Pediatric Surgical Sciences
A.Y. 2025/2026
Learning objectives
- To Know the main surgical pathologies of the pediatric age and their therapeutic approach;
- To Know the most relevant pathologies in orthopedics in the developmental age and their therapeutic approach;
- To Acquire the knowledge and methods to manage nursing care, from data collection to the evaluation of evidence based actions and the result, to the child with family involvement, which presents biophysiological, physiopathological, psychological and socio-cultural manifestations and signs related to disease states with greater incidence and prevalence in the area of surgical interest;
- To Know and to apply the methods of use of therapeutic and diagnostic procedures, according to planned interventions and actions based on standards and scientific evidence;
- To Acquire the ability to apply data collection methods for the identification of nursing care needs related to illness states of the child's surgical relevance and to plan nursing care, documenting it according to the theoretical reference model and evaluating expected actions and results
- To Know the most relevant pathologies in orthopedics in the developmental age and their therapeutic approach;
- To Acquire the knowledge and methods to manage nursing care, from data collection to the evaluation of evidence based actions and the result, to the child with family involvement, which presents biophysiological, physiopathological, psychological and socio-cultural manifestations and signs related to disease states with greater incidence and prevalence in the area of surgical interest;
- To Know and to apply the methods of use of therapeutic and diagnostic procedures, according to planned interventions and actions based on standards and scientific evidence;
- To Acquire the ability to apply data collection methods for the identification of nursing care needs related to illness states of the child's surgical relevance and to plan nursing care, documenting it according to the theoretical reference model and evaluating expected actions and results
Expected learning outcomes
Knowledge and understanding:
- general and clinical nursing issues for the understanding of pediatric nursing's fields of intervention, clinical method leading to effective clinical approach intervention techniques and evidence supporting the decision making and the delivery of the pediatric nursing care.
Ability to apply knowledge and understanding:
- integrate the knowledge and skills stemming from the nursing discipline, from biomedical, psychological, socio-cultural and humanistic features to recognize the care needs of the newborn, children , adolescents and the family and provide appropriate, effective and evidence-based pediatric nursing care;
- apply the nursing care on the basis of the reference disciplinary theoretical models to assess and diagnose health status and care needs in their physical, psychological and socio-cultural dimensions, plan goals, implement and evaluate the care provided and outcomes achieved;
- conduct a complete and systematic evaluation of data relating to the care needs of the newborn, children , adolescents to facilitate growth, development and adaptation in health promotion, maintenance and recovery;
- analyze and accurately interpret the data collected through clinical reasoning;
- interpret and apply the results of research to nursing practice and link research paths to the theoretical development of the nursing discipline;
- provide nursing care in different care settings, both in- and out- of-hospital settings.
- general and clinical nursing issues for the understanding of pediatric nursing's fields of intervention, clinical method leading to effective clinical approach intervention techniques and evidence supporting the decision making and the delivery of the pediatric nursing care.
Ability to apply knowledge and understanding:
- integrate the knowledge and skills stemming from the nursing discipline, from biomedical, psychological, socio-cultural and humanistic features to recognize the care needs of the newborn, children , adolescents and the family and provide appropriate, effective and evidence-based pediatric nursing care;
- apply the nursing care on the basis of the reference disciplinary theoretical models to assess and diagnose health status and care needs in their physical, psychological and socio-cultural dimensions, plan goals, implement and evaluate the care provided and outcomes achieved;
- conduct a complete and systematic evaluation of data relating to the care needs of the newborn, children , adolescents to facilitate growth, development and adaptation in health promotion, maintenance and recovery;
- analyze and accurately interpret the data collected through clinical reasoning;
- interpret and apply the results of research to nursing practice and link research paths to the theoretical development of the nursing discipline;
- provide nursing care in different care settings, both in- and out- of-hospital settings.
Lesson period: Second semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Responsible
Prerequisites for admission
To obtain enrollment in the second year, the student must have passed at least three exams related to teaching courses, of which: - Human anatomy and physiology, Fundamentals of maternal and child care. Passing the annual internship exam is a necessary and mandatory condition to obtain registration for the following year
Assessment methods and Criteria
The written exam consists of a test with multiple choice answers and is considered passed if all the modules are sufficient. In the oral test the main criteria to be considered in the assessment of the answer are the completeness and correctness of the contents, the ability to link knowledge and clarity of exposition
Paediatric surgery
Course syllabus
Surgery of the liver in paediatric age
Inguinal hernia
· Pathology of the inguinal canal
· Pathology of the male gonads
· Pathology of the female gonads
· Retroperitoneal masses in children
· Hypertrophic pyloric stenosis
· Program summary
Inguinal hernia
· Pathology of the inguinal canal
· Pathology of the male gonads
· Pathology of the female gonads
· Retroperitoneal masses in children
· Hypertrophic pyloric stenosis
· Program summary
Teaching methods
15 lectures on frontal teaching
Teaching Resources
"Pediatric Surgery" J.L. Grosfeld, J.A.O'Neill , E.W.Fonkalsrud and A.G. Coran - Mosby Ed. -Sixth Edition - 2006
Musculoskeletal system diseases
Course syllabus
Anatomo physiology of bone and cartilage
Bone metabolism and its main alterations
The spine: scoliosis and kyphosis
Dysplasia and congenital dislocation of the hip
The stiff neck
The intra-articular pathology of the knee
The pronated-flat foot, the hollow foot, the clubfoot and the consequent pathology
The knee is launched and the knee is valid
Skeletal traumatology
Bone metabolism and its main alterations
The spine: scoliosis and kyphosis
Dysplasia and congenital dislocation of the hip
The stiff neck
The intra-articular pathology of the knee
The pronated-flat foot, the hollow foot, the clubfoot and the consequent pathology
The knee is launched and the knee is valid
Skeletal traumatology
Teaching methods
15 lectures on frontal teaching
Teaching Resources
" Ortopedia Infermieristica " di M.M.Parrini , Ed. La Dotta, 2015
Nursing sciences: general, clinical and paediatric
Course syllabus
o ORGANIZATION OF A PEDIATRIC SURGERY UNIT:
pre admission - planned hospitalization - urgent hospitalization - day surgeryIL PRE- OPERATORIO
o PRE OPERATIVE:
Interventions on the child (trichotomy, fasting, positioning of devices)
NURSING NEEDS OF THE CHILD SUBJECT TO SURGERY:
URGENT ABDOMINAL SURGERY : acute abdomen, appendicitis, peritonitis, intestinal obstruction
ELECTIVE ABDOMINAL SURGERY : hirschsprung disease, hernias, pyloric stenosis, ARM, Bowel management
Positioning and management of the SNG
OTOLARYNGOLOGY, OPHTHALMOLOGY, DENTISTRY, MAXILLOFACIAL
PLASTIC SURGERY: cleft lip / palate, giant nevi, post-traumatic
ORTHOPEDICS: fractures, bandages, immobilizations. Hemarthrosis and hemophilic child treatment in preparation for surgery
o NURSING NEEDS OF THE CHILD CARRIER OF:
PEG- JPEG
ENTEROSTOMIE
pre admission - planned hospitalization - urgent hospitalization - day surgeryIL PRE- OPERATORIO
o PRE OPERATIVE:
Interventions on the child (trichotomy, fasting, positioning of devices)
NURSING NEEDS OF THE CHILD SUBJECT TO SURGERY:
URGENT ABDOMINAL SURGERY : acute abdomen, appendicitis, peritonitis, intestinal obstruction
ELECTIVE ABDOMINAL SURGERY : hirschsprung disease, hernias, pyloric stenosis, ARM, Bowel management
Positioning and management of the SNG
OTOLARYNGOLOGY, OPHTHALMOLOGY, DENTISTRY, MAXILLOFACIAL
PLASTIC SURGERY: cleft lip / palate, giant nevi, post-traumatic
ORTHOPEDICS: fractures, bandages, immobilizations. Hemarthrosis and hemophilic child treatment in preparation for surgery
o NURSING NEEDS OF THE CHILD CARRIER OF:
PEG- JPEG
ENTEROSTOMIE
Teaching methods
Lessons in presence and practical and interactive activities
Teaching Resources
Slides didattiche
Parigi G.B. Chirurgia Pediatrica: approccio e gestione del bambino con problemi chirurgici. Masson 2005.
Badon P. Procedure infermieristiche in area pediatrica. Milano: Casa Editrice Ambrosiana; 2021.
N. Tkacz Browne et al , NURSING CARE OF THE PEDIATRIC SURGICAL PATIENT, Jones and Bartlett learning, Burlington; 2013
Gordon M. Diagnosi infermieristiche- processo e applicazione, Casa Editrice Ambrosiana; 2009
Dott. Mercuri Maurizio, Marchili Ellen, DRENAGGI TORACICI: DALLA TEROIA ALLA PRATICA ASSISTENZIALE
Brunner - Suddarth, Infermieristica medico-chirurgica
PRINCIPI DI CHIRURGIA PEDIATRICA ED INFANTILE, Prof. Claudio Spinelli, Direttore Cattedra di Chirurgia Pediatrica ed Infantile, Scuola di Specializzazione in Chirurgia Pediatrica, Università di Pisa
Chirurgia Pediatrica di Mario Lima, Giovanni Ruggeri, pubblicazione 2015
Parigi G.B. Chirurgia Pediatrica: approccio e gestione del bambino con problemi chirurgici. Masson 2005.
Badon P. Procedure infermieristiche in area pediatrica. Milano: Casa Editrice Ambrosiana; 2021.
N. Tkacz Browne et al , NURSING CARE OF THE PEDIATRIC SURGICAL PATIENT, Jones and Bartlett learning, Burlington; 2013
Gordon M. Diagnosi infermieristiche- processo e applicazione, Casa Editrice Ambrosiana; 2009
Dott. Mercuri Maurizio, Marchili Ellen, DRENAGGI TORACICI: DALLA TEROIA ALLA PRATICA ASSISTENZIALE
Brunner - Suddarth, Infermieristica medico-chirurgica
PRINCIPI DI CHIRURGIA PEDIATRICA ED INFANTILE, Prof. Claudio Spinelli, Direttore Cattedra di Chirurgia Pediatrica ed Infantile, Scuola di Specializzazione in Chirurgia Pediatrica, Università di Pisa
Chirurgia Pediatrica di Mario Lima, Giovanni Ruggeri, pubblicazione 2015
Modules or teaching units
Musculoskeletal system diseases
MED/33 - ORTHOPAEDICS - University credits: 1
Lessons: 15 hours
Professor:
Portinaro Nicola Marcello Agostino
Nursing sciences: general, clinical and paediatric
MED/45 - NURSING - University credits: 4
Lessons: 60 hours
Paediatric surgery
MED/20 - PAEDIATRIC SURGERY - University credits: 1
Lessons: 15 hours
Professors:
Leva Ernesto, Pelizzo Gloria