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Introduction
The aim of this course is
to present an overview of small animal surgery and assist you in improving your
approach to the diagnosis and management of surgical diseases. Veterinarians are
encouraged to continually ask the questions 'why?' and 'how?', and we hope that
this course will stimulate you to ask these questions in your day-to-day activities.
The resources supplied for each module will consist of a set of notes and journal
articles for information. This will be supported and enhanced by a number of case
studies within each module, together with useful comments on the articles provided
for information. A selection of video segments and slides will be referred to
in the notes, which will illustrate routine procedures and how to perform various
manipulations and operations that you might reasonably be expected to perform
in your practice. Throughout the course, important principles and details will
be emphasised. General principles of surgery are dealt with in the first three
modules, followed by the principles and detailed techniques of surgery associated
with each of the body systems.
Your progress through the course will be evaluated in a number of ways. Each module
will contain a number of self-assessment multiple choice questions and some case
studies to work through, for which you will need to draw upon information in the
notes and/or video to answer. You will also be asked to submit either a review
of a selected article or a case report generated from your own practice, with
each module.
The article review is to encourage your critical reading of the literature
and to learn how others write scientific articles. Your case report is
more an exercise in clinical communication than anything else, therefore no topic
should be considered too simple. The article in Module 2, 'Writing and Publishing
a Paper in a Veterinary Journal' may be useful. Written feedback will be given
when your exercises are evaluated. You
will have to set aside about 30 hours per module to work through the material.
Six to seven hours should be done each week at least. At
the end of this course you will have a very good basic platform on which to build
a more detailed understanding of surgery and surgical disease. You will have revised
your knowledge, perhaps learnt something new and you will have practised organising
your thoughts. You will have gained confidence to broaden your surgical endeavours,
and you will have a library of surgical procedures on video that can be selectively
reviewed if you need to 'brush up' before performing a particular procedure.
Key Benefits
By the end of this course you can expect to:
- Update your knowledge and increase your surgical skill with this comprehensive overview of small animal surgery.
- Improve your approach to the diagnosis and management of diseases and conditions requiring surgery.
- Understand the 'hows and whys?' of surgery through case-based learning.
- Gain an increased understanding of both general principles and detailed techniques of surgery for each of the body systems.
- Gain the confidence to broaden your surgical endeavours.
Timetable
for Modules
| Modules | You
will receive modules in: | Modules
to be received from
you by Post Graduate
Foundation for assessment |
| Module
1 | 1st
week of February | End
of February | | Module
2 | 1st
week of March | End
of March | | Module
3 | 1st
week of April | End
of April | | Module
4 | 1st
week of May | End
of May | | Module
5 | 1st
week of June | End
of June | | Module
6 | 1st
week of July | End
of July | | Module
7 | 1st
week of August | End
of August | | Module
8 | 1st
week of September | End
of September | | Module
9 | 1st
week of October | End
of October | | Module
10 | 1st
week of November | End
of November |
Content
of Modules
| Module
1 | Principles
of Surgery I
Introduction, History of surgery
Pre-operative evaluation
of the surgical patient
Operative and post-operative considerations
Nutritional
support of the surgical patient
Wound healing
Biomaterials, including
sutures
Suture techniques
Stapling techniques
Other examples of biomaterials |
| Module
2 | Principles
of Surgery II
Sterilisation and asepsis -
historical perspective
- instruments and equipment
- facilities
-
surgeon
- patient
Role of antibiotics in surgery
- indications
- choice and route
- duration
Tissue handling, including instrument handling and use
Haemorrhage and haemostasis
including electrosurgery
Surgical oncology
Thermal injury |
| Module
3 | Traumatic
Injuries
Traumatic injury
- patient assessment
- shock etc.
- patient support including fluid therapy,
use of blood products
Open wounds including bite wounds, gunshot wounds
Open wound management
- initial management
- dressings
- closure
Wound infection
Skin closure techniques
- tension relieving techniques
- skin flaps
- skin grafts
Traumatic herniae | | Module
4 | Principles
of Orthopaedic Surgery
Examination for lameness
Differential diagnosis
for lameness
Biology and biomechanics in fracture repair
Decision making
in fracture management
Fracture assessment score
Bridging osteosynthesis
Open fractures
Useful common surgical approaches to bones and joints
Complications
of fracture repair
Bone grafting
Removal of implants
External coaptation |
| Module
5 | Surgery
of the Gastrointestinal Tract
Diagnostic methods
The upper gastrointestinal
tract -
surgery of the oropharynx
- surgery of the oesophagus The
middle gastrointestinal tract -
surgical approaches
- principles of surgery
- the stomach
- the
small intestine
- the liver and biliary system
- surgery of the pancreas
The
lower gastrointestinal tract -
colorectal surgery
- perineal disorders |
| Module
6 | Applied
Orthopaedic Surgery
Techniques of internal fixation
- external skeletal fixation
- screws
- plates
- intramedullary pins
- orthopaedic wires Fracture
repair -
diaphyseal fractures
- physeal fractures
- metaphyseal fractures
-
intra-articular fractures
- flat bone fractures Muscles
and tendons -
surgical anatomy
- mechanism of healing
- principles of treatment
- selected surgical conditions of tendons and muscles Ligaments
- surgical anatomy
- mechanism of healing
- principles of treatment
- selected surgical conditions
of ligaments
Other bone conditions | | Module
7 | Surgical
Diseases of the Respiratory and Cardiovascular Systems Respiratory Tract
- Anatomy and physiology
The upper respiratory tract
- Squamous cell carcinoma
- Brachycephalic obstruction syndrome
- Chronic
sinusitis
- Laryngeal paralysis
- Nasal neoplasia
- Nasal mycoses
The lower respiratory tract
- Thoracotomy
- Thoracic drainage
- Surgical diseases of the airways
- Surgical diseases of the lung parenchyma
- Surgical diseases of the chest
wall
- Surgical diseases of the pleural cavity
Cardiovascular system
- Diagnostic aids
- Principles of cardiovascular surgery
- Management
of congenital heart problems
- PDA, pulmonic stenosis, septal defects, tetralogy of Fallot, persistent right
aortic arch -
Acquired problems -
heartworm, diseases of the conduction system, pericarditis, neoplasia |
| Module
8 | Surgical
Diseases of the Skin, Eye, Ears, Haemolymphatic and Endocrine Systems
Selected
skin conditions
Selected ear conditions
Selected eye conditions
Lymphatics
The spleen
Adrenal gland
Pituitary gland
Thyroid gland
Parathyroid
gland
Endocrine pancreas | | Module
9 | Surgical
Conditions of the Spine
Neurological examination and functional neuroanatomy
Intervertebral disc disease
Caudal cervical spondylomyelopathy (Wobbler)
Traumatic vertebral fractures/luxations
Degenerative lumbosacral compressive
disease (cauda equine syndrome)
Atlantoaxial instability
Fibrocartilaginous
embolism | | Module
10 | Urogenital
Tract Surgery
Surgical anatomy of the urogenital system
Principles
of urogenital tract surgery
Diseases associated with:
- urinary tract trauma
- dysuria/Haematuria
- urinary Incontinence |
Reading
List Textbooks
1. Slatter D
Textbook of Small Animal Surgery. Saunders, 2nd Edition,
1993
2. Fossum TW
Small Animal Surgery. Mosby, 1997 Useful
References
1. Brinker WO, Piermattei DL, Flo GL. Handbook of
Small Animal Orthopaedics and Fracture Treatment. Saunders, 3rd Edition, 1997
2. Piermattei DL. An Atlas of Surgical Approaches to the Bones
and Joints of the Dog and Cat. Saunders, 3rd Edition, 1993
3.
Wheeler SJ, Sharp NJH. Small Animal Spinal Disorders - Diagnosis and Surgery.
Mosby 1994
4. Withrow SJ, MacEwen EG. Small Animal Clinical
Oncology. Saunders, 2nd Edition, 1996
5. Bojrab MJ. Disease
Mechanisms in Small Animal Surgery. Lea and Febiger, 2nd Edition, 1993
6. Bojrab MJ. Current Techniques in Small Animal Surgery.
Williams and Wilkins, 4th Edition, 1997
7. Swaim SF. Small
Animal Wound Management. 2nd Edition, 1997 Journals
Veterinary Surgery - this journal is useful to have if you want cutting
edge information on surgery.
Journal of Small Animal Practice
Veterinary
Comparative Orthopaedics and Traumatology
Veterinary Clinics of North America
(Small Animals)
Compendium of Continuing Education - this journal is useful
to have if you want general information on surgery.
Journal of the American
Animal Hospital Association
Publications
can be purchased from:
www.amazon.com
OR
PVP Publications,
PO Box 112, Seaforth NSW 2092 and
67 Peacock
Street, Seaforth NSW 2092
Tel & Fax: (02) 9948 4605 |
Technical requirements for online study
Technical requirements for online study WebCT is a software program developed in Canada which provides a platform and a set of web course teaching tools for online learning. As an introduction to the online learning environment The Post Graduate Foundation in Veterinary Science is using this platform to give you access to your course online. This medium will allow you to access your course and participate in online discussions with other participants and your tutor via a computer, a modem and a web browser, such as Netscape or Internet Explorer.
To optimise your use of WebCT for online learning we recommend the following specifications: http://www.pgf.edu.au/disted/index.cfm#technical
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