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
· 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.
Surgical care in ophthalmology mainly consists of cataract surgeries. The only effective cure for cataracts is lens replacement surgery. Cataract removal is performed by means of ultrasound phacoemulsification. This is a state-of-the-art method of removing a cloudy lens used in most ophthalmological clinics.
Patients are admitted to the surgical department, and the surgery is performed the same day. It is done under local anesthesia. Anesthetic eye drops are used for the purpose. Lens replacement is a standard surgery that lasts about 20 minutes. Its stages have been worked out in detail:
· Performing a micro-incision, destruction of the clouded lens with ultrasonic energy, and removal of its fragments.
· Implantation of an artificial lens (intraocular lens — IOL) through an incision.
· Sealing of the incision.
The surgery is quite easily tolerated even by elderly patients. The visual functions are usually quickly restored in the postoperative period, and the patients return to their normal life virtually on the next day. Preparation for the surgery and follow-up after discharge are performed by the operating ophthalmologist in the outpatient facility of the inpatient unit.