Department and Clinic of Faculty Surgery named after S.P. Fedorova Hospital Surgical Clinic was established on the basis of the surgical department of the 2nd St.

Department and Clinic of Faculty Surgery named after S.P. Fedorova

The hospital surgical clinic was created on the basis of the surgical department of the 2nd St. Petersburg Military Land Hospital and was located in the main building of the 1st department of the hospital (on the lower floor of a huge two-story stone building located on Bolshoy Sampsonievsky Prospekt. Subsequently, the clinic received additional premises in the main building of the hospital, located on the embankment near Liteyny Bridge – at Pirogovskaya Embankment, Building 3. There is a memorial plaque on this building: N.I. Pirogov worked here from 1841 to 1856.

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1. Historical background

According to official documents, on January 18 (30), 1841, the Conference of the Medico-Surgical Academy approved the idea of ​​organizing a hospital surgery clinic at the Academy, as well as the proposal “On the appointment of a well-known not only in Russia, but also abroad for his excellent talents and art in operative surgery Nikolai Ivanovich Pirogov to the post of professor of hospital surgical clinic.

The archive of the Military Medical Museum of the Ministry of Defense of the Russian Federation (Pirogov's fund) contains the message of the Conference of the Academy No. 234 dated March 3, 1841 that N.I. Pirogov appeared and assumed the position of professor assigned to him. This date is considered the official birthday of the clinic.

The establishment of the department with the clinic was due to the need to introduce a new teaching method, which involved the study of various morbid forms by comparing a large number of similar cases and identifying their individual characteristics. This original method of training future doctors had no precedent in the past and has firmly entered the system of medical education in Russia. N.I. Pirogov is one of the founders of surgical anatomy and anatomical and experimental direction in surgery. The contribution of N.I. Pirogov in the development of issues of military field surgery. He was the first to use ether anesthesia in military field conditions, a fixed starch dressing for complex fractures of the limbs, and a plaster cast. N.I. Pirogov is the founder of the doctrine of medical triage, under his leadership the basic organizational, tactical and methodological principles of military medicine were developed. The outstanding merit of N.I. Pirogov is the introduction into practice of a new type of teaching surgery at the bedside. In 1856, 45-year-old N.I. Pirogov left the department at the academy, citing the expiration of the term of service as a professor, and was enlisted in the civil service by the Ministry of Education. As rightly noted by N.V.Sklifosovsky: – The people who had his Pirogov have the right to be proud of, since this name is associated with a whole period of development of medical science.

After N.I. Pirogov by the department was led by his students: from 1855 to 1858. – Peter Yulievich Nemmert (1818 – 1858), and from 1858 to 1870. – Alexander Alexandrovich Kiter (1813 – 1879). They continued the work of their teacher. During this period, the antiseptic method of D. Lister (1867) was first embedded in Russia.

Subsequently, famous professors were headed by the department: from 1870 to 1888. – Eustathius Ivanovich Bogdanovsky (1834 – 1888) and from 1890 to 1901. – Vasily Alexandrovich Ratimov (1830-1904). Thanks to the efforts of V.A. Ratimov’s clinic was one of the first in Russia in accordance with the requirements of aseptics and antiseptics, and surgical interventions began to be performed in the operating room in sterile conditions.

A large stage in the history of the department (1903 – 1936) is associated with the name Sergey Petrovich Fedorov (1869 – 1936) – an outstanding domestic surgeon, a label -media of his Imperial Majesty Nicholas II, Honored Worker of Science of the RSFSR, founder of bile surgery, urology and neurosurgery in our country. Scientific interests S.P. Fedorov was very diverse. One of the first in our country S.P. Fedorov introduced the methodology of rectum and sigmoscopy, as well as esophagoscopy and cystoscopy. S.P. Fedorov is a pioneer in the use of intravenous anesthesia in clinical practice.

Under his leadership, blood transfusion problems were developed in detail. The priority of the first blood transfusion, taking into account isogemagglutination in our country, rightfully belongs to S.P. Fedorov and his students. Great merit S.P. Fedorov in the development of surgery of the abdominal organs and retroperitoneal space. So, S.P. Fedorov performed the first gastroctomy in Russia. He developed the scientific and methodological foundations of the urological service, organized the Society of Urologists and was its permanent chairman. S.P. Fedorov is rightfully considered the founder of liver surgery and biliary tract, raising it to the level of achievements of Western scientists. No less important is the contribution of S.P. Fedorov in the formation of neurosurgery.

In 1928, S.P. Fedorov – one of the first scientists of our country, was awarded the title of Honored Worker of Science of the RSFSR, and in 1933 he was awarded the highest award – the Order of Lenin and his name was assigned to the clinic of faculty (hospital) surgery founded by N.I. Pirogov.

After the death of S.P. Fedorova became the head of the department Vasily Ivanovich Dobrothelsky (1869 – 1937). He headed the department in 1936 and led it for only one year, as he suddenly died in 1937 during a short managing department of prof. The hospital clinic became the Faculty of Dobravsky. This happened due to the following circumstances. From the memoirs of P.P. Goncharova (P.P. Goncharov “Essays on the history of the Military Medical Academy in the post-October period”, 1960).

“When the 5th year was abolished and four-year training was introduced, therapeutic clinics were combined (under the leadership of M.A. Arinkin), while surgical clinics retained independence, but lost their names (3rd year clinic, 4th year clinic). The reduction affected only the academic (faculty) surgical clinic, headed by V.A. The Oppel, which in 1918 switched to it from general surgery, took this last after V.A. Oppel S.S. Girgolav.

Instead of and on the site of the abolished faculty (former academic) clinic, a department and clinic of military field surgery was created, which was organized and led by V.A. Oppel (after his death – V.A. Pavlenko). When the five -year training course was restored, the clinics of general surgery (S.S. Girgolav) and faculty surgery were restored (S.P. Fedorov, after him V.I. Dobrothelysky, then V.N. Shamov), and for the hospital surgical clinic for the hospital. The territory of the Academy was not there. And on August 19, 1934, an order was issued at the Academy, according to which the teaching of hospital surgery was organized on the basis of the Leningrad Red Banner Military Hospital. S.S. Girgolav, and deputy chief – head of the surgical department of the hospital P.A. Kupriyanov, who led the teaching forces of the personnel of the surgical department. This continued until 1938, when S.S. Girgolav left the department of general surgery and with almost all the personnel moved to the state of hospital surgery clinics. The clinic of general surgery was entrusted to N.N. Elansky, who was teaching on the basis of a naval military hospital.

The clinic of military field surgery remained in its place (Willy Clinic) until the Great Patriotic War, and after the war was posted on the basis of the district hospital. After the war, in connection with the reform of the Academy, clinics were created: General Surgery (N.N. Elansky), faculty surgery (P.A. Kupriyanov), Hospital surgery (S.S. Girgolav), neurosurgery clinics (V.N. Shamov) et al. V.N. Shamov insisted that he headed by the clinic (“Fedorov Clinic”) be called “Faculty of Surgical Clinic No. 1”, and the clinic, headed by P.A. Kupriyanov, began to be called faculty surgical clinic No. 2 and took on the functions of improving surgeons. Then it began to be called the Department and Clinic of Surgery for the improvement of doctors No. 1. Thus, if you reckon with the historical continuity of the functions and purpose of the clinic, then the clinic of general surgery has preserved direct continuity – M.S. Subbotin – V.A. Oppel – S.S. Girgolav – N.N. Elansky – V.I. Popov (student V.A. Oppel).

The clinic of faculty surgery has not preserved any continuity – created by I.F. Bush (the first surgical clinic in our country), it continued by N.A.Velyaminova, then represented by his student I.E. Gagen-Torn, then V.A. Oppel (a student of Ratimov and R.R. Zalena), after which it was eliminated, and her story ended on this.
After the war, the Fedorovskoye Hospital Surgical School became the new faculty school and should continue the history of the faculty school, in fact, it is and rightfully considers itself the successor and successor of the Fedorov hospital school.

The clinic of hospital surgery was essentially the successor to the Oppel school in general surgery and did not inherit the stories of the Pirogov and Fedorovsky hospital clinic. ” The changes in the name of the department, but the continuity of the hospital clinic in its monograph, is also described by Professor Nechai A.I. (Nechai A.I. “Pages of the history of the Department of Faculty of Faculty of Surgery named after Fedorov” 2003).

In 1939, a student of S.P. Fedorova Vladimir Nikolaevich Shamov (1882 – 1962), who headed the department and led it from 1939 to 1958. With the activities of V.N. Shamova is connected with an important stage in the history of the department, which coincided with the war with the Belofinns (1939) and the Great Patriotic War (1941-1945). The entire period of the Great Patriotic War V.N. Shamov was as deputy chief surgeon of the Red Army at the front. More than 20 students of V.N. Shamova became professors and themselves led various surgical groups: S.Yu. Minkin, I.S. Kogan, G.G. Karavanov, A.G. Karavanov, G.M. Rudnitsky, N.N. Milostanov, Yu.Yu. Voronoy, M.M. Levin, P.L. Shupik, V.M. Sitenko, N.N. Aleksandrov, B.A. Samotokin, S.V. Ryzhkov, A.I. Nechai and others. Academician AMN V. Shamov – author of about 140 scientific works devoted to various issues of surgery. He was a member of the Academic Council of the Ministry of Health of the USSR, a member of the board of the All -Union Scientific Society of Surgeons, an honorary member of the All -Union Scientific Society of Neurosurgeons, a member of a number of international scientific societies. After V.N. Shamova led by the professor Valentin Mikhailovich Sitenko (1911 – 1996) from 1958 to 1977), Anatoly Ivanovich Nycha (b. 1927) from 1977 to 1988 and Vladislav Mikhailovich Trofimov (b. 1938) from 1988 to 1994. Over the years, a lot has been done to improve the teaching of faculty surgery and the further development of the department and clinic.

Since 1991, the next period began in the history of the department. This period is due to significant teaching transformations at the Academy and the periprofilization of almost all clinical departments of both surgical and therapeutic profile. The Department of Faculty of Surgery received the name of the Department of Abdominal Surgery, preserving the name S.P. Fedorova. Teaching is carried out in the interests of a certain section of surgery both in the faculty and hospital type of training, with an unchanged desire to develop clinical thinking from students when analyzing patients.At the same time, training is systematically conducted for surgeons who come to the academy to specialize in abdominal surgery.

From 1994 to 2018 the department was headed Nikolai Anatolievich Maistrenko – Doctor of Medical Sciences, Honored Doctor of the Russian Federation, Academician of the Russian Academy of Sciences, Professor, Member of the Academy of Military Sciences, Academy of Medical and Technical Sciences, Petrovsky Academy of Sciences and Arts, Academician of the Russian Academy of Medical Sciences, Military Medical Academy.

In 2000, the academy returned to the three-degree system of teaching the main clinical disciplines. By the decision of the command of the academy in 2002, the department was again renamed the department of faculty surgery named after. S.P. Fedorov.

In 2018, the department was headed by Corresponding Member of the Russian Academy of Sciences, Professor, Colonel of the Medical Service Romashchenko Pavel Nikolaevich, doctor of medical sciences, professor, corresponding member of the Russian Academy of Sciences, doctor of the highest qualification category.

Over the years of the existence of the department, many of its employees have become prominent professors and headed the departments of surgery, both at the academy and in other universities of the country. Seven professors were awarded prizes for scientific achievements: V.N. Shamov – the Lenin Prize, and V.M. Sitenko, A.I. Nechay, A.A. Kurygin, L.V. Lebedev (twice), S.V. Ryzhkov, B.A. Samotokin – State Prize. Two former employees of the department, who became independent leaders of scientific schools, were awarded the high title of Hero of Socialist Labor with the award of the Gold Star badge. These are Professor Boris Aleksandrovich Samotokin, Head of the Department of Neurosurgery of the Military Medical Academy, and Professor Nikolai Nikolaevich Aleksandrov, Director of the Republican Oncological Institute of Belarus. Four professors of the department were awarded the title of Honorary Doctor of the Military Medical Academy named after S.M. Kirov (V.N. Shamov (1957), A.Al. Kurygin (2002), A.I. Nechay (2005), N.A. Maistrenko (2011).

The department and clinic of faculty surgery, despite its rather respectable age, remains the leading scientific and practical center of the country. The cathedral staff looks to the future with optimism, continuing the traditions of worthy healing, inherited from the great predecessors.

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2. Educational and clinical base of the department

2.1. a brief description of

Department and Clinic of Faculty Surgery named after S.P. Fedorova Today it is one of the leading medical and scientific centers of abdominal and endocrine surgery in St. Petersburg and the Northwestern Federal District.

The clinic is equipped with the most modern medical equipment, which provides a comprehensive examination of the patient during his stay in the hospital and the performance of high-tech surgical operations, see photo.

Thanks to the overhaul of the functional divisions of the clinic and equipping it with modern medical and diagnostic equipment, today the clinic has every opportunity to provide professional, high-tech, high-quality surgical care, both in a planned manner and for urgent indications.

2.2.Clinical bases of the department.

In order to improve the quality of the educational process, practical classes are held at the Extra -Clinical bases of the department, see more.

2.3. Structural units of the clinic

2.3.1. X -ray department:

• contrasting and native radiography and radioscopy;
• contrasting studies (esophagus, stomach, duodenum, small and colon, excretory urography);
• Endoscopic retrograde cholangiopancreaticography;
• Digital fluorography

2.3.2. Ultrasound diagnostic room:

• study of the abdominal organs, retroperitoneal space and pelvis;
• exploring of the mammary glands;
• thyroid study;
• study of the vessels of the limbs;
• Ultrasound Doppler mapping;
• echocardiography;
• percutaneous drainage of pancreatic cysts;
• biopsy of the liver, pancreas, adrenal glands;
• Punctative thin -iginal aspiration biopsy of thyroid nodes.

2.3.3. Endoscopy cabinet:

• fibroesophagogastroduodenoscopy;
• fibrocolonoscopy;
• Endoscopic papillosfinchesterotomy with LIDECTION LOOLECH LOLOLOCH;
• endoscopic polypectomy;
• endoscopic resection in early forms of stomach cancer;
• bumping of anastomoses stenosis;
• endoscopic stop of bleeding from ulcers of the gastrointestinal tract;
• Endoscopic stop of bleeding from varicose veins of the esophagus with latex rings in patients with portal hypertension;
• Endoscopic stenting of the bile ducts.

2.3.4. Resuscitation and intensive care unit

Intensive therapy, observation and care of patients with the following diseases and pathological conditions are carried out:

• Disorders of the acid-base state, water-electrolyte balance, thermoregulation, endotoxicosis in surgical pathology. ICE, hemorrhagic syndrome. Septic states of surgical etiology;
• Coma (hypoglycemic, ketoacidotic, hyperosmolar, lactacidotic, hypo- and hyperthyroid, acute adrenal failure);
• Acute liver failure (associated with surgical, infectious pathology) or the progression of chronic liver failure;
• Intensive therapy of patients with various surgical diseases of the gastrointestinal tract.

In clinical practice, invasive and non -invasive monitoring of hemodynamics is used.

2.3.5. Functional diagnostic cabinet:

• Multi -channel echocardiography;
• Holter monitoring of the pulse and blood pressure;
• Assessment of the functional reserves of the body using the integral reiography of the body and the function of external respiration.

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3. The faculty

Romashchenko Pavel Nikolaevich – Head of the department and clinic of faculty surgery;

• Doctor of Medical Sciences, Professor, Corresponding Member of the Russian Academy of Sciences;
• Doctor of the highest qualification category;
• Member of the Russian Society of Surgeons; Surgical Society N.I. Pirogov; Association of hepatopancreatobiliary surgeons of the CIS countries; Association of Endocrine Surgeons;
• He has certificates of a specialist in surgery, oncology, ultrasound diagnostics, X-ray endovascular diagnostics and treatment, healthcare organization and public health.

• Justification of approaches for endovideosurgical interventions on the adrenal glands, 2000;
• Modern approaches to the diagnosis and surgical treatment of chromaffin tumors, 2008.

MAYSTRENKO Nikolai Anatolievich – Professor of the Department of Faculty Surgery;

• Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences;
• Honored Doctor of the Russian Federation. Laureate of the national award Vocation (2011), award of the government of the Russian Federation (2015) .;
• Doctor of the highest qualification category;
• Member of the Board of the Russian Societies of Surgeons, Endocrinologists, Endoscopic Surgeons, Surgeons-Hepatologists of the CIS countries, the Association of Surgeons of St. Petersburg, a member of the International Association of Surgeons, the European Association of Endoscopic Surgeons. Honorary Academician of the Military Medical Academy. Honorary Professor of the Republican Specialized Center for Surgery named after Academician V.V. Vakhidov. Honorary Academician of the Academy of Medical Sciences of Belarus;
• He has certificates of a specialist in surgery, oncology.

• Clinical and endoscopic characteristics of patients with transpyloric prolapse, 1985;
• Long-term results of vagotomy and medical examination of military personnel of the SA and the Navy, 1991

DOVGANYUK Vitaliy Safronovych – Associate Professor of the Department of Faculty Surgery;

• Doctor of Medical Sciences;
• Doctor of the highest qualification category;
• Member of the Russian Society of Surgeons; Petrovsky Academy of Sciences and Arts; Editorial Board – executive secretary of the journal Bulletin of Surgery named after I.I. Grekov;
• She is certified as a specialist in surgery.

• Influence of stem vagotomy on the motor and evacuation functions of the small intestine (clinic-experimental study), 1990;
• Motor and evacuation functions of the digestive tract after gastric surgery (clinical and experimental study), 1997

KURYGIN Alexander Anatolievich – Associate Professor of the Department of Faculty Surgery;

• Doctor of Medical Sciences;
• Doctor of the highest qualification category;
• Member of the Russian Society of Surgeons; Petrovsky Academy of Sciences and Arts; Editorial board – executive secretary of the journal Bulletin of Surgery named after I.I. Grekov;
• She is certified as a specialist in surgery.

• Influence of stem vagotomy on the motor and evacuation functions of the small intestine (clinic-experimental study), 1990;
• Motor and evacuation functions of the digestive tract after gastric surgery (clinical and experimental study), 1997

STUKALOV Vladimir Vladimirovich – Associate Professor of the Department of Faculty Surgery;

• Doctor of Medical Sciences;
• Doctor of the highest qualification category;
• Member of the surgical society N.I. Pirogov;
• Has a certificate of a specialist in surgery.

• “External drainage of the bile ducts and the inoperative elimination of the stones left in them”, 1983;
• Residual holelitiaz, 1999

Lysanyuk Maxim Viktorovich – Doctoral program of the department of faculty surgery;

• Candidate of Medical Sciences;
• Doctor of the first qualification category;
• Member of the Russian Society of Surgeons;
• It has certificates of a specialist in surgery, oncology, ultrasonic diagnosis, X -rayendovascular diagnosis and treatment.

• Differentiated approach to the diagnosis and treatment of basic forms of primary hyperaldosteronism, 2010

Revin Gennady Olegovich – Senior Lecturer at the Department of Faculty of Surgery;

• Candidate of Medical Sciences;
• Doctor of the highest qualification category;
• Member of the Russian Society of Surgeons;
• Has certificates of a specialist in surgery, endoscopy.

• Motor function of the colon after stem vagotomy with pyloroplasty, 2003

Khrykov Gleb Nikolaevich – Senior Lecturer at the Department of Faculty of Surgery;

• Candidate of Medical Sciences;
• Doctor of the highest qualification category;
• Active member of the Russian Society of Surgeons, the Russian Society of Endoscopic Surgeons, the Surgery of Pirogov, the Society of Specialists in Oncological Coloproctology, the ERAS Society, the European Society of Koloproctologists (ESCP), the European Association of Endododio surgeons (EAES), the Russian Society of Coloregical Surgeons, the Association of the Koloproenchi of Russia, and the Member of the Initial Council Interdisciplinary surgical scientific society Fast the Track.
• It has certificates of specialties: “Surgery”, “Oncology”, “Ultrasound diagnostics”, “Laparoscopic coloproctology”, “Organization of health and public health”.

• “The role of tumor markers in the diagnosis of metastases of stomach and colon cancer”, 2008

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4. Leading specialists of the clinic

Semenov Valery Vladimirovich – Head of the abdominal department of the clinic of faculty surgery;

• Candidate of Medical Sciences;
• Doctor of the first qualification category;
• Member of the Russian Society of Surgeons; Surgical Society N.I. Pirogov; Russian society of endoscopic surgeons; Club of Herniologists of the Russian Society of Surgeons;
• Has certificates of a specialist in surgery, oncology, ultrasound diagnostics, coloproctology

• “The justification and direct results of simultaneous operations on the abdomen”, 2018

Sazonov Alexey Andreevich – Head of the surgical department of the clinic of faculty surgery;

• Candidate of Medical Sciences;
• Doctor of the first qualification category;
• He has certificates of a specialist in surgery, oncology, laparoscopic surgery, coloproctology.

• Troyanov-Trendelenburg operation and sclerosing therapy in the outpatient treatment of varicose veins, 2008

UDALTSOV Alexander Alexandrovich – Head of the oncological department of the clinic of faculty surgery;

• Doctor of the highest qualification category;
• He has certificates of a specialist in surgery, oncology, laparoscopic surgery.

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5. Educational activities

5.1. Opportunities for learning at the department, see details.

In the educational process, innovative technologies are widely used:

• developed multimedia presentations of lectures and practical exercises;
• an electronic practical manual on faculty surgery has been created.

Teaching aids prepared and published by the staff of the department, see photo.
5.2. Planned learning outcomes

The list of professional competencies within the framework of the existing qualification, the qualitative change of which is carried out during the development of an additional professional program:

• readiness to identify pathological conditions, symptoms, disease syndromes, nosological forms in patients in accordance with the International Statistical Classification of Diseases and Related Health Problems (PC-5);
• readiness to manage and treat patients requiring surgical medical care.

A qualitative change in professional competencies is achieved by the following levels of training, see more.

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6. Scientific activity

6.1. Main directions of scientific work

Pancreatohepatobiliary surgery (diseases of the liver, gallbladder and bile ducts; benign neoplasms of the liver and bile ducts, surgical treatment of iatrogenic injuries of the bile ducts).

Surgical gastroenterology (peptic ulcer of the stomach and duodenum; benign neoplasms of various parts of the digestive tract; neoplasms of the retroperitoneal space; diseases of the pancreas).

Surgical endocrinology (surgical diseases of the thyroid, parathyroid, thymus and pancreas, adrenal glands, syndromes of multiple endocrine neoplasia, neuroendocrine tumors of various localization).

Oncology (malignant neoplasms of the gastrointestinal tract and retroperitoneal space), development of an optimized protocol for accelerated recovery of cancer patients of various age groups after FAST TRAK (ERAS) operations.

Surgical treatment of abdominal hernias (inguinal, umbilical, femoral, postoperative, white and Spiegel lines, diaphragmatic).

Surgical treatment of acute diseases of the abdominal organs (acute appendicitis, acute cholecystitis, perforated gastroduodenal ulcers, acute pancreatitis, acute intestinal obstruction, strangulated abdominal hernia, gastrointestinal bleeding, etc.).

6.2.Troyanov-Trendelenburg operation and sclerosing therapy in the outpatient treatment of varicose veins, 2008

1. UDALTSOV Alexander Alexandrovich
2. – Head of the oncological department of the clinic of faculty surgery;
3. Doctor of the highest qualification category;
4. He has certificates of a specialist in surgery, oncology, laparoscopic surgery.

To the begining5. Educational activities

5.1. Opportunities for learning at the department

, see details.

In the educational process, innovative technologies are widely used: >>>

developed multimedia presentations of lectures and practical exercises;

an electronic practical manual on faculty surgery has been created.

Teaching aids prepared and published by the staff of the department, see photo.

5.2. Planned learning outcomes

The list of professional competencies within the framework of the existing qualification, the qualitative change of which is carried out during the development of an additional professional program:

readiness to identify pathological conditions, symptoms, disease syndromes, nosological forms in patients in accordance with the International Statistical Classification of Diseases and Related Health Problems (PC-5);

readiness to manage and treat patients requiring surgical medical care.

• A qualitative change in professional competencies is achieved by the following levels of training, see more.To the begining
• 6. Scientific activity6.1. Main directions of scientific work
• Pancreatohepatobiliary surgery (diseases of the liver, gallbladder and bile ducts; benign neoplasms of the liver and bile ducts, surgical treatment of iatrogenic injuries of the bile ducts).
• Surgical gastroenterology(peptic ulcer of the stomach and duodenum; benign neoplasms of various parts of the digestive tract; neoplasms of the retroperitoneal space; diseases of the pancreas).

Surgical endocrinology (surgical diseases of the thyroid, parathyroid, thymus and pancreas, adrenal glands, syndromes of multiple endocrine neoplasia, neuroendocrine tumors of various localization).Oncology (malignant neoplasms of the gastrointestinal tract and retroperitoneal space), development of an optimized protocol for accelerated recovery of cancer patients of various age groups after FAST TRAK (ERAS) operations.Surgical treatment of abdominal hernias

(inguinal, umbilical, femoral, postoperative, white and Spiegel lines, diaphragmatic). Surgical treatment of acute diseases of the abdominal organs

• (acute appendicitis, acute cholecystitis, perforated gastroduodenal ulcers, acute pancreatitis, acute intestinal obstruction, strangulated abdominal hernia, gastrointestinal bleeding, etc.).
• 6.2.Clinical studies at the department in different years:
• Khrykov G.N. Research topic Multimodal approach to the treatment of colon cancer in elderly and senile patients (completed in 2016) Lysanyuk M.V. Research topic Diagnosis and treatment of neuroendocrine tumors of the pancreas and gastrointestinal tract (completed in 2017).
• Pryadko A.S. Research topic Development of optimal surgical approaches in the treatment of patients with chronic pancreatitis (to be completed in 2018).
• Aliev A.K. The topic of the research work is “Development of a program approach to the treatment of patients with iatrogenic injuries of the bile ducts” (it is planned to be completed in 2019).
• Sazonov A.A. Research topic Molecular and biological properties of the tumor in determining the tactics of treating gerontological patients with advanced forms of colon cancer (planned to be completed in 2019).
• 6.3. PhD and doctoral dissertations defended at the department
• (see details).
• 6.4. Circle of the Military Scientific Society of Cadets and Students of the Department
• The circle of the Military Scientific Society of cadets and students of the Department of Faculty Surgery (see photo) has been awarded diplomas of the Military Medical Academy for the past 5 years (in 2012-2013 and 2015-2016), took 2nd place in the academy in 2013-2014 and 3rd place in 2011-2012. The average number of circle members was 20-25 people. During this time, 32 reports were made at conferences, including 5 with international participation. 93 publications were published, 18 competitive works (4 of which won prizes at the academy). One work became the winner of the competition for the best scientific work of the Ministry of Defense of the Russian Federation.

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7. Treatment and diagnostic activities

• For 35 years, the staff of the clinic of faculty surgery has been successfully treating gastric and duodenal ulcers. Numerous fundamental scientific works on this problem have been universally recognized in our country.
• One of the priority areas started by S.P. Fedorov, is hepatobiliary surgery. The clinic uses all new and advanced technologies and methods of diseases of the liver and biliary tract in a planned and urgent manner.The continuation of the glorious traditions of the clinic is the successful development of the problem of surgical diseases of the endocrine organs, which allows a number of leading domestic endocrinological centers.
• Over the past 10 years, great successes have been achieved in endovideosurgery of the abdominal organs and retroperitoneal space. A number of surgical interventions were for the first time in Russia by the specialists of the clinic.
• In addition to traditionally priority scientific areas, the clinic develops the issues of coloproctology – the study of pathophysiological and pathomorphological characteristics, artificial nutrition of surgical patients, the whole spectrum of treatment of patients with benign diseases and tumor lesion of the colon, the use of modern physical methods of dissection, and the use of cancer diagnostics in the diagnosis of cancer metastases stomach and colon, introducing the protocol of accelerated recovery after abdominal surgical operations.
• Every year, over 2000 patients receive highly qualified treatment in the clinic of faculty surgery named after S.P. Fedorov. According to the level of vocational training of medical and medium medical personnel, technical equipment and comfort of the hospital, the clinic fully meets the modern requirements for the provision of medical care to patients in the compulsory and voluntary medical insurance system.
• 7.1. The main directions of the treatment of the clinic are:
• Hepatobiliary surgery

(diseases of the liver, gall bladder and bile ducts, stones of the bile ducts (choledocholytiasis); benign neoplasms of the liver, bile ducts).

• Surgical gastroenterology
• (ulcerative disease of the stomach and duodenum; benign neoplasms of various parts of the digestive tract; neoplasms of the retroperitoneal space; pancreatic disease), reconstructive surgery.

Surgical endocrinology (surgical diseases of the thyroid gland, parathyroid glands, pancreas, adrenal glands, gastrointestinal tract).