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Atividade
| 113381 - Principeas and concepts of flaps |
| Período da turma: | 17/07/2023 a 28/07/2023
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| Descrição: | General Description
Flaps are routinely used in surgery for reconstructive and aesthetic purposes. A general surgeon needs to know about some regional flaps. Some surgical technique learning processes are based on the Halsteadian method. However, nowadays, educational plans show the importance of a well-established learning curve. This course aims to teach medical students how to perform basic tissue flaps (rotation, advancement, and transposition). For this reason, we offer didactic materials and hands-on workshops with no living models. The first part of this course will explain the basic steps of the surgical flap procedure and comment on the most common mistakes. Following the procedure, we will practice flap drawing (angles, curves, and extension) with Ethylene-Vinyl Acetate material. Finally, we will use the swine belly to perform surgical flaps. This methods was publish in: Camargo, C., Freire Barbosa, E., Camargo Maluf, F., Morais-Besteiro, J., & Gemperli, R. (2020). The use of simulation with non-living model to enhance medical students’ learning in a surgical training course. Principles and Practice of Clinical Research, 6(3), 29–34. https://doi.org/10.21801/ppcrj.2020.63.3 Objectives - competence to surgical suture - explain the flap physics - understand the surgical flap design - know when to indicate surgical flaps Teaching ng methods We will use Myller’s pyramid method. In the first part, we will offer theoretical material (a procedural step) and apply a pretest exam. Then, the students will practice the flap surgery in stages. We will present some clinical cases to open discussion. Finally, we will perform a surgical flap on a non-living model. In the end, we will apply a post-test exam. Coordinator(s):Prof Rolf Gemperli/Profa Cristina Pires Camargo Program Day1 Morning Lecture 1 – Welcome Pre-test- 30 min Lecture 2 – Flap physiology – 30min Lecture 3 – Cutaneous flap: do and don’ts – 30 min Lecture 4 – OR visit and case method. Afternoon Observational visit - Operate room and study- 2h Day2 Morning Seminar 1- History of flap and perspectives – 40 min Lecture 5- Complication – Discussion: risk factors for flap procedure – 40 min Hands-on 1 –Sutures – 2h Afternoon Observational visit - Operate room and study- 2h Day 3 Morning Seminar 2 – Reconstructive elevator Lecture 6- Wound healing. -30min Afternoon Observational visit - Operate room and study- 2h Day 4 Morning Seminário – Intrinsic and extrinsic factors and cutaneous wound healing Lecture 7 Basic concepts- advancement flaps Hands-on 2- Advancement flaps Afternoon Período de estudo – 2h Day 5 Morning Lecture 8- Basic concepts- Rotation flaps Hands-on 3- Rotation flaps Afternoon Study – 2h Day 6 Morning Lecture 9- Basic concepts- Transposition flaps Hands-on 4- Transposition flaps Post test Afternoon Final remarks References Camargo, C., Freire Barbosa, E., Camargo Maluf, F., Morais-Besteiro, J., & Gemperli, R. (2020). The use of simulation with non-living model to enhance medical students’ learning in a surgical training course. Principles and Practice of Clinical Research, 6(3), 29–34. https://doi.org/10.21801/ppcrj.2020.63.3 Honrado, C. P., & Murakami, C. S. (2005). Wound healing and physiology of skin flaps. Facial plastic surgery clinics of North America, 13(2), 203–v. https://doi.org/10.1016/j.fsc.2004.11.007 Lucas J. B. (2017). The Physiology and Biomechanics of Skin Flaps. Facial plastic surgery clinics of North America, 25(3), 303–311. https://doi.org/10.1016/j.fsc.2017.03.003 Reckley, L. K., Peck, J. J., & Roofe, S. B. (2017). Flap Basics III: Interpolated Flaps. Facial plastic surgery clinics of North America, 25(3), 337–346. https://doi.org/10.1016/j.fsc.2017.03.006 Shew, M., Kriet, J. D., & Humphrey, C. D. (2017). Flap Basics II: Advancement Flaps. Facial plastic surgery clinics of North America, 25(3), 323–335. https://doi.org/10.1016/j.fsc.2017.03.005 Starkman, S. J., Williams, C. T., & Sherris, D. A. (2017). Flap Basics I: Rotation and Transposition Flaps. Facial plastic surgery clinics of North America, 25(3), 313–321. https://doi.org/10.1016/j.fsc.2017.03.004 |
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| Carga Horária: |
47 horas |
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| Tipo: | Optativa | ||||
| Vagas oferecidas: | 6 | ||||
| Ministrantes: |
Cristina Pires Camargo Vitor Penteado Figueiredo Pagotto |
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