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Sergelen Orgoi (surgeon)

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File:Sergelen nvvr zurag.jpg

Sergelen Orgoi MD, PhD, FACS is a Mongolian surgeon who introduced liver transplantation and laparoscopic surgery into Mongolia on a national level.[1][2] She is an Honorary Fellow of the American College of Surgeons (ACS)[3] and a Meritorious Doctor of Mongolia. She is currently a Professor of Surgery and the Head of the Department of Surgery at Mongolian National University of Medical Sciences (MNUMS), Captain of the Mongolian National Team for Liver Transplant, and the Director of the Liver Center at the First Central Hospital of Mongolia.

Early Life[edit]

Sergelen was born in 1958 to a family of teachers in Ulaanbaatar, Mongolia. Her father taught physics. Her mother taught home economics (cooking). She went to the 14th secondary school of Ulaanbaatar where her parents taught. Inspired by her father’s teaching of natural sciences, she became interested in medical science from a young age and won a range of Olympiads before graduating secondary school in 1976.

Education and Training[edit]

Sergelen earned a Bachelor of Medicine (BM) in 1982, a Master of Clinical Medicine (MM) in 1983, a Doctor of Medicine (MD) in 1997, and a Doctor of Philosophy (PhD) in 2002 from the Mongolian National University of Medical Sciences (MNUMS). From 1980 to 1983, she did Teacher Training, English, and Psychology courses at the National University of Mongolia (NUM).

She completed a medical fellowship at Moscow Medical Institute in Russia in 1991, a stomach surgical fellowship at the Yonsei University in South Korea in 1999, an advanced general surgical fellowship at the University of Lausanne in Switzerland in 2001, a laparoscopic surgical fellowship program in USA in 2001, a course on research methods at World Health Organization in 2004, a clinical course at the Arkansas State Hospital at Jonesboro in USA in 2005, a liver transplantation surgical fellowship at the University of Helsinki in Finland in 2007, a liver transplantation surgical fellowship at the University of Hannover in Germany in 2007, a cell transplantation surgical fellowship at the University of Siberia in Russia in 2008, and a liver transplantation surgical fellowship at ASAN Medical Centre in South Korea in 2009-2011.

Career[edit]

Sergelen taught surgery at the Mongolian National University of Medical Sciences (MNUMS) from 1982 to 2002. In 2002, she became the Head of its Surgery Department. She holds this position to present date. She became a Professor of Surgery there 2005.

She is the Director of the Health Professions Council of Mongolian Ministry of Health, the Secretary General and Vice President of the Mongolian Surgeons Association, Member of the International Society of Surgeons, and Member of the Ethics Committee of Mongolian Ministry of Health.

She serves in the Mongolian Academy of Sciences as the Academic Secretary of its Council on PhD Student Supervision, the Mongolian Ministry of Education, Culture, and Science as a member of its Council on Medical Degree Student Supervision, the Mongolian National University of Medical Sciences (MNUMS) as a member of its Academic Council, the First Central Hospital of Mongolia as a member of its Advisory Council, the Second Central Hospital of Mongolia as a member of its Advisory Council, and the Mongolian National Research Centre for Trauma and Orthopaedic as a member of its Advisory Council.

Pioneering Low-Cost Liver Transplantation in Mongolia[edit]

In 2011, Sergelen and her team of surgeons did the first successful liver transplantation in Mongolia at the First Central Hospital of Mongolia.[4] Her team had done test surgeries on 26 pigs for three years.[5] Since then, her team has done 47 liver transplantations in Mongolia.[6]

In 2009, Sergelen learned how to do liver transplantation from Sung Gyu Lee, South Korean Professor and Director of Organ Transplantation of the Department of Surgery of Asan Medical Center in Seoul. Professor Lee accepted Professor Sergelen’s request to teach Mongolians liver transplantation in Korea for free.

Recognizing that liver cancer is the most prevalent and economically disastrous cancer in Mongolia, Sergelen led the development of low-cost liver transplants in Mongolia. Now liver transplants cost MNT 10-15 million[7] (around USD 3-5 thousand). She proposed that Mongolian state health budget cover all liver transplantations. Now the state budget covers 75 percent of all liver transplantations in Mongolia.[8] Her proposal improved Mongolia’s intensive care unit capability, pathology, gastrointestinal support, and pharmacy, strengthening the overall health care system of her country.

Building Surgical Capacity in Mongolia[edit]

Professor Sergelen led the World Health Organization’s (WHO) Global Initiative for Emergency and Essential Surgical Care (GIEESC) in Mongolia.[9] Through this initiative, she built up Mongolia’s capacity for emergency and essential surgical care services in LMICs, dramatically improving surgical and anesthetic care capabilities of more than 300 isolated rural communities in the country. To expand Mongolian success regionally, the World Health Organization designated Mongolia as the first WHO GIEESC Collaborating Center. In 2005, Professor Sergelen organized the expansion of laparoscopic cholecystectomy into Mongolia, making it available in 17 of the 21 provinces of the country. Recognizing trauma as the third leading cause of death in Mongolia, she introduced the Advanced Trauma Life Support® program.


Awards[edit]

In 2017, Sergelen was honoured by the American College of Surgeons (ACS) and received the Honorary Fellowship award for her commitment to treating the people of her country Mongolia. The American College of Surgeons praised that

“Professor Sergelen has been a true pioneer in modern surgical care. She challenged the popular dogma that surgery was too expensive and instead showed to the world that surgery can reach all communities. Problems of a rugged geography, serious political and financial constraints, and the large nomadic setting have never prevented her from improving health care in Mongolia. Despite her naysayers, she led projects that are presenting impressive examples of possibilities for other low and middle income countries (LMICs). Professor Sergelen is one of modern surgery’s most impactful leaders for low and middle income countries.”

Publications[edit]

She authored or co-authored 12 research reports, 31 books, 117 academic articles, 324 academic presentations, and 18 patents. Her publications include books such as Professional Health and Surgery Anesthesia and articles such as :

  • Improving Surgical Care in Mongolia: A Model for Sustainable Development, 2012, World Journal of Surgery
  • A Successful Model for Laparoscopic Training in Mongolia, 2012, International Surgery
  • Expansion of laparoscopic cholecystectomy in a resource limited setting, Mongolia: a 9-year cross-sectional retrospective review, 2015, The Lancet
  • Using of hemofiltercytological blood test to monitor the quality of patients radically operated on for colorectal cancer adjuvant chemotherapy, 2014, Academic Journals
  • Patient and Physician Perceptions of Changes in Surgical Care in Mongolia 9 Years After Roll-out of a National Training Program for Laparoscopy, 2016, World Journal of Surgery
  • Global Surgery 2030: a roadmap for high income country actors, 2016, British Medical Journal Global Health

References[edit]

  1. Price, R. (2017) Citation for Prof. Orgoi Sergelen, MD, PhD, FACS. Available at: http://bulletin.facs.org/2017/11/citation-for-prof-orgoi-sergelen-md-phd-facs/#.Wwv5UkgvxPY/ (Accessed: 28 May 2018).
  2. E, Altanzul (24 Oct 2017). "Mongolian Surgeon O.Sergelen awarded Honorary Fellowship". Montsame. Retrieved 20 June 2018.
  3. American College of Surgeons. (2017) Honorary Fellowship in the ACS awarded to 10 prominent surgeons. Available at: http://bulletin.facs.org/2017/11/honorary-fellowship-in-the-acs-awarded-to-10-prominent-surgeons/#.Wwv4iUgvxPa/ (Accessed 28 May 2018)
  4. Montsame. (2018) 47th Liver Transplant Surgery Carried Out Successful. Available at: http://www.montsame.mn/en/read/14681 (Accessed 28 May 2018)
  5. Montsame. (2018) O. Sergelen: Liver Transplantation Can Help Patients to Heal 100 Percent. Available at: http://www.montsame.mn/read/71987 (Accessed 28 May 2018)
  6. Montsame. (2018) 47th Liver Transplant Surgery Carried Out Successful. Available at: http://www.montsame.mn/en/read/14681 (Accessed 28 May 2018)
  7. Montsame. (2018) 47th Liver Transplant Surgery Carried Out Successful. Available at: http://www.montsame.mn/en/read/14681 (Accessed 28 May 2018)
  8. Montsame. (2018) 47th Liver Transplant Surgery Carried Out Successful. Available at: http://www.montsame.mn/en/read/14681 (Accessed 28 May 2018)
  9. World Health Organization. (2018) WHO Collaborating Centres Global Database. Available at: http://apps.who.int/whocc/Detail.aspx?cc_ref=MOG-1&cc_code=mog&/ (Accessed 30 May 2018)



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