SFA 272 - Advanced Surgical Procedures

Credits: 2
Instructional Contact Hours: 2

2. Correlate the relevant pathophysiology to the surgical procedure.

3. Analyze the specific patient care factors the surgical assistant should coordinate with the surgical team.

4. Discuss the intraoperative role and duties of the surgical assistant according to the procedure being performed.

5. Discuss newly implemented surgical procedures.

6. Discuss modifications of surgical procedures as related to approach including Open, MIS, Robotic and any other technological advancements currently in use.

7. Discuss the postoperative care of the surgical wound.

8. Describe specific diseases and disorders (comorbidities) that can affect patient outcomes, lead to surgical emergencies or add increased risk.

9. Analyze the specific patient care factors the surgical assistant should coordinate with the surgical team.

Objectives:

I. Appendectomy

   A.  Explain the purpose of an appendectomy, the pathology leading to an appendectomy  and the approach, anatomical considerations, surgical techniques, role of the SA, and potential intra-operative and post-operative complications.

II. Breast procedures

          A. Discuss the pathophysiology of breast cancer, including its progression, relevant anatomic relationships, and common sites of metastasis.

B.  List diagnostic methods that may be used for breast masses.   

C.  Define the various types of mastectomy and possible complications.

D.  Discuss comparative results of various treatment options for breast cancer.

E.  Discuss other types of breast surgery that include:

      i.   Breast biopsy with needle localization and/or radioactive seeds

      ii.  Lumpectomy

      iii. Sentinel lymph node localization

                 iv. Simple mastectomy

       v. Modified radical mastectomy

      vi. Axillary node dissection

   III.   Esophageal procedures

          A.  Explain the goal of Esophageal procedures, anatomical considerations, surgical techniques, role of the SA, and potential intra-operative and post-operative complications that include:

                i.   Nissen Fundoplication

                ii.  Transoral incisionless fundoplication (TIF)

                iii. Esophageal gastrectomy

                iv. Esophagectomy

   IV.   Cholecystectomy with cholangiogram

          A. Discuss the etiology, diagnosis, and possible complications of gallbladder disease.

           B. Define terminology related to gallbladder surgery.

           C. Compare non-surgical and both open and laparoscopic surgical treatment of gallbladder disease, including possible complications, role of the SA, and different surgical approaches for gallbladder surgery.

     V.   Gastric and bowel resection procedures

          A. Explain the goal of Gastric and bowel resection procedures, surgical approach, anatomical considerations, role of the SA, and potential intra-operative and post-operative 

              complications that include:

      i.   Gastrostomy

                 ii.  Gastrectomy

      iii. Bariatric Surgery

                     a. Sleeve Gastrectomy

                     b. Roux n Y Gastric bypass

      iv. Colon Resection

           a. With colostomy

           b. Without colostomy

       v. Abdominoperineal resection

VI.  Herniorrhaphy

        A. Define terminology related to hernias.

        B. Differentiate direct vs. indirect inguinal hernias.

        C. Describe open and laparoscopic approaches to hernia repair.

        D. Discuss femoral, incisional, umbilical, and ventral hernias, and their surgical treatments and post-operative complications.

VII.  Liver procedures

          A. Describe the goal of Liver resection and Liver transplant procedures, and pathology, anatomical considerations, surgical approach, role of the SA, and potential intra-operative and

              post-operative complications.

  VIII.  Splenectomy

          A. Describe the goal of Splenectomy procedures, pathology, anatomical considerations, surgical approach, role of the SA, and potential intra-operative and post-operative complications.

     IX.  Pancreaticoduodenectomy (Whipple Procedure)

          A. Review the goal of a pancreaticoduodenectomy, the pathology leading to a Whipple procedure, anatomical considerations, surgical approach, role of the SA, and potential intra-

              operative and post-operative complications.

     X.  Anal

A. Review the pathology leading to a Hemorrhoidectomy or anal fissure, anatomical considerations, surgical approaches, role of the SA, and potential intra-operative and post-operative

    considerations.