SURGERY

We provide treatment for the following diseases:

·         Acute and chronic appendicitis

·         Hernias of the anterior abdominal wall (inguinal, umbilical, epigastric, postoperative)

·         Gallstone disease (acute and chronic cholecystitis) and its complications (cholangitis, jaundice, etc.)

·         Acute pancreatitis and pancreonecrosis

·         Peritonitis

·         Gastrointestinal bleeding 

·         Intestinal obstruction

·         Diverticulum of the large and small intestines

·         Abdominal and retroperitoneal cysts and tumors

·         Acute paraproctitis, rectal fistulas

·         Hemorrhoids, anal fissure

·         Epithelial coccygeal passage

·         Lower extremity varicose vein disease

·         Purulent diseases of soft tissues (abscess, phlegmon)

When performing operations for appendicitis, hernias of the anterior abdominal wall, cholelithiasis (acute and chronic cholecystitis), diseases and neoplasms in the pancreas, spleen, liver, small and large intestine, preference is given to minimally invasive interventions (laparoscopy).
Minimally invasive (laparoscopic) surgery, adequate anesthesia, and early activation of patients form a combination that ensures the following positive effects: normal patient well-being, absence of wound complications, prevention of venous thromboembolic complications, maximum cosmetic effect, early recovery of the patient's ability to work.

TRAUMATOLOGY AND ORTHOPEDICS

Traumatological and orthopedic medical care is provided for the following pathologies:

·         Traumas (fractures and dislocations) of the upper and lower extremities (new and old ones)

·         Malunions and non-unions

·         Complications from previous surgeries

·         Hand traumas and diseases

·         Coxarthrosis and gonarthrosis

·         Bursitis, meniscal tears, tendon injuries

The department performs the following surgeries:

·     Hip, knee and shoulder replacement arthroplasty

·     Knee arthroscopy

·     Percutaneous reconstructive and restorative surgery on the feet

The concept of percutaneous surgery is that all stages of the operation are performed with special narrow scalpels and thin cutters through incisions (up to 1.0 cm) or skin punctures (3–4 mm). Since the soft tissues remain practically intact during the surgery, the pain syndrome in the postoperative period is very mild. The patient can walk with full weight bearing on the feet on the same day. All that is needed is a properly applied bandage that can keep the toes in the preset position.

ENDOSCOPY

The endoscopy room of the surgical department of the inpatient unit provides a high level of diagnostics and treatment, which is due to the state-of-the-art equipment from the best manufacturers and the competence of the clinicians.

The most frequently performed procedures are:

·         Esophagogastroduodenoscopy (EGD)

·         Video colonoscopy (with biopsy or tumor removal)

·         Control of esophageal and gastroduodenal bleeding

·         Papillosphincterotomy with calculus extraction

·         Removal of foreign bodies from the gastrointestinal tract

·         Diagnostic and therapeutic bronchoscopy

Most procedures are performed under intravenous or inhalation anesthesia. The department has worked out the technique of combined endoscopic examination under anesthesia. This technique implies anesthetizing the patient with an anesthetic and performing EGD and video colonoscopy. Due to the anesthesia, the examination can be conducted thoroughly and without pain.

If anesthesia is contraindicated for a patient, EGD can be performed through the nasal passage. The department has special equipment for this procedure. If a biopsy is performed or a neoplasm (polyp) is removed during the examination, the histological report can be obtained in 7–10 working days.

UROLOGY

The staff of the urological room in the surgical department of the inpatient unit provide treatment for the following diseases:

·         Varicocele

·         Phimosis and paraphimosis

·         Urethral and ureteric strictures

·         Orchitis and epididymitis

·         Dropsy of testicular membranes

·         Urogenital traumas

·         Acute and chronic prostatitis

·         Prostatic hyperplasia

·         Renal neoplasms and cysts

·         Nephrolithiasis (calculus of the kidneys, ureters and bladder)

Distant lithotripsy of kidney and ureteral calculus is performed in the lithotripsy room. In some cases, when distant lithotripsy cannot be performed due to the density and localization of the calculus (or calculi), patients can undergo lithoextraction or contact lithotripsy. Contact lithotripsy is performed with a laser under anesthesia in an operating room. Prostate and bladder biopsies are also performed under general anesthesia.

The department provides treatment for patients with renal cysts. The treatment tactics for renal cysts is determined in accordance with the Bosniak classification. In our practice, laparoscopic surgeries are most often used for the treatment of patients with renal cysts.

OTORHINOLARYNGOLOGY

Surgical care in otorhinolaryngology mainly consists of endoscopic surgeries:

·         Excision of nasal synechiae, nasal polypotomy

·         Submucosal resection of the nasal septum

·         Partial middle turbinotomy

·         Vasotomy of the inferior turbinates

·         Maxillary sinusotomy, micro-endoscopic sinusotomy, polysinusotomy

·         Endoscopic endonasal adenotomy

·         Tonsillectomy

ADMISSION

To coordinate an emergency hospital admission to the surgical department, contact Head of the Surgical Department (Mikhail Sergeevich Egorov) Mon to Fri 08:00–15:00: +7 (915) 179-49-42.

DAILY ROUTINE

07:00             — Wake-up 
07:00–07:30  — Morning hygiene time 
07:30–08:00  — Procedures 
08:00–09:00  — Doctors’ ward round 
09:00–10:00  — Breakfast 
10:00–11:00  — Examinations, procedures, tests, manipulations 
11:00–11:30  — Brunch 
11:30–13:30  — Examinations, procedures, tests, manipulations 
13:30–14:30  — Lunch 
15:00—18:00 — Day sleep 
18:00—19:00 — Dinner 
19:00–21:00  — Doctors’ ward round, procedures 
21:00–22:00  — Evening hygiene time 
22:00             — Bedtime 

DISCHARGE

The documents are usually prepared by 12:00 on the day of discharge, after which patients can leave the department. On the day of discharge, the patient will receive the following documents: 

·         Discharge summary

·         Medical sick leave certificate or standard certificate

·         Copies of the check-up results (upon request)

·         Calculation for the medical services rendered (if the treatment was performed at the patient’s own expense)

·         Histological preparations (upon request)