The Pathology in Gynecology: from Prevention to Diagnosis and Treatment

A.Y. 2024/2025
5
Max ECTS
75
Overall hours
SSD
MED/13 MED/40 MED/47
Language
Italian
Learning objectives
The student must know the main gynaecological and oncological diseases. The student must be promoting prevention. The student must have technical and organizational tools for social medicine. The student must know how to assist in case of emergency/urgency.
Expected learning outcomes
Knowledge and understanding
The student must:
· acquire knowledge on the main gynecological and oncological pathologies and know how to promote prevention
Ability to apply knowledge and understanding
· Emergency/urgency assistance capacity
· Ability to organize work.
Single course

This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.

Course syllabus and organization

Sezione: Mantova

Responsible
Prerequisites for admission
Prerequisites for the course: THE DEFENSES OF THE VITAL PATH
Assessment methods and Criteria
Examination procedure
Written tests (one - duration up to 30 minutes)
Oral exam (one)
Type
Closed and open multiple-choice tests
Conversation with the teacher
Simulation
Evaluation parameters
Ability to organize knowledge discursively; capacity for critical reasoning on the study carried out; quality of exposure, competence in the use of specialized vocabulary, effectiveness, linearity
Type of evaluation
Endocrinologia
Course syllabus
Abnormalities of sexual development (precocious and delayed puberty)
The main endocrinological pathologies in gynecology: diagnosis and therapeutic indications
Teaching methods
Frontal Lesson
Interactive Lesson
Films
Teaching Resources
Costantini W., Calistri D., Ferrazzi E., Mauri P.A., Parazzini F. - TRATTANDO DI SCIENZA ED ARTE DELLA PROFESSIONALITÀ OSTETRICA - PICCIN 2021
De Palo MANUALE DI PATOLOGIA DEL TRATTO GENITALE INFERIORE ED. MINERVA MEDICA
Di Benedetto LA RIABILITAZIONE IN UROGINECOLOGIA ED. MINERVA MEDICA
Parazzini F. & Mauri P.A. IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES
Ginecologia e ostetrica
Course syllabus
Malformative pathologies of the female genital system: diagnosis and therapeutic indications.
Menstrual cycle disorders (amenorrhea, irregularities, bleeding, premenstrual syndrome): diagnosis and therapeutic indications.
The main gynecological infections (Herpes, Syphilis, Gonorrhea, Chlamydiasis, vaginal infections, Pelvic Inflammatory Disease): diagnosis and treatment.
Gynecological malignant tumors (ovary, salpingi, uterus-cervix, vagina, vulva): diagnosis and therapeutic indications.
Vesicular mole, choriocarcinoma and other tumors in pregnancy: diagnosis and treatment.
The main benign pathologies of the breast.
Malignant tumors of the breast: early diagnosis, breastfeeding and therapeutic indications.
Pelvic static defects and urinary incontinence: diagnostic approach and rehabilitation assistance.
Teaching methods
Frontal Lesson
Interactive Lesson
Films
Teaching Resources
Costantini W. VISITA AL FEMMINILE. UN APPROCCIO RAGIONATO ALL'OBIETTIVITÀ GINECOLOGICA - PICCIN 2016
Costantini W., Calistri D., Ferrazzi E., Mauri P.A., Parazzini F. - TRATTANDO DI SCIENZA ED ARTE DELLA PROFESSIONALITÀ OSTETRICA - Volume 4 - PICCIN 2021
De Palo MANUALE DI PATOLOGIA DEL TRATTO GENITALE INFERIORE ED. MINERVA MEDICA
Di Benedetto LA RIABILITAZIONE IN UROGINECOLOGIA ED. MINERVA MEDICA
Parazzini F. & Mauri P.A. IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES 2020
Veronesi U. I TUMORI DELLA MAMMELLA CASA ED: AMBROSIANA
Scienze infermieristiche ostetrico-ginecologiche
Course syllabus
Program
-The midwife in the operating room: the control of deadlines and the supply of sterile material
- the concept of sterility and asepsis in the operating room

PRE-OPERATIVE PHASE
- reception of the operanda in the preparation room
- verification of the identity of the operanda
- measurement and recording of vital parameters
- checking the completeness of the medical record (exams, anesthesiological and operating records, informed consent)
- information for the woman relating to the intervention
Prep aration of the operand:
fasting from midnight
trichotomy and evacuative enema
deep vein thrombosis prophylaxis (elastic bandaging of lower limbs)
possible premedication if requested by the anesthetist
placement of a peripheral venous access
application of electrodes for intraoperative monitoring of cardiac activity
insertion of the bladder catheter

INTRA-OPERATIVE PHASE
- correct positioning of the operanda on the operating bed (abdominal, vaginal, endoscopic surgery)
- neutral plate application for electrosurgery
- technique of: surgical hand washing, dressing, sterile gloves
- preparation of the sterile table and the operating field
- preservation of sterility
- preoperative control and counting of instruments, gauze, compresses, needles
- elimination of needles and other sharps used in the surgical field
- laparotomy wound dressing

- Instrumentation of the main abdominal and vaginal surgeries in obstetrics and gynecology (main table and servant table, surgical times from the point of view of the instrument nurse):
1) abs:
conservative cesarean section
laparohysterectomy with bilateral preservation of the adnexa
laparohysterectomy with bilateral adnexectomy
demolishing caesarean section
microsurgery and tubal sterilization
hints of laparoscopy
hints of gynecological robotic surgery

2) vaginal.
instrumental revision of the uterine cavity
cervico-segmentary cerclage
small vaginal sutures
vaginal hysterectomy with and without bilateral adnexectomy

POST-OPERATIVE PHASE
Immediate post-operative assistance in the recovery area of the operating block
Control and registration of:
vital parameters
state of consciousness-vigilance
quality and extent of diuresis and any drainage
infusion therapy and patent venous access
- transfer to the hospitalization ward (stretcher with safety rails) after anesthesiological check-up
- control of pain symptoms (FUT)
- early mobilization and/or mobilization exercises of the lower limbs
- resumption of therapy for thromboembolic prophylaxis
- oral and personal hygiene and cleaning
- control and replacement of the dressing
- control of the resumption of normal bowel and urinary function
- care of the feeding of the opera
- psycho-emotional support of the work

In the field of pelvic floor functions and dysfunctions, primary, secondary and tertiary prevention and obstetric care
Prevention, education and rehabilitation of the pelvic floor during pregnancy, childbirth, the puerperium and pelvic static pathologies
Teaching methods
Frontal Lesson
Interactive Lesson
Films
Exercises/simulations
Teaching Resources
Costantini W., Calistri D., Ferrazzi E., Mauri P.A., Parazzini F. TRATTANDO DI SCIENZA ED ARTE DELLA PROFESSIONALITÀ OSTETRICA - PICCIN 2021
De Palo MANUALE DI PATOLOGIA DEL TRATTO GENITALE INFERIORE ED. MINERVA MEDICA
Di Benedetto LA RIABILITAZIONE IN UROGINECOLOGIA ED. MINERVA MEDICA
Parazzini F. & Mauri P.A. IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES
Endocrinologia
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Lessons: 15 hours
Ginecologia e ostetrica
MED/40 - OBSTETRICS AND GYNAECOLOGY - University credits: 2
Lessons: 30 hours
Scienze infermieristiche ostetrico-ginecologiche
MED/47 - MIDWIFERY - University credits: 2
Lessons: 30 hours

Sezione: Milano

Responsible
Prerequisites for admission
Prerequisites for the course: THE DEFENSES OF THE VITAL PATH
Assessment methods and Criteria
Examination procedure
Written tests (one - duration up to 30 minutes)
Oral exam (one)
Type
Closed and open multiple-choice tests
Conversation with the teacher
Simulation
Evaluation parameters
Ability to organize knowledge discursively; capacity for critical reasoning on the study carried out; quality of exposure, competence in the use of specialized vocabulary, effectiveness, linearity
Type of evaluation
In thirty (the vote is decided by the Commission composed of the professors present at the Integrated Course exam)
How to communicate the results of the examination
The vote is verbally reported to the student. Subsequently the vote is verbalized on the web with modality that allows the student to accept or reject it
Endocrinologia
Course syllabus
Abnormalities of sexual development (precocious and delayed puberty)
The main endocrinological pathologies in gynecology: diagnosis and therapeutic indications
Teaching methods
Frontal Lesson
Interactive Lesson
Films
Teaching Resources
Costantini W., Calistri D., Ferrazzi E., Mauri P.A., Parazzini F. TRATTANDO DI SCIENZA ED ARTE DELLA PROFESSIONALITÀ OSTETRICA - PICCIN 2021
De Palo MANUALE DI PATOLOGIA DEL TRATTO GENITALE INFERIORE ED. MINERVA MEDICA
Di Benedetto LA RIABILITAZIONE IN UROGINECOLOGIA ED. MINERVA MEDICA
Parazzini F. & Mauri P.A. IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES
Ginecologia e ostetrica
Course syllabus
Malformative pathologies of the female genital system: diagnosis and therapeutic indications.
Menstrual cycle disorders (amenorrhea, irregularities, bleeding, premenstrual syndrome): diagnosis and therapeutic indications.
The main gynecological infections (Herpes, Syphilis, Gonorrhea, Chlamydiasis, vaginal infections, Pelvic Inflammatory Disease): diagnosis and treatment.
Gynecological malignant tumors (ovary, salpingi, uterus-cervix, vagina, vulva): diagnosis and therapeutic indications.
Vesicular mole, choriocarcinoma and other tumors in pregnancy: diagnosis and treatment.
The main benign pathologies of the breast.
Malignant tumors of the breast: early diagnosis, breastfeeding and therapeutic indications.
Pelvic static defects and urinary incontinence: diagnostic approach and rehabilitation assistance.
Teaching methods
Frontal Lesson
Interactive Lesson
Films
Teaching Resources
Costantini W. VISITA AL FEMMINILE. UN APPROCCIO RAGIONATO ALL'OBIETTIVITÀ GINECOLOGICA - PICCIN 2016
Costantini W., Calistri D., Ferrazzi E., Mauri P.A., Parazzini F. - TRATTANDO DI SCIENZA ED ARTE DELLA PROFESSIONALITÀ OSTETRICA - Volume 4 - PICCIN 2021
De Palo MANUALE DI PATOLOGIA DEL TRATTO GENITALE INFERIORE ED. MINERVA MEDICA
Di Benedetto LA RIABILITAZIONE IN UROGINECOLOGIA ED. MINERVA MEDICA
Parazzini F. & Mauri P.A. IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES 2020
Veronesi U. I TUMORI DELLA MAMMELLA CASA ED: AMBROSIANA
Scienze infermieristiche ostetrico-ginecologiche
Course syllabus
-The midwife in the operating room: the control of deadlines and the supply of sterile material
- the concept of sterility and asepsis in the operating room

PRE-OPERATIVE PHASE
- reception of the operanda in the preparation room
- verification of the identity of the operanda
- measurement and recording of vital parameters
- checking the completeness of the medical record (exams, anesthesiological and operating records, informed consent)
- information for the woman relating to the intervention
Preparation of the operand:
fasting from midnight
trichotomy and evacuative enema
deep vein thrombosis prophylaxis (elastic bandaging of lower limbs)
possible premedication if requested by the anesthetist
placement of a peripheral venous access
application of electrodes for intraoperative monitoring of cardiac activity
insertion of the bladder catheter

INTRA-OPERATIVE PHASE
- correct positioning of the operanda on the operating bed (abdominal, vaginal, endoscopic surgery)
- neutral plate application for electrosurgery
- technique of: surgical hand washing, dressing, sterile gloves
- preparation of the sterile table and the operating field
- preservation of sterility
- preoperative control and counting of instruments, gauze, compresses, needles
- elimination of needles and other sharps used in the surgical field
- laparotomy wound dressing

- Instrumentation of the main abdominal and vaginal surgeries in obstetrics and gynecology (main table and servant table, surgical times from the point of view of the instrument nurse):
1) abs:
conservative cesarean section
laparohysterectomy with bilateral preservation of the adnexa
laparohysterectomy with bilateral adnexectomy
demolishing caesarean section
microsurgery and tubal sterilization
hints of laparoscopy
hints of gynecological robotic surgery

2) vaginal.
instrumental revision of the uterine cavity
cervico-segmentary cerclage
small vaginal sutures
vaginal hysterectomy with and without bilateral adnexectomy

POST-OPERATIVE PHASE
Immediate post-operative assistance in the recovery area of the operating block
Control and registration of:
vital parameters
state of consciousness-vigilance
quality and extent of diuresis and any drainage
infusion therapy and patent venous access
- transfer to the hospitalization ward (stretcher with safety rails) after anesthesiological check-up
- control of pain symptoms (FUT)
- early mobilization and/or mobilization exercises of the lower limbs
- resumption of therapy for thromboembolic prophylaxis
- oral and personal hygiene and cleaning
- control and replacement of the dressing
- control of the resumption of normal bowel and urinary function
- care of the feeding of the opera
- psycho-emotional support of the work

In the field of pelvic floor functions and dysfunctions, primary, secondary and tertiary prevention and obstetric care
Prevention, education and rehabilitation of the pelvic floor during pregnancy, childbirth, the puerperium and pelvic static pathologies
Teaching methods
Frontal Lesson
Interactive Lesson
Films
Exercises/simulations
Teaching Resources
Costantini W., Calistri D., Ferrazzi E., Mauri P.A., Parazzini F. TRATTANDO DI SCIENZA ED ARTE DELLA PROFESSIONALITÀ OSTETRICA - PICCIN 2021
De Palo MANUALE DI PATOLOGIA DEL TRATTO GENITALE INFERIORE ED. MINERVA MEDICA
Di Benedetto LA RIABILITAZIONE IN UROGINECOLOGIA ED. MINERVA MEDICA
Parazzini F. & Mauri P.A. IL MANUALE DEI CONCORSI PER OSTETRICA. EDISES
Endocrinologia
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Lessons: 15 hours
Professor: Arosio Maura
Ginecologia e ostetrica
MED/40 - OBSTETRICS AND GYNAECOLOGY - University credits: 2
Lessons: 30 hours
Scienze infermieristiche ostetrico-ginecologiche
MED/47 - MIDWIFERY - University credits: 2
Lessons: 30 hours
Professor(s)
Reception:
by appointment via email
Fondazione IRCCS Ospedale Maggiore Policlinico, building ZONDA , via Lamarmora 5