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Chair of Hospital Surgery with Urology and Pediatric Surgery courses

Phone: +375 (212) 57-60-72

Address: Vitebsk, 37 Voinov-Internationalists Str

History. General information
Training bases of the Chair
Educational process

Chair of Hospital Surgery with Urology and Pediatric Surgery courses of VSMU, photo

photo Sachek Michael G Head of Chair:
Sachek Michael G.,
Doctor of Medical Sciences,
Professor,
Honored Worker of Science of BSSR

 

History. General information

The clinic was opened in 1935 to play a prominent role in the development of surgical service in Vitebsk region. For more than the eighty-year’s history its personnel gained much experience in medical, pedagogic and scientific work. All scientific activities of the clinic are organically linked with the development of surgery in Belarus. The main issues in the scientific work of the department were restorative and reconstructive vascular surgery, respiratory, stomach, biliary tracts, traumatic shock, infection in surgery, thyroid, congenital defects, diseases of the genitourinary system, etc.

The department-based Republican center "Infection in Surgery" headed by Corresponding Member of the Academy of Medical Sciences of the Republic of Belarus, professor A.N. Kosinets played a significant role in the scientific development of the department.

The fundamental problem fruitfully developed at the department is the formation of a scientific school directed by Professor M.G. Sachek. Currently, Professor A.N. Kosinets created and continues to develop a scientific school. The duty of the scientist and his main merit is to educate and train students to solve major problems for the sake of progress of medical science and to provide medical care to patients.

The first head of the department was MD, Professor Israel Moiseevich Perelman. He graduated from the medical faculty of Moscow University. From 1917 to 1921, he served as a military doctor. From 1921 to 1927, he was an assistant at the department of surgery and normal anatomy of the Medical Faculty of the Belarusian University, and then he headed the surgical department of a city hospital in Borisov (1928-1932), the surgical department of a city hospital in Gomel (1932-1937). In 1937, he defended his doctoral thesis on the topic: "Obstruction of intestines." In 1937, he headed the department of hospital surgery at Vitebsk Medical Institute. During World War II he headed the department of surgery in North Ossetia, Novosibirsk and Belarusian institutions. Scientific studies of I.M. Perelman are devoted to abdominal surgery, blood transfusions, surgery of the nervous system, trauma of large vessels, errors and failures in surgery. Six master's theses have been protected under the leadership of I.M. Perelman.

During the war the department with the institute was evacuated to Yaroslavl.

In the postwar period, the department of hospital surgery was headed by:

Professor Peter N. Maslov, the graduate from the medical faculty of Kazan University (1924). During World War II (1941-1945) he worked in the hospital for Patriotic War disabled veterans in Moscow. The formation of P.N. Maslov’s scientific and surgical activities had been affected profoundly by outstanding professors of the Soviet Union P.A. Gertsen, S.I. Spasokukotsky, A.V. Vishnevsky, under whose direction he made his way from an intern to professor. In 1948, he was appointed as a head of the department of hospital surgery. In 1949, he was transferred to the Minsk Medical Institute to chair the Department of Surgery. His scientific papers were devoted to stomach surgery, thyroid gland, head injuries, and cardiac surgery. He was the first in Belarus to introduce operations on the heart, lungs and mediastinum. He had supervised 23 master's and 3 doctoral theses.

Oleshkevich Ivan Bonifatevich graduated from Kiev Medical Institute in 1926. Until 1930, he had medical practice at health care institutions of Belarus. From 1936 to 1941, he was an assistant at the Department of Surgery of Sverdlovsk Medical Institute. During the Great Patriotic War (1941-1945) he worked as a senior surgeon of Army hospitals. He awarded the Order of the Red Star and the Order of the Patriotic War, 2nd class. In the postwar period, he worked as an assistant at the Department of Surgery at Sverdlovsk Medical Institute. In 1948, he went to live in Belarus, where he worked as an assistant professor of surgery of the Belarusian Postgraduate Medical Institute. In 1949, he was elected the head of the Department of Hospital Surgery at Vitebsk Medical Institute. I.B. Oleshkevich’s scientific works focused on abdominal surgery, military surgery, traumatology and orthopedics, oncology. Within a period of 15 years, he had trained 3 doctors and 14 candidates of medical sciences. He published 33 scientific articles.

In his pedagogical process, he paid exceptional importance to the quality and detailed analysis of clinical cases, a comparative evaluation of tactics and methods of treatment. He stressed the importance of proper estimation of indications and contraindications for surgical intervention, providing this aspect with specific examples. I.B. Oleshkevich was an excellent surgeon, providing significant advice to health care institutions in Vitebsk region. In 1957, he organized the scientific society of Vitebsk region surgeons and was its Chairman and chief surgeon. In 1959, for distinguished achievements in providing medical care to the population, he was entitled the "Honorary Doctor of the BSSR" title and awarded two Orders of Red Banner of Labor.

Bazhenov Vladimir Stepanovich graduated from Vitebsk Medical Institute (1949). He worked as a practical physician, from 1954 to 1956, he was an assistant doctor at the Department of Surgery, and in 1956 he was transferred to the Department of Hospital Surgery of Vitebsk Medical Institute.

In 1965, he was elected the head of the Department of Hospital Surgery. His scientific studies were devoted to surgery of respiratory system, the cardiovascular system, abdomen, anaesthesiology and intensive care.

In 1966, Vladimir S. Bazhenov defended his doctoral thesis on the topic: "Complete atrioventricular block and its treatment by electrical stimulation and surgically", and in 1966, he published 50 scientific papers. Under his supervision, 1 doctoral and 5 PhD theses were protected. V.S. Bazhenov was a highly skilled surgeon, scientist, and teacher. He perfectly lectured and conducted practical classes.

Ivan Antonovich Petukhov graduated from Smolensk Medical Institute (1940). He worked as a military doctor. During the Great Patriotic War, he was taken captive. In the postwar period, he worked in hospitals in Smolensk and Smolensk region. From 1953 to 1956 Ivan Petukhov was an assistant of the Department of Surgery at the Central Advanced Medical Institute in Moscow.

In 1956, he was enlisted as an assistant of the Department of Surgery at Vitebsk Medical Institute, and in 1968 he was appointed the head of the Department of Hospital Surgery. I.A. Petukhov’ scientific works (more than 100) were devoted to the problems of abdominal surgery, blood vessels, general and clinical oncology, endocrinology, biliary tracts, and postoperative peritonitis.

Ivan Antonovich Petukhov was a highly experienced surgeon, scientist, and teacher. In the pedagogical process he placed an exceptional importance to the quality and content of the lectures, a detailed analysis of clinical cases, a comparative evaluation of tactics and methods of treatment. Lectures were accompanied by demonstrating films and clinical analysis of patients. His lectures were distinguished by the originality and depth of the issues discussed.

I.A. Petuhov provided a great advice to health care institutions in Vitebsk region. He was awarded the Order of the Patriotic War 1st class and 8 medals. Three PhD theses were defended and four scientific guides were published under his supervision.

Michael G. Sachek graduated from Vitebsk Medical Institute in 1955. After graduation, he worked as a doctor in a rural health care area, a district head physician, a chief surgeon of Vitebsk region.

Since 1966, he has been working at the Department of Hospital Surgery as an assistant, then associate professor and professor. Since 1984, he was the head of the Department. From 1979 to November 1996, he was the rector of the Vitebsk Medical Institute.

His scientific works (more than 450), including 14 monographs and textbooks, 9 inventions and 35 innovation proposals were devoted to problems of surgery of reconstructive operations on trachea and bronchi, hyperergy in acute diseases of the abdominal cavity. 25 candidates and 5 doctoral theses for these problems were protected under M.G. Sachek’s supervision. He proposed and developed original methods of operations to restore a function of atelectatic lung, a method of treating burns, purulent wounds, purulent peritonitis and others. During the period of being the rector of the institute, 40 doctoral and 144 master's theses were defended, 6 new departments, the Overseas Students Training Department, the Faculty of Advanced Medical Studies, and Distance Learning Pharmaceutical Faculty were opened. M.G. Sachek placed great importance to pedagogical process. In his lectures, he constantly introduced new and progressive ideas, reflecting the current state of the surgery. He made a great contribution to the improvement of teaching and educational process to be as close as possible to sickbed. As a highly skilled surgeon and scientist, he established a scientific school which many scholars graduated from and made their own way in the sphere of medicine and currently they are heads of medical institutions:

  • Professor, Corresponding Member of BAMS A.N. Kosinets – the rector of Vitebsk State Medical University; vice-prime minister of the Republic of Belarus, the governor of Vitebsk region;
  • Professor A.N. Lyzikov - the rector of Gomel Medical University;
  • Professor V.V. Anichkin – the vice-rector of Gomel Medical University;
  • Associate Professor A.V. Tsetsoho – the head master of a medical college.

Heads of Departments: Professor E.S. Pitkevich, Associate Professor A.N. Voronetsky, V.V. Stanovenko.

Administrators of health care facilities: Candidate of Medical Sciences Gurko V.N., Professor Stebunov S.S., Associate Professor Kozhar V.L., Professor Karpitsky A.S., Candidate of Medical Sciences Gurevich A.R., Associate Professor Pitkevich A.E.

For his professional activities, M.G. Sachek was awarded the Order of the Badge of Honor, three Certificates of honor of the Supreme Soviet of the BSSR. He was also awarded the medal of Pirogov N.I., the medal of E.N. Pavlovsky, the badges "Expert of Health care", "Expert in Education" and "Inventor of the USSR", Honorary Citizen of the city of Vitebsk.

The department trains students on hospital surgery including traumatology and orthopedics, dentistry, oncology, the course of pediatric surgery, anaesthesiology and intensive care.

In 1970, the Department of Traumatology and Orthopedics with the course of pediatric surgery separated out from the Department, and in 1976 - the Department of Oncology. When the pre-graduate internship and internship opened at the institute, the assistant course of anaesthesiology and intensive care was organized at the department, which in 2002 was restructured into an independent department (head of department, Associate Professor V.Ya. Rodionov).

The Department of Dentistry (head of department, Associate Professor S.A. Kabanova) was organized on the basis of assistant course in dentistry in 2002. Department of Advanced Medical Surgery was created from the Department of Hospital Surgery (head of department, MD, assistant professor V.I. Petuhov).

The course of Pediatric Surgery (Associate Professor A.P. Shmakov) and Urology course (MD, Assistant Professor A.A. Zhebentyaev) were affiliated to the Department.

Today the Department of Hospital Surgery has a capacity of 440 beds, including the surgical department of the regional, children, municipal and nephrology hospitals with auxiliary paramedical units and scientific and diagnostic laboratories. The department has 27 staff including 1 Honored Scientist of the Republic of Belarus, MD, Professor; 12 Associate Professors, 7 assistants; 3 senior lecturers and 3 technicians.

Department staff provide a diagnostic, therapeutic and advisory assistant to patients of basic medical facilities.

Teaching in urology at the department is carried out for fifth- and sixth-year students, and training in hospital and pediatric surgery for fifth- and sixth-year students. The latest achievements in modern medical science are used in the training process.

Our educational program means the constant training of medical residents, graduate students. 27 graduate students, 50 medical residents, 1 postdoctoral student have been trained at the Department.

Scientific studies have been devoted to various aspects of surgery, traumatology, stomatology, to the treatment of Morgagni-Eden-Stokes syndrome (Prof. V.S. Bazhenov); treatment of vascular diseases (A.I. Fomchenko, N.V. Bugaev, V.P. Ivanov, V.I. Petuhov, A.V. Petuhov); traumatic shock (L.I. Rodina, A.K. Zenkov); congenital dislocated hip (A.A. Dolganova); congenital malformations of the upper lip and palate (I.V. Belaya), burns (A.F. Kotovich, A.T. Svirsky, A.V. Tsetsoho, V.L. Kozhar).

Scientific researches of Prof. V.M. Velichenko, E.A. Turovich, E.O. Nepokoychitsky, S.N. Ermashkevich focused on reconstructive operations on the gastrointestinal tract. Since 1961, reconstructive operations on thoracic part of trachea and bronchi have been developed at the Department for the first time in our country (M.G. Sachek). On this issue, 3 doctoral (M.G. Sachek, V.V. Anichkin, A.S. Karpitsky), and 6 candidate theses (M.G. Sachek, V.V. Anichkin, L.E. Krishtopov, V. V. Stanovenko, T. Gugeshashvili, A.S. Karpitsky) were defended.

Deep researches on purulent infection in surgery are being simultaneously conducted with the above-mentioned problem.

The staff of the Department (M.G. Sachek, I.A. Petuhov, A.N. Kosinets, A.N. Lyzikov, V.P. Bulavkin, A.K. Zenkov, Yu.S. Poluyan, A.V. Fomin , A.N. Voronetsky, L.I. Sharkova, V.N. Gurko, E.S. Pitkevich, S.V. Odintsova, A.A. Kovalenko, A.V. Ischenko, S.S. Stebunov, I. Malash, Wolde Tesfay, S.N. Eroshkin, M.O.Rusetskaya) have been developed this issue for many years in the following areas:

  1. Antibiotics and antiseptics in the prevention and treatment of septic complications and diseases.
  2. Forecasting, determining the risk factors of postoperative inflammatory complications and problems of their prevention.
  3. Study of the role of aerobic and non-clostridial anaerobic microflora in the pathogenesis of inflammatory diseases and complications.
  4. The pathophysiological disorders in surgical infection (peritonitis), its comprehensive treatment.
  5. Clinical immunology in prevention and treatment of infections in surgery.
  6. The post-ischemic protection of the small intestine with peritonitis.
  7. Using methods of quantum (UFO and laser irradiation of blood) in prevention and treatment of surgical infections.
  8. Clinical enzymology in prevention and treatment of surgical infection.

For the first time, a comprehensive study of the protective properties of the microorganism under aerobic-anaerobic peritonitis has been carried out in that direction. A specific cell-mediated immunity, mechanisms of interaction between the polymer and mono-nucleic blood phagocyte of mediators of cell-cell interactions have been studied. A method of predicting the flow and outcome of peritonitis was developed. For the first time, the autoserum activated by zymosan for immunomodulation in purulent peritonitis has been used. Methods of protection of the small intestine in its ischemia have been developed. On this issue, 4 doctoral (I.A. Petuhov, A.N. Kosinets, A.N. Lyzikov, E.S. Pitkevich) and 13 candidate theses (A.N. Kosinets, A.V. Fomin, V.P. Bulavkin, K.V. Moskalev, V.A. Kosinets, S.N. Eroshkin, M.O. Rusetskaya, A.E. Pitkevich, L.I. Sharkova, A.V. Ischenko, V.N. Gurko, S.V. Odintsova, E.F. Pchelnikova, V.A. Andreychenko, A.A. Zenkov, A.A. Kovalenko, S.S. Stebunov) have been defended, 3 doctoral and 5 master's theses are being completed.

They work closely with the staff of surgical departments of regional, children's regional, municipal, clinic hospitals to improve the delivery of medical care to population.