Klinika plastickej chirurgie LF UK a UNB
Videoprednášky 5. ročník všeobecné lekárstvo
Videoprednášky 6. ročník všeobecné lekárstvo
5th class - General Medicine - english program
| Exam in Surgery 5th Grade – QUESTIONS |
| The exam will take place in person, oral form in surgical clinics |
| 1. Acute appendicitis |
| 2. Intracranial bleeding, Hematoma subdural, epidural |
| 3. Pancreatic injuries |
| 4. Diagnosis and surgical treatment of pancreatic tumors |
| 5. Pneumothorax (traumatic, non-traumatic, diagnosis and treatment) |
| 6. Luxations on the upper limb (humeroscapular, elbow, wrist and carpal bones, |
| interphalangeal joints) |
| 7. Tracheostomy, conicotomy (indication, procedure) |
| 8. Thrombophlebitis, phlebothrombosis, phlegmasia cerulea alba |
| 9. Spleen injuries |
| 10. Portal hypertension |
| 11. Hemothorax and fluidothorax (diagnosis, treatment) |
| 12. Blunt chest injuries |
| 13. Hernia incarcerata |
| 14. Bladder carcinoma |
| 15. Hemoperitoneum |
| 16. Cholelithiasis |
| 17. Diagnosis and surgical treatment of kidney tumors |
| 18. Arthroscopy of the knee, shoulder, ankle, hip joint (indications, principles) |
| 19. Ileus mechanical, strangulation, volvulus, intussusception |
| 20. Open fractures (characteristics, classification, diagnosis and treatment) |
| 21. Achalasia and its treatment |
| 22. Prostate cancer (locally advanced, disseminated) |
| 23. Fractures of the pelvis and acetabulum (characteristics, classification, diagnosis, |
| treatment) |
| 24. Pancreatitis acute (characteristics, diagnosis, therapy) |
| 25. Dupuytren's contracture (differential diagnosis), camptodactyly, post-traumatic |
| contractures on the hand |
| 26. Volkmann's ischemic contracture |
| 27. Diagnosis and surgical treatment of tumors of the small intestine |
| 28. Burn disease, burns – division |
| 29. Subdural hematoma |
| 30. Foreign bodies in GIT |
| 31. Diagnosis and surgical treatment of brain tumors |
| 32. Fractures of the skull and base of the skull |
| 33. Diagnosis and surgical treatment of rectal cancer |
| 34. Brain abscess |
| 35. Characterize high-energy and low-energy trauma, the mechanism of occurrence, the |
| effect of energy on the type of injury, the specifics of anamnesis, diagnostics, traffic |
| accidents, clarify a comprehensive approach to the patient |
| 36. Pressure ulcers (pathophysiology, distribution, prevention and treatment) |
| 37. Neurogenic urinary disorders |
| 38. Commotio et contusio cerebri |
| 39. Diagnosis and surgical treatment of tumors of the gallbladder and bile ducts |
| 40. Urolithiasis |
| 41. Epidural hematoma |
| 42. Breast tumors (in general, diagnosis, classification), comprehensive treatment of breast |
| tumors |
| 43. Frostbite |
| 44. Kidney injuries |
| 45. Ileitis terminalis – M. Crohn (complications, surgical treatment) |
| 46. Bleeding from the upper GIT |
| 47. Discectomy, decompression, stabilization and fusion on the spine (characteristics, |
| indications) |
| 48. The essence of anesthesia, local, lead, regional anesthesia |
| 49. Diagnosis and surgical treatment of brain tumors |
| 50. Injuries of the liver and bile ducts |
| 51. Furunculus, carbunculus, cheillitis, phlegmon, abscess, lymphadenitis, erysipelas, |
| erysipeloid |
| 52. Vertebral fractures (basic division, compression, community) |
| 53. Blunt abdominal injuries |
| 54. Pelveoperitonitis |
| 55. Diagnostics and surgical treatment of tumors of the mediastinum |
| 56. Fractures of the thoracic spine (characteristics, classification, diagnosis, treatment) |
| 57. Blood transfusion (indications, execution, blood derivatives, complications) |
| 58. Stereotaxis |
| 59. Spinal cord injuries |
| 60. Diagnosis and surgical treatment of stomach tumors |
| 61. Kidney and urinary tract infections, urosepsis |
| 62. Perinatal trauma and its importance for child development |
| 63. Shock (general, septic, hypovolemic, burn) |
| 64. Diagnosis and surgical treatment of kidney tumors |
| 65. Polydactyly, syndactyly, peromelia, phocomelia |
| 66. Postoperative infusion therapy |
| 67. Omphalocele, gastroschisis |
| 68. Fractures of the diaphysis of the lower leg and ankle area (characteristics, classification, |
| diagnosis, treatment) |
| 69. Thrombosis and embolism of mesenteric vessels |
| 70. Atresia of the duodenum, small and large intestine |
| 71. Congenital hip dysplasia (characteristics, diagnosis, screening, treatment) |
| 72. Panaricia (superficial and deep), phlegmons of the palm |
| 73. Phimosis, paraphimosis, balantitis |
| 74. Total, subtotal amputations, replantation and revascularization, patient and amputee |
| transport to the replantation center, ischemia time |
| 75. Malignant tumors of the thyroid gland (characteristics, diagnosis, treatment) |
| 76. Testis anomalies, hypospadias and epispadias |
| 77. Epicondylitis humeri radialis, ulnaris, tendovaginitis stenotisans flexor digitorum manus |
| 78. Esophageal diverticula and their surgical treatment |
| 79. Cardiac tamponade |
| 80. Soft tissue tumors of the musculoskeletal system (diagnosis, classification, staging, |
| treatment) |
| 81. Diagnosis and surgical treatment of colon cancer |
| 82. Complications of burns, their diagnosis and treatment |
| 83. Pathological changes on the chest (pectus excavatum, pectus carinatum, pectus |
| infundibulare) |
| 84. Postoperative complications of the surgical wound |
| 85. Congenital defects of the biliary tract |
| 86. Primary malignant and benign bone tumors (diagnosis, classification, staging, treatment) |
| 87. Pylethrombosis |
| 88. Transplantation (general principles, donation, distribution), tissue transplants, organ |
| transplants |
| 89. Fractures of the talus, calcaneus, tarsus, metatarsals and phalanges of the foot |
| (characteristics, classification, diagnosis, treatment) |
| 90. Prolapsus ani et recti |
| 91. Diagnostics and surgical treatment of tumors of the spinal cord and spinal cord covers |
| 92. Fractures (diagnosis and classification), principles of treatment (conservative and |
| operative), osteosynthetic material, minimally invasive surgical techniques |
| 93. Pancreatitis chronica (characteristics, surgical treatment) |
| 94. Wound healing, pathological scar, chronic wounds (characteristics, classification, |
| diagnosis, therapy) |
| 95. Osteomalacia and Paget's disease (characteristics, diagnosis, treatment) |
| 96. Anaerobic infections in surgery |
| 97. Teratomas |
| 98. Fractures in the diaphysis of the humerus and elbow (characteristics, classification, |
| diagnosis, treatment) |
| 99. Hernia diaphragmatica, reflux esophagitis |
| 100. Anorectal malformations |
| 101. Secondary bone tumors (characteristics, diagnosis, treatment) |
| 102. Postoperative complications (prevention, diagnosis, therapy, treatment) |
| 103. Hemothorax and fluidothorax (diagnosis, treatment) |
| 104. Osteotomy, arthrodesis, synovectomy (characteristics, indications) |
| 105. Colitis ulcerosa (characteristics, surgical treatment) |
| 106. Urolithiasis |
| 107. Peculiarities of fractures and dislocations in childhood |
| 108. Gastrointestinal stromal tumors GIST (epidemiology, clinical picture, diagnosis and |
| differential diagnosis, treatment) |
| 109. Prostate cancer (locally advanced, disseminated) |
| 110. Fractures of the cervical spine (characteristics, classification, diagnosis, treatment) |
| 111. Obstructive jaundice (differential diagnosis) |
| 112. Tendon injuries, principle of tenosuture, tendon transplantation and transposition |
| 113. Bursitis, tendinitis, tendovaginitis, enthesopathy, peripheral nerve narrowing syndrome |
| 114. Nodi haemorrhoidales |
| 115. Bladder carcinoma |
| 116. Fractures in the area of the diaphysis of the bones of the forearm, the area of the wrist, |
| carpal bones, metacarpals and phalanges of the hand (characteristics, classification, |
| diagnosis, treatment) |
| 117. Struma nodosa (surgical treatment, complications, thyroid tumors) |
| 118. Pneumothorax (traumatic, non-traumatic, diagnosis and treatment) |
| 119. Infectious and parainfectious non-specific arthritis, borreliosis, viral arthritis (HIV) |
| 120. Diagnostics and surgical treatment of tumors of the parathyroid glands |
| 121. Reconstructive and radiological procedures on the arterial system |
| 122. Deformities of the spine - scoliosis, kyphosis, spondylolisthesis (characteristics, |
| diagnosis and treatment) |
| 123. Hydrocephalus |
| 124. Pedes plani et planovalgi (characteristics, classification, diagnosis and treatment) |
| 125. Abdomen acutum (distribution, characteristics) |
| 126. Congenital defects of the hand |
| 127. Acute and chronic osteomyelitis (characteristics, classification, diagnosis, treatment) |
| 128. Perforation of the esophagus |
| 129. Tumors of the testis |
| 130. Fractures of the mandible and maxilla (characteristics, classification, diagnosis, |
| treatment) |
| 131. Abscessus cavi Douglasi |
| 132. Congenital leg defects (pes equinovarus, pes excavatus, ...) (characteristics, |
| classification, diagnosis and treatment) |
| 133. Acute cholecystitis |
| 134. Benign prostatic hyperplasia (etiopathogenesis, symptomatology, diagnosis, treatment) |
| 135. Spinal pain of non-inflammatory etiology (characteristics, specifics according to |
| individual locations, diagnosis, treatment) |
| 136. Internal hernia in the abdominal cavity |
| 137. Diagnosis and surgical treatment of brain tumors |
| 138. Arthrosis (characteristics, most common locations, diagnosis and treatment, |
| endoprostheses, types of their anchoring) |
| 139. General principles of diagnostics and treatment of tumors |
| 140. Hirschsprung's disease |
| 141. Fractures of the scapula, clavicle and proximal part of the humerus (characteristics, |
| classification, diagnosis, treatment) |
| 142. Biliary peritonitis |
| 143. Aneurysms of the abdominal aorta (symptomatology, diagnosis, treatment) |
| 144. Root syndromes (cervical, lumbosacral, cauda equina syndrome) diagnosis and |
| treatment |
| 145. Hernia (distribution and characteristics), hernia umbilicalis, hernia paraumbilicalis, |
| hernia in cicatrice, hernia linea alba |
| 146. Mediastinitis (diagnosis and treatment) |
| 147. Intracranial hemorrhage |
| 148. Malignant breast tumors (characteristics, diagnosis, treatment) |
| 149. Luxations on the lower limb (hip joint, knee, ankle, Choparts joint) |
| 150. Peritonitis (distribution, characteristics) |
| 151. Intestinal rotation disorders – Ladd's syndrome |
| 152. Fractures of the proximal femur (characteristics, classification, diagnosis, treatment) |
| 153. Hernia inguinalis et femoralis |
| 154. Meconium ileus, meconium peritonitis |
| 155. Acute and chronic knee damage (clinical and imaging examination, diagnosis and |
| treatment) |
| 156. Paralytic ileus |
| 157. Diagnosis and surgical treatment of adrenal tumors |
| 158. Osteoporosis and osteoporotic fractures (characteristics, classification, diagnosis, |
| treatment) |
| 159. Ulcus duodeni, ulcus ventriculi |
| 160. Mediastinitis (diagnosis and treatment) |
| 161. Compartment syndrome (extremity and abdomen) |
| 162. Differential diagnosis of bleeding into the GIT |
| 163. Esophageal atresia |
| 164. Aseptic bone necrosis (characteristics, diagnosis, most common locations, treatment) |
| 165. Diverticulosis of the colon |
| 166. Ductus omphaloentericus persistens, urachus persistens |
| 167. Complications of fracture healing, prolonged healing, pseudarthrosis, fractura male |
| sanata (characteristics, classification, diagnosis and treatment) |
| 168. Ileus (distribution, characteristics) |
| 169. Tumors of the testis |
| 170. Examination and management of a patient with polytrauma (principles of treatment, |
| Damage Control, advanced post-traumatic resuscitation (ATLS - Advanced Trauma Life |
| Support) |
| 171. Cystae et pseudocystae pancreatis |
| 172. Diagnosis and surgical treatment of lung tumors |
| 173. Fractures of ribs and sternum (characteristics, classification, diagnosis, treatment) |
| 174. Pylorostenosis et pylorospasmus |
| 175. Diagnosis and surgical treatment of adrenal tumors |
| 176. Inflammatory diseases of the spine autoimmune e.g. Morbus Bechterev, bacterial, |
| specific (characteristics, classification, diagnosis, treatment) |
| 177. Diagnosis and surgical treatment of primary and secondary liver tumors |
| 178. Fractures of the femoral shaft and knee area (characteristics, classification, diagnosis, |
| treatment) |
| 179. Diagnosis and surgical treatment of esophageal tumors |
| 180. Thrombophlebitis, phlebothrombosis, phlegmasia cerulea alba |
| 181. Tendon injuries on the limbs, diagnosis, classification and treatment (sutures and types of rehabilitation). |
Practicals 5-th class General Medicine - english program
Content of practical training and seminars
The course of internships and seminars at the Department of Plastic Surgery, Medical Faculty and UHB is governed by the foreseen schedule and syllabus posted on the website and the notice clipboard of the clinic. The prescribed number of teachers leads practical training.
Lectures are done by:
- MD. Drahomír Palenčár, PhD.
- assoc.prof. MD. Jozef Fedeleš, PhD.
- MUDr.Mária Plišová
- Dr. med. Univ. Lukáš Šimko – part.
- MUDr.Rastislav Trška,PhD. - part.
The content of lectures for V. year
Day 1st
Introduction to plastic surgery
Hand surgery
- Anatomical minimum
- Congenital deformities- examination - demonstration of the patient (if possible) possible solutions
- Nursing of the hand injuries - basic principles.
- Examination of patient with a lesion of the tendon apparatus (flexors, extensors), therapy (types and suture materials), postoperative management - types and principles of rehabilitation. The possibility of subsequent reconstruction. Post-operative changing of dressing in patient with hand injuries (if possible)
- Amputation of the fingers and hands - classification, principles of replantation and revascularization, transport management of amputating part and patient to the replantation center, time management.
- Dupuytren's contracture - diagnosis, differential diagnosis from other diseases of hand, principles of therapy, clinical examination of patients with Dupuytren's contracture (if possible)
- Acquired deformations after tendon lesions, examination of the patient (if possible)
- Acquired deformation of the fingers and hands with nerves paresis, examination of the patient (if possible)
- Compression syndromes of the upper extremity (diagnosis, differential. Diagnosis., Principles of therapy)
Practicals 3rd class General Medicine - english program
Seminars and clinical practice are taking place at the Clinic of plastic and reconstructive surgery LFUK and UNB according to the official schedule published on the website and the notice board of the clinic.
The practical part is taught by a prescribed number of lecturers.
The education of students is done by:
- Doc. MUDr. Jozef Fedeleš, CSc.
- MUDr. Drahomír Palenčár, PhD.
- MUDr. Martin Boháč, PhD. - part.
- Dr. med. univ. Lukáš Šimko, PhD. - part.
- MUDr. Pavol Macho, PhD. - part.
Teaching summary 3rd year general medicine
Day 1
Wound healing (phases)
Wound categories
Basic principles of woundcare
Surgical instruments, suture materials
Practice of sutures
Suture types
Basics of documenting surgical procedures
Surgical patient exam
Syllabus - english program
Plastic surgery
Number of hours: V. grade general medicine - summer semester 8/5
VI. grade general medicine 0/24
III. grade - stomatology - summer semester 4/0
Lectures - general medicine - Doc. MUDr. Jozef Fedeleš, CSc.
I. Plastic surgery I - 2 hours
Basic principles of atraumatic surgery, incisions, types of sutures, post-OP care, principles of wound healing – stages, infected wounds – complicated healing, scars, pathological scars – therapeutic options.
Clefts – classification, etiology, therapy.
Complex care, multidisciplinary approach in cleft patients.
Pigmented lesions of the skin,
Malign melanoma - etiology, classification, therapy, Clark-, Breslow-scales
Skin and subcutaneous tumors - benign, malign, principles of therapy
II. Plastic surgery II - 2 hours
Skin transplants – autologous skin grafts – types, donor sites, principles of use, postoperative care
Flaps - principles, types – classification, their use.
Microsurgery - principles, instruments, techniques, patient selection
Microsurgical free flaps – principles of use.
Replantation a revascularization surgery in fingers and hand - principles, transport of the amputated part, time management.
Injuries with loss of tissue, principles of treatment.
III. Plastic surgery III - 2 hours
Congenital malformations of the hand – classification, diagnostics, differential diagnosis, treatment options
Hand injuries, diagnosis of tendon lesions – treatment, suture types, rehabilitation plans
Dupuytrens contracture - etiology, diagnostics, differential diagnosis, treatment
Diagnostics of nerve lesions in the hand - treatment, reconstruction options
Compression neuropathies in the upper limb – types, diagnostics, treatment.
IV. Plastic surgery IV - 2 hours Prof. MUDr. Ján Koller, CSc.
Burns, first aid
Intensive care after burn injuries - pathophysiology, therapy
Frostbite
Decubitus
4. Lectures - stomatology - Doc. MUDr. Jozef Fedeleš, CSc.
I. Plastic surgery I - 2 hours
Basic principles of atraumatic surgery, incisions, types of sutures, post-OP care, principles of wound healing – stages, infected wounds – complicated healing, scars, pathological scars – therapeutic options.
Clefts – classification, etiology, therapy.
Complex care, multidisciplinary approach in cleft patients.
Facial injuries with loss of tissue, principles of treatment.
II. Plastic surgery II - 2 hours
Skin transplants – autologous skin grafts – types, donor sites, principles of use, postoperative care
Flaps - principles, types – classification, their use.
Malign melanoma - etiology, classification, therapy, Clark-, Breslow-scales
Skin and subcutaneous tumors - benign, malign, principles of therapy
Facial nerve paresis – therapeutic principles
4. Practical part
1/ Basic examination of a plastic-surgical patient, medical history, physical exam, diagnostic conclusion, differential diagnosis, communication with the plastic-surgical patient
2/ Plastic surgery – surgical instruments
3/ Dressing changes
4/ Detailed look at surgical procedures in hand surgery (congenital malformations, Dupuytrens contracture, compressive neuropathies).
Detailed look at handling autologous skin-grafts, surgical procedure, post-OP care..
Detailed look at surgical procedures of local flaps and their post-OP care.
Detailed look at surgical techniques for breast reconstruction.
Detailed look at surgical techniques for ear reconstruction.
All the above mentioned will be visualized on a patient, if present.
5/ Peripheral nerve injuries – principles of treatment
6/ Examination of a cleft patient (if present)
Examination of patients with skin tumors (if present) - benign, malign, malign melanoma, diagnostics, differential diagnostics – therapeutical plan
Examination of patients with congenital malformations of the hand
Examination of patients with facial nerve palsy - therapeutical plan (if present)
7/ Basic principles of aesthetic surgery
6. Seminars
VI. grade – at the end of the block before ŠZS: seminar - 2 hours.
7. Exams - 0
8. State exams – in surgery SZŠ.
Syllabus (topics) for the oral exam:
Wound healing (3 phases, pathological scars)
Skin transplants ( types, temporary coverage)
Flaps (classification by blood supply, localization, contained tissue types. Tissue expanders)
Microsurgical free flaps (classification by containing tissue types, their application)
Skin tumors, subcutaneous tumors (benign, malign)
Pigmented skin lesions (nevi, dysplastic nevi, malign melanoma, sentinel lymph node)
Clefts and other congenital facial malformations (classification, surgical timing, complex multidisciplinary care)
Congenital hand malformations
Amputations of the hand and fingers (total, subtotal, replantation, revascularization)
Transport of the patient and amputated part to a replantation center, time of ischemia – cold, warm
Tendon injury of the upper limb (surgical timing, suture types, post-OP management – rehabilitation schemes.
Mallet finger - ruptured dorsal aponeurosis above the DIP joint, Boutonnière deformity, Swan neck deformity (etiology, basic principles of therapy)
Hand deformities after nerve injuries of the upper limb
Compressive neuropathies in the upper limb (Carpal -, Guyons -, Pronator -, Cubital -, Scalenus syndrome)
Dupuytrens contracture (diagnostic, differential diagnosis – camptodactyly, posttraumatic contracture)
Facial nerve paresis – therapeutic principles
Decubitus
Frostbite
Burns in general, first aid
Burn disease, shock
MUDr. Drahomír Palenčár, PhD.
Department of the Plastic and reconstructive surgery LFUK and UNB
In Bratislava
Sylaby - výučba
1. Názov predmetu: Plastická chirurgia
Počet hodín: V. ročník všeob. lekárstvo - letný semester 8/5
VI. ročník všeob. lekárstvo 0/24
III. ročník - stomatológia - letný semester 4/0
2. Povinná a odporúčaná literatúra:
Fedeleš, J. (zost.): Plastická chirurgia. In: Breza, J. et al., eds. Princípy chirurgie IV, Bratislava: SAP, 2015. s. 985-1275, ISBN 978-80-89607-37-2
Guzanin, Š., Sabovčík, R., Kačmár, P. Vybrané kapitoly z plastickej, rekonštrukčnej a estetickej chirurgie. Košice: Univerzita P.J. Šafárika, 2003. 104 s.
3. Prednášky - všeob. lekárstvo - Doc.MUDr.Jozef Fedeleš,CSc.
I. Plastická chirurgia I - 2 hodiny
Základné princípy atraumatického operovania, incízie, typy sutúr, pooperačná starostlivosť, Princípy hojenia rán - jednotlivé fázy, infikovaná rana - komplikované hojenie, jazva a patologická jazva- terapeutické možnosti.
Rázštepy tváre - rozdelenie, etiológia, terapia.
Komplexná starostlivosť o rázštepového pacienta, multidisciplinárny prístup.
Pigmentové lézie kože,
Malígny melanóm - etio, rozdelenie, princípy terapie, hodnotenie Clark, Breslow
Kožné a podkožné tumory - benígne, malígne, princípy terapie
II. Plastická chirurgia II - 2 hodiny
Transplantácia kože - voľné kožné autotransplantáty, rozdelenie, odberové miesta, princípy použitia, pooperačná starostlivosť,
Lalokové plastiky - princíp, druhy - rozdelenie, použitie,
Mikrochirurgia - princípy, inštrumentárium, techniky, výber pacienta
Mikrochirurgické voľné laloky - princíp, použitie.
Replantácia a revaskularizácia v oblasti prstov a ruky - princípy, technika transportu amputátu, časový manažment.
Stratové poranenia a princípy riešenia.
III. Plastická chirurgia III - 2 hodiny
Vrodené vývojové chyby ruky - rozdelenie, popis, diagnostika, dif. diagnostika, možnosti terapeutického riešenia,
Poranenia v oblasti ruky, diagnostika šľachových poranení - ošetrenie, typy sutúr, typy rehabilitácie,
Dupuytrénova kontraktúra - etiologia, diagnostika, dif. diagnostika, terapia
Diagnostika poranení nervov ruky - terapeutické postupy, rekonštrukčné výkony po poranení nervov v oblasti ruky.
Kompresívne syndrómy hornej končatiny - rozdelenie, diagnostika, terapeutické riešenie.
IV. Plastická chirurgia IV - 2 hodiny Prof. MUDr. Ján Koller, CSc.
Popáleniny, prvá pomoc
Popáleninová choroba, popáleninový šok - patofyziológia, klin. obraz, terapia
Omrzliny
Dekubity
4. Prednášky - stomatológia - Doc. MUDr. Jozef Fedeleš, CSc.
I. Plastická chirurgia I - 2 hodiny
Základné princípy atraumatického operovania, incízie, typy sutúr, pooperačná starostlivosť, Princípy hojenia rán - jednotlivé fázy, infikovaná rana - komplikované hojenie, jazva a patologická jazva- terapeutické možnosti.
Rázštepy tváre - rozdelenie, etiológia, terapia.
Komplexná starostlivosť o rázštepového pacienta, multidisciplinárny prístup.
Stratové porania tkanív v oblasti tváre a princípy terapeutického riešenia
II. Plastická chirurgia II - 2 hodiny
Transplantácia kože - voľné kožné autotransplantáty, rozdelenie, odberové miesta, princípy použitia, pooperačná starostlivosť,
Lalokové plastiky - princíp, druhy - rozdelenie, použitie
Kožné a podkožné tumory - benígne, malígne, princípy terapie
Malígny melanóm - etio, rozdelenie, princípy terapie, hodnotenie Clark, Breslow
Paréza n. facialis - terapeutické princípy
5. Stáže - praktické cvičenia
1/ Základné vyšetrenie plastickochirurgického pacienta, anamnéza, vyšetrenie, diagnostický záver, dif. diagnostika, komunikácia s plastickochirurgickým pacientom
2/ Plastickochirurgické inštrumentárium
3/ Ošetrovanie plastickochirurgickej rany (preväzy podľa možnosti)
4/ Popis techniky operačných postupov pri riešení niektorých vrodených vývojových chýb v oblasti ruky, ochorení ruky - napr Dupuytrenova kontraktura, kompresívnych syndromov v oblasti HK.
Popis techniky odberu voľných kožných autotransplantátov s praktickou ukážkou pooperačného ošetrovania priložených kožných autotransplantátov
Popis techniky miestnych kožných lalokov a pooperačná starostlivosť
Popis techník rekonštrukcie prsníka po ablácii
Popis možností a techník rekonštrukcie ušnice s ukážkou pacienta (podľa možnosti)
5/ Poranenia periférnych nervov - princípy primárneho ošetrenia
6/ Vyšetrenie rázštepového pacienta (podľa možnosti)
Vyšetrenie pacientov s kožnými tumormi (podľa možnosti) - benígnymi, malígnymi, malígnym melanómom, diagnostika, dif. diagnostika - stanovenie terapeutického postupu
Vyšetrenie pacienta s vrodenou vývojovou chybou v oblasti ruky (podľa možnosti)
Vyšetrenie pacienta s parézou n. facialis - rozbor - stanovenie terapeutického postupu (podľa možnosti)
7/ Základné princípy estetickej chirurgie
6. Semináre
VI. ročník na konci bloku pred ŠZS: seminár - 2 hod.
7. Skúšky - 0
8. Štátne záverečné skúšky - v rámci SZŠ z chirurgie.
Sylaby (okruhy tém) na ústnu časť skúšky:
Hojenie rán (3 fázy, patologická jazva)Kožné transplantáty (jednotlivé typy podľa hrúbky, dočasné kožné krytie)
Laloky (rozdelenie podľa cievneho zásobenia, lokalizácie, obsahu. Tkanivová expanzia)
Mikrochirurgické voľné laloky (druhy podľa obsahu tkaniva, použitie)
Kožné a podkožné tumory (benígne, malígne)
Pigmentové lézie kože (névy, dysplastické névy, malígny melanóm, sentinelova uzlina)
Rázštepy a vrodené vývojové chyby tváre (delenie, timing operácie, komplexná multidisciplinárna starostlivosť)
Vrodené chyby ruky
Amputácie v oblasti ruky a prstov (totálne, subtotálne, replantácie a revaskularizácie)
Transport pacienta a amputátu do replantačného centra, doba ischémie
Poranenie šliach na horných končatinách (timing operatívy, sutury, pooperačný management - typy rehabilitácie.
Kladivkový prst - ruptúra dorzálnej aponeurózy (dist. extenzor), deformita gombíkovej dierky, deformita labutej šije (etiológia, základné princípy terapie)
Získané deformácie prstov a ruky pri parézach nervov
Úžinové (kompresívne) syndrómy hornej končatiny (syndrom karpálneho tunela, Guyonovho tunela, syndrom pronátorový, kubitálny a syndróm skalenový)
Dupuytrénova kontraktura (diagnostika, diferenciálne dignostické odlíšenie od kamptodaktylie a poúrazovej kontraktúry)
Paréza n. facialis (terapeutické princípy)
Dekubity
Omrzliny
Popáleniny všeobecne, prvá pomoc
Popáleninová choroba a popáleninový šok
Praktická výučba 3. ročník všeobecné lekárstvo - chirurgická propedeutika
Priebeh stáží a seminárov na Klinike plastickej chirurgie LFUK a UNB sa riadi podľa stanoveného rozvrhu a syláb zverejnených na webovej stránke a vývesnej tabuli kliniky. Praktická výučba je vedená predpísaným počtom pedagógov.
Výuku poslucháčov zabezpečujú:
- MUDr. Drahomír Palenčár, PhD.
- Doc. MUDr. Jozef Fedeleš,CSc.
- MUDr. Ivan Hulín
- MUDr. Mária Plišová
- MUDr. Patrik Hudec
- Dr. Med. Univ. Lukáš Šimko, PhD. - úv.
- MUDr. Rastislav Trška, PhD. - úv.
Priebeh výučby pre 3. ročník VL
1. deň
Hojenie rán podľa jednotlivých fáz
Rozdelenie rán
Základné princípy ošetrovania rán
Cirurgické inštrumentárium, šicie materiály
Praktický nácvik viazania uzlov
Typy stehov
Základy dokumentácie v chirurgii
Vyšetrenie pacienta
Prezentácia k samoštúdiu vzhľadom na pozastavenie kontaktnej výučby
Praktická výučba 4. ročník zubné lekárstvo
Priebeh stáží a seminárov na Klinike plastickej chirurgie LFUK a UNB sa riadi podľa stanoveného rozvrhu a syláb zverejnených na webovej stránke a vývesnej tabuli kliniky. Praktická výučba je vedená predpísaným počtom pedagógov.
Výuku poslucháčov zabezpečujú:
- MUDr. Drahomír Palenčár, PhD.
- Doc. MUDr. Jozef Fedeleš,CSc.
- MUDr. Ivan Hulín
- MUDr. Mária Plišová
- MUDr. Patrik Hudec
- Dr. Med. Univ. Lukáš Šimko, PhD. - úv.
- MUDr. Rastislav Trška, PhD. - úv.
Priebeh výučby pre IV. ročník zubné lekárstvo
1. deň
Úvod do plastickej chirurgie
Základné princípy atraumatického operovania, incízie, typy sutúr, pooperačná starostlivosť, Princípy hojenia rán - jednotlivé fázy, infikovaná rana - komplikované hojenie, jazva a patologická jazva- terapeutické možnosti.
Vrodené chyby v oblasti hlavy a tváre
Rázštepy tváre - rozdelenie, etiológia, terapia.
Komplexná starostlivosť o rázštepového pacienta, multidisciplinárny prístup.
Demonštrácia pacienta s rázštepovou chybou
Stratové poranenia v oblasti tváre a možnosti riešenia
Transplantácia kože
Lalokové plastiky
Practicals 4th class Dentistry - english program
Seminars and clinical practice are taking place at the Clinic of plastic and reconstructive surgery LFUK and UNB according to the official schedule published on the website and the notice board of the clinic.
The practical part is taught by a prescribed number of lecturers.
The education of students is done by:
- MUDr. Drahomír Palenčár, PhD.
- Doc. MUDr. Jozef Fedeleš, CSc.
- MUDr. Mária Plišová
-MUDr. Patrik Hudec
- Dr. med. univ. Lukáš Šimko, PhD. - part.
- MUDr. Rastislav Trška, PhD. - part.
Teaching summary 4th year dentistry
Day 1.
Introduction to plastic surgery
Basic principles of atraumatic surgery, incisions, suture types, surgical aftercare,
Principles of woundhealing (phases), wound infection – complicated healing, scar management
Congenital malformations of the face and head
Face clefts – classification, etiology, therapy
Complex care of the cleft patient – multidisciplinary approach
Demonstration of a cleft patient
Injuries with structural loss of the face and their reconstruction options
Skin transplantation
Flaps
Praktická výučba 5. ročník
Priebeh stáží a seminárov na Klinike plastickej chirurgie LFUK a UNB sa riadi podľa stanoveného rozvrhu a syláb zverejnených na webovej stránke a vývesnej tabuli kliniky. Praktická výučba je vedená predpísaným počtom pedagógov.
Výuku poslucháčov zabezpečujú:
- MUDr. Drahomír Palenčár, PhD.
- Doc. MUDr. Jozef Fedeleš,CSc.
- MUDr. Ivan Hulín
- MUDr. Mária Plišová
- MUDr. Patrik Hudec
- Dr. Med. Univ. Lukáš Šimko, PhD. - úv.
- MUDr. Rastislav Trška, PhD. - úv.
Priebeh výučby pre V. ročník
1. deň
Úvod do plastickej chirurgie
Chirurgia ruky
- Anatomické minimum
- Vrodené vývojové chyby - vyšetrenie - demonštrácia pacienta (podľa možnosti) možnosti riešenia
- Zásady ošetrovania úrazov v oblasti ruky - základné princípy.
- Taktika vyšetrenia pacienta s léziou šľachového aparátu ruky (flexory, extenzory), terapia (druhy sutúr, materiály), pooperačný management - druhy a princípy rehabilitácie. Možnosti následných rekonštrukcií. Preväz pacienta po operácii úrazu ruky - podľa možnosti
- Amputácie v oblasti prstov a rúk - rozdelenie, princípy replantácie a revaskularizácie, spôsob transportu pacienta a amputátu do replantačného centra, časový manažment.
- Dupuytrenova kontraktura - diagnostika, dif. diagnosticé odlíšenie od iných ochorení ruky, princípy terapie, klinické vyšetrenie pacienta s Dupuytrenovou kontrakturou (podľa možnosti)
- Získané deformácie po léziách šľachového aparátu, vyšetrenie pacienta (podľa možnosti)
- Získané deformácie prstov a ruky pri parézach nervov, vyšetrenie pacienta podľa možnosti
- Kompresívne syndromy hornej končatiny (diagnostika, dif. dg., princípy terapie)
Učebné texty k samoštúdiu vzhľadom na pozastavenie kontaknej výučby:
Praktická výučba 6. ročník
Priebeh stáží a seminárov na Klinike plastickej chirurgie LFUK a UNB sa riadi podľa stanoveného rozvrhu a syláb zverejnených na webovej stránke a vývesnej tabuli kliniky. Praktická výučba je vedená predpísaným počtom pedagógov.
Výuku poslucháčov zabezpečujú:
- MUDr. Drahomír Palenčár, PhD.
- Doc. MUDr. Jozef Fedeleš,CSc.
- MUDr. Ivan Hulín
- MUDr. Mária Plišová
- MUDr. Patrik Hudec
- Dr. Med. Univ. Lukáš Šimko, PhD. - úv.
- MUDr. Rastislav Trška, PhD. - úv.
Priebeh výučby pre VI. ročník
1. deň
- Rázštepy - anatomické minimum, etiológia, rozdelenie, komplexná starostlivosť o rázštepového pacienta, timing operácií, demonštrácia pacienta podľa možností
- Kožné a podkožné tumory - rozdelenie, diagnostika, diferenciálna diagnostika, terapeutické princípy, klinické vyšetrenie a demonštrácia pacienta (podľa možnosti), terapeutické princípy.
- Malígny melanóm - rozdelenie, klinické typy, princíp terapie, demonštrácia pacienta (podľa možnosti)
2.deň
- Princípy mikrochirurgie, mikrochirurgické inštrumentárium, druhy cievnych anastomoz, technika sutury arterie, veny. Pooperačná starostlivosť o pacienta po mikrochirurgickom výkone (replantácia, revaskularizácia)
- mikrochirurgia periférneho nervu - druhy neurosutúr, timing, rekonštrukcie periférneho nervu, nervový autotransplantát
- Lalokové plastiky - princíp, rozdelenie podľa cievneho zásobenia, obsahu, popis jednotlivých typov a ich použitie - demonštrácia pacienta (podľa možnosti)
- Voľné (mikrochirurgické laloky) - princíp, použitie, popis najčastejšie používaných, pooperačná medikácia a starostlivosť
3. deň
- Voľné kožné autotransplantáty - rozdelenie podľa jednotlivých typov, indikácie na ich použitie, technika odberu, ošetrenie odberových miest, technika priloženia, princípy hojenia a revaskularizácie transplantátov, komplikácie hojenia transplantátov, odberových miest, neskoré komplikácie, demonštrácia, preväz pacienta
- Dočasné kožné náhrady - alotransplantáty, xenotransplantáty, arteficiálne dermálne náhrady
- Hemangiomy - diagnostika, princípy terapie - timing
- Rekonštrukcie defektov rôznej etiológie
Učebné texty k samoštúdiu vzhľadom na pozastavenie kontaknej výučby:
5th class - General Medicine - ERASMUS 2022/2023
Surgery 5 Study group
Sofia CERVETTI - IT 6
Giulia MONTINARO - IT 6
Piera CICCHETTI - IT 6
Weronika SEPIOLO - PL 7
Laura Giorgia BACCAGLIONI - IT 8
Stefano Maria BONDI - IT 8
Aleksandra TACIAK - PL 8
Marcos CIENFUEGOS RETANA - ES 8
Nathasa JULIA KONAKOVA - ES 9
Fotiadou THOMAI - GR 1
Salvatore CANNAVO - IT 1
Ana RODRIGO CARDONA - ES 2
Sara ORTIZ MORENO - ES 2
Alberto NOGUEIRA PENALVER - ES 2
Zora Eileen REBENECK - DE 3
Florian Peter Felix Hoffmann - DE 3
Diego de la IGLESIA GALVAN - ES 3
Donato RIGGIO - IT 4
Camilla BIANCHI - IT 4
Martina PAPAIANNI - IT 4
Francesco CHIAROLANZA - IT 4
Olaya ALONSO GARCIA - ES 5
Marta FERNÁNDEZ LÓPEZ - ES 5
QUESTIONS:
1. Dupuytren´s contracture (differential diagnosis) camptodactyly, post-
traumatic contractures on the hand
2. Burn disease, burns – division
3. Pressure ulcers (pathophysiology, distribution, prevention and
treatment)
4. Polydactyly, syndactyly, peromelia, phocomelia
5. Total, subtotal amputations, replantation and revascularization, patient
and amputee
6. Complications of burns, their diagnosis and treatment
7. Wound healing, pathological scar, chronic wounds (characterstic,
classification, diagnosis, therapy)
8. Tendon injuries, principle of tenosuture transplantation and
transposition
9. Congenital defects of the hand
10. Tendon injuries on the limbs, diagnosis classification and treatment (
suture and types of rehabilition)
11. Frostbite
The oral exam will be held on June 1, 8, 15 at 8:00.
Povinne voliteľný predmet 3.ročník, 2023/2024
Prednášky sa konajú na Klinike plastickej chirurgie LFUK UNB Ružinov v utorok 15,00-16,00 hod.
Dátum: Téma: Učiteľ:
Ut. 03.10.23 Úvod do plastickej chirurgie, hojenie rán, sutúry doc. Fedeleš.CSc.
Ut. 10.10.23 Rázštepy pery a podnebia (komplexná starostlivosť) Dr.Husdec
Ut. 17.10.24 Malígne tumory a rekonštrukcie po ich resekcii doc. Fedeleš, CSc.
Ut. 24.10.23 Mikrochirurgia a replantátcie doc.Fedeleš, CSc.
Ut. 31.10.23 Základy estetickej chirurgie doc. Fedeleš,CSc.
Ut. 07.11.23 Základy riešenia stratových poranení (VTKž, laloky) Dr. Hulín
Ut. 14.11.23 Chirurgia ruky (Dupuytren, útlakové syndrómy, poranenie nervov) Dr. Hulín
Ut. 21.11.23 Chirurgia ruky (vrodené vývojové chyby, poranenia šliach) Dr. Hudec
Ut. 28.11.23 Rekonštrukcie prsníka Dr. Palenčár, PhD.
Ut. 05.12.23 Primárna cheilosutúra u rázštepových pacientov Dr. Palenčár, PhD.
Ut. 12.12.23 Zhrnutie kurzu a záverečné konzultácie Dr. Palenčár, PhD.
Literatúra:
1. https://www.fmed.uniba.sk/fileadmin/lf/sluzby/akademicka_kniznica/PDF/Elektronicke_knih
y_LF_UK/Palencar_D_Zaklady_plastickej_chirurgie.pdf
2. Princípy chirurgie IV, Breza, Pechan, Bratislava
Compulsory optional subject 3rd year, 2023/2024
The lectures are held at the Plastic Surgery Dept of the Faculty of Medicine, UNB Ružinov on Fridays, 11:30 – 13,20
06.10.23 Introduction to plastic surgery, wound healing, sutures Dr. Hudec
13.10.23 Cleft lip and palate (complex care) Doc. Fedeleš,CSc.
20.10.24 Malignant tumors and reconstructions after their resection Doc. Fedeleš,CSc.
27.10.23 Microsurgery and replantation Doc. Fedeleš,CSc.
3.11.23 Basics of aesthetic surgery Doc. Fedeleš,CSc.
10.11.23 Basics of dealing with loss injuries (skin grafts, flaps) Dr. Hulín
17.11.23 Hand surgery (Dupuytren, compression syndromes, nerve injury) Dr. Hulín
24.11.23 Hand surgery (congenital defects, tendon injuries) Dr. Hudec
01.12.23 Breast reconstruction Dr. Palenčár,PhD.
08.12.23 Primary cheilosuture in cleft patients Dr.Palenčár,PhD.
15.12.23 Summary of the course and final consultations Dr. Palenčár,PhD.
Literature:
1. https://discovery.ucl.ac.uk/id/eprint/1505711/1/Textbook-of-Plastic-and-Reconstructive-
Surgery.pdf