FSBEI HE “Chuvash State University named after I.N.Ulyanov”

FSBEI HE “Chuvash State University named after I.N.Ulyanov”

Medical faculty

INFORMATION LETTER

 

Dear colleagues!

Dear Colleagues! The Department of Normal and Topographic Anatomy with Surgery FSBEI HE “Chuvash State University named after I.N.Ulyanov” invites you to participate

In the VI Intramural Surgery Olympics

 November 21rst 2020.

 Olympics will be at November 21rst 2020

 

Location: Department of Normal and Topographic Anatomy with Surgery (“P” building, office 206), Pirogov st.7, Cheboksary.

 

 

The main goal of the Student Surgery Olympics is to increase students’ interest in educational activities and the future chosen profession, to identify gifted and talented young people, to improve the quality of training of surgical specialists. The Surgical Olympics will allow you to reveal your abilities, to be noticed and evaluated in various areas of the surgical activity!

 

 

 THE TERMS AND THE CONDITIONS OF PARTICIPATION

 

1. Students of the 2nd -6 th courses of all directions can participate in the medical faculty of the FSBEI HE “Chuvash State University named after I.N.Ulyanov”

2. A participant in the Olympiad is any surgical team of students consisting of 3 people who has submitted an application for participation. It must be executed and sent by personal message in the group “OPERBLOK” on the social network “Vkontakte” - https://vk.com/operblok21 to the organizers of the Olympiad or by personal message to the captain of the surgical team of Chuvash State University – https://vk.com/id33810588. Applications are accepted until October 25^th inclusive. After receiving the application, you will receive a confirmation of registration of the team.

3. Surgical teams that have provided reliable information about themselves in a timely manner are entered in the list of participants in the Olympics under the conditions established by the Organizing Committee

4.  Each team in its entirety must take part in the competition of skin plastic, tendon suture, intestinal anastomosis. Two representatives from each team participate in competitions for knowledge of surgical instruments, knitting of surgical knots and desmurgy.

 

APPLICATION RULES

You must submit an application by personal message to participate in the student surgery Olympics, from September 25^th to October 25^th, at Google-form: https://forms.gle/UGTge2XceUd8njME9  

 

COMPOSITION OF THE EXPERT COMMISSION

Tasks will be evaluated by professors of the Chuvash State University named after I.N. Ulyanov: professors, doctors and candidates of medical sciences, practicing surgeons, as well as students - current members of the surgical team.

 

The list of all competitions of the Olympics:

1. Skin plastics.

2. Intestinal anastomosis.

3. Tendon suture.

 4. Desmurgy.

5. Knitting of surgical knots on speed.

6. Competition for knowledge of surgical instruments.

Each team must have a minimum set of tools to participate: forceps, scissors, a scalpel, and a needle holder. Suture material will be provided by the Department-organizer. In the absence of tools or the need for additional, the Department-organizer provides them upon prior request.

Dress code: lab coat, hat, shoe covers or changing shoes, surgical gloves!!!

Intestinal Suture Contest

Patient N., 43 years old, was admitted to the clinic with complaints of cramping abdominal pain, nausea, profuse vomiting with an unpleasant odor, non-discharge of gases and feces. Ill acutely 26 hours ago. A history of acute appendicitis surgery. The state of moderate severity. The skin is normal color. In the lungs, vesicular breathing. Pulse 100 min., Rhythmic, full, blood pressure 115/70 mm. hg. art. Heart sounds are muffled. The tongue is dry. The abdomen is moderately swollen, painful over the entire surface, more in the right iliac region, where there is a postoperative scar 10 cm long. The symptom of Shchetkin-Blumberg is positive in the lower abdomen. The kidneys are not palpable; Pasternatsky’s symptom is negative. Preliminary diagnosis: intestinal obstruction stage of subcompensation. Peritonitis. It was decided to conduct an emergency operation after preliminary preoperative preparation. Bowel resection within 15-20 cm distally and 30-40 cm proximal to the visible necrosis zone. Signs of necrosis: lack of pulsation of the vessels of the mesentery, discoloration of the intestines (cyanotic, crimson, black) lack of peristalsis.

Task. Within 60 minutes, process 2 adjacent stumps of the small intestine and restore intestinal continuity with the help of an anastomosis of the “side-to-side” type using the double-row suture technique. The operator of the competition must not coincide with the operator of the competition "Skin plastic", "Tendon suture". Replacement of the operator during the competition is prohibited.

Number of participants in the team: 3 people (operator, assistant, nurse)

Order:

1. To process a stump of a small intestine, having immersed the sutured ends with a purse-string or Z-shaped seam.

2. To suture the posterior lip of the anastomosis with a discontinuous nodular serousserous or serous-muscular suture of Lambert. (a)

3. To form an incision in the stitched sections of the jejunum.

4. To put on a back lip of an anastomosis a continuous through through twisted seam. (b)

5. To put on the front lip of the anastomosis a continuous through eversible Schmiden suture. (in)

6. Sew the second row of the front lip with a discontinuous Lambert interrupted suture. (g)

7. At the end of the task, shout the name of the team and “STOP!”, The time will be fixed.

8. After 60 minutes, the contest is not allowed to continue, all instruments are put off by the participants.

 

General view of the anastomosis.

Instruments - each team uses their own set of instruments and material for the suture and needs to be able to justify their choice of items. In case of absence of any instrument of sewing material, the organizing committee might offer those. The recommended suture material: Vircyl USP 3/0 45 cm.

Object: 2 part of the small intestine of a pig.

 

Критерии оценивания

Tightness of the anastomosis: Will be scored by filling the anastomosis with water, applying light pressure to different ts parts of it.
Anastomosis is tight	5 points
Drops of water diffuse through the anastomosis	2 points
Stream of water seeps through the suture	0 points
Tightness of each stump:
Both stumps are tight	5 points
Drops of water diffuse through the anastomosis	2 points
Stream of water seeps through the suture	0 points
Looks: The following will be considered: Equally distributed placement, same direction of the stitch and equal spaces between each stitch, tightness of those stitches.
Anastomosis is aesthetic	1 point
Both stumps are aesthetic	1 point

Time