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    Department of General and Operative Surgery with Topographical Anatomy

    Address: Str. Hospital, 2, Ternopil, 46001
    Tel: (0352) 250647, 525350

    Staff : 5 professors, 10 associate professors, 8 assistants, 1 clinical interns, 2 masters, 1 senior technician, 4 lab assistants.

    Head of the Department - Prof. I.N. Deykalo

          The Department of Surgery was founded in August 1957. From 1957 to 1965, the Chief of the Department was Prof. JT Komorovskyy from 1965 to 1972 - Prof. O. cradle from 1972 to 1984 - Prof. AA Gerasimenko, from 1984 to 1989 - Prof. EV Kuleshov, from 1990 to 1997 - Prof. VA Shidlovskyy. In 1998 the department was led by Prof. MO Lyapis. Since August 2005 the department is once again led by Prof. VA Shidlovskyy.

    Education Department

          Medical students study at the department from the II-VI course; Dental students from II-III course, II course for the pharmaceutical faculties and II-V course for the medical college students. Students learn nursing in surgery, care of surgical patients, general operational surgery, topographical anatomy, traumatology and orthopedics of military-field surgery, trauma and combustiology, methods of treatment of patients, fundamentals of aesthetic plastic surgery. In the department there is the experimental subdivision which inludes the vivarium with a modern laboratory for scientific research. The Department was the first in Ukraine to introduce in it's educational process the program of Propaedeutics of Surgical Diseases. For optimization of it's educational process, the department created 28 educational films, published textbooks and CDs showing the procedures of the surgical patient. Education is in Ukrainian, Russian and English.

    Research interests of department staff

          Study of the course of wound processes in the breakdown of homeostasis in extreme factors (shock, sepsis, diabetes). Differentiable development of approaches to evidence-based pathogenetic treatment of patients with 'foot syndrome of the diabetic.' Optimal methods of surgical treatment of patients with goiter, hyperparathyroidism, benign and malignant adrenal tumors. Development of production technology and use of xenodermotransplantation in burn patients. Clinical methods of minimally invasive metallo-osteosynthesis.

    The main scientific achievements of the department

    • Course of studies and the methods of correction of pathological syndromes after resection of the stomach.
    • Worked out methods of preoperative and postoperative management of patients with diffuse toxic syndrome.
    • Surgical methods of segmental liver resection and access to biliary ways via intrahepatic entry.
    • Development of treating anaerobic infections, particularly clostridial infections in patients with diabetes.
    • Practical methods of diagnosis and treatment of thyrotoxicosis enteral syndrome.
    • Created a pathogenetic justification algorithm which includes the diagnosis and treatment of 'diabetic's foot syndrome.'
    • Developed technology for manufacturing xenodermotransplants and skin treatment methods of burn patients using these transplantatons.
    • Worked out a clinical method of minimally invasive metallo-osteosynthesis.
    • Over the last 5 years in the department there were reserved 7 candidates and 2 doctoral thesis.


    Clinical Work Department

          Clinical faculty consists of; 2 surgical wards with 30 beds, traumatology department with 65 beds, combustiology department with 30 beds, department of reanimation and intensive therapy with 8 beds, diagnostic ward, office-hospital ambulance. Employees of the clinic provide routine medical care urgently to the population of cities in the fields of surgery, traumatological and burn injurys, advise patients of Hospital number 1, dispense pharmaceuticals in the pharmacy , and organize a scientific and practical clinical-morphological conference meeting of surgeons in the region.


    COMBUSTIOLOGY COURSE

    Address: Str. Semashko, 2, Ternopil, 46001. Branch of burn trauma and plastic surgery, Ternopil hospital ambulance.
    Tel: (0352) 223277, (0352) 223313, 220704

    Staff Course Combustiology: 1 professor, 2 assistant.

    Head of Course - Laureate of the State Prize in Science Technology I of Ukraine, MD, Professor Vladimir Bihunyak

    Education

          The Combustiology Department teaches students from the 3rd to 6th course of medical faculty, doctors and interns. Students and doctors are issued the textbook titled 'Burn Wounds' (section on plastic surgery and clinical surgery), The methodical recommendation is using lyophilized xenodermotransplantation in combustiology.

    Research interests

          Study of changes in burn patients and improving medical care from thermal injuries. Optimization of transplanting skin in patients with thermal trauma and in patients with wounds of burn etiology. Studying the effectiveness of using local sources of skin rehabilitation for patients with burn trauma. Compressive use of clothing and silicone plates for prophylaxis and treatment of burn wounds.

    The main scientific achievements

    • The method of collection, cryoconservation, lyophilized storage of skin of pig.
    • The technique used in lyophilized xenodermotransplantativ for deep and surface wounds allows for better treatment of patients with thermal injuries. This reduces the death rate from heavy burns in Ukraine by 30%.
    • Proposed new processing methods lyophilized xenodermotransplantation by single oxygen biogalvinization, using different temperatures during their treatment.
    • 'Combustiologist' was an enterprise organized in 1993. It is the only manufacturer of lyophilized xenodermotransplants in Ukraine. Each year, Combustiologist produces over one million square centimeters of Liofilizovanyh xenodermotranslants which is used by all burn treatment centers in Ukraine. (See Annex PMP 'Kombustioloh' ). In 2003 xenodermotransplantation of pig skin, which is produced in the laboratory using a cryovacuum preservation method in Ternopil State Medical Academy named. i.Ya. Kovalchuk, was included on the records of the 100 best products of Ukraine.
    • The combustiology department published 116 scientific papers, 9 authors' certificates for inventions and 14 patents. The Department also copywrited 5 Ph.D. theses.

    Medical work

          Medical-preventive care provided to patients with burn injuries; conservative and operative treatment. In the Department of Plastic Surgery there are reconstructive operations for patients who suffer from burns, extreme cold and congenital abnormalities.

    COURSE on TRAUMATOGY and ORTHOPEDICS

          The course on traumatology and orthopedics conducts its history since the creation of the traumatology/orthodpedics department in August 1970. Assoc. L.N. Saltykov became Organizer of Department. In 1972, she defended her doctoral dissertation and got the title of professor. In the course of field surgery was enlisted Assoc. M.F. Holomazov, Ph.D. V.K. Malomy and A.V. Irydatkevych. In 1972 V.K. Malomy became docent. From 1983 to 1986 he served as Head of the department.
    In 1970-1972 the orthopedic/traumatological clinical facilities in the Regional Hospital consisted of 40 beds. Now the department consists of 70 beds.
    Composition of Course:
    1. Yedynak Alexei Nikolaevich, MD, professor emeritus Seeker Ukraine.
    2. Rolik Alexei V., MD, associate professor.
    3. Berezovsky Orest Ivanovich, science Professor.
    4. Igor Kulyanda Serhiyovych, science Professor.
    5. Natalia Oleksiyivna Marchenkov, assistant.
          To support the learning process the department has acquired a sufficient number of textbooks and manual, tables, maquettes, stands, educational films, X-rays, created a museum of pathological anatomical preparations, etc . For the purpose of optimization of the educational process there is situational task questions from all topics and practical seminar sessions. There is also methodical instructions issued to practical classes for the courses of Traumatology, Orthopedics, and Military-Field Surgery.
          Coordination and integration of teaching is conducted by 8 departments of theoretical and clinical profiles.
          The department is constantly developing actual questions using pedagogical and methodical teaching methods, the employees of the department repeatedly give reports at educational conferences.
          The department operates a student's research group. Annually there is near 10 students of III-VI courses. From 1970-2005, scientific students completed 115 works, many of which recieved diplomas and prizes.
          The faculty team conducted scientific research on the most urgent issues of traumatology and orthopedics, but during the last 25 years the scientific research department was leading its direction on the development of new methods and means of osteosynthesis.
          In 2000 a monograph was published by A.I. Berezovsky, 'Immobilization, compression, and distraction in practical and traumatological orthopedics (own analytical classification and materials).
          Professor A.M. Yedynakom prepared and published in the 2003 monograph 'Ideal Osteosynthesis.'
          During the existence of the department there were published 395 scientific works. The department has received 181 copyright certificates and patents for inventions, made 89 rational proposals. Prepared 4 doctoral and 5 Ph.D. Theses.
          The faculty teacher issued 12 recommendations, one prepared for printing.
          The department is constantly assisting health authorities and is a scientific and methodical center for traumatology and orthopedics in Ternopil oblast.
          Employees of the department provide considerable practical advice to students in Ternopil.
          Professor O.M. Yedynak developed fundamentally new scientific advancements in the treatment of broken bones, which is protected by dozens of patents. The result was the creation of a new, theoretically and practically grounded concept of ideal osteosynthesis. It was developed on the basis of new generation traumatological engineering and technology, it has no analogues not only in Ukraine but also abroad. First in practice was a unique operation in treatment of shoulder dislocation.
          From 2004 to 2005 the department head doctor, who was awarded the laureate prize, Prof. M.I. Sitenko from Kharkov Regional Scientific Medical Society O.V. Rolik, who in 1998 wrote his doctoral thesis 'Surgical Treatment of Femoral Neck Fractures (Experimental Clinical Research).'
          In 2005 the Traumatological and Orthopedics Department was reorganized and became the General and Operative Surgery with Topographical Anatomy, Traumatology and Orthopedics Department.
          Teaching is carried out in Ukrainian, Russian and English. All academic and practical achievements are announced the web-page of the Department.


    COURSE OF OPERATIONAL SURGERY AND TOPOGRAFICAL ANATOMY

    Address: Str. Deep, 19a, Ternopil, 46001
    Tel: (0352) 245380

    Course Staff: 1 professor, 2 associate professors, 3 assistants, 1 laboratory.

    Head of Course - MD, Professor Michael S. Hnatiuk

    Education Course

          The course includes operative surgery and topographical anatomy for the Medical Faculty in the II and III courses, (III course for Dental faculty),and intern and surgical intern specialties.

    Research interests

          Hnatiuk M.S. - Pathological modeling processes, morphometrical research on compensatory adaptation phenomena in bodies with lesions.
          Harhula V.D - Pacemaker function of the stomach, duodenum and its importance in surgery on organs of the gastrointestinal tract.
          Kovalchuk M.F., YA Danilevich Y.O. - Comprehensive morphological investigation of the heart and vessels pathology and surgery on organs of thoracic and abdominal cavities.
          Shev'yak P.I. - Structural and functional study of thyroid pathology.

    The main scientific achievements

          Protected:

    • Doctoral thesis - Assoc. Gerasimyuk I.YE. Assoc. Shulhay AG;
    • Candidate thesis - Byelikova N.A., Shamray N.V., Rybitska L.N., Gnatko K.V.
    • Course team performs routine budget-scientific research work 'Morphofunctional basis of adaptation process in the cardiovascular system, when arterial hypertension in large and small circles of blood circulation at different corrective impacts', № of registration- 0104 U 004522 (2005-2007)

    History of Department

          The Department of Operative Surgery with Topographical Anatomy was established in 1957-1958. It was originally located on the first floor of the physiology building. In the department were: Head Chairman (docent V.K. Tsvirko), assistant (M.T. Gerasimits), two laboratory technicians and a senior articulator. Department premises comprised two educational rooms, the experimental operating room, head of the office room and assistants room. Teaching at the department began in February 1958. To ensure his assistants, M.T. Herasymtsem created methodical instructions for teachers, museum preparations, and made 100 tables and all necessary surgical instruments.
          In September 1958 the Department moved to the morphological block, which was equipped with 3 educational rooms, laboratory, and office of the chief and assistants. In the same year as assistant was employed I.I. Bobryk, who worked at the department till 1960, later moved to the city of Kyiv (now head of the department of human anatomy, professor, corresponding member of the APS). In 1960 the position was adopted by D.B. Bekov, who worked until 1966 and after his PhD thesis, he became head of the department of operative surgery at Lugansk Medical Institute.
          In 1969 the laboratory in the department was converted into the operating experimental equipment room with modern equipment. The team is constantly working on improving the material basis of the department, illustrating the educational process, implementation of the learning process of experimental surgeries on animals for the acquisition of practical skills of students as well as for scientific research.
          In 1961, the department was headed by Associate Professor G.A. Rusanov (in 1964 he became Professor), who has been the head of the Department of Operative Surgery at the Military Medical Academy in Leningrad. Prof. Rusanov had great teaching experience, organizational skills, had a lot of culture, and amazing human traits. G.A. Rusanov suceeded to unite the team, focus its efforts on improving the learning process and research work. The department was equipped with two experimental operating rooms, photographical and histological laboratories, as well as an 'Animal Clinic' for 27 seats. Under his leadership, four were defended dissertation for the degree of candidate of medical sciences.
          The textbooks were replenished with new tables, film, instruments and surgical equipment on all workstations. The department aslo established a regular supply of cadavers. All this made it possible to conduct practical exercises on practical and methodical scientific levels. This made it possible to acquire a solid knowledge of anatomy and topographical with practical skills for common surgical interventions. Each group worked separate surgical teams working in two places. There was not one student who did not like to participate in the independent practical work, as their practical responsibilities changed every day. For the acquisition of practical skills to work with the living tissues in the learning process was introduced 10 experimental operations that were carried out under aseptis and antiseptics, anesthesia was given appropriately from the preoperative period and animals were treated in the postoperative period. All this contributed to raising the students' responsibility for their actions, formation of clinical thinking, self-mastering of subject matter, and provided a clear understanding of anatomy and physiology .
          Our experience was endorsed by the methodical seminar in Moscow in 1965, where Assoc. M.T. Gerasimits spoke, as well as a conference devoted to the 100-year anniversary of the establishment of departments of operative surgery and topographical anatomy (Leningrad, 1966), reports from the professor G.O. Rusanova. In the decision of these conferences our experience was recommended for implementation in practice of all universities of the country. Methods of teaching were clearly governed by the new methodical development for teachers and students. They were discussed at meetings of teachers in the department making the respective changes. Provide scientific and methodological unity of the educational process with contributed lectures and regular practical exercise with the following detailed discussion on their methodological department meetings.
          Experimental Surgery operational offices of the department was not only for basic scientific research department employees (postgraduates P.I. Nazarenko, O.I. Berezovsky, R.J. Weiden, assistant I. K. Loikaw, V.V. Myhayliv ordinator), but for employees of other departments as well (L. Saltukova, V. Nechyporuk, A.A. Gerasimenko, P.P. Ermakov, S.M. Shamrayevskyy, M.P. Otenko and more).Within one year over 1000 experimental operations were carried out .
          Pathohistological laboratory (ran by Senior Technition Vladimir Hlushyk) provided pursuant pathomorphological research with application of modern techniques for histological and histochemical methodics.
          From 1968 to 1970, the department was headed by Prof. J. Novikov, who then moved to the city of Smolensk, and from 1970 to 1984 - Assoc. M.T. Gerasimits. In 1974 the Department moved to new premises on the territory of the vivarium, which was equipped with an experimental ward. The vivarium had 4 rooms for equipment and for working with cadavers. The corridors in the Department got new school stands, which exhibited all the methodological documentation for the students and teachers. There was separately built a repository for storing cadavers that helped improve the sanitary conditions of workers, teachers, and students. The vivarium was equipped to hold 34 experimental dogs. The vivarium now uses pigs for educational and experimental surgery.
          Department staff was and is constantly working to improve the material basis, and constantly paying attention to the optimization of the educational process:
    1) fully functional operational tables and rooms;
    2) acquiring the necessary surgical instruments, modern narcosis sets, laparoscopy, ECG, pH meter, cryostat, microtomy etc.;
    3) Visual manuals were replaced with new color themed movies (45), which allowed a full video lecture course for students of the doctors and;
    4) made 6 new surgical stands for showing of instruments in the corridor;
    5) in 1975-80 the employees of the department created a textbook of operative surgery which included colored pictures of stages of surgical interventions, mappings on stands, short explanatory text. With special attention given to the strict observance of all rules of engineering interventions to prevent complications in postoperative period. These materials do not duplicate the recommended textbooks, but significantly complement them. Manuals are completely original, accessible to students and plays a significant role in the educational process.
          In 1979 the department trained doctors; obstetricians, cardiosurgeons, as well as gynecological postgraduate training. For all lectures and practical classes the FPO compiled Teacher Development, which features different study cycles for optimization of educational process to improve its effectiveness. Also in 1979, the teachers made a methodical textbook as a self study tool for students to practical classes. In 1984-1985 the methodical instructions were redone and issued in three parts. The Department believes that the proper material-technical and methods of teaching - is the most succesful factor for optimization of its organization.
          In 1984 the head of department became Prof. R.Y. Vayda. Department staff continues to search for optimization of educational process, despite material aqcuisition difficulties that are related to the general state of economic problems. In 1993 there were issued new methodical instructions for practical classes, this provided a new study plan. It was first issued in Ukrainian.
          Prof. R.Y. Vajda prepared 14 lectures (one in interdisciplinary Assoc. I. E. Gerasimyuk), 2 lectures prepared Sci. MS Gnatyuk (one - in interdisciplinary Assoc. VD Harhuloyu). They are available in sufficient quantity in the library for use in the process of doctors and to help students prepare to practical classes and exams. First time i was held copyright certificates patents for 2 doctorate and 3 master thesis. For academic achievement Sci. R.Y. Vajda was invited to be a member of the New York Academy of Medicine (1994).
          In 2001 the department moved into new premises into the morphological corpus where there were 4 rooms equipped for the work of cadaverous materials. There is also rooms for the chairman, associate professors, assistants, lab technicain and methodical office. Corridors of the Department of Surgical Training are filled with stands containing instruments and methodological documentation for the students and teachers. Department of Experimental Basis and cadaver storage is still on the territory of the vivarium .
          In 2001, the department of operative surgery was led by topographical anatomy professor M.S. Hnatiuk, author of 583 scientific publications, 4 books, 52 authors' certificates for inventions and patents, 2 CD's: Splanchology and topographical surgical anatomy that students used to study human anatomy and topographical anatomy. In 2002 and in 2006 there was newly issued Methodical Instructions to Practical Sessions on Operational Surgery and Topographical Anatomy, which corresponds to the new curriculum. In 2004, Publishers Ukrmedknyha issued textbooks on Operational Topographical Surgery and Anatomy in English, which is enjoyed by foreign students (the authors - Prof. MS Hnatiuk and Assoc. O.B. Slabuy).
          Today the main scientific direction of the department is preserved - the study of functionally-morphological aspects of compensation processes, subcompensation and decompensation after surgical interventions on the gastrointestinal tract and lungs. Also the development of methods of searching and surgical correcting the function of organs associated with surgical interventions.
          The results of these investigations protected by the PhD doctoral thesis of Prof. Roman Vayda, thesis of Berezovsky, I.K. Loikaw, I.Y. Gerasimyuk, V.D. Harhuly, A.G. Shulhaya, O.B. Slaboho, V.I Korsak, N.Y. Lisnychuk, N.O. Belikovoyi, N.V. Shamray, L.N. Rybitskoyi, K.V. Gnatko, doctoral thesis by I.Y. Gerasimyuk and A.G. Shulhaya. Further scientific research was published in more than 600 journal articles. There are 78 inventions, copyright certificates and patents. During the period of existence of the chair reserved doctoral thesis published monographs of Prof. G.O. Rusanov (1966) and Prof. D.B. Bekovym (1965), Robert J. Vajda, M.S. Hnatyuk.
          The department traditionally has provided advice and practical assistance in carrying out experimental research with other departments (I. A. Kachanyuk, L.L. Huta, V.M. Vasulyuk, V.V. Koptyuh, R.V. Svistun, I. J. Dzyubanovskyy , I. K. Wenger, V.V. Benedict, J. I. Slyvka, J. L. Kovalchuk, A.V. Boychuk, G.A. Pavlyshyn etc..).
          Over the past years the department staff conducts scientific research, which aims to find surgical corrections of violations of tubular function and liver vascular systems. Development of new treatments of liver incompetence in portal hypertension, which are the most significant contribution to the practice of the Department of Health.
          In the scientific student circle there are 15-25 actively working students in the II-VI courses. The departments work was always focused to solve two interrelated problems: the improvement of acquisition of practical surgical experience and general analysis of scientific data. Hurtkivtsi performed regularly at scientific conferences at different levels (Federal, republican, etc). Prizes occupy the work place, as there are published 12 scientific works, and 11 patents.
          In its work the Department is constantly integrating its educational process with the departments of surgery (general, faculty, hospitalization, surgery FPO), human anatomy, orthopedics and traumatology with field surgery by holding meetings between the practical teaching, lectures and seminars. During 1975-1982 the department was the collaborator involved in holding scientific conferences in the areas of the region together with the department of general surgery from the issue of Surgical Treatment of cancer, gastric ulcer duodenal ulcer and, purulent diseases and others. In lecture us constantly kursi The data used in statistical management of reports Annual health.
          Relationship of the operative surgery department with the health practitioners has always been professional, courteous, and friendly.
          In 2005, the Department of General Surgery was headed by Professor V.A. Shidlovsky.
          In 2006, operational surgery and topographical anatomy became located on the base of the vivarium. The educational department has 3 rooms, computer room with library, gym endoscopical surgery room, training room equipped with modern video technology, methodical office, and 2 rooms for teachers.





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