Sarezidento Programa 'Zogadi Qirurgia (Xangrzlivoba 4 Weli - 44 Tve) Tavi I. Zogadi Debulebebi Muxli 1. Programis Mizani Da Amocanebi

danarTi 6
sarezidento programa
`zogadi qirurgia~
(xangrZlivoba 4 weli – 44 Tve)
Tavi I. zogadi debulebebi
muxli 1. programis mizani da amocanebi

1. zogadi qirurgia aris qirurgiuli disciplina, romelic efuZneba sabaziso codnas (anatomia,
fiziologia, metabolizmi, imunologia, nutriciologia, paTologia, Wrilobis marTa, Soki da reanimacia,
intensiuri Terapia, onkologia) da romelic warmoadgens saerTo safuZvels yvela qirurgiuli
specialobisaTvis. zogad qirurgs unda gaaCndes specializebuli codna da gamocdileba romelic
ukavSirdeba diagnostikas, pre-, peri- da postoperaciul (maT Soris garTulebebis), marTvas. zogad
qirugiaSi, diplomis Semdgomi momzadebis programis mizania eqimi – “zogadi qirurgis” momzadeba
farTo speqtrisa da umaRlesi kvalifikaciis specialistad. es procesi warimarTeba maRal profesiul,
mdidari saganmanaTleblo gamocdilebisa da mravalprofiluri klinikuri bazebis pirobebSi. programas
gaaCnia sami ZiriTadi komponenti: kurikulumi, samecniero da praqtikuli saqmianoba, romlebic
struqtuirebuli arian imgvarad, rom uzrunvelyon codnis, unar-Cvevebis, da klinikuri gansjis unaris
Camoyalibeba, rac aucilebeli pirobaa zogadqirurgiuli praqtikisaTvis. programis direqtori da fakultetis
wevrebi mzad unda iyvnen, programis miznisa da amocanebis SesrulebaSi rezidentisaTvis nebismieri
saxis akademiuri da profesiuli daxmarebis aRmoCenisaTvis. programis nebismieri akademiuri
komponenti SesabamisobaSi unda modiodes zemoT aRweril mizanTan da amocanebTan.
2. diplomis Semdgomi ganaTlebis programa zogad qirurgiaSi, warmoadgens I kategoriis
piramidul programas. programis TiToeuli fazis (PGY) dasrulebis Semdeg profesiuli momzadeba
gadadis Semdeg etapze. sarezidento programa 4 wliania da Sedgeba kurikulumiT gansazRvrul
etapebisgan (klinikuri rotacia, Teoriuli kursi, rezidentis mier Sesasrulebeli samuSao): I - (PGY- I), II
- (PGY- II), III - (PGY- III), IV - (PGY- IV).
3. profesiuli mzadebis TiToeuli fazisaTvis/safexurisaTvis programaSi mocemulia mzadebis
mizani, asaTvisebeli sakiTxebisa da unar-Cvevebis nusxa, mzadebis forma, xangrZlioba da meTodebi.
aseve, zogadad, Sefasebis kriteriumebi da mosalodneli Sedegebi, anu im sakiTxTa CamonaTvali,
romlis aTviseba da codna unda daadasturos rezidentma TiToeuli safexuris dasrulebis Semdeg.
4. modulebis warmatebiT dasrulebis Semdeg, damamTavrebeli etapis rezidenti unda flobdes
saTanado codnasa da unar Cvevebs raTa SeeZlos zogadi qirurgiis farglebSi praqtikuli saqmianobis
warmarTva; programis realizaciis procesSi eqims unda gamoumuSavdes klinikuri azrovneba,
klinikuri gadawyvetilebis miRebisa da gansjis unari; teqnikuri da operaciuli Cvevebi; specialobaze
dafuZnebuli codna da profesiuli Cvevebi. aRniSnulis Semdeg, rezidenturis kursdamTavrebuls unda
gaaCndes adekvaturi operaciuli gamocdileba da saTanado Teoriuli codna, raTa Caabaros saxelmwifo
sasertifikacio gamocda “zogadi qirurgiis” specialobiT.
5. programis farglebSi dasaSvebia aseve swavlebis 1 wlis Semdeg ganxorcieldes rezidentis
mobiloba momijnave qirurgiuli specialobis sxva programis farglebSi anu pirveli erTi weli ganixileba,
rogorc swavlebis sabaziso periodi yvela qirurgiuli disciplinebisaTvis.
muxli 2. specialobis aRweriloba

1. `qirurgia~ - (warmosdgeba berZnuli sityvisagan Χειρουργια – da niSnavs xeliT muSaobas)
warmoadgens samedicino specialobas, romlis mizania organizmis dazianebebisa an daavadebebis
mkurnaloba operaciuli an instrumentuli gziT; aseve im mdgomareobaTa da daavadebaTa Seswavla,
romelTa mkurnalobis meTodic SeiZleba iyos qirurgiuli Careva, am Carevebis meTodologiuri da
teqnologiuri srulyofa da ganviTareba. qirurgiuli gziT mkurnaloba gamoiyeneba Semdegi
mdgomareobebis dros:
a) travma;
b) anatomiuri gadaxrebi;
g) funqciis darRveva/moSla;
d) anTeba;
e) iSemia da infarqti;
v) metaboluri darRveva;
z) neoplazia;
T) qsovilTa zrdis sxva darRvevebi (mag.: cistebi, hiperplazia da organoTa hipertrofia).
2. “zogadi qirurgia” – warmoadgens qirurgiul specialobas, romelic fokusirebulia muclis da
gulmkerdis Rrus organoebis daavadebaTa qirurgiul mkurnalobaze, sxeulis sxvadasxva midamoebis
travmul dazianebebze, SeZenil da Tandayolil mankebze da gadaudebel mdgomareobebze.
3. bolo ramdenime wlis ganmavlobaSi, ufro da ufro did mniSvnelobas iZens minimalur-invaziuri
qirurgia da robotuli qirurgia, rac zogadi qirurgiis moqmedebis sferos warmoadgens da ufro metad
afarTovebs mas.
4. zogadi qirurgi warmarTavs pacientTa pre-, intra- da postoperaciul marTvas daavadebaTa da
mdgomareobaTa viwro an kompleqsuri problematikis arsebobisas. zogadi qirurgis kompetenciis
CarCoebi garkveulwilad SemoisazRvreba, Tumca moicavs specialur codnasa da gamocdilebas
Semdeg sferoebSi:
a) Tav-kisris daavadebebi, maT Soris farisebri da farisebraxlo jirkvlebis keTil- da avTvisebian
daavadebaTa marTva;
b) sarZeve jirkvlis daavadebebi, maT Soris ZuZus kibo, preoperaciuli diagnostika-stadireba,
qirurgiuli da konservatiuli mkurnaloba.
g) kani da rbili qsovilebi, maT Soris zogierTi saxis avTvisebiani simsivneebis marTva;
d) alimenturi traqtis daavadebebi, maT Soris keTil da avTvisebiani daavadebebi da
mdgomareobebi romlebic moicavs saylapavs, kuWs, wvril da msxvil nawlavebs da swor nawlavs.
zogadi qirurgi unda flobdes aRniSnul mdgomareobaTa mkurnalobis rogorc Ria, ise laparoskopul
meTodebs;
e) gulmkerdi da gulmkerdis Rrus SigTavsi garda gulisa da magistraluri sisxlZarRvebisa;
v) pankreasis, RviZlis, sanaRvle gzebis da naRvlis buStis paTologiebi, keTil da avTvisebiani
daavadebebi;
z) Tiaqrebis mkurnaloba;
T) sisxlZarRvovani paTologiebi, mwvave da qronikuli genezis daavadebebi da okluziuri
procesebi.
i) travmis SemTxvevebis marTva, saswrafo da gadaudebeli procedurebis warmoeba, qirurgiuli
avadmyofis movla;
k) bavSvTa gadaudebeli qirurgia.
5. zogadi qirurgia warmoadgens sabaziso ZiriTad specialobas qirurgiul disciplinaTa Soris.
Sesabamisad, zogadi qirurgi aris qirurgi-specialisti, romelic warmarTavs qirurgiul avadmyofTa
srulyofil marTvas. zogadi qirurgiis momavali, damokidebulia diplomamdel da diplomisSemdgomi
momzadebis standartebisa da praqtikuli saqmianobis sazRvrebis dawesebasa da cvlilebebze. “zogadi
qirurgiis” cneba moicavs sabaziso samecniero elementebisa da klinikuri Cvevebis kompleqss, romalic
aTvisebul unda iqnes specialobis maZieblis mier klinikur praqtikaSi Semdgomi gamoyenebis mizniT.
muxli 3. daavadebebi, paTologiuri mdgomareobebi, romelTa profilaqtikas, klinikas,

diagnostikasa da mkurnalobas moicavs zogadi qirurgia
1. saWmlis momnelebeli sistema:
a) disfagia da gastroezofaguri refluqsi (GERD);
b) saylapavis dazianebebi
b.a) saylapavis ucxo sxeulebi
b.b) saylapavis divertikulebi
b.g) saylapavis keTlTvisebiani da avTvisebiani simsivneebi;
g) difragmis dazianebebi
g.a) diafragmis Tandayolili, daavadebani, kistebi, simsivneebi
g.b) difragmis Tiaqrebi (travmuli, Tandayolili, cru, diafragmis xvrelebis Tiaqari)
g.g) diafragmis relaqsacia
g.d) diafragmis saylapavis xvrelis Tiaqrebi
d) pankreasis dazianeba
d.a) mwvave da qronikuli pankreatiti
d.b) pankreasis kistebi da xvrelmilebi
d.g) pankreasis keTilTvisebiani da avTvisebiani simsivneebi
e) elenTis dazianeba
e.a) elenTis daavadebebi
e.b) hipersplenizmi
v) muclis Tiaqrebi da misi garTulebebi;
z) peritoniti
T) intra-abdominuri abscesebi;
i) uxSiresi mwvave abdominuri mdgomareobebi;
i.a) retroperitoneuli sivrcis qsovilTa dazianeba
i.b) retroperitoneuli sivrcis Cirqovan-anTebiTi daavadebani
i.g) retroperitoneuli sivrcis keTilTvisebiani da avTvisebiani daavadebebi
i.d) nawlavTa obstruqcia, paralizuri gauvaloba;
i.e) nawlavTa fistulebi;
i.v) gastrostomia, ileostomia, kolostomia da sxva stomebi;
i.z) gastrointestinuri endoskopia mkurnalobisa da diagnostikis mizniT
i.T) muclis tkivilis Sefaseba da kvleva
k) muclis simsivnuri warmonaqmnebis kvleva
l) siyviTle: diferenciuli diagnozi da marTva
m) RviZlis cirozi, portuli hipertenzia, asciti
n) sanaRvle gzebis dazianebebi
n.a) mwvave da qronikuli qolecistiti
n.b) naRvelkenWovani daavadeba da maTi garTulebebi
n.g) postqolecisteqtomiuri sindromi
n.d) naRvlis buStisa da saneRvle gzebis simsivneebi
o) RviZlis tarvmebi
o.a) RviZlis abscesebi;
o.b) RviZlis parazituli da araparazituli daavadebebi;
o.g) RviZlis keTilTvisebiani da avTvisebiani simsivneebi
o.d) portuli hipertenzia da RviZlis ukmarisoba
p) kuWisa da Tormetgoja nawlavis davadebebi
p.a) kuWisa da Tormetgoja nawlavis ucxo sxeulebi
p.b) kuWisa da Tormetgoja goja nawlavis dazianebebi
p.g) kuWisa da Tormetgoja goja nawlavis wylulovani daavadeba
p.d) gastrointestinuri sisxldena (faruli da manifestirebuli)
p.e) wylulis perforacia
p.v) piloroduodenaluri stenozi
p.z) wylulis penetracia
p.T) mwvave wylulebi
p.i) ulcerogenuli endokrinuli daavadebebi
p.k) naoperciebi kuWis daavadebebi
p.l) peptikuri wylulovani daavadeba (PUD);
p.m) kuWisa da Tormetgoja goja nawlavis keTilTvisebiani da avTvisebiani simsivneebi
J) wvrili nawlavis travmebi
r) wvrili nawlavis divertikuli
s) wvrili nawlavis sisxlis mimoqcevis moSla
t) wvrili nawlavis xvrelmilebi
u) kronis daavadeba
f) wvrili nawlavis keTilTvisebiani da avTvisebiani simsivneebi
q) mwvave da qronikuli apendiciti
R) Wiayela danamatis simsivneebi
y) msxvili da swori nawlavis daavadebebi
y.a) kolinjis divertikulebi da divertikulozi
y.b) hirSprungis daavadeba
y.g) araspecifiuri wylulovani koliti
y.d) kolinjis keTilTvisebiani da avTvisebiani simsivneebi
y.e) mecniereba stomebis Sesaxeb
y.v) swori nawlavis travmebi
y.z) hemoroiduli daavadeba
y.T) yiTas naprali
y.i) uxSiresi analuri da perinealuri mdgomareobebi;
y.k) swori nawlavis xvrelmilebi da paraproqtiti
y.k) swori nawlavis prolafsi
y.l) swori nawlavis keTilTvisebiani da avTvisebiani simsivneebi
y.m) swori nawlavis, parareqtuli da gava-kudusunis midamos ara simsivnuri daavadebebis
mkurnaloba
S) nawlavTa gauvaloba
C) laparoskopuli qirurgiis principebi da garTulebebi;
c) gastrointestinuri traqtis avTvisebiani daavadebebi;
Z) nawlavTa anTebiTi daavadebebi;
w) intestinuri iSemia.
2. sisxlZarRvTa qirurgia:
a) kiduris iSemia: mwvave da qronikuli arteriuli embolizmi;
b) gangrena;
g) sisxlZarRvTa daavadebebis dros warmoebuli amputaciebi;
d) anevrizmebis (mag.: muclis aortis anevrizma) marTvaSi swori orieentacia;
v) sisxlZarRvTa rekonstruqciuli qirurgiis principebi;
z) rekonstruqciuli Suntirebis principebi;
T) qvemo kidurebis venebis daavadebebi;
i) Rrma venuri Trombozi da misi garTulebebi;
k) qvemo kiduris qronikuli ulceracia;
l) Tirkmlis qronikuli ukmarisobis marTvis principebi.
3. endokrinuli sistema:
a) farisebri jirkvlis qirurgiuli mkurnalobis principebi;
b) farisebri jirkvlis kibos marTvaSi swori orientacia;
g) farisebraxlo jirkvlebi;
d) hiperparaTireoidizmi;
e) hiperkalcemia;
v) Tirkmelzeda jirlvlis daavadebebi da pankreasis daavadebebi;
z) meoradi hipertenziis endokrinuli mizezebi;
T) muclisa da retroperitoneuli sivrcis endokrinuli simsivneebi.
4. sarZeve jirkvali:
a) mwvave mamaruli infeqciebi;
b) dvrilis naxeTqi;
g) mastalgia;
d) ZuZus keTilTvisebiani daavadebebi;
e) ZuZus kibos marTva.
5. respiraciuli sistema, guli da mTavari sisxlZarRvebi:
a) aorto-koronuli Suntirebis ZiriTadi principebi;
b) gulis daavadebaTa gamoklvevisaTvis saWiro specifikuri meTodebi da teqnika;
g) plevris Rrus empiema;
d) pnevmoToraqsi / hemoToraqsi;
e) Torakaluri operaciebis garTulebebis marTva;
v) filtvebisa da bronqebis keTil- da avTvisebiani daavadebebi.
6. uro-genitaluri traqti:
a) urinaruli traqtis infeqciebi, hematuria;
b) Sardovani kenWebi;
g) Sardis retencia;
d) Tirkmlis qronikuli ukmarisobis diagnostika: principebi da dializis teqnika;
e) Tirknmlis dazianebani;
v) Tirkmlis gadanergvis principebi;
z) saTesle parkis tkivili da SeSupeba;
T) saTeslis Semogrexa;
i) winamdebare jirkvlis daavadebebis marTvaSi swori orientacia;
k) muclis mwvave tkivilis ginekologiuri mizezebi;
l) menjis anTebiTi daavadebebi;
m) uro-genitaluri traqtis avTvisebiani daavadebebis diagnostika da swori orientacia am
daavadebis marTvaSi.
7. centraluri nervuli sistema:
a) meningitis qirurgiuli aspeqtebi;
b) intrakraniuli abscesebi;
g) intrakraniuli hemoragiebi;
d) intrakraniuli moculobiTi dazianebebi da maTi efeqtebi;
e) xerxemlis dazianeba da kompresia;
v) paraplegia da tetraplegia: marTvis principebi.
8. Zval-kunTovani sistema:
a) Zvlebis metaboluri da degeneraciuli daavadebebi: osteoporozi da osteomalacia;
b) Zvlebisa da saxsrebis infeqciebis diferencialuri diagnostika, marTva;
g) uxSiresi motexilobebis diagnostika da mkurnaloba;
d) saxsrebis uxSiresi daavadebebisa da dazianebebis diagnostika da mkurnaloba;
e) mtevnis infeqciebi da dazianebebi;
v) myesis aRdgenis principebi;
z) terfis uxSiresi daavadebebi;
T) kisrisa da mxris midamos tkivili;
i) zurgis tkivili;
k) iSiazi;
l) arTritebis diferenciuli diagnostika;
m) periferiuli nervebis dazianeba;
n) nervis regeneraciis da aRdgenis principebi;
o) Zvlebisa da rbili qsovilebis avTvisebiani daavadebebis diagnostika da swori orientacia am
daavadebaTa marTvaSi.
9. bavSvTa qirurgia:
a) axalSobilTa anesTeziisa da qirurgiis specifikuri sakiTxebi;
b) neonatalur periodSi wyal-marilovani balansis Taviseburebebi;
g) koreqtabeluri neonataluri sicocxlisaTvis saSiSi Tandayolili mdgomareobebi;
d) bavSvTa qirurgiis uxSiresi daavadebebi, mglis xaxa da kurdRlis tuCi, pilorostenozi,
intusisefcia, Tiaqari, saTeslis dauSvebloba, saTeslis Semogrexa, atreziebi.
muxli 4. diagnostikurი da samkurnalo manipulaciebი, romelsac unda flobdes da romelTa

Sedegebis interpretacia da klinikuri Sefaseba unda SeeZlos zogad qirurgs
1. intravenuri midgomebi;
2. nutriciuli mxardaWera: Cveneba, teqnika, sruli parenteruli kveba;
3. eleqtrokardiografia;
4. sasunTqi, gul-sisxlZarRvTa, Tirkmlis da endokrinuli sistemis Sesafasebeli testebi (kvlevebi);
5. respiraciuli darRvevebis amocnoba da koreqcia;
6. wyal-marilovani balansis Sefaseba da SenarCuneba;
7. hemotransfuzia: Cvenebebi, riskebi, garTulebebi, plazmis Semcvlelebi;
8. qirurgiuli infeqciis wyaroebi, prevencia da kontroli;
9. sterilizacia;
10. adgilobrivi da regionuli anesTezia;
11. diaTermiis principebi, energiis alternatiuli wyaroebi;
12. lazeruli teqnologiebis principebi;
13. biofsiisa da citologiuri kvlevisaTvis masalis aRebis principebi da teqnika;
14. qsovilTa nimuSebis aReba krioseqciis da parafinuli histologiis, citologiisa da
baqteriologiisaTvis;
15. qsovilovani siTxeebis/gamonayofebis aReba laboratoriuli SeswavlisaTvis, maTi Sedegebis
interpretacia;
16. kritikul mdgomareobaSi myofi da mZimed dazianebul pacientTa klinikuri Sefasebis Skalebi;
17. resuscitacia (reanimacia) da hemodinamikuri mxardaWera;
18. gadaudebeli qirurguli procedurebi;
19. xerxemlis travmuli dazianebis sawyis marTvaSi swori orientacia;
20. kardiopulmonuri da farmakologiuri resuscitacia;
21. centraluri venis kaTeterizacia;
22. sxivis da barZayis arteriebis kaTeterizacia;
23. diagnostikuri laparotomia da laparoskopia;
24. sisxlZarRvTa daavadebebis gamosakvlevad saWiro specifikuri teqnika da teqnologiebi;
25. Torakocentezi, gulmkerdis drenireba;
26. bronqoskopia, Torakoskopia, mediastinoskopia Teoriuli aspeqtebi;
27. fibroezofagogastroduodenoskopia;
28. sadiagnozo radiologiis principebi, sonografia, kompiuteruli tomografia da birTvul-magnituri
rezonansi;
29. sadiagnozo da samkurnalo intervenciuli radiologiis meTodebis gamoyeneba;
30. sisxlZarRvebSi, organoebsa da sxva struqturebSi stentebisa da protezebis intervenciul-
radiologiuri Cayenebis ZiriTadi principebi;
31. ucxo sxeulis aRmoCenis rentgenologiuri kontroliT;
32. arapalpirebadi simsivneebis sonografiuli aRmoCena;
33. limfuri kvanZebis markireba da aRmoCena;
34. gastroezofaguli refluqsis diagnostika (mag.: pH-metria);
35. saylapavisa da kuWis motoruli funqciisa da kuWis motoruli funqciis darRvevis Seswavla
(mag.: manometria);
36. kolinjisa da anoreqtuli darRvevebis diagnostika (mag.: analuri sfinqteris manometria).
muxli 5. operaciebis CamonaTvali, romelsac unda flobdes zogadi qirurgi (sakeri

aparatebiT da maT gareSe, tradiciuli da laparoskopuli meTodiT).
1. kanis gadanergva / plastika
2. mtevnis infeqciebis gakveTa da drenireba
3. mastitis drenireba
4. ZuZus seqtoruli rezeqcia
5. masreqtomia
6. hidradenitis drenireba
7. parotideqtomia (lateraluri lobeqtomia)
8. Tavis midamos Wrilobis pirveladi qirurgiuli damuSaveba
9. saxis midamos Wrilobis pirveladi qirurgiuli damuSaveba.
10. kisris abscesis (flegmonis) gaxsna
11. kisris midamos Wrilobis pirveladi qirurgiuli damuSaveba
12. trqeostomia
13. traqeis intubacia
14. apendeqtomia
15. kolostomia
16. kolostomis likvidacia
17. kolinjze anastomozebi
18. kolinjze rezeqciuli operaciebi
19. marcxenamxrivi hemikoleqtomia
20. marjvenamxrivi hemikoleqtomia
21. totaluri da subtotluri koleqtomia
22. kolo-kolo anastomozebi
23. koloreqtaluri da ileoreqtaluri anastomozebi
24. swori nawlavis abdominoperineuli eqstirpacia
25. kolproqteqtomia
26. prolabirebuli swori nawlavis perineuli plastika
27. swori nawlavis wina rezeqcia
28. swori nawlavis wina dababali rezeqcia
29. abdominoanaluri rezeqcia, kolinjis demukozirebul analur arxSi CamotaniT
30. proqtologiuri operaciebi Sorisidan da swori nawlavidan
31. analuri fistulis / napralis amokveTa
32. hemoroidebis inieqcia da amokveTa
33. iSio da pelvio reqtuli abscesis drenireba, analuri fistulis amokveTa
34. piloniduri sinusis amokveTa
35. swori nawlavis striqturebis rekonstruqcia
36. gastrostomia
37. perkutanuli, endoskopuri gastrostomia – PEG
38. ulcerorafia
39. gastroieiunostomia
40. kuWis distaluri da proqsimaluri rezeqcia
41. piloromiotomia – intususcefcia
42. piloroplastika, gastroduodenostomia
43. subtotaluri gastreqtomia
44. totaluri gastreqtomia
45. vagotomia (Rerovani, seleqciuri, proqsimaluri seleqciuri)
46. fundoplikacia
47. Tormetgoja nawlavis rezeqcia
48. enterostomia
49. Meckel-is divertikuleqtomia
50. entero-enterostomia
51. wvrili nawlavis rezeqcia
52. qolecisteqtomia
53. qolecisteqtomia
54. qoledoqis rezeqcia
55. qoledoqoduodenostomia
56. qoledoqoieiunostomia
57. qoledoqostomia
58. qoledoqostomia, transduodenuri midgomiT
59. RviZlSida da RviZlgareTa sanaRvle gzebis rekonstruqcia
60. RviZlis sadinris bifurkaciis kibos (Klatskin) dros rekonstruqciuli operacia
61. RviZlis biofsia
62. marcxenmaxrivi hepateqtomia
63. marjvenamxrivi hepateqtomia
64. RviZlis wilis segmentis rezeqcia
65. RviZlis simsivnis adgilobrivi amokveTa
66. laparotomia, laparoskopia
67. barZayis Tiaqris plastika
68. sazardulis Tiaqris plastika
69. ventraluri Tiaqrebis plastika
70. Wipis Tiaqris plastika
71. subfrenuli abscesis drenireba
72. transdiafragmuli operaciebi
73. pankreasis cistis an fsevdocistis drenireba
74. pankreasis kudis rezeqcia
75. pankreatikocistoieiunostomia
76. totaluri pankreateqtomia
77. pankreasis segmenturi rqzeqcia.
78. pankreatikoduodeneqtomia
79. pilorus Semanarcunebuli pankreatikoduodeneqtomia
80. portakavuri Suntireba
81. saCino venis maRali ligacia da stripingi
82. splenorenuli Suntireba
83. Suntirebis procedura portuli hipertenziis dros
84. bilateruli adrenaleqtomia
85. paraTiroideqtomia
86. subtotaluri Tiroideqtomia
87. spleneqtomia
88. organoSemnaxveli operaciebi elenTaze
89. sisxlZarRvTa ligacia
90. nevrorafia
91. tendorafia
92. osteotomia
93. osteosinTezi
94. sekvestreqtomia
95. ZvalSiga fiqsacia
96. Zvlis rezeqcia
97. suprakondiluri amputacia
98. barZayis amputacia
99. falangebis amputacia
100. falangebis amosaxsvra
101. winamxris amputacia
102. terfis amputacia Sarpis mixedviT
103. terfSorisi ampsaxsvra lisfrankis wesiT
104. wvivis Zval-plastikuri amputacia
105. barZayis Zval-plastikuri amputacia
106. hidroceles qirurgiuli koreqcia
107. nefreqtomia
108. nefrorafia
109. epicistostomia
110. nefrostomis formireba
111. salpingeqtomia – ooforeqtomia
112. sakvercxis soliseburi rezeqcia
113. Zenker-is divertikuleqtomia
114. saylapavi milis rezeqcia da plastika
115. traqeidan/saylapavodan ucxo sxeulis amoReba
116. Torakotomia
117. plevris punqcia / drenireba
118. gulmkerdis kedlis Wrilobis pirveladi qir. damuSaveba
119. pnevmorafia
120. pulmoneqtomia
121. lobeqtomia / segmenteqtomia
122. kardiorafia
muxli 6. profesiuli mzadebis struqtura

1. qirurgiaSi swavlis xangrZlioba ganisazRvreba sarezidento progarmis
gaTvaliswinebiT da ariს 4 weli. rezidentTan muSaobis sqema dayofilia mzadebis Teoriul
da praqtikul nawilebad. Teoriuli da praqtikuli swavleba mimdinareobs paralelurad.
2. programa iTvaliswinebs რეზიდენტის/საექიმო სპეციალობის მაძიებლის mier kviris
ganmavlobaSi minimum 41 saaTian dayovnebis periods saavadmyofos garemoSi.
3. sarezidento programa qirurgiaSi mizanmimarTulia qirurgiaSi
rezidentis/საექიმო სპეციალობის მაძიებლის Teoriuli da praqtikuli mzadebisaTvis.
4. programis xangrZlioba 4 welia.
5. qirurgiis saswavlo programa iyofa 3 etapad: sawyisi etapi anu zogadi qirurgiis
rezidenturis moduli (saerToa yvela qirurgiuli specilobebisTvis, xangrZlioba 11 Tve),
Sualeduri etapebi (xangrZlioba Sesabamisad 11 da 11 Tve) da umaRlesi etapi (xangrZlioba 11
Tve).
6. TiToeuli rezidenti asrulebs garkveul saqmianobas. Teoriuli programis Sesruleba da
mravlobiTi modulebi/rotaciebi gamiznulia imisaTvis, rom rezidentma SesZlos avadmyofTa farTo
speqtris gansxvavebuli SemTxvevebis naxva, Seswavla da marTva; miiRos saganmanaTleblo
gamocdileba, romelic gaTvaliswinebulia winamdebare sarezidento programiT.
7. am procesis dros rezidentebze zedamxedveloba xorcieldeba specialurad daniSnuli eqimebis
(modulze pasuxismgebeli piri - lokaluri xelmZRvaneli) mier. TiToeul rezidentze zedamxedvelobisa da
misi saqmianobis monitoringi xorcieldeba werilobiTi angariSis saxiT. saWiroa gakontroldes rezidentis
mier misi individualuri gegmis Sesruleba, rezidentis wasvla-mosvlis ganrigi, sxva valdebulebani,
romlebic programiT aris gaTvaliswinebuli. zedamxedveloba rezidentisagan moiTxovs gansxvavebul
damokidebulebas qirurgiuli specializaciis sxvadasxva etapze. aRniSnuli gamowveulia im faqtiT, rom
profesiuli mzadebis damasrulebeli wlis rezidents, kompetenciasTan erTad, proporciulad ezrdeba
pasuxismgebloba da movaleobebi, maT Soris avadmyofTa mkurnalobasa da movlasTan dakavSirebiT.
8. rezidentis zedamxedvel eqims - modulze pasuxismgebeli pirs (lokalur xelmZRvanels)
gaaCnia, rogorc iuridiuli, ise eTikuri pasuxismgebloba pacientis mkurnalobasa da movlaze, amave
dros misi zedamxedvelobis qveS myofi piris saqmianobaze da ganaTlebaze. amasTan, profesiuli
mzadebis damasrulebeli wlis rezidents, aRniSnuli zedamxedveloba ufro naklebi xarisxiT esaWiroeba,
vidre swavlebis sawyis safexurze myof pirebs. miTiTebebis jaWvi iTvaliswinebs etapobrivi
pasuxismgeblobis zrdas. uflebamosilebis gadacemis sazRvrebi, konkretul SemTxvevaSi
ganisazRvreba zedamxedveli eqimis mier, gamomdinare rezidentis akademiuri momzadebisa da
teqnikuri mzaobis aspeqtebidan. amgvari midgoma unda gamomdinareobdes programis direqtorisa da
modulze pasuxismgebeli piris (lokaluri xelmZRvanelis) xangrZlivi dakvirvebidan, romelnic
pasuxismgebelni arian rezidentis mier qirurgiuli unar-Cvevebis aTvisebaze da xarisxze. am
pasuxismgeblobis SesrulebisaTvis, momzadebis programa unda moicavdes zedamxedvelobis
ganxorcielebis Semdeg principebs:
a) rezidentze zedamxedvelobis formebi SesaZlebelia ganisazRvros klinikis SinaganawesiT,
politikiT an sxva raime proceduruli normiT;
b) rezidentze zedamxedvelobis formebi da wesebi periodulad mowmdebodes saswavlo
dawesebulebis warmomadgenlis gasvliTi vizitebis dros;
g) saTanado zedamxedveloba xels ar unda uSlides progresul da SedarebiT ufro damoukidebel
gadawyvetilebaTa miRebas rezidentebTan dakavSirebiT; amgvarad, zedamxedvelobis tipi
SesaZlebelia varirebdes klinikuri situaciebisa da rezidentis momzadebis etapisa da donis Sesabamisad.
miuxedavad amisa, programis direqtori da modulze pasuxismgebeli piri (lokaluri xelmZRvaneli)
nebismier dros unda iyos xelmisawvdomi rCevis micemis, daxmarebis an konsultaciuri
mxardaWerisaTvis.
d) zogadi qirurgiis rezidentebi programaSi monawileobisas unda akmayofilebdnen dadgenil
akademiur kriteriumebs. wlidan wlamde, rezidentTa akademiuri kompetenciisa da klinikuri unar
Cvevebis progresis raodenobrivi da xarisxobrivi Sefaseba xorcieldeba rezidentTa Sefasebis sistemis
saSualebiT. rezidentTa sabaziso da klinikuri codnis, klinikuri unar-Cvevebis, zogad samedicino
aspeqtebisa da sxva komponentebis Sefasebis amsaxveli informacia saboloo jamSi Tavs iyris
rezidenturis programis direqtorTan. rezidentTa ganviTarebis da moqmedebis progresis monitoringi
etapobrivad xorcieldeba TiToeuli modulis dasrulebis Semdeg. rezidentis Sefaseba SesaZlebelia
moxdes gamocdis tipiT mowyobili gamokiTxviT: zepiri, testuri, werilobiTi da Cvevebze uSualo
zedamxedvelobis saxiT. modulis dasrulebis Semdeg Sefasebis angariSi gadaegzavneba programis
direqtors gansaxilvelad da xelmowerisaTvis. rezidentTa Sefasebis politika mniSvnelovania aseve
programis promociis, srulyofis, gamosworebis da sxva mniSvnelovani sakiTxebis TvalsazrisiT.
gaTvaliswinebulia, rezidentTa Sefaseba ganxorcieldes OSCE sistemis saSualebiT.
muxli 7. sarezidento programis Sinaarsi

1. sarezidento programa warmodgenilia 3 nawilad:
a) sawyis (qirurgiaSi zogadi mzadebis kurikulumi),
b) Sualedur da
g) umaRles safexurebad.
2. sawyis safexurze mzadebis mizania miRweul iqnas codna, unarCvevebi da qceva, romelic
erTnairad sWirdebaT qirurgiuli speqtris sxvadasxva specialistebs, aseve arCeuli qirurgiuli specialobis
zogierTi sawyisi kompetenciebi. Sualedur da umaRles safexurebze Warbobs arCeul (konkretul)
specialobaSi saqmianobis moculobiTi wili. umaRles safexurze gaTvaliswinebulia erT an ramdenime
arCeul sferoSi mzadebis (specializaciis) SesaZlebloba, rezidentis interesis gaTvaliswinebiT.
muxli 8. saswavlo modulebi wlebis mixedviT

1. profesiuli mzadebis I weliwadi:
## modulis dasaxeleba xangrZlivoba
1.1. zogadi qirurgia I 10 Tve
1.2. laparoskopiuli qirurgia (bazisuri nawili) 1 Tve.
2. profesiuli mzadebis II weliwadi
modulis modulis dasaxeleba xangrZlivoba
2.1. zogadi qirurgia II (zogadi qirurgia 3 Tve + onkoqirurgia 2 Tve) 5 Tve
2.2. intensiuri TerapiaN 2 Tve

2.3. endoskopia 1 Tve
2.4. radiologia 1 Tve
2.5. damwvroba 1 Tve
2.6 yba-saxis qirurgia 1 kvira
2.7 sasamarTlo medicina 3 kvira
3. profesiuli mzadebis III weliwadi
3.1. zogadi qirurgia III (zog. qir. 4 Tve + koloproqtologia onkologiT 6 Tve
2 Tve)
3.2. travmatologia-orTopedia 1 Tve
3.3. sisxlZarRvTa qirurgia 1 Tve
3.4. urologia 1 Tve
3.5. neiroqirurgia 1 Tve
3.6 palstikuri qirurgia 1 Tve
4. profesiuli mzadebis IV weliwadi
4.1 kardioqirurgia 1 Tve
4.2. bavSvTa qirurgia 2 Tve
4.3. ginekologia 1 Tve
4.4. transplantologia 1 Tve
4.5. laparoskopiuli qirurgia (klinikuri kursi) 1Tve
4.6 zogadi qirurgia IV (zog.qir 4 Tve + endokrinuli qirurgia 5 Tve
onkoqirurgiiT 1 Tve)
5. 4-wliani swavlebis vada gulisxmobs, 44 saswavlo da 4 saSvebulebo Tves.
muxli 9. akademiuri personali da saganmanaTleblo resursebi

1. programis xelmZRvanelis/direqtoris movaleobebi:
a) rezidentTa/saeqimo specialobis maZiebelTa rezidenturaSi misaRebi programis gansazRvraSi
monawileoba akreditebul dawesebulebaSi /saswavleblSi dadgenili wesis mixedviT kanonis
Sesabamisad;
b) diplomis Semdgomi profesiuli mzadebis (rezidenturis) akreditirebuli programis xarisxis
uzrunvelyofa, programis mimdinereobaze kontroli;
g) rezidentis/specialobis maZieblis yovelwliuri individualuri gegma-grafikis gansazRvra
modulze pasuxismgebeli pirisa da samedicini dawesebulebis miTiTebiT;
d) modulze pasuxismgebeli piris saqmianobis zedamxedveloba da Sefaseba;
e) rezidentis/specialobis maZieblis mier Sesrulebuli samuSaos moculobisa da Casatarebeli
manipulaciebis raodenobaze kontroli;
v) modulze pasuxismgebeli piris/pirebis monawileobiT dadgenili wesis mixedviT rezidentis
codnis, unar-Cvevebisa da praqtikuli saqmianobis etapobrivi da saboloo Sefaseba;
z) rezidentis/specialobis maZieblis saqmianobis aradamakmayofilebeli etapobrivi da/an saboloo
Sefasebisas, dasabuTebuli moxsenebiTi baraTis wardgena akreditebuli dawesebulebis/saswavleblis
administraciaSi rezidentis garicxvis Sesaxeb;
T) rezidentis/specialobis maZieblis programis etapobrivi/saboloo uaryofiTi Sefasebisas
programis xelmZRvaneli/direqtori rezidentTan/maZiebelTan SeTanxmebiT gansazRvravs
modulis/modulebis nusxas, romlebic man unda gaiaros ganmeorebiT;
i) rezidentis/specialobis maZieblis mier sazRvargareT gavlili programis (modulebis) Sesabamisi
dokumentaciis warmodgenis Semdgom CaTvla/arCaTvlis Taobaze daskvnis gacema.
2. modulze pasuxismgebeli piris anu lokaluri xelmZRvanelis movaleobebi:
a) samedicino dawesebulebaSi rezidentis/specialobis maZieblis praqtikuli saqmianobis
uzrunvelyofa kurikulumis (saswavlo gegmis) Sesabamisad: kvalificiuri konsultaciebiT, saswavlo
masalebiT (saswavlo/samecniero literatura, sxva programuli sakiTxebi). samedicino dawesebulebaSi
programis mimdinareobis Seuferxebeli warmarTva;
b) programis xelmZRvanelTan/direqtorTan erTad rezidentebis /specialobis maZieblebis
etapobriv da saboloo SefasebaSi monawileoba;
g) rezidentTan/specialobis maZiebelTan Teoriuli da praqtikuli muSaobisaTvis saqmianobis
gansazRvruli drois daTmoba;
d) TiToeuli modulis dasrulebis Semdeg dadgenili wesis mixedviT, programis
xelmZRvanelisTvis/direqtorisTvis rezidentis mier gaweuli samuSaos Sesaxeb angariSis wardgena;
e) rezidentis/specialobis maZieblis dRiurSi rezidentis mier Sesrulebuli samuSaos xelmoweriT
dadastureba;
v) saWiroebis SemTxvevaSi, programis xelmZRvanelTan/direqtorTan programis
mimdinareobasTan dakavSirebul nebismier sakiTxze konsultireba.
3. rezidentis ufleba/movaleobani:
a) rezidents/specialobis maZiebels ufleba aqvs programis daubrkolebeli daZlevisaTvis
moiTxovos Sesabamisi samuSao pirobebiT uzrunvelyofa (kvalificiuri xelmZRvaneli,
sainformacio/sakomunikacio teqnologiebi, samuSao oTaxi);
b) rezidents/specialobis maZiebels ufleba aqvs programis kurikulumis darRvevis an Seferxebis
Sesaxeb werilobiT acnobos samedicino dawesebulebis/saswavebelis xelmZRvanelobas;
g) rezidents/specialobis maZiebels ufleba aqvs ganagrZos profesiuli mzadeba sazRvargareT an
gadavides sxva akreditebul dawesebuleba /saswavlebelSi;
d) rezidenti/specialobis maZiebeli valdebulia Seasrulos rezidenturis programiT gansazRvruli
kurikulumi;
e) rezidenti/specialobis maZiebeli valdebulia programiT gansazRvruli da Sesrulebuli
saqmianoba daafiqsiros personalur dRiurSi;
v) rezidenti/specialobis maZiebeli valdebulia daicvas samedicino dawesebulebis/saswavleblis
Sinaganawesi da Seasrulos dawesebulebis/saswavleblis ganrigiT gansazRvruli saqmianoba;
z) rezidenti/specialobis maZiebeli SeiZleba garicxul iqnas erTi Tvis ganmavlobaSi
gamoucxadeblobis an programis ver daZlevis SemTxvevaSi. gadawyvetilebas rezidentis garicxvis
Sesaxeb iRebs programis xelmZRvaneli/direqtori akreditebul saswavlo dawesebulebaSi Sesabamisi
moxsenebiTi baraTis wardgeniT;
T) rezidenti/specialobis maZiebeli valdebulia gaiaris etapobrivi da saboloo Sefaseba. etapobrivi
da saboloo Sefaseba tardeba _ akreditebul dawesebulebaSi/saswavlebelSi dadgenili wesisi
Sesabamisad;
i) programiT gaTvaliswinebuli modulebis warmatebiT dasrulebis Semdeg rezidents/specialobis
maZiebels saxelmwifo sasertifikacio gamocdaze dasaSvebad eZleva akreditebuli
dawesebulebis/saswavleblis mier gacemuli mowmoba;
k) programis etapobrivi/saboloo uaryofiTi Sefasebisas rezidents/specialobis maZiebls programis
xelmZRvanelis/direqtoris mier ganesazRvreba modulis/modulebis nusxa, romlebic man unda gaiaros
ganmeorebiT.
4. zogadqirurgiuli sarezidento saswavlo programa koncentrirebuli unda iyos Sesabamisi
akreditaciis mqone samedicino dawesebulebebSi.
muxli 10. programis xangrZlivoba

1. zogad qirurgiaSi diplomis Semdgomi mzadebis periodi moicavs minimum 4 wels (44 Tves).
programis mimdinareobis dros, kvalifikaciis maZiebels sxvadasxva obieqturi mizezebidan
gamomdinare swavlebis Sewyveta ar SeuZlia erT welze meti periodis xangrZliobiT. programa
iTvaliswinebs kvalifikaciis maZieblis mier kviris ganmavlobaSi minimum 45 saaTian dayovnebis
periods saavadmyofos garemoSi. momzadebis periodSi resursebis simciris, programis uwyvetobisa da
mimdinareobis xarisxis uzrunvelyofisaTvis SesaZlo risk-faqtorebis gaTvaliswinebiT, Tu
rezidenti/maZiebeli ver Seasrulebs danarTi 2-Si gaTvaliswinebul klinikur unar-CvevaTa minimalurad
sakmarisi raodenobis kvotas, programis xelmZRvaneli ganixilavs sakiTxs programis xangrZlivobis
gazrdasTan da klinikuri bazis SecvlasTan dakavSirebiT.
muxli 11. programis ganaxlebis perioduloba

programis ganaxleba unda xdebodes 4 weliwadSi erTxel.
Tavi II. programis zogadi nawili (swavlebis sawyisi etapi)
muxli 12. პროფესიული მზადების I წeლი

1. მზადების პირველი წლის მოდულების რაოდენობა არის 2: ზოგადი ქირურგია I,
laparoskopuli qorurgia (sabaziso nawili).
2. profesiuli mzadebis I wlis (PGY I) mizani:
a) zogad qirurgiaSi diplomisSemdgomi momzadebis programis rezidentis saqmianobis
aqcentireba unda moxdes upirveles yovlisa qirurgiuli avadmyofis pirvelad movlaze. rezidentis uSualo
movaleobas warmoadgens pre- da postoperaciuli movla; amavdroulad misi saqmianoba unda
moicavdes operaciuli aqtivobis TandaTanobiT zrdasac. pacientis movlaze meTvalyureobas
axorcieleben ufrosi rezidenti da zedamxedveli eqimi, romlebic uflebamosilebas unawileben umcros
rezidents am saqmianobis dros. swavlebis pirveli wlidanve unda Seiqmnas kolegiuri da akademiuri
atmosfero, raTa umcrosma rezidentma SeZlos, iswavlos ufro gamocdili samedicino personalisagan.
umcrosi rezidenti unda gaTviTcnobierdes qirurgiul daavadebaTa fiziologiur da metabolur aspeqtebSi,
gansakuTrebuli aqcenti unda gakeTdes konkretul avadmyofTa mdgomareobaze, romelic klinikaSi am
momentisaTvis gadis mkurnalobis kurss. rogorc ukve aRiniSna, umcrosi rezidenti, pirveli wlidanve
etapobrivad unda CaerTos operaciul aqtivobaSi, ufrosi rezidentisa da zedamxedveli eqimis uSualo
xelmZRvanelobiT.
muxli 13. moduli 1.1. zogadi qirurgia – 10 Tve
1. modulis mizani - sawyisi stadiis mizania rezidents ganuviTaros qirurgiuli sabaziso da
fundamenturi Cvevebi, rac saerToa yvela qirurgiuli specialobisTvis. modulis mizania, saorientacio
programis Semdgom rezidents gaacnos zogadi qirurgiis ZiriTadi komponentebi. rezidentma unda
aiTvisos pre-, intra- da postoperaciuli marTvis sakiTxebi. igi unda gaecnos aseve qirurgiuli infeqciisa
da klinikuri mikrobiologiis Taviseburebebs, qirurgiuli da nozokomiuri infeqciis prevenciis gzebs.
praqtikul nawilSi rezidentma unda daiwyos mcire qirurgiuli manipulaciebis Sesruleba. maT Soris unda
daeuflos Wrilobis pirvelad qirurgiul damuSavebas, damuSavebis specifikas midamoebis mixedviT.
postoperaciuli intensiuri Terapiis palataSi rezidenti unda daeuflos qirurgiuli avadmyofis Sefasebis
unarebs, yuradReba unda gamaxvildes hemodinamikur da homeostazur maCveneblebze da maTi
darRvevis koreqciis gzebze. rezidenti, ramdenime Tvis Semdeg unda asrulebdes poliklinikuri qirurgiis
tipiur manipulaciebs. modulis bolos, rezidenti eufleba gadaudebeli samedicino daxmarebis qirurgiul
komponentebs, maT Soris traqeotomiis, traqeis intubaciis teqnikas da Teoriul safuZvlebs.
2. modulis amocanebi: dasaxuli miznebidan gamomdinare, rezidentma unda SesZlos aiTvisos
Cirqovani qirurgiis principebi, rac unda gamoiyenos mcire qirurgiuli manipulaciebis Sesrulebis dros,
kerZod: abscesebis da flegmonebis drenirebia, panariciumis, hidradenitis da sxva Cirqovani kerebis
gaxsna da drenireba. mogvianebiT, rezidenti eufleba laparotomiisa da laparotomiuli Wrilobis daxurvis
teqnikasa da principebs. gansakuTrebuli yuradReba eqceva iseTi manipulaciebis aTvisebas, rogoricaa
qirurgis kompetenciaSi Semavali anatomiuri struqturebis aRdgenas (nervi, sisxlZarRvi, myesi).
rezidenti eufleba biofsiuri masalis mopovebis teqnikas da bolo TveSi man unda Seiswavlos aseve
laparoskopiis, rogorc qirurgiuli midgomis erT-erTi saxis ZiriTadi principebi. mas unda SeeZlos
asistencia laparoskopuli operaciebis dros; man aseve unda SesZlos laparoskopuli operaciis dawyeba da
amisaTvis sakmarisi Teoriuli codnisa da praqtikuli unar-Cvevebis SeZena.
3. literaturis nusxa:
a) grigolia n. qirurgiuli sneulebebi. Tbilisi.2000.
b) kuzini m. qirurgiuli sneulebebi. moskovi. 2004. (Targmani).
g) l.kikaliSvili, e.yifiani, d. korZaia. topografiuli da klinikuri anatomia. Tbilisi. 2005.
d) Schwartz; Shires; Spencer Principles of Surgery. Eigth Edition. 2004.
e) Bailey and Love's Short Practice of Surgery (A Hodder Arnold Publication). by Norman S
Williams (Author), Christopher J.K. Bulstrode (Author), P Ronan O'Connell (Author) , 25th edition,
2006
v) Sarrel B.E., Carabasi R.A. Surgery. National Medical Series for Independent Study. 1995.
z) ilverberg S.C. Principles and Practice of Surgical Pathology.
T) Speciality Review in General Surgery. The National Center for Advanced Medical Education.
2001.
i) Way L.W. Surgical Diagnosis and Treatment. 1994.
k) Way L.W., Doherty G.M. Current Surgical Diagnosis and Treatment. 2004.
l) Kant X. Scientific Basic for the Selection of Surgical Needles and Sutures. 1999.
m) Кузин М.И. Хирургические болезни, Москва, 2003.
n) http://www.medtrng.com/tutorials_and_simulators_part_8.htn
(clinical surgery, surgical videos).
o) www.surgical-tutur.org.uk
p) http://www.surgicalcourses.org.uk./
J) www.dundee.ac.uk./surgicalskills/index.htm
r) http://www.update-software.com/publications/cochrane/
s) http://www.ncepod.org.uk/
t) http://www.intumed.com/
4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da modulis
Sefasebis meTodebi:
Teoriuli kursi profesiuli unar-Cvevebi da Sefasebis meTodebi
Sesasrulebeli manipulaciis
raodenoba
zogadi qirurgiuli Cvevebi:  qirurgis momzadeba modulis
usafrTxo qirurgiis pricipebi operaciisTvis mimdinareobis dros,
 qirurgis momzadeba operaciisTvis  efeqturi da saimedo xelis lokaluri
 xelis dabanis, damuSavebisa da dabana, xelTaTmanis Cacma xelmZRvaneli,
xelTaTmnis Cacmis principebi da steriluri xalaTis Cacma - ufrosi rezidenti da
 qirurgebisa da avadmyofebisaTvis 30 zedamxedveli eqimi
imunizaciis protokolebi afaseben rezidentis
adgilobrivi anesTeziis daniSvna  adgilobrivi anesTeziis teqnika, praqtikuli
 saanesTezio preparatis SerCeva saanesTezio agentis swori da momzadebis dones.
usafrTxo gamoyeneba - 10 Teoriuli masala
qirurgiuli Wrilobebi fasdeba klinikis
 qirurgiuli Wrilobebis klasifikacia  kanisa da kanqveSa qsovilis TanamSromelTa
 Wrilobis marTvis principebi gakveTa: mier, konferenciebis
 skalpelis, diaTermiis da bolos. Sefaseba
 Wrilobis Sexorcebis paTofiziologia
makratlis gamoyeneba - 20 fiqsirdeba
 nawiburebi da kontraqturebi
saregistracio
 kanisa da kanqveSa qsovilis JurnalSi.
 kanisa da kanqveSa qsovilis
gakveTa:
daxurva
o langeris xazebi
 Wrilobis kideebis zusti da
o instrumentis arCeva
dauWimavi Sepirispireba -
o usafrTxo praqtika
20
 kanisa da kanqveSa qsovilis
daxurva  kvanZis dadeba - 100:
o Wrilobis yrud gakervis  erTi xeliT
Cvenebebi  ori xeliT
o sakeravi Zafisa da nemsis
 instrumentiT
arCeva
 zedapiruli
 kvanZis dadeba
 Rrma
o nakerisa da ligaturis
dasadebi masala da maTi  hemostazi - 50:
SerCeva  sisxlmdeni sisxlZarRvis
o qirurgiuli nakerebisa da (zedapiruli) kontroli
ligaturebisTvis kvanZebis  diaTermia
usafrTxo gamoyeneba
 ligireba nakeriT
 hemostazi
 kvanZovani ligireba
o qirurgiuli teqnika
 klipireba
o diaTermiis principebi
 transfiqsiuri nakeri
o instrumentebis SerCeva
 qsovilis retraqcia - 20:
 biofsiis teqnika aspiraciuli  qirurgiuli pinceti
citologiuri masalis aRebis CaTvliT
 Wrilobis retraqtoris
 drenaJis gamoyeneba moTavseba
o Cveneba
o tipebi  drenaJis gamoyeneba - 20:
o menejmenti/amoReba  Cadgma
 anastomozis formirebis principebi  fiqsacia
 qirurgiulo endoskopiis principebi  amoReba
 qsovilis damuSaveba - 20:

 instrumentebis saTanado
gamoyeneba da qsovilebTan
faqizi mopyroba
 biofsiis teqnika
 asistentobis Cvevebi - 20
 operatoris asistireba
winasaoperacio marTva:  preoperaciuli Sefaseba da modulis
intraoperaciuli marTva: menejmenti mimdinareobis dros,
postoperaciuli marTva:  avadmyofis gasinjva da lokaluri
winasaoperacio Sefaseba da istoriis Sevseba - 20 xelmZRvaneli,
menejmenti:  winasaoperacio kvlevebis ufrosi rezidenti da
 kardiorespiratoruli fiziologia Sedegebis interpretacia - 20 zedamxedveli eqimi
 Saqriani diabeti da sxva  Tanmxlebi daavadebebis afaseben rezidentis
endokrinuli menejmenti - 20 praqtikuli
darRvevebis winasaoperacio  reanimacia momzadebis dones.
koreqcia  Sesabamisi - preoperaciuli Teoriuli masala
 siTxis balansi da homeostazi daniSnuleba (premedikaciis fasdeba klinikis
 Tirkmlis ukmarisoba CaTvliT) - 10 TanamSromelTa
 sefsisis paTofiziologia _ mier, konferenciebis
prevencia da profilaqtika  intraoperaciuli mzrunveloba: bolos. Sefaseba
 Trombo-emboliis profilaqtika  intraoperaciuli mzrunvelobis fiqsirdeba
saregistracio
 laboratoriuli analizebi da usafrTxo warmoeba -30
JurnalSi.
instrumentuli kvlevebi  avadmyofis swori pozicia -
 operaciis risk faqtorebi 15
 premedikacia da sxva  nervis dazianebis prevencia -
preoperaciuli daniSnuleba 10
intraoperaciuli mzrunveloba:  basri instrumentebiT
 usafrTxoeba saoperacioSi, raSic dazianebis prevencia - 20
Sedis aseve avadmyofis swori  diaTermuli dazianebis
pozicia saoperacio magidaze da prevencia - 10
nervis dazianebis Tavidan  venuri Trombozis prevencia -
acileba 10
 usafrTxoeba basri
instrumentebis mimarT  postoperaciuli mzrunveloba:
 diaTermia, lazeris gamoyeneba  operaciis Canawerebis
 infeqciis riskebi gakeTeba - 20
 radiaciis gamoyeneba da riskebi  avadmyofis mdgomareobis
 laxtis gamoyeneba misi Sefaseba da monitoringi - 10
Cvenebis, efeqtebis da  postoperaciuli analgezia - 20
garTulebebis CaTvliT  siTxeebisa da eleqtrolitebis
 adgilobrivi, regionaluri da menejmenti - 20
zogadi anesTeziis principebi  organoTa mosalodneli
 invaziuri da arainvaziuri ukmarisobis gamovlena - 20
monitoringis principebi  organoTa ukmarisobis
 venuri Trombozis prevencia sawyisi menejmenti - 20
 operacia hepatitis da Sidsis  dializis principebi da
virusis matareblebSi Cvenebebi - 10
 siTxis balansi da homeostazi  postoperaciuli garTulebebis
postoperaciuli mzrunveloba amocnoba, prevencia da
 postoperaciuli monitoringi mkurnaloba - 10
 kardiorespiratoruli fiziologia
 siTxis balansi da homeostazi  hemostazi da sisxlis produqtebi:
 Saqriani diabeti da sxva  im mdgomareobaTa
endokrinuli darRvevebi amocnoba, ramac SesaZloa
 Tirkmlis ukmarisoba migviyvanos hemoragiul
 sisxlis danakargis paTofiziologia diaTezamde - 5
 sefsisis paTofiziologia SIRS -is  operaciis dros
da Sokis CaTvliT koagulopaTiuri sisxldenis
 multiorganuli disfunqciis amocnoba - 10
sindromi  sisxlis produqtebis saTanado
 zogadad postoperaciuli gamoyeneba - 10
garTulebebi  sisxlis produqtebis transfuziis
 postoperaciuli analgeziis garTulebebis menejmenti –
meTodebi 10
kvebis menejmentis Sefaseba da
dagegmva  koagulacia, Rrma venebis
 postoperaciuli kveba Trombozi da embolizmi
 malnutriciis efeqtebi _ rogorc  riskis qveS myofi
Warbi kveba, ise gamofitva avadmyofebis amocnoba - 10
 dazianebaze metaboluri pasuxi  pulmonaruli embolizmisa da
 kvebis statusis skriningisa da Rrma venebis Trombozis
Sefasebis meTodebi amocnoba da diagnozi - 5
 enteraluri da parenteraluri kvebis  venuri Trombozisa da
meTodebi pulmonaruli embolizmis
hemostazi da sisxlis komponentebi sawyisi da monitoruli
 hemostazis meqanizmi, maT mkurnaloba profilaqtikis
Soris Sededebis kaskadi dawyeba - 9
 darRveuli hemostazis paTologia.
mag.: hemofilia, RviZlis  atibiotikebi
daavadebebi, masiuri hemoragia  antibiotikebis saTanado
 sisxlis komponentebi daniSnuleba - 10
 sisxlis produqtebis gamoyenebis
 preoperaciuli kvebiTi
alternativa
mkurnalobis Sefaseba da
 sisxlis produqtebis daniSvnis
dagegmva
principebi
 xelovnuri kvebis
 sisxlis produqtebis
uzrunvelyofisaTvis
gamoyenebasTan dakavSirebuli
midgomis organizeba;
avadmyofis usafrTxoeba
upiratesad sakvebi
koagulacia, Rrma venebis Trombozi da
danamatebi, enteraluri kveba
embolizmi:
da parenteraluri kveba - 10
 Sededebis meqanizmi.
 operaciis da travmis  metaboluri da endokrinuli
zemoqmedeba koagulaciis darRvevebi
procesze  endokrinuli da eleqtrolituri
 testebi Trombofiliaze da dazianebis mqone
koagulaciis sxva darRvevebze avadmyofebis istoriis
 kvlevis meTodebi Segroveba da gasinjva - 10
Tromboemboliur daavadebaze  Tireotoqsikozis da
eWvis dros hipoTireoidizmis kvleva da
 venuri Trombozisa da filtvis menejmenti - 10
embolizmis mkurnalobis  hiper- da hipokalcemiis
principebi, antikoagulaciis kvleva da menejmenti - 10
CaTvliT  steroidul Terapiaze myofi
 Tromboembolizmis profilaqtika avadmyofebis perioperaciuli
 Rrma venebis Trombozis riskis menejmenti - 10
klasifikacia da menejmenti  Saqriani diabetis mqone
 Rrma venebis Trombozis
prevenciis meqanikuri da avadmyofebis perioperaciuli
farmakologiuri meTodebis menejmenti - 10
codna  hiponatriemiis kvleva da
menejmenti - 10
antibiotikebi  hiper- da hipokaliemiis
 qirurgiul avadmyofebSi ZiriTadi kvleva da menejmenti - 10
paTogenebi
 antibiotikebisadmi  centraluri venis kaTeteris
mgrZnobeloba Cadgma -10
 antibiotikebis gverdiTi  ureTris kaTeterizacia 10
movlenebi
 profilaqtikisa da mkurnalobis
principebi
periopraciul menejmentTan
dakavSirebuli metaboluri da endokrinuli
darRvevebi
 Tireoiduli hormonis siWarbisa
da deficitis paTofiziologia da
masTan asocirebuli operaciuli
riskebi
 hiper- da hipokalcemiis
mizezebi da Sedegebi
 kortikosteroiduli Terapiis
garTulebebi
 steroiduli ukmarisobis mizezebi
da Sedegebi
 Saqriani diabetis garTulebebi
 hiponatremiis mizezebi da
Sedegebi
 hiperkalemiisa da hipokalemiis
mizezebi da Sedegebi
qirurgiuli teqnika da teqnologia: Wrilobis pirveladi qirurgiuli modulis
damuSaveba - 20 mimdinareobis dros,
barZayis amputacia - 2 lokaluri
falangebis amputacia - 2 xelmZRvaneli,
falangebis amosaxsvra - 2 ufrosi rezidenti da
winamxris amputacia - 2 zedamxedveli eqimi
terfis amputacia Sarpis mixedviT - 2 afaseben rezidentis
terfTSorisi amosaxsvra lisfrankis praqtikuli
wesiT - 2 momzadebis dones.
wvivis Zval-plastikuri amputacia - 2 Teoriuli masala
barZayis Zval-plastikuri amputacia - fasdeba klinikis
2 TanamSromelTa
suprakondiluri amputacia - 2 mier, konferenciebis
sisxlZarRvTa ligacia 10 bolos. Sefaseba
nevrorafia - 5 fiqsirdeba
tendorafia - 5 saregistracio
laparotomia da laparotomiuli JurnalSi.
Wrilobis daxurva - 30
RviZlis biofsia - 5
laparoskopuli teqnikis aTviseba - 10
traqeostomia - 5
traqeis intubacia - 5
ZiriTadi qirurgiuli daavadebebi modulis
arsebuli simptomebi da sindromebi mimdinareobis dros,
 abdominuri tkivili lokaluri
 abdominuri Seberiloba xelmZRvaneli,
 nawlavTa peristaltikis cvlilebebi ufrosi rezidenti da
 gastrointestinuri sisxldena zedamxedveli eqimi
 reqtaluri sisxldena afaseben rezidentis
 disfagia praqtikuli
momzadebis dones.
 dispefsia
Teoriuli masala
 siyviTle
fasdeba klinikis
TanamSromelTa
moicavs Semdeg daavadebebs
mier, konferenciebis
 apendiciti bolos. Sefaseba
 gastrointestinuri avTvisebiani fiqsirdeba
simsivne saregistracio
 nawlavis anTebiTi daavadeba JurnalSi.
 divertikuluri daavadeba
 nawlavis obstruqciuli gauvaloba
 Sexorcebebi muclis RruSi
 muclis wina kedlis Tiaqrebi
 peritoniti
 nawlavis perforacia
 saylapavis keTilTvisebiani
daavadeba
 peptiuri wylulovani daavadeba
 RviZlis, naRvlis buStis da
pankreasis keTilTvisebiani da
avTvisebiani daavadebebi
 hemoroiduli da perianaluri
daavadebebi
muclis kedlis stomebis

gaformebaa
sarZeve jirkvlis daavadeba

 ZuZus simsivneebi da dvrilis
gamonadeni
 ZuZus mwvave tkivili
 ZuZus keTilTvisebiani da
avTvisebiani simsivneebi
 mastiti da ZuZus abscesi
periferiul sisxlZarRvTa daavadebebi,

warmodgenili simpromebi da sindromebi
 kiduris qronikuli da mwvave
iSemia
 anevrizmuli daavadeba
 tranzitoruli iSemia
 venebis varikozuli daavadeba
qvemo kiduris dawyluleba

 arteriebis aTerosklerozuli
daavadeba
 arteriebis emboliuri da Trmbozuli
daavadebebi
 venuri ukmarisoba
 diabeturi dawyluleba
endokrinuli daavadebebi
simptomebi da sindromebi
 kisris simsivneebi
mwvave endokrinuli krizi

 Tiroiduli da paraTireoiduli
daavadebebi
 Tirkmelzeda jirkvlis daavadebebi
 Saqriani diabeti
politravma  zogadi modulis
zogadi  anamnezi, gasinjva mimdinareobis dros,
 dazianebuli avadmyofebis kvleva - 5 lokaluri
Sefasebis qulobrivi sistema  Sesabamis qirurgiul xelmZRvaneli,
 ubeduri SemTxvevis triaJi subspecialobisken ufrosi rezidenti da
gadamisamarTeba - 5 zedamxedveli eqimi
gansxvavebebi bavSvebSi afaseben rezidentis
 im avadmyofTa reanimacia da praqtikuli
Soki adreuli menejmenti, romlebmac momzadebis dones.
 Sokis paTogenezi miiRes gulmkerdis, Tavis, Teoriuli masala
 Soki da kardiovaskularuli xerxemlis, muclis an kidurebis fasdeba klinikis
fiziologia dazianebebi - 5 TanamSromelTa
 dazianebaze metaboluri pasuxi mier, konferenciebis
 mozrdilTa respiratoruli distress  mravlobiTi dazianebis mqone bolos. Sefaseba
sindromi avadmyofTa reanimacia da fiqsirdeba
adreuli menejmenti - 5 saregistracio
 arajvaredini SeTavsebis sisxlis
JurnalSi.
gamoyenebis Cveneba
 specifiuri problemebi
Wrilobebisa da rbili qsovilebis  ugono mdgomareobaSi
dazianebebi myofi avadmyofis
 cecxlsasroli iaraRiTa da WurviT menejmenti - 2
dazianebebi  kanis danakargis (deficitis)
 daniT miyenebuli Wrilobebi sawyisi menejmenti - 5
 adamianisa da cxovelis nakbeni  damwvrobis sawyisi
 rbili qsovilebis dazianebis buneba menejmenti - 5
da meqanizmi
 centraluri venis kaTeteris
 rbili qsovilebis dazianebis
Cadgma - 10
menejmentis principebi
 travmuli Wrilobebis menejmentis
 gulmkerdis drenaJis Cadgma - 5
principebi
 kompartment sindromi
 diagnostikuri peritonealuri lavaJi
damwvroba -5
 damwvrobis klasifikacia
 damwvrobis menejmentis  ureTraluri kaTeterizacia - 15
principebi
 suprapubikuri kaTeterizacia
motexilobebi (epicistostomia) - 10
 motexilobebis klasifikacia
 motexilobebis paTofiziologia
 motexilobebis menejmentis
principebi
 motexilobebis garTulebebi
 saxsrebis dazianebebi
organospecifiuri travma
 Torakaluri travmis paTofiziologia
 pnevmoToraqsi
 Tavis dazianebebi, raSic Sedis
intrakranialuri travmuli hemoragia
da Tavis tvinis dazianeba
 xerxemlis svetis dazianeba
 periferiuli nervebis dazianeba
 muclis blagvi da Semavali travma
 elenTis dazianebiT
 sisxlZarRvTa dazianeba, maT
Soris iatrogenuli dazianebebi
 kraS dazianeba
kanis deficitis menejmentis principebi,

maT Soris kanis transpalntantebi da kanis
nafleTebi
qirurgiuli infeqcia da misi prevencia:  abscesis (flegmonis) gaxsna - modulis
20 mimdinareobis dros,
 Wrilobis pirveladi qirurgiuli lokaluri
damuSaveba 30 xelmZRvaneli,
 hidradenitis drenireba - 5 ufrosi rezidenti da
 subfrenuli abscesis drenireba zedamxedveli eqimi
-3 afaseben rezidentis
praqtikuli
momzadebis dones.
Teoriuli masala
fasdeba klinikis
TanamSromelTa
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
muxli 14. moduli 1.2. laparoskopiuli qirurgia (bazisuri nawili) -1 Tve

1. modulis mizani da amocanebi - kursis mizania swavlebis procesSi rezidenti gaecnos
laparoskopiuli qirurgiis Tanamedrove aspeqtebs. swavlebis sawyisi etapi fokusirebulia bazisuri
laparoskopiuli qirurgiis aucilebeli komponentebis Seswavlaze, mis Sesrulebis upiratesobebze tradiciul
qirurgiasTan mimarTebaSi, laparoskopiuli midgomis Cvenebebze da ukuCvenebebze da aseve misi
Sesrulebis teqnikur sirTuleebze da garTulebebze. swavlebis praqtikul nawiliSi rezidents saSualeba
eqneba aiTvisos bazisuri laparoskopiuli teqnika, aseve saswavlo procesis praqtikuli etapi
orientirebulia Tvalisa da xelis koordinaciis, laparoskopiuli instrumentebis gamoyenebis da sxvadasxva
praqtikuli unarCvevebis formireba, daxvewaze.
2. literaturis nusxa
a) Laparoscopic Surgery Second Edition, edited by Daniel B. Jones, Harvard Medical School
b).Brunicardi.Schwartz's Principles of
Surgery.9ed.2009.ISBN007154769X.1888pages.ebook.English
g) Laparoscopic Surgery the Nineties ,G Melotti, Ph. Mouret M Meinro / Edition M.Mason 1994
Sefasebis meTodebi:
Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli Sefasebis
manipulaciis meTodebi
raodenoba
laparoskopiuli qirurgiis Tvalisa da xelis 10 modulis
ganviTarebis istoria. koordinaciis varjiSebi mimdinareobis
Llap. qirurgiis uaxlesi (simulatorebze) dros, lokaluri
miRwevebi. '' xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
laparoskopiuli qirurgiis pneumoperitoneumis 10 modulis
upiratesobebi, Seqmna. troakarebis mimdinareobis
Cvenebebi da moTavsebis teqnika. dros, lokaluri
ukuCvenebebi, E(qsperimentul xelmZRvaneli,
garTulebebi cxovelze) ufrosi rezidenti da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
laparoskopiuli eqstrakorporaluri da 10 modulis
aparaturis gamoyenba. intrakorporaluri kvanZis mimdinareobis
Llap. instrumentebi, dadeba teqnika. Nakeris dros, lokaluri
troakarebis saxeobebi dadebis teqnika. xelmZRvaneli,
da maTi gamoyenebis (savarjiSo ufrosi rezidenti da
Taviseburebebi modelebze da zedamxedveli
eqsperimentul eqimi afaseben
cxovelebze) rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
pneumoperitoneumis qsovilebis diseqciis 10 modulis
paTofiziologia, teqnika. mimdinareobis
garTulebebi, (eqsperimentul dros, lokaluri
garTulebebis prevencia cxovelebze) xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
Tavi III. programis specifiuri nawili (swavlebis Sualeduri etapi)
muxli 15. profesiuli mzadebis meore wlis modulebi

1. profesiuli mzadebis meore wlis modulebis raodenobaa 7: zogadi qirurgia II,
endoskopia, radiologia, damwvroba, yba-saxis qirurgia sasamarTlo medicina.
muxli 16. profesiuli mzadebis II wlis (PGY II) mizani:

1. meore wlis rezidenti agrZelebs pre- da postoperaciuli movlis aTvisebas, da
garda amisa misi operaciuli aqtivoba sagrZnoblad unda iqnes gazrdili. meore wlis
ganmavlobaSi, rezidenti rotaciebs gadis da codnas iRrmavebs zogadi qirurgia II,
endoskopiaSi, radiologiaSi, damwvrobaSi, yba-saxis qirurgiaSi sasamarTlo
medicinaSi. zogad qirurgia II-Si rotaciis dros, rezidenti iRrmavebs codnas
onkologiaSi, koloproqtologiaSi. rezidenti monawileobas iRebs “mwvave”
avadmyofTa movlaSi, aseve igi muSaobs poliklinikur (ambulatorul) qirurgiul
pacientebTan. mzadebis meore wlisaTvis, rezidentis momzadebis mTavari
kriteriumi mdgomareobs imaSi, rom rezidentma unda SesZlos sabaziso codnisa
gamoyeneba qirurgiul avadmyofebTan mimarTebaSi. aRniSnuli tendencia unda
gasdevdes yvela rotaciul cikls, romelic meore wlis rezidenturis programiT aris
gaTvaliswinebuli.
muxli 17. moduli 2.1. zogadi qirurgia II (zogadi qirurgia - 3 KTve + onkoqirurgia - 2
Tve), xangrZlivoba 5 Tve
1. modulis mizania, diplomis Semdgomi mzadebis mesame wlis ganmavlobaSi, rezidentis mier
miRebuli Teoriuli da praqtikuli codnis gaRrmaveba, aseve zogad qirurgiaSi da momijnave
specialobebSi miRebuli Teoriuli codnisa da praqtikuli unar Cvevebis etapobrivi sinTezi. zogadi
qirurgiis modulze rezidentis mesame rotaciis mizania, winamdebare modulis mimdinareobis dros,
gansakuTrebuli aqcenti unda gakeTdes mamologiis da qirurgiuli onkologiis sakiTxebze.
2. modulis amocanebi: dasaxuli miznis misarwevad, rezidenti iRrmavebs Teoriul codnas
proqtologiaSi, gulmkerdis qirurgiaSi, onkologiaSi, mamologiaSi. Pparalelurad igi eufleba elenTis
daavadebebis da travmebis dros spleneqtomias da elenTaze organoSemdaxveli operaciebs Teoriul da
praqtikul codnas.P Teoriuli kursi moicavs inkologiis, mamologiis, saWmlis momnelebeli traqtis sxva
da sxva ubnebis sfinqterebis funqciebis Seswavlas da praqtikuli nawilis Sesabamisi codnis maRebasa
da damuSavebas.
3. literaturis nusxa
2006
z) Silverberg S.C. Principles and Practice of Surgical Pathology.
2001.
m) Кузин М.И. Хирургические болезни, Москва, 2003.
n) http://www.medtrng.com/tutorials_and_simulators_part_8.htn (clinical surgery, surgical
videos).
Sefasebis meTodebi:
Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciis Sefasebis meTodebi
raodenoba
saWmlis apendeqtomia, ix. danarTi 2 modulis
momnelebeli ulcerografia, Meckel-is mimdinareobis
traqtis sistema: divertikuleqtomia, dros, lokaluri
qolecisteqtomia xelmZRvaneli,
apendeqtomia ufrosi rezidenti da
(laparoskopuli), zedamxedveli eqimi
laparoskopuli afaseben rezidentis
spleneqtomia, praqtikuli
enterostomia, momzadebis dones.
ganivi kolostomia, Teoriuli masala
gastrostomia, kolinjis fasdeba klinikis
stepleruli anastomozi, TanamSromelTa
kolostomis likvidacia, mier,
marcxenamxrivi konferenciebis
hemikoleqtomia, bolos. Sefaseba
marjvenamxrivi fiqsirdeba
hemikoleqtomia, saregistracio
maryuJovani ileostomia, JurnalSi.
onkologia stepleruli entero- modulis
enterostomia, mimdinareobis
wvrili nawlavis rezeqcia, dros, lokaluri
wvrili nawlavis stepleruli xelmZRvaneli,
rezeqcia, pankreasis cistis ufrosi rezidenti da
an fsevdocistis drenireba zedamxedveli eqimi
afaseben rezidentis
praqtikuli
momzadebis dones.
Teoriuli masala
fasdeba klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
sarZeve jirkvali: mastitis drenireba, ix. danarTi 2 modulis
ZuZus seqtoruli rezeqcia mimdinareobis
dros, lokaluri
xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli eqimi
afaseben rezidentis
praqtikuli
momzadebis dones.
Teoriuli masala
fasdeba klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
hemopoezuri da spleneqtomia, splenuri ix. danarTi 2 modulis
limfo-retikuluri konservacia (splenorafia), mimdinareobis
sistemebi: dros, lokaluri
xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli eqimi
afaseben rezidentis
praqtikuli
momzadebis dones.
Teoriuli masala
fasdeba klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
respiraciuli gulmkerdis kedlis ix. danarTi 2 modulis
sistema, Wrilobis pirveladi qir. mimdinareobis
damuSaveba, plevris dros, lokaluri
punqcia / drenireba, xelmZRvaneli,
Torakotomia, ufrosi rezidenti da
pnevmorafia, zedamxedveli eqimi
pulmoneqtomia, afaseben rezidentis
lobeqtomia / praqtikuli
segmenteqtomia momzadebis dones.
traqeostomia, kardiorafia Teoriuli masala
fasdeba klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
muxli 18. moduli 2.2. intensiuri Terapia, 2 Tve

1. modulis mizani - modulis mizania rezidents Seaswavlos travmis Sedegad miRebuli
sxvadasxva dazianebebis mqone avadmyofis marTvis Taviseburebebi. aqcenti unda gakeTdes im
urTules problemebze, romelic unda gadawydes qirurgiuli da intensiuri RonisZiebebis kompleqsuri
gamoyenebiT saerTo miznis misaRwevad.
2. modulis amocanebi: momavalma zogadma qirurgma unda SeZlos travmuli Sokis dros
avadmyofis marTvis principebis gamoyeneba da maTi praqtikuli ganxorcieleba. unda gadawyvitos
prioritetulobis sakiTxebi, miiRos gadaudebeli klinikuri gadawyvetilebebi, romelbic daemyareba
miRebul Teoriul codnasa da praqtikul gamocdilebas. aseve rezidentma unda gamoimuSaos
problemebis kompleqsuri gadawyvetis unarebi. gansakuTrebuli aqcenti unda gakeTdes politravmis
marTvaze, hemodinamikur mxardaWerasa da monitoringze.
3. literaturis nusxa - ix. danarTi 1
Sefasebis meTodebi:
Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli Sefasebis meTodebi
manipulaciis raodenoba
gadaudebeli anesTeziologia, resuscitacia, ix. danarTi 2 modulis
medicina: intensiuri Terapia mimdinareobis dros,
lokaluri
xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli eqimi
afaseben rezidentis
praqtikuli
momzadebis dones.
Teoriuli masala
fasdeba klinikis
TanamSromelTa
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi. intensiuri
Terapiis palataSi
Catarebuli
saqmianobis
Sesaxeb, rezidenti
akeTebs
Canawerebs
saregistracio
JurnalSi
kritikuli SeZlos travmuli Sokis dros ix. danarTi 2 modulis
qirurgiuli avadmyofis marTvis mimdinareobis dros,
daavadebebi da principebis gamoyeneba da lokaluri
intensiuri maTi praqtikuli xelmZRvaneli,
Terapia: ganxorcieleba. ufrosi rezidenti da
gadaudebeli klinikuri zedamxedveli eqimi
gadawyvetilebebi, romelbic afaseben rezidentis
daemyareba miRebul Teoriul praqtikuli
codnasa da praqtikul momzadebis dones.
gamocdilebas. Teoriuli masala
politravmis marTva, fasdeba klinikis
hemodinamikur mxardaWera TanamSromelTa
da monitoringi. avadmyofis mier, konferenciebis
marTva mimdinareobs bolos. Sefaseba
kritikuli (intensiuri) medicinis fiqsirdeba
palatebSi, sadac avadmyofis saregistracio
marTvis Taviseburebebis JurnalSi. intensiuri
gacnoba da garkveuli Terapiis palataSi
manipulaciebis Sesruleba Catarebuli
rezidentis mzadebis aRniSnuli saqmianobis
modulis erT-erT ZiriTad Sesaxeb, rezidenti
amocanas warmoadgens. akeTebs
Canawerebs
saregistracio
JurnalSi
muxli 19. moduli 2.3. endoskopia, 1 Tve
1. modulis mizani - endoskopia Tanamedrove samedicino diagnostikis erT-erT integralur nawils

warmoadgens da igi qirurgiul mdgomareobaTa marTvis erT-erTi ZiriTadi damxmare saSualebad
iTvleba. amdenad, zogadi qirurgis mier endoskopuri teqnikis floba da misi Sedegebis interpretacia didi
mniSvnelobisaa qirurgiul avadmyofTa diagnostikisa da mkurnalobis sakiTxebis warmatebulad
gadasawyvetad. endoskopuri meTodebiT SesaZlebelia ara marto sadiagnozo, aramed samkurnalo
manipulaciebis Catarebac, rac endoskpur teqnikas mimimalur invaziur qirurgiis dargadac ayalibebs.
modulis mizans warmoadgens rezidentis mier fibro-endoskopuri teqnikis gamoyenebis Seswavla da
misi Sedegebis interpretaciis unaris Camoyalibeba.
2. modulis amocanebi: dasaxuli miznis misaRwevad, rezidenti 1 Tvis ganmavlobaSi samuSao
dros uTmobs praqtikuli fibro-endoskopiis sakiTxebs. rezidentma unda aiTvisos:
fibroezofagogastroduodeno-skopia, kolonoskopia da bronqoskopia. fibroskopuli teqnikis gamoyenebiT
rezidentma unda SeZlos ucxo sxeulebis amoReba, peptikuri wylulovani daavadebis, aseve zeda
gastroenteruli traqtis daavadebebis diagnostika. fibroskopuli teqnikis saSualebiT rezidentma unda
aiTvisos mcired invaziuri manipulaciebis Catarebis ZiriTadi principebi: koagulacia, polipis mokveTa.
igi aseve unda gaecnos rTul manipulaciebsac, magaliTad retrogradul endoskopur qolecisto-
pankreatografias, kontrastis Seyvanis teqnikas, saylapavis varikozebis ligacias da sxv. sasurvelia Tu
rezidenti aseve gaimdidrebs codnas perkutanuli endoskopuri gastrostomiis gacnobiT, aseve
endoskopuri sonografiis SesaZleblobebis aTvisebiTa da klinikuri SesaZleblobebis amgvari
gafarToebiT daxvewos avadmyofTa marTvis sakiTxebi. praqtikuli kursis paralelurad, rezidentma
Teoriulad unda daamuSaos radiologiis sxva meTodebi: (sonografia, kompiuteruli tomo grafia, birTvul-
magnituri rezonansi, radionukliduri diagnostika da a.S.).
Sefasebis meTodebi:
manipulaciis raodenoba meTodebi
endoskopia: traqeidan/saylapavidan ucxo ix. danarTi 2 Catarebuli
sxeulis amoReba, fibroskopulad procedurebi unda
ucxo sxeulebis amoRebis aRiweros da
teqnika; dafiqsirdes
perkutanuli, endoskopuri rezidetis JurnalSi.
gastrostomia – PEG; Teoriuli codna
sadiagnozo laparoskopia; fasdeba wina
gastroduodenoskopia; modulebis
kolonoskopia; msgavsad.
bronqoskopia;
retrograduli
qolangiopankreatografia ERCP.
peptikuri wylulovani
daavadebis, aseve zeda
gastroenteruli traqtis
daavadebebis diagnostika;
koagulacia, polipis mokveTa;
saylapavis varikozebis ligacia;
muxli 20. moduli 2.4. radiologia, 1 Tve
1. modulis mizani - radiologia Tanamedrove samedicino diagnostikis erT-erT integralur nawils

warmoadgens da igi qirurgiul mdgomareobaTa marTvis erT-erTi ZiriTadi damxmare saSualebad
iTvleba. amdenad, zogadi qirurgis mier radiologiuri teqnikis floba da misi Sedegebis interpretacia didi
mniSvnelobisaa qirurgiul avadmyofTa diagnostikisa da mkurnalobis sakiTxebis warmatebulad
gadasawyvetad. modulis mizans warmoadgens rezidentis mier radiologiis Seswavla da misi Sedegebis
interpretaciis unaris Camoyalibeba.
2. modulis amocanebi: dasaxuli miznis misaRwevad, rezidenti 1 Tvis ganmavlobaSi samuSao
dros uTmobs eqoskopiis, kompiuteruli tomografiis, magnitur rezonansuli tomografiis, pozitronul
emisiuli tomografiis da sxva Teoriul da praqtikul sakiTxebis Seswavlas. rezidentma unda aiTvisos
gulmkerdis da muclis Rrus daavadebebis Tanamedrove samedicino diagnostikis sakiTxebi.
3. literaturis nusxa - ix. danarTi
Sefasebis meTodebi:
raodenoba
radiologia: rentgenoskopia ix. danarTi 2 Catarebuli
gulmkerdis da muclis procedurebi unda
Rrus; aRiweros da
irigoskopia; dafiqsirdes rezidetis
sonografia; JurnalSi. Teoriuli
kompiuteruli tomografia; codna fasdeba wina
birTvul-magnituri modulebis
rezonansi; msgavsad.
radionukliduri
diagnostika;
Termografia
muxli 21. moduli 2.5. damwvroba, 1 Tve

1. modulis mizani - winamdebare modulis mizania travmuli dazianebebis sakiTxebis Seswavlis
gaRrmaveba. am etapze ZiriTadi prioriteti eniWeba Termul dazianebebs, upiratesad damwvrobas da
masTan dakavSirebul klinikur problematikas. damwvroba Tavis mxriv warmoadgens dazianebis tips,
romelic SeiZleba gamowveuli iyos cxeli siTxiT, siciviT, eleqtrodeniT, qimiuri agentebiT an radiaciuli
dasxivebiT. modulis mizania swored aRniSnuli mdgomareobebis marTvis sakiTxebSi rezidentisaTvis
Teoriuli codnisa da praqtikuli gamocdilebis micema.
2. modulis amocanebi: dasaxuli miznis misaRwevad rezidenti rotacias gadis Termuli
dazianebebis centrSi, sadac ecnoba da iTvisebs damwvrobis Sefasebis meTodebs. kanis damwvrobas,
filtvebis damwvrobas, damwvrobiT daavadebas. damwvrobiTi daavadebis dros prognozis da riskis
Sefasebas. damwvrobiTi dazianebebisa da damwvrobiTi daavadebis mqone avadmyofis marTvis
Taviseburebebsa da specifikas. moduli aseve moicavs plastikuri qirurgiis elementebsac, rac aseve
mniSvenlovania damwvrobis Semdgom warmoqmnili nawiburisa da damwvrobis kvalis koreqciisa da
esTetikuri reabilitaciisaTvis. damwvrobiTi daavadebis dros avadmyofis marTva mimdinareobs
kritikuli (intensiuri) medicinis palatebSi, sadac avadmyofis marTvis Taviseburebebis gacnoba da
garkveuli manipulaciebis Sesruleba rezidentis mzadebis aRniSnuli modulis erT-erT ZiriTad amocanas
warmoadgens. modulis dasrulebis Semdeg rezidents unda SeeZlos damwvrobis SemTxvevaSi pirveli
hospitaluri daxmarebis aRmoCena pacientisaTvis, aseve saWiroebis SemTxvevaSi ufor srulyofili
Sefasebisa da marTvis sakiTxebis gadawyveta.
Sefasebis meTodebi:
Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli manipulaciis Sefasebis
raodenoba meTodebi
kombustiologia damwvrobis Sefasebis ix. danarTi 2 modulis
kanis damwvroba, meTodebi; mimdinareobis
filtvebis damwvrobiTi dros, lokaluri
damwvroba, dazianebebisa da xelmZRvaneli da
damwvrobiTi damwvrobiTi zedamxedveli
daavadeba. daavadebis mqone eqimi afaseben
damwvrobiTi avadmyofis marTvis rezidentis
daavadebis dros Taviseburebebi da praqtikuli
prognozis da riskis specifika. momzadebis
Sefaseba; intensiuri Terapia dones.
plastikuri qirurgia
muxli 22. moduli 2.6. yba-saxis qirurgia, 1 kvira
1. modulis mizani – rezidentis mier praqtikuli codnis gaRrmaveba yba saxis organoebis
daavadebebis diagnostikasa, mkurnalobasa da profilaqtikaSi.
2. modulis amocanebi - farTod gavrcelebuli Yyba-saxis midamos daavadebebis: odontogenuri
abscesis da flegmonis, travmuli dazianebebis Tanamedrove gadaudebeli qirurgiuli daxmareba.
Sefasebis meTodebi:
saxis abscesis da saxis abscesebis da 2 modulis
flegmonis flegmonis qirurgiuli mimdinareobis
garTulebebis, mkurnalobis teqnika. dros, lokaluri
profilaqtika, xelmZRvaneli,
mkurnaloba afasebs rezidentis
praqtikuli da
Teoriuli
momzadebis
dones. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
saxis Zvlebis travmuli 1.saxis Zvlebis travmuli 2 modulis
dazianebis dazianebis dros, saaunTqi mimdinareobis
diagnostika da gzebis gamavlibis mizniT dros, lokaluri
mkurnaloba krikotiroidotomiis xelmZRvaneli,
teqnikis aTviseba. afasebs rezidentis
praqtikuli da
2.saxis Zvlebis travmuli Teoriuli
dazianebis da momzadebis
cxvirzedaybis dones. Sefaseba
sisxldenebis dros, 2 fiqsirdeba
sisxldenis SeCerebis saregistracio
mizniTa cxviris wina da JurnalSi.
ukana tamponadis
teqnikis aTviseba.
muxli 23. moduli 2.7. sasamarTlo medicina, 3 kvira

1. modulis mizani da amocanebi - Seaswavlos rezidents samedicino-biologiuri sakiTxebi,
romlebic aRiZvreba samarTaldamcavi organoebis winaSe gamoZiebis procesSi sisxlis samarTlis da
samoqalaqo saqmeebis ganxilvis dros. Seaswavlos sasamarTlo samedicino eqspertizis saproceso
safuZveli saqarTvelos sisxlis samarTlis saproceso kodeqsis mixedviT, gvamis SemTxvevis adgilze
daTvaliereba, aseve, dazianebis aRweris Taviseburebani sxvadasxva sagnebiTa da iaraRebiT
miyenebuli dazianebis dros, raTa ისინი sworad da srulfasovnad aRiweros samedicinო dokumentebSi.
a) b. kolasonia. sasamarTlo medicina. saxelmZRvanelo. Tbilisi. 2011 w;
b) Richard Sheperd, Simpsons Forensic Medicine, 12th Edition, 2003.
3. Sesasrulebeli samuSaos moculoba da modulis Sefasebis meTodebi:
Teoriuli kursi profesiuli unar- Sefasebis meTodebi
Cvevebi
1. sasamarTlo samedicino eqspertizis saproceso sasamarTlo modulis
safuZveli saqarTvelos sisxlis samarTlis samedicino mimdinareobis dros,
saproceso kodeqsis mixedviT. dokumentebis lokaluri
2. eqimi-specialistis mier sasamarTlo gaformeba eqimi xelmZRvaneli,
samedicino dikumentebis gaformebis wesi. specialistebis mier. afasebs rezidentis
3. eqimi eqspertis monawileoba gvamis Teoriuli
SemTRxvevis adgilze daTvalierebis procesSi. momzadebis dones.
4. biologiur nivTmtkicebaTa aRebis, SefuTvis, Sefaseba fiqsirdeba
konservaciis wesebis codna. saregistracio
JurnalSi.
5. mkvrivi blagvi sagniT miyenebuli dazianebis samedicino modulis

daxasiaTeba da maTi aRwera samedicini dokumentebSi mimdinareobis dros,
dokumentebSi. dazianebaTa aRweris lokaluri
6. adamianebis da cxovelebis mier miyenebuli Seswavla xelmZRvaneli,
dazianebaTa Taviseburebani. afasebs rezidentis
7. maxvili iaraRiT miyenebuli dazianebebi: Teoriuli
naCxvleti, nakveTi, naCxvlet-nakveTi, naCexi momzadebis dones.
da naxerxi Wrilobebis Taviseburebani. Sefaseba fiqsirdeba
8. simaRlidan vardnis damaxasiTebeli saregistracio
dazianebaTa Taviseburebani. JurnalSi.
9. sagzao transportiT miyenebul dazianebaTa
Taviseburebani. modulis
10. cecxlnasroli Wrilobebi: Semaval da mimdinareobis dros,
gamaval cecxlnasrol WrilobaTa lokaluri
ganmasxvavebeli Wrilobebi. xelmZRvaneli,
11. srolis manZilis gansazRvra cecxlnasroli afasebs rezidentis
Wrilobebisas. Teoriuli
12. Zvlebze miyenebuli dazianebebis momzadebis dones.
Taviseburebebi mkvrivi blagvi sagniTa da Sefaseba fiqsirdeba
cecxlsasroli iaraRiT miyenebul dazianebebisas. saregistracio
13. afeTqebiT gamowveul dazianebaTa JurnalSi.
Taviseburebani.
14. sxeulis dazianebis xasiaTisa da simZimis
xarisxis gansazRvris kriteriumebi.
15. asoTmavneblobisa da xelovnurad
gamowveuli avadmyofuri mdgomareobis
Taviseburebani.
16. qirurgis pasuxismgebloba profesiul
samarTaldarRvevaze.
Tavi III. programis III etapis (III wlis) aRweriloba
muxli 24. profesiuli mzadebis mesame wlis modulebi

1. profesiuli mzadebis mesame wlis modulebis raodenobaa 6: zogadi qirurgia
III, travmatologia-orTopedia, sisxlZarRvTa qirurgia, urologia, neiroqirurgia,
palstikuri qirurgia.
muxli 25. profesiuli mzadebis III wlis (PGY III) mizani:

1. mesame wlis sarezidento mzadebis dros, ZiriTadi aqcenti unda
gamaxvildes rezidentis mier klinikuri msjelobis da qirurgiuli gadawyvetilebebis
miRebis unarebis ganviTarebaze rogorc saoperacioSi, aseve mis gareT
Sesasrulebeli saqmianobebis dros. am wlidan, rezidenti ukve oficialurad
uflebamosilia da valdebulic aris, Seasrulos garkveuli makoordinirebeli roli I da II
wlis rezidentebis mimarT. man unda gauziaros umcros kolegebs gamocdileba,
daexmaros specialobis aTvisebaSi da davalebebis SesrulebaSi. mesame wlis
mzadeba SeiZleba CaiTvalos praqtikulad gardamtex etapad zogadi qirurgis
Camoyalibebis xangrZliv ciklSi. rezidenti dRiTidRe unda zrdides Tavisi
saqmianobisa da uflebamosilebebis farglebs rogorc hospitaluri, ise ambulatoruli
qirurgiis ganxriT. am dros rezidenti pacientebisaTvis asrulebs sakonsultacio
funqciebsac. mesame wlis rezidentis datvirTvaSi maqsimaluri aqcenti unda
gakeTdes saswrafo da gadaudebel qirurgiul operaciebze, zogadqirurgiuli da
travmis SemTxvevebis dros. am dros zedamxedveli eqimi maqsimalurad unda
cdilobdes rezidents Seuqmnas samuSao pirobebi da garemo programis ganuxreli
SesrulebisaTvis. rogorc ukve aRiniSna, mesame wlis dasrulebas Tan unda
mohyves rezidentis profesiuli simwifis gardamtex etapze gadasvla da klinikuri
azrovnebis Camoyalibeba, rac Zalzed mniSvnelovania klinikuri gadawyvetilebebis
misaRebad.
muxli 26. moduli 3.1. zogadi qirurgia III. xangrZlivoba – 6 Tve (zogadi qirurgia-4 Tve +
koloproqtologia onkoqirurgiiT – 2 Tve)
1. modulis mizania - zogadi qirurgiis modulze rezidentis meore rotaciis mizania, zogad
qirurgiaSi da momijnave specialobebSi miRebuli Teoriuli codnisa da praqtikuli unar Cvevebis
etapobrivi sinTezi. winamdebare modulis mimdinareobis dros, gansakuTrebuli aqcenti unda gakeTdes
qirurgiuli onkologiis da proqtologiis sakiTxebze.
2. modulis amocanebi: modulis praqtikuli nawili orientirebulia operaciuli aqtivobis mkveTr
gafarToebaze. am etapze, rezidentma unda aiTvisos ZiriTadi zogadqirurgiuli operaciebis teqnika
(apendeqtomia, ulcerorafia, qolecisteqtomia da a.S.). paralelurad, rezidenti ukve iwyebs damoukidebel
praqtikul momzadebas kuW-nawlavis qirurgiaSi. misi kompetencia unda gaizardos wvrili da msxvili
nawlavis ZiriTadi operaciebis aTvisebiT. aRniSnuli operaciebis gamoyeneba rezidentma unda SeZlos
rogorc qirurgiuli daavadebebis, ise travmuli dazianebebis arsebobis SemTxvevaSi. gansakuTrebuli
mniSvneloba eniWeba qirurgiuli teqnikis daxvewas sakeri aparatebis-steplerebis gamoyenebiT.
praqtikuli saqmianoba da Teoriuli masala moicavs qirurgiuli onkologiis ZiriTad aspeqtebs; kerZoT
koloproqtologias onkoqirurgiiT.
2006
z) Silverberg S.C. Principles and Practice of Surgical Pathology.
2001.
m).Кузин М.И. Хирургические болезни, Москва, 2003.
n) http://www.medtrng.com/tutorials_and_simulators_part_8.htn
Sefasebis meTodebi:
raodenoba
zogadi qirurgia II apendeqtomia, ix. danarTi 2 modulis
saWmlis ulcerografia, Meckel-is mimdinareobis
momnelebeli divertikuleqtomia, dros, lokaluri
sistema: qolecisteqtomia xelmZRvaneli,
apendeqtomia ufrosi rezidenti da
(laparoskopuli), zedamxedveli eqimi
laparoskopuli afaseben rezidentis
spleneqtomia vagotomia, praqtikuli
wvrili nawlavis rezeqcia, momzadebis dones.
wvrili nawlavis stepleruli Teoriuli masala
rezeqcia, pankreasis cistis fasdeba klinikis
an fsevdocistis drenireba TanamSromelTa
mier konferenciebis
bolos. Sefaseba
fiqsirdeba rezidentis
saregistracio
JurnalSi.
onkologia enterostomia, ganivi ix. danarTi 2 modulis
kolostomia, gastrostomia, mimdinareobis
kolinjis stepleruli dros, lokaluri
anastomozi, kolostomis xelmZRvaneli,
likvidacia, ufrosi rezidenti da
marcxenamxrivi zedamxedveli eqimi
hemikoleqtomia, afaseben rezidentis
marjvenamxrivi praqtikuli
hemikoleqtomia, swori momzadebis dones.
nawlavis wina rezeqcia, Teoriuli masala
maryuJovani ileostomia, fasdeba klinikis
stepleruli entero- TanamSromelTa
enterostomia, mier konferenciebis
bolos. Sefaseba
saregistracio
JurnalSi.
proqtologia, analuri fistulis / napralis ix. danarTi 2 modulis
anoreqtuli amokveTa, hemoroidebis mimdinareobis
funqceibis inieqcia da amokveTa, dros, lokaluri
diagnostika: iSioreqtuli abscesis xelmZRvaneli,
drenireba da analuri ufrosi rezidenti da
fistulis amokveTa, zedamxedveli eqimi
piloniduri sinusis afaseben rezidentis
amokveTa praqtikuli
momzadebis dones.
Teoriuli masala
fasdeba klinikis
TanamSromelTa
mier konferenciebis
bolos. Sefaseba
saregistracio
JurnalSi.
muxli 27. moduli 3.2. travmatologia-orTopedia, 1 Tve

1. modulis mizani - orTopediuli qirurgia warmoadgens qirurgiis ganStoebas, romelic
orientirebulia Zval-kunTovani sistemis mwvave, qronikul, travmul daavadebebze da sxva saxis
paTologiebze. orTopedebi, praqtikaSi yvelaze xSirad xvdebian avadmyofebs, romelbsac aReniSnebaT
arTriti, travma an Tandayolili deformacia, romelTa mkurnaloba moiTxovs, rogorc konservatiul
mkurnalobas, aseve garkveul qirurgiul intervenciebs. zogadi qirurgiis orTopediuli modulis mizania,
rezidentma SeZlos ZiriTad orTopediul problemebSi garkveva, orientireba da garkveul SemTxvevebSi
adeqvaturi daxmarebis gaweva. orTopedi qirurgis momzadeba moiTxovs calke rezidenturis
programas, romlis sawyisi etapi eTmoba zogad qirurgia, Tumca zogadi qirurgic unda flobdes garkveul
codnasa da unar Cvevebs, garkveul sazRvrebSi orTopediuli daxmarebis aRmosaCenad.
2. modulis amocanebi: modulis mimdinareobis dros, yuradReba unda mieqces Zval-saxsarTa
sistemis travmul dazianebaze, gansakuTrebiT kombinirebuli da Serwymuli travmebis dros. rezidents
saSualeba unda mieces Seiswavlos orTopediuli qirurgiis ZiriTadi aspeqtebi da paralelurad aiTvisos
sagnis Teoriuli nawili. Ddidi mniSvneloba eniWeba Zval-saxsarTa sistemis dazianebaTa radiologiuri
kvlevis meTodebs, orTopediuli travmebis marTvas.
3. literaturis nusxa - ix.danarTi 1.
Sefasebis meTodebi. (mocemulia cxrili #3.2-is saxiT).
cxrili #3.2
Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli Sefasebis meTodebi

manipulaciis
raodenoba
rbili qsovilebis travma rbili qsovilebis travmis ix. danarTi 2 rezidentis praqtikuli
– daJeJiloba, diagnostika, Wrilobis aqtivoba da
eqskoriacia, pirveladi qirurgiuli Teoriuli mzadebis
Wrilobebi. damuSaveba, Sexveva, Sedegebi fiqsirdeba
saxsris travmuli monitoringi. saregistracio
dazianeba – RrZoba, amovardnilobis JurnalSi
posttravmuli arTriti, Casworeba – mxari,
hemarTrozi, saxsris winamxari, sxiv-majis
kunTovan – iogovani saxsari, barZayis, wvivi,
aparatis dazianeba – kviristavi, terfi.
mxris, idayvis, sxiv- imobilizacia rbili da
majis, menj-barZayis, TabaSiris naxveviT.
muxlis da koW- saxsris punqcia
wvivis. hemarTrozis dros.
sxvadasxva motexilobis kliniko-
lokalizaciis rentgenologiuri
motexilobebi – zeda diagnostika.
da qveda kidurebi, imobilizacia – artaSniT,
menji. rbili daWimviT, TabaSiris
naxveviT.
osteotomia, osteosinTezi, ix. danarTi 2

sekvestreqtomia, ZvalSiga
fiqsacia, Zvlis plastika,
Zvlis rezeqcia,
arTrotomia, arTroplastika,
arTrodezi
barZayis saxsris Secvla ix. danarTi 2
muxli 28. moduli 3.3. sisxlZarRvTa qirurgia, 1 Tve

1. modulis mizani - rezidenti swavlobs uSualod sisxlZarRvovani paTologiebis diagnostikas da
minimalur-invaziur intervenciebs. mocemul etapze, sisxlZarRvTa paTologiebi, gulis qirurgiasTan
paralelurad ar ganixileba. modulis dasrulebis Semdeg, rezidents unda SeeZlos Tavisufali orientacia
sisxlZarRvTa qirurgiis yvela im sakiTxSi, romelic aucilebeli iqneba zogadi qirurgiis praqtikis
warsamarTavad. aqedan gamomdinare, didi moculobis angiologiuri operaciebis dros rezidents evaleba
operaciis ZiriTadi principebis aTviseba da operaciebis dros asistencia. rezidenti swavlobs uSualod
sisxlZarRvTa qirurgiuli daavadebebis mkurnalobis ZiriTad meTodebs. modulis dasrulebis Semdeg,
rezidents unda SeeZlos Tavisufali orientacia sisxlZarRvTa qirurgiis yvela im sakiTxSi, romelic
aucilebeli iqneba zogadi qirurgiis praqtikis warsamarTavad.
2. modulis amocanebi: sisxlZarRvTa qirurgia warmoadgens qirurgiis ganStoebas, romelic
moicavs intervenciebs arteriebze da venebze, aseve periferiuli vaskuluri sistemis daavadebebis
konservatiuli mkurnalobis meTodebs. rezidentma unda Seiswavlos arteriuli daavadebebi
(gansakuTrebuli yuradReba unda gamaxvildes diabetis fonze ganviTarebul darRvevebze); rezidenti
unda gaecnos karotidul endartereqtomias, arteriul da femoral endartereqtomias, anevrizmebs, iSemiur
dazianebebs (kiduris iSemia, jorjlis iSemia, periferiuli arteriebis okluziuri daavadebebi). aseve Rrma
venebis Trombozs, renalur iSemias, Trombeqtomias da saWmlis momnelebeli traqtis sxvadasxva
ubnebis iSemiur dazianebebs. venebis daavadebebidan rezidentma unda Seiswavlos varikozuli
daavadeba, venebis malformaciebi da diabeturi terfisa da Seuxorcebeli wylulebis marTvis
Taviseburebebi.
3. literaturis nusxa - ix. danarTi 1.
Sefasebis meTodebi:
angiologia, saCino venis maRali ix. danarTi 2 modulis
sisxlZarRvTa qirurgia ligacia da stripingi, mimdinareobis
arteriebisa da venebis Suntirebis procedura dros, lokaluri
daavadebebi portuli hipertenziis xelmZRvaneli da
dros. zedamxedveli
varikozuli daavadeba, eqimi afaseben
venebis malformaciebi rezidentis
da diabeturi terfisa da praqtikuli da
Seuxorcebeli wylulebis Teoriul
marTvis momzadebis
Taviseburebebi. dones.
rezidenti unda aortofemoruli ix. danarTi 2 modulis
gaecnos karotidul Suntireba, karotiduli mimdinareobis
endartereqtomias, endartereqtomia, Rru dros, lokaluri
arteriul da femoral venis interrupcia, xelmZRvaneli da
endartereqtomias, muclis aortis zedamxedveli
anevrizmebs, iSemiur anevrizmis rezeqcia, eqimi afaseben
dazianebebs (kiduris portakavuri Suntireba, rezidentis
iSemia, jorjlis iSemia, splenorenuli Suntireba, praqtikuli da
periferiuli arteriebis saCino venis Suntireba Teoriul
okluziuri momzadebis
daavadebebi). dones.
programa moicavs
aseve Rrma venebis
Trombozs, renalur
iSemias,
Trombeqtomias da
saWmlis momnelebeli
traqtis sxvadasxva
ubnebis iSemiur
dazianebebs.
muxli 29. moduli 3.4. urologia, 1 Tve

1. modulis mizani - aRniSnuli modulis mizania qalisa da mamakacis saSarde sistemis, aseve
mamakacis reproduqciuli sistemis im ZiriTadi daavadebebisa da travmebis diagnostikisa da
mkurnalobis sakiTxebis gacnobas, romelTa marTva qirurgiul intervencias iTvaliswinebs. daavadebebi
da travmebi Seexeba Semdeg organoebs: Tirkmelebi, SardsawveTi, Sardis buSti; aseve mamakacis
reproduqciul sistemas: saTesle, saTeslis danamati, Teslis gamomtani sadinari, saTesle buStukebi,
winamdebare jirkvali da sasqeso aso. miuxedavad qirurgiuli intervenciebis aqcentirebisa, disciplina
moicavs zogierTi mdgomareobis araqirurgiuli marTvis sakiTxis Seswavlis aucileblobasac (infeqciebi,
anTeba da a.S.). gadaudebeli mdgomareobebisa da situaciebis Rrma Teoriuli codnis aTviseba da
urgentul situaciebSi kompetenturi samedicino daxmarebis gaweva.
2. modulis amocanebi: dasaxuli miznis misaRwevad rezidenti unda gaecnos Sard-sasqeso
sistemis Taviseburebebs, retroperitoenul organoebze operaciuli midgomis Taviseburebebsa da SesaZlo
garTulebebs. aseve nebismieri operaciebis dros iatrogenuli dazianebis koreqciis gzebsa da
saSualebebs. urologiis modulis gavlisas garkveuli dro unda daeTmos aseve Sard-sasqeso sistemis
onkologiuri daavadebebis, aseve specifikuri infeqciebis gacnobasac. rezidents warmodgena unda
hqondes mamakacis unayofobasa da sqesobrivi funqciis darRvevebzec. urologiuri problemebis
Seswavla aucilebelia aseve bavSvTa asakis Taviseburebebis gaTvaliswinebiT.
a) Л.Г. Манагадзе, Н.А.Лапаткин, О.Б.Лоран, Д.Ю. Пушкарь, С.П. Даренков,
Н.Л.Турманидзе. Р.Когенфеллер. Оперативная урология. Класика и новации.
b) Руководство для врачей. Москва. Медицина. 2003.
g) Campbell-Walsh Urology, 9th Edit., 2011
d).http://www.uroweb.org
e).http://www.EBU.com
v). http://auanet.org
z).http://www.uroweb.ru
T). http://www. ttmed.com
i). http://www.medscape.com
Sefasebis meTodebi:
Teoriuli kursi profesiuli unar- Sesasrulebeli Sefasebis meTodebi
Cvevebi manipulaciis
raodenoba
abdominuri tkivili kaTeterizacia morigeoba modulis aTvisebisas, lokaluri
(mwvave an qronikuli) ureTris kalibrireba stacionarSi –12 xelmZRvaneli , ufrosi
ganpirobebuli boqvenzeda pacientis rezidenti,
urologiuri problemebiT kaTeterizacia gatareba – 12 ganpirobebuli/zedamxedveli
pematuria cistoskopia ureTris eqimi yovelkvireulad
saSarde gzebis reqtaluri/vaginaluri kaTeterizacia – afaseben rezidentis Teoriul
infeqcia/urosepsisi gasinjva 10 codnas da praqtikuli
Sardis Sekaveba Sardsasqeso traqtis troakaruli momzadebis dones, rac
Tirkmlis/SardsawveTis sonografia cistostomia - 4 fiqsirdeba saregistracio
Wvali radiologiuri kvleva saTesle JurnalSi 4 quliani sistemiT da
mwvave saTesle parki (ivp, kt, magnitur jirkvlebis mtkicdeba/ sertificirdeba
riapizmi/asos rezonansuli kvleva) gasinjva -6 programis direqtoris mier
motexiloba hidroceles qirurgiuli cistoskopia - 10 kurikulumis mixedviT.
Tirkmlebis ukmarisoba koreqia saSarde
(pre-, renuli, post-) nefreqtomia sistemis
urogenitaluri travma nefrorafia eqoskanireba -
(Tirkmeli; nefrostomis formireba 20
SardsawveTi; buSti; saSarde
Sardsadeni; saTesle sistemis
parki; menjis Zvlebis radiologiuri da
motexiloba kt kvleva - 10
muxli 30. moduli 3.5. neiroqirurgia, 1 Tve

1. modulis mizani - neiroqirurgia warmoadgens erT-erT ZiriTad qirurgiul disciplinas, ris gamoc
zogadi qirurgis momzadena aucileblad unda iTvaliswinebdes Sesabamisi codnis miRebas, romelic
fokusirebulia cientralur da periferiul nervul sistemis daavadebebze, travmebze da am sistemis
qvemdebare struqturebze intervenciaze. modulis farglebSi miRebuli codnis Sesabamisad, rezidentma
unda miiRos ZiriTadi codna neiroqirurgiul avadmyofTa operaciuli da araoperaciuli marTvis
Taviseburebebis Sesaxeb. araoperaciuli marTva moicavs mdgomareobis Sefasebas, mkurnalobas,
intensiur Terapias da reabilitacias centraluri, periferiuli da avtonomiuri nervuli sistemis elementebis,
maT Soris am ukanasknelTa damxmare struqturebisa da sisxlZarRvebis daavadebebisa da travmebis
dros.
2. modulis amocanebi: rezidentma dasaxuli miznis misaRwevad unda SesZlos im paTologiuri
procesebis Sefaseba da koreqcia, romlebic arRveven an cvlian nervuli struqturebis funqciobas. Uunda
gamaxvildes yuradReba tkivilis marTvis sakiTxebis Seswavlaze.
Sefasebis meTodebi:
centraluri nervuli Tavis midamos ix. danarTi 2 modulis
sistema Wrilobis pirveladi mimdinareobis
(neiroqirurgia): qirurgiuli damuSaveba, dros, lokaluri
rezidenti unda Tavis qalas Zval- xelmZRvaneli,
gaecnos bavSvTa da plastikuri trepanacia afasebs rezidentis
mozrdilTa asakSi praqtikuli da
nervuli sistemis Teoriuli
qirurgiuli, momzadebis
araqirurgiuli da dones. Sefaseba
stereotaqtikuri fiqsirdeba
radioqirurgiuli saregistracio
meTodebis JurnalSi.
gamoyenebiT
pacientis marTvis
sakiTxebs Semdegi
struqturebis
paTologiaTa dros:
Tavis tvini, tvinis
garsebi,
sisxlZarRvebi, qalas
fuZe, intra da
eqstrakraniuli
sisxlZarRvebi, zurgis
tvini, xerxemali,
kraniuli da spinaluri
nervebi, periferiuli
nervebi.
muxli 31. moduli 3.6. palstikuri qirurgia, 1 Tve

1. modulis mizani - plastikuri qirurgiis modulis mizania rezidents, qirurgiuli teqnikis
gamoyenebiT Seaswavlos, sxeulis funqciisa da vizualuri elementebis koreqcia. plastikuri qirurgiis
modulis gavlisas rezidentma unda aiTvisos rogorc kosmetikuri, ise rekonstruqciuli teqnikis ZiriTadi
elementebi da maTi adekvaturi gamoyenebis Taviseburebebi.
2. modulis amocanebi: modulis amocanaa rezidentma SesZlos kosmetikuri da rekonstruqciuli
elementebis gamoyenebis mizanSewonilobis gansazRvra qirurgiuli praqtikis dros. garda amisa,
rezidenti unda daeuflos qirurgiuli teqnikis ZiriTad elemntebs, maTi Semdgomi praqtikuli gamoyenebis
mizniT. aqcenti unda gakeTdes kanis gadanergvaze da plastikaze, rogorc qsovilTa adgilobrivi
gadanacvlebis, aseve Tavisufali da sxva meTodebis gamoyenebiT.
Sefasebis meTodebi:
manipulaciis meTodebi
raodenoba
plastikuri qirurgia kanis gadanergva, kanis ix. danarTi 2 modulis
plastika, rogorc qsovilTa mimdinareobis
adgilobrivi gadanacvlebis, dros, lokaluri
aseve Tavisufali da sxva xelmZRvaneli,
meTodebis gamoyenebiT. afasebs rezidentis
Teoriuli
momzadebis
dones. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
Tavi IV. swavlebis umaRlesi etapi (profesiuli

mzadebis IV weli (PGY IV)
მუხლი 32. პროფესიული მზადების მეოთხე წeლი

1. profesiuli mzadebis meoTxe wlis modulebis raodenobaa 6: kardioqirurgia, bavSvTa qirurgia,
ginekologia, transplantologia laparoskopiuli qirurgia, zogadi qirurgia IV
muxli 33. profesiuli mzadebis IV wlis (PGY IV) mizani:

1. IV wlis rezidenti, rogorc wesi, zedamxedvelobas uwevs III da II wlis rezidentebs qirurgiuli
avadmyofis movlis sakiTxebSi. igi aseve SesaZlebelia monawileobdes medikos studentebisaTvis
garkveuli instruqtaJis micemaSi da koordinaciaSi. saoperacio aqtivobis mxriv me- IV wlis rezidenti
faqtobrivad unda flobdes yvela ZiriTad zogadqirurgiul unarCvevas da codnas. amave dros man unda
uzrunvelyos, misi umcrosi kolega rezidentebisaTvis ZiriTadi operaciuli unar-Cvevebis da teqnikis
aTvisebaSi garkveuli rolis Setana. meoTxe wlis rezidenti (ufrosi rezidenti) ukve unda avlendes
Camoyalibebuli eqim qirurgis kvalifikaciasa da unar-Cvevebs.
2. ufrosi rezidenti aseve unda monawileobs zogadqirurgiuli klinikis administrirebis sakiTxebSi,
ra drosac igi axdens profesiuli ganviTarebis srulyofas.
muxli 34. moduli 4.1. kardioqirurgia, 1 Tve

1. modulis mizani - modulis mizania gul-sisxlZarRvTa daavadebebis qirurgiuli koreqciis
principebis gacnoba da Seswavla. kardioqirugiuli mzadebis moduli moicavs gulisa da magistraluri
sisxlZarRvebis qirurgiuli daavadebebis marTvis sakiTxebis Seswavlas. aRniSnul etapze ZiriTadi
aqcenti unda gakeTdes gul-sisxlZarRvTa daavadebebis diagnostikaze da gamokvlevis invaziur
meTodebze. aseve minimalur-invaziur manipulaciebsa da procedurebze.
2. modulis amocanebi: kardio qirurgiis modulis amocanaa rogorc bavSvTa, ise mozrdil
pacientTa profiluri daavadebebis diagnostikisa da mkurnalobis Seswavla. aRniSnuli Seexeba
Tandayolil daavadebebs, sarqvlebis Senacvlebas, koronaruli arteriebis daavadebebs; aseve gulis
ukmarisobis diagnostikasa da mkurnalobas qirurgiul stacionarSi. koronarografiis teqnikis Seswavlis
garda, rezidentma unda SesZlos adamianis hemodinamikuri maCvenebelbis sruli speqtris aTviseba da
maTi marTvis Taviseburebebis Seswavla rogorc intraoperaciul, aseve post-operaciul periodSi.
rezidenti unda gaecnos perfuziologiis safuZvlebs, Xelovnuri sisxlis mimoqcevis marTvas mSral gulze
operaciebis dros. udidesi yuradReba unda daeTmos kardioqirurgiul avadmyofTa postoperaciuli
marTvis Taviseburebebs da farmakologiur regulirebas intensiuri Terapiis palataSi. aucilebel
komponents warmoadgens aseve kardioqirurgiul pacientTa postoperaciuli reabilitaciis sakiTxebis
Seswavlas, rogorc adreul postoperaciul ise mogvianebiT periodebSi.
a) “Intercollegiate Surgical Curriculum Programme”
b) www.iscp.ac.uk
g) www.ctsnet.org
d) http://www.jcst.org
e) http://www.uems.net/Cardio-Thoracic Surgery
v) Adult Cardiac Surgery Nursing Care and Management. HELEN L INWOOD RGN, DipN, BSc
(Hons), MA Clinical Nurse Specialist Cardiac Services, North Staffordshire Hospital, Stoke-on-Trent
z) CARDIAC AND VASCULAR SURGERY Dr. D.S. Kucey and Dr. C.M. Peniston, Alex Kulik and Ted
Rapanos, chapter editors, Neety Panu, associate editor
T) Cardiac SurgeryA brief overview and an introduction to Minimally Invasive Cardiac Surgery
i) Olivier Chavanon, MD, PhD Department of Cardiac Surgery Grenoble University Hospital,
France & TIMC Laboratory, Grenoble, France
k) Cardiac Surgery in the Adult THIRD EDITION Lawrence H.Cohn,MD Virginia and James
Hubbard Professor of Cardiac Surgery Harvard Medical School Division of Cardiac Surgery Brigham
and Women’s Hospital Boston, Massachusetts
l) Safeguards and Pitfalls in Operative Technique. Authorsh sovais Khonsari, Colleen Flint Sintek
MD,
m) Difficult Decisions in Thoracic Surgery Mark K. Ferguson, Ed
n) Procedures, Techniques, and Minimally Invasive Monitoring in Intensive Care in Intensive
Care Medicine, 4th EditionEditors: Irwin, Richard S.; Rippe, James M.; Lisbon, Alan; Heard, Stephen O.
Congenital Diseases and Syndromes Jarrah Ali Al-Tubaikh, Maximilian F. Reiser
o) Coronary Artery CTA, A Case-Based Atlas Claudio Smuclovisky, MD, Director, South Florida
Medical Imaging Cardiovascular Institute, Boca Raton, FL, USA
p) ESSENTIAL INTERVENTIONAL CARDIOLOGYCardiac Surgery Kirklin and Barratt-Boyes (THIRD
EDITION) ISCP Cardiothoracic Surgery Curriculum August 2010, www.iscp.ac.uk
Sefasebis meTodebi:
raodenoba meTodebi
guli da didi aorto-koronuli Suntirebia ix. danarTi 2 rezidentis praqtikuli
sisxlZarRvebi: aqtivoba da
Teoriuli mzadebis
Sedegebi fiqsirdeba
saregistracio
JurnalSi
mitraluri sarqvlis ix. danarTi 2 rezidentis praqtikuli
plastika, miqsomis aqtivoba da
amokveTa, gulis gakerva Teoriuli mzadebis
Sedegebi fiqsirdeba
saregistracio
JurnalSi
samkariani saqqvlis ix. danarTi 2 rezidentis praqtikuli
Senacvleba aqtivoba da
Teoriuli mzadebis
Sedegebi fiqsirdeba
saregistracio
JurnalSi
koronarografia, misi ix. danarTi 2 rezidentis praqtikuli
Catarebis Cveneba, aqtivoba da
teqnika, garTulebebi. Teoriuli mzadebis
Sedegebis interpretacia Sedegebi fiqsirdeba
saregistracio
JurnalSi
muxli 35. moduli 4.2. bavSvTa qirurgia, 2 Tve

1. modulis mizani - bavSvTa qirurgia anu pediatriuli qirurgia warmoadgens qirurgiul
subspecialobas, romelic moicavs nayofis, axalSobilis, bavSvTa da mozardTa asakis qirurgias.
aRniSnuli dargis Seswavla zogadi qirurgisaTvis miznad isaxavs swored im Taviseburebebis
Seswavlas, romelic zemoT CamoTvl asakobriv jgufebSi Sedis da xSirad gadaudebeli daxmarebis
aRmoCenas sasicocxlo mniSvneloba eniWeba adamianis gadasarCenad. bavSvTa qirurgis momzadeba
warmoudgenelia zogadi qirurgiis rezidenturis gareSe, amdenad, aRniSnuli moduli, zogadqirurgiuli
mzadebis integralur nawilad unda CaiTvalos.
2. modulis amocanebi: bavSvTa qirurgiis modulis miznis misaRwevad, rezidentma unda
SeiZinos sabaziso codna da saTanado unar-Cvevebi raTa SesZlos gadaudebeli aucileblobis
SemTxvevaSi qirurgiuli daxmarebis aRmoCena.
Sefasebis meTodebi:
raodenoba meTodebi
Sinagan organoTa apendeqtomia; ix. danarTi 2 modulis
Tandayolili operaciebi kuWze, wvril mimdinareobis
malformaciebi nawlavze da msxvil dros, lokaluri
(Sardis buStis nawlavze xelmZRvaneli da
higroma, saylapavis zedamxedveli
atrezia da traqeo- eqimi afaseben
ezofaguri fistula, rezidentis
hipertrofuli praqtikuli da
pilorostenozi, Teoriul
intestinuri atrezia, momzadebis
nekrozuli dones.
enterokoliti,
mekoniuri gauvaloba,
hirSprungis
daavadeba, daxSuli
anusi, saTeslis
daSvebis Seferxeba
da a.S. bavSvTa
qirurgiis
kompetencias
ganekuTvneba aseve
muclis kedlis
defeqtebi:
omfalocele,
gastrosxizi, Tiaqrebi;
gulmkerdis
deformaciebi;
bavSvTa asakis
simsivneebi:
neiroblastoma,
Wilms-is simsivne,
rabdomiosarkoma,
RviZlis kibo,
teratoma
muxli 36. moduli 4.3. ginekologia, 1 Tve

1. modulis mizani - operaciuli ginekologiis moduli miznad isaxavs rezidentma Seiswavlos yvela
is ZiriTadi principi da mimarTuleba, romelic SesaZlebelia saWiro gaxdes zogadi qirurgis praqtikuli
moRvaweobis dros. gansakuTrebuli aqcenti unda gakeTdes gadaudebel mdgomareobebze, romlebic
saWiroebs operaciul mkurnalobas da aseve srul sadiferenciacio mdgomareobebze, romlebic SeiZleba
CaiTvalos momijnave qirurgiul mdgomareobebad.
2. modulis amocanebi: zogadi qirurgis mzadebis ginekologiis modulis amocanaa qalis
reproduqciuli sistemis qirurgiuli mdgomareobebis marTvis ZiriTadi aspeqtebis Seswavla. operaciul
ginekologiaSi yvelaze ufro xSirad warmoebuli qirurgiuli intervenciebis gacnoba da maTi diferenciuli
diagnostika WeSmarit qirurgiul mdgomareobebTan warmoadgens metad rTul klinikur SemTxvevebs,
rasac udidesi mniSvneloba unda mieniWos zogadi qirurgis momzadebis dros. gansakuTrebuli adgili
unda daeTmos aseve ginekologiur travmebs da maTi marTvis elemntebs, gansakuTrebiT, Tu
aRniSnuli travmebi ar moiTxoven monoprofilur midgomas. uxSiresad warmoebuli qirurgiuli
intervenciebi ginekologiaSi moicavs: orsulobis terminacias, dilataciasa da kiuretaJs, histereqtomias,
ooforeqtomias, milis ligacias, sadiagnozo laparotomias, saSos plastikas da vertheimis operacias. am
CamonaTvalis gacnoba rezidentisaTvis aucileblobas warmoadgens, Tumca praqtikuli TvalszrisiT
aucilebelia mxolod SigniTa sasqeso organoebis qirurgiis teqnikis aTviseba, rac aucilebelia operaciis
dros Tanmxvedri paTologiuri procesebis likvidaciisaTvis
Sefasebis meTodebi
raodenoba
operaciuli cerviqsul dazianebaTa ix. danarTi 2 rezidentis praqtikuli
ginekologia sadiagnozo teqnika – aqtivoba da Teoriuli
dilatacia / kiuretaJi mzadebis Sedegebi
salpingeqtomia – fiqsirdeba
ooforeqtomia saregistracio
sakvercxis soliseburi JurnalSi
rezeqcia
totaluri abdominuri
histereqtomia, saSos
plastika, milis ligacia,
saSvilosnos gare orsuloba,
sakvercxis ruptura
qalis gareTa sasqeso
organoebis dazianebebi
muxli 37. moduli 4.4 transplantologia, 1 Tve

1. modulis mizani - modulis mizania rezidents gaacnos organoTa gadanergvis ZiriTadi
principebi, qirurgiuli teqnika, imunologiuri aspeqtebi da gamosavali. rezidentis movaleobas ar
Seadgens organoTa gadanergvis operaciebis warmoeba da gadanergili organos mqone avadmyofis
postoperaciuli marTva. moduli miznad isaxavs tramsplantologiis sabaziso problemebis Teoriul
aTvisebas da orientaciis unaris Camoyalibebas.
2. modulis amocanebi: zogadi qirurgis mzadebis ginekologiis modulis amocanaa qalis
reproduqciuli sistemis qirurgiuli mdgomareobebis marTvis ZiriTadi aspeqtebis Seswavla. operaciul
ginekologiaSi yvelaze ufro xSirad warmoebuli qirurgiuli intervenciebis gacnoba da maTi diferenciuli
diagnostika WeSmarit qirurgiul mdgomareobebTan warmoadgens metad rTul klinikur SemTxvevebs,
rasac udidesi mniSvneloba unda mieniWos zogadi qirurgis momzadebis dros. gansakuTrebuli adgili
unda daeTmos aseve ginekologiur travmebs da maTi marTvis elemntebs, gansakuTrebiT, Tu
aRniSnuli travmebi ar moiTxoven monoprofilur midgomas. uxSiresad warmoebuli qirurgiuli
intervenciebi ginekologiaSi moicavs: orsulobis terminacias, dilataciasa da kiuretaJs, histereqtomias,
ooforeqtomias, milis ligacias, sadiagnozo laparotomias, saSos plastikas da vertheimis operacias. am
CamonaTvalis gacnoba rezidentisaTvis aucileblobas warmoadgens, Tumca praqtikuli TvalszrisiT
aucilebelia mxolod SigniTa sasqeso organoebis qirurgiis teqnikis aTviseba, rac aucilebelia operaciis
dros Tanmxvedri paTologiuri procesebis likvidaciisaTvis
Sefasebis meTodebi:
Teoriuli kursi Sefasebis meTodebi
transplantologiis Sesavali kursis gacnobis rezidentis Teoriuli mzadebis Sedegebi
Semdeg, rezidentma unda Seiswavlos renuli fiqsirdeba saregistracio JurnalSi
transplantaciis ZiriTadi aspeqtebi. donoris
SerCevis principebi, operaciuli teqnika da
imunuri konfliqtis marTva. Tanamedrove
moTxivnebidan gamomdinare mizanSewonilia
aseve RviZlis gadanergvis sakiTxebis
Seswavlac. didi mniSvneloba aqvs aseve
rezidenti gaecnos transplantologiis organizaciuli
uzrunvelyofis sakiTxebs, rogorc arsebul
pirobebSi, aseve evropuli qveynebis
gamocdilebis gaTvaliswinebiT.
muxli 38. moduli 4.5. laparoskopiuli qirurgia (klinik. nawili) -1 Tve.

1. modulis mizani da amocanebi - laparoskopiuli qirurgiis klinikuri kursis mizania rezidentma
aiTvisos klasikuri qirurgiuli operaciebis Sesrulebis teqnika laparoskopiuli midgomiT. gaiTavisos is
teqnikuri sirTuleebi romelic xSir SemTxvevaSi Tan axlavs laparoskopiuli operaciis Sesrulebas.
Ggaecnos pacientis momzadebis principebs laparoskopiuli qirurgiuli operaciisTvis da pacientis
postoperaciul marTvas.
2. literaturis nusxa.
a) Laparoscopic Surgery Second Edition, edited by Daniel B. Jones, Harvard Medical School
b).Brunicardi.Schwartz's Principles of
Surgery.9ed.2009.ISBN007154769X.1888pages.ebook.English
g).Laparoscopic Surgery the Nineties ,G Melotti, Ph. Mouret M Meinro / Edition M.Mason 1994
d).Лапароскопичекая хирургия Т.У. Табуцадзе 2000
Sefasebis meTodebi:
raodenoba meTodebi
endoqirurgiis pneumoperitoneumis 10 modulis
Tanamedrove Seqmna mimdinareobis
miRwevebi (pacientze) dros, lokaluri
medicinaSi xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
muclis wina kedlis troakarebis moTavsebis 10 modulis
laparoskopiuli teqnika (pacintze) mimdinareobis
anatomiis ZiriTadi dros, lokaluri
sakiTxebi xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
garTulebebi laparoskopiuli 15 modulis
laparoskopiul Tiaqarplastika, Wipis mimdinareobis
qirurgiaSi. Tiaqrebis dros dros, lokaluri
xelmZRvaneli,
ufrosi rezidenti da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
pacientis aparoskopiuli 15 modulis
momzadeba lap. apendeqtomia mimdinareobis
operaciis win. dros, lokaluri
acientis laparoskopiuli xelmZRvaneli,
postoperaciuli qolecisteqtomia 20 ufrosi rezidenti da
marTva zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba
klinikis
TanamSromelTa
mier,
konferenciebis
bolos. Sefaseba
fiqsirdeba
saregistracio
JurnalSi.
muxli 39. moduli 4.6. zogadi qirurgia IV (endokrinuli qirurgiiT da onkologiiT) 5 Tve
1. modulis mizani - zogadi qirurgiis IV moduli warmoadgens rezidentis diplomis Semdgomi
mzadebis daskvniT etaps, romelic 5 Tvis ganmavlobaSi grZeldeba. modulis ZiriTadi mizania zogad
qirurgiaSi codnis gaRrmaveba da praqtikuli unar-Cvevebis daxvewa, srulyofa da qirurgiis sxvadasxva
modulebSi miRebuli codnis kombinireba zogadqirurgiul azrovnebasTan. modulis ganxorcielebis dros,
gansakuTrebuli yuradReba eqceva endokrinuli qirurgiis sakiTxebs. programis saboloo etapze rezidenti
eufleba pankreasis qirurgias da igi valdebulia klinikaSi imuSaos sruli datvirTviT. modulis mizania
rezidenti moamzados diplomis Semdgomi mzadebis finaluri etapisaTvis, romlis Semdegac mas unda
SeeZlos salicenzio gamocdis Cabareba da damoukidebeli saeqimo saqmianobis warmarTva
Sesabamisi specialobiT.
2. modulis amocanebi: mzadebis aRniSnul etapze rezidenti eufleba pankreasis qirurgiis
sakiTxebs, igi maqsimalurad aqtiuria rogorc operatori, ise asistenti. garda ZiriTadi Sesaswavli
sakiTxisa, rezidenti monawileobas Rebulobs zogadqirurgiuli klinikis saqmianobis yvela
momarTulebaSi, gansakuTrebiT rTuli avadmyofebis marTvaSi. imavdroulad rezidenti wamyvan rols
asrulebs misi umcrosi kolegebis momzadebis meTodur uzrunvelyofaSi. modulis dasrulebis Semdeg,
rezidenti praqtikulad mzad unda iyos daiwyos damoukidebeli saeqimo saqmianoba specialobiT –
zogadi qirurgia.
a) kuzini m. qirurgiuli sneulebebi. moskovi. 2004. (Targmani).
b) l.kikaliSvili, e.yifiani, d. korZaia. topografiuli da klinikuri anatomia. Tbilisi. 2005.
g). Schwartz; Shires; Spencer Principles of Surgery. Eigth Edition. 2004.
d). Bailey and Love's Short Practice of Surgery (A Hodder Arnold Publication). by Norman S
Williams (Author), Christopher J.K. Bulstrode (Author), P Ronan O'Connell, 25 edition, 2006
e). Sarrel B.E., Carabasi R.A. Surgery. National Medical Series for Independent Study. 1995.
v). Silverberg S.C. Principles and Practice of Surgical Pathology.
z). Speciality Review in General Surgery. The National Center for Advanced Medical Education.
2001.
T) 9.Way L.W. Surgical Diagnosis and Treatment. 1994.
i). Way L.W., Doherty G.M. Current Surgical Diagnosis and Treatment. 2004.
k).Kant X. Scientific Basic for the Selection of Surgical Needles and Sutures. 1999.
l).Кузин М.И. Хирургические болезни, Москва, 2003.
m) http://www.medtrng.com/tutorials_and_simulators_part_8.htn
n) www.surgical-tutur.org.uk
o) http://www.surgicalcourses.org.uk./
p) www.dundee.ac.uk./surgicalskills/index.htm
J) http://www.update-software.com/publications/cochrane/
r) http://www.ncepod.org.uk/
s) http://www.intumed.com/
t) grigolia n. qirurgiuli sneulebebi. Tbilisi. 2000.
Sefasebis meTodebi:
saWmlis sazardulis Tiaqris plastika ix. danarTi 2 modulis
momnelebeli (Shouldice), sazardulis Tiaqris mimdinareobis
sistema: plastika (Mc Vay), sazardulis dros, lokaluri
dauWimavi Tiaqris plastika xelmZRvaneli da
(Lichtenstein barZayis zedamxedveli
dauWimavi Tiaqarplastika, eqimi afaseben
barZayis Tiaqris plastika, rezidentis
Wipis Tiaqris plastika, praqtikuli
ventraluri recidiuli Tiaqris momzadebis
plastika dones. Teoriuli
ventraluri Tiaqris masala fasdeba da
laparoskopuli plastika; fiqsirdeba
fundoplokacia, saregistracio
laparoskopuli fundoplikacia JurnalSi.
gastroieiunostomia Roux-en- intensiuri Terapiis
Y, hemigastreqtomia Billroth palataSi
II Catarebuli
hemigastreqtomiaBillroth I saqmianobis
hemigastreqtomiaBillroth I– Sesaxeb, rezidenti
stepleruli piloromiotomia, akeTebs
piloroplastika, Canawerebs
gastroduodeno stomia, saregistracio
subtotaluri gastreqtomia, JurnalSi
totaluri gastreqtomia,
totaluri stepleruli
gastreqtomia;
qolecisteqtomia,
RviZlis simsivnis amokveTa
RviZlis rezeqcia
qoledoqoieiunostomia,
qoledoqostomia,
RviZlis sadinris bifurkaciis
kibos (Klatskin) dros
rekonstruqciuli operacia;
swori nawlavis wina rezeqcia,
ileoanaluri anastomozi,
totaluri koleqtomia,
endokrinuli bilateruli adrenaleqtomia ix. danarTi 2 modulis
qirurgia: paraTiroideqtomia mimdinareobis
subtotaluri Tiroideqtomia dros, lokaluri
xelmZRvaneli da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba da
fiqsirdeba
saregistracio
JurnalSi.
intensiuri Terapiis
palataSi
Catarebuli
saqmianobis
Sesaxeb, rezidenti
akeTebs
Canawerebs
saregistracio
JurnalSi
mimdinare pankreasiskudis rezeqcia, ix. danarTi 2 modulis
sakiTxebi pankreatikoieiunostomia mimdinareobis
pankreatoduodeneqtomia dros, lokaluri
(Whipple-is procedura) xelmZRvaneli da
zedamxedveli
eqimi afaseben
rezidentis
praqtikuli
momzadebis
dones. Teoriuli
masala fasdeba da
fiqsirdeba
saregistracio
JurnalSi.
intensiuri Terapiis
palataSi
Catarebuli
saqmianobis
Sesaxeb, rezidenti
akeTebs
Canawerebs
saregistracio
JurnalSi
muxli 40. definiciebi

1. PGY (Post-graduate year) – diplomisSemdgomi ganaTlebis weli, romelic miuTiTebs
rezidentis progresze rezidenturis programis gavlis dros. aRniSnuli termini gamoiyeneba diplomas
Semdgomi swavlebis programaTa umravlesobaSi konkretizaciis Setanis mizniT, raTa naTeli gaxdes
rezidentis uflebebis, movaleobebisa da pasuxismgeblobebis sazRvrebi; aseve ganisazRvros am
ukanasknelTa xelfasi.
2. PBC (Primary biliary cirrhosis) – pirveladi biliaruli cirozi.
3. PSC (Primary sclerosing cholangitis) – pirveladi masklerozebeli qolangiti.
4. HCC (Hepatocellular carcinoma) – hepatoceluluri karcinoma. aseve aRniSnaven
hepatomasac. warmoadgens RviZlis pirvelad avTvisebian simsivnes.
5. GERD (Gastroesophageal Reflux Disease) – gastroezofaguli refluqsuri daavadeba.
6. PUD (Peptic ulcer disease) – peptikuri wylulovani daavadeba
7. ERCP (Endoscopic retrograde cholangiopancreatography) – endoskopuri, retrograduli
qolangiopankreatografia.
8. In Situ – laTinuri fraza, romelic aRniSnavs – “adgilobrivad, adgilze”. gamoiyeneba
gansxvavebul konteqstebSi. biologiasa da medicinaSi termini gamoiyeneba im fenomenis aRsawerad,
romelic mxolod romelime garkveul adgilze viTardeba.
9. PEG (Percutaneous endoscopic gastrostomy) – perkutanuli endoskopuri gastrostomia
10. SIRS (Systemic inflammatory response syndrome) – sistemuri anTebiTi pasuxis (reaqciis)
sindromi
11. OSCE (Objective Structured Clinical Examination) – warmoadgens gamocdis Tanamedrove
tips, romelic uxSiresad gamoiyeneba medicinaSi iseTi praqtikuli unar-Cvevebis Sesafaseblad,
rogoricaa: komunikaciuri qceva, klinikuri gamokvlevebi, samedicino procedurebi da manipulaciebi,
wamlis gamowera, kvlevis Sedegebis interpretacia da sxv. rogorc wesi gamocda grZeldeba 5-10 wuTis
ganmavlobaSi, romlis drosac Sesafasebeli piri pirispir esaubreba namdvil an simulirebul pacients
(msaxiobi), iyenebs gasinjvisa da gamokvlevis sxvadasxva meTodebs da kompleqsur procedurebs
logikuri daskvnis gamosatanad pacientis janmrTelobasTan dakavSirebiT.
12. Log book – warmoadgens CanawerebisaTvis gankuTvnil dRiurs, romlis warmoebac
qirurgiuli mxadebis procesis integraluri komponentia, vinaidan igi warmoadgens faqtiurad erTaderT
faqtobriv wyaros, romelic saSualebas iZleva postfaqtum kompleqsurad Sefasdes rezidentis
kompetencia da SesaZleblobebi zedamxedvelis gareSe muSaobis pirobebSi. programis dasrulebis
Semdeg, aRniSnuli saregistracio wignis (dRiuris) Seswavla safuZveli xdeba rezidentis sertificirebisa
misi yoveldRiurad Catarebuli saqmianobebis safuZvelze. TiToeuli rezidenti valdebulia awarmoos
saregistracio wigni da Seitanos masSi sruli informacia, romelic SemdgomSi gamoyenebadi unda iyos
rogorc rezidentis, aseve programis direqtoris da sxva pirebis mier.
13. MCQ (Multiple choice questions) – kixvebi an sakiTxebi, romelic gamiznulia SefasebisaTvis
da romelic unda daesvaT respondentebs. gamosakiTx pirebs moeTxovebaT SearCion erTi an
ramdenime swori pasuxi savaraudo CamonaTvalidan. anu, sistemis proncipi mdgomareobs Tavidanve
imis daSvebaSi, rom swori pasuxebis raodenoba SesaZlebelia iyos erTze meti.
14. Journal Club – warmoadgens im pirTa jgufur Sexvedras, romlebic ikribebian regularulad
raTa moaxdinon samecniero periodul gamocemebSi gamoqveynebuli statiebisa da Sromebis, aseve
sxva saxis samecniero literaturis kritikuli ganxilva. Sexvedrebi, rogorc wesi imarTeba romelime
gansazRvruli sakiTxis an gamoyenebiTi mecnierebis romelime problemis irgvliv. tipiur
SemTxvevebSi, TiToeul monawiles SeuZlia gamoxatos sakuTari mosazreba konkretuli sakiTxis
Sesaxeb: magaliTad sakiTxis mizanSewonilobis, kvlevis dizainis statistikuri monacemebis, Sedegebisa
an sxva romelime sakiTxTan dakavSirebiT. aRniSnuli stiliT ganxilva warmoadgens mcdelobas
moxdes gamoqveynebuli informaciis Sedegebis erToblivi sinTezi, miuxedavad imisa arsebobs Tu ara
am Sedegebis Sesaxeb sxva romelime gansxvavebuli an sapirispiro monacemebi. Sexvedris dros
ganixileba aseve am Sedegebis praqtikuli gamoyenebis SesaZlebloba da sakiTxebi Tu ramdenad
SeuZlia am Sedegebs moaxdinos axali mimarTulebebiT kvlevebis dawyebis stimulireba. Sexvedrebis
amgvari formati xSirad gamoiyeneba saganmanaTleblo procesSi studentebisa da rezidentebisaTvis.
axalgazrda eqimebs saSualeba eZlevaT ufro metad iyvnen gaTviTcnobierebulni Tanamedrove,
ukanaskneli kvlevebis SedegebTan da literaturul wyaroebTan. garda amisa Sexvedrebi amaRlebs
masSi monawile pirTa unar-Cvevebs debatebSi Sexvlis, ganxilvis da akademiuri azrovnebis
Camosayalibeblad. SexvedrebSi monawile pirebs, dadgenili wesiT SesaZlebelia mieniWoT kreditebi
an isini Sefasdnen arsebuli sistemis mixedviT, rac gaTvaliswinebuli unda iyos saboloo Sedegis da
saswavlo kursis aTvisebis SefasebaSic.
15. Grand Round – warmoadgens samedicino ganaTlebis e.w. “rituals”, romelic Sedgeba
samedicino problemis wardgenisagan da konkretuli pacientis SemTxvevaSi mkurnalobis taqtikis
warmodgenisagan. SemTxveva waredgineba auditorias, romelic Sedgeba eqimebisagan,
rezidentebisagan da medikosi studentebisagan. rogorc wesi pacienti, romelsac exeba SemTxveva aseve
warmodgenili unda iyos fragmentulad an srulad. pacientma SesaZlebelia aseve upasuxos damatebiTad
gaCenil SekiTxvebze. aRniSnuli tipis RonisZiebis saswavlo procesSi CarTvis tradicias safuZveli
Caeyara amerikis SeerTebul StatebSi uiliam osleris mier (Johns Hopkins University).
16. Tumor Board – enloes samedicino centrSi, eqimebma daiwyes sistematuri
Sekreba raTa eTanamSromlaT da gaecvalaT informacia pacientebis Sesaxeb da
gadaewyvitad simsivnuri daavadebebis mkurnalobis saukeTeso sqemebi TiToeul
konkretul SemTxvevaSi. aRniSnuli tradiciidan safuZveli daedo am tipis
Sexvedrebs. SexvedrebSi monawileoben sxvadasxva profilis eqimebi: qirurgebi, radiologebi,
paTomorfologebi, onkologebi, sxva profiles eqimebi da aseve damxmare samedicino personali. TB-
ixilavs mkurnalobis dagegmvis sakiTxebs da midgomebs, ris gamoc ismens sxvadasxva dargis
eqimebis mosazrebebs, romelbic aRiarebulni arian eqspertebad Tavis specialobaSi (disciplinaSi).
ganixileba mkurnalobis yvela SesaZlo varianti da saSualeba, maTi gamoyenebis mizanSewoniloba da
mosalodneli Sedegebi. Sedegad miiReba multidisciplinuri midgomiT Seqmnili rekomendaciebi.
axalgazrda rezidentTa monawileobas amgvar SexvedraSi udidesi datvirTva gaaCnia rac amaRlebs
swavlebisa da momzadebis xarisxs d axels uwyobs klinikuri azrovnebis Camoyalibebas.
17. UEMS / EUMS (Union Européenne des Médecins Spécialistes / European Union of Medical
Specialists) – eqim specialistTa evropuli kavSiri
18. EBGS (European Board of General Surgeons) – zogad qirurgTa evropuli sabWo.
warmoadgens UEMS-is seqcias da samuSao qvedanayofs Sesabamis dargSi; gansazRvravs zogadi
qirurgiis, rogorc specialobis politikas evropis regionSi.
19. Hofmeister - hofmeisteri
20. Polya - polia
21. Roux-en-Y - ru
22. Billroth II – bilroTis I meTodi
23. Billroth I – bilroTis II meTodi
24. Meckel - mekeli
25. Klatskin - klackini
26. (Shouldice)-Suldaisi
27. (Mc Vay)-mak vei
28. (Lichtenstein) - lixtenSteini
29. (Rutkow & Robbins) – rutkovi da robinsi
30. (Whipple) - vipli
31. Wilms-vilmsis simsivne
32. (Warren) splenorenuli Suntireba uorenis mixedviT
33. Zenker - cenkeri
34. Puestow-Gillesby-puestov Jilesbis procedura
35. Hasson–hasenis Ria laparoskopuli teqnika
36. (Baker) - wina reqtosigmoiduri rezeqcia beikeris mixedviT
danarTi 1
aucilebeli da rekomendebuli literaturis nusxa

1. aucilebeli literaturis nusxa:
a) Applied Basic Science for Basic Surgical Training- Raftery A T
Paperback. 616 pages. Published Feb 00 Churchill Livingstone. ISBN 0443061440
b) Apley's Concise Orthopaedics and Trauma Solomon L. Warwick D J. Nayagam S Paperback.
416 pages. Published Mar 05 Arnold. ISBN 0340890841
g) Synopsis of Systemic Pathology for Surgeons Spence R A, Sloan J M, McCluggage W G
Paperback. 400 pages. Published Mar 01 Arnold. ISBN 0340763787
d) The Surgeon's Guide to Antimicrobial Chemotherapy Smith J M B, Payne J E, Berne T V
Paperback. 196 pages. Published Sep 99 Arnold. ISBN 0340741961
e) Recent Advances in Surgery 26 Johnson C D, Taylor I Paperback. 240 pages. Published Apr
03 Royal Society of Medicine Press Ltd. ISBN 1853155519
v) Integrated Basic Surgical Sciences Toouli J. Russell R C G. Devitt P. Clark C I. Hardcover.
1000 pages. Published Dec 99 Arnold. ISBN 0340700912
z) Principles of Surgical Management Quick C. Thomas P Hardcover. 656 pages. Published Dec
00 Oxford University Press. ISBN 0192622307
T) Advanced Surgical Practice Majid A A. Kingsnorth A N Hardback. 876 pages. Published Oct
02 Greenwich Medical Media. ISBN 1841100188
i) Bailey and Love's Short Practice of Surgery (23rd Edition) Russell R C G, Williams N S,
Bulstrode C J K Hardback. 1376 pages. Published Feb 04 Arnold. ISBN 0340808195
k) Surgical Emergencies Monson J. Duthie G. O'Malley K. Hardcover. 448 pages. Published Jan
99 Blackwell Science (UK). ISBN 0632050470
l) Zollinger's Atlas of Surgical Operations by Jr., Robert M. Zollinger, Sr., Robert M. Zollinger
McGraw-Hill 8th ed. 2003 463 pages ISBN-13 9780071363785
m) Farquharson's Textbook of Operative General Surgery Farquharson M. Moran B Hardback.
624 pages. Published May 05 Arnold. ISBN 0340814985
n) Oxford Textbook of Surgery Morris P J. Wood W C Hardback. 2500 pages. Published Nov 00
Oxford University Press. ISBN 0192628844
o) Apley's System of Orthopaedics and Fractures Solomon L. Nayajan D. Warwick D
Hardcover. 752 pages. Published Feb 01 Arnold. ISBN 0340763728
p) Sabiston's Textbook of Surgery Townsend C M. Harris J W Hardcover. 2,388 pages.
Published Jun 04 W B Saunders. ISBN 721604099
J) General Surgical Operations Kirk R M.Hardcover. 733 pages. Published Apr 06 Elsevier.
ISBN 0443101213
r) Anatomy of General Surgical Operations Jamieson G C Hardcover. 240 pages. Published Apr
06 Churchill Livingstone. ISBN 0443100071
s) Hamilton Bailey's Emergency Surgery Ellis B W. Patterson-Brown S Hardcover. 816 pages.
Published Aug 00 Arnold. ISBN 0340763809
t) Emergency Vascular Practice Chant A D B. Barros D'Sa A A B Hardcover. 288 pages.
Published Dec 96 Arnold. ISBN 034056170X
u) Emergency Abdominal Surgery Jones P F. Krukowski Z. Youngson G G. Paperback. 546
pages. Published May 98 Hodder & Stoughton. ISBN 0412819503
f) Trauma: A Companion to Bailey & Love's Short Practice of Surgery Skinner D V. Whimster F
Hardcover. 512 pages. Published Nov 98 Arnold. ISBN 0340741015
q) The Evidence for Vascular Surgery Earnshaw J J. Muire J A Hardcover. Published Nov 99 TFM
Publishing Ltd. ISBN 0953005259
R) CURRENT SURGICAL DIAGNOSIS & TREATMENT Doherty, Gerard M.12/e 1468pp Publication
Date : JAN 2006 MC GRAW HILL isbn 0.07.142315.
2. rekomendebuli literaturis nusxa:
a) How to Read a Paper Greenhalgh T. Weatherall D. Paperback. 184 pages. Published Apr 97
BMJ Books. ISBN 0727911392
b) Essential Evidence-based Medicine Mayer D Paperback. 392 pages. Published Jun 04
Cambridge University Press. ISBN 0521832616
g) The Pocket Guide to Critical Appraisal Crombie I K Paperback. 80 pages. Published Sep 96
BMJ Books. ISBN 072791099X
d) Medical Statistics: A Guide to Data Analysis and Critical Appraisal Peat J. Barton B
Paperback. 200 pages. Published Jul 05 BMJ Books. ISBN 0727918125
e) Randomised Controlled Trials Jadad A R Paperback. 138 pages. Published Sept 98 BMJ
Books. ISBN 0727912089
v) Evidence-Based Medicine Sackett D L. Straus S. Richardson W S. Rosenberg W. Haynes B
Paperback. 260 pages. Published Nov 99 Churchill Livingstone. ISBN 0443062404
z) Oxford Handbook of Clinical Surgery McLatchie G R. Leaper D 950 pages. Published Dec 01
Oxford University Press. ISBN 0192626388
T) Case Presentations for the MRCS and AFRCS. Volume 1 Hornick P. Butterworth-
Heinemann. ISBN 0750632577
i) Case Presentations for the MRCS and AFRCS. Volume 2 Hornick P. Lumley J S P. Grace P A.
Paperback. 176 pages. Published Apr 97 Butterworth-Heinemann. ISBN 0750632585
k) Case Presentations for the MRCS and AFRCS. Volume 3 Hornick P. Lumley J S P. Grace P A.
Paperback. 176 pages. Published Jun 97 Butterworth-Heinemann. ISBN 0750632593
l) Operative Surgery and Surgical Topics for MRCS and FRCS Mokbel K M. Paperback. 128
pages. Published Apr 99Petroc Press. ISBN 1900603624
m) Clinical Surgery Cuschieri A. Grace P A. Darzi A. Borley N. Rowley D I. Paperback. 832
pages. Published Aug 03 Blackwell Science. ISBN 0632063947
n) Hamilton Bailey's Demonstration of Physical Signs in Clinical Surgery Lumley J S P.
Paperback. 512 pages. Published Nov 97 Butterworth-Heinemann. ISBN 0750616210
o) Clinical Surgery Henry M H. Thompson J N Paperback. 824 pages. Published Dec 04 Elsevier
Saunders ISBN 0702027197
p) Essential Surgery Burkitt G. Quick C R G Paperback. 720 pages. Published Oct 01 Churchill
Livingstone. ISBN 0443063753
J) Principles and Practice of Surgery Garden O J. Bradbury A W. Forsythe J L R Paperback. 656
pages. Published Mar 02 Churchill Livingstone. ISBN 0443064938
r) Browse's Introduction to the Symptoms and Signs of Surgical Disease Browse N. Black J.
Burnand K G. Thomas W E G Paperback. 456 pages. Published Jun 05 Arnold. ISBN 034081571X
s) Lecture Notes on General Surgery Ellis H. Calne R. Watson C. Paperback. 416 pages.
Published May 98 Blackwell Science. ISBN 0865427682
t) Colour Guide: Surgical Signs Campbell B. Cooper M Paperback. 152 pages. Published Dec 99
Churchill-Livingstone. ISBN 0443061459
u) Surgery at a Glance Grace P A. Borley N R Paperback. 176 pages. Published Feb 02 Blackwell
Science. ISBN 0632059885 aperback. 200 pages. Published Nov 95 PasTest. ISBN 090689638X
q) Anatomy tutor for surgeons in training Johnson R Paperback. 176 pages. Published Oct 02
Greenwich Medical Media Ltd. ISBN 1841101362
R) Short cases for the MRCS Clinical Examination Parchment Smith C. Paperback. 480 pages.
Published Oct 02 Pastest. ISBN 1901198448
y) Vivas and communication skills in surgery McCarthy K. Hacking M. Al Mufti R. Hewitt J
Paperback. 400 pages. Published Jan 04Churchill Livingston. ISBN 0443073422
S) Clinical Cases and OSCEs in Surgery Ramachandran M, Poole A.Paperback. 368 pages.
Published Dec 02 Churchill Livingston. ISBN 044307044X
C) Pathology for Surgeons in Training Gardner D. Tweedle DPaperback. 416 pages. Published
May 96 Arnold. ISBN 0340603747
c) Concise System of Orthopaedics and Fractures Apley A G. Solomon LPaperback. 336 pages.
Published Aug 94 Butterworth-Heinemann. ISBN 0750617675
Z) Last's Anatomy Sinnatamby C S. Paperback. 552 pages. Published Jun 99 Churchill
Livingstone. ISBN 0443056110
w) Essential General Surgical Operations for the MRCS/AFRCS Kirk R M. Winslet M CPaperback.
256 pages. Published May 01Churchill Livingstone. ISBN 0443063982
W) Basic Surgical Operation Foster M E. Morris-Stiff G Paperback. 140 pages. Published Jul 00
hurchill Livingstone. ISBN 044306359
x) Essential Surgical Practice: Higher Surgical TrainingCuschieri A. Steele R J. Moosa A
RHardcover. 1408 pages. Published May 02 Arnold. 0340806389
danarTi 2
intervenciebis, procedurebis, endoskopiebisa da operaciebis katalogi (atlasi)
intervenciebi da procedurebi n= 115

Tavis, gulmkerdis, muclis da kidurebis rentgenologiuri kvleva (mag.: n= 30
gadaudebeli SemTxvevbis, travmebis, preoperaciuli gamokvlevebisa da
strategiuli gegmebis SemuSavebis dros, ucxo sxeulis arsebobisas,
angiografiisas da intraoperaciuli periodis gamokvlvevbisas).
muclis sonografia n= 35
punqciebi, biofsiebi an/ da (Rru da parenqimuli organoebis, Rruebis) drenireba n= 10
siTxis dagrovebisas sonografiiT an mis gareSe an kompiuteruli tomografiis
kontroliT.
resuscitacia (reanimaciuli RonisZiebebi) n= 10
orotraqeuli an/da nazotraqeuli intubacia n= 5
centraluri venis kaTeterizacia n= 15
kiduris motexilobis repozicia an imobilizacia n= 10
endoskopia n= 22
fibroezofagogastroduodenoskopia n= 10
ERCP n= 2
fibro-kolonoskopia n= 5
fibro-bronqoskopia n= 3
endoskopuri intervenciebi (mag.: polipeqtomia, skleroTerapia, papilotomia, n= 2
dilatacia, lazeruli ablacia)
operaciebi n= 174
Tavi da kiseri n= 13
farisebri jirkvali (mag.: rezeqcia, Tiroideqtomia, hiperparaTireoidizmi, kisris n= 6
diseqcia)
Traqeostomia n= 3
sxvadasxva (mag: limfuri kvanZebis, simsivneebis biofsia, amokveTa) n= 4
gulmkerdi n= 27
Torakotomia n= 5
plevris drenireba n= 15
filtvi n= 3
sarZeve jirkvlis qirurgia n= 2
sxvadasxva n= 2
muceli n= 128
kuWi (mag.: gastroenteroanastomozi, perforirebuli xvrelis daxurva, n= 15
piloroplastika, gastrostomia)
kuWis rezeqcia n= 2
qolecisteqtomia n= 10
sanaRvle gzebi (mag.: kenWebi, T-drenireba, qoledoqo ieiunostomia) n= 5
wvrili nawlavi (mag.: rezeqcia, ileostomia) n= 5
kolinji da swori nawlavi (mag.: kolotomia, kolostomia) n= 5
msxvili nawlavis rezeqcia n= 5
apendeqtomia n= 25
RviZli da elenTa (mag.: biofsia, travma, rezeqcia) n= 2
pankreasi (mag.:, fsevdocista) n= 1
sazardulis Tiaqari n= 20
muclis kedeli n= 10
proqtologia (mag.: buasili, abscesi, naprali) n= 10
retroperitoneumi (mag.: nefreqtomia) n= 1
urogenitaluri (mag.: Sardis buSti, SardsawveTi, Sardsadeni, sakvercxe, n= 2
saTesle)
sxva (mag.: laparotomia, laparoskopia, peritoenuli lavaJi) n= 10
rbili qsovilebi da Zval-kunTovani sistema n= 41
grZeli Zvlebis motexilobisas operaciuli osteosinTezi n= 2
sasxsarTan axlos mdebare Zvlebis motexilobis operaciuli osteosinTezi n= 1
saxsrebis punqcia n= 2
rbili qsovilebis dazianeba n= 10
rbili qsovilebis infeqciebi n= 10
diabeturi terfi n= 5
kanisa da rbili qsovilebis defeqtebi n= 3
rbili qsovilebis simsivneebi n= 3
ZiriTadi amputaciebi n= 3
sxvadasxva (mag.: mcire amputaciebi, osteosinTezuri firfitis amoReba) n= 2
sisxlZarRvebi da nervebi n= 8
varikozi (mag.: kroseqtomia, stripingi, perforaciuli ligacia) n= 2
arteriebi (mag.: arteriotomia, Trombeqtomia, endartereqtomia, emboleqtomia, n= 1
vaskuluri rekonstruqcia)
periferiuli nervebi (mag.: neirolizi) n= 3
sxvadasxva (mag.: dializis midgoma, kanqveSa venuri portis implantacia) n= 2
laparoskopuli qirurgia n= 43
troakarebis moTavseba da pneumoperitoneumis Seqmna n=10
laparoskopiuli Tiaqarplastika, Wipis Tiaqrebis dros n= 8
laparoskopiuli apendeqtomia n=10
laparoskopiuli qolecisteqtomia n=15

Sarezidento Programa 'Zogadi Qirurgia (Xangrzlivoba 4 Weli - 44 Tve) Tavi I. Zogadi Debulebebi Muxli 1. Programis Mizani Da Amocanebi

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Sarezidento Programa 'Zogadi Qirurgia (Xangrzlivoba 4 Weli - 44 Tve) Tavi I. Zogadi Debulebebi Muxli 1. Programis Mizani Da Amocanebi

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danarTi 6

(xangrZlivoba 4 weli – 44 Tve)

Tavi I. zogadi debulebebi

muxli 1. programis mizani da amocanebi

muxli 2. specialobis aRweriloba

muxli 3. daavadebebi, paTologiuri mdgomareobebi, romelTa profilaqtikas, klinikas,

muxli 4. diagnostikurი da samkurnalo manipulaciebი, romelsac unda flobdes da romelTa

muxli 5. operaciebis CamonaTvali, romelsac unda flobdes zogadi qirurgi (sakeri

muxli 6. profesiuli mzadebis struqtura

muxli 7. sarezidento programis Sinaarsi

muxli 8. saswavlo modulebi wlebis mixedviT

2.2. intensiuri TerapiaN 2 Tve

muxli 9. akademiuri personali da saganmanaTleblo resursebi

muxli 10. programis xangrZlivoba

muxli 11. programis ganaxlebis perioduloba

Tavi II. programis zogadi nawili (swavlebis sawyisi etapi)

muxli 12. პროფესიული მზადების I წeლი

 qsovilis damuSaveba - 20:

muclis kedlis stomebis

sarZeve jirkvlis daavadeba

periferiul sisxlZarRvTa daavadebebi,

qvemo kiduris dawyluleba

mwvave endokrinuli krizi

kanis deficitis menejmentis principebi,

muxli 14. moduli 1.2. laparoskopiuli qirurgia (bazisuri nawili) -1 Tve

Tavi III. programis specifiuri nawili (swavlebis Sualeduri etapi)

muxli 15. profesiuli mzadebis meore wlis modulebi

muxli 16. profesiuli mzadebis II wlis (PGY II) mizani:

muxli 18. moduli 2.2. intensiuri Terapia, 2 Tve

1. modulis mizani - endoskopia Tanamedrove samedicino diagnostikis erT-erT integralur nawils

muxli 20. moduli 2.4. radiologia, 1 Tve

1. modulis mizani - radiologia Tanamedrove samedicino diagnostikis erT-erT integralur nawils

muxli 21. moduli 2.5. damwvroba, 1 Tve

muxli 22. moduli 2.6. yba-saxis qirurgia, 1 kvira

muxli 23. moduli 2.7. sasamarTlo medicina, 3 kvira

5. mkvrivi blagvi sagniT miyenebuli dazianebis samedicino modulis

Tavi III. programis III etapis (III wlis) aRweriloba

muxli 24. profesiuli mzadebis mesame wlis modulebi

muxli 25. profesiuli mzadebis III wlis (PGY III) mizani:

muxli 27. moduli 3.2. travmatologia-orTopedia, 1 Tve

Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebeli Sefasebis meTodebi

osteotomia, osteosinTezi, ix. danarTi 2

muxli 28. moduli 3.3. sisxlZarRvTa qirurgia, 1 Tve

muxli 29. moduli 3.4. urologia, 1 Tve

muxli 30. moduli 3.5. neiroqirurgia, 1 Tve

muxli 31. moduli 3.6. palstikuri qirurgia, 1 Tve

Tavi IV. swavlebis umaRlesi etapi (profesiuli

მუხლი 32. პროფესიული მზადების მეოთხე წeლი

muxli 33. profesiuli mzadebis IV wlis (PGY IV) mizani:

muxli 34. moduli 4.1. kardioqirurgia, 1 Tve

muxli 35. moduli 4.2. bavSvTa qirurgia, 2 Tve

muxli 36. moduli 4.3. ginekologia, 1 Tve

muxli 37. moduli 4.4 transplantologia, 1 Tve

muxli 38. moduli 4.5. laparoskopiuli qirurgia (klinik. nawili) -1 Tve.

muxli 40. definiciebi

aucilebeli da rekomendebuli literaturis nusxa

intervenciebis, procedurebis, endoskopiebisa da operaciebis katalogi (atlasi)

intervenciebi da procedurebi n= 115

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