Topographic anatomy and surgical surgery

by direction / specialty 31.05.01Leaching business


1. Goals and objectives of the discipline

Purpose - Anatomico-surgical preparation of students, necessary for subsequent studies in clinical departments, primarily surgical, and in independent medical activities; formation of students' knowledge of systems taking into account the individual variability of organs, vessels, nerves; the formation in students of the skills to apply the obtained topographic and anatomical knowledge to substantiate the diagnosis, explain the features of the course of pathological processes, solve diagnostic and surgical problems; mastering students elementary operational actions and some typical surgical techniques, forming professional competencies.



- formation of students' knowledge of topographic anatomy of regions, organs and systems, paying special attention to clinically important anatomical and functional features;

- formation of students' ability to apply the obtained topografo-anatomical knowledge to substantiate the diagnosis, explain the features of the course of pathological processes, solve diagnostic and surgical problems.

- Student mastery of elementary operative actions and some typical surgical techniques.

- formation of professional competences.


2. Place of discipline in the PLO structure

The discipline "Topographic Anatomy and Operative Surgery" refers to the base part of B1. B.27.


Requirements for the results of the discipline

In the process of studying the discipline, the following competencies are formed: OK-1, OK-2; OPK-1, OPK-4, OPK-5, OPK-10, OPK-11; PC-1, PК-5, PК-11.


As a result of studying the discipline, the student of the medical faculty must:


- the general principle of the layered structure of the human body;

- topographic anatomy of specific areas;

- clinical anatomy of internal organs, cellular spaces, vascular-neural formations, bones and large joints, weak points of the abdominal wall;

- Collateral blood circulation in violation of patency of the main blood vessels;

- zones of motor and sensory innervation of large nerves;

- age features of the structure, shape and position of organs;

- indications, technique of performing the basic surgical interventions and receptions.


Be able to:

- Use knowledge of topographic anatomy: to substantiate the diagnosis, choose rational access, determine the method of surgical intervention, prevent intraoperative errors and complications due to topographic and anatomical features of the area.

- Use general and some special surgical instruments

- Perform individual surgical procedures and operations.



- Clinical and anatomical conceptual apparatus.

- Technique of tissue separation, fixation and exposure, tissue connection, stopping bleeding.


3. Requirements for the results of the discipline

The study of the discipline "Topographic Anatomy and Operational Surgery" within the framework of the development of the educational program is aimed at the formation of the following cultural, professional and professional competencies:

№ п/п

Competency Index

 Content of competence

(or part thereof)

As a result of studying the academic discipline, students should:


how to




Ability to abstract thinking and synthesis

Main conditions and diseases, to compare the data to develop the principles of their treatment.

Choose the most rational method of surgical treatment, taking into account topographic and anatomical features and age.

Medico-anatomical conceptual apparatus. Algorithm for the development of surgical tactics.



The ability to use the basics of philosophical knowledge for the formation of a world-view position

Principles of diagnosis, treatment, tactics of basic conditions and diseases, taking into account gender, age, national characteristics.

Use terms and concepts that are accessible and understandable for patients and their relatives. Convince patients and their parents of the need for diagnosis and treatment.

Choosing the right solution in different situations, be responsible for your decisions.



Readiness to solve standard tasks of professional activity using information, bibliographic resources, medical and biological terminology, information and communication technologies and taking into account the basic requirements of information security.

Methods of clinical investigation of a surgical patient. Modern methods of laboratory and instrumental diagnosis of diseases, their ability to choose the optimal method of surgical intervention.

Determine the indications and contraindications for surgical intervention. To determine the volume of laboratory-instrumental diagnostics for each surgical disease

Methods of medical manipulation. Interpretation of the results of laboratory-instrumental diagnostics. Algorithm of surgical tactics.



Ability and willingness to implement ethical and deontological principles

Etiology, pathogenesis, diagnosis, features of the clinical course, possible complications of frequent surgical diseases. Features of religious cultures.

To be able to explain correctly to the patient about the consequences of refusal from surgery, possible changes and complications during surgical intervention

Principles of deontological communication with the patient, his relatives, average medical personnel, doctors.



Ability and willingness to analyze the results of their own activities to prevent professional errors

Features of the topographical structure of the region, taking into account possible surgical intervention

Determine the most optimal access and prompt reception for a particular disease in each patient.

The main surgical instruments, correctly use them, the technique of basic surgical techniques.



Willingness to ensure the organization of care for patients and the provision of primary care

Major urgent surgical diseases and conditions. Principles of primary care.

Use items and care products for patients.

The technique of primary surgical care in emergency and planned order



Readiness for the use of medical devices provided for by the order of rendering medical assistance

The main modern medical products, instruments and apparatus

Choose the right medical products for the necessary surgical care

The main medical products and use them correctly



Ability and readiness for the implementation of a set of measures aimed at preserving and strengthening the health of children and including the formation of a healthy lifestyle, the prevention and occurrence, and (or) the spread of diseases, their early diagnosis, identifying the causes and conditions for their occurrence and development, influence of environmental factors on children.

Features of the clinical course of congenital and acquired diseases, possible complications, options for the development of surgical diseases.

To determine risk factors, correctly and on time, to determine indications and contraindications to surgical interventions taking into account the child's age and features of the topographical structure

Skills of examination of a surgical patient, basic surgical techniques.



Readiness to collect and analyze patient complaints, his history, examination results, laboratory, instrumental pathological and other studies for the purpose of recognizing the condition or establishing the fact of the presence or absence of disease

Diagnostic value of the changes revealed in the clinical study of the patient, the use of laboratory-instrumental diagnostic methods.

Conduct a survey, physical examination of the patient; interpret the results of laboratory-instrumental diagnostics and use it to substantiate the diagnosis and choose surgical tactics.

Methods of clinical investigation of patient surgical profile, interpretation of the results of additional research methods for rational choice of surgical intervention.



Willingness to participate in helping children in situations requiring urgent medical intervention

The mechanism of the appearance of clinical symptoms, features of the course and possible complications of the most common surgical diseases and conditions.

Identify conditions that require urgent surgical intervention. Choose and use the necessary medical products, tools, equipment.

The main methods of emergency care in emergency surgical conditions




4. General labor intensity of the discipline

- The total complexity of the discipline is 5 credit units (180 hours).


5. Educational technologies

In the course of mastering the discipline, the following educational technologies are used in conducting classroom classes:

- lectures;

-    practical lessons;

- classes in an interactive form.

When organizing the independent work of classes, the following educational technologies are used:

- work with lecture material, study of educational literature;

- testing;

- study of electronic sources of information;

- preparation for practical classes;

- mastering practical skills in the simulation center;

- Student-research work of students (UIRS).


6. Monitoring the progress

The discipline program provides for the following types of monitoring: individual survey, written testing, practical skills training on mannequins, simulators, cadaveric material.

In this discipline, a reporting format is provided: the delivery of practical skills, testing.

Intermediate certification is conducted in the form of offset (semester 6) and exam (semester 7).