Medical work

???????????????????????????????Medical treatment of hospital and faculty surgery clinic is located in the 2nd Tashkent Medical Academy on the following bases: surgical SKAL number 1 , the emergency department , Angiology ( 15 beds ), Department of Thoracic Surgery ( 15 beds ) , Department of Abdominal Surgery ( 20 beds ) , Department of Emergency surgery ( 20 beds ) , department of Vascular surgery ( 15 beds ) , surgical intensive care number 1 (10 beds) and number 2 ( 10 beds ) , the planned operation unit (6 operational) , the emergency operation unit (4 operational) , rentgenoperatsionnaya ( 2 operations ) .

In 1994, according to the order № 161 of the Minister of Health of the Republic of Uzbekistan , the need for specialized clinics to provide skilled assistance to the population in the outpatient clinic was established surgical specialized course of outpatient treatment ( SKAL ) .

The main purpose of this office was unloading hospitals, which are usually carried out all kinds of surgical care , as well as the examination and preparation of patients for surgical intervention . Thus , the objectives of surgical Scalia included: consultations highly specialized professionals , surgeons , providing them with necessary specialized outpatient surgical care (performing operations of small and medium level) , preparation of patients for upcoming operations , the provision of care to patients who received inpatient surgery .

Established branch represents a ” ministatsionar “, which had the following divisions:

  • Consultative and diagnostic unit ;
  • day care ;
  • Operating with dressing ;
  • physiotherapy unit .

As part of consultative and diagnostic unit carried out by qualified experts in the reception abdominal , thoracic and vascular pathology. In addition, this consisted of a therapist , cardiologist , endocrinologist , ophthalmologist, anesthesiologist . Of diagnostic procedures operated offices : ultrasound, endoscopy , Doppler , ECG and biochemical laboratory .

Operating – dressing unit was represented by two operating -governmental (1st to perform traditional , 2nd – for endoscopic surgery ) and dressing . In the rehabilitation of a number of patients undergoing surgery, were treated in the physiotherapy department.

Given the equipment and experience in the department became possible to perform minimally invasive surgery moderate way , in this regard, since 1997 has been deployed 4 beds and office SKAL was renamed Surgical Hospital One Day ( HSOD ) .

In the day hospital was deployed four beds , which were located in the patients after an average weight of less invasive operations or after surgeries low gravity . It is natural selection on these operations was strict – with a minimum of operational risk . Since 1995, as part of the department also operates unit for the prevention of complications of diabetes.

In March 2006, in conjunction with the clinic Charité (Germany), established a new specialized unit of surgical correction of chronic vascular insufficiency of cerebral blood flow ( Angiology ) , which to date have intervened in the arteries of the brachiocephalic trunk.

Medical Services Thoracic Department includes from small operations ( thoracentesis , puncture of the pleural cavity) to the extended pneumonectomy with limfodessektsiey in lung tumors .

In the department of abdominal surgery were hospitalized patients with gastric ulcer and 12 sc , various abdominal hernias , acute pancreatitis and its complications , tumors of the pancreas, bile ducts, BDS and their complications , cysts of the pancreas , chronic pancreatitis , mechanical jaundice of different origin ; gallstone disease and its complications ; nonparasitic and echinococcus cysts of the liver , spleen and other sites .

A list of the operations :

Resection of the stomach, sparing resection of the stomach, draining the stomach surgery , various types vagatomy ( ulcers ) .

Hernia repair with different types of plastics (for abdominal hernias ) .

And non- invasive intervention in acute pancreatitis ( plasmapheresis, catheterization of the aorta and its main branches to carry out long-term intra-arterial catheter therapy , laparoscopic pancreatic decompression , rehabilitation laparoscopic abdominal laparoscopic drainage of omental bursa , the imposition omentobursostom , retroperitoneostom ) .

Surgery for tumors of the pancreas, bile ducts, BSS ( percutaneous transhepatic endobiliary intervention , pancreatectomy , pancreatoduodenectomy ) .

Surgery for cysts of the pancreas ( tsistoeyunostomii , tsistogastrostomii ) .

Surgery for chronic pancreatitis ( pancreatic resection , pancreatoduodenectomy ) .

Surgery for obstructive jaundice of different origin ( in order to perform decompression in the first phase of retrograde or percutaneous transhepatic endobiliary interventions , on the second stage – the execution of operations aimed at restoring the direct passage of bile into the intestine ) .

Surgery for gallstone disease and its complications ( laparoscopic cholecystectomy ; choledocholithotomy , HDA , Gea , lithotripsy , reconstructive surgery on the extrahepatic biliary tract , endoscopic retrograde endobiliary intervention , percutaneous transhepatic endobiliary intervention).

Transactions with non-parasitic tapeworm cysts and liver , spleen, and other locations ( laparoscopic and open echinococcectomy , laparoscopic and open cystectomy ) .

In the department of vascular surgery at the hospital treatment are patients with varicose disease , obliterative vascular disease of the lower limbs , hypertension (compared to adrenal disease , renovascular hypertension , fibromuscular dysplasia , contracted kidney ) koartatsy aorta, which is all the necessary range of diagnostic and therapeutic measures .

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