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2020/2021

Paediatric Surgery

Code: 103606 ECTS Credits: 3
Degree Type Year Semester
2502442 Medicine OT 5 0
2502442 Medicine OT 6 0
The proposed teaching and assessment methodology that appear in the guide may be subject to changes as a result of the restrictions to face-to-face class attendance imposed by the health authorities.

Contact

Name:
Bernardo Núñez Garcia
Email:
Bernardo.Nunez@uab.cat

Use of Languages

Principal working language:
catalan (cat)
Some groups entirely in English:
No
Some groups entirely in Catalan:
Yes
Some groups entirely in Spanish:
No

Prerequisites

Students 5º Medicine UAB

Objectives and Contextualisation

To incorporate the historical backgraound, embryogenesis, pathophysiology, diagnosis and management of childhood surgical disorders and the operative techniques for varius conditions in children

Competences

    Medicine
  • Demonstrate an understanding of the fundamentals of action, indications, efficacy and benefit-risk ratio of therapeutic interventions based on the available scientific evidence.
  • Establish a diagnostic approach and a well thought-out strategy for action, taking account of the results of the anamnesis and the physical examination, and the results of the appropriate complementary tests carried out subsequently.
  • Listen carefully, obtain and synthesise relevant information on patients' problems, and understand this information.
  • Obtain and prepare a patient record that contains all important information and is structured and patient-centred, taking into account all age and gender groups and cultural, social and ethnic factors.
  • Perform a general and a system-by-system physical examination appropriate to the patient's age and sex, in complete and systematic way, and a mental evaluation.
  • Use information and communication technologies in professional practice.

Learning Outcomes

  1. Adapt the therapy procedure and the surgical technique, if appropriate, in accordance with the available data.
  2. Approach the physical examination not only from the diagnostic perspective, but also the therapeutic perspective, with special emphasis on surgical procedures.
  3. Calculate the surgical risk indices, both general and by apparatus, and adjust the indications accordingly.
  4. Gather information and select the most important facts about the patient, both in normal visits and emergencies.
  5. Integrate all pre-operative information for decision-making.
  6. Make a critical analysis of the objectives to be achieved with surgery, contrasting this with the adverse effects that may be involved.
  7. Obtain the most important data, both on the illness being treated and on factors influencing morbidity and mortality.
  8. Use information and communication technologies in professional practice.
  9. Use the scales that assess the general (physical and mental) state of the patient.

Content

This subject is structured into the following sections

Lesson 1. Presentation a. General aspects of Pediatric Surgery b. Trauma in the pediatric age Lesson 2. Head and Neck Pathology a. Cleft palate/lip b. Cysts and congenital sinus c. Thyroglossal duct cyst Lesson 3. Thoracic pathology I a. Embryogenesis b. Oesophageal atresia c. Congenital diaphragmatic hernia. Lesson 4. Thoracic pathology II a. Pulmonary malformation. b. Congenital lobar emphysema c. Pectus excavatum. Lesson 5. Gastro-Oesophagogastric pathology a. Gastro-oesophageal reflux and hiatus hernia b. Achalasia c. Hypertrophic pyloric stenosis. Lesson 6. Gastrointestinal pathology I a. Atresias b. Malrotation. Intestinal volvulus c. Gastrointestinal duplications Lesson 7.
Gastrointestinal pathology II
a. Meconium ileus b. Hirschsprung's disease.

Lesson 8. Gastrointestinal pathology III

a. Meckel's Diverticulum b. Appendicitis c. Intussusception.

Lesson 9. Anorectal Anomalies

a. Anorectal anomalies b. Cloacal exstrophy

Lesson 10. Liver pathology

a. Biliary atresia b. Choledochal cyst c. Cholecystecotomy

Lesson 11. Abdominal wall

a. Omphalocele/Gastroschisis b. Hernias c. Orchidopexy d. Acute scrotum

Lesson 12. Tumours

Lesson 13. Pediatric Urology I

a. Pyeloplasty b.Ureteric duplication c. Obstructive megaureter d. Posterior Urethral valves.

Lesson 14. Pediatric urology II

a. Vesicoureteral reflux b. Neurogenic bladder

Lesson 15. Pediatric urology III

a. Bladder exstrophy and Epispadias b. Hypospadias c. Disorders of sex development.

Methodology

Professor coordinador: BERNARDO NÚÑEZ GARCÍA bnunez@tauli.cat

Responsables UDHSP

Responsables UDHVH

Responsables UDGTiP

Responsables UDHPT

NO S’OFERTA

Manuel López Paredes
manuel.lopez@vhebron.net

Alejandro Manzanares Quintela
amanzanares.germanstrias@gencat.cat

Bernardo Nuñez García
bnunez@tauli.cat

 

Methodology

  • This subject follows the following methodology:

 

Typology Hours Specialized seminars 15 (15 lesssons)

Autonomous 37.5h. Theory lecture. Practical evaluations.Simulations. Mini-clinical evaluation exercise (mini-CEX)

Evaluation Assessment activity  18.75h

Objective test of multiple choice 5% 3.75h

In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and the public health situation, some of the theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.

Activities

Title Hours ECTS Learning Outcomes
Type: Directed      
Lessons 15 0.6 1, 3, 6, 9, 2, 5, 7, 4, 8
Type: Supervised      
Evaluation Assessment Activity 18.75 0.75 1, 3, 6, 9, 2, 5, 7, 4, 8
Type: Autonomous      
Theory lecture. Practical evaluations.Simulations. Mini-clinical evaluation exercise (mini-CEX) 37.5 1.5 1, 3, 6, 9, 2, 5, 7, 4, 8

Assessment

Attendance (>80% lessons): 50%

Objective test of multiple choice 50%

 

All evaluation activities for this subject are obligatory

Examinations will take place at the end of the semester

If a student fails the first exam, he/she can take a second exam 

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Attendance and active participation in class and in seminars 50% 0 0 1, 3, 6, 9, 2, 5, 7, 4, 8
Written assessments: multiple choice tests/restricted questions 50% 3.75 0.15 1, 3, 6, 9, 2, 5, 7, 4, 8

Bibliography

1. Pediatric Surgery

By: Scorpio, Ronald J; Coppola, Christopher P; Kennedy, Alfred P; Morton. Springer International Publishing. ISBN: 978-3-319-04339-5, 978-3-319-04340-1. Health & Medicine (General). Springer eBooks (Medicine 2014) 2014

2. Pediatric Surgery
By: Coventry, Brendon J; Morton. Springer Verlag London Ltd. ISBN: 978-1-4471-5438-9, 978-1-4471-5439-6, 978-1-306-69237-3, 978-1-4471-5439-6. Health & Medicine (General). Springer eBooks (Medicine 2014) 2014 

3. Ashcraft's Pediatric Surgery
By: Holcomb; George Whitfield Holcomb III. W B Saunders Company. ISBN: 978-1-4160-6127-4. Health & Medicine (General). ScienceDirect eBooks (CSUC) 2013

4. An Illustrated Guide to Pediatric Surgery
By: Al-Salem, Ahmed H. Springer International Publishing. ISBN: 978-3-319-06664-6, 978-3-319-06666-0, 978-3-319-06665-3. Health & Medicine (General). Springer eBooks (Medicine 2014) 2014

5. Symptoms and Signs in Pediatric Surgery
By: Kaiser, Georges L; Lesny. Springer Berlin Heidelberg. ISBN: 978-3-642-31160-4, 978-1-283-93504-3, 978-3-642-31161-1. Health & Medicine (General). Springer eBooks (Medicine 2012) 2012 

6. Diagnostic and Interventional Ultrasound in Pediatrics and Pediatric Surgery
By: Scholz, Stefan; Jarboe, Marcus D; Hruska. Springer. ISBN: 978-3-319-21698-0, 978-3-319-21699-7. Health & Medicine (General). Springer eBooks (Medicine 2016) 2016 

7. Basic Techniques in Pediatric Surgery: An Operative Manual
By: Bradnock, Tim J; Carachi, Robert; Agarwala, Sandeep; Schroeder. Springer Berlin Heidelberg. ISBN: 978-3-642-20640-5, 978-3-642-20641-2. Health & Medicine (General). Springer eBooks (Medicine 2013) 2013

8. Fundamentals of Pediatric Surgery: Second Edition
By: Mattei, Peter; Muratore, Christopher S; Rollins, Michael D; Nichol, Peter F; Hruska. Springer. ISBN: 978-3-319-27441-6, 978-3-319-27443-0. Health & Medicine (General). Springer eBooks (Medicine 2017) 2017 

9. Pediatric Thoracic Surgery
By: Lima, Mario; Rizza. Springer Milan. ISBN: 978-88-470-5201-7, 978-88-470-5202-4. Health & Medicine (General). Springer eBooks (Medicine 2013) 2013

10. Pediatric Digestive Surgery
By: Lima, Mario; Rizza. Springer. ISBN: 978-3-319-40523-0, 978-3-319-40525-4. Health & Medicine (General). Springer eBooks (Medicine 2017) 2017 

11. Jones' Clinical Paediatric Surgery
By: Hutson; Chichester. John Wiley & Sons Incorporated. ISBN: 978-1-118-77731-2, 978-1-118-77728-2, 978-1-118-77729-9, 978-1-118-77730-5. Health & Medicine (General). Wiley Online Library Books EBS 2018 2015