Discipline - Surgery II - Bucharest Emergency University Hospital

Associate Professor Costea Radu-Virgil, PhD tenured
Lecturer Zarnescu Narcis-Octavian, PhD tenured
Assistant Professor Gangura Andrei Gabriel, PhD tenured
Assistant Professor Popa Cristian-Constantin, PhD tenured
Assistant Professor Zarnescu Eugenia-Claudia, PhD tenured
Assistant Professor Sanda Aurelia Nicoleta, PhD tenured
Assistant Professor Chirca Alexandru, PhD tenured

General surgery

Hepato-biliary-pancreatic surgery:

  • intervention for hepatic hydatid cyst
  • reinterventions the biliary interventions and with the full range of reconstructive procedures
  • partial and total pancreatectomy for cancer or chronic pancreatitis
  • hepatectomy for benign and malignant liver tumors

Oncologic surgery:

  • complex operations for all digestive neoplasms
  • complex operations for genital malignancies (including breast cancer)
  • complex operations for all retroperitoneal neoplasms (including adrenal)

Other services and surgical treatments:

  • duodenal ulcers and complicated geese
  • some vascular disorders of the digestive subdiafragmatic
  • complex reinterventions and interventions and corrective or remedial operations after previously supported by sick
  • endocrine surgery: total thyroidectomy and subtotal, adrenalectomy
  • extremity ambulatory surgery for Dupuytren's disease, hallux valgus, panaritium, ingrown toenails
  •  liver surgery for benign and malignant, primary and secondary
  •  pancreas surgery: total and subtotal resections, the pancreatic-digestive derivatives
  • gynecological surgery
  • breast surgery
  • malignant melanoma surgery
  • retroperitoneal tumor surgery
  • varicose veins surgery
  • reconstructive surgery of the abdominal wall hernia defects and incisional hernias, prosthetic mesh and laparoscopic approach
  • surgical treatment in the "One day surgery" system
  •  urologic surgery: nephrectomy for renal tumors and pyonephrosis lithiasic, pieloureterale plasty, pielolitotomii, ureterolitotomii, partial cystectomy (imposed by tumor invasion), cistostomii.
  1. Surgical Preparation for IV and V year students of the Faculty of Medicine
  2. The professional training of resident doctors  in surgery
  3. Training courses for practitioners and doctors in general surgery
  4. Research grants
  5. Clinical studies
  1. Syllabus of General surgery course for IV year students

History of Surgery

Surgical infection :

  • Generalities, Fundamentals about sepsis;
  • Localized infections (abscess, cutaneous staphylococci, acute lymphangitis, acute adenitele);
  • Gas gangrene; Necrotizing fasciitis; Tetanigene wound prophylaxis; Indoor hospital infections

ANTIBIOTICSTHERAPY IN SURGERY


FINGER AND HAND OF ACUTE INFECTIONS


TRAUMA OF SOFT PARTS


BURNS, FROSTBITE

VASCULAR DISEASE:

  • vascular trauma;
  • Arteriovenous fistulas;
  • Aneurysms pressure;
  • Acute peripheral ischemia;
  • Arteriopathies chronic obstructive;
  • Varicose disease;
  • varicoceles;
  • Thromboembolic disease;
  • Pulmonary embolism;

Lymphatic pathology

DISEASES OF ABDOMINAL WALL:

  • the Hemi; Postoperative incisional hernias;
  • Evisceration

SURGICAL PATHOLOGY OF THYROID:

  • thyroiditis;
  • goiter;
  • hyperthyroidism;
  • thyroid neoplasm

SURGICAL PATHOLOGY OF THE BREAST:

  • Benign breast disease;
  • Neoplasms of the breast

SURGICAL PATHOLOGY OF THE CHEST:

  • chest trauma;
  • Purulent pleural;
  • Pulmonary hydatid cyst;
  • Diaphragmatic hernias;
  • trauma diaphragmatic

SURGICAL PATHOLOGY OF STOMACH AND DUDENUM:

  • ulcer disease (duodenal ulcer, stomach ulcer perforated ulcer, bleeding ulcer, ulcerative stenosis, acute ulcer (ulcer stress); endocrine ulcer - Zollinger - Ellison);
  • Suffering stomach surgery for ulcer disease; Benign tumors of the stomach and duodenum; gastric cancer

SURGICAL PATHOLOGY OF THE ESOPHAGUS:

  • esophageal motor disorders;
  • Esophageal diverticulitis;
  • Caustic esophagitis;
  • Hiatal hernias;
  • Gastroesophageal reflux disease;
  • Benign tumors and cysts of the esophagus;
  • esophageal cancer

SURGICAL PATHOLOGY OF THE SMALL INTESTINE:

  • congenital diseases of the small intestine;
  • Diverticular disease of the small intestine;
  • Meckel diverticulum pathology;
  • Crohn's disease (regional enteritis);
  • Tuberculosis of the small intestine;
  • Radiation enteropathy;
  • Entero-mesenteric infarction;
  • Chronic intestinal ischemia;
  • Benign and malignant tumors of the small intestine and mesentery;
  • External fistulas of the small intestine; Insufficiencies of the small intestine of surgical causes
  1. Syllabus of General Surgesy Clinical Stage for IV year students

1. Methodology of clinical examination

  • Clinical observation sheet
  • Head and neck surgery semiology
  • Breast surgery semiology
  • Chest surgery semiology
  • Surgical abdomen semiology
  • Surgical urinary semiology
  • Surgical limb semiology
  • Preoperative preparing of  surgical patient methodology
  • Postoperative surgical patient care methodology

2. Diagnosys techniques and therapeutic principles

  • Asepsis and antisepsis
  • Surgical instruments
  •  Injections and infusions
  • Plagues
  • Incisions
  •  Surgical suture
  • Abdominal drainage
  • Pleural drainage
  • dressings
  • bandages
  • Diagnostic and therapeutic puncture
  • Bleeding and hemostasis
  •  revulsion
  • gastric lavage
  •  gastrointestinal aspiration
  • bladder survey
  • DRE. DRE. Vaginal cough.
  • enemas
  • Upper digestive endoscopy general surgery
  • Lower GI endoscopy general surgery

3. Fundamental notions of care in surgery

  • Anestezia
  • Monitorizarea pre-, intra- si postoperatorie
  • Reechilibrarea hidrica, electrolitica, metabolica si calorica
  • Grupele sanguine si transfuzia de sAcnge
  • Nutritia bolnavului chirurgical
  • Stopul cardio-respirator si resuscitarea cardio-respiratorie
  • Traheostomia
  • Pleurostomia
  • Primul ajutor in accidente
  1. Syllabus of General Surgery course for V year students 

APPENDIX A SURGICAL PATHOLOGY CECAL

  • Acute appendicitis
  • chronic appendicitis
  • appendiceal tumors

SURGICAL PATHOLOGY OF THE COLON

  • colic diverticulosis
  • Megadolicocolon
  • ulcerative colitis
  • Crohn's disease
  • pseudomembranous colitis
  • ischemic colitis
  • Angiodisplaziile
  • colonic polyposis
  • Colon cancer

SURGICAL PATHOLOGY OF THE RECTUM

  • rectal prolapse
  • Malignant tumors of the rectum
  • Anal canal cancer

PATHOLOGY OF THE ANUS AND PERIANAL REGION

  • hemorrhoids
  • anal fissure
  • anal abscesses
  • Flegmoanele fossa ischiorectal
  • anal fistulas
  • Sacrococcygeal pilonidal disease
  • Sexually transmitted diseases

SURGICAL PATHOLOGY OF LIVER

  • liver abscesses
  • Hepatic hydatid cyst
  • Benign tumors of the liver
  • Malignant tumors of the liver
  • Surgical portal hypertension and its complications

SURGICAL PATHOLOGY OF THE EXTRAHEPATIC BILIARY

  • gallstone
  • Chronic cholecystitis lithiasic
  • acute cholecystitis
  • Chronic biliary nelitiazice

SURGICAL PATHOLOGY OF THE PANCREAS

  • congenital anomalies
  • acute pancreatitis
  • Pseudocyst of pancreas - pancreatic abscess
  • chronic pancreatitis
  • Neoplasms of the exocrine pancreas
  • Island tumors (endocrine) of the pancreas

MECHANICAL YCTERIS

  • Main bile duct stones
  • Mechanical jaundice neoplastic
  • cholangitis sclera
  • Injuries bile
  • Mechanical jaundice home pest
  • Mechanical jaundice caused by extrinsic compression of C.B.P.

SURGICAL PATHOLOGY OF THE SPLEEN

  • spleen injuries
  • inflammatory Splenopatiile
  • vascular Splenopatiile
  • hypersplenism
  • Splenectomy for Hodgkin disease stage
  • Spleen and portal hypertension
  • Tumors and cysts spleen
  • Hydatid cyst of the spleen
  • splenectomy

ACUTE SURGICAL ABDOMEN

  • Acute diffuse peritonitis
  • Acute localized peritonitis
  • intestinal obstruction
  • digestive bleeding
  • abdominal trauma

POLYTRAUMA

  1. Syllabus of General Surgery Clinical Stage for V year students

Clinical cases:

  • Cecal appendix pathology
  • colon pathology
  • pathology rectum
  • Ano-perianal pathology
  • liver pathology
  • Biliary pathology
  • pathology of the pancreas
  • spleen pathology
  • Acute surgical abdomen

DRE

  • anoscope;
  • rectoscopy

Colecistocolangiografia

ERCP

  • abdominal trauma
  • postoperative complications
  • Postoperative febrile syndrome
  • postoperative Mobilisation
  • Colostomy care / enterostomal
  • laparoscopic diagnosis

Notions of:

  • therapy through minimally invasive approach
  • telesurgery
  • surgical oncology
  • chemotherapy
  • irradiation treatment in general surgery
  • organ transplant

Medical imaging - presentation and interpretation:

  • classic radiology exams
  • ultrasound
  • endoscopies
  • CT
  • MRI
  • Severe acute pancreatitis - predictors and treatment
  • Complications of acute pancreatitis - diagnosis and treatment
  • Acute surgical abdomen - diagnosis and treatment
  • Screening and hospitalization in gastric cancer, colon, rectal and breast
  •  Rectal cancer surgical options in the midshaft
  • Postoperative fistulae in colorectal surgery - prevention, diagnosis and treatment
  • Strangulated hernias and eventrations - diagnosis and treatment
  • Stromal Tumors - nosological framing, diagnosis and treatment
  • colorectal cancer
  • Extrahepatic biliary pathology
  • Acute pancreatitis and pancreatic cancer
  • Abdominal wall pathology - hernias and eventrations
  • Emergency surgery
  • Treatment of severe infections intraabominal
  1. Costea R, Neagu S, Zarnescu NO (editori), Complicatiile pancreatitei acute, Editura Universitara Carol Davila, Bucharest, Romania (2012), ISBN: 978-973-708-587-0. (Premiul „Iuliu Hatieganu" al Academiei Romane, 2014)
  2. Neagu S, Lerescu L,Costea R, Tucureanu C, CaraAY I, Gangura G, Pitica R, Salageanu A., Perioperative immunologic changes in colorectal cancer patients, Chirurgia (Bucur). 2012 Jan-Feb;107(1):59-65.
  3. Costea R, Zarnescu NO, Vasiliu EC, Minca D, Sajin M, Neagu S., B1 versus B2 Dukes stage rectal cancer: prospective evaluation of 87 patients in a single institution and quest for re-evaluation of the current protocol. Hepatogastroenterology. 2012 Jan-Feb;59(113):98-100.
  4. Vasiliu EC, Zarnescu NO,Costea R, Neagu S., Review of Risk Factors for Anastomotic Leakage in Colorectal Surgery, Chirurgia (Bucur). 2015 Jul-Aug;110(4):319-26
  5. Zarnescu NO,Costea R, Zarnescu Vasiliu EC, Neagu S. Clinico-biochemical factors to early predict biliary etiology of acute pancreatitis: age, female gender, and ALT., J Med Life. 2015 Oct-Dec;8(4):523-6
  6. Salgeanu A, Tucureanu C, Lerescu L, CaraAY I, Pitica R, Gangura G,Costea R, Neagu S. Serum levels of adipokines resistin and leptin in patients with colon cancer., J Med Life. 2010 Oct-Dec;3(4):416-20.
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