Department of Surgery №3

History of department

Department of Surgery №3 of the National Medical University named after O.O. Bogomolets has undergone a number of transformations to its present status. It was first created in conjunction with the organization at the Kiev Medical Institute (now – the University) of the Dental Faculty with the name of the Department of Surgery of the Dental Faculty in 1955. The department taught general, faculty, and hospital surgery sections focused on future dentists according to the curriculum. Professor Alexander Kyrylovych Gorchakov headed the department.

The main direction of surgical activity of the department,s clinic, Professor Gorchakov chosed  the treatment of diseases of the thyroid gland. The main area of ​​scientific development of the department were also thyroid gland diseases. Numerous publications have been published on this issue and 6 theses have been defended by the department staff.

After the untimely death of Professor Gorchakov from 1960 to 1963, the Department of Surgery of the Dental Faculty was headed by Professor Dmitro Fedorovych Skrypnychenko, who, being a thoracic surgeon, retained the existing direction – thyroid surgery and expanded the volume of the operations in thoracic surgery, in particular on the breastbone for myasthenia gravis. Accordingly, the topic of scientific developments has expanded.

In 1963 the department was headed by Professor Vasil Dmytrovych Bratus, generalist surgeon with the main direction of surgery of the digestive organs retained the traditional direction of activity of the clinic – thyroid surgery – widely introduced the surgical treatment of peptic ulcer and expanded the treatment of diseases of other digestive organs as well as expanded the volume of thoracic interventions by performing lung resections and surgeries regarding tumor formation of the mediastinum. From 1969 to 1975, again for pedagogical reasons, the clinic performed heart surgeries by closed methods. Thus, under the guidance of Professor Bratus, the Clinic of the Department of Dental Medicine became a wide-ranging institution – the only one in which cardiac surgery existed at  Kiev Medical Institute.

According to the spread of practical activity the volume of scientific developments of the department has expanded. While still working at the Kiev Regional Hospital and the Institute for the Improvement of Doctors at the same time, Vasyl Dmytrovych Bratus paid great scientific attention to the problem of gastrointestinal bleeding and introduced a number of scientific researches in this direction. Thus the idea of ​​creating a specialized institution – a center for assisting with gastrointestinal bleeding, to which the department devoted its activity, arose.

In 1982 the department was transferred to the pediatric faculty and renamed the surgery department of the pediatric faculty. The plans for teaching the sections of general, faculty and hospital surgery have focused on future pediatricians. Practical surgical activity and scientific directions have been preserved and extended in connection with the organization of specialized department for rendering assistance in gastrointestinal bleeding on the basis of surgical department № 1 of Kyiv City Clinical Hospital № 12. For many years of scientific and pedagogical activity V.D. Bratus  created and a cohesive teaching staff. By the way, it should be said that changing the name of the department and, accordingly, the peculiarities of the pedagogical process did not lead to changes in the composition of the faculty of the department and clinical base. They remained constant and this provided for the introduction of uniform facilities in medical and diagnostic, and especially – in pedagogical processes. During these years, with his involvement, significantly expanded the range of operations, in particular in abdominal surgery, burn surgery, plastic surgery.

At the same time the head of the department prepared 3 doctors and 25 candidates of medical sciences, published monographs: “Surgical treatment of thermal burns” (1963), “Acute gastrointestinal bleeding” (1971), “Intensive care in emergency surgery” (1980), ” Hemorrhagic shock ”(1982). For the improvement of methods of diagnosis and treatment of burns prof. V.D. Bratus in 1981 was awarded the State Prize of Ukraine in the field of science. In 1970. he was elected a corresponding member of the Academy of Sciences of Ukraine, and in 1990p. – Corresponding Member of AMS of Ukraine. In 1984, he published his book on the history of analgesic surgery and antiseptic surgery, which won the first prize at the All-Union competition organized by the All-Union Society “Knowledge”.

On the initiative of prof. V.D. Bratus clinic has expanded to 180 beds due to the addition of another building with an audience for students, laboratories and premises for practical training with students. This created good conditions for the staffing of the clinic with a diverse contingent of patients, which meets the needs of the pedagogical process. The range of surgical activity was greatly expanded, in particular due to abdominal pathology. But it also made it possible to take enough patients from certain narrow nosological forms required for the pedagogical process and the implementation of scientific research.

In 1976, the clinic, earlier than at other departments of the University, began to use organ-saving operations on the stomach on the basis of vagotomy. By 1998, more than 3,000 vagotomy operations had been performed in various modifications in the treatment of complicated pyloroduodenal ulcers.

38 scientific papers devoted to the problems of endocrine pathology came out from the clinic , one doctoral and four PhD theses were defended. Devoted to the  acute gastrointestinal bleeding problems – more than 80 publications were made, of which 12 – in foreign journals, 1 doctoral and 11 PhD theses were defended. Prof. V.D. Bratus published a monography on the problem of burns, for which he received a prize of O.O. Bogomolets of the National Academy of Sciences. He payed much attention to organizing the pedagogical process, providing it with modern visual aids. The department has created three  films, which are shown annually to students. His was the author of more than 400 published scientific works, 14 of which – in foreign sources. It should be noted that he was constantly paying much attention to the history and organization of higher medical education and healthcare. Of these issues, he has published more than 120 works, including two monographys. Since 1993, at the  head of the department is Professor Petro Dmytrovych Fomin, and Prof. V.D. Bratus  worked as a professor at the department, focusing mainly on pedagogical and scientific activities.

Under the guidance of prof. P.D. Fomin the team of the department continued to work on improving the differential diagnosis and treatment of acute gastrointestinal bleeding and has achieved significant success in this field. The work of the clinic for a long time, before the recognition of new data on the pathogenesis of peptic ulcer, was characterized by high operative activity and the lowest in our country indicators of both general and postoperative mortality in acute ulcerative bleeding. In the clinic, already under the new advanced methods of more effective surgical intervention in acute ulcerative bleeding. Four of them are protected by copyright certificates of the invention. Improved immediate treatment of hemorrhagic shock is very important.

Due to the reorganization of the departments of the University in 2002, the department was named the department of faculty surgery No 2 with the corresponding restructuring of the curricula.

In recent years, significant adjustments have been made and applied to the treatment of peptic ulcer disease in the light of new data on its bacterial etiology and pathogenesis. This applies primarily to the further improvement and application of general and local hemostasis methods, which made it possible to dramatically reduce operative activity (from 60% to 17-18%) in the ulcerative nature of acute gastric bleeding, while maintaining low rates of postoperative mortality (at the level of 2-3%) and overall mortality rate (3-4%). On the achievements of the clinic in differential diagnosis and treatment of patients with acute gastrointestinal bleeding prof. P.D. Fomin successfully reported not only at national scientific forums, but also at international surgeons’ congresses in the US, Germany, Israel, Poland, the Netherlands.

During the years of leadership of the department Prof. P.D. Fomin significantly expanded the range of surgical interventions for other surgical pathology, especially for pancreatic diseases, pancreatic and extrahepatic duct strictures. Successfully used in the clinic plastic thoracic surgery for burns and other origin of the esophagus. Thus an artificial esophagus is formed at the expense of an empty or right half of a colon, depending on features of branching of mesenteric vessels. Great diligence and high surgical skills, care for the patient, a high sense of responsibility for his fate serve because he confidently took the place of a leading surgeon in Ukraine. In 1999, Prof. P.D. Fomin was awarded the honorary title of Honored Worker of Science and Technology, and even earlier he became the winner of the State Prize for successful solution of the problem of treatment of patients with acute gastrointestinal bleeding.

Under the guidance of Prof. P.D. Fomin, during his years in charge of the department, defended two doctoral thesis (Prof. P.V.Ivanchov and Prof. E.M. Shepetko) and eight PhD theses. The staff of the department, under his leadership, fruitfully worked on improving the teaching and methodical work in the lecture process and in the practical preparation of students. Much attention was paid to the creation and implementation of a work program for students of IV, V and VI courses to study all existing sections of special surgery. First of all, it concerns the approval of the end-to-end program with the departments of hospital surgery, which take students from 5 and 6 courses, and teach them to the State Exams. It is envisaged that as a result of this agreement, no new section of surgical diseases should be left that would not be reflected in the work plans of the lecture and practical training for years of study at IV-VI courses.

After the death of P.D. Fomin, according to the competition for the position of the head of the Department of Surgery No. 3, his student – a two-time Doctor of (medical and economic) sciences, Professor Pavlo Vasyliovych Ivanchov – was chosen.

At the same time, P.V. Ivanchov is the head of clinical bases and responsible for the medical work of the surgery department No. 3 of KNP “Kyiv City Clinical Hospital of Emergency Medical Aid” and the surgery department of KNP “Kyiv City Clinical Hospital No. 12”. Under his leadership, laparoscopic approaches and the latest technologies using ultrasound and electrosurgical energy devices of mono- and bipolar mode are progressively introduced, which allows to significantly reduce the time of surgical interventions and, at the same time, ensures bloodlessness and ablasticity.

In the clinic, under the leadership and with the direct participation of Pavel Vasyliovych, therapeutic and tactical algorithms for the treatment of patients with acutely complicated malignant lesions of the stomach and colon were developed and implemented into clinical practice. Methods of reconstruction after gastric resection and gastrectomy have been developed, including the creation of a reservoir esophago-small-intestinal junction (“artificial stomach”) and methods of anastomosis of intestinal segments after extensive colon resections, based on the use of a modern arsenal of suturing linear and circular staplers, which protected by Declaratory Patents of Ukraine.

Today, the scientist, together with his students and colleagues, is working on the development and introduction into complex surgical treatment of patients with acutely complicated cancer of the stomach and colorectal zone of lymphodissection techniques, according to accepted world oncological standards, which determines a significant increase in the specific weight of radical surgical interventions, which are carried out in urgent conditions according to vital indications.

P.V. Ivanchov is the co-author of about 200 scientific papers published in domestic and foreign publications, 21 Ukrainian Patents for inventions, 2 certificates of copyright registration for a work, 1 textbook, 1 scientific manual and 1 monograph.

Considering the personal contribution of P.V. Ivanchov in the development of domestic medical science, in March 2017 he was elected a valid member (academician) of the Ukrainian Academy of Sciences, and from June 2021 – the head of the Department of Medical and Biological Sciences of the Ukrainian Academy of Sciences.

In NMU named after O.O. Professor Pavlo Ivanchov of Bogomolets carries out administrative, medical, scientific-pedagogical and educational-methodical activities. Since September 2017, he has been elected a member of the Academic Council of the Faculty of Medicine No. 3, and since May 2021 – a member of the Academic Council of the University. Since November 2022, he has been elected a member of the Specialized Scientific Council D 26.003.09 for awarding the scientific degree of Doctor of Sciences.

For significant achievements in professional activity and conscientious work, he was awarded the Thanks of the Ministry of Health of Ukraine (2013); for the development and implementation of innovative technologies in surgery, he was awarded the title of Laureate of the Prize of the Cabinet of Ministers of Ukraine (2014); for an invention in the field of medicine was awarded an honorary award at an international scientific conference in Taipei, Taiwan (2017); for a significant personal contribution to the nation’s health care, high professionalism and many years of conscientious work, he was awarded the “Medical Glory” honorary award (2018); for a significant contribution to the development of the health care system, the President of Ukraine awarded the honorary title “Honored Doctor of Ukraine” (2018); for significant personal contribution to the development of health care and high professionalism, he was awarded an honorary certificate of the Ministry of Health of Ukraine (2021);

In 2022, for the collective work “Organization of emergency medical care and treatment of acute blood loss in the conditions of hostilities and clinical practice” (together with Doctor of Medicine, Professor, Member-Corporator Yu.L. Kuchyn and Dr. Ph.D., Prof. D.O. Hovseev) was awarded the title of Laureate of the 2022 Borys Paton National Prize of Ukraine.

The team of the department under the leadership of prof. is of great importance in the work. P.V. Ivanchova contributes not only to scientific research, but also to the educational process of students. Every year, employees of the department publish 25–30 scientific works, mainly on the problem of diagnosis and treatment of patients with complicated forms of peptic ulcer disease, and above all, with acute gastrointestinal bleeding. The staff of the department is fruitfully working on improving educational and methodological work at the department both in the lecture process and in practical classes. Periodic testing of students’ training in practical classes with the use of computer technology contributes to increasing the level of knowledge in academic disciplines.