Author Archives: medadminmed

Introduction

The Department of Surgery, University of Szeged has one of the greatest past among the Hungarian surgical institutions. The whole range of general surgery belongs to its activity, these are: oesophageal, stomach, pancreatic, liver, biliary, colorectal, breast, endocrine, as well as thoracic, vascular and transplantation surgery. Besides attending regional tasks, the clinic plays an active role in supplying regional emergency tasks. The current leader of the clinic has always been the professional inspector of the region.

The professional potential of the clinic lies in its comprehensiveness. It establishes the extensive professional knowledge and practical experience of the physicians who work here. It is supported by the qualitative measure that since 1958, 37 doctors have been given the qualification of a candidate, 6 colleagues have got the degree of Doctor of Medicine. Until today, fourteen surgeons have been promoted to be university teachers and there were twenty-five who were appointed as head surgeons.

Each field of medicine, in this way also surgery, has been undergoing an unexpected change. Application of new methods of in diagnostics and therapy has also been a new challenge for surgery. In the last decade, the introduction of minimally invasive surgery technology can be considered as a milestone in the development of the operative profession. It arose from the incontestable advance of the method that it changed almost all branches of surgery, The inevitable advance of this method is that it changed almost every profile of surgery, it shortened the time of hospitalisation and numerous traditional surgical techniques have been replaced in the clinical practice.

Our clinic was a pioneer in the introduction and dissemination of the minimally invasive technique. Our clinic was the first in Hungary to perform numerous new surgical operative techniques in the field of general and thoracic surgery, which we have applied as routine procedures since then. All fields of the clinic’s activity are both nationally and internationally acknowledged.

Our future aim is to expand and improve the professional possibilities of clinical profiles. We plan to bring about a new operating theatre for minimally invasive surgery, furthermore to establish the basis for intraoperative angiology. The extension of clinical outpatient activity, first of all the establishment of a “One day surgery” unit is included in our objectives to improve professional activity. The expansion of the possibilities in the field of transplantation – which has a great tradition – is also among the near-future plans. We wish to develop the transplantation of pancreatic islet cells into a routine technique in the treatment of diabetic patients. A laboratory, dealing with the isolation of pancreatic islet cell, isolating laboratory was built up by means of state subsidy. This kind of laboratory was the first in Hungary and at the same time in Eastern Europe. We hope that the number and results of renal transplantations will improve by launching a live donor transplantation program. We would also like to ascertain the conditions of lung and liver transplantation in the medium and long run.

5th year

Dear Students,

At the Secretariat of the Surgical Department the working hours for educational administration are
from Monday to Thursday
from 9.00 AM to 10.00 PM
 and from 2.00 AM to 3.00 PM.

Obligatory textbook:
Surgery: Basic Science and Clinical Evidence.
(Ed.: Norton J, Barie PS, Bollinger RR, Chang AE, Lowry S, Mulvihill SJ, Pass HI, Thompson RW.)
2nd ed. Springer, 2008.
ISBN 978-0-387-681113-9.
Available formats: eBook, Hardcover.

Oral tests for the 5th year students
5th Year, 1st Semester – Annotation AOK-OAK475
Lectures in surgery
Practicals in surgery

Hemorrhoids

Dear Patient,

Piles (hemorrhoids) consist of cushions of blood vessels covered by mucous membrane situated some centimeters above the anus. In a pathological stage they are swollen, start to bleed, got inflamed and painful, and on the passage of stool they provisionally or permanently twist which necessitates surgical treatment. According to their location, we can distinguish between external or internal hemorrhoids.
Piles are classified into four stages according to the extent of bleeding and prolapse of the node:

  • 1st stage: piles are moderately enlarged and bleed but do not bulge out of the anal canal;
  • 2nd stage: piles bulge out of the anal canal and bleed but they recede (draw back) on their own.
  • 3rd stage: piles bulge out of the anal canal and they do not recede (draw back) on their own, however, they can be replaced manually inside the anal canal after prolapsing, and symptoms often involve bleeding and mucous discharge.
  • 4th stage: piles consist of permanently prolapsed tissue that cannot be manually replaced.

Treatment

The aim is to reach a symptom-free state, if possible, without removing the hemorrhoidal nodes.

In the 1st stage, it is suggested that patients should take disinfectant baths for the irrigation of the anal region, and they should normalize the frequency and the consistency of their stools.
A suppository and ointment can be used to cure the complaints. Infrared light can be used for blood coagulation to stop bleeding on an out-patient basis.

In the 2nd stage, a rubber band can be placed onto the prolapsed piles with a special device (Barron ligation), which reduces its blood supply. The result of using this tool is that the node atrophies some days later, and the rubber band also leaves the body spontaneously. The treatment can be applied alone or in combination with cryosurgery (destroying the pile by local freezing) or by infrared coagulation.

In some cases of the 3rd stage, ligation can still be effective. If this procedure is not effective in the long term, the surgical removal of the piles (hemorrhoidectomy) will be the final solution. It can be made by using the traditional surgical technique or the Longo-type hemorrhoid-stapler technique. For the latter technique, patients are charged with the price of the device as the stapler is disposable, and the social insurance coverage, unfortunately, was stopped in 2011.

In the 4th stage, only surgical removal of the nodes is proved to be the successful treatment.

Surgery

The surgical intervention is carried out after the rectum is cleaned by purging and irrigation. The operation will be preceded by rectoscopy, which serves the exclusion and recognition of other types of rectal diseases (polyps or tumors). You will be informed about the anesthesia by the anesthesiologist in a detailed way.
At the beginning of traditional hemorrhoidectomy, we dilate the sphincter gradually, in a gentle way to 2–3 inches and insert an instrument to explore the rectum. During the procedure, the cushions of the blood vessel supporting the piles will be tied, and the swollen nodes will be removed. The sphincter of the rectum will be saved maximally. The lesions that remain after the removal of the nodes can be closed with absorbable sutures (closed hemorrhoidectomy) or we can leave them open (open hemorrhoidectomy). At the end of the operation, we insert a tamponade gauze in the anus for decreasing the bleeding, and it is – most often – removed in the morning after the operation.
During the operation, the elongated, prolapsed part of the hemorrhoid cushions will be cut out with a concentric metal knife and a stapler (Longo-operation). The remaining mucous membrane lesion will be joined in a concentric way and elevated to about 4–5 cm height in the rectum by a short, tissue-friendly titanium row of sutures. This type of operation does not leave an external wound on the anus, so the period of recovery is shorter and pain is less than after a traditional procedure. The expected duration of the surgery is 1 hour. Antibiotics are administered in order to prevent infections. After the surgery, the patient is taken back to the ward. On the first postoperative day, the gauze tape is removed from the rectum. If the patient is afebrile and there is no sign of bleeding, the patient can be discharged to his/her home. Most hemorrhoidectomies can be performed as a one-day surgical procedure.

Complications

In the 4th stage, besides pains and the threat of bleeding, even the risk of the development of a life-threatening condition (hemorrhoid crisis or incarceration) may increase if the surgical intervention is not performed. In the 3rd stage, increasing pain and bleeding may occur and the progress of the disease is not predictable. The direct complications of the surgery are bleeding from the area of surgery and inflammation around the rectal area, or sometimes abscess-formation may occur.
As a late complication, the stricture of the rectum and fecal incontinence may develop. Pain around the surgical area may be eased well by medication.

Osztályos beosztás 2020. novembertől

1. Pancreas sebészet (III/B 12-23. krt.)
Profilvezető: Dr. Farkas Gyula jr., osztályvezető: Dr. Leindler László
Dr. Ricza Tamás, Dr. Veres-Lakos Enikő

2. Máj, portális hypertensio (III/B 12-23. krt.)
Profilvezető: Prof. Dr. Petri András, osztályvezető: Dr. Hőhn József
Dr. Géczi Tibor, Dr. Libor László, Dr. Kovács Viktor

3. Mellkas sebészet (III/E 39-46. krt.)
Profil- és osztályvezető: Dr. Furák József
Dr. Pécsy Balázs, Dr. Németh Tibor, Dr. Buzás András

4. Transzplantációs sebészet (MF 1-6. krt.)
Profilvezető: Dr. Szederkényi Edit
Osztályvezető: Dr. Hódi Zoltán
Tanácsadó: Dr. Varga László
Dr. Rokszin Richárd, Dr. Borda Bernadett

5. Érsebészet (II/B 1-10. krt.)
Profil- és osztályvezető: Dr. Palásthy Zsolt
Dr. Mihalovits Gábor, Dr. Takács Tibor, Dr. Váradi Rita Dr. Nyilas Áron,
Dr. Hegedűs Nóra

6. Általános és szeptikus sebészet osztály (III/E 35-38. krt)
Osztályvezető: Dr. Ábrahám Szabolcs
Dr. Baradnay Gellért, Dr. Tóth Illés, Dr. Barta Zsanett

7. Nyelőcső- és emlősebészeti osztály (III/D 24-34. krt)
Profilvezető: Prof. Dr. Lázár György, osztályvezető: Dr. Paszt Attila
Dr. Horváth Zoltán, Dr. Andrási László, Dr. Ottlakán Aurél,
Dr. Budai Krisztina, Dr. Erdős Márton, Dr. Vas Márton, Dr. Váczi Dániel

8. Felvételes és Általános sebészeti osztály (III/A l-l1. krt.)
Osztályvezető: Dr. Simonka Zsolt
Dr. Kovách Kornél, Dr. Tajti János, Dr. Leprán Ádám, Dr. Terhes Emil

9. Ambulancia: Mindenkori ügyeleti team

10. Endoscopos labor
Dr. Paszt Attila, Dr. Ábrahám Szabolcs

11. Rendelőintézet
Részlegvezető: Dr. Mán Eszter

Representative on the Patients’ right protection

Representative on the patients’ right protection in this University:

ANDREA KOMJÁTI J.S.D.

Phone number: +36/20/4899-537
available: Monday – Thursday: 8:00 – 16:30, Friday: 8:00 – 14:00

E-mail: komjati.andrea@ijb.emmi.gov.hu

Hours: At the agreed time booked by phone

Location: University of Szeged Faculty of Medicine
Medical Station #1 (6725 Szeged, Tisza Lajos krt. 97. III. em. 311.)
Department of Psychiatry
(6725 Szeged, Kálvária sgt. 57-59. Fsz. 15.)

THE LEGAL REPRESENTATIVE IS EMPLOYED
BY THE INTEGRATED LEGAL PROTECTION SERVICE (IJSZ),
SHE IS INDEPENDENT OF THE HEALTHCARE INSTITUTION

If necessary, the green number of the IJSZ can be called: 06/80/620-055

Melinda Látos Ph.D.

CLINICAL PSYCHOLOGIST
Melinda Látos Ph.D.
E-mail: latos.melinda@med.u-szeged.hu

Qualification
University of Pécs Institute of Psychology
University of Szeged Institute of Psychology
personality and clinical psychology

Post: clinical psychologist

Scientific work: MTMT

Awards
2013 National Excellence Program Jedlik Ányos Doctorate Scholarship
2012 Best Young Lecturer Award, Foundation for Clinical Surgery Szeged
2011 Pro Psychology Scholarship for Talented Researchers
2010 Special Award of Hungarian Psychological Association 19th Congress
2009 Special Award of 21st National Scientific Students’ Associations Conference
2009 Special Award of the president of Hungarian Parliament
2009 Golden Seagull Award Excellent Student Program University of Szeged
2009 Dean’s Honor University of Szeged

Researches
Psychological risk factors in the success of kidney transplantation
Impact of the disease representation and the level of anxiety on the healing process
Impact of pre- and postoperative psychological interventions on the recovery of female patients with breast cancer
Complex bio-psycho-social prospective study