SILVER OAK UNIVERSITY

College of Physiotherapy
Bachelor of Physiotherapy
Course Name: Surgery (General Surgery, CT Surgery,
Plastic Surgery, Neuro Surgery) & Obstetrics and Gynaec
Course Code: 1140333303
Year: 3rd

Prerequisite:

Anatomy, Physiology, Pathology

Course Objectives:

1. Learn about acute infections (inflammation, fever, bacteremia, septicemia) and chronic
infections (syphilis, leprosy, actinomycosis).
2. Understand the procedure in wound management, post-operative care, and various surgical
techniques, including abdominal and chest surgeries.
3. Understand neurophysiological concepts of tone, movement, and pain, and identify and
evaluate neurological disorders, traumatic injuries, and tumors.
4. Study the female reproductive system, pregnancy, childbirth, high-risk pregnancy management,
and gynecological disorders.

Teaching Scheme:

Duration Teaching Scheme

L T P Contact Hours Credit
Per Term 4 0 0 4 4
Per Year 4 0 0 4 8
1 credit = 1 classroom lecture per week for 1 term or 2 Practical/clinical hours per week for 1
term.

Contents:

Teaching
Unit Topics % Weightage
Hours
Acute Infections
Inflammatory, Fever, Bacteremia, Septicemia, Pyeremia, Toxemia.
Specific Types: Cellulitis-Sites, Lymphangitis, Abscess with
1 Special Reference to Hand Infection, Carbuncle, Tetanus, Gas 14 9
Gangrene, Hospital Infection, Cross Infection with Modes of
Spread and Prevention.
General survey of chronic inflammation such as Syphilis (reference
to other venereal diseases), Leprosy and Actinomycosis
Urinary Tract Infections
General Survey to Trauma, Wound and Clinical Features
Wound Repair 14 9
2
Grades of Wound Healing, Clean and contaminated wounds and
 infectious wound, principles of treatment, survey of factors
affecting wound healing, ulcers and gangrene, post-operative
complications of abdominal surgery, specifically chest, wound
infection, edema.
Abdominal Surgeries and Incisions
Appendectomy, Cholecystectomy, Partial Colostomy, Ileostomy,
3 Hernia, Prostractomy, Nephrectomy. 14 9
Various Abdominal Incisions, Abdominal Drainage Tubes,
Catheters And Nasogastric Tubes.
Anesthesia 1
4 2
Anesthesia and OT Demonstrations
5 Chest Injury 2 1
Breast Surgery
6 5 3
Breast Surgery
Malignancy
7 5 3
Its Spread and its Behaviour
Anatomy of Thorax & its Organs and Physiology of Breathing
and Use of Ventilator
Basic anatomy of chest wall, trachea and bronchial tree, lungs and
8 bronchopulmonary segments, pleura and mediastinum, Basic 4 3
anatomy of heart, great vessels.
Physiology and mechanics of breathing and use of mechanical
breathing ventilator: (respirators).
Investigations
9 Endoscopies, Pulmonary Function Test 5 3
Investigations of Patient undergoing Cardiac Surgery
Common Conditions of Lungs
10 Bronchiectasis, Lung Abscess, Bronchogenic Carcinoma. 5 3

Common Surgeries of Chest Wall and Organs in it.

Thoracoplasty, Pulmonary Dissections, Thoracotomy,
Pneumothorax, Hydrothorax-Pneumothorax, Empyema.
Surgery of Portal Hypertension, Surgery of Pulmonary
Tuberculosis, Surgery of Heart and Great Vessels.
Basic principles of open-heart Surgery, Heart lung bypass
11 16 12
(Extracorporeal circulation), Common diseases of heart requiring
surgery both congenital and acquired including open heart surgery.
Common drugs used in cardiac surgery, its uses, side effects.
Common vascular surgery, Embolectomy, vascular reconstructive
surgery, (Thrombosis, Embolism, atherosclerotic and occlusive
vascular diseases including coronary artery bypass.
Common diseases of Esophagus and related conditions causing
12 2 1
Dysphagia.
13 Cardiac Arrest and its Management 2 1
Plastic Surgery
Burns as a specific type of Severe Trauma, Classification, Early and
Late Complications, Management and Reconstructive Surgery –
Skin As An Example Of Plastic Surgery Procedure.
14 16 12
Types Of Skin Grafting – Take Up of a Graft – Healing of a Graft,
Post Operative Care of Plastic Surgery with Specific Role of
Physiotherapy.
Principles Of Cineplasty, Tendon Transplant, Cosmetic Surgery,
 Types of Graft, Surgery of Hands with Emphasis on a Management
of Traumatic and Leprosy Hand
Neck, Skin Contractures and Management
Problems Of Trauma to Hand and Their Management
Neuro Surgery
Neurophysiology- Neurophysiology, basis of tone, disorders of
tone and posture, bladder control, muscle contraction, movement
and pain with clinical features and management of the following:
Congenital and Childhood Disorders – Hydrocephalus, Spina
Bifida
Trauma - Broad localization, first aid and management of squeal
of Head Injury and Spinal Cord Injury.
Diseases of the Spinal Cord - Craniovertebral junction Anomalies,
Syringomyelia, Cervical and Lumbar Disc Disease, Tumors.
15 18 12
Peripheral Nerve Disorders - Peripheral Nerve Injuries,
localization & management. Entrapment Neuropathies.
Intracranial Tumors - Broad classification, signs and symptoms.
Pre-operative Assessment and indications and contraindication for
neurosurgery in intracranial tumors
Management of pain, electrical stimulation of the brain and spinal
cord.
Outline of surgical disorders of brain - head injuries.
General survey of surgical disorders of spine and spinal cord
problem of paraplegia, malignancy.
Obstetrics and Gynecology
Anatomy and physiology of the female reproductive organs.
Puberty Dynamics.
Menstruation: Physiology of menstrual cycle-ovulation cycle,
uterine cycle Cx. cycle, Duration, amount, Hormonal regulation of
menstruation.
Pregnancy: Diagnosis of pregnancy, Abortion, Physiological
changes during pregnancy, Antenatal care, High risk pregnancy.,
prenatal, common complications investigation and management,
Musculoskeletal disorders during pregnancy, Normal labor.
Child Birth: Multiple Child birth, Child birth complications,
investigations and management.
16 28 18
Post Natal: Normal puerperium, lactation and postnatal.
Family planning: Family planning, Medical Termination of
pregnancy (MTP).
Complications: Infection of female genital tract including sexually
transmitted diseases, Low backache, Prolapse of uterus and vagina.
Operations: Principles of common gynecological operations
Hysterectomy, D&E, PEP Smear
Menopause: Menopause and its effects
Sterility- Pathophysiology, investigations, management
Urogenital dysfunction – Pre and post-natal condition
Carcinoma of female reproductive organs – surgical management in
brief.
Course Outcomes:

Sr. No. CO Statement Unit

Apply knowledge to classify and manage acute and chronic infections,
CO-1 1
including preventive measures.
Analyze and integrate principles of wound management, including treatment
CO-2 2,3
strategies for wounds, ulcers, and post-operative complications.
Demonstrate clear understanding of surgical techniques and procedures related
CO-3 to abdominal surgeries, anesthesia administration, and management of chest 4,5,12
injuries
Evaluate thoracic anatomy and apply understanding of respiratory physiology 6,7,8,9,10,1
CO-4
and understand the surgical procedures for the thorax, heart, and great vessels 1,13
Analyze and assess neurological disorders and understand the surgical
CO-5 interventions for trauma, spine and spinal cord diseases, peripheral nerve 14,15
disorders, and intracranial tumors
Integrate knowledge of obstetrics, gynecology, and reproductive health to
CO-6 evaluate anatomy, aid during pregnancy and childbirth complications, and 16
understand gynecological surgeries

Teaching & Learning Methodology:

1. Lecture method
2. Group discussion
3. Video lecture of surgeries
4. Case study analysis

Books Recommended:

1. Das S. "Manual of Clinical Surgery". New Delhi: S.B. Publication.

2. Shenoy KR. "Manipal Manual of Surgery". Manipal, India.
3. Bailey H, Love R. "Textbook of Surgery". London: Butterworth & Heinemann.

List of Open-Source Software/learning website:

● https://www.physio-pedia.com/home
● https://medlineplus.gov/womenshealth.html

CO-PO-PSO Matrix:

Co. No. PO1 PO2 PO3 PO4 PO5 PO6 PO7 PO8 PO9 PO10 PSO1 PSO2

CO-1 3 1 1 1 - - - - - - 3 1
CO-2 2 2 1 3 3 - 1 - 1 - 1 1
CO-3 2 1 1 1 - 1 - - - - 1 1
CO-4 2 2 1 1 1 1 - - - - 1 1
CO-5 2 1 1 3 3 1 1 - 1 - 1 1
CO-6 3 1 2 1 1 1 - - - - 3 1