How to get to Monica's consultation. Our employees

Specialized department 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. Department of Vascular Surgery and IHD – 40-bed specialized unit with an office ultrasound diagnostics. 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 surgical treatment 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 - cardiology department, 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 diseases veins

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 arteries upper limbs; 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 when chronic disease veins:

1. Miniphlebectomy 2. Endovasal laser coagulation 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

History of the MONIKA Oral and Maxillofacial Surgery Clinic

The clinic of maxillofacial surgery dates its birth from February 5, 1959, when, in accordance with the order of the Moscow Regional Health Department No. 44 of January 30, 1959, N.A. Plotnikov organized and headed a surgical hospital with 30 beds for dental patients in the Moscow region, whose permanent director he appeared until 1991.

Nikolai Alekseevich Plotnikov (1922-1998), Doctor of Medical Sciences, professor, laureate of the USSR State Prize, Honored Scientist of the Russian Federation, Honored Inventor of the RSFSR, Honored Doctor of the RSFSR.

At MONIKI named after. M.F. Vladimirsky Nikolai Alekseevich Plotnikov worked for more than 43 years, going from a clinical resident to an outstanding scientist and world-famous surgeon. In 1963, N.A. Plotnikov defended his Ph.D. thesis under the guidance of corresponding member. USSR Academy of Medical Sciences A.I. Evdokimov and Professor Ya.G. Dubrov on the topic: “Primary bone grafting of the lower jaw with a lyophilized homograft,” and in 1968 - a doctoral dissertation on the topic: “Homoplasty of the lower jaw with a lyophilized bone graft.”

He created a new direction in reconstructive osteoplastic surgery maxillofacial area and a school of highly professional specialists, widely known not only in our country, but also abroad. Under the leadership of N.A. Plotnikov, 9 doctoral and 28 candidate dissertations were defended, 7 collections of scientific papers were published, 23 methodological recommendations, more than 400 scientific articles have been published, 40 copyright certificates have been received for inventions, 4 monographs have been written, including the monograph “Bone grafting of the lower jaw” published in 1979.

The main direction of the research work of the clinic of maxillofacial surgery of the M.F. Vladimirsky MONIKI was the problems of orthotopic allotransplantation in bone and reconstructive surgery of the lower jaw and temporomandibular joint, as well as the treatment of congenital and acquired pathologies of the maxillofacial region.

The clinic’s staff has a priority in developing new methods of osteo-, arthro- and myoplasty using lyophilized tissues to replace extensive defects of the lower jaw and temporomandibular joint, techniques for eliminating various facial deformities and gentle techniques surgical interventions for congenital clefts upper lip and the sky for children. In 1981, N.A. Plotnikov and the creative team (A.A. Nikitin, N.N. Bazhanov, P.Z. Arzhantsev, G.P. Ter-Asaturov, P.G. Sysolyatin) for the development of methods of reconstructive surgery lower jaw and temporomandibular joint in order to restore the anatomical integrity and function of the masticatory apparatus were awarded the title of laureate of the USSR State Prize.

At the clinic in different years worked: doctors med. Sciences: P.Z. Arzhantsev, T.A. Babaev, V.I. Karandashov, M.Yu.Gerasimenko, V.M.Ezrokhin, M.A.Amkhadova, candidates of medical sciences. Sciences: A.S. Silaeva, N.K. Zagubelyuk, A.M. Tkachenko, V.D. Shchegoleva, M.N. Kosyakov, L.L. Goncharenko, I.V. Troyansky, Yu.N. Sergeev, V.I. Pyanzin, E.V. Zhdanov, A.N. Nevrov, I.A. Rubtsov, N.V. Malychenko, E.Yu.Shevchenko, A.Yu.Ryabov, I.L.Tsiklin and others.

Silaeva Anna Stepanovna (1921-2005), Ph.D., worked in the department from 1965 to 1986. as a senior researcher. After completing clinical residency and graduate school, she worked in the clinic of maxillofacial surgery of the Central Institute for Advanced Medical Studies, headed by Professor A.E. Rauer. In 1953, A.S. Silaeva defended her Ph.D. thesis on the topic: “Free plastic surgery of thick skin flaps during reconstructive operations”; the monograph “Free skin plastic surgery” was published.

Arzhantsev Pavel Zakharovich (1917-2008), Doctor of Medical Sciences, laureate of the USSR State Prize, Honored Doctor of the RSFSR, Colonel of the Medical Service, worked in the department from 1988 to 1994. He was the head of the dental department of the Main Military Hospital named after. N.N.Burdenko.

Pavel Zakharovich is the author of 200 scientific works, including 3 monographs, 4 brochures, 3 chapters in 2 manuals on military field surgery, 9 inventions and patents, as well as many techniques and devices for the treatment of traumatic and gunshot wounds of the maxillofacial area.

Zagubelyuk Nina Konstantinovna, Candidate of Medical Sciences, worked at the clinic from 1969 to 1981. as a junior researcher. In 1969, she defended her Ph.D. thesis on the topic: “The use of bone meal in the treatment of jaw cysts.”

Lidiya Ivanovna Ganina, Candidate of Medical Sciences, worked at the clinic from 1969 to 1976. as a junior researcher. In 1969 she defended her PhD thesis on the topic: “Elimination of deformities of the maxillofacial area with lyophilized homocartilage.”

Shchegoleva Valentina Dmitrievna, worked at the clinic from 1971 to 1984. Directions of scientific work: methods of surgical treatment of patients with clefts of the hard and soft palate, the use of lyophilized homocartilage in eliminating defects and deformities after cheilorhinoplasty.

Kosyakov Mikhail Nikolaevich(1953-2011), Candidate of Medical Sciences, head of the department, worked at the clinic from 1985 to 2011. after completing clinical residency at MONIKI. In 2002, a candidate's dissertation was defended on the topic: “The use of glass apatite ceramics in bone reconstructive surgery of the maxillofacial region.”

Goncharenko Lyudmila Leonidovna(1949-2011), Candidate of Medical Sciences, doctor of the Department of Maxillofacial Surgery. She worked in the department from 1978 to 2011. after completing clinical residency at MONIKI. In 1983 she defended her thesis on the topic: “Secondary plastic surgery for defects of the lower jaw.”

Ezrokhin Vladimir Mikhailovich, Doctor of Medical Sciences, leading researcher at the Department of Oral and Maxillofacial Surgery of MONIKI named after. M.F. Vladimirsky, professor of the department of maxillofacial surgery and surgical dentistry FUV MONIKI, Honored Inventor of the USSR. Worked in the department from 1993 to 2010. In 2000, he defended his doctoral dissertation on the topic: “Clinics, diagnosis and surgical treatment of nasal deformities.”

Shevchenko Elena Yurievna, Candidate of Medical Sciences, doctor of the Department of Maxillofacial Surgery. She worked in the department from 1974 to 2013. after completing clinical residency at MONIKI. In 1978 she defended her thesis on the topic: “Reconstruction of the articular head of the lower jaw during plastic surgery with a lyophilized allograft.”

Malychenko Nelly Vsevolodovna, Candidate of Medical Sciences, Junior Researcher. She worked at the clinic from 1992 to 2013. In 2006, a candidate's dissertation was defended on the topic: “ Complex treatment patients with inflammatory diseases maxillofacial area using new dressing materials and physical factors impact."

In 1991, the Department of Surgical Dentistry was renamed the Clinic of Maxillofacial Surgery, and its head was a student of Professor N.A. Plotnikov, Academician of the MAI (International Academy of Informatization), laureate of the USSR State Prize, Honored Doctor of the Russian Federation, Doctor of Medical Sciences, Professor A. A. Nikitin.

Alexander Alexandrovich Nikitin in 1967 graduated from the Faculty of Dentistry of Volgograd medical institute. From 1968 to 1971 studied in graduate school at the Department of Reconstructive and Restorative Surgery of the Face TsOLIUV. In 1971, a candidate's dissertation was defended on the topic: “Autoplasty of the articular process of the lower jaw with an osteochondral rib graft.” He has been working in the healthcare system of the Moscow region since November 1971, at first as a dental surgeon in the Moscow regional dental clinic, from 1972 - full-time resident, junior researcher, and from 1975 to 1989. – Senior Researcher at the Department of Surgical Dentistry of MONIKI. In 1987 he defended his doctoral dissertation on the topic: “Alloplasty of the temporomandibular joint.”

From 1989 to 1991 A.A. Nikitin worked as the chief maxillofacial surgeon at the National Hospital of the Republic of Niger, and taught at the University of West Africa in Niamey, where he was a member of the Academic Council. In 1991, he was elected to the position of head of the Department of Maxillofacial Surgery at MONIKI.

A.A. Nikitin – highly professional specialist, surgeon highest category, the country's leading oral and maxillofacial surgeon. In various regions of Russia and abroad, he performed more than 15 thousand complex and sometimes unique operations on patients with congenital and acquired pathologies of the maxillofacial region.

The main direction of scientific and practical activities of A.A. Nikitin specializes in bone-reconstructive and restorative surgery for congenital and acquired defects, deformities of the maxillofacial region and pathology of the temporomandibular joints in children and adults.

Under the leadership of A.A. Nikitin, new organ-preserving methods of treatment and rehabilitation of patients were developed and introduced into clinical practice using modern minimally invasive technologies of distraction osteogenesis, endoprosthetics, and new generation bioactive osteoplastic materials to eliminate defects and deformities facial skull based on computer modeling and laser stereolithography.

The head of the clinic, Doctor of Medical Sciences, Professor, laureate of the USSR State Prize, Honored Doctor of the Russian Federation A.A., is operating. Nikitin.

In 1981, for the development and introduction into clinical practice of the method of orthotopic allotransplantation for defects and deformities of the lower jaw and temporomandibular joint, A.A. Nikitin was awarded the title of laureate of the USSR State Prize.

A.A. Nikitin is the author and co-author of more than 500 scientific papers, 43 proprietary methods (many of which have no analogues in world practice), 4 monographs, 26 copyright certificates, 10 patents, 20 improvement proposals. Under the leadership of A.A. Nikitin, 4 doctoral and 20 candidate dissertations were defended. 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, member of the Presidium of the Regional Committee for Licensing and Accreditation medical institutions Moscow region. Awarded silver and bronze medals from VDNKh, the honorary badge “Inventor of the USSR”, the medal of the USSR State Prize Laureate, the medal “Honored Doctor” Russian Federation", Order of Peter the Great, 1st degree.

Clinic of Maxillofacial Surgery of the Moscow Regional Research Clinical Institute named after. M.F. Vladimirsky is one of the leading clinics in Russia for the treatment of patients with congenital and acquired pathologies of the maxillofacial region.

The clinic is developing new methods of reconstructive and osteoplastic operations using modern computer and laser technologies, osteoplastic biocomposite materials. Arthroscopy of the temporomandibular joint and endoscopic methods in surgery of the maxillofacial region are performed.

Now the clinic has 55 beds to provide specialized care to patients with congenital and acquired pathologies of the maxillofacial area, of which 20 are for children. Every year, the clinic treats 1,200 to 1,400 patients. Bone reconstruction and recovery operations carried out from 900 to 1000 patients, over 400 patients undergo plastic and aesthetic surgeries on soft tissues maxillofacial region.

Currently, 18 maxillofacial surgeons and more than 200 dental surgeons work in health care facilities in the Moscow region, 280 hospital beds are organized and operate, where patients with pathology of the maxillofacial area are provided care, including 6 specialized departments maxillofacial surgery.

In 1994, on the basis of the Faculty of Advanced Training for Doctors of MONIKI, the Department of Maxillofacial Surgery and Surgical Dentistry was organized.

Official name: state budgetary institution Healthcare of the Moscow region "Moscow Regional Research Clinical Institute named after. M. F. Vladimirsky"

Head: Semenov Dmitry Yurievich

Founded: 1773

Moscow Regional Research Clinical Institute named after. M.F. Vladimirsky (MONIKI) is rightfully considered the successor of the anti-plague quarantine, founded in 1773 on 3rd Meshchanskaya Street. (now Shchepkina Street), which in 1776, by order of Empress Catherine II, was converted into a hospital. Since 1835, it was called the Old Catherine Hospital, which, according to contemporaries, at the beginning of the 20th century was the most popular and largest hospital in the city. In 1923, the hospital was transformed into MOKI (Moscow Regional Clinical Institute), and in 1930 into the Medical University, in 1940 into the 4th Moscow State Medical Institute, and in 1943 into the Moscow Regional Research Clinical Institute (MONIKI). During the Second World War, evacuation hospital No. 5020 operated on the basis of the institute.

Currently, MONIKI is a unique educational, scientific and medical complex with more than 3 thousand employees, including: 101 professors and doctors of science, 300 candidates of science, more than 100 doctors and 600 nurses.

Specifics of the Moscow Regional Research Clinical Institute named after. M.F. Vladimirsky is that, while carrying out all the functions of the research institute of the Ministry of Health of the Russian Federation, at the same time it is the largest healthcare structure in the region and performs the functions of a multidisciplinary regional center to provide highly qualified advisory, diagnostic and medical care population, and is also educational base improvement of doctors.

The structure of MONIKI includes: an institute (43 scientific units), a faculty (24 departments and courses), a clinic (consultations on 40 medical profiles) and a hospital (22 clinics).

Services

At the Moscow Regional Research Clinical Institute named after. M.F. Vladimirsky you can get advice from highly qualified specialists, undergo various types research and inpatient treatment based on compulsory medical insurance policy, and on a paid basis. MONIKI provides medical care in the following profiles: cardiovascular surgery, surgical and therapeutic endocrinology, urology, maxillofacial surgery, thoracic surgery, radiology, pulmonology, pediatrics, ophthalmology, otorhinolaryngology, orthopedics and traumatology, oncology, nephrology, neurosurgery, neurology, cardiac surgery, cardiology and rheumatology, dermatology, hematology and gastroenterology.

Directions

You can get to MONIKA by metro to the Prospekt Mira station (radial), and then walk.

The first issue of the Bulletin of the Russian Society of Urology, 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 the urodynamic system “Duet” (Medtronic, Denmark), an ultrasound diagnostic room with ultrasound diagnostic systems Viking, Merlin, FlexFocus, ProFocus, MiniFocus from B&K-Medical (Denmark), a device for performing X-ray endourological operations “OpusII” from DornierMedTech (Germany), as well as the Ablatherm device 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. Height scientific achievements 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 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

The clinic annually examines and treats about 1,100-1,300 patients. 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, and various methods 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%. Up to one and a half thousand different surgical interventions are performed annually. 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 rate of open interventions has fallen overall to one third of the total number, 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.