel diseases (IBD).
Acute diverticulitis and its complications.
Colorectal neoplasms, screening. Upper digestive haemorrhagesLower digestive bleeding.
Abdominal Trauma: Evaluation, principles of emergency and conservative and surgical treatment. Trauma of the abdomen: closed and penetrating trauma; hemoperitoneum; perforation, splenic and hepatic lesions. Diagnostic and therapeutic approach to thyroid nodules.
Pathologies of the parathyroid glands. Adrenal pathologies of surgical interest.
Shock. Abdominal compartment syndrome.
Benign proctological lesions.
Wounds and infections of surgical interest.
Skin and subcutaneous pathologies. Skin burns.
Foreing object.
Breast neoplasms. Diagnostic, staging and therapeutic pathway, sentinel lymph node concept.

During the course slides containing data in English will be provided, even if most of them will be in Italian. During the lectures there will be oral interviews in order to test the students’ learning process. At the end of each lecture slides will be given to students and the teacher will answer questions or any request for further information.

At the end of each lession the slides will be given to students and the teacher will answer questions or any requests for further information.

There will be an oral exam at the end of the course where at first candidates will be able to present a topic chosen among those in the syllabus. They will be assessed according to the level of specific language used during the exam, to the level of insight and synthesis and to communication skills.
After that, students will have to answer specific questions about topics included in the syllabus, showing an adequate knowledge of all topics.
The final assessment may include the results of interviews, written or practical tests which may have been performed during the course.

Final score will be converted to a maximum of 30 points.
(30-30 cum laude=excellent knowledge; 27-29=very good knowledge; 24-26=good knowledge; 21-23 = just right knowledge; minimum amount of knowledge; <18= not enough knowledge)

This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs)