DEPARTMENT OF SURGERY WITH ANAESTHESIOLOGY № 2
Address: Klinichna str., 1, Ternopil, 46002
Tel.: (0352) 273341
Staff of the Department
The Department includes 2 professors, 4 associate professors, 2
assistants and 2 laboratory assistants
The Department was founded on the 1st of June 2009 on the basis of
Ternopil regional clinical hospital after the reorganization of the Department of
surgery with urology and anaesthesiology.
The Head of the Department PhD., Prof. Oliynyk O.V.
The Department is headed by PhD., Prof. Olyinyk O.V. , the author and
co-author of 80 scientific publications, 7 inventions, co-author of the monograph
devoted to the problems of osteoporosis. The Department includes: Associate
Professor, PhD Vayda A.R., Associate Professor, PhD Hospodarsky A.Y.,
Associate Professor, Ph.D. Chepil I.V., Associate Professor, Ph.D. Kostiv S.Y.,
Professor, MD Hnativ V.V., Associate professor, PhD Kostiv O.I. and Assistant
Soroka Yu.V. Hnativ V. V. has 62 scientific works, 4 inventions and 19
innovations. He is one of the authors of the monograph "Craniocerebral
Hypothermia in the Treatment of Acute Poisoning'', CD-book and the textbook
"Anaesthesiology, Resuscitation and Intensive Care of Emergency Conditions".
Today the Department includes 2 professors, 4 associate professors, 2
assistants and 2 laboratory assistants.
Education
The fundamentals of surgery, anaesthesiology and intensive care are taught
for the international students on the basis of the clinic. Interns - anaesthesiologists,
students, interns in the following disciplines: family physicians, emergency
physicians, surgeons, traumatologists, obstetrician-gynaecologists, neurologists
and others are also trained at the Department. Thus, the clinic participates in the
academic process of three faculties - the Faculty of Foreign Students, the Medical
Faculty and the Faculty of Postgraduate Education.
Credit-module system is introduces into the educational process of all
courses. Materials for practical classes, presentations of lectures, methodical
instructions for students, algorithms of practical skills, educational materials for
tutors have been worked out at the Department.
According to the concept of the University the Faculty of Foreign Students
continue to improve skill-oriented education. As a result, cycle system of education
has been introduced at the Department. Correspondingly, surgery and
anaesthesiology specialized rooms have been arranged, schedules and curriculum
have been corrected. All these improved the efficiency of the educational process.
The following stages of the learning information system have been carried
out: work programs, methodical instructions, schedules of teacher duties, slides
and lecture presentations, lectures for students which contain text material, the
necessary images, photos and video are downloaded on the Web-portal of the
University. Information system of the teachers rating evaluation, including
educational, scientific and clinical work is also downloaded online.
The reorganization of Ternopil regional hospital into the Clinical
University Hospital helps to prepare students for practical activities and to engage
them in the patient examination and to participate in diagnostic manipulations.
Examination of patient by the student of the Foreign Faculty under the teacher
supervision
"Clinical Surgery" manual, translated into English, is the main manual in
the training of international students.
We have discussed at the departmental meetings and implemented System
of students’ knowledge assessment, which includes survey of students, developing
practical skills, solving situational problems and control of deontological demands
has been discussed at the Chair Meeting and implemented into the educational
process. Teachers use different situational tasks in the educational process
especially for "Step-2" exam preparation. Many patients were discussed at clinical
rounds and clinical conferences for better understanding of the subject and
diagnosis. The Department constantly updates and improves themes of lectures and
practical classes.
About two thousand situational tasks and tests with pictures,
approximately six thousand text tests for clinical and theoretically knowledge
evaluation in the electronic system "Moodle" for the IV, V and VI year students of
the Foreign Students Faculty have been created at the Department.
The manual “Surgery” for 1056 pages edited by Prof. NAMS of Ukraine,
Honoured Worker of Science and Technology of Ukraine, MD, Professor.
L.Ya.Kovalchuk, for medical universities of III-IV levels of accreditation was
published in 2010. The staff of the Department also participated in the creation of
this.
Clinical work
Surgery with Anesthesiology Department №2 provides specialized surgical
care of patients with vascular, surgical and proctologic pathology; provides
anesthesia for surgery in Ternopil University Hospital. Doctors annually perform
more than 1000 complex operating procedures.
Clinical basis of the Department is the Department of vascular surgery and
the Department of anaesthesiology and intensive care.
During the examination of the patient in the Department of
anaesthesiology and intensive care.
Head of the Department Prof. Oliynyk O.V., Professor Hnativ V.V. and
doctor Kuybida O.I.
The staff of the Department continuously develops and implements
modern methods of treatment. In clinical practice we have been able to introduce
methods of prevention of reperfusion syndrome after reconstructive operations on
the aortic-hip segment in patients with chronic critical ischemia of lower
extremities, a method of differentiated approach for the prevention of
thromboembolic complications, not only in patients with vascular pathology, but
also in patients with common surgical pathology.
During surgery on the hip-popliteal segment
Associate professor Vaida A.R. and Associate professor Kostiv S.Ya
Professor Venger I.K.
According to the modern standards, doctors perform low invasive
operations including endoscopic subfascial dissection of veins in patients with
postthrombophlebitic syndrome.
During minimally invasive surgery in the operating room MD Kostiv O.I.
Diagnosis and differential diagnosis diseases of the arteries and veins have
been significantly improved thanks to ultrasonic duplex scanning of vessels
implementation into clinical practice. Surgeries in injuries of blood vessels,
embolism and thrombosis the arteries, acute venous thrombosis are among the
most urgent surgeries.
The Department widely uses inhalation endotracheal anaesthesia sevorane
with the help of the anaesthesia apparatus «Leon», uses the membrane
plasmapheresis procedure, acute hemodialysis in the relevant categories of
patients, drug-induced fibrinolysis in thromboembolic complications, uses different
methods of noninvasive ventilation by means of «Drager» device which are
controlled by volume and pressure.
In the wards of intensive therapy constant observation of patients, which
includes cardiomonitoring, monitoring of blood gas and respiratory gas, acid-base
investigation states is made.
Professor Chepil I.V. examines seriously ill patients in the Intensive Care
Department
The clinic staff performes intensive infusion-transfusion therapy,
correction of fluid and electrolyte, acid-base status, parenteral and enteral nutrition,
antibiotic therapy, uses different methods of detoxication therapy.
New methods of optimizing presurgical preparation, intraoperative
correction and postoperative treatment of patients with peptic ulcer disease have
been developed in the clinic. Methods determining the oxygen saturation of the
bowel wall and its viability in colonic obstruction, methods of its prevention and
treatment failure of primary anastomosis during colon and rectum surgery have
been elaborated and implemented.
Clinical workers regularly visit and treat patients in regions. Along with
this, clinical staff has the duty in emergency medical care. All teachers of the
Department passed postgraduate study at the University Hospital of South Carolina
(USA), Vienna Medical University Hospital (Austria), Prague Hospital (Czech
Republic), the leading clinics of Russia and Ukraine. The Department has close
working relationship with Anaesthesiology and Intensive Care clinics in (Wroclaw
University, Poland) and with West London University Hospital (London, UK). The
staff of the Department presented their reports at the XXII Congress of Surgeons of
Ukraine (Vinnytsa, 2010), at the III Congress of Vascular Surgeons of Ukraine
(Donetsk, 2010), at the III Congress of Coloproctologists of Ukraine in which with
Central and Eastern Europe also took part (Odesa, 2011), at the III and IV
conferences with international participation "Angiology and vascular surgery
"Suharyevsky reading"" in 2010 and 2011, national and regional surgical
conferences.
During the training in the centre of robotic surgery in the hospital «Na
Homolce» (Czech Republic)
Assoc. prof. Hospodarsky A. uses “Da Vinci” system device.
Research
Scientists have published 10 monographs, 5 textbooks, over 450 scientific
works, 16 patents. One Doctoral and four Candidate dissertations are being worked
out in the clinic, English textbook in anaesthesiology and intensive care is being
finished.
In May 2011 clinic organized scientific-practical conference "Galician
anaesthesiology reading: issues of anaesthesiology and intensive care," in which
over 300 scientists and practical anaesthesiologists from 11 regions of Ukraine and
from Poland, Great Britain, USA took part. Such conference is planned to be
organized annually.
Perspective fields of the clinic are: development of minimal invasive
methods of treatment of the aneurysm of the abdominal aorta and peripheral
arteries and new methods of operating of extracranial arteries, the introduction of
standards for treatment of emergency in anaesthesiology, intensive care, research
and development of diagnostic and treatment efficacy of hypoxic conditions in the
practice and experiment; development of minimally invasive methods of treatment
of proctologic patients, prevention of early postoperative complications in
operations on the colon. Workers of the Department plan to continue the
development of inhaled anaesthesia methods, implement the use of BIS-monitoring
during anaesthesia, total parenteral nutrition "three in one" perfect extended noninvasive ventilation with various kinds of laryngeal masks.
The staff of the Department plans to train in the Wroclaw Medical
University (Poland) and in the hospitals in London (UK).
The Department staff does not stop on the current achievements and
planning future scientific and medical professional growth.