saqarTvelos mecnierebaTa erovnuli akademia
GEORGIAN NATIONAL ACADEMY OF SCIENCES
klinikuri medicinis
samecniero-kvleviTi
instituti
RESEARCH INSTITUTE OF
CLINICAL MEDICINE
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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
Academician
FRIDON TODUA
© 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
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
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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
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).
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medicinis doqtori n. Todua
N. Todua MD, PHD
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:
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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)
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• 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)
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-- 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.
saqarTvelos radiologTa kongresi (2010)
The Congress of Radiologists of Georgia (2010)
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saerTaSoriso samecniero
konferencia (Tbilisi, 2011)
akad. f. Todua da prof. r. rienmiuleri
International Scientific Conference (Tbilisi, 2011)
Acad. F. Todua and Prof. R. Rienmuller
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-- 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.
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Department of Thoraco-Abdominal Surgery
Torako-abdominaluri qirurgiis ganyofileba
Head of the Department - Professor Zurab Beriashvili
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.
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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 “LIGASURE”, monopolar radiofrequency ablation apparatus (RITA), intraoperative X‑ray and
US equipment (SIEMENS).
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It is carried out:
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.
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Department of neuroSurgery
neiroqirurgiis ganyofileba
aRWurvilia Contraves sistemis saoperacio mikro­
skopiT, videomonitoriT (Zeiss), maRalsiCqariani
eleqtrobormanqaniT (Aesculap), universaluri neiro­
qirurgiuli 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 trans­
sfenoidaluri-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.
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Head of the Department - Professor Michael Chelishvili
xelmZRvaneli – profesori
mixeil WeliSvili
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).
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It is carried out:
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.
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Department of OPERATIVE gynecology
operaciuli ginekologiis ganyofileba
Head of the Department - Irakli Todua
xelmZRvaneli – 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.
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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.
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It is carried out:
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.
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qirurgiuli urologiis ganyofileba
xelmZRvaneli – profesori
Salva WoveliZe
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Department of UROLOGICAL SURGERY
Head of the Department - Professor Shalva Chovelidze
aRWurvilia STORZ-is uaxlesi Taobis laparaskopuli nakrebiT da Tanamedrove endoskopuri aparaturiT.
The department is equipped with STORZ laparoscopy sets of the
newest generation and modern endoscopic equipment.
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.
It is carried out:
• 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.
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Department of ORThoPEDICS
orTopediuli ganyofileba
Head of the Department - Remaz Aglemashvili
xelmZRvaneli – ramaz aRlemaSvili
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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.
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It is carried out:
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.
21
Department of anesthesiology and intensive care
anesTeziisa da intensiuri Terapiis ganyofileba
Head of the Department - Edward Gagua
xelmZRvaneli – edvard 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 qirurgiaSi 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.
22
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 (ABBOT i-STAT), beds (User Manual Rehabilitation CR-10), Invasive
and Cardiomonitors of new generation Biolight Anyview A8.
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•
•
•
•
•
•
•
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.
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 mravalSriani 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.
• 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.
• mravalSriani kompiuterul-tomografiuli koronarografia,
koronarul
arteriebSi
stenozis
xarisxis da aTerosklerozuli folaqis morfologiis (cximovani, fibrozuli, kalcinirebuli) gansazRvra. gulis parkuWebis funqciuri mdgomareobis
Sefaseba.
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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”.
•
•
•
•
•
•
26
It is carried out:
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.
27
magnitur-rezonansuli tomografiis ganyofileba
samecniero xelmZRvaneli – profesori
merab beraia
Scientific Head of the Department - Professor
Merab Beraia MD, PHD
xelmZRvaneli – qeTevan laSxi
Head of the Department - Ketevan Lashkhi
aRWurvilia 0.35, 1.5 da 3.0 tesla simZlavris magniturrezonansuli tomografebiT MAGNETOM OPEN, MAGNETOM 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.
28
Department of magnetic-resonance Imaging
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.
It is carried out:
• 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.
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.
30
• sadiagnostiko punqciuri biofsia ultrabgeris kontroliT sxvadasxva paTologiebis dros,
madrenirebeli - samkurnalo mani pulaciebis
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
Ci pi) 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 suraTis miReba.
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).
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•
•
It is carried out:
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
Department of x-ray diagnostics
rentgenologiuri diagnostikis ganyofileba
Head of the Department - Valeri Abuladze MD, PHD
xelmZRvaneli – medicinis doqtori
valeri abulaZe
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, ureTerografia, antegraduli da retrograduli cistografia da
histerosalpingografia.
• sarZeve jirkvlis daavadebaTa rentgenologiuri diagnostika
(mamografia), duqtografia.
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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.
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•
•
•
•
•
It is carried out:
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.
35
radionukliduri kvlevis ganyofileba
xelmZRvaneli – medicinis doqtori
mixeil baramia
36
Department of nuclear medicine
Head of the Department - Mikheil Baramia MD, PHD
aRWurvilia firma SIEMENS-is ori gamakameriT: “E.Cam Systems” da “E.Cam Extended Dual Detector Systems”.
The department is equipped with two gamma-cameras “E.CAM
Systems” and “E.Cam Extended Dual Detector Systems” of
SIEMENS.
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 hi pertenziis
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 gansazRvra, vaskularuli paTologiis diagnostika, da miRebuli Sedegebis korelacia neiro-vizualizaciis sxva meTodebTan.
It is carried out:
• 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.
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-EXERA-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 darRvevebis 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.
38
• 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 poli peqtomia.
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.
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-EXERAEUM60 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.
•
•
•
•
40
It is carried out:
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.
41
Department of functional diagnostics
funqciuri diagnostikis ganyofileba
Head of the Department - Marina Balavadze MD, PHD
xelmZRvaneli – medicinis doqtori
marina balavaZe
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), oqsi pletiT - “Oxypleth Pulse Oximeter 520 A”
( Novametrix). qsovilSi Jangbadis daWimulobis gamokvleva - TCM 400.
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.
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 hi pertenziis 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.
•
•
•
•
•
•
•
•
It is carried out:
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
neirodiagnostikis ganyofileba
xelmZRvaneli – medicinis doqtori
nino laiTaZe
aRWurvilia: Nicolet Companion-is firmis eqstra- da transkraniuli
doplerografiT, uaxlesi Taobis Nicolet Pioneer-is TC 8080 transkraniuli doplerografiT, romelic aRWurvilia embolebis avtomaturi vizualizaciisa da monitorirebis specifiuri programiT, firma
Sigma Medizin-Technik-is digitaluri eleqtroencefalografiT, eqoencefalografiT.
ganyofilebaSi tardeba:
• nevrologiuri konsultacia.
• Tavis tvinis arteriul da venur sistemaSi mimdinare cvlilebebis
dadgena da kolateraluri sisxlis mimoqcevis Sefaseba Sakikis,
vertebro-bazilaruli ukmarisobis, discirkulatoruli encefalopaTiis, anevrizmebisa da sxva daavadebebis dros.
• Tavis tvinis bioeleqtruli aqtivobis gamokvleva nervuli sistemis sxvadasxva daavadebebis dros (epilefsia, nevrozi, Sakiki, sxvadasxva genezis encefalopaTiebi da a.S.).
• Tavis tvinis Suamdebare struqturebis cdomis da parkuWebis pulsaciis gansazRvra.
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Department of neurodiagnostics
Head of the Department - Nino Laitadze MD, PHD
The department is equipped with extra- and transcranial dopplero of Nicolet Companion and the newest ganeration Nicolet Pioneer TC 8080 with emboli detection special programm of visualization and monitoring of emboli digital electro-encephalograph,
echoencephalograph of Sigma Medizin-Technik.
It is carried out:
• qualified neurological consultation.
• evaluation of current changes in the brain arterial and venous system, collateral blood
circulation in migraine, vertebro-basilar insufficiency, discirculatory encephalopathy,
aneurisms and other diseases.
• investigation of the brain bioelectrical activity in various diseases of the nervous system (epilepsy, neurosis, migraine, encephalopathies of various genesis, etc.).
• evaluation of the brain median structure deviation and ventricle pulsation.
45
konservatuli ginekologiis da
reproduqciuli medicinis ganyofileba
Department of Conservative gynecology
and reproductive medicine
Head of the Department - Natia Kajaia MD, PHD
xelmZRvaneli – medicinis doqtori
naTia qajaia
ganyofilebaSi tardeba:
• saSvilosnosa da sakvercxeebis anTebiTi daavadebebis diagnostika da mkurnaloba.
• genitaluri infeqciebis gamokvleva Tanamedrove meTodebis gamoyenebiT.
• klimaqteruli darRvevebis diagnostika da mkurnaloba:
-- postmenopauzuri osteoporozi.
-- fsiqovegetatiuri da seqsualuri sferos darRvevebi.
-- urogenitaluri darRvevebi.
-- nivTierebaTa cvlis darRvevebi.
• uSvilo wyvilTa marTva, diagnostika, mkurnaloba Tanamedrove
standartebis Sesabamisad:
a. diagnostikuri cikli:
- folikulis monitoringi.
- postkoitaluri testi.
- saSvilosnos milebis gamokvleva, maTi gamavlobis dadgena.
- menstrualuri ciklis meore fazis srulfasovnebis dadgena.
b. Terapiuli cikli:
- dagegmili kontaqtebis cikli.
- ovulaciis stimulacia.
g. inseminaciis cikli:
- partnioris spermiT.
- donoris spermiT.
• hormonuli darRvevebis diagnostika da mkurnaloba: premenstrualuri sindromis, adrenogenitaluri sindromis, policisturi
sakvercxeebis sindromis, sakvercxeebis naadrevi ganlevis sindromis diagnostika da Terapia.
• genitaluri endometriozis da saSvilosnos miomis mkurnaloba.
• TviTnebiTi abortebis mizezis dadgena da misi mkurnaloba.
• ojaxis dagegmva da kontracefcia.
46
•
•
•
•
•
•
•
•
•
It is carried out:
diagnosis and treatment of the pelvic inflammatory diseases according to modern standards.
diagnosis and treatment of the sexually transmitted diseases.
diagnosis and treatment menopausal disorders:
-- postmenopausal osteoporosis.
-- psycho-vegetative and sexual disorders.
-- urogenital disorders.
evaluation and treatment of the infertile pair:
a. diagnostic cycle:
- monitoring of follice growth.
- postcoital test.
- examination of the uterine tubes, assessment of their patency.
- evaluation of the luteal phase of menstrual cycle.
b. therapeutic cycle:
- cycle of planned contacts, with or without ovarian stimulation.
c. insemination cycle with or without ovarian stimulation.
diagnosis and treatment of hormonal disorders: polycystic ovary syndrome; adrenogenital syndrome; premenstrual syndrome; premature ovarian failure
treatment of genital endometriosis and myoma.
determination of causes and treatment of chronic pelvic pain.
determination of etiology of spontaneous abortions and it’s treatment.
familly planning and contraception.
47
saSvilosnos yelis kiboswinare
daavadebaTa adreuli diagnostikisa
da mkurnalobis ganyofileba
xelmZRvaneli – medicinis doqtori
madona juReli
ganyofileba aRWurvilia: Olympus 500 da Karl Kaps GmbH (germania) firmis videokolposkopebiT. CO2 lazeruli qirurgiis
aparatebiT: “Lasering Slim Evolution” (italia). lazeruli sxivis
mikromani pulatoriT - “Unimax 2000 Pjs” (aSS). radiosixSiruli
radioqirurgiis aparatiT - “Surgitron EMC” (aSS).
ganyofilebaSi tardeba:
• saSvilosnos yelis paTologiis skriningi da mkurnaloba
• saSvilosnos yelis da vulvis prekanceruli dazianebebis
adreuli gamovlineba pap testisa da kolpocerviskopiuli
meTodebis gamoyenebiT.
• saSvilosnos yelisa da vulvis prekanceruli dazianebebis
mkurnaloba Tanamedrove meTodebiT: CO2 lazeruli qirurgiis (vaporizacia, konizacia), radioqirurgiis (LEEP, LLETZ),
da krioqirurgiis gamoyenebiT.
• mcire menjis organoebis anTebiTi daavadebebis diagnostika
da mkurnaloba.
• sqesobrivi gziT gadamdebi daavadebebis dadgena da maTi
mkurnaloba.
48
Department of EARLY DIAGNOSTICS AND
TREATMENT OF PRECANCEROUS DISEASES
OF THE UTERINE CERVIX
Head of the Department - Madona Jugeli MD, PHD
The department is equipped: with video scopes of the firms Olympus 500 and Karl
Kaps GmbH (Germany), CO2 laser apparatus for surgery “Laser Slim Evolution” (Italy),
laser ray micromanipulator “Unimax 2000 Pjs” (USA), Radiofrequency radiosurgical
apparatus “Surgitron EMS”(USA).
It is carried out:
• screening and treatment of the pathology of the uterine cervix.
• early detection of precancerous lesions of the uterine cervix using the Pap Smear test,
colposcopic method of investigation.
• modern methods of treatment of the precancerous lesions of the cervix uteri and vulvae
using CO2 laser surgery (vaporization, conization), radiosurgery (LEEP, LLETZ) and
cryosurgery.
• diagnosis and treatment of the inflammatory deseases of small pelvis.
• diagnosis and treatment of the infectious deseases caused by sexual intercourse.
49
ofTalmodiagnostikis ganyofileba
xelmZRvaneli – medicinis doqtori
TinaTin Sengelaia
aRWurvilia: Topcon-is biomikroskopiT, ofTalmometriT,
dioptimetriT, ukontaqto tonometriT, Grand Seiko-s autorefraqtometriT, egzoftalmometriT, proeqtoriT, saTvalis
minebis nakrebiT, Tomey-is kompiuteruli perimetriTa da
ofTalmoskopebiT.
ganyofilebaSi tardeba:
• refraqciis anomaliaTa koreqcia Bausch Lomb-is, Cooper Vision-is, Ciba Vision-is da Ocular Sciences-is kontaqturi linzebiT.
• ofTalmologiur paTologiaTa gamovlena da mkurnaloba
nevrologiur, neiroqirurgiul, angiologiur da onkologiur daavadebaTa dros.
• mxedvelobis velis gamokvleva kompiuteruli perimetriT
sxvadasxva paTologiaTa dros.
Department of ophthalmodiagnostics
Head of the Department - Tinatin Shengelaia MD, PHD
The department is equipped with Topcon biomicroscope, ophthalmometer, dioptremeter, contact free tonometer, autorefractometer of Grand Seiko, exophthalmometer, projector, the set of eyeglasses, computer perimeter of Tomey and ophthalmoscopes.
It is carried out:
• correction of the refraction anomalies through contact lens of Bausch Lomb and Ocular
Sciences.
• detection and treatment of ophthalmologic pathologies with neurologic, angiologic,
endocrinologic and oncologic diseases.
• investigation of the visual field with computer perimeter at different pathologies.
medicinis doqtori m. papava
M. Papava MD, PHD
50
51
fizio-lazeroTerapiis ganyofileba
xelmZRvaneli – mariam grZeliZe
52
Department of physio-lasertherapy
Head of the Department - Mariam Grdzelidze
aRWurvilia: Uniphy-is (germania) da britanul-Cexuri BTL-is firmis
axali Taobis aparaturiT.
The department is equipped with a new generation device of companies Uniphy
(Germany) and BTL (UK-Czech Republic).
ganyofilebaSi tardeba:
• galvanizacia da eleqtroforezi, ultrabgeriTi Terapia, diadinamoTerapia, interferencTerapia, ampli pusTerapia, eleqtrostimulacia, darsonvalizacia, ultramaRali sixSiris eleqtruli veliT mkurnaloba, ultraiisferi dasxiveba zogadi da cxvir-xaxis
tubusiT, aerozolTerapia, infrawiTeli da wriuli klasteruli
lazeriT mkurnaloba.
• sxvadasxva nozologiebis mixedviT pacientTa kompleqsuri kursobrivi mkurnaloba:
-- sareabilitacio RonisZiebebi neiroqirurgiuli, zogadqirurgiuli da ginekologiuri operaciebis Semdeg.
-- osteoarTrozis, maT Soris diskopaTiiT garTulebuli osteoqondrozis mkurnaloba, romelic moicavs ramdenime saxeobis
fizioproceduras da diskeqtomiis Semdgomi sareabilitacio
RonisZiebebi.
-- gastroenterologiuri daavadebebis kerZod, kuWisa da Tormetgoja nawlavis wylulovani daavadebebis, qronikuli qolecistitis, postqolecisteqtomuri sindromis, gaRizianebuli nawlavis sindromis, qronikuli yabzobis da sxva.
-- urologiuri, kerZod qronikuli prostatitis da cistitis, enurezis, peironis daavadebebis, qronikuli pielonefritis dros
-- nevrologiuri, angiologiuri da ofTalmologiuri pacientebis
mkurnaloba.
Following procedures are performed:
• galvanization and electrophoresis, ultrasound therapy, diadinamo-therapy, interference-theraphy, amplipulse therapy, electro-stimulation, darsonvalization, treatment
with ultrahigh electric field, ultraviolet irradiation with general and naso-pharyngeal
tubuses, aerosolpharma, infrared and circular claster laser treatment.
• complex treatment of patients acording different nozologies:
-- rehabilitation measures in patients after surgical procedures (general surgery, neurosurgery, gynecological operations).
-- treatment of osteoarthrosis, including discopathy induced osteo-chondrosis, consisting of different type of physioprocedures and rehabilitation after discactomy.
-- treatment of the gastrointestinal tract diseases: gastric and duodenal ulcers, chronic cholecystits, postcholecystectomy syndrome, irritated bowel syndrome, chronical constipation ect.
-- urology: chronic prostatitis, chronic cystitis, enuresis, Peironi’s disease, chronic
pyelonephritis.
-- treatment of patients with neurological, angiological and ophtalmo-logical diseases.
53
imunologiis laboratoria
xelmZRvaneli – biologiis
doqtori nino ediSeraSvili
54
laboratory immunology
Head of the Laboratory –Nino Edisherashvili PHD
laboratoria aRWurvilia Hoffmann La Roche, BERTHOLD Technologies-isa da Beckman Coulter Company-is aparaturiT.
The laboratory is equipped with Hoffmann La Roche, BERTHOLD Technologies
and Beckman Coulter Company equipment.
eleqtroqemiluminescentuli, luminescentuli, imunofermentuli
da radioimunologiuri meTodebis gamoyenebiT tardeba sxvadasxva
daavadebaTa gamovlena.
• farisebri jirkvlis paTologia:
-- ioddeficituri daavadebebi.
-- hi poTireozi.
-- hi perTireozi.
-- Tireoiditi.
• Tirkmelzeda jirkvlebis paTologia:
-- hi perkorticizmi (kuSingis sindromi da daavadeba).
-- hi pokorticizmi (adisonis daavadeba, meoradi hi perkorticizmi).
• hi pofizis paTologia:
-- hi perprolaqtinemia.
-- hormonalurad aqtiuri adenomebi.
-- hi popituitarizmi.
• reproduqciuli sistemis Sefaseba:
-- amenorea.
-- klimaqteruli sindromi.
-- polikistozuri sakvercxeebis sindromi.
-- hi pogonadizmi.
-- uSviloba.
-- orsulobis monitoringi.
• simsuqne da metaboluri sindromi (diagnostika, monitoringi).
• Saqriani diabetis diferencialuri diagnostika.
• onkodiagnostika.
• winamdebare jirkvlis, RviZlis, sakvercxeebis, kuWisa da kuWqveSa jirkvlis, sanaRvle gzebis, swori nawlavis, filtvis, sarZeve
jirkvlis simsivnuri procesebis gamovlena da monitoringi.
• B- da C- hepatitis, adamianis imunodeficitis virusis, tuberkulozis, helikobaqteriebis, qlamidiozis, ureaplazmozis, toqsoplazmozis, citomegalo- da herpes-virusis gamovlena.
Using the radioimmunological, chemiluminescent and immunoenzyme methods, the
diagnosis of the following diseases are carried out:
• pathologies of thyroid gland:
-- iodine deficient goiter.
-- hypothyroidism.
-- hyperthyroidism.
-- thyroiditis.
• pathologies of adrenal gland:
-- hypercorticoidism (Cushing syndrome and disease).
-- hypercorticoidism (Addison disease, secondary hyperco-rticoidism).
• pathology of hypofisis:
-- hyperprolactomia.
-- hormonally active adenomes.
-- hypopituarism.
• evaluation of reproductive system:
-- amenorrha.
-- climacteric syndrome.
-- syndrome of polycistic ovary.
-- hypogonadism.
-- infertility.
-- monitorung of the pregnancy.
• obesity and matabolic syndrome (diagnostics, monitoring).
• differentiated diagnosis of diabetes.
• oncology diagnosis.
• existence of tumor processes of prostate gland, liver, ovaries, bile ducts, rectum,
lungs, mammary glands and their monitoring.
• serologic diagnosis of B- and C- hepatitis, human immunodeficiency virus, helicobacteries, chlamidiosis, toxoplasmosis, citomegalovirus and herpes virus.
55
laboratory of clinical diagnostics
klinikuri diagnostikis laboratoria
samecniero xelmZRvaneli – biologur mecnierebaTa doqtori, profesori manana axvlediani
xelmZRvaneli - medicinis doqtori
marika emuxvari
aRWurvilia ROCHE DIAGNOSTIC-is, HORIBA-ABX-is, ABBOT-is, HUMAN-is aparaturiT: INTEGRA 400 PLS-is COBAS MIRA, I-STAT, “HUMASED
- 20”,“ABX - Pentra - 60” Trombocitebis agregaciuli funqciis ganmsazRvreli AP 2110 ABX MICROS, Start-4, romlebzec sruldeba 500-ze meti
testi.
laboratoriaSi tardeba:
• hematologiuri, koagulologiuri da bioqimiuri gamokvlevebi.
ganisazRvreba:
• sisxlis formiani elementebi, e.d.s. vestergrinis meTodiT leikocitebis funqciur-metaboluri aqtivoba, rkinis metabolizmi.
• Trombinemiis da fibrinis sisxlZarRvSida dagrovebis produqtebi, Trombocitul-sisxlZarRvovani hemostazis maCveneblebi.
• naxSirwylebis, cilebisa da li pidebis metabolizmis parametrebi,
fermentebi, eleqtrolituri balansi, mikroelementebi, fermentuli
antioqsidantebi, zogadi antioqsidanturi statusi, sisxlis gazebi.
• kuWis mJavawarmomqmneli da gamaneitralebeli funqcia.
samecniero mimarTuleba:
• gul-sisxlZarRvTa, centraluri nervuli sistemisa da saWmlis
momnelebeli traqtis paTologiaTa diagnostikisa da mkurnalobisaTvis uaxlesi laboratoriuli teqnologiebis informaciulobis gamovlena.
• monawileoba xarisxis gare kontrolis saerTaSoriso sistemebSi
Instad (germania), Bio-DEV (italia).
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Scientific Superviser of the Laboratory – professor Manana Akhvlediani PhD
Head of the Laboratory - Marika Emukhvary, PhD
More than 500 diagnostic tests are available in the Laboratory, performed by the
equipment “ROCHE DIAGNOSTIC, HORIBA ABX, ABBOT, HUMAN, INTEGRA
400 PLS”, “COBAS MIRA”, “i-STAT”, “HUMASED-20”, “Agregometr AP 2110”,
“ABX Pentra-60”, “ABX MICROS, Start-4”.
It is carried out:
• hematologic, coagulologic and biochemical investigations.
•
•
•
•
It is evaluated:
blood cells, leukocytes functional-metabolic activity, iron metabolism.
thrombin and fibrin intravascular product accumulations, thrombocytic vascular hermostasis parameters.
carbohydrate, protein and lipid metabolism parametrs, enzymes, elecrolytic balance,
microelements, enzyme antioxidants, the total antioxidants status, blood gases.
acidifying and neutralizing function of the stomach.
Scientific trend:
• Display of informativness of the latest laboratory technologies in diagnosis and treatment of cardiovascular, central nervous system and digestive tract diseases.
• the laboratory participates in axternal quality control international systems INSTAD
(Germany), Bio-DEV (Italy).
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laboratory of bacteriology
baqteriologiuri laboratoria
Head of the Laboratory – Salome Kupreishvili
xelmZRvaneli – TinaTin ColoyaSvili
58
aRWurvilia Tanamedrove mikroskopebiT, Bio Meriux-Lachema da test
sistemebiT. laboratoriaSi funqcionirebs franguli firma Bio Meriux-is, baqteriologiuri avtomaturi analizatori “VITEK-2”. danadgari iZleva maRali saerTaSoriso donis da xarisxis standartul
Sedegebs. analizis msvlelobisas tardeba gamoyofili mikrobebis
taqsonis zusti identifikacia.
The laboratory is equipped with modern microscopes, Bio Merix- Lachema and Bio
Rad test-systems.
Automatic analyzer “VITEC – 2” of the French firm Bio Merius is functioning in the
laboratory. The equipment gives high quality standard results at the international level.
During the analysis, tacson of discharged microbes are precisely identified.
laboratoriaSi tardeba:
• infeqciebis: qlamidia, gardnela, soko, gonokoki, triqomona, mikoplazmebi, citomegalovirusi, herpes virusi da sxvaTa dadgena.
• kuW-nawlavis traqtis mikrofloris gamokvleva disbaqteriozze,
nawlavis iersiniozze, paTogenur enterobaqteriebze.
• rota- da adenovirusebis, helminTebisa da nawlavis erTujrediani
parazitebis dadgena da koprologia.
• Tvalis, yel-yur-cxviris, filtvebis daavadebebis baqteriologiuri diagnostika.
• Wrilobebis da wylulebis Cirqovan-anTebiTi procesebis gamomwvevi mikrofloris dadgena.
• sisxlis gamokvleva sterilobaze.
• gamoyofili mikrobebis mgrZnobelobis Seswavla antibiotikebis,
qimioTerapiuli preparatebisa da baqteriofagebis mimarT.
• spermograma.
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•
•
•
•
•
•
•
It is carried out:
diagnosis of genitourinary infections: chlamidia, gardnerella, fungus, gonococcus,
trichomonas, mycoplasmas, cytomegalovirus, herpes virus, toxoplasma,etc.
gastrointestinal microflora investigation: dysbacteriosis, iersinia, enterocolitica, pathogenic enterobacteriosis.
detection of rota- and adenovirus, helminths and intestine single-cell parasites and
coprology.
bacteriologic diagnosis of ocular, rhinopharyngeal, pulmonary diseases.
evaluation of microflora causing inflammatory processes of wounds and ulcers.
blood sterility analysis.
study of the microbe sensitivity to antibiotics, chemotherapeutic preparations and bacteriophages.
Spermogram.
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paTomorfologiis laboratoria
xelmZRvaneli – profesori
omar xarZeiSvili
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laboratory of pathOmorphology
Head of the Laboratory – Professor Omar Khardzeishvili
aRWurvilia Tanamedrove aparaturiT imunohistoqimiuri kvlevisaTvis da firma DiaPath-is mikrotomkriostatiT “Cryopath”.
The laboratory is equipped with modern equipment for immunohistochemical investigations and microtom-criostat “Cryopath” of the DiaPath.
laboratoriaSi tardeba:
• operaciuli da biofsiuri (maT Soris eqspresbiofsiuri) masalis
zogadmorfologiuri meTodebiT gamokvleva.
• imunohistoqimiuri kvleva.
• simsivnuri qsovilis histogenezis identifikacia.
• simsivnuri qsovilis malignizaciis xarisxisa da prognozis
gansazRvra.
• simsivnuri procesebis farmakoimunomorfologiuri diagnostika.
• morfometria (mikrostruqturebis gamosaxulebis morfometria da
maTematikuri analizi).
• In Situ hibridizacia.
• yvela saxis palpirebadi warmonaqmnebis, organoebis Rruebidan
miRebuli masalis da paTologiuri sekretebis citologiuri kvleva (PAP).
• Sinagani organoebidan da moculobiTi warmonaqmnebidan kompiuteruli tomografiisa da ultrabgeris kontroliT aRebuli bioptatebis citologiuri kvleva.
It is carried out:
• investigation of surgical and biopsy (among them expressbiopsy) specimens using general morphologic methods.
• immunohistochemical investigation.
• investigation will hystochemical methods identification of tumoral tissue histogenesis.
• evaluation of tumoral tissue malignization degree and prognosis.
• pharmaco- immunomorpho diagnosis of tumoral processes.
• morphometry (morphometry of microstructure image and mathematical analysis).
• In Situ hybridization.
• cytologic investigation of all palpable formations, that of the organ cavity material and
pathologic secretions(PAP).
• cytologic investigation of CT and US guided biopsy materials.
61
Department of clinictal researches
samecniero klinikuri kvlevebis ganyofileba
xelmZRvaneli - ani baramiZe
ganyofilebaSi mimdinareobs III-IV fazis klinikuri kvlevebi medicinis sxvadasxva dargebSi: onkologia, nevrologia, kardiologia,
endokrinologia, hematologia da sxva.
ganyofileba TanamSromlobs msoflios wamyvan farmacevtul kompaniebTan da sakontraqto kvleviT organizaciebTan, xelmZRvanelobs GCP standartebiT.
ganyofilebaSi tardeba kvlevebi gafantuli sklerozis, gulis
iSemiuri daavadebis, sarZeve jirkvlis kibos mkurnalobis uaxlesi
meTodebis Seswavla da klinikur praqtikaSi danergva.
62
Head of the Department - Ani Baramidze
It is carried out:
The clinical researches of the 3rd and 4th phases in different fields of medicine:
oncology, neurology, cardiology, endocrinology, hematology, etc.
The Department collaborates with the leading pharmaceutical companies and contract research organizations of the world; it is guided according GCP standards.
In the Department there are carried out study of the modern methods of treatments
and their implementation in clinical practice in cases of multiple sclerosis, ischemic
heart diseases, cancer of mammal glands.
63
sazRvargareTTan urTierTobis ganyofileba
xelmZRvaneli – filologiis
doqtori manana niniZe
aRWurvilia Tanamedrove kompiuteruli sistemiT rentgenologiuri firebis skanirebisaTvis, kompiuterSi Setanisa da damuSavebisaTvis - “Film Digitizer Vidar VXR-12 Plus”.
ganyofilebas profesiuli kontaqtebi aqvs msoflios wamyvan
sauniversiteto klinikebTan: germaniaSi (miunxeni, boxumi), avstriaSi (vena, graci), SveicariaSi (Jeneva), amerikaSi (niu-iorki, bostoni),
belgiaSi (liuveni), ruseTSi (moskovi), TurqeTSi (stambuli).
konsultaciis procesSi gadaiWreba diagnostikasTan dakavSirebuli sirTuleebi, qirurgiuli mkurnalobis aucileblobis, qimio- Tu
sxivuri Terapiis saWiroebis da sxva praqtikuli sakiTxebi.
saqarTvelos farglebSi ganyofileba telemedicinis saSualebiT
dakavSirebulia sxvadasxva sadiagnostiko centrebTan da klinikebTan.
instituts gaaCnia lokaluri kompiuteruli qseli, romelSic CarTulia yvela ganyofileba. aRniSnuli qselis centraluri rgoli
- serveri dakavSirebulia msoflio sakomunikacio sistemasTan 24
saaTis ganmavlobaSi.
64
Department of foreign relations
Head of the Department –Manana Ninidze PHD
The department is equipped with the up-to-date computer system “Film Digitizer Vidar VXR-12 Plus” intended for radiology film scanning and processing.
The department has professional contacts with the world leading university
clinics in Germany (Munich, Bochum), Austria (Vienna, Graz), Switzerland (Geneva), US (New-York, Boston), Belgium (Leuven), Russia (Moscow), Turkey
(Istambul).
Consultations enable to overcome some difficulties connected with diagnosis (second- opinion), to estimate the necessity of surgical, chemo- and radiation therapy.
The department has established communication through the telemedicine system with the different diagnostic centers of Georgia.
There is a local computer network available at the Institute which includes all
the departments. The 24 hour internet access is available .
65
saqarTvelos radiologTa
delegacia evropis radiologTa
kongresze (vena, 1995-2011)
66
Delegation of Georgian
Radiologists at the ECR
(Vienna, 1995-2011)
67
saqarTvelos radiologTa delagacia
CrdiloeT amerikis radiologTa
kongresze (Cikago, 1996-2011)
radiologTa saerTaSoriso Sexvedra
(londoni, 1997)
International Meeting of Radiologists
(London,1997)
Delegation of Georgian
Radiologists at the RSNA
Chicago (1996-2011)
aziis da okeaneTis qveynebis
radiologTa kongresi
(kobe, iaponia 1998)
Asian and Oceanian Congress
of Radiology
(Kobe, Japan1998)
aTerosklerozis
saerTaSoriso
kongresi (venecia, 2004)
Atherosclerosis International
Congress (Venice, 2004)
68
69
Guests of the institute
institutis stumrebi
akademikosi m. perelmani
Academician M. Perelman
sruliad saqarTvelos
kaTalikos-patriarqi
ilia II
ILIA II Catholicos Patriarch
of All Georgia
profesorebi:
r. rienmiuleri,
a. barti da a. kieza (2001)
Professors: R. Rienmuller,
A. Baert and A. Chieza (2001)
akademikosebi: e. Cazovi da
l. bokeria
Academicians: E. Chazov and
L. Bokeria
70
ukrainis radiologTa
asociaciis prezidenti
prof. i. babii (2003)
Professor I. Babii, President
of the Ukrainian Association
of Radiology (2003)
71
SIEMENS - is prezidenti
h. fon piereri - (2001)
Dr. H. Fon Pierer
President of SIEMENS AG (2001)
azerbaijanis radiologTa
asociaciis prezidenti
prof. s. manafovi (2003)
Professor S. Manafov, President
of the Azerbaijan Association of
Radiology (2003)
atomuri energiis
saerTaSoriso saagentos
generaluri direqtori
m. el baradei - (2003)
Dr. M. El Baradei,
General Director
of the International
Atomic Energy Agency - (2003)
saqarTveloSi safrangeTis
saelCos mrCeveli kulturis
sakiTxebSi f. lorani (2003)
Cultural Counsellor of the French
Embassy in Georgia F. Loran (2003)
profesorebi: f. denensi,
r. rienmiuleri da h. ringerci
Professors: F. Denens,
R. Rienmuller and H. Ringertz
72
evropis mecnierebaTa
da xelovnebis akademiis
prezidenti profesori
f. ungeri (2009)
President of Eurepean Academy
of Sciences and Arts:
Professor F.Unger (2009)
73
sarCevi
instituti.....................................................................................4
INSTITUTE.......................................................................................5
ultrabgeriTi diagnostikis ganyofileba.........................30
Department of ultrasound diagnostics........................32
Torako-abdominaluri qirurgiis
ganyofileba.................................................................................12
Department of Thoraco-Abdominal
Surgery........................................................................................13
rentgenologiuri diagnostikis
ganyofileba.................................................................................34
Department of x-ray diagnostics......................................35
neiroqirurgiis ganyofileba.................................................14
Department of neuroSurgery...........................................15
operaciuli ginekologiis ganyofileba.............................16
Department of OPERATIVE gynecology...........................17
qirurgiuli urologiis ganyofileba..................................18
Department of UROLOGICAL SURGERY................................19
orTopediuli ganyofileba.....................................................20
Department of ORThoPEDICS................................................21
anesTeziisa da intensiuri
Terapiis ganyofileba...............................................................22
Department of anesthesiology and
intensive care...........................................................................23
74
Contents
radionukliduri kvlevis ganyofileba...............................36
Department of nuclear medicine......................................37
endoskopiis da endoqirurgiis ganyofileba.....................38
Department of endoscopy and endosurgery..............40
funqciuri diagnostikis ganyofileba.................................42
Department of functional diagnostics.........................43
neirodiagnostikis ganyofileba............................................44
Department of neurodiagnostics....................................45
konservatuli ginekologiis da
reproduqciuli medicinis ganyofileba.............................46
Department of Conservative
gynecology and reproductive medicine.......................47
kompiuteruli tomografiis
ganyofileba.................................................................................24
Department of computed
tomography................................................................................26
saSvilosnos yelis kiboswinare
daavadebaTa adreuli diagnostikisa
da mkurnalobis ganyofileba..................................................48
Department of EARLY DIAGNOSTICS AND
TREATMENT OF PRECANCEROUS DISEASES
OF THE UTERINE CERVIX.............................................................49
magnitur-rezonansuli tomografiis
ganyofileba..................................................................................28
Department of magnetic-resonance
Imaging..........................................................................................29
ofTalmodiagnostikis ganyofileba.....................................50
Department of ophthalmodiagnostics...........................51
75
sarCevi
fizio-lazeroTerapiis ganyofileba...................................52
Department of physio-lasertherapy...............................53
imunologiis laboratoria......................................................54
laboratory immunology.......................................................55
klinikuri diagnostikis laboratoria................................56
laboratory of clinical diagnostics................................57
baqteriologiuri laboratoria...........................................58
laboratory of bacteriology..............................................59
paTomorfologiis laboratoria..........................................60
laboratory of pathOmorphology....................................61
samecniero klinikuri kvlevebis ganyofileba..................62
Department of clinictal researches..............................63
sazRvargareTTan urTierTobis ganyofileba...................64
Department of foreign relations.....................................65
fotogalerea
photos
instituti saerTaSoriso
Sexvedrebze������������������������������������������������������������������������������66
institute at the International
meetings�����������������������������������������������������������������������������������67
institutis stumrebi�������������������������������������������������������������70
guests of the institute�����������������������������������������������������71
76

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