BASIC SURGICAL SKILLS COURSE
This course was introduced to Sub-Saharan Africa in 2000 by the Association of Surgeons of Great Britain and Ireland (ASGBI) and since then many of such courses have been held.
Ethicon BG has sponsored Surgical Skills Centre in both East and West Africa. It is now a pre-requisite for PART I exams in all surgical specialties.
The aim of the BSS Course is to train young surgeons in Basic Surgical Skills which are appropriate to any branch of surgery whether in the emergency or elective situation and also to introduce the WHO Surgical Safety Checklist.
To learn safe operating techniques.
To understand that careful and sound aspects of techniques are more important than simple manual dexterity or speed.
To understand the importance of universal precautions for safe theatre practice, especially in emergency situations.
To understand the principles of handling tissue and sound anastomotic techniques recognizing differing requirements for different sites, eg: bowel and vascular tissue.
To understand the principles of assessing contaminated soft tissue, wound debridement and primary surgical management including drainage and appropriate closure.
To understand principles of identifying and managing injury to tendons, including tendon repair, handling of tissues and subsequently management.
At the end of the course the participant will be proficient in the principles of safe surgery, knot tying, suturing, bowel anastomoses, abdominal wall closure, tracheostomy, chest drain insertion, split skin grafting, vascular trauma, debridement, tendon repair and the management of fractures.
There will be feedback and evaluation by each trainee as well as an assessment, both formative and summative, which involves pre and post course MCQs.
Successful participants who have attended a certificate to show that they have attended an acceptable level of competence in Basic Surgical Skills.
The Basic Surgical Skills Course is designed for:
Pre-Part I candidate in all surgical specialities
08:30 Introduction and statement of course objectives,
08:40 Gowning and gloving
Double gloving and gown/glove removal
One-handed reef knot and instrument tie
09:50 Knots (continued)
Surgeon’s knot and tying at depth
10:50 Refreshment break
11:05 Handling instruments
Scissors, haemostats, forceps and scalpel
11:30 Suturing techniques
Needles and incisions
Interrupted sutures, simple and mattress suture;
13:00 Lunch (provided)
13:45 Skin lesions and local anaesthetic techniques
Techniques for tissue dissection
Excising a skin lesion and sebaceous cyst
Pedicle transfixion, continuity tie, pedicle tie
14:55 Tissue handling 1
Bowel: end-to-end interrupted
15:55 Tissue handling 2
Tendon repair (assisted)
General principles of electro-surgery
17:10 Discussion and feedback
08:30 Reprise of knot tying
09:00 Abdominal closure and drain insertion
The art of assisting
10:30 Refreshment break
10:45 Tissue handling 3
Vascular surgery principles
Vein patch exercise (assisted)
12:45 Lunch (provided)
13:15 Wound management I
Abscess drainage (no assistance)
17:15 Discussion and feedback