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Roman Makoviak

Colorectal Surgeon

"Treat the patient as you would like to be treated in the hour of illness."

Treatment of diseases

☑ Hemorrhoids;

☑ Anal fissure;

☑ Perianal condyloma;

☑ Anal itching;

☑ Colon and Rectal Polyps;

☑ Paraproctitis (anal fistula);

☑ Epithelial coccygeal passage (dermoid cysts of the sacrococcygeal region);

☑ Crohn's disease;

☑ Ulcerative colitis.

Private proctologist Lviv

Briefly about me

шапка

Education

"Ivano-Frankivsk National Medical University"  Specialty - “General Medicine”.

 

Training program for military doctors - obtaining the rank of "junior lieutenant" of the reserve medical service.

лікар

Specialization

хірургічні інструменти

Internship

"Surgery" at Saint Panteleimon Hospital in Lviv (on the basis of the Surgery Department, Lviv National Medical University named after D. Halytskyi)

Proctology Department  in Lviv Regional Clinical Hospital.

лекція

Additional self-education

Training "Practical skills of laparoscopic surgery" – the National Institute of Surgery and Transplantology named after O.O. Shalimova National Academy of Sciences of Ukraine "Center of Surgical Innovation®" (2022).

Online training: Minimally invasive methods of treatment of hemorrhoids, chronic anal fissures, rectal fistulas (2021).

Information courses and internships on learning the THD technique at Kyiv Regional Clinical Hospital.

THD training in Kyiv (2021).

Complaints that should be addressed to a colorectal surgeon

Дискомфорт чи біль в анальній ділянці під час випорожнення

Discomfort or pain in the anal area during or after defecation

Кров, слиз або гній в калі під час або після випорожнення

Blood, mucus, or pus in the stool during or after a bowel movement

Біль в животі. Закреп. Здуття. Понос. Запор

Stomach ache. Constipation. Bloating

  • What is a full proctological examination?
    A full proctological examination includes a finger examination of the perianal area (the area around the anus) and anoscopy or rectoromanoscopy. Anoscopy is a 5-8 cm examination of the rectum using a device. Rectomanoscopy - examination of the rectum and areas of the sigmoid colon.
  • How to prepare for an examination at the proctologist?
    1. Do not eat vegetables, fruits, colored drinks, alcohol, or spicy food the day before. 2. 2 hours before the examination, you need to put a hypertensive enema.
  • How to put an enema at home?
    1. Remove the protective cap from the tip of the bottle. 2. Lubricate the tip with lubricant or soap. 3. Lie on your left side, bending both legs at the knees. 4. With constant pressure, carefully insert the tip of the vial into the rectum so that it is directed to the navel. 5. Compress the bottle until all its contents go to the intestine. Stop the injection if any resistance is felt. Forced entry can cause harm! 6. Carefully remove the tip from the rectum. Possible leakage of some liquid from the vial. 7. Remain in the same position until there is a feeling of a strong desire to empty the intestine (usually it occurs within 2-5 minutes). 8. After use, put the vial back in the carton for disposal. If there is no urge to defecate during the specified time, you should consult a doctor.
  • Is it possible to visit a proctologist during the menstrual cycle?
    For routine examination, the day of the menstrual cycle is not important.
  • What is hemorrhoids?
    Hemorrhoids are inflammation of the nodes of the hemorrhoidal plexus, which is characterized by a gradual increase and inflammation of the veins of the anal canal. More details in the blog.

Roman

5.0

I want to express my gratitude to the proctologist Roman Makoviak. He is a great professional who can be trusted with the most valuable thing that a person has - his own health. I was very lucky to get to this doctor: he is attentive, caring, always explains why he prescribes this or that treatment, everything is clear and understandable.
Sincerely grateful!

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© 2023 by Roman Makoviak MD

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