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Advanced Surgical Procedures
SURG-110

  • Section Template
  • 6 Credits
  • 04/30/2013 to 01/01/2075
  • Modified 06/30/2022

Description

This course introduces the student to intermediate and advanced surgical procedures with a primary focus on the sequential steps involved in these procedures, higher difficulty cases, and specialized instrumentation. Surgical anatomy, physiology, and pathophysiology will be addressed. The biomedical sciences will also be addressed: robotics, physics, computers, and electricity. (Sp)

Requisites

Prerequisite Course: None. Successful completion of 1st semester of the Surgical Technology Program is required.

Placement Score: None

Co-requisite Courses: SURG 111 and SURG 123 and SURG 124

Contact Hours

Lecture

96

Lab

 0

Other

0

Total Hrs

96

Student Learning Outcomes

Upon successful completion of this course, students should be able to:

  1. Discuss disease pathologies, the relevant anatomy/physiology, and the expected outcomes of surgical procedures as interventions in those same pathologies for general, thoracic, vascular, plastic, EENT (eye, ear, nose, throat), gynecologic, genitourinary, neurologic, and orthopedic general categories of surgeries.
  2. Analyze the preoperative diagnostic tests and preoperative preparation required for representative examples  general, thoracic, vascular, plastic, EENT (eye, ear, nose, throat), gynecologic, genitourinary, neurologic, and orthopedic general surgical categories.
  3. Demonstrate interventions used in common surgical complication scenarios.
  4. Critique roles and anticipatory skills for purposes of advanced skill levels.
  5. List typical operative sequencing for a variety of surgical procedures in general, thoracic, vascular, plastic, EENT (eye, ear, nose, throat), gynecologic, genitourinary, neurologic, and orthopedic following surgical categories.
  6. Identify by name and function, surgical instrumentation and typical specialty equipment required in specific surgical specialty procedures including but not limited to flexible fiberoptic exams, obstetrical deliveries, organ tissue harvests, autopsy, and emergency trauma.
  7. Assimilate necessary equipment and sequential steps for selected procedures:
    1. Billroth I & II
    2. Abdominoperineal Resection
    3. Whipple
    4. Bowel Resections
    5. Roux-en-Y
    6. Cholecystoduodenostomy
    7. Cholecystojejunostomy
    8. Choledochoduodenostomy
    9. Choledochojejunostomy
    10. Laparoscopic Nissen Fundoplication
    11. Cystectomy with creation of Ileal Conduit
    12. Radical Prostatectomies
    13. Penile Implants
    14. Hysterectomies
    15. Uterine Balloon Therapy
    16. Myomectomy
    17. Oophorectomy
    18. Salpinectomy
    19. LAVH
    20. Mastoidectomy
    21. Tympanoplasty
    22. Triple Arthrodesis
    23. Bankart Procedure
    24. ORIF of Hip
    25. Total Hip Arthroplasty
    26. Total Knee Arthroplasty
    27. ACL
    28. Cleft Lip/Palate Repair
    29. LeFort III
    30. Mediastinoscopy
    31. Thoracotomy
    32. Batista Procedure
    33. Aortic Arch Aneurysm Repair
    34. Cross-femoral Bypass
    35. AAA with Graft
    36. Carotid Endarterectomy
    37. Lumbar Laminectomy
    38. Craniotomy
    39. Scleral Buckle
    40. Cataract Extraction
    41. Parotidectomy
    42. Stapedectomy
    43. Breast Augmentation
    44. Rhinoplasty
    45. Rhytidectomy
    46. Transverse Rectus Abdominus Musculocutaneous Flap (TRAM)
  8. Explain the biological (science) aspects as they relate to the surgical patient, procedures, and their future impact on the profession.

 

These student learning outcomes are based on the educational standards developed by the Association of Surgical Technologists and the Accreditation Review Committee on Education in Surgical Technology administered by the Commission on Accreditation of Allied Health Education Programs.

Materials

Evaluation

Student Electronic Access to Grades

D2L is the College’s Course Management System which includes a gradebook function allowing students access to their grades in order to receive timely and meaningful feedback on their progress in the course at any time. These grades will align with the Evaluation Criteria listed in this syllabus. D2L is accessed through the MyLCC page.

Whenever practicable, results for graded items should be posted electronically within 48 hours after the instructor has completed the grading process for the items, and final grades for the course should be entered no later than the specified grading day.

Criteria

Types of evaluations and related weights
Type Weight Topic Notes
Assignments 20%
Exams or Tests 30%
Papers 15%
Final Exam 35%

Breakdown

College Grading Standards

Recommended Guidelines for Student Grades

4.0  --- Excellent

4.0     ---     91 – 100%

3.5  --- ---------

3.5     ---     86 – 90%

3.0  --- Good

3.0     ---     81 – 85%

2.5  --- ---------

2.5     ---     76 – 80%

2.0  --- Satisfactory

2.0     ---     71 – 75%

1.5  --- ---------

1.5     ---     66 – 70%

1.0  --- Poor

1.0     ---     60 – 65%

0.0  --- --------

0.0     ---       0 – 59%

Course Policies

Class Attendance/Participation

Surgical Technology Program Attendance Policy

Students are expected to attend all sessions of each Surgical Technology course in which they are enrolled. Failure to do so will result in an academic penalty. Due to the intensive nature of the Surgical Technology field of study, there may be only one excused absence per semester per course. The instructor must be provided with a written excuse from the student outlining the reason for the absence. It is at the discretion of the instructor to determine if the absence is excusable. For an unexcused absence, or for any subsequent absence(s) beyond one excusable absence, a 0.25 grade deduction will be assessed per absence from the student's final grade. For example, a student carrying a 3.5 grade with two unexcused absences will have his or her grade assessed a penalty of 0.5; the resultant grade earned will then be 3.0.

Extra Credit

Extra credit may be available in this course. This information is provided by the section instructor.

Other

Institutional Policies

Transfer

For transfer information, please consult the LCC Transfer webpage.  In addition, the Michigan Transfer Network website allows students to search how courses transfer to colleges and universities statewide.

The Michigan Transfer Agreement (MTA) simplifies the transfer of students from one Michigan institution to another. For the most current information, see the LCC General Education webpage.

Students interested in transfer should contact the Academic Advising Center in the Gannon Building - Star Zone, (517) 483-1904.

Disability Statement

Students with disabilities who may need accommodations in this class should contact the Center for Student Access (CSA). They are located in the Gannon Building, Star Zone - Center for Student Support.  You can also access the Center for Student Access website, or call (517) 483-5323.  Contacting the Center early helps ensure that accommodations are put in place as soon as possible.

Student Code of Conduct and General Rules and Guidelines

The College recognizes the value and importance of a safe and orderly learning environment that supports honesty, integrity, and ethical conduct. The Student Code of Conduct and General Rules and Guidelines ensure the protection of student rights and the health and safety of the College community.  The College has established procedures for reporting and addressing alleged violations.                 

Students must follow the Student Code of Conduct and the General Rules and Guidelines. Also, the instructor may establish reasonable guidelines within the classroom. Violations of the Student Code of Conduct and General Rules and Guidelines may be reported to the Office of Student Compliance.

Enrollment Verification

Instructors will verify participation in a course by the 8th day after the start date of sections less than 8 weeks long, and by the 15th day after the start date of sections 8 weeks or longer. Students who have not participated will be dropped from the course and may be responsible for any non-refundable fees.

Academic Success Coaches (ASC)

Student success is our first goal.  Our Academic Success Coaches mentor students to help them meet their educational, personal and career goals.  Faculty or staff may refer you to an ASC for help if you are not doing well in a class. Please watch your LCC email for a referral.

We also suggest you contact an ASC on your own if you need help or advice to reach your goals.  

To contact an ASC, call (517) 483-1422, email [email protected], or visit the Academic Success Coaching Team website for more information.

Nondiscrimination Statement

LCC provides equal opportunity for all persons and prohibits discriminatory practices based on race, color, sex, age, religion, national origin, creed, ancestry, height, weight, sexual orientation, gender identity, gender expression, disability, familial status, marital status, military status, veteran’s status, or other status as protected by law, or genetic information that is unrelated to the person’s ability to perform the duties of a particular job or position or participate in educational programs, courses, services or activities offered by the College.

The following individuals have been designated to handle inquiries regarding the nondiscrimination policies: Equal Opportunity Officer, Washington Court Place, 309 N. Washington Square Lansing, MI 48933, 517-483-1730; Employee Coordinator 504/ADA, Administration Building, 610 N. Capitol Ave. Lansing, MI 48933, 517-483-1875; Student Coordinator 504/ADA, Gannon Building, 411 N. Grand Ave. Lansing, MI 48933, 517-483-1885; Human Resource Manager/Employee Title IX Coordinator, Administration Building, 610 N. Capitol Ave. Lansing, MI 48933, 517-483-1879; Student Title IX Coordinator, Gannon Building, 411 N. Grand Ave. Lansing, MI 48933, 517-483-9632.

COVID-19 Safety Precautions

All students, employees and visitors have a part to play in keeping LCC safe.  Anyone who enters campus must follow the safety measures outlined on the Keeping LCC Safe webpage. Reports of noncompliance with current work safety rules and public health orders will be sent to the Student Compliance Office for action.  Students with questions or concerns should email [email protected].

Media Release Statement

Photographs, pictures, slides, movies, video, or other media coverage of students may be taken for College-related business, in connection with their enrollment or participation in LCC activities without compensation from LCC, its Trustees, officers, directors, employees, students and agents of each of them.  Photographs, pictures, slides, movies, video, or other media coverage of students may be used for any legal purposes.

College Catalog

For rules and procedures on matters such as Academic Calendar, Withdrawals, Incompletes, Appeals, etc., please review the College Catalog, and contact your Academic Advisor or Academic Success Coach.

Additional Items

Detailed Outline of Course Content and Sequencing

  1. Introduction to Course
    1. Course Syllabus
    2. Course Outcomes
    3. Course Evaluation
    4. Grading Criteria
    5. Intermediate and Advanced Surgical Procedures
    6. Patient Care
    7. Pathophysiology
    8. Anatomy
    9. Surgical Intervention
    10. Treatment and Prognosis
    11. Expected Outcomes
    12. Unexpected Outcomes
    13. Non-invasive Options
    14. Special Instrumentation
    15. Procedural Sequencing
    16. Anticipatory Critical Thinking Skills
  2. Intermediate and Advanced General Surgical Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  3. Intermediate and Advanced Vascular and Peripheral Vascular Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  4. Intermediate and Advanced Urological Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  5. Intermediate and Advanced Thoracic and Cardio-Thoracic Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  6. Intermediate and Advanced Plastic Surgical Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  7. Intermediate and Advanced Orthopedic Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  8. Intermediate and Advanced Gynecological Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  9. Intermediate and Advanced Neurological Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  10. Intermediate and Advanced EENT Procedures
    1. Patient Care
    2. Pathophysiology
    3. Anatomy
    4. Surgical Intervention
    5. Treatment and Prognosis
    6. Expected Outcomes
    7. Unexpected Outcomes
    8. Non-invasive Options
    9. Special Instrumentation
    10. Procedural Sequencing
    11. Anticipatory Critical Thinking Skills
  11. Biomedical Sciences
    1. Robotics
    2. Information Technology
    3. Electricity
Surgical Procedures will be covered pursuant to the requirements of the 6th Edition Core Curriculum as Published by the Association of Surgical Technologists, for this course, to ensure that ALL surgical procedures have been covered, in meeting such expectations for minimum compliance to accreditation standards.  The entirety of Surgical Procedures that will be discussed/lectured upon in this course will include:


General Surgery

 Laparoscopic Nissen Fundoplication
 Liver Resection
 Splenectomy – Open
 Splenectomy – Laparoscopic
 Pancreaticoduodenectomy (Whipple Procedure)

Obstetrics and Gynecologic Procedures
 Hysterectomy – Robotic-Assisted
 Uterine Radiation Seeding
 Tuboplasty
 Labioplasty
 Perineal Laceration
 Vulvectomy
 Ablation of Condylomata
 Marsupialization of Bartholin’s Gland (Cystectomy)
 Anterior and Posterior Repair (Colporrhaphy)
 Total Pelvic Exenteration
 Wertheim Procedure

Genitourinary
 Nephrectomy
 Kidney Transplant
 Wilm’s Tumor Excision (Adrenalectomy)
 Cystectomy w/ Creation of lleal Conduit
 Prostatectomy – Laparoscopic w/ Robot
 Prostatectomy – Suprapubic
 Prostate Seeding
 Penile Implant Insertion
 Penectomy
 
Otorhinolaryngologic
 Cochlear Implant
 Mastoidectomy
 Stapedectomy
 Tympanoplasty
 Endoscopic Sinus Surgery (FESS)
 Laryngectomy
 Parotidectomy
 Radical Neck Dissection – Glossectomy
 Radical Nect Dissection – Mandibulectomy
 Temporomandibular Joint Arthroplasty (TMJ)
 Uvulopalatopharyngoplasty

Orthopedic
 Acromioplasty – Open
 Acromioplasty – Arthroscopic
 Bankart Procedure – Open
 Bankart Procedure – Arthroscopic
 Shoulder – Total Arthroplasty
 Hip – Total Arthroplasty
 Hip – ORIF
 Femur – Femoral Shaft Fracture
 Anterior Cruciate Ligament Repair (ACL)
 Knee- Total Arthroplasty
 Triple Arthrodesis

Oral and Maxillofacial
 Maxillary and Mandibular Fractures – ORIF
 Maxillary and Mandibular Fractures – Arch Bar Application
 Maxillary Fractures – LeForte I
 Maxillary Fractures – LeForte II 
 Maxillary Fractures – LeForte III

Plastic and Reconstruction
 Malar Implants
 Mentoplasty 
 Mammoplasty – TRAM Flap
 Abdominoplasty
 Microvascular Pedicle Graft
 Dupuytren’s Contracture
 Traumatic Injury Repairs
 
Ophthalmic
 Dacryocystohinostomy
 Enucleation
 Iridectomy
 Keratoplasty
 Scleral Buckle
 Strabismus Correction – Recession & Resection
 Vitrectomy

Cardiothoracic
 Thoracotomy – Lung Transplant
 Aortic/Mitral Valve Replacement
 Atrial/Ventricular Septal Defect Repair
 Closure of Parent Ductus Arteriosus
 Coronary Artery Bypass Graft – Intraaortic Baloon Pump
 Coronary Artery Bypass Graft – Minimally Invasive Direct (MID-CABG)
 Coronary Artery Bypass Graft – Off-Pump CABG
 Coronary Artery Bypass Graft – Ventricular Assistive Device (VAD)

Insertion
 Heart Transplant
 Repair of Coarctation of the Aorta
 Tetralogy of Fallot Repair
 Ventricular Aneurysm Repair

Peripheral Vascular
 Abdominal Aortic Aneurysm w/ Graft Insertion
 Angioplasty – Endograft Placement
 Angioplasty –Endostent Insertion
 AV Shunts and Bypass – Aortofemoral Bypass
 Vena Cava Device
 
Neurosurgical
 Laminectomy – Cervical – Anterior
 Laminectomy – Cervical – Posterior
 Laminectomy – Thoracic
 Laminectomy – Lumbar – Spinal Fusion
 Craniotomy – Aneurysm Repair
 Craniotomy – Cranioplasty
 Craniotomy – Craniosynostosis Repair
 Transphenoidal Hypophysectomy