How to get to Monica's hospital. Department of Vascular Surgery Regional Clinic Monica

The first issue of the Bulletin of the Russian Society of Urologists, dedicated to the Anniversary of MONICA, has been published. urological clinic and the Department of Urology.

Information

Currently, the clinic has 60 beds. The department includes a laboratory for remote and contact lithotripsy, equipped with four devices for remote lithotripsy (“SII” and “Gemini” from DornierMedTech (Germany), “ModularisUro” from Siemens (Germany), as well as a domestic device “LGK- Compact" company "LGK"), endoscopic room, office functional diagnostics with urodynamic system “Duet” (Medtronic, Denmark), office ultrasound diagnostics with ultrasound diagnostic systems Viking, Merlin, FlexFocus, ProFocus, MiniFocus from B&K-Medical (Denmark), an apparatus for performing X-ray endourological operations “OpusII” from DornierMedTech (Germany), as well as an apparatus “Ablatherm” from Edap-Technomed ” (France) for high-energy ultrasound therapy of patients with prostate cancer. The clinic has priorities for the implementation of angiographic methods of diagnosis and treatment in patients with anomalies genitourinary system, kidney tumors and bladder. The growth of scientific achievements of the clinic and its equipment with the most modern diagnostic and treatment equipment would be impossible without the implementation special program Governor of the Moscow Region, Hero of the Soviet Union B.V. Gromova.

The team of the urological clinic with the governor of the Moscow region,
Hero of the Soviet Union B.V. Gromov,
members of the government of the Moscow region and director of MONIKI (from 1984 to 2013),
corresponding member G.A. Onoprienko and friends of the clinic, 2008

About 1,100-1,300 patients are examined and treated at the clinic every year. Over the past 30 years, approximately 33,000 patients have been treated. The incidence is represented mainly by urolithiasis (35%), benign and malignant tumors various localizations(11.3%), acute and chronic inflammatory diseases genitourinary organs, benign hyperplasia prostate gland(7.3%), post-traumatic and post-inflammatory strictures and obliterations urethra in men. It should be noted that over the past decades there has been an increase in the number of patients with oncological diseases, urolithiasis and abnormalities of the urinary system.

With the widespread introduction of ultrasound diagnostics into medical practice, computed tomography, magnetic resonance imaging, as well as various methods of remote and contact lithotripsy, endoscopic methods surgical treatment of prostate adenoma, bladder stones and urethral strictures, laparoscopic operations, the main quality indicators of the department’s work and the efficiency of bed use have radically changed.

The average length of stay of a patient in a bed has decreased to 14 days, bed turnover is on average 20, bed capacity per year is 330-350, bed occupancy is 98-110%, hospital mortality does not exceed 0.2-0.6%. Every year up to one and a half thousand different surgical interventions. Per share emergency operations accounts for 2.3% to 2.8%. Operational activity tends to increase annually and amounts to 84-88%.

Over the past decade and a half, the level of open interventions has decreased overall to one third of the total, and for some nosologies, such as urolithiasis, benign prostatic hyperplasia, urethral stricture in men, does not exceed 3-5%. Most endoscopic surgical interventions are performed using modern minimally invasive percutaneous and transurethral technologies.

Scientific directions

The main scientific areas that the clinic has been working on over the past decades are the following.

• Problems of oncourology.
• Urolithiasis.
• Operational and conservative treatment benign prostatic hyperplasia.
• Treatment of strictures and obliterations of the urethra in men.
• Plastic surgery for scar lesions of the ureter.
• Congenital anomalies of the development of the genitourinary system in children and adults.
• Minimally invasive methods for diagnosing and treating urological complications in patients after kidney transplantation.
• New technologies in the treatment of urological diseases.
• Modern aspects of diagnosis and treatment of prostate cancer.

A 14-year-old son developed a deep pectus excavatum deformity. We turned to surgeons in our city (we live in Tyumen), but since the deformation is also asymmetrical, they advised us to contact Moscow. That's what we did. We contacted Dr. Vladimir Aleksandrovich Kuzmichev, and after conducting a video session on Skype, he invited us to the operation. I couldn’t even believe that it would be so easy and simple to get an operation with a professor dealing with this issue. On November 21, 2019, we arrived at the pediatric surgery of the MONIKA clinic. There we were received by a young and, I’m not afraid to say, talented doctor Vladimir Vitalievich Gatsutsyn ( positive reviews which we also read about earlier) and already on November 22nd they spent together complex operation, as a result of which my son was given two titanium plates. A week later, having gone through the entire stage of postoperative adaptation, we returned to Tyumen. We were immediately shocked by the results of the operation. His chest became smooth, truly beautiful, and my son’s posture even straightened out. It is impossible to describe the feeling of gratitude that we feel towards Vladimir Alexandrovich and Vladimir Vitalievich for the professionalism and responsiveness that they showed to us after the operation. It so happened that a month later my son developed pleurisy, caused by the body’s allergy to titanium (I’ll say right away that this is an extremely rare case), and pleural edema began on the left side. We went to the local Tyumen hospital, and there we were diagnosed misdiagnosis- left-sided community-acquired pneumonia. We began to treat her, and a week later the situation worsened, and my son began to experience shortness of breath. Then we were offered to solve the problem radically, remove the plates and the job was done. We were outraged and only now, having wasted a lot of time, did we contact our attending physician Vladimir Vitalievich Gatsutsyn. Having become aware of the matter, he urgently called us to Moscow. We took the first flight. Already here at MONIKI it was staged correct diagnosis, and painstaking and diligent treatment began. In addition to a course of antibiotics, my son was given multiple punctures (pumping out fluid from pleural cavity), V.V. Gatsutsyn himself did it professionally. and Kuzmichev V.A. The son was eventually released from the hospital after 16 days. We're home now. We're doing well. The plates have taken root. Breasts are still beautiful. Now the result: We express our deep gratitude personally to Vladimir Aleksandrovich Kuzmichev, Vladimir Vitalievich Gatsutsyn and other doctors for their highest professionalism, responsiveness, and close attention to all patients. It makes the country proud that we have such unrivaled specialists. Special thanks to all the nursing staff of the surgical department. Polite, kind and skilled nurses. Health to everyone and patience in your hard work. THANK YOU!

Nikitin Alexander Alexandrovich– leading specialist in the field of maxillofacial -facial surgery.

He has been working in the healthcare system of the Moscow region since November 1971, at the beginning as a dental surgeon at the Moscow Regional Dental Clinic, since 1972 as a full-time resident, junior researcher, and from 1975 to 1989. – Senior researcher at the Department of Surgical Dentistry at MONIKI. In 1981, he was awarded the title of laureate of the USSR State Prize for the development and introduction into clinical practice of the method of orthotopic allotransplantation for defects and deformities of the mandible and the temporomandibular joint. In 1987 he defended his doctoral dissertation on the topic: “Alloplasty of the temporomandibular joint.” 1972-89 – Chief Scientific Secretary of the All-Russian Scientific Medical Society of Dentists, member of the Council of Scientific Medical Societies of the Ministry of Health of the Russian Federation.

In 1991, he was elected to the position of head of the Department of Maxillofacial Surgery at MONIKI. Since 1994, he has been the head of the department of maxillofacial surgery and surgical dentistry of the faculty of advanced training of doctors, organized on the basis of MONIKI. During this period, about 1,950 dentists and maxillofacial surgeons were trained at the department.

Professor A.A. Nikitin has performed more than 12 thousand complex and sometimes unique operations; together with scientists from the Research Center for Laser Technologies of the Russian Academy of Sciences, he conducts research on computer modeling and manufacturing of implants using laser stereolithography (complete restoration of the skull from bone fragments: first on a computer monitor , then in reality). Author and co-author of more than 500 scientific works, 43 proprietary methods (many of which have no analogues in world practice), 26 copyright certificates, 10 patents, 20 improvement proposals.

Full member of the European Association of Craniomaxillofacial Surgeons, member of the council dental association Russia (StAR), President of the Moscow Regional College of Dentists and Maxillofacial Surgeons. Awarded the USSR State Prize Laureate Medal, the Honored Doctor of the Russian Federation medal, and the Order of Peter the Great, 1st degree

In 1999 he graduated from the Russian State Medical University. N.V. Pirogova, Faculty of Pediatrics. From 1999 to 2001 he studied in clinical residency at the Department of Maxillofacial Surgery of MONIKI named after. M. F. Vladimirsky.

From 2001 to the present, he has held the position of junior researcher at the Department of Oral and Maxillofacial Surgery of MONIKI named after. M. F. Vladimirsky. In 2013 he defended his thesis on the topic: “Surgical treatment and rehabilitation of children early age with sequence by Pierre Robin.

Full member of the European Association of Oral and Maxillofacial Surgeons. Author of more than 30 scientific papers in domestic and foreign publications, 3 patents for inventions.

The main activity is the treatment of children with birth defects development maxillofacial area, orthognathic surgery, reconstructive plastic surgery of the face and neck of children and adults.

Radvanskaya Svetlana Nikolaevna in 2002 graduated from Moscow Medical Academy them. I. M. Sechenov with a degree in general medicine. After graduating from the Academy, she completed clinical residency training at the Moscow Regional Research Clinical Institute named after. M. F. Vladimirsky, specializing in “surgery” and then in graduate school, specializing in “maxillofacial surgery”. In 2008 defended her dissertation for the degree of Candidate of Medical Sciences on the topic: “Surgical correction and prevention of cicatricial deformities of the nasal passages in patients after rhinoplasty.” Author of more than 30 scientific papers, 3 patents for inventions. Since 2007, he has been working as a doctor at the Department of Maxillofacial Surgery at the Moscow Regional Research Clinical Institute named after. M F Vladimirsky.

The main area of ​​activity is the treatment of children with congenital malformations of the maxillofacial area, crysurgery in the maxillofacial area, laser surgery, reconstructive plastic surgery of the face and neck of children and adults.

Karyakina Irina Alekseevna,Doctor of Medical Sciences, maxillofacial and plastic surgeon, 27 years of experience in the specialty. She graduated from the Sverdlovsk State Medical Institute, Faculty of Dentistry with a degree in Dentistry in 1988. From 1993 to 2001 worked as a surgeon in the department of reconstructive and aesthetic surgery of the Scientific and Practical Center for the Rehabilitation of Children with Congenital Maxillofacial Pathology and Severe Speech Impairments “Bonum” in Yekaterinburg. From 2001 to 2013 worked as a plastic surgeon at the Institute of Plastic Surgery and Cosmetology OJSC, Moscow. From 2014 to the present, he has been working as an associate professor at the Department of Maxillofacial Surgery and Surgical Dentistry of the Federal Institution of Healthcare of the Moscow Region Monika named after. M.F. Vladimirsky. In 2003 she defended her PhD thesis on the topic: “Functional and aesthetic rehabilitation of patients with unilateral cleft upper lip and the sky." In 2012 she defended her doctoral dissertation on the topic: “ Comprehensive rehabilitation patients with defects and deformations of the outer and middle ear." She took part in charity events held as part of the national program “Let's give back children's smiles.” He is the author of more than 100 printed works and 4 inventions.

The specialized department of vascular surgery as part of the M.F. Vladimirsky MONIKI was organized in 1990, and in 2003, due to a change in the nature of the department’s activities, it was renamed the department of vascular surgery and coronary artery disease. The founder and first head of the department was Doctor of Medical Sciences, Professor, Honored Doctor of Russia Kazanchyan Perch Oganesovich. The Department of Vascular Surgery and IHD is a 40-bed specialized unit with an ultrasound diagnostic room. The main objectives of the department are to provide quality specialized assistance patients with vascular diseases; close interaction and methodological guidance of medical and preventive institutions of the Moscow region in relation to vascular diseases. Currently, the department occupies a leading position in the country in the number of reconstructive interventions on the brachiocephalic arteries and abdominal aorta. Every year, the department performs more than 600 operations, 90% of which are arterial reconstructions. The department's employees regularly carry out consultative visits to medical institutions in the Moscow region.

The main scientific directions of the department are:

1. Surgery of occlusive lesions of the brachiocephalic branches of the aorta. 2. Minimally invasive surgery for coronary artery disease. 3. Surgery of abdominal aortic aneurysms. 4. Prevention of pulmonary embolism in ileofemoral venous thrombosis. 5. Development of tactics for surgical treatment of patients with circulatory disorders in several arterial basins. 6. Optimization of treatment methods for patients with critical ischemia lower limbs.

The department is constantly developing and introducing advanced medical technologies into health care facilities in the Moscow region. The work of the department is based on close cooperation with many clinical departments of the M.F. Vladimirsky MONIKI - department of cardiology, department radiology diagnostics, department of neurology, departments of anesthesiology and resuscitation, as well as many others.

4. Services provided by the department:

1) Surgical treatment of diseases of the brachiocephalic arteries; 2) Surgical treatment of aortic aneurysms; 3) Surgical treatment of lower limb ischemia, 4) Surgical treatment of renovascular hypertension; 5) Surgical treatment of angiodysplasia; 6) Surgical treatment of chronic and acute venous diseases.

Types of surgical interventions performed in the department:

1) On the brachiocephalic arteries (arteries of the head and neck):

1. Carotid endarterectomy; 2. Carotid artery replacement; 3. Resection with redressing of the internal carotid artery; 4. Carotid-subclavian shunt; 5. Subclavian-carotid transposition; 6. Subclavian-carotid bypass; 7. Prosthetics of the brachiocephalic trunk; 8. Reconstruction of the arteries of the upper extremities; 9. Removal of chemodectoma (paraganglioma) of the neck. 10. Anigoplasty and stenting of the brachiocephalic arteries

2) On the coronary arteries:

1. Coronary artery bypass grafting on a beating heart 2. Coronary artery bypass grafting under conditions of artificial circulation 3. Coronary artery bypass grafting from minithoracotomy 4. Angioplasty with stenting of the coronary arteries

3) On the abdominal aorta:

1. Endoprosthesis replacement of an abdominal aortic aneurysm; 2. Stenting of the abdominal aorta for stenosis; 3. Resection of abdominal aortic aneurysm with prosthetics; 4. Aorto-iliac/femoral bypass/prosthetics;

4) On the iliac arteries:

1. Endoprosthesis replacement of an iliac artery aneurysm; 2. Resection of the iliac artery aneurysm with prosthetics; 3. Iliofemoral bypass/prosthetics; 4. Cross femoral bypass; 5. Subclavian-femoral bypass; 6. Angioplasty and stenting of the iliac arteries 7. Hybrid operations: stenting of the iliac arteries with reconstruction of the arteries below the inguinal ligament.

5) On the arteries below the inguinal ligament:

1. Femoro-popliteal bypass; 2. Femoral-tibial bypass; 3. Profundoplasty; 4. Resection of arterial aneurysm with prosthetics; 5. Angioplasty and stenting of arteries below the inguinal fold

6) Operations for angiodysplasia:

1. X-ray endovascular occlusion; 2. Excision of angiomatous tissue;

7) Operations for chronic venous disease:

1. Miniphlebectomy 2. Endovasal laser coagulation of veins 3. Sclerotherapy

8) Operations for acute venous pathology:

1. Thrombectomy with ligation of the femoral veins 2. Crossectomy 3. Implantation of a vena cava filter (if necessary, preliminary endovascular catheter thrombectomy from the inferior vena cava is performed) 4. Removal of the vena cava filter