Operations syllabus

Progress

• Operative spiel

Abdominal wall, Retroperitoneum and Urogenital

Abdominal Wall and Retroperitoneum

Knows

• Laparoscopic incisional hernia repair
• Component separation

Does

• Inguinal hernia repair
• Lichenstein Hernia Repair
• Suture Inguinal hernia repair
• Laparoscopic inguinal hernia repair
• Umbilical and paraumbilical hernia repair
• Open repair of abdominal incisional hernia
• Retro-rectus mesh repair
• Abdominal wound dehiscence
• Laparostomy
• Femoral Hernia
• Parastomal hernia repair
• Obturator Hernia repair

Urology

Knows

• Orchidopexy
• Laparoscopic exploration for absent testis
• Laparoscopic treatment of varicocele
• Inguinal orchidectomy

Does

• Scrotal exploration
• Excision of epididymal cyst
• Hydrocele repair
• Inguinal approach of varicocele
• Vasectomy

Acute urology

Knows

• Ureteric stenting

Does

• Catheterisation
• Suprapubic catheterisation
• Circumcision

Breast

Knows

• Breast oncoplastics and reconstruction
• Skin sparing mastectomy
• Nipple sparing mastectomy
• Pleurodesis

Does

• Breast fine needle aspiration
• Breast Core biopsy
• Hookwire guided wide local excision
• Mastectomy
• Sentinel node biopsy
• Hadfield’s Total Duct Excision
• Microdochectomy
• Axillary Lymph Node Dissection
• Subcutaneous mastectomy for gynaecomastia

Colorectal

Proctology

Knows

• Anal fissure operations
• Fistula in ano operations
• Rectal prolapse operations
• Anal incontinence operations

Does

• Banding of haemorrhoids
• Sclerotherapy for haemorrhoids
• Haemorrhoidectomy
• Internal lateral sphincterotomy
• Anal fistulotomy
• Seton placement
• Surgical management of pilonidal disease

Colorectal cancer

Knows

• Endoscopic tattoo
• Transanal local excision
• Inguinal and illiac lymph node dissection
• Pap smear
• High resolution anoscopy
• Abdominoperineal resection
• Laparoscopic right hemicolectomy
• Laparoscopic anterior resection
• Total proctocolectomy
• Ileaoanal pouch formaiton
• Reversal of Hartmans

Does

• Polypectomy
• Colostomy
• Open right hemicolectomy
• Open anterior resection
• Hartmann’s procedure

Acute colorectal

Knows

• Strictureplasty
• Topical formalin application
• Argon beam coagulation therapy
• On table lavage
• Appendicostomy

Does

• Ileostomy
• Reversal of ileostomy
• Emergency subtotal colectomy

EMERGENCY

Knows

• Removal of peritoneal dialysis catheter
• Insertion of peritoneal dialysis catheter

Gynaecology

Knows

• Operations for ectopic pregnancy
• Oophorectomy

Does

• Salpingectomy
• Ovarian cystectomy

ENT

Knows

• Nasal packing

Endocrine

Knows

• Sistrunk procedure
• Principles of intraoperative neuromonitoring
• Selective lateral lymph node dissection
• Central compartment node dissection
• Cervical thymectomy
• Parathyroidectomy
• Minimally invasive parathyroidectomy
• Adrenalectomy

Does

• Tracheostomy
• Thyroidectomy
• Parathyroidectomy
• Autotransplant parathyroid

Head & Neck

Knows

• Superficial Parotidectomy
• Submandibular gland excision
• Submandibular dochotomy
• Excision of branchial cyst

Does

• PEG
• Feeding jejunostomy
• Cricothyroidotomy
• Tracheostomy

CRITICALLY ILL PATIENT

Does

• Needle thoracostomy
• Chest Drain
• Elective Splenectomy

SKIN & SOFT TISSUE

Knows

• Inguinal and illiac lymph node dissection
• Thoracic Sympathectomy
• Lumbar sympathectomy
• Ulnar neurolysis
• Guyon’s canal decompression
• Decompressive surgery for pronator syndrome
• Acute primary nerve repair

Does

• Ingrown toe operations
• Split skin grafting
• Carpal Tunnel Release

SMALL BOWEL

Know

• Endoscopic duodenal stenting
• Duodenal diverticulectomy
• Laparoscopic gastrojejunostomy
• Embolectomy of the Superior Mesenteric Artery
• Reimplantation of the superior mesenteric artery
• Meckel’s diverticulectomy
• Laparoscopic ileocolic resection

Does

• Small bowel resection
• Gastrojejunostomy
• Duodenojejunostomy
• Meckel’s diverticulectomy
• Ileostomy
• Ileocolic resection

SURGICAL ONCOLOGY

Knows

• Regional lymphadenectomy
• Inguinal and illiac lymph node dissection
• Isolated limb infusion and perfusion
• Radical resection of retroperitoneum
• Denver shunt

Does

• Sentinel node biopsy

TRANSPLANTATION

Knows

• Multi-organ donation
• Living donor
• Renal biopsy
• Transplant nephrectomy
• Technique of liver transplant
• Technique of renal transplant
• Technique of pancreas transplant

Does

• Abdominal paracentesis
• Assessment of the liver

Trauma

Knows

• Basic airway management techniques
• Diagnostic peritoneal lavage
• Focused Assessment with Sonography in Trauma
• Damage control surgery
• Retroperitoneal exposure
• Tracheostomy
• Cricothyroidotomy
• Burr hole
• Control of severe maxilla - facial bleeding
• Craniectomy
• Access to Zones of the Neck
• Carotid Artery Repair
• Repair of traumatic oesophageal injury
• Application of tongs
• Diaphragmatic repair
• Pericardial window
• Thoracic Aortic Cross Clamping
• Repair simple cardiac wounds
• Resuscitative Thoracotomy
• VATS
• Major abdominal vessel trauma
• Splenic and kidney salvage techniques
• Vascular exploration and control on extremities

Does

• Intraosseous cannulation
• Splinting of extremities
• Cricothyroidotomy
• Nasopharyngeal packing
• Damage control laparotomy
• Resuscitative Thoracotomy
• Compartment pressure measurement
• Tracheostomy
• Cricothyroidotomy
• Nasopharyngeal packing
• Damage control laparotomy
• Resuscitative Thoracotomy
• Compartment pressure measurement
• Tracheostomy
• Fasciotomy
• Laparostomy
• Staged abdominal closure
• Escharotomy
• Application of spine immobilisation devices
• Diaphragmatic repair
• Operative Approach to Liver Trauma
• Trauma Splenectomy
• Application of pelvic binder
• Extra-peritoneal Packing

Hepatic, Pancreatic, Biliary

Hepatic

Knows

• Liver resection in patient with cirrhosis
• Liver resection
• Intra-operative USS
• Hepatic mobilisation
• Dissection of the liver
• Oesophageal varices
• Impact of ascites on abdominal surgery
• Haemostatic products
• Understand the role of low CVP anaesthesia in liver injuries
• Methods to achieve haemostasis in liver surgery
• Non-anatomical and anatomical liver resection

Does

• Staging Laparoscopy
• Liver Biopsy

BILIARY

Knows

• Roux-en-Y hepaticojejunostomy
• Biliary resection

Does

• Cholecystectomy
• Intraoperative cholangiogram
• Bile duct exploration

PANCREATIC

Knows

• Surgical management of pancreatic necrosis
• Pancreatico-jejunostomy
• Distal pancreatectomy
• Techniques for repair of a duodenal injury / ± pancreatic injury
• Pancreatic tumour enucleation
• Pancreatoduodenectomy

Does

• Operative recognition of acute pancreatitis
• Gastro-enterostomy

Spleen

Knows

• Haemostatic products
• Splenic preservation techniques
• Laparoscopic splenectomy
• Elective Splenectomy for massive spleen
• Laparoscopic abdominal nodal biopsy

Does

• Trauma Splenectomy
• Elective Splenectomy for a normal sized spleen
• Open node biopsy; - cervical - axillary - femoral
• Open abdominal nodal biopsy

Oesophago-gatric

Bariatric

Knows

• Management of bariatric complications

Does

• Removal of Gastric Band
• Internal hernia after gastric bypass

Oesophagus

Knows

• Fundoplication
• Oesophagectomy
• Palliative stenting
• Laparoscopic Heller Myotomy
• Operative repair, endoscopic stenting of Oesophageal perforation
• Zenkers diverticulum

Does

• Endoscopic assessment
• Feeding jejunostomy

Gastric

Knows

• Gastrectomy

Does

• Endoscopic Control of Bleeding Ulcer
• Surgical management of peptic ulcer disease
• Gastrojejunostomy
• Distal gastrectomy
• Wedge gastrectomy
• Surgical management of gastric volvulus
• Surgical management of incarcerated hiatus hernia

Vascular

Knows

• Operative management of acute limb ischaemia
• Operative management of peripheral vascular disease
• Operative management of aortic aneurysmal disease
• Transmetatarsal amputations
• Arterio-venous fistula
• Varicose veins surgery

Does

• Fasciotomy
• Below knee amputation
• Above knee amputation
• Digital amputations
• Vascular access
• Major vessel access
• Venous cut down

Other

• Laparoscopic surgery in pregnancy