Healthcare Institution «Grodno University Clinic»

• Otorhinolaryngology department (for adults)

  The Otolaryngology department provides highly qualified specialized medical and diagnostic care to patients with diseases of the ear, throat and nose during planned and emergency hospitalization.

  The department has introduced and widely performs organ-preserving operations on ENT organs using microscopic, endoscopic and laser equipment. The department performs more than 1.7 thousand surgical interventions per year.

  All typical endolaryngological surgical interventions are successfully performed using an operating microscope both for benign neoplasms of the larynx and in the early stages of its malignant lesions.

  Microlaryngoscopy and endolaryngeal microsurgery expand diagnostic capabilities and improve the quality of the functional and anatomical result of treatment of precancerous conditions, background diseases and tumors of the larynx, have high information content, increasing the percentage of accurate diagnosis to 98%.

  In recent years, the department has introduced absolutely all endoscopic operations in the nasal cavity and paranasal sinuses, including using the most modern equipment.

  In 2023, laser endoscopic endonasal dacryocystorhinostomy was first introduced into practice in the purulent otolaryngology department for adults of the Grodno University Clinic. This operation is unique and is performed at the junction of disciplines together with ophthalmologists.

  Thanks to the arrival of the surgical CO2 laser, it is planned to develop transoral laser surgery for oncopathology of the pharynx and larynx, treatment of snoring, obstructive sleep apnea syndrome, tonsillectomy, uvulopalatoplasty.

  High quality medical care, the use of modern unique methods and the latest equipment, an individual approach to each patient allow us to provide highly qualified surgical care for both citizens of the Republic of Belarus and foreign citizens.

  Directions of the department:

  • Cochlear implantation;
  • Surgeries to restore the lumen of the larynx;
  • Surgeries on the middle and inner ear;
  • Endoscopic surgery of the paranasal sinuses;
  • Plastic aesthetic surgery;
  • Rhinoplasty and otoplasty.

• Otolaryngology department (for children)

  The Otolaryngology department provides planned and emergency specialized medical and diagnostic care to the child population of the region. Emergency care for children is provided by the department’s specialists 24/7.

  Department areas:

  • Ear surgeries for chronic otitis;
  • Open and closed tympanoplasty;
  • Treatment of stage 4 sensorineural hearing loss and deafness in young children (under the screening examination and treatment program) and late deafened children — cochleoimplantation surgery;
  • Treatment of severe forms of conductive hearing loss in congenital atresia of the outer and middle ear — installation of the Bach apparatus;
  • Surgeries aimed at preventing the development of chronic otitis: elimination of the retraction pocket with simultaneous shunting. «Second hatch» operations;
  • Primary delayed mastoidoplasty;
  • Endoscopic operations in the nasal cavity and paranasal sinuses in chronic purulent and polypous sinusitis. «FESS» operations;
  • Operations using direct laryngoscopy. Endolaryngeal microlaryngoscopy;
  • Operations using Nd-YAG laser. Laser vaporization for benign tumors of ENT organs, laser vaporization for chronic rhinitis;
  • Microtia removal using the Brand technique;
  • Adenotomy under endoscopic control;
  • Reconstructive and plastic surgeries on ENT organs: restoration of perforation of the nasal septum, post-traumatic defects of the paranasal sinuses;
  • Cosmetic surgeries for deformation of the nose and auricles;
  • Cochlear implantation.

  The Regional Center for Hearing and Speech Pathology operates on the basis of the clinic. Thanks to the unique diagnostic equipment and professionalism of specialists, our patients can undergo a full comprehensive examination of the state of hearing and voice.

  The consultative polyclinic provides a full range of speech therapy services, including stuttering, speech underdevelopment, and pronunciation disorders.

• Vascular Surgery Department

  The Vascular Surgery Department is the leading provider of specialized emergency and planned medical care to patients with vascular pathology in the Grodno region.

  The Vascular Surgery Department has 30 beds. It performs over 1,100 complex and high-tech surgeries annually. Of these, 53% are patients with arterial pathology and 47% are patients with venous pathology. The department accepts for treatment and examination not only residents of the Republic of Belarus, but also foreign citizens. Over the past five years, highly qualified medical care has been provided to patients from Russia, Lithuania, Poland, Ukraine, Kazakhstan, Latvia, Sweden and other countries.

  Duplex scanning, angiography, magnetic resonance imaging and multispiral computed tomography with contrast are used to diagnose pathologies of the arterial and venous systems. High-tech surgical interventions are performed jointly with X-ray endovascular surgeons of the angiography room in order to minimize surgical trauma, quickly activate patients, which improves treatment results in the early and late postoperative period.

  Types of surgical interventions performed:

  On the abdominal aorta and arteries:

  • Resection of aneurysms of the abdominal aorta, arteries of the upper and lower extremities with prosthetics;
  • Aortofemoral bypass grafting and prosthetics;
  • Iliofemoral bypass grafting and prosthetics;
  • Carotid endarterectomy with patch plasty (if necessary, a temporary protective bypass is used);
  • Resection of the internal carotid artery with implantation in the common carotid artery;
  • Carotid-subclavian bypass grafting;
  • All types of infrainguinal segment reconstructions (femoral-popliteal/tibial/foot bypass grafting, endarterectomy with autovenous/autoarterial patch-plasty);
  • Cross-bypass of the iliofemoral segment;
  • Hybrid interventions of various arterial segments: stenting (in an angiography room) and vascular reconstruction;
  • Arteriovenous fistula placement and removal;
  • Reconstructive interventions for complications (vascular prosthesis infection, aortoenteric fistula, ruptured aortic aneurysm);
  • Aortofemoral bypass grafting using the femoral vein;
  • Allogeneic aorto-biiliofemoral segment transplantation;
  • Various types of surgical treatment of angiodysplasia.

  Hybrid surgery:

  • Crossed carotid bypass;
  • Endoprosthetic replacement of the thoracic aorta.

  On veins:

  • Phlebectomy;
  • Endovascular laser ablation (EVLA);
  • Miniphlebectomy;
  • CHIVA;
  • Deep vein thrombectomy of the lower extremities;
  • Reconstructive interventions (bypass, prosthetics, plastic surgery) in case of trauma.

  The vascular surgery department performs one of the most minimally invasive operations in the treatment of varicose veins of the lower extremities and trophic venous ulcers — endovenous laser coagulation of varicose veins (EVLK). This operation requires only one day of hospitalization! It is performed strictly under ultrasound control. No anesthesia is required. With EVLK, the likelihood of complications such as damage to nerves and lymphatic vessels is reduced, there are practically no scars, varicose veins are removed through punctures of several millimeters.

  All operations are performed using the most modern techniques, instruments, equipment, suture and plastic materials, vascular prostheses. The department widely uses methods of X-ray endovascular interventions, which in some cases allow avoiding traumatic «open» surgical interventions.

• Department of Eye Microsurgery

  The department is equipped with the most modern, highly informative ophthalmological equipment, which allows diagnosing the most complex diseases of the visual organs, providing timely effective therapy, maintaining and improving visual functions, preventing blindness, returning high-quality vision:

  AB-scan, ophthalmological coherent tomographs for the anterior and posterior sections of the eye, refractometers, non-mydriatic camera, device for calculating intraocular lenses, computer perimeter, etc.

  The department’s activities:

  • Ultrasonic phacoemulsification of cataracts;
  • Keratoplasty (corneal transplant);
  • Treatment of all types of glaucoma;
  • Sutureless surgery of the vitreous body and retina;
  • Surgical treatment of diabetic retinopathy;
  • Full diagnostic examination of the organ of vision (including optical coherence tomography of the eye) within one day;
  • Treatment of strabismus;
  • Treatment of pterygium;
  • Treatment of eyelid pathology;
  • Treatment of benign neoplasms of the eyelids, conjunctiva of the eye;
  • Intravitreal treatment;
  • Retinal laser coagulation.

• Plastic aesthetic surgery

  Advisory reception on plastic surgery and all reconstructive surgeries are carried out by highly qualified specialists with many years of surgical experience and using the latest modern equipment.

  The clinic performs:

  • blepharoplasty (bilateral upper and lower eyelid surgery);
  • abdominoplasty (abdominal correction);
  • correction of age-related atrophy of the skin of the shoulder, skin of the thighs;
  • all types of mammoplasty: breast augmentation with implants, breast reduction and reshaping, breast lift;
  • otoplasty (correction of the auricle);
  • rhinoplasty, septoplasty (correction of the shape and size of the nose, removal of the hump of the nose).

  The clinic’s patients are accommodated in single and double rooms with increased comfort, equipped with separate bathrooms. Therapeutic three-meal diet is provided.

• Surgical Department

  All types of planned and emergency operations on the abdominal organs are performed in the surgical department. More than 1,200 patients receive medical care annually. More than 90% of operations in the department are performed laparoscopically and are classified as high-tech, complex, or performed using complex equipment (cholecystectomies, appendectomies, inguinal herniotomy, plastic surgery of postoperative hernias and hernias of the esophageal opening of the diaphragm, splenectomy).

  Laparoscopiccial and tension-free methods of plastic surgery for hernias of the anterior abdominal wall account for 41.5% of the total number of all herniotomy procedures.

  In 2017, the Regional Center for Hernia Surgery began operating on the basis of the clinic. The center has mastered almost all high-tech surgical interventions for abdominal hernias that exist in the world. For this, modern equipment and instruments are purchased, doctors undergo special training.

  The following types of surgical interventions are performed in the department:

  • laparoscopic cruroraphy for hernia of the esophageal opening of the diaphragm with Nissen fundoplication;
  • laparoscopic hernioplasty for postoperative hernias using the IPOM and IPOM+ methods;
  • hernioplasty with local tissues for inguinal and umbilical hernias;
  • laparoscopic hernioplasty for inguinal hernias (TAPP);
  • laparoscopic cholecystectomy for chronic and acute cholecystitis;
  • laparoscopic interventions for perforated ulcers of the stomach and duodenum;
  • cholecystectomy for chronic and acute cholecystitis (more than 95% from all cholecystectomies);
  • herniotomy for inguinal, umbilical hernias;
  • herniotomy for diaphragmatic hernias;
  • splenectomy;
  • appendectomy;
  • diagnostic laparoscopies;
  • reconstructive surgeries on extrahepatic bile ducts for cholelithiasis, postcholecystectomy syndrome, strictures of the biliary tract, tumors;
  • reconstructive surgeries for chronic pancreatitis for ductal hypertension, cysts;
  • modern methods of herniotomy for various hernias using a polypropylene mesh (with necessary).

• Department of Purulent Surgery

  In accordance with world standards and technologies, the Department of Purulent Surgery provides surgical care to patients with pathology of the colon and rectum. This care involves performing surgical operations aimed at treating proctological pathology, performing reconstructive, restorative, laparoscopic operations on the colon and rectum, operations for neoplasms, and conducting medical rehabilitation for patients with ostomy.

  The department and auxiliary services of the clinic have all modern methods of examination and treatment of the rectum and colon (rectoscopy, colonoscopy, ultrasound, MRI, CT, virtual endoscopy).

  The department has implemented all types of surgical interventions, and carries out high-tech and complex surgical interventions on patients with severe concomitant pathology.

  The main areas of work of the department:

  • Hemorrhoids;
  • Rectal fissure;
  • Pararectal fistula;
  • Acute paraproctitis;
  • Rectal prolapse;
  • Presacral cyst, teratoma;
  • Epithelial coccygeal passage;
  • Polyps;
  • Crohn’s disease;
  • Ulcerative colitis;
  • Cicatricial deformation of the anus with insufficiency;
  • Colon stomas;
  • Candilomatosis;
  • Foreign body of the rectum;
  • Paracolossal hernia;
  • Syndrome shortened intestine;
  • Diverticulosis;
  • Rectocele;
  • Colon tumors;
  • Megacolon, dolichosigma;
  • Coccygodynia;
  • Rectal stricture, anastomosis;
  • Stoma stricture;
  • Colostasis.

  The use of new achievements in proctology has brought the department to the pan-European level in the quality of medical care.

• Department of Cockroach Surgery

  The department is the only one in the Grodno region to provide specialized care to patients with surgical pathology of the chest organs. The department has 35 beds.

  The department performs all types of surgical interventions for lung diseases:

  • Video-assisted and video-assisted thoracic interventions for diseases of the lungs, mediastinum, chest wall (thymomas, neurinomas, rib formations, bullous lung disease);
  • Lobectomy;
  • Pneumonectomy;
  • Laparoscopic plastic surgery of sliding hernias of the esophageal opening of the diaphragm;
  • Surgical interventions for purulent processes in the lungs, mediastinum, pleura;
  • Surgeries for benign diseases of the esophagus;
  • Laparoscopic cardiomyotomy for achalasia of the cardia;
  • Correction of funnel-shaped chest deformity;
  • Video-assisted thoracoscopic sympathectomy.

  90% of the operations performed are high-tech, which are carried out using modern equipment and innovative methods.

• Department of surgical pancreatology, hepatology and transplantation of organs and tissues

  The department of surgical pancreatology, hepatology and transplantation of organs and tissues has 30 beds. The department provides specialized surgical care to patients with the following pathologies:

  Pancreatic diseases

  • Various forms of chronic pancreatitis (chronic fibrosclerotic pancreatitis with hypertension in the main pancreatic duct and Wirsungolithiasis, pancreatic cysts, chronic pancreatitis with biliary hypertension syndrome and duodenal obstruction);
  • Acute pancreatitis of varying severity;
  • Pancreatic neoplasms.

  Hepatobiliary system diseases

  • Uncomplicated cholelithiasis;
  • Cholelithiasis complicated by mechanical jaundice;
  • Strictures bile ducts;
  • Malignant neoplasms of the liver and bile ducts;
  • Benign neoplasms of the liver (hemangioma, liver adenoma);
  • Damage to the bile ducts.

  Diseases of the endocrine organs

  • Nontoxic single and multinodular goiter;
  • Diffuse toxic goiter (Greaves’ disease);
  • Toxic single and multinodular goiter;
  • Neoplasms of the parathyroid glands, hyperparathyroidism.

  Transplantation

  • Examination of patients for placement on the waiting list for kidney transplantation;
  • Examination of patients for related kidney transplantation;
  • Kidney transplantation from a deceased donor;
  • Complications after kidney transplantation.

• Purulent Department of Maxillofacial Surgery

  The Purulent Department of Maxillofacial Surgery is the only department in the region that provides specialized care to patients with maxillofacial pathology. Every year, more than 1,600 patients are treated in the department, more than 1,400 operations are performed.

  The department performs a full range of operations on the maxillofacial region for injuries, inflammatory diseases, benign tumors. High-tech operations are performed for severe maxillofacial injuries.

• Rheumatology Department

  The rheumatology department treats patients with acute myocardial infarction, unstable angina, chronic ischemic heart disease, arterial hypertension, and congenital heart defects. Specialized rheumatological care is provided to patients suffering from myocarditis, infective endocarditis, chronic rheumatic heart disease, reactive polyarthritis, including chlamydia-induced, rheumatoid arthritis, ankylosing spondylitis, gout, osteoarthritis, systemic connective tissue diseases, including systemic lupus erythematosus, nodular polyarteritis, progressive systemic sclerosis, polymyositis, vasculitis, antiphospholipid syndrome.

• Endocrinology Department

  The endocrinology department has implemented a technique for installing and programming insulin pumps designed for the continuous administration of insulin to manage sugar diabetes, as well as real-time display of blood glucose levels. The department also conducts daily blood glucose monitoring. With the introduction of the continuous blood glucose monitoring system (CBGM) into practice, the correction of insulin therapy doses and regimens for patients has been improved and simplified. This is due to the possibility of obtaining 288 glycemia measurement points during the day, including – which is especially important – at night.

• Allergology Department

  The Allergology Department examines and treats patients with the following pathologies that are difficult to diagnose and treat: bronchial asthma, allergic rhinosinusitis, conjunctivitis, allergic post-vaccination complications, hay fever, urticaria and angioedema, atopic dermatitis, drug, food, and insect allergies.

  The department conducts allergy diagnostics using blood tests, and performs diagnostic skin scarification tests, on the basis of which the patient is prescribed sublingual specific immunotherapy — the only effective method of treating allergic rhinitis, bronchial asthma, and hay fever.

• Hematology Department

  The hematology department treatschronic leukemia and non-neoplastic diseases of the hematopoietic system using modern medicines, all the latest methods of diagnosing diseases have been introduced:

  • diagnosis of iron deficiency and B12-deficiency anemia;
  • morphological and cytochemical examination of bone marrow;
  • PCR diagnostics, in particular determination of BCR/ABL;
  • immunohistochemical diagnostics of lymphomas;
  • determination of pathological immunoglobulins (Ig A, Ig M, Ig G, kappa, lambda);
  • hemostasiogram, aggregogram;
  • determination of tumor markers.

  In the treatment of oncohematological patients, all high-tech methods of therapy are used that meet world standards standards.

• Nephrology Department

  The nephrology department provides highly qualified specialized care to patients with nephrotic syndrome, various kidney lesions, diabetes mellitus, and systemic diseases. Together with the hemodialysis department, renal replacement therapy is carried out for patients with chronic renal failure.

  In the comprehensive treatment of patients in all departments of the therapeutic profile, physiotherapy and psychotherapy methods are widely used. An individual treatment and rehabilitation program is created for each patient.

  The use of modern unique techniques and the latest equipment, the availability of highly qualified personnel, an individual approach to each patient allow us to provide highly qualified therapeutic care to both citizens of the Republic of Belarus and foreign citizens.

• Neurology Department

  Patients with the following neurological pathologies are referred to the neurology department of the clinic for inpatient treatment and examination:

  • Acute cerebrovascular accident;
  • Myasthenia and myasthenic syndromes in the decompensation stage;
  • Epileptic status;
  • Acute inflammatory demyelinating diseases of the peripheral nervous system;
  • Acute pain syndromes of vertebrogenic etiology and in connection with peripheral nervous system disease;
  • Cerebrovascular diseases: cerebrovascular encephalopathy, consequences of cerebral strokes;
  • Inflammatory diseases of the nervous system and their consequences;
  • Injuries and consequences of injuries to the nervous system;
  • Diseases of the peripheral nervous system, incl. vertebrogenic etiology;
  • Hereditary and degenerative-dystrophic diseases of the nervous system;
  • Demyelinating diseases of the nervous system;
  • Epilepsy, epileptic syndromes, syncopal states of unknown genesis;
  • Diseases of the autonomic nervous system.

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