CHAIR OF

SURGERY I
 INDEX
INDEX..........................................................................................................................................................................................................2
1. TEACHERS OF THE CHAIR OF SURGERY I..................................................................................................................................4
2. GENERAL DATA................................................................................................................................................................................4
3. JUSTIFICATION..................................................................................................................................................................................5
4. OBJECTIVES OF THE CHAIR...........................................................................................................................................................5
5. COMPETENCES..................................................................................................................................................................................5
6. EVALUATION SYSTEM....................................................................................................................................................................6
7. BIBLIOGRAPHY.................................................................................................................................................................................6
Lecture texts:.............................................................................................................................................................................................6
Texts and reference magazines:................................................................................................................................................................7
8. ANALYTICAL PLAN..........................................................................................................................................................................7
Chapter 1...................................................................................................................................................................................................7
Episode 2...................................................................................................................................................................................................7
Chapter 3...................................................................................................................................................................................................7
Chapter 4...................................................................................................................................................................................................7
Chapter 5...................................................................................................................................................................................................7
Chapter 6...................................................................................................................................................................................................7
Chapter 7...................................................................................................................................................................................................8
Chapter 8...................................................................................................................................................................................................8
Capitulo 9..................................................................................................................................................................................................8
Chapter 10.................................................................................................................................................................................................8
Capitulo 11................................................................................................................................................................................................8
Capitulo 12................................................................................................................................................................................................8
 Capitulo 13................................................................................................................................................................................................8
Capitulo 14................................................................................................................................................................................................9
Capitulo 15................................................................................................................................................................................................9
Capitulo 16................................................................................................................................................................................................9
Capitulo 17................................................................................................................................................................................................9
Capitulo 18................................................................................................................................................................................................9
Chapter 19.................................................................................................................................................................................................9
Chapter 20.................................................................................................................................................................................................9
Capitulo 21................................................................................................................................................................................................9
9. THEORETICAL PROGRAMMING..................................................................................................................................................11
10. PRACTICAL PROGRAMMING...................................................................................................................................................22
11. MANAGEMENT CALENDAR 2013.................................................................................................................................................29
12. SOCIAL INTERACTION....................................................................................................................................................................31
1. TEACHERS OF THE CHAIR OF SURGERY I

• Dr. Ramiro Pary Montecinos

• Dr. José Antonio Martinez I.
• Dr. Roberto Mantilla Mena
• Dr. Miguel Inchauste Rioja
• Dr. Ramiro Pinilla Lizarraga
• Dr. Edgar Villarroel Argote
2. GENERAL DATA
Name of the Chair Surgery I “Surgical technique”
Theoretical Hourly Load 40 Hours (Lectures)
Practical workload 124 hours (72 hrs. Cabinet; 12 hours Education at work; 40 hours Independent work)
Total Hourly Load 164 hours
Acronym UMSA CIR I
UNESCO Code 3213 – 99 Surgery. Surgical technique
Year or course in which
Third year - Third course
it is taught
3. JUSTIFICATION
This chair constitutes a fundamental pillar in the teaching of surgery, being that it generates initial surgical knowledge in the student of
all the techniques, procedures and surgical maneuvers that are necessary for adequate performance in the area of surgery, this
within the framework of the professional profile of the future medical graduate.

4. OBJECTIVES OF THE CHAIR

GENERAL OBJECTIVE OF THE CHAIR OF SURGERY
Contribute to the surgical training of the future practical general practitioner, with the ability to perform basic and frequent surgical
maneuvers and interventions.

SPECIFIC OBJECTIVES OF THE CHAIR OF SURGERY

• Motivate the study of SURGERY as a basic discipline of medicine, with the contents of each topic.
• Achieve the acquisition of skills and abilities in minor surgery procedures
• Train the student in performing surgical maneuvers or techniques common to all surgery.
• Enable the student to perform “minimal operations” according to the prevalent pathology of the country.
• Develop visual perception of the most common minor surgery procedures.
• Clinically apply the knowledge acquired in each topic. Guide your behavior in cases of hospital and extra-hospital
emergencies.
• Carry out periodic evaluation of the subject to establish adjustments for improvement in its development, with the participation
of teachers and students

5. COMPETENCES
The student at the end of the module:
 • They apply, develop and present, in a personalized manner, basic and frequent maneuvers and surgical interventions.
• They apply their own knowledge, abilities, skills and attitudes for application in situations that require basic surgical maneuvers
in minor surgery and frequent major surgeries.
• They acquire an ethical and critical attitude towards the use of the various components of the general surgical technique.

ABILITIES AND/OR SKILLS TO DEVELOP IN THE STUDENT

• Train the student in performing surgical maneuvers or techniques common to all surgery.
• Achieve the acquisition of skills and abilities in minor surgery procedures
• Enable the student to perform "minimal operations" according to the prevalent pathology of the country.
• Develop visual perception of the most common minor surgery procedures.
• Guide your behavior in cases of hospital and extra-hospital emergencies.

6. EVALUATION SYSTEM
Diagnostic At the beginning of each practice
Of process Partial exams
Results Final practical exam and final theoretical exam.
Others Execution of a research protocol and execution thereof.

7. BIBLIOGRAPHY.
Lecture texts:
Surgical technique Pary, Zabala, Endara
Hospital and office practice manual Pary R.
Texts and reference magazines:
Surgical technique Christmann, Ottolenghi, Raffo, Von Grolman
Perioperative medical care T. Takahashi, G. Dominguez
Surgical procedures Oxford GR McLatchie, DJ Leaper

8. ANALYTICAL PLAN
Chapter 1
Generalities.- Introduction.-Surgical technique.- Historical development of surgery in the world.- History of surgery in Bolivia.-
Relationship of surgery with the clinic.- Study of surgery in the undergraduate degree.- Current state of the surgery in Bolivia.-
Research methodology in surgery.- Basic surgical terminology, surgical semiology.

Episode 2
Bandages and bandages.- Introduction.- Parts of a bandage and a bandage.- Dimensions and suitability of bandages.- Classification of
bandages.- Classification of bandages.- Indications of bandages.- Principles, conditions and recommendations for carrying out a good
bandage.- Specific bandages for the different body segments.- Complications of bandages. Splints, their application in emergencies.

Chapter 3
Asepsis and antisepsis.- Antiseptic.- Sterilization.- Disinfection.- Sanitization.- Ideal characteristics of an antiseptic.- Classification of
antiseptics.- Alcohols.- Esters.- Aldehydes.- Phenols.- Halogenated derivatives.- Surface agents. - Heavy metals.- Oxidizing agents.-
Sterilization methods.- Heat.- Gases.- Immersion.- Radiation.- Filtration. Biosecurity.- Protective barriers.

Chapter 4
Surgical environments.- Surgical pavilion.- Reception.- Admission.- Pre-anesthesia room.- Preoperative hand washing area.-
Operating room.- Recovery room.- Sterilization room.- Nursing station.- Supply room .- Surgical center waste room.- Intensive care
unit.- Laboratory and maintenance.

Chapter 5
Surgical instruments.- Nomenclature.- By function.- By structure and construction.- Parts of an instrument.- Classification by functional
groups.- Isolation instruments.- Umlaut instruments.- Dissection instruments.- Graspion instruments. - Hemostasis instruments.-
Exploration instruments.- Exhibition instruments.- Synthesis instruments.- Special instruments.- Manufacturing of surgical instruments.-
Arrangement of basic instruments on the Mayo table.- Mimic language. Instruments in video-assisted surgery.

Chapter 6
Probes and probes.- Principles of operation of a probe.- Classification of probes.- Specific use by organic system.- Respiratory
system.- Digestive system.- Urinary system.- Nervous system, Gynecological system.- Cardiovascular system.- Use in ophthalmology.-
Use in otorhinolaryngology.- Indications for the use of probes.- Characteristics of an ideal catheter.- Placement of the most frequently
used probes.- Installation of intravenous catheter.

Chapter 7
Preoperative.- Preoperative times.- Preoperative care.- Surgical risk.- Surgical risk index.- High risk patient.- Patient preparation.-
Preoperative the day before.- Emergency preoperative.

Chapter 8
The surgical act.- Surgical clothing and its characteristics.- Surgical washing and brushing.- Surgical equipment or team.- Functions of
the components of the surgical team.- Operative field.- Antisepsis of the operating field.- Delimitation of the surgical field.- The
operation.- Types of operation.- Surgical times and maneuvers.- Operative protocol.- Writing the operating protocol.

Capitulo 9
Umlaut and tissue dissection.- Umlaut.- Incision.- Dissection.- Divulsion.- Master umlaut.- Basic requirements for incisions.- Thoracic
access routes.- Abdominal access routes.

Chapter 10
Hemostasis.- Classification of hemorrhages.- Temporary hemostasis.- Temporary hemostasis methods.- Definitive hemostasis.-
Definitive hemostasis methods.

Capitulo 11
Drains and drains or drainage.- Classification of drains.- Conditions for good drainage.- Indications for drainage.- Drain installation.-
Permanence and number of drains.- Drainage mechanism.- Drain placement technique.- Management of drains.- Complications of
drains.- Removal of drains.

Capitulo 12
Synthesis of soft tissues.- Synthesis instruments.- Suture material.- Requirements for choosing threads.- Coding of suture material.-
Classification of suture material.- Resorbable threads.- Non-resorbable threads.- Process of obtaining some synthetic threads.-
Metallic threads.- Monofilament, multifilament threads.- Classification of sutures.- Suture points.- Conditions for a good suture.- Knots.-
Types of synthesis.- Complications of synthesis.- Aesthetic suture. - Synthesis with agrafes and staples.- Removal of points and
agrafes. Knots in video-assisted surgery. Mechanical suture, bone tissue synthesis, screw plates

Capitulo 13
Videoscopic surgery.- History.- Present.- Future.- Physical principles of videoscopy.- Components of video surgery equipment.-
Videoscopic surgery instruments.- Operating room for videoscopic surgery.- Anesthetic control of the patient.- Clinical application of
video surgery. .

Capitulo 14
Postoperative.- Division by elapsed time.- Normal postoperative.- Postoperative orders.- Postoperative control.- Drainage control. Tube
control.- Control and management of fluids and electrolytes.- Diet restoration.- Complicated postoperative period.- Residual.-
Recurrence.- Immediate complications.- Mediate complications.- Late complications.- Physical medicine and rehabilitation.- Enteral
feeding. .- Parenteral feeding.

Capitulo 15
Parenteral routes of treatment.- Venoclysis.- Complications of parenteral administration.

Capitulo 16
Treatment of wounds.- Accidental wounds.- Classification of accidental wounds.- Surgical wounds.- Emergency response to a wound.-
Treatment of wounds in the hospital.- Bites.- Healing.

Capitulo 17
Minor surgery and surgical crafts.- Tracheotomy and Tracheostomy.- Thoracocentesis.- Minimal thoracotomy.- Laparocentesis.-
Cystocentesis.- Bladder size.- Lumbar puncture.- Pericadiocentesis.- Puncture and catheterization of deep veins.- Venous
denudation.- Biopsy. - Extraction of ingrown toenail. - Removal of cysts, granulomas, nevi, etc. - Drainage of abscess and phlegmon. -
Discharge incisions for compartment syndrome.

Capitulo 18
Basic notions of special surgical technique.- Head and neck surgery.- Thoracic and cardiovascular surgery.- Digestive surgery.-
Trauma surgery.- Urological surgery.- Obstetric and gynecological surgery.- Ophthalmological surgery.- Otorhinolaryngological
surgery.- Peripheral vascular and lymphatic surgery .- Organ transplant.

Chapter 19
Ambulatory major surgery. Definition, Objectives of CMA, patient selection, Area of CMA, Advantages, most frequent procedures in
CMA, impact of CMA.

Chapter 20
Microsurgery. Physical principles, Instrumental applications in surgical specialties. Robotic Surgery, historical background,
Cybernetics. Robotics. Applications of telesurgery in the surgical clinic. The future, microsurgery and nanosurgery.

Capitulo 21
Ethics and surgery. Codes of ethics. Euthanasia. Genetic engineering and ethics. Bioethics.
Surgical research and ethics.

THEMATIC PLAN, RELATIONSHIP OF HOURS AND TEACHING FORMS

ISSUE CONFERENCE SEMINARS PRAC. GABIN. EDUC. JOB JOB INDEP. TOTAL
1. GENERALITIES 2 2 4
2.-RESEARCH METHODOLOGY
1 2 4
3.- SURGICAL TERMINOLOGY 1 1 2 5
4. BANDAGES AND BANDAGES 2 1 6 2 11
5. ASEPSY, ANTISEPSY, STERILIZATION
1 2 1 1 6
6. SURGICAL ENVIRONMENTS 2 1 2 1 2 8
7. SURGICAL INSTRUMENTS 2 1 4 1 2 10
8. PROBES AND DRILLINGS 2 1 4 1 2 10
9. PREOPERATIVE 2 1 4 1 8
10. SURGICAL ACT 2 1 4 1 2 10
11. DIUMLAUM AND TISSUE DISSECTION 2 4 2 8
12. HEMOSTASIA 2 1 4 2 9
13. DRAINS AND DRAINS 2 1 4 1 2 10
14. TISSUE SYNTHESIS 2 1 4 1 2 10
15. VIDEOSCOPIC SURGERY 1 4 1 6
16. POSTOPERATIVE 2 1 4 1 8
17. TREATMENT OF WOUNDS 1 4 1 2 9
18. EMERGENCY SURGICAL
2 6 1 2 11
PROCEDURES.
19. BASIC PRINCIPLES OF SPECIAL
2 2 4
SURGICAL TECHNIQUE.
20. MICROSURGERY, TELE SURGERY,
1 2
ROBOTIC CIR, OUTPATIENT SURGERY
21. ETHICS IN SURGERY, BIOETHICS 1 1 2
TOTAL 34 12 62 12 40 158
EVALUATION: FREQUENT YEAH YEAH
PARTIAL EVALUATION 3 3
PRACTICAL END. OSCE 2 2
THEORETICAL ENDING 1 1
TOTAL HOURS 40 12 62 12 40 164
SUMMARY of working hours of surgery chair I

Theoretical classes:40 Hours: Conferences

124 Hrs.: 72 Hrs. Cabinet and seminars
Practical classes: 12 Hrs Education at work (HOSPITAL)
40 hours Independent work
TOTAL164 hours
EXAMS (partial and final) 6 hours

9. THEORETICAL PROGRAMMING
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment
Goals:
Develop in the student an interest in
Definition of Surgery, Semiology and
surgery by relating it to other clinical
Surgical Technique.- Concept of
disciplines
Surgical Technique and Strategy.-
Knowledge: Historical relationship of surgery in the
For problem Audiovisuals, Multiple choice,
1-2 GENERALITIES Surgery in its historical, world and in Bolivia.- Importance of
solving Data show short answers.
epidemiological, clinical, therapeutic surgery.- Relationship with clinical
component and its development in disciplines.- Current state of surgical
Bolivia. treatment. - Surgical specialties in
Attitudes: Bolivia and their projections.
Skills:
Acquire knowledge
Definition of cyst, tumor. Goiter,
inguinal, femoral, umbilical, lumbar
Objectives: Determine the hernia abscess,
appropriation of surgical terms and Acute abdomen.
lexicon using real and/or artificial Varicose veins, hemorrhoids
models at a productive level. Abdominal palpation For problem
Blumberg sign, Geneau de Mussi sign solving Audiovisuals, Multiple choice,
BASIC SURGICAL Knowledge:
Fracture, dislocation. Data show short answers.
TERMINOLOGY Surgery in its component of basic
surgical semiology Attitudes:
3-4 Skills:Acquire knowledge
Research methodology applied to Preparation of
Investigation Objective: Develop in the student an
surgical clinic research
methodology interest in research in surgery Troubleshootin
Tutorships protocol.
Knowledge: Appropriation of the g
formulation of a research protocol
Attitudes: Critical thinking Skills:
Formulate a research protocol.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment
Objectives: Train the student in the
clinical use of bandages in real and
Content:
modeled situations at a productive
Concept of bandage and bandage.-
level.
Types of bandages.- Classification of Data show,
Knowledge: Multiple choice
BANDAGES AND bandages.- Important bandages and For problem Slides, Models,
5-6 Bandages and bandages frequently Short answers
BANDAGES frequently used in daily practice.- solving. simulated
used in clinical practice. ECOE
Bandages of the different body patients Videos
Skills:
segments.- Special bandages-
Perform bandages in simulated
triangular, tie, etc.
situations, make splints in emergency
situations.
Goals:
Develop in the surgical block in real
and artificial situations at a productive
level
Content:
Knowledge:
Generalities.- Surgical inpatient units.
Surgical inpatient unit, surgical block, Slides Models Multiple choice
SURGICAL Its characteristics.- The surgical block For problem
7-8 characteristics, equipment and Operating short answers
ENVIRONMENTS and its dependencies.- The operating solving.
operation. Room. Videos ECOE
room. Features and equipment.
Skills: Functioning.
Identify and function in each of the
surgical environments in a real
situation.

Content:
Goals General concepts.- Antiseptic
Apply asepsis, antisepsis, sterilization solutions.- Sterilization methods
ASEPSY, ANTISEPSY, and disinfection in the clinic, using real (physical, chemical).- Preparation of
Audiovisuals: Multiple choice
STERILIZATION AND and/or artificial models at a productive surgical material and sterilization For problem
9 Antiseptic short answers.
DISINFECTION. level Knowledge: methods according to their nature.- solving.
Slides. videos ECOE.
BIOSECURITY Asepsis antisepsis sterilization and Boxes, drums, packages.
disinfection in its clinical and Biosafety: Universality, use of
therapeutic epidemiological protective barriers and management of
component. Protective barriers Skills: biological waste.
Clinical application.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment
Goals
Develop the ability to identify and know
the use of surgical instruments in a Content:
real situation at a productive level General considerations.-
Knowledge: Classification.- Description of the
Surgical Multiple choice
10 SURGICAL Surgical instruments in their clinical different types of instruments.- Their For problem
Instrument short answers.
11 INSTRUMENTS and therapeutic component. proper use.- Their care and solving.
Slides. Videos ECOE.
conservation.- Techniques for their
Skills: sterilization.- Standard layout on the
Handle surgical instruments correctly. instrumentation table.- Endoscopic
surgery instruments.- electromedical
devices in surgery.

Goals
Apply frequently used probes in the Content:
clinic in a real and/or modeled situation General concepts.- Classification.-
Slides Probes Multiple choice
12 PROBES AND at a productive level. General indications for use.- Main For problem
Models Patients. short answers.
13 SURVEYS Knowledge: frequently used probes.- Placement solving.
Videos ECOE.
Probes and probes in their clinical and techniques and their handling.-
therapeutic component. Skills: Drilling.- Types of drilling.
Identify the most frequently used
probes and apply to the patient.

Contents:
Apply preoperative in the clinic using Definition.- Classification according to
real and/or artificial models at a different points of view.-
productive level. Comprehensive assessment of the
Knowledge: patient. Nutritional assessment.
Slides Data
Preoperative in its epidemiological Dietary regimen, psyche. General Multiple choice
14 For problem show Patients
PREOPERATIVE clinical, social, therapeutic and preparation of organs and devices. short answers.
15 solving. Medical visit
rehabilitation component. Use of fluids, electrolytes and ECOE.
Videos
antibiotics. Operative risk.
Skills: Preoperative in high-risk patients.
Become familiar with the surgical Preoperative the day before, aseptic
patient. dressing, placement of probes.
Preoperative authorization.
Preoperative in video assisted surgery.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment

Content:
Goals Surgical clothing, its characteristics.-
Hand washing, its importance.- The
Apply the concepts of a surgical act in
operating team, its components.- Its
a real situation at a productive level.
Knowledge: functions and standards.-
Slides Models, Multiple choice
16 Synchronized surgical team.-
Surgical clothing, surgical equipment, For problem
SURGICAL ACT Operating Room short answers.
17 their functions. Extraordinary personnel in the solving.
Models. Videos ECOE.
operating room.- Location of the
Skills: equipment according to the varieties.
Develop the functions of the members of operation.- Antisepsis of the
of the surgical team. operating field.- The surgical cloths or
fields.- Compresses, their use.- The
operation itself.

Goals
Apply clinic using artificial and real
models at a productive level.
18 DIERESIS AND TISSUE Knowledge:
19 DISSECTION Clinical and therapeutic
epidemiological component
Skills:
Perform umlauts in artificial models
and experimental animals.
Content:
Generalities.- Macro and micro
Slides Artificial
dissection.- Dissection of healthy and
models Animal Multiple choice
pathological tissues.- Use of For problem
models (real short answers.
instruments according to the operative solving.
comparative) ECOE.
plan and time.- Master umlaut.-
Videos
Umlaut on a grooved probe.- Umlaut
with electro scalpel.- Acute, blunt and
mixed.- Concept of Cleavage plane.-
Debridement.- Divulsion and scraping.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment

Content:
Generalities.- Classification.-
Temporary hemostasis.- Smartch
bandage and tube. Pneumatic cuff.-
Aim:
Tourniquet.- Digital compression.-
Know hemostasis methods and apply
Compressive tamponade.- Use of
them in the clinic in real and/or
vasoconstrictors.- Hydrogen peroxide.-
modeled situations at a productive
Warm physiological solution.- Slides Artificial
level. Multiple choice
20 Definitive hemostasis.- Absorbable For problem models. Real
HEMOSTASIA Knowledge: short answers.
21 gelatin, oxygenated cellulose and solving. models.
Hemostasis in its clinical and ECOE.
other hemostatics.- Use of Videos
therapeutic component.
anthologous tissues (muscle, adipose)
Skills: and heterologous (beeswax).- Thermal
Perform hemostasis coagulation (thermocautery).-
Electrical coagulation
(galvanocautery).- Use of forceps
(torsion, angiotripsy).- Simple
ligations.- Transfixion ligations.-
Hemostatic sutures (helical, purse ).

Goals: Content:
Apply clinical drainage in real and General concepts.- Classification.-
modeled situations at a productive Drainage of superficial planes.- Slideshow.
level. Drainage of natural cavities.- Drainage Artificial models Multiple choice
22 For problem
DRAINS AND DRAINS Knowledge: of dead spaces.- Placement, Real models short answers.
23 solving.
Drains and drains in their clinical and exteriorization and anchoring Probes. ECOE.
therapeutic component. techniques.- Management and Patients. Videos
postoperative care.- Removal of
Skills: drains.- Complications.
Install, check, and remove a drain.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment
Content:
General concepts.- Use of suturing
Goals instruments according to the operating
Apply different types of suture in the plane, quality and depth of the
surgical clinic in real and/or artificial tissues.- Suture material,
situations at a productive level. classification.- Appropriate use in
Knowledge: relation to the tissue.- Conditions of a
Tissue synthesis in its epidemiological, good suture. .- Variety of sutures,
clinical, therapeutic and rehabilitation mass, continuous, etc.- surgical knot Slides, Artificial Multiple choice
24 component. For problem
TISSUE SYNTHESIS and its varieties, digital, instrumental Models and short answers.
25 Knowledge of mechanical suture solving.
and mixed.- Techniques for its Real Videos ECOE.
elements. execution.- extraction of points.-
Knowledge of osteosynthesis methods Concepts of aesthetic suture, its
and materials varieties.
Other synthesis methods: staples,
Skills:
metal clips, mechanical suture, metal
Perform tissue synthesis, control and
osteosynthesis elements.
remove stitches
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment

Content
Physical foundations of video
Goals
surgery. Basic team .
Interpret the advantages and
Instrumentation used.
disadvantages of videoscopic surgery
using real and/or artificial models at a Clinical applications:
productive level. - laparoscopic surgery,
Knowledge: - thoracoscopic surgery, TV video slides. Multiple choice
SURGERY For problem
2627 Physical foundations, components, - arthroscopy, Instrumental. short answers.
VIDEOSCOPIC solving.
surgical instruments and clinical - in urological surgery, Videos ECOE.
applications. - in gynecological surgery
- Neurological surgery
Skills:
- in pediatric surgery.
Become familiar with videoscopic
Other apps.
surgery.
acuscopic surgery

Single port surgery

 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment

Definition. Division according to time

and evolution.- Stay in the recovery
room. Position and transfer of the
patient. Control of vital signs. Control
of dressings, drains and catheters.
Postural changes and early
Goals mobilization of the patient. Cephalo-
Apply the postoperative period to the caudal semiological examination,
surgical patient through promotion, control of emuntoria, body hygiene.
prevention, treatment and rehabilitation Parenteral solutions and antibiotics.
in a real situation and/or modeled at a Pre-installation of the diet, different Slides Real
productive level. types of diet, nutritional requirements, model Modeled Multiple choice
For problem
2829 POSTOPERATIVE Knowledge: the complicated postoperative period, situation. short answers.
solving.
Postoperative in its epidemiological, concepts of recurrence and residual. Patient. ECOE.
clinical, social, therapeutic and Immediate complications: general Videos
rehabilitation component. complications, hydroelectrolyte
Skills: imbalance, shock, other complications.
Evaluate the general conditions of the Mediate complications: Febrile
patient after surgery. syndrome, complications of the
surgical wound, complications.
cardiocirculatory, respiratory, renal,
gastrointestinal. Residual abscesses,
other complications.
Remote complications. Physical
medicine and rehabilitation in the
surgical patient. Respiratory
kinesitherapy, massage therapy,
Assisted mobilization. Postoperative in
videoscopic surgery.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment
Diagnose and treat different types of
wounds in real and/or modeled
situations at a productive level.
Content:
Knowledge:
Wound concept, classification.-
Wounds in their epidemiological,
Operative wound.- Healing of Slideshow. Multiple choice
30 clinical, social, therapeutic and For problem
Wound treatment wounds.- Healing material.- Healing Patients. Models short answers.
31 rehabilitation component. solving.
techniques.- Cleaning, washing and Videos ECOE.
Skills: debridement of wounds.- Conduct in
Diagnose and treat. emergencies.

Goals
Apply a surgical procedure in an
emergency on real and/or artificial
models at a productive level.
Knowledge: Content:
Emergency surgical procedure in its Drainage of abscesses.- Denudation Slideshow.
EMERGENCY epidemiological, clinical, social, and venous catheterization.- Videos. Multiple choice
32 For problem
SURGICAL therapeutic and rehabilitation Percutaneous catheterization.- Main Laboratory. Real short answers.
33 solving.
PROCEDURES component. veins used.- Parenteral administration animal model. ECOE.
of drugs.- Suitable areas for puncture Videos
Skills: injections.- Phleboclysis.
Carry out emergency surgical
procedures.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment
Content:
Concepts of centesis, tomy, raphia,
ostomy, ectomy, plasty, anastomosis,
oscopy, pexy, desis, stasis, lysis,
clasia..- Laparotomy.-
Goals Laparocentesis.- Thoracotomy.-
Apply surgical terms and lexicon Thoracocentesis.- Craniotomy.-
through the promotion, prevention, Biopsy.- Thyroidectomy,
treatment and rehabilitation using real pneumonectomy, valvular
and/or artificial models at a productive commissurotomy, pericardiectomy, Slideshow.
BEGINNING
Videos. Multiple choice
34 BASICS OF SURGICAL level. herniorrhaphy, appendectomy, For problem
Knowledge: Patients. short answers.
35 TECHNIQUE cholecystectomy, gastrostomy, solving.
Special surgical technique, in its Models. ECOE.
SPECIAL colectomy, colostomy, nephrectomy,
clinical component. Videos
hysterectomy, cesarean section,
osteosynthesis, amputations,
Skills:
disarticulations, tendinorrhaphy,
Creativity in the face of new and
neurorrhaphy.
unknown situations.
Biosecurity; definition of risks in
surgery AIDS, infections, stress,
irradiation, anesthetic toxicity. World
and Bolivian legislation.

Goals
Apply surgical terms, lexicon, and
cutting-edge technology through Content
promotion, prevention, treatment, and Definition of microsurgery,
rehabilitation in situations using real instruments, optical systems
MICROSURGERY, and/or artificial models at a productive Magnifying glasses and microscopes.
Slideshow.
ROBOTICS TELE level. Clinical applications of microsurgery. Multiple choice
For problem Videos. Patient
36 SURGERY, MAJOR Mechanics, Quantum, robotics. Robot short answers.
Knowledge solving. Models.
OUTPATIENT for medical use, Da Vinci Robot. ECOE.
Cutting-edge surgical technology Videos
SURGERY. Tele surgery, remote transmission
systems. fiber optic Definition of major
Skills outpatient surgery. Clinical
Creativity in the face of new and applications.
unknown situations.
 No. Objectives, knowledge Attitudes, Teaching
Issue Contents Learning media Learning
Sem. skills method
Assessment

Goals
Apply medical surgical values through Content
promotion, using real and/or artificial Philosophical definitions of morals,
ETHICS IN SURGERY. models at a productive level. ethics. Medical deontology. For problem Videos. Multiple choice
37
BIOETHICS Ancient and current codes of ethics. solving. Patients. short answers.
Knowledge
Ethics in biomedical research.
Ethics in its historical, philosophical,
Bioethics and surgery
clinical, therapeutic component and its
development in Bolivia.
Skills:
Acquire knowledge

10. PRACTICAL PROGRAMMING

No. Objectives, Knowledge, Teaching Learning Practice
Issue Contents Learning
Sem. Attitudes, skills method media location
Assessment
 No. Objectives, Knowledge, Teaching Learning Practice
Issue Contents Learning
Sem. Attitudes, skills method media location
Assessment
Objectives determine with the
surgical block and contact with
the patient.

Knowledge: Characterization Contents

of the environments of the Characteristics and equipment By problem Real model Student
KNOWLEDGE OF
surgical block and the of the different areas of the solving Modeled performance in
1 SURGICAL Hospital
sterilization room; sterilization surgical block and surgical Teaching at situation. the surgical
ENVIRONMENTS.
methods. inpatient units. work Patient block
Operation of the surgical block.
Skills
Getting around in the surgical
block.

Goals:
Acquire the skill of properly
dressing surgical clothing.

Knowledge
Technique for dressing
pajamas, Technique for
washing and drying hands, Demonstration:
Technique for dressing gown Contents:
The student
and gloves. How to wear pajamas Pre- By problem
Real model must carry out
SURGICAL TOILETTE surgical hand washing solving Hospital and
1 Modeled the procedures
AND CLOTHING Skills technique. Teaching at cabinet
situation. alone, under the
Perform surgical hand washing Clothing technique. work
supervision of
Wear surgical clothing properly Surgical glove fitting technique. the teacher.
Put on surgical gloves
Folding a surgical gown
Packing gloves for sterilization
 No. Objectives, Knowledge, Teaching Learning Practice
Issue Contents Learning
Sem. Attitudes, skills method media location
Assessment
GOALS:
Learn the correct preparation
of the operating field (the
canvases and the poncho).
Learn the position of each
member of the surgical team,
and how the team works.
Contents The student
TEAM OR SURGICAL Knowledge Functions of the By problem
Surgical field installation Real model must act in the
EQUIPMENT AND surgical team solving Cabinet
2 technique. Modeled roles of each
PLACEMENT OF Teaching at and hospital
Skills: Functions of each member of situation. member of the
SURGICAL FIELDS work
Develop the functions of each the surgical team. surgical team.
member of the surgical team in
a modeled situation

Goals
Develop the ability to identify
and know the use of surgical Content:
instruments in a real situation Classification.- Functional
at a productive level groups. Description of the
different types of instruments.-
By problem
KNOWLEDGE AND Knowledge: Their proper use.- Their care Real model
solving Correct use of
2 USE OF SURGICAL Surgical instruments in their and conservation.- Techniques Modeled Cabinet
Teaching at instruments.
INSTRUMENTS. clinical and therapeutic for their sterilization.- Standard situation.
work
component. layout on the instrumentation
table.- Endoscopic surgery
Skills: instruments.- Electromedical
Handle surgical instruments devices in surgery.
correctly.
 No. Objectives, Knowledge, Teaching Learning Practice
Issue Contents Learning
Sem. Attitudes, skills method media place
Assessment

Content:
Goals General concepts.- Use of
Apply different types of suture suturing instruments according
in the surgical clinic in real to the operating plane, quality
and/or artificial situations at a and depth of the tissues.-
productive level. Execution of
Suture material, classification.-
Knowledge: By problem surgical knots
EXECUTION OF Appropriate use in relation to Real model
Forms of execution of knots solving Cabinet and
3 SUTURES AND the tissue.- Variety of sutures, Modeled
and sutures. Teaching at Hospital Correct
SURGICAL KNOTS mass, continuous, etc. .- situation.
Tissue synthesis in its work execution of a
surgical knot and its varieties,
epidemiological, clinical, suture.
digital, instrumental and
therapeutic and rehabilitation mixed.- Techniques for its
component. execution.- stitch extraction.-
Concepts of aesthetic suture,
Skills:
its varieties.
Perform tissue synthesis,
control and remove stitches.
Goals
Apply frequently used probes
in the clinic in a real and/or
Content:
modeled situation at a
General concepts.-
productive level.
Classification.- General By problem
Knowledge: Real model Correct use of
KNOWLEDGE AND indications for use.- Main solving
3 Probes and probes in their Modeled Cabinet frequently used
USE OF PROBES frequently used probes.- Teaching at
clinical and therapeutic situation. probes.
Placement techniques and their work
component.
handling.- Drilling.- Types of
Skills:
drilling.
Identify the most frequently
used probes and apply to the
patient.
 No. Objectives, Knowledge, Teaching Learning Practice
Issue Contents Learning
Sem. Attitudes, skills method media place
Assessment
Goals:
Train the student in the
administration of large volume
Content
solutions parenterally
Surface anatomy of the Demonstrate
Knowledge: forearm veins. that you can
PARENTERAL Solution administration Venipuncture techniques. By problem perform an
Real model
ADMINISTRATION OF techniques: venoclysis, central Subclavian Catheter solving infusion,
4 Modeled Cabinet
LARGE VOLUME venous catheter, osteoclysis, Technique. Teaching at calculate
situation.
SOLUTIONS Hydroelectrolyte solutions work hydroelectrolyte
Skills Basal requirement for water replacement.
Perform an infusion in real and electrolytes. Calculate drip
situations Drip calculation

Goals:
Train the student in the clinical
use of bandages in real and
modeled situations at a
productive level. Content
Characteristics of fabric, gauze
Knowledge: and elastic bandages. By problem
BANDAGES, Bandages and bandages Bandage technique for each Real model Correct
solving
4 BANDAGES AND frequently used in clinical body region Modeled Cabinet execution of a
Teaching at
MAKING OF SPLINTS practice. situation. bandage.
work
Characteristics of cardboard
Skills: splints, fiber splints, splints,
Perform bandages in and inflatable splints.
simulated situations.
Make splints in emergency
situations.
 No. Objectives, Knowledge, Teaching Learning Practice
Issue Contents Learning
Sem. Attitudes, skills method media place
Assessment
Goals
Apply preoperative in the clinic Contents:
using real and/or artificial Definition.- Classification
models at a productive level. according to different points of
view.- Comprehensive
Knowledge: assessment of the patient.
Preoperative in its Know the
Nutritional assessment. Dietary By problem Real model
epidemiological, social, clinical regimen, psyche. components of
solving Modeled
5 PREOPERATIVE and therapeutic component Hospital the surgical
General preparation of organs Teaching at situation.
patient's clinical
and devices. Operative risk. work Patient
Skills: record.
Preoperative in high-risk
Become familiar with the patients. Preoperative the day
surgical patient. before, Informed consent.
Management of the clinical Preoperative in video assisted
record in the preoperative surgery.
period
Goals
Apply the postoperative period
to the surgical patient, in a real
and/or modeled situation at a Contents
productive level. Definition. Division according to
time and evolution.- Interpret the
Knowledge: Stay in the recovery room. clinical evolution,
POST OPERATIVE
Postoperative in its clinical, Position and transfer of the By problem Real model in the
MANAGEMENT OF
social, therapeutic and patient. Control of vital signs. solving Modeled management of
6 DRAINS AND Hospital
rehabilitation component. Control of dressings, drains Teaching at situation. catheters and
PROBES IN THE
and catheters. Control of work Patient drains in the
POST OPERATIVE Skills: emuntoria, body hygiene. postoperative
Evaluate the general Parenteral solutions period.
conditions of the patient after Reinstatement of the diet,
surgery. different types of diet, The
Check the tubes and drains in complicated postoperative
the postoperative period. period, Immediate, mediate
and distant complications.
 No. Objectives, Knowledge, Teaching Learning Practice
Issue Contents Learning
Sem. Attitudes, skills method media location
Assessment

Goals.
Evaluate the general condition
of the patient after surgery.
Identify possible complications

Knowledge: Content
Postoperative in its Normal post-operative. By problem Real model
CONTROL AND Correct
epidemiological, clinical, Complicated postoperative solving Modeled
6 CARE OF THE Hospital execution of a
Healing, postoperative Teaching at situation.
OPERATIVE WOUND social, therapeutic and cure
rehabilitation component. complications of the surgical work Patient
wound.
Skills:
Perform flat healing of a
surgical wound in a real and/or
modeled situation at a
productive level.
11. MANAGEMENT CALENDAR 2013
INAUGURAL CLASS 27-02-13 All teachers
GENERALITIES 06 AND 13 -03-13 Dr. Mantilla
INVESTIGATION METHODOLOGY 29 and 27 -03-13 Dr. Villarroel
SURGICAL TERMINOLOGY AND SEMIOLOGY
• Introduction, head, neck, thorax, breast, spine 03-04-13 Dr. Inchauste
• Abdomen and perineum, limbs, peripheral vascular 10-04-13 Dr. Pinilla

BANDAGES AND BANDAGES 17 AND 24 – 04-13 Dr. Dr. Martinez

First aid course 25, 26 AND 27- 04-13 Dr.Pinilla-Dr Mantilla
ASEPSY AND ANTISEPSY, BIOSECURITY 08-05-13 Dr. Pary
SURGICAL ENVIRONMENTS 15 AND 05-22- Dr. Mantilla
FIRST PARTIAL EXAM 13 29-05-13 Dr. Pinilla
SURGICAL INSTRUMENTS 5 AND 12 -06-13 Dr. Villarroel
Presentation of research protocols 14-06-13 Secret. Surgery
PROBES AND SURVEYS 19 AND 26 -06-13 Department
Dr. Inchauste
PREOPERATIVE 3 AND 10 -07-13 Dr. Pinilla
SURGICAL ACT 17 AND 24 – 07-13 Dr. Martinez
DIERESIS AND TISSUE DISSECTION 31-07-13 Dr. Pary
HEMOSTASIA 07-08-13 Dr. Mantilla
DRAINS AND DRAINS 14-08-13 Dr. Villarroel
SYNTHESIS OF TISSUES, KNOTS AND 21-08-13 Dr. Inchauste
MECHANICAL SUTURES, BONE SYNTHESIS 28-08-13 Dr. Pary
VIDEO-ASSISTED SURGERY 04-09-13 Dr. Pinilla
SECOND PARTIAL EXAM 11-09-13 Dr. Villarroel
POST OPERATIVE, ROUTES OF ADMINISTRATION
MEDICATIONSA 18 AND 25 -09- Dr. Mantilla
Delivery of research papers 13 20-09-13 Secret. Surgery
TREATMENT OF WOUNDS 02-10-13 Department
Dr. Villarroel
Scientific days Fair 09-10-13 Dr. Villarroel-Dr.
EMERGENCY SURGICAL PROCEDURES 09 and 10-16-13 Martínez
Dr. Martinez
BASIC PRINCIPLES OF SPECIAL SURGICAL TECHNIQUE 10-23-13 Dr.Inchauste
Delivery of practical notes 25-10-13 All Teachers
MICRO SURGERY, TELE SURGERY, CIR. ROBOTICS,
AMBULATORY MAJOR SURGERY 30-10-13 Dr.Pinilla
ETHICS IN SURGERY, BIOETHICS
FINAL PRACTICAL EXAM
THIRD PARTIAL EXAM
FINAL THEORETICAL EXAM
FINAL EXAM. SECOND SHIFT
 6-11-13 Dr. Pary
02- 11-13 Dr. Mantilla
13 -11-13 Dr. Pary
20 -11-13 Dr. Inchauste
27 -11-13 Dr. Martinez

PRACTICE CALENDAR.
START OF INTERNSHIP CONCLUSION OF MARCH 3, 2013
INTERNSHIP OCTOBER 11, 2013
12. SOCIAL INTERACTION
EACH STUDENT MUST CARRY OUT COMMUNITY SERVICE WORK FOR TWO MONTHS, SUPERVISED BY THEIR PRACTICE
TEACHER.

Community service consists of the application of the knowledge acquired at the university to the population in a specific geographic area that has a
specific population.
Each teacher will set the area of action and the specific tasks to be carried out, which are related to the content of the class.
The evaluation of social interaction will be carried out with a documented activity report and duly corroborated by a report from the community
representative. Whether it is the president of the neighborhood association, territorial organization, highest executive authority of an educational
institution, etc.

Example:
Organization of a nursing station in a state school or college, for emergency care of students in the establishment, such as first aid, until the injured
person is treated by a doctor, or transferred to a health center.