klinikuri medicinis samecniero-kvleviti instituti

saqartvelos mecnierebata erovnuli akademia GEORGIAN NATIONAL ACADEMY OF SCIENCES klinikuri medicinis samecniero-kvleviti instituti RESEARCH INSTITUTE OF CLINICAL MEDICINE 1

klinikuri medicinis samecniero-kvleviti institutis damfuznebeli da samecniero xelmzrvaneli akademikosi fridon Todua saqartvelos mecnierebata erovnuli akademiis pirveli vice-prezidenti iv. javaxisvilis saxelobis Tbilisis saxelmwifo universitetis samedicino radiologiisa da endoskopiis departamentis xelmzrvaneli Tbilisis saxelmwifo samedicino universitetis samedicino radiologiis rezidenturis programis direqtori saxelmwifo premiebis laureati saqartvelos radiologta asociaciis prezidenti The founder and scientific Supervizor of the Research Institute of Clinical Medicine klinikuri medicinis samecniero-kvleviti instituti, 2012 saqartvelo, Tbilisi - 0112, Tevdore mrvdelis quca 13 Research Institute of Clinical Medicine, 2012 13 Tevdore Mgvdeli st. Tbilisi - 0112, Georgia Academician FRIDON TODUA First Vice-President of the Georgian National Academy of Sciences Head of the Department of Radiology and Endoscopy of the Iv. Javakhishvili Tbilisi State University Director of the rezident program in medical radiology of the Tbilisi State Medical University State Prizes Winner President of the Georgian Association of Radiologists 2 3

institutis direqtori medicinis doqtori n. jramaze institutis direqtoris moadgile medicinis doqtori n. Todua Director of the Institute N. Jgamadze MD, PHD Deputy Director of the Institute N. Todua MD, PHD medicinis doqtori n. Todua N. Todua MD, PHD klinikuri medicinis samecniero-kvleviti instituti saqartvelosi erterti udidesi samkurnalo-diagnostikuri sauniversiteto dawesebulebaa, romelic arwurvilia Tanamedrove unikaluri sadiagnostiko da samkurnalo aparaturit. instituti ariarebuli lideria radiologiis da qirurgiis mtel rig mimartulebebsi. klinikuri medicinis samecniero kvleviti instituti daarsda 1991 wels. igi qveynis satao dawesebulebaa medicinis dargsi. institutis samecniero-kvlevit musaobas koordinacias uwevs saqartvelos mecnierebata erovnuli akademia. samecniero musaobis ZiriTadi mimartulebaa daavadebata adreuli kompleqsuri diagnostika da mkurnaloba. institutis samecniero saqmianobas warmartavs samecniero sabwo. arsebobis manzilze institutis koleqtivis mier mirweulia Semdegi warmatebebi: daculia 56 sakandidato da 16 sadoqtoro disertacia, 21 gamogonebaze mirebulia patenti, momzadebulia 30 aspiranti da 200 ze meti eqimi radiologi, romlebic saqartvelos sxvadasxva regionsi morvaweoben. mirebulia 3 saxelmwifo da 2 erovnuli premia. gamoqveynebulia 2000 ze meti samecniero nasromi da 9 monografia: Нарушеные и внутренние свищи желчных путей и внутренных полостей (Тбилиси, 1991). muclis Rrus kompiuteruli tomografiis atlasi (moskovi, 1991). RviZlis abscesebis diagnostika da mkurnaloba (budapesti, 1993). Ультразвуковая диагностика хирургических заболеваний печени и желчных путей (Тбилиси, 1993). Tavis tvinis daavadebata magnitur-rezonansuli tomografia (Tbilisi, 2001). xerxemlisa da zurgis tvinis magnitur-rezonansuli tomografia (Tbilisi, 2001). saylapavi milis, kuwisa da Tormetgoja nawlavis endoskopiis atlasi (Tbilisi, 2001). Tavis tvinis kompiuteruli tomografiis atlasi (Tbilisi, 2006). cerebrovaskulur patologiata arainvaziuri sxivuri diagnostika (Tbilisi, 2007). Research Institute of Clinical Medicine is one of the biggest university diagnostic and treatment centre in Georgia with unique modern diagnostic and treatment apparatus. The institute is acknowledged as a leader in various trends of radiology and surgery. The Research Institute of Clinical Medicine was founded in 1991. It is the leading scientific establishment in the field of medicine. The scientific-research work of the Institute is coordinated by the National Academy of Sciences of Georgia. The main scientific trend of the Institute is the Early Complex Diagnostics and Treatment. The scientific activity of the Institute is led by the Scientific Council. Institute achieved remarkable success since its foundation: It has been defended 56 theses for Candidate of Medical Sciences and 16 for Doctor of Medical Sciences; About 30 post-graduate students and more than 200 radiologists have taken training courses in radiology. Nowadays they work in different regions of Georgia, 21 inventions took out patents. It has been published 2000 scientific works and 9 monographs: External and Internal Biliany Fistulas and Internal Hepatic Fistula (Tbilisi, 1991). CT Atlas of the Abdomen (Moscow, 1991). Diagnostics and Treatment of Liver Abscesses (Budapest, 1993). Ultrasound Diagnosis of Surgical Diseases of Liver and Biliary Ducts (Tbilisi, 1993). MRI of the Brain Diseases (Tbilisi, 2001). MRI of the Spine and Spinal Cord (Tbilisi, 2001). Endoscopy Atlas of Esophagus, Stomach and Duodenum Diseases (Tbilisi, 2001). CT Atlas of the Brain (Tbilisi, 2006). Noninvasive Imaging of Cerebrovascular Pathologies (Tbilisi, 2007) 4 5

dafuznebulia saqartvelos radiologta asociacia (1997), romelic dst-s qveynebidan pirveli gaxda evropis radiologta asociaciis wevri, amave wlidan gamodis rentgenologiisa da radiologiis macne mecnierebata akademiisa da radiologta asociaciis ertoblivi samecniero Jurnali. Catarda saqartvelos radiologta I, II da III saertasoriso kongresebi (1997, 2003, 2010) da saertasoriso simpoziumebi: axali teqnologiebi medicinasi (1994). radilogia ataswleulis mijnaze (2000). axali teqnologiebi axal ataswleulsi (2001). axali teqnologiebi radiologiasi (2002). axali mimartulebebi radilogiasi da intervenciul medicinasi (2007). hipertermia klinikur onkologiasi (2011). endoqirurgiis Tanamedrove mirwevebi (2012). institutis mecnierta jgufs mieniwa: saqartvelos saxelmwifo premia mecnierebis dargsi nasromistvis axali tipis samecniero kvleviti institutis Seqmna da respublikis samedicino praqtikasi daavadebebis adreuli diagnostikis axali metodebisa da RviZlisa da kuwqvesa jirkvlis daavadebebis dros usisxlo organsemanarcunebeli operaciebis danergva (1996). saqartvelos saxelmwifo premia mecnierebis dargsi nasromistvis xelovnuri Sardis bustis formireba nawlavis detubulizirebuli segmentit (2004). saqartvelos mecnierebata erovnuli akademiis ivane TarxniSvilis premia SromaTa ciklisatvis: hemodinamikis Taviseburebani msxvil sisxlzarrvebsi da aterosklerozis inicialuri faqtorebi (2007). saqartvelos mecnierebata erovnuli akademiis zaza fanaskertelcicisvilis premia monografiistvis cerebrovaskulur patologiata arainvaziuri sxivuri diagnostika (2008). saqartvelos erovnuli premia samecniero nasromta ciklistvis insultis dazlevis strategia Tanamedrove samedicino teqnologiebis ganvitarebis pirobebsi (2010). institutis samecniero sabwos sxdoma Meeting of the Scientific Board of the Institute The Georgian Association of Radiology was founded in 1997, which has become a member of the European Association of Radiologists, the first among the CIS countries. Since then the Association and the Georgian National Academy of Sciences have been publishing the joint scientific journal Georgian Journal of Radiology. The 1st and 2nd and 3rd International Congresses (1997, 2003, 2010) of the Georgian radiologists and International Simposia were held in Georgia: New Technologies in Medicine (1994). Radiology at the Beginning of the Millennium (2000). New Technologies in the New Millennium (2001). New Technologies in Radiology (2002). New Trends in Radiology and Interventional Medicine (2007). Hyperthermia in Clinical Oncology (2011). Modern Achievements of Endosurgery (2012). A group of the scientists of the Institute has been awarded: the State Prize in Science for the work Creation of a New Type of the Research Institute and Introduction of New Methods of Diagnostics and Noninvasive, Organ Sparing Operations in Case of Hepato-Pancreatic Diseases in Medical Practice of the Republic (1996). The state Prize in Science for the work The Fofmation of Artificial Bladder with the Detubulized Segments of Intenstine (2004). Ivane Tarkhnishvili state Winner for the series of scientific articles The Peculiarities of Hemodynamic in Main Vessels and Initial Factors of Atherosclerosis (2007). The Panaskerteli-Tsitsishvili Prize of the Georgian National Academy of Sciences for the monograph Noninvasive Diagnostics of Cerebrovascular Pathologies (2008);. National Prize of Georgia for the series of scientific articles The Strategy for Overcomming the Stroke in the Condintions of the Developing of Modern Medical Technologis (2010). saqartvelos radiologta kongresebi (1997, 2003) The Congresses of Radiologists of Georgia (1997, 2003) 6 7

saqartvelos mecnierebata erovnuli akademiis g. muxazis premia SromaTa ciklistvis hepatopankreatoduodenaluri zonis daavadebata da portuli hipertenziis gartulebata diagnostika da mkurnalobis strategia Tanamedrove teqnologiebis ganvitarebis pirobebsi (2010). saqartvelos erovnuli premia samecniero SromaTa ciklistvis organosemanarcunebeli operaciebi filtvis adgilobrivad gavrcelebuli kibosa da traqeobronquli xis simsivnuri da nawiburovani dazianebis dros (2011). 1996 da 2006 wels samedicino mecnierebis ganvitarebisa da jandacvis saqmesi Setanili wvlilisatvis klinikuri medicinis samecnierokvleviti institutis xelmzrvaneli akademikosi f. Todua dajildovda Rirsebis ordenit, 2009 wels - vaxtang gorgaslis ordenit, 2010 wels - brwyinvalebis ordenit. sxvadasxva wlebis ganvalobasi mirweuli mirwevebistvis institutis 6 TanamSromeli dajildovebulia Rirsebis ordenit, 9 TanamSromeli - Rirsebis medlit. qartuli medicinis winase gansakutrebuli damsaxurebisatvis akademikosi f. Todua dajildovebulia zaza fanaskertelis didi oqros medlit (2003) da iv. javaxisvilis oqros medlit (2004), saqartvelos saxelmwifo universitetsi samedicino swavlebis ardgenisa da medicinis fakultetis arorzinebis saqmesi Setanili piradi wvlilisatvis. instituts mwidro samecniero kavsiri aqvs evropis udidesi klinikebis, kerzod germaniis, avstriis, safrangetis, inglisis, holandiis, belgiis sxvadasxva klinikebis gamocenil mecnierebtan. 1999 wels ertiani evropis mseneblobasi Setanili wvlilisatvis institutis xelmzrvanels akademikos f. Toduas mieniwa evropis Rirsebis ordeni. 2004 wels safrangetis mtavrobis mier dajildovebuli iqna madlierebis jvari didi qvelmoqmedebisa da saqmis ertgulebisatvis. instituti sauniversiteto klinikaa. mis bazaze funqcionirebs: iv. javaxisvilis saxelobis Tbilisis saxelmwifo universitetis samedicino radiologiisa da endoskopiis departamenti. Tbilisis saxelmwifo samedicino universitetis samedicino radiologiis departamenti. rezidenturis programa radiologiasi da doqtorantura. kompiuteruli da magnitur-rezonansuli tomografiis saswavlo centri. saertasoriso samecniero konferencia (Tbilisi, 2011) akad. f. Todua da prof. r. rienmiuleri International Scientific Conference (Tbilisi, 2011) Acad. F. Todua and Prof. R. Rienmuller The G. Mukhadze Prize of the Georgian National Academy of Sciences for the series of works The Diagnosis and the Strategy of Treatment of Hepato-pankreatic Zone Disease and the Complications of Portal Hypertension (2010). The Georgian National Prize for the series of works Organ Sparing Operations at the Locally Spread Lung Cancer and at the Tumoral and Cicatrical Damages of Tracheobronchal Tree (2011). In 1996 and 2006 Fridon Todua, the leader of the Research Institute of Clinical Medicine was awarded the Medal of Merit for the development of medical sciences and the healthcare, in 2009 he was awarded with Vakhtang Gorgasali Order and in 2010 he was awarded with an Order of Presidential Excellency. 6 doctors of the Institute were awarded with the Order of Merit and 9 doctors with the Medal of Merit for the achievements in recent years. The Academician Fridon Todua was awarded with Zaza Panaskerteli Big Golden Medal for the rendered great services in medicine in 2003 and Ivane Javakhishvili Golden Medal for the valuable personal contribution to restoration and deveopment of medical studies and medical faculty in 2004. The Institute has close scientific contacts with leading European clinics and with the prominent scientists of the clinics of Austria, Belgium, Germany, England, Switzerland, the Nitherlands. In 1999 the Head of the Institute - academician Fridon Todua was awarded with the Order of Honor for Contribution in Constructing the United Europe. In 2004 French Government awarded him Cross of Gratitude for charity and devotion for the work. The Institute is the University clinic. On the base of the Institute are functioning: the Department of Medical Radiology and Endoscopy of the Iv. Javakhishvili Tbilisi State University. the Department of Medical Radiology of the Tbilisi State Medical University. postgraduate scientific courses for PhD degree. the residency program in Radiology. Computed and Magnetic Resonance Tomography training Center, where students, postgraduate students and physicians take theoretical and practical training courses. saqartvelos radiologta kongresi (2010) The Congress of Radiologists of Georgia (2010) 8 9

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Torako-abdominaluri qirurgiis ganyofileba xelmzrvaneli profesori zurab beriasvili arwurvilia zogad-qirurgiuli da naklebad invaziuri operaciuli CarevebisaTvis sawiro Tanamedrove qirurgiuli instrumentebit: STORZ-is uaxlesi Taobis endolaparaskopuli nakrebit qirurgiuli CarevebisaTvis, ultrabgeriti skalpelit HARMONIC monopolaruli radiosixsiruli ablaciis aparatit (RITA), intraoperaciuli rentgenologiuri da eqoskopiis aparatebit (SIEMENS). ganyofilebasi tardeba: operaciebi filtvis sxvadasxva patologiebis dros. Suasayaris organota daavadebebis qirurgiuli mkurnaloba. kuwisa da nawlavebis antebadi da simsivnuri daavadebebis qirurgiuli mkurnaloba. narvlis bustisa da sanarvle gzebis antebadi da onkopatologiebis qirurgiuli mkurnaloba tradiciuli da naklebad invaziuri - minilaparatomiuli da laparaskopuli metodebit. ganmeorebiti da rekonstruqciuli operaciebi kuwze, nawlavis traqtsa da sanarvle gzebze. operaciebi pankreasisa da RviZlis simsivneebis dros. sxvadasxva organoebis parazituli daavadebebis qirurgiuli mkurnaloba. RviZlis metastazebis intraoperaciuli radiosixsiruli ablacia. farisebri jirkvlis daavadebebis qirurgiuli mkurnaloba. laparaskopiuli metodit mkurnaloba: saylapavis diafragmuli xvrelis Tiaqris. saylapavis aqalaziis. gastroezofagealuri refluqsuri daavadebis. Tiaqarplastika Tiaqris sxvadasxva lokalizaciis dros. speleneqtomia elentis daavadebebis dros. Tirkmelzeda jirkvlis simsivneebis dros. apendicitis dros. laparaskopuli hemikoleqtomia, subtotaluri da totaluri koleqtomia. RviZlis ati piuri rezeqcia simsivnuri dazianebis dros. qirurgiuli mkurnaloba qvemo kidurebis varikozuli daavadebebis dros. qvemo kidurebis perforantebis endoskopiuri subfascialuri diseqcia. sazile arteriebis rekonstruqcia - SigniTa sazile arteriis stenozis, kinkingis, koilingis dros. Department of Thoraco-Abdominal Surgery Head of the Department - Professor Zurab Beriashvili The department is equipped with modern surgery instruments for general surgery and less invasive operations, the STORZ last generation endolaparoscopy device for surgical interventions, the HARMONIC ultrasound knife, the coagulation system LIGAS- URE, monopolar radiofrequency ablation apparatus (RITA), intraoperative X ray and US equipment (SIEMENS). radical operations on various pulmonary pathologies. surgical treatment of mediastinum diseases. surgical treatment of gastrointestinal inflammatory and oncologic diseases. surgical treatment of the gall bladder and bile ducts pathologies using traditional and less invasive (minilaparotomic, laparoscopic) methods. repeated and reconstructive operations on gastrointestinal tract and biliary system. operations on pancreas and liver tumors. surgical treatment of parasitic diseases of various organs. intraoperative radiofrequency ablation of the liver metastasis. surgical treatment of endocrine organs disease. traditional and laparoscopic treatment of different hernias, including esophageal hiatus. treatment with laparoscopic methods at: hiatal hernia. esophagus achalasia. gastro-esophagal reflux treatment. hernia plastic surgery at varios localizations. spleen splenectomy. adrenal gland. appendix. laparoscopic hemicolectomy, subbtotal and total colectomy. liver atypical resection in case of tumor damages. surgical treatment in case of lower limb varicose. endoscopic subfascial dissection of lower limb perforans. reconstruction of carotic arteries in case of stenosis of internal carotic arteries, kinking and coiling. 12 13

neiroqirurgiis ganyofileba Department of neurosurgery xelmzrvaneli profesori mixeil WeliSvili Head of the Department - Professor Michael Chelishvili arwurvilia Contraves sistemis saoperacio mikroskopit, videomonitorit (Zeiss), maralsicqariani eleqtrobormanqanit (Aesculap), universaluri neiroqirurgiuli saoperacio magidit, ultra bgeriti aspiratorit (Cusa), intraoperaciuli portatuli rentgenis da ultrabgeriti aparatebit (SIEMENS), neironavigaciuri sistema Easy Guide (Philips). ganyofilebasi tardeba: Tavisa da zurgis tvinis moculobiti warmonaqmnebis (simsivne, abscesi, parazituli kista) minimalurad invaziuri mikroqirurgiuli metodebit mkurnaloba. selaruli midamos simsivneebis transkraniuli da transsfenoidaluri-transnazaluri qirurgia. travmuli da spontanuri intrakraniuli sisxlcaqcevebis qirurgiuli mkurnaloba. rekonstruqciuli operaciebi periferiul nervul sistemaze. Tavis tvinis arteriuli anevrizmebisa operaciuli mkurnaloba. xerxemlis diskogenuri da spondilogenuri patologiebis qirurgiuli mkurnaloba. xerxemlis svetis metalofiqsacia. intraorbitaluri simsivneebis qirurgia trankoniunqtivuri midgomit. kranialuri nervebis mikrosisxlzarrvovani dekompresia. kisris I-II malebis patologiata qirurgiuli mkurnaloba transoraluri midgomit. hidrocefaliis qirurgiuli mkurnaloba. The department is equipped with: a surgical microscope (CONTRAVES), videomonitor (ZEISS), a high speed electrical drilling machine (AESCULAP), ultrasound aspirator (Cusa), an intraoperative portable X-Ray and US apparatus (SIEMENS), a universal neurosurgery operating table. Neuronavigation system Easy Guide (Philips). minimally invasive microsurgical treatment of the head and spinal cord tumors. transcranial and transsphenoidal transnasal surgery of sellar tumors. surgical treatment for traumatic and spontaneous intracranial hemorrahage. reconstructive operations on peripheral nervous systems. vertebro-matal fixation. transconjunctival removal of intraorbital tumors. microvascular decompression of cranial nerves. surgical stabilization of CI-CII by transoral approach. surgical treatment for different kinds of hydrocephalus. surgical treatment of the brain arterial aneurism. surgical treatment of the spine discogenic and spondylogenic pathologies. microneurosurgery of the neck disco- and spondylogenic pathologies, radiculopathy and myelopathy with anterior and combined anterior-posterior approaches. 14 15

operaciuli ginekologiis ganyofileba Department of OPERATIVE gynecology xelmzrvaneli irakli Todua Head of the Department - Irakli Todua arwurvilia STORZ-is uaxlesi Taobis endolaparaskopuli nakrebit ginekologiuri CarevebisTvis. histeroskopuli da zogadginekologiuri naklebad invaziuri operaciebistvis sawiro Tanamedrove qirurgiuli instrumentebit, ultrabgeriti danit HARMONIC, sakoagulacio sistemit LIGASURE da lazeruli danadgarit. ganyofilebasi tardeba: laparaskopuli ginekologiuri diagnostika. laparaskopuli Carevebi sasvilosnos, sakvercxeebis, sasvilosnos milebis da mcire menjis Rrus organota patologiebis dros. histeroskopuli diagnostika da qirurgiuli Carevebi. radikaluri histereqtomia muclis kvetis, sasosmxrivi da laparaskopuli midgomit. gafartoebuli histereqtomia verthaimis metodit. qirurgiuli plastika da protezireba genitaluri prolafsisa da Sardis Seukaveblobis dros. sasvilosnos yelis patologiebis diagnostika da mkurnaloba. The department is equipped with: the STORZ last generation endolaparoscopy device for gynecologic interventions, histeroscopic operations, surgery instruments for general and less invasive operations with the HARMONIC ultrasound knife, the coagulation system LIGASURE and laser apparatus. laparoscopic gynecologic diagnostics. laparoscopic operations on uterus, ovaries, uterine tubes and small pelvic organ pathologies. hysteroscopic diagnostics and surgical interventions. radical hysterectomy with laparotomic, vaginal and laparoscopic approaches. the Wertheim hysterectomy. surgical plasty and prosthetics in genital prolapse and enuresis in women. diagnosis of pathologies of cervix uteri and treatment. 16 17

qirurgiuli urologiis ganyofileba Department of UROLOGICAL SURGERY xelmzrvaneli profesori Salva WoveliZe Head of the Department - Professor Shalva Chovelidze arwurvilia STORZ-is uaxlesi Taobis laparaskopuli nakrebit da Tanamedrove endoskopuri aparaturit. ganyofilebasi tardeba: daavadebata zusti diagnostika. uretroskopia, cistoskopia biofsiit, prostatis biofsia ultrabgeriti transreqtaluri damiznebit, SardsawveTis kateterizacia, stentireba. konsultacia andrologiur problemebze: mamakacis unayofoba, unayofobis saxeebi, hormonaluri disbalansi, azoospemia, varikocele. spermis mikroqirurgiuli aspiracia. ereqciuli disfunqcia mizezebi, diagnostika da mkurnaloba. yvela ti pis Tanamedrove urologiuri da onkourologiuri operaciebi, rogorc endoskopuri (tur-i, SardsawveTis kateterizacia da misi stentireba, ureteroskopia), aseve Ria qirurgiuli Carevebi. The department is equipped with STORZ laparoscopy sets of the newest generation and modern endoscopic equipment. accurate diagnosis of the diseases. urethroscopy, cystoscopy with biopsy, retrograde urethral catheterization, stenting. consultations on andrology problems: male infertility, kinds of infertility, hormonal unbalance, azoospermia, varicocele. sperm microsurgical aspiration. erection dysfunction causes, diagnostics, treatment. all types of surgery interventions: endoscopic (TUR, retrograde urethral catheterization and its stenting, ureteroscopy) and open surgery operations. 18 19

ortopediuli ganyofileba Department of ORThoPEDICS xelmzrvaneli ramaz arlemasvili Head of the Department - Remaz Aglemashvili ganyofilebasi tardeba: endoprotezireba: menj barzayis saxsris. muxlis saxsris. Zval saxsrovani sistemis Tandayolili deformaciebi, SeZenili patologiebi: terfmrudoba. terfis valgusuri deformacia. mtevnis, terfis falangis deformacia. Seuxorcebeli da arasworad Sexorcebuli motexilobebi. kiduris Zvlebis osteosintezi. intrameduluri osteosintezi. kerovani osteosintezi. garegani fiqsatorebit osteosintezi. samkurnalo da sadiagnostiko artroskopia. dauzustebeli patologiuri keris biofsia. ketiltvisebiani simsivnuri warmonaqmnis amoreba. Endoprosthesis: hip joint. knee joint. re-endoprosthesis of knee, hip joints. congenital deformations of osteoarticular system, got pathologies: platipodia talipes. valgus deformation. hand, foot phalanx deformation. unhealed fractures and incorrectly accreted bone fractures. osteosinthesis of limb bones. intramedular osteosinthesis. focal osteosinthesis. external fixative osteosinthesis. diagnostic and curative arthroscopy. biopsy of not specified pathological focus. Resection of benign tumor. 20 21

anesteziisa da intensiuri Terapiis ganyofileba Department of anesthesiology and intensive care xelmzrvaneli edvard gagua Head of the Department - Edward Gagua arwurvilia Dräger-is saanestezio (Fabius Plus) da sasuntqi (Savina, T.Bird series Vela) aparatebit, gazoanalizatorebit (Vamus, radiometers) da kardiomonitorebit (Bionet BM-3; Bionies quardian; Patient monitor; Drager infinity vista), infuzatorebit (Perfisor Compact; B/Braun; pilot. Ar; Optima VS), pulsoqsimetri mrtomografistvis (NONIN 7-500 PH), sisxlis mjava-tutovani wonasworobis, eleqtrolituri balansis da sisxlis gazebis analizatori (ABBOT i-stat), sawolebi (User Manual Rehabilitation CR-10); axali Taobis invaziuri da kardiomonitorebit Biolight Anyview A8. ganyofilebasi tardeba: zogadbalansirebuli anestezia. totaluri intravenuri anestezia. regionaluri anesteziis sxvadasxva metodebi. intravenuri sedacia ambulatoriul qirurgia- Si da saoperacios garet diagnostikuri gamokvlevebis CatarebisaTvis. tkivilis sindromis etiopatogenezuri profilaqtika da mkurnaloba. meqanikuri ventilaciit mkurnalobis Tanamedrove metodebi filtvis mwvave dazianebisa da mwvave respiratoruli distres sindromis mqone pacientebsi. maralkvalificiuri anesteziologiuri uzrunvelyofa bavsvta asakobriv jgufsi samkurnalo da diagnostikuri procedurebis Sesasruleblad. anesteziisa da intensiuri Terapiis axali metodebi. tardeba di plomissemdgomi samedicino da uwyveti profesiuli ganatlebis msmenelebis momzadeba rezidenturi programebi. The department is equipped with Dräger anesthesia (Fabius Plus) and respiratory (SAVINA, T.Bird series Vela) apparatus, gas analyzers (VAMUS and RADIOMETERS), cardiomonitors (BIONET BM-3; Bionies quardian; Patient monitor; Drager infinity vista), infusators (Perfisor Compact; B/Braun; pilot. Ar; Optima VS), pulsoximeter MRTomogra (NONIN 7-500 PH), blood Gas Analyzer (AB- BOT i-stat), beds (User Manual Rehabilitation CR-10), Invasive and Cardiomonitors of new generation Biolight Anyview A8. The department investigates: common balanced anesthesia. total intravenous anesthesia. dofferent methods of regional anesthsia. intravenous sedation at ambulatory surgery. ethiopathogenetic prophylaxis of algetic syndrome and its treatment. modern methods of treatmed with mechanical ventitation in the patients with acute lung injuries and with acute pespiratory disstress syndrome. competent anesthesic maintenance of chealdren s age groups for treatment and diagnostic procedurs. new methods of anesthesia and intensive care. preparation of after diploma professional education according to resident program. 22 23

kompiuteruli tomografiis ganyofileba xelmzrvaneli medicinis doqtori giorgi wivwivaze arwurvilia firma SIEMENS-is mravalsriani kompiuteruli tomografebit Somatom Sensation - 64 da Somatom Definition AS - 128, firma Toshiba-s mraval- Sriani kompiuteruli tomografi Aquillion One - 640. monopolaruli radiosixsiruli ablaciis aparatit Rita. ganyofilebasi tardeba: Tavis tvinis, qalas Zvlebis, gulmkerdis, muclis Rrus da mcire menjis organota, xerxemlis svetis da kidurebis daavadebebis diagnostika. Tavis tvinis perfuziis Seswavla. filtvis kerovani dazianebebis armocena specialuri programit. mravalsriani kompiuterul-tomografiuli angiografia aortisa da intrakraniuli arteriebis ganvitarebis anomaliebis da anevrizmebis, filtvis arteriis Tromboemboliis, Tirkmlis, sazile da periferiuli arteriebis stenozis da okluziis, msxvili venebis Trombebis gamosavlenad. RviZlSi arterio-portuli Suntebis, simsivnuri procesis irgvliv mdebare sisxlzarrvebis mdgomareobis Seswavla. mravalsriani kompiuterul-tomografiuli koronarografia, koronarul arteriebsi stenozis xarisxis da aterosklerozuli folaqis morfologiis (cximovani, fibrozuli, kalcinirebuli) gansazrvra. gulis parkuwebis funqciuri mdgomareobis Sefaseba. onkologiuri patologiebis adreuli gamovlena, stadireba da dinamikasi dakvirveba mravalsriani kompiuteruli tomografis specialuri onkologiuri programit, igi moicavs rig avtomatur programebs, romlebic specialuradaa Seqmnili saewvo kerebis gamosavlenad, segmentaciisatvis (gamijvnisatvis) da Sesafaseblad. osteodensitometria osteoporozis gamosavlenad da xarisxis dasadgenad. RviZlis pirveladi simsivneebisa da metastazebis mkurnaloba monopolaruli radiosixsiruli ablaciis sasualebit. sadiagnostiko punqciuri biofsia kt kontrolit, Semdgomi citologiuri da histologiuri kvlevisatvis. masklerozirebeli nivtierebis Seyvana kompiuteruli tomografiis kontrolit, RviZlis kistebis da pankreasis fsevdokistebis plombireba, Tirkmelzeda jirkvlis punqcia da massi masklerozirebeli nivtierebis Seyvana kusingis daavadebis dros. sanarvle gzebis patologiebis Seswavla mravalsriani kompiuteruli tomografiis (samganzomilebiani rekonstruqciebit) da endoskopuri retrograduli qolangiopankreatografiis ertoblivi gamoyenebit. virtualuri bronqoskopia da kolonoskopia specialuri programebis gamoyenebit. 24 25

Department of computed tomography Head of the Department - George Tsivtsivadze MD, PHD The department is equipped with multislice CT Somaton Sensation - 64, Somatom Definition AS - 128 of SIEMENS, multislice CT Aquillione One - 640 of TOSHIBA, the monopolar radiofrequency ablation apparatus RITA. diagnostics of pathologies of the brain, skull, chest, abdomen and pelvis, vertebral column and extremities. evalution of the brain perfusion. detection of the lung focal lesions by a special program. multislice CT-angiography to estimate anomalies of aorta and intracranial arteries, aneurisms, pulmonary artery thromboembolism, kidneys, carotid and extremity arteries stenosis and occlusion, to detect thrombus in major veins. detection of the liver arterio-portal shunt, evalution of vascular patern around tumors. multislice CT coronarography, evaluation of stenosis and atherosclerotic plaque morphology (lipid, fibrous and calcified) in coronary arteries, evaluation of the heart ventricle functional state. fast-track routine diagnostic oncology, staging and follow-up with a comprehensive software of the multislice CT. It provides a range of automated tools specifically designed for the detection, segmentation and evaluation of suspicious lesions. osteodensitometry for detecting osteoporosis and estimating its degree. treatment for the liver primary tumors and metastases using monopolar radiofrequency ablation. diagnostic puncture biopsy for the further cytologic and histologic investigations. sclerosing material administration under CT control, plumbing of the liver cysts, pancreas pseudocysts, puncture of adrenal gland and administration of sclerosing materials in case of Cushing s disease. investigation of the biliary duct pathologies by the complex use of CT (including 3D reconstrutions) and endoscopic retrograde cholangio-pancreatography. Virtual bronchoscopy and colonoscopy using the special programs. 26 27

magnitur-rezonansuli tomografiis ganyofileba samecniero xelmzrvaneli profesori merab beraia xelmzrvaneli qetevan lasxi Department of magnetic-resonance Imaging Scientific Head of the Department - Professor Merab Beraia MD, PHD Head of the Department - Ketevan Lashkhi arwurvilia 0.35, 1.5 da 3.0 tesla simzlavris magniturrezonansuli tomografebit MAGNETOM OPEN, MAG- NETOM AVANTO da MAGNETOM VERIO (SIEMENS) programebis mravali paketit (nevrologiuri; angiologiuri; kardiologiuri; onkologiuri; ortopediuli; muclis da mcire menjis; pediatriuli). MAGNETOM VERIO 3T uaxlesi Taobis ertaderti aparatia regionsi romlis sasualebitac SesaZlebelia organizmis anatomiuri da funqciuri macveneblebis ultratanamedrove metodebit Seswavla. ganyofilebasi tardeba: Tavis tvinis struqturuli da funqciuri kvleva, xerxemlis svetis da zurgis tvinis mdgomareobis Sefaseba. Tavis tvinis hemodinamikuri parametrebis Seswavla, mat Soris difuziuri da perfuziuli kvleva, isemiuri insultis, simsivneebis, degeneraciul cvlilebata, demielinizaciur daavadebata da episindromebis dros. gulis da msxvil sisxlzarrvta morfologiuri da funqciuri parametrebis Seswavla. Suasayris organoebis daavadebata kvleva. muclis Rrus organoebis, RviZlis, elentis, pankreasis, Tirkmelzeda jirkvlis magnitur-rezonansuli tomografia, ukontrasto qolangiografia, Tirkmlis dinamiuri kvleva da magnitur-rezonansuli angiografia. mcire menjis organota daavadebebis magnitur-rezonansuli diagnostika. sayrden-mamozravebeli sistemis struqturuli da funqciuri darrvevebis magnitur-rezonansuli kvleva sarzeve jirkvlebis daavadebata magnitur-rezonansuli kvleva. pediatriuli pacientebis magnitur-rezonansuli kvleva. Tavis tvinis TeTri nivtierebis traqtografia Tavis tvinis speqtrometriuli kvlevebi. The Department is equipped with magnetic-resonance systems: MAGNETOM (0.35T), MAGNETOM AVANTO (1.5T) and MAGNETOM VERIO (3.0T) of SIEMENS. MAGNETOM VERIO is the equipment of the newest generative in the region, that gives the uncomarable possibilities of anatomical and functional investigations of the body. structural and functional imaging of the brain; evaluation of the spinal cord and vertebral column. study of the brain hemodynamical parameters, diffusive and perfusive investigations in case of stroke, tumors, degenerative changes, demyelinization diseases and epileptic syndromes. morphologic and functional imaging of the heart and vessels. study of mediastinal organ diseases. MRI of abdominal (liver, spleen, pancreas, adrenal glands), non-contrast cholangiography, dynamical investigation of kidneys, MR-angiography. MRI diagnostics of pelvis organ diseases. MRI diagnostics of structural and functional disorders of the osteoarticular system. MRI diagnostics of breast diseases. MRI of pediatric patients. MRI of the brain tractography of the white matter fibers brain spectometry investigation. 28 29

ultrabgeriti diagnostikis ganyofileba xelmzrvaneli profesori akaki nadareisvili arwurvilia firma SIEMENS-is ultrabgeriti diagnostikis aparatebit: Acuson - X300 (General), Acuson - X300 (Vascular), Sonoline G-50, Sonoline G60, Acuson Antares 3D/4D da firma Toshiba-as Aplio XG (4D), Aplio MX, Xario XC sivrcobrivi gamosaxulebis damosavebis mzlavri paketit; feradi da energetikuli dopleris sistemebit. ganyofilebasi tardeba: muclis Rrus organoebis, hepatopankreatobiliaruli sistemis ultrabgeriti kvleva patologiuri warmonaqmnebis vaskularizaciis SefasebiT. Tirkmelebis, Tirkmelzeda jirkvlebis, Sardis bustis, winamdebare jirkvlis ultrabgeriti kvleva. Sardis bustisa da prostatis ultrabgeriti gamokvleva reqtaluri gadamwodit. sarzeve, farisebri jirkvlebisa da periferiuli limfuri kvanzebis ultrabgeriti gamokvleva, patologiuri warmonaqmnebis vaskularizaciis ti pis SefasebiT. RviZlis pirveladi da meoradi simsivneebis mkurnaloba monopolaruli radiosixsiruli ablaciis sasualebit ultrabgeris kontrolit. Tavis tvinis magistraluri (sazile da vertebraluri) intrakraniuli sisxlzarrvebis (viliziis wris, cerebruli venuri sistemis, venuri sinusebi) dupleqs skanireba feradi da energetikuli dopleris rejimsi. gulmkerdisa da muclis aortis, qvemo Rru venis, portaluri sistemis daavadebata diagnostika, sisxlzarrvebis dupleqs skanireba feradi da energetikuli dopleris rejimsi. zeda da qveda kidurebis sisxlzarrvebis dupleqs skanireba feradi dopleris rejimsi. sayrden-mamozravebeli sistemis ultrabgeriti gamokvleva. sadiagnostiko punqciuri biofsia ultrabgeris kontrolit sxvadasxva patologiebis dros, madrenirebeli - samkurnalo manipulaciebis warmoeba. sasvilosnosa da winamdebare jirkvlis moculobiti warmonaqnebis punqciuri biofsia specializirebuli vaginaluri da punqciuri gadamwodit. mcire menjis venuri patologiebis ultrabgeriti gamokvleva: ertiani funqciuri sistemis - deda-placentanayofi - hemodinamikuri macveneblebis Seswavla nayofis zrdis da ganvitarebis Sefasebis miznit. nayofis ganvitarebis anomaliebis naadrevi diagnostika da 1 mm-mde zomis patologiuri cvlilebebis gamovlena. sxeulis nawilebis ertdroulad sam proeqciasi vizualizacia. nayofis saxis, xerxemlis svetisa da kidurebis detaluri gamosaxva. eleqtronul matareblebze (diski, mexsierebis Cipi) sxeulis struqturebis sivrcobrivi gamosaxulebis realur drosi da zomebsi gadatana. momaval msoblebs sasualeba ezlevat drois realur rejimsi moaxdinon mati momavali Svilis vizualizacia. sasvilosnos Rrus patologiebis (sasvilosnos Rrus Zgide, nakeci, endometriumis poli pi) diagnostika. sakvercxeebis eqoarqiteqtonikis detaluri Sefaseba da menjis organoebis panoramuli sura- Tis mireba. 30 31

Department of ultrasound diagnostics Head of the Department -Professor Akaki Nadareishvili The department is equipped with US diagnostic equipments: Acuson X-300 (General, Vascular), Sonoline G50, Sonoline G60, Acuson Antares 3D/4D (SIEMENS), Aplio XG (4D), Aplio MX, Xario XC (TOSHIBA). ultrasound diagnosis of abdomen and hepatopancreatobilliary system, evaluating the type of vascularization of pathological formations. diagnosis of urogenital diseases, evaluation of types of vascularization in various pathologies. ultrasound diagnosis of kidneys, adrenal glands, bladder, prostate with ultrasound diagnosis of bladder and prostate with rectal transducer. ultrasound diagnosis of mammary and thyroid glands,peripheral lymph nodes, evaluating the type of vascularization of pathological formations. treatment of primary and secondary liver tumors with monopolar radiofrequency ablation with US control. color and power doppler of extra-, intracranial vessels carotid and vertebral (Willis circle, cerebral venous system, venous sinuses). color and power doppler of thoracic and abdominal of the aorta, vena cava inferior, portal system diseases. color and power doppler of abdominal vessels, upper and lower extremities ultrasound imaging of locomotor system. diagnostic punch biopsy with US control in different pathologies, drainage-treating manipulations. ultrasound examination of small pelvis in case of venous pathologies: the study of haemo-dynamic indices of united functional system - mother-placenta-fetus for evaluating growth and development of fetus. early diagnosis of fetal anomalies and revelation of pathological changes (minimal size of formations is 1 mm). simultaneous visualization of the body in 3D projections, detailed imaging of face, spine and limbs of fetus. carrying of spatial image of body structures on electronic carriers (disc, chips) in real time and sizes. future parents can visualize the growth of their child in the real regime of time. diagnosis of the pathologies of uterine cavity (septum of uterine cavity fold, polyp of endometrium). detailed evaluation of ovary architectonic sand panoramic picture of pelvic organs profesori dudana gacecilaze Dudana Dachechiladze - Professor 32 33

rentgenologiuri diagnostikis ganyofileba Department of x-ray diagnostics xelmzrvaneli medicinis doqtori valeri abulaze Head of the Department - Valeri Abuladze MD, PHD arwurvilia firma SIEMENS-is da TOSHIBA-s rentgendiagnostikuri aparatebit: Multix Kompact-K, Axiom Iconos MD da Winscope Plessart digitaluri fluorosistemebit, rentgenogramebis digitaluri damusavebita da arqivirebit, mamografit. ganyofilebasi tardeba: sayrden-mamozravebeli sistemis patologiata rentgenologiuri diagnostika. gulmkerdis Rrus organoebis daavadebata rentgenologiuri diagnostika. saylapavi milis, kuwis, wvrili da msxvili nawlavebis morfofunqciuri mdgomareobis Sefaseba, wvrili da msxvili nawlavebis dinamiuri kvleva, irigoskopia ormagi kontrastirebit. dinamiuri dakvirveba pacientebze postoperaciul periodsi. hepatopankreatoduodenaluri zonis patologiata diagnostika gamosaxulebis Semdgomi digitaluri damusavebit. transparietuli da intraoperaciuli qolangiografia, peroraluri qolecistografia, narvelkenwovani daavadebebis, simsivnuri procesebis diagnostika retrograduli pankreatoqolangiografiis sasualebit. Sard-sasqeso sistemis daavadebata diagnostika, funqciuri mdgomareobis Sefaseba kvlevis rutinuli da specialuri metodebit; intravenuri urografia, miqciuri cistografia, ure- Terografia, antegraduli da retrograduli cistografia da histerosalpingografia. sarzeve jirkvlis daavadebata rentgenologiuri diagnostika (mamografia), duqtografia. The department is equipped with X-ray diagnostic apparatus: Axiom Iconos MD and Multix Kompact-K of SIEMENS and Winscope Plessart of TOSHIBA with digital fluorosystem, roentgenogram digital processing and archiving, with the mammography. X-ray diagnostics of the skeletal system pathologies X-ray diagnostics of thoracic organ diseases.. morpho-functional evaluation of the esophagus, stomach and intestines, intestine dynamic examination, irrigoscopy with double contrasting. Dynamic postoperative observation of patients. diagnostics of hepatopancreatoduodenal pathologies with digital image processing. Transparietal and intraoperative cholangiography, peroral cholecystography. The diagnosis of biliolithiasis, tumorous processes and functional disorders using retrograde pancreato- cholangiography. X-ray diagnostics of urogenital system, functional state evaluation by routine and special methods of investigation. Intravenous urography, micturating cystography, uretherography, antegrade and retrograde cystography and hysterosalpingography. mammography, ductography. 34 35

radionukliduri kvlevis ganyofileba Department of nuclear medicine xelmzrvaneli medicinis doqtori mixeil baramia Head of the Department - Mikheil Baramia MD, PHD arwurvilia firma SIEMENS-is ori gamakamerit: E.Cam Systems da E.Cam Extended Dual Detector Systems. ganyofilebasi tardeba: farisebri jirkvlis radioizotopuri kvleva, jirkvlis topografiis gansazrvra, jirkvlis calkeuli nawilebis an moculobiti warmonaqmnebis funqciuri aqtivobis Sefaseba. farisebraxlo jirkvlis gamokvleva. mamoscintigrafia. miokardiumis perfuziis gansazrvra gulis isemiuri daavadebis mqone pacientebsa da marali riskis kontigentsi. gamokvlevebi teqneciumit monisnuli eritrocitebit (RviZlis hemangioma, ventrikulografia, sisxldena kuw-nawlavis traqtsi da sxva). filtvis perfuziis gansazrvra da funqciuri mdgomareobis Sefaseba. RviZlis parenqimisa da biliaruli sistemis funqciuri mdgomareobis Sefaseba. mekkelis divertikulis diagnostika. Tirkmlebis morfo-funqciuri kvleva, gadanergili Tirkmlis funqciuri mdgomareobis Sefaseba, renovaskuluri hipertenziis diagnostika. Zvlovani sistemis radioizotopuri kvleva onkologiur daavadebata dros, Zvlis pirveladi simsineebis da metastazuri dazianebis SemTxvevaSi, Zvlovani sistemis antebiti patologiebis diagnostika. periferiuli limfuri sistemis mdgomareobis Sefaseba, gamtareblobis da limfostazis xarisxis dadgena. Tavis tvinis sisxlmomaragebis Sefaseba da perfuziis gansaz- Rvra, vaskularuli patologiis diagnostika, da mirebuli Sedegebis korelacia neiro-vizualizaciis sxva metodebtan. The department is equipped with two gamma-cameras E.CAM Systems and E.Cam Extended Dual Detector Systems of SIEMENS. thyroid scan, topographic evaluation of the gland, estimation of the functional activity of thyroid and/ or of volumetric formations. parathyroid glands investigation. mamoscintigraphy. myocardium perfusion evaluation in patients with ischemic disease and in a high risk contingent. investigation with TC-99M labeled erythrocytes (liver hemangioma, ventriculography, GI bleeding, etc.). determination of the lung perfusion, estimation of the lung functional state. estimation of the functional state of the liver parenchyma and billiary system. diagnostic of Meckel s diverticulum. functional investigation of kidneys, evaluation of the kidney transplant functional condition, diagnostic of renovascular hypertension. bone scan in patients with oncologic diseases, in case of primary tumors and metastatic involvement; diagnostics of bone inflammatory pathologies. definition of the state of the peripheral lymphatic system, degree of permeability and lymphostasis. evaluation of the brain blood supply and perfusion, diagnostics of vascular pathology, and correlation of findings with other neurovisualization methods. 36 37

endoskopiis da endoqirurgiis ganyofileba samecniero xelmzrvaneli profesori mamuka gurgenize xelmzrvaneli medicinis doqtori Teimuraz ioseliani arwurvilia: firma Olympus-is ultratanamedrove cifruli endoskopuri aparatit Exera-II, EUS-EXE- RA-EUM60 specialuri ultrabgeriti gadamwodebit, romelta sasualebit organoebis ertdrouli endoskopuri da ultrabgeriti kvleva tardeba. firma Pentax-is da Olympus-is videoendoskopebit. bolo Taobis ultratanamedrove eleqtronuli videokolonoskopit cvalebadi sixistit. Cook-is biliaruli stentebit, endoskopuri ligatorebit da balonuri dilatatorebit. plazmuri qirurgiis aparatit ERBE APC 300. firma Olympus-is avtomaturi sadezinfeqcio sasterilizacio aparatit OER-A. ganyofilebasi tardeba: saylapavi milis, kuwisa da Tormetgoja nawlavis daavadebata endoskopuri kvleva qronikuli antebiti procesebis, simsivneebis da funqciuri dar- Rvevebis dros. wylulovani daavadebis endoskopuri suratis Seswavla da dinamikasi dakvirveba, mwvave dawylulebebis mizezis dadgena. gastroduodenuri sisxldenis drouli gamovlena da endoskopuri mkurnalobis SesaZleblobaTa Sefaseba. saylapavi milis, kuwisa da Tormetgoja nawlavis endoskopuri da ultrasonografiuli kvleva, romlis drosac xdeba simsivnuri procesebis adreuli gamovlena, rogorc zemot arnisnul organoebsi aseve mat garetac, kerzod SuasayarSi, pankreassi da sanarvle gzebsi. saylapavis varikozulad gaganierebuli venebis endoskopuri ligireba sxvadasxva genezis cirozebis dros. saylapavis damwvrobit, anastomozitebit, simsivneebit gamowveuli disfagiis balonuri dilatacia da stentebit mkurnaloba. kuwis rezeqciis Semdgomi gartulebebisa da daavadebebis gamovlena, mati endoskopuri mkurnalobis SesaZleblobaTa dadgena. kuwis kibos adreuli formebis gamovlena, daavadebis gavrcelebis xarisxis dadgena sxivuri diagnostikis metodebtan kompleqssi. poli pebis endoskopuri diagnostika da endoskopuri polipeqtomia. kuwis bezoaris mkurnaloba endoskopuri metodebit, helikobaqteriebis rolis kvleva kuwis qronikuli antebiti procesebis dros. kolitis sxvadasxva formis endoskopuri da morfologiuri suratis dadgena. msxvili nawlavis simsivneebis drouli gamovlena da gavrcelebis xarisxis dadgena. sanarvle gzebis daavadebata endoskopuri diagnostika da mkurnaloba, narvelkenwovani daavadebis da simsivneebis diagnostika endoskopuri retrograduli pankreatoqolangiografiis sasualebit. papilotomiis warmoeba kenwovani daavadebebisa da striqturebis dros. sanarvle sadinarebis simsivneebita da striqturebit gamowveuli meqanikuri siyvitlis endoskopuri mkurnaloba polimeruli da metalis stentebit, balonuri dilatatorebit. argonoplazmuri koagulacia, rac amcirebs organos kedlis perforaciis risks. Termuli devitalizacia - mastenozirebuli simsivneebis stentirebis dros stentsi Cazrdis SemTxvevaSi. Termuli hemostazi - Zlieri intensivobis sisxldenis dros. 38 39

Department of endoscopy and endosurgery Scientific Head of the Department - Professor Mamuka Gurgenidze Head of the Department - Teimuraz Ioseliani MD, PhD It is equipped with videoendoscopy of OLYMPUS, with ultramodern digital endoscopic device EXERA-II, EUS-EXERA- EUM60 with special ultrasound transmitter, by means of which it is possible at the same time make endoscopic and ultrasound investigation. Also videoendoscopy apparatus of PENTAX and OLYMPUS, billiary stents, endoscopic ligators and balloon dilators of COOK. Plasmatic surgical apparatus ERBE APC 300. Olymous OER-A automatic disinfection and steriliztion machine. endoscopy studies of esophagus, stomach and duodenum in cases of chronic inflammatory processes, tumors and functional disorders. endoscopic studies of ulcer disease in dynamics; determination of causes of acute ulceration; timely detection of gastroduodenal bleeding and evaluation of possibilities of endoscopic treatmen. endoscopy and ultrasound investigations of esophagus, stomach and duodenum that enable to detect tumor processes at earlier stage as in above mentioned organs and in mediastinum, pancreas and bile ducts as well. endoscopic ligation of esophagus burn, anastomosis, tumors by balloon dilatation and stenting. detection of gastric post-resection complications and diseases, estimation of endoscopic treatment possibilities. early detection of stomach cancer; the widening of possibilities of evaluating the spread degree of the disease combined with radiological methods, endoscopic diagnosis of polyps and endoscopic polypectomy, treatment of the stomach bezoars with endoscopic methods; estimation of the role of helicobacteria in chronic inflammatory processes of stomach. endoscopic and morphologic detection of various forms of colities; detection of colon tumors and estimation of their spread degree. endoscopic diagnosis and treatment of the bile ducts disease; diagnosis of cholelithiasis and oncologic diseases with endoscopic retrograde pancreatocholangiography; papillotomy in cholelithiasis and stricture. endoscopic treatment of mechanical jaundice caused by the bile duct tumors and strictures, with polymeric and metal stents, balloon dilators. argonoplasm coagulation reduces the risk of the perforation of the walls of organs. thermal revitalization is used in case of stanting of stenosing tumors. thermal hemostasis is used in case of intensive bleeding. 40 41

funqciuri diagnostikis ganyofileba Department of functional diagnostics xelmzrvaneli medicinis doqtori marina balavaze Head of the Department - Marina Balavadze MD, PHD arwurvilia: firma SIEMENS-is universaluri ultrabgeriti aparatit Acuson CV-70 feradi da energetikuli dopleris rejimsi gul-sisxlzarrvta sistemis kvlevis sruli paketit; firma Schilleris (Sveicaria) eleqtrokardiografebit: 12 arxiani Cardiovit AT-102, samarxiani - AT-101. 24-saaTiani ekg da wnevis monitorirebis aparatebit, Shiller MT 101, BR-102plus avtomaturi programuli uzrunvelyofis tredmili 8100-T da velo-ergometrit; spirometrit - Spirovit SP-200 da Spirovit SP-1 (Schiller), oqsipletit - Oxypleth Pulse Oximeter 520 A ( Novametrix). qsovilsi Jangbadis dawimulobis gamokvleva - TCM 400. ganyofilebasi tardeba: transtorakaluri eqokardiografia doplerografiit. 24-saaTiani ekg da wnevis monitorireba (holteri). datvirtvis testi (veloergometria, tredmili). ekg 12 standartul ganxrasi. gulis funqciuri mdgomareobis da hemodinamikuri parametrebis Seswavla; ritmis darrvevis da arteriuli hipertenziis drouli diagnostireba. periferiuli neirovaskuluri sindromis kompleqsuri diagnostika da mkurnaloba, Jangbadis dawimulobis gansazrvra transkutanulad, reovazografia, kapilaroskopia. garegani suntqvis funqciis gamokvleva spirometriisa da oqsimetriis sasualebit. qvemo da zemo kidurebis periferiuli sisxlis mimoqcevis, mikrocirkulaciis kvleva. The department is equipped with the universal US Acuson CV 70 of SIEMENS with a complete set of the cardiovascular system investigation programs in colour and power doppler mode, twelwe-chanel electrocardiography Cardiovit AT-102, three-channel electrocardiographs AT-101 (Schiller, Switzerland), Aspel (Poland) and Fukuda Denshi (Japan), 24-hour ECG and blood pressure monitoring (Holter), veloergometer (Schiller) with automatic program tredmil 8100-T and maintanance, spirometer Spirovit SP-200 and Spirovit SP-1 (Schiller), Oxipleth Pulse Oximeter Model 520 A (Novametrix). The method of investigation of the Oxygen tension in tissue - TCM 400. transthoracal echocardiography with dopplerography. 24-hour ECG and blood pressure monitoring (HOLTER). veloergometry and tredmil. ECG in 12 standart leads. investigation of the heart functional state and hemodynamic parameters in rythm disorders, ischemic and hypertonic diseases. complex diagnostics and treatment for the peripherial neurovascular syndrome, transcutaneous evaluation of oxygen strain, reovazography, capillaroscopy. study of the respiratory system function with spirometer and oximeter. the investigation of blood flow in upper and low limbs and microcirculation disorders. medicinis doqtori marina razmaze Marina Razmadze MD, PHD 42 43