Course Details

Clinical Surgery

MC097

Course
Clinical Surgery
Code
MC097
Academic Year
2023/2024
Curriculum Year
2018/2019
Degree Programme
MEDICINE AND SURGERY
Curriculum
000 - CORSO GENERICO
Course coordinator
Credits
12
Lecture Hours
100
Scientific Disciplinary Sector (SSD)
MED/21 - Thoracic Surgery, MED/18 - General Surgery, MED/24 - Urology
Course Type
Integrated learning activity
Course Delivery
OBB - Obbligatoria
Year
6
Teaching period
Primo Semestre
Campus
NOVARA
Teaching language
Italian
Course Contents
General Surgery Thoracic Surgery, Vascular
Surgery, Cardiac Surgery and Urology.
Reference Texts
De Toma, Bellantone, Montorsi CHIRUGIA
GENERALE edizioni Minerva Medica
Manuale di Urologia e Andrologia (a cura del
Collegio dei Professori Universitari di Prima Fascia
in ruolo e fuori ruolo). Pacini Editore Medicina
(2009)
Carlos M.Mery; Joseph W.Turek REVIEW OK
CARDIOTHORACIC SURGERY- Toracic Surgery
Residents Association
De Toma, Bellantone, Montorsi CHIRUGIA
GENERALE edizioni Minerva Medica
Manuale di Urologia e Andrologia (a cura del
Collegio dei Professori Universitari di Prima Fascia
in ruolo e fuori ruolo). Pacini Editore Medicina
(2009)
Carlos M.Mery; Joseph W.Turek REVIEW OK
CARDIOTHORACIC SURGERY- Toracic Surgery
Residents Associationa
Learning Outcomes
Acquisition of the basics and an adequate
knowledge of the most frequent diseases of General
Surgery ,Thoracic Surgery, Vascular surgery,
Cardiac Surgery and Urology. Understanding the
etiopathogenetic and pathophysiological
mechanisms of these pathologies by describing the
diagnostic and therapeutic pathways on the basis of
a reasoned and critical elaboration of clinical,
functional, laboratory and diagnostic findings by
image, Verification of their social and health impact
both for their incidence and both for the
repercussions on the quality of life of patients
Prerequisites
Students must have passed the Surgical Pathology exam and have
acquired basic knowledge of Histology, Anatomy, Biochemistry,
Physiology and Radiology.
Teaching Methods
Frontal lessons with slide presentation
Additional Information
The courses are associated with clinical training in
the relevant departments
Assessment Methods
Learning is assessed by oral examination for
General Surgery and Urology and written for
Thoracic Surgery, Vascular Surgery and Cardiac
Surgery.Each candidate will be asked several questions that
may relate to all the topics included in the
educational program with a prevalent focus on the
topics covered in the lectures.

Each of the 3 Teachers of the Integrated Course will
ask questions relating to their teaching and propose
a grade out of thirty which will result in the overall
grade out of thirty, expression of a weighted
average with a final evaluation shared by the
teachers of the individual modules.The exam is passed when the final grade is 18 or
higher.
The assignment of the highest marks with honors
(30 with honors) is envisaged
Detailed Syllabus
Esophagus: Tumors of the esophagus; Esophageal
diseases and clinical cases; esophagus from caustic
- Stomach: clinical cases
- Biliary calcolosis
- Bariatric surgery
- Proctology
- Colon: clinical cases

- Carcinomas of the rectum, embryology and
mesoretto: surgical techniques
- Retroperitoneum tumors
- Neoplasms of the small intestine and GIST
- Breast pathology
- Perianal abscesses and fistulas
- Compartmental syndrome of the abdomen
- Liver: clinical cases
- Portal hypertension
- Liver echinococcosis
- Ernie
- Acute abdomen
- Abdominal trauma
- Urgency in the operating room
- acute pancreatitis, compartment
- Pulmonary carcinoma: causes; diagnosis; therapy
- Diseases of the pleura: pleural mesothelioma;
pleural emphyema
- Mediastinum diseases: classification; diagnosis;
therapy
- Diseases of the chest wall: malformations;
neoplasms- Ischemic cardiopathy: indications to
surgical revascularization.
- Valvular heart disease: aortic stenosis; aortic
insufficiency; mitral stenosis; mitral insufficiency.
Tricuspid valve and pulmonary valve pathology.
- Acute and chronic aortic syndromes: thoracic
aortic aneurysms; aortic dissections: classification,
pathophysiology diagnosis and surgical therapy.
- Acute and subacute bacterial endocarditis.
- Surgical treatment of heart failure: aortic
transducer; Ventricular abdominal aortic aneurysms
pathology of supraortic trunks
obliterative arteriopathy of the lower limbs
venous pathologies of the lower limbs
Semeiotic urology:
physical semeiotics (family and physiological
anamnesis, remote pathological anamnesis, next
pathological anamnesis, objective examination,
signs and symptoms);
laboratory and instrumental semeiotics (renal
function tests, urinalysis, urination, spermiocoltura,
urethral swab, urinary cytology, tumor markers,

urodynamics, radiological examinations, endoscopic
examinations).
Infections of the urinary tract and renal parenchyma.
Prostatitis and orchidspididimitis.
Urogenital tuberculosis.
Sexually transmitted infections.
Urinary calculosis.
Urogenital congenital malformations (outline of the
main malformations).
Hydronephrosis (definition, root causes, diagnostic
procedure).
Stenosis of the urethra.
Prostatic hyperplasia.
Carcinoma of the prostate.
Tumors of the renal parenchyma.
Tumors of the bladder and of the high excretric
ways.
Tumors of the testis.
Hydrocele, varicocele, torsion of the funiculus.
Obstructive anuria.
Urine retention.
Male infertility.
Erectile dysfunction.
Phimosis, paraphimosis, priapism.
Urinary incontinence.
Traces of the uro-genital apparatus
Bladder neurology (outline)
Expected Learning Outcomes
The expected learning outcomes are consistent with
the general provisions found within the European
Qualifications Framework (Dublin descriptors) as
follows:
Evaluate the physiological principles that govern the
function of the main body systems and the
alterations induced by functional and structural
anomalies.
Describe the main signs and symptoms associated
with specific clinical disorders and provide an
adequate explanation of the underlying reasons.
Know the diseases of surgical interest affecting the
different systems.
Know the necessary clinical and surgical
methodology to deal with the main pathologies of

surgical interest.
The student is also required to be able to put correct
therapeutic indications, to be generically oriented on
the most common surgical techniques, on surgical
"timing" and on prognosis, taking into account the
psychophysical and social characteristics of the
patient. Adequate knowledge of the problems
relating to the pre- and post-operative periods is
also required, related to both small, medium and
high surgery interventions. Acquire an adequate
knowledge of the most frequent diseases of the
digestive, urological and thoracic, vascular and
cardiac surgical systems, their socio-health impact
both for their incidence and for the repercussions on
the quality of life of patients. pathophysiological
pathologies of these pathologies describing the
diagnostic and therapeutic paths on the basis of a
reasoned and critical elaboration of the clinical,
functional, laboratory and diagnostic imaging
findings, which take into account the possible
differential diagnoses and the risk / benefit and cost
/ benefit ratios. Learn the indications for the main
instrumental and laboratory tests of the various
specialist surgeries related to the integrated course.

Moduli

Course year 6
Code MC100
Course Thoracic Surgery
Lecturers OTTAVIO RENA
SSD MED/21
Campus NOVARA
Curriculum CORSO GENERICO
Credits 1
Course year 6
Code MC098
Course Cardiovascular Surgery
Lecturers OTTAVIO RENA
SSD MED/21
Campus NOVARA
Curriculum CORSO GENERICO
Credits 2
Course year 6
Code MC099
Course General Surgery
Lecturers Sergio GENTILLI
SSD MED/18
Campus NOVARA
Curriculum CORSO GENERICO
Credits 7
Course year 6
Code MC101
Course Urology
Lecturers Alessandro VOLPE
SSD MED/24
Campus NOVARA
Curriculum CORSO GENERICO
Credits 2
Last update:09-09-2026 00:14:31