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.

 

COURSE OBJECTIVES

 

  • 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.

ELIGIBLE PARTICIPANTS

 

The Basic Surgical Skills Course is designed for:

  • Pre-Part I candidate in all surgical specialities

  • Medical officers

PROGRAMME

Day 1

08:15    Registration

08:30    Introduction and statement of course objectives,

              assessment overview.

08:40    Gowning and gloving

            Double gloving and gown/glove removal

09:00    knots

            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;

            Continuous suture

13:00    Lunch (provided)

13:45    Skin lesions and local anaesthetic techniques

            Techniques for tissue dissection

Excising a skin lesion and sebaceous cyst

14:25    Ligation/transfixion

            Pedicle transfixion, continuity tie, pedicle tie

14:55    Tissue handling 1

            Bowel: end-to-end interrupted

15:55    Tissue handling 2

            Tendon repair (assisted)

16:55    Electro-surgery

            General principles of electro-surgery

17:10    Discussion and feedback

17:30    Close 

Day 2

08:15    Registration

08:30    Reprise of knot tying

            Common faults

09:00    Abdominal closure and drain insertion

            Aberdeen knot

            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

17:30    Close

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