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Operations without incisions, a reference point on the monitor, an organ for replacement. Doctors about the era of the latest technologies in modern medicine
01.11.2021
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The Grodno University Clinic is keeping pace with world surgery.
Eduard Mogilevets, chief freelance specialist in surgery of the main health department of the regional executive committee, head of the 1st Department of Surgical Diseases of the Grodno State Medical University, Candidate of Medical Sciences:
– In the Grodno region a successive three-level system of medical
care for diseases of a surgical profile has been created. At the initial
stage, patients who applied on their own or were delivered by ambulance
are provided in polyclinics and surgical hospitals of central regional
hospitals. There is a list of indications, for example, planned
laparoscopic intervention for cholelithiasis, according to which
patients from the region's districts are sent to interdistrict surgical
centers, Grodno residents - to the city clinical hospital No. 4 and the
clinical emergency hospital. Complex, high-tech and minimally invasive
planned interventions, as well as operations for complicated acute
surgical pathology, are carried out at the Grodno University Clinic.It is very important for the development of Grodno surgery to organize and equip interdistrict surgical centers on the basis of the Lida, Ostrovets and Volkovysk central regional hospitals. In addition to directly modern surgical equipment, there are modern high-level ultrasound machines, computed tomographs, which greatly simplifies and speeds up the diagnosis in emergency and planned cases.
The surgeons of the interdistrict centers underwent practical on-the-job training in the vascular department of the Grodno University Clinic, and the centers themselves purchased vascular instruments. In particular, Fogarty catheters, which are used to remove blood clots from arteries. The opening of the angiographic office in Ostrovets was a landmark event. Now the surgeons of this center have the opportunity, without incisions, to stop bleeding of various localizations, to restore blood circulation in various basins in case of atherosclerotic lesions.
The development of surgery in interdistrict centers is facilitated by conducting offsite master classes on their basis with the involvement of leading specialists of the region. For example, in April of this year, the first laparoscopic splenectomy was performed in the surgical department of the Volkovysk central district hospital; in June, in Ostrovets, laparoscopic hernioplasty was performed on a patient with a hernia of the anterior abdominal wall. These are modern surgical interventions, which until now have been the prerogative of the university clinic.
It should be noted that in surgery, including in Grodno, today, figuratively speaking, the time of prosperity. The unique equipment radically changed the technology of operations, which became less traumatic, safer and, importantly, more "comfortable" for patients. More and more are becoming reconstructive, aimed at restoring or replacing the affected organ: vascular prostheses, artificial heart valves, reinforcement of hernial gates with synthetic mesh, etc. are used. Minimally invasive techniques are being developed that make it possible to minimize the area of intervention in the body: mini-approaches, laparoscopic techniques, X-ray endovascular surgery.
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