City clinic gynecological department. Operative gynecology. Indications for the diagnostic procedure are


On the basis of the gynecological departments of the City Clinical Hospital No. 31, a clinic of the Department of Obstetrics and Gynecology of the Russian National Research Medical University has been established.

Gynecology of City Clinical Hospital No. 31 is rightfully considered one of the best in Moscow. All types of conservative and surgical treatment of any gynecological diseases. Hysteroscopic and laparoscopic diagnostics are possible, and surgical treatment using these methods makes it possible to speed up the recovery period as much as possible and is the most gentle for patients.

Since 2004, the hospital has firmly established a modern organ-saving method of treating uterine fibroids and adenomyosis - uterine artery embolization.

detailed information

general information

Head of Department No. 1 - Doctor medical sciences, Professor E.N. Kauhova.
Older nurse departments - Yu.N. Tarasova.

Head of Department No. 2 - Ph.D. O.I. Mishieva.
Senior nurse - N.G. Kosolapova.

In two gynecological departments of the hospital, all types of conservative and surgical treatment are successfully used, including for the following diseases:

  • uterine bleeding of the reproductive, perimenopausal periods, menopausal periods;
  • cervical diseases;
  • physiology and pathology of the postmenopausal period;
  • intrauterine pathology (uterine fibroids, adenomyosis, endometrial polyps, endometriosis, synechiae, foreign bodies);
  • ovarian formations in patients of different age periods
  • inflammatory diseases of the internal genital organs.

Main types of surgical treatment:

  • diagnostic laparoscopy;
  • abdominal sectioning and laparoscopic operations including amputation and hysterectomy;
  • abdominal sectioning and laparoscopic operations on the appendages;
  • vaginal extirpations;
  • plastic vaginal surgeries, including uterine prolapse and prolapse of the vaginal walls;
  • laparoscopic surgeries for the treatment of infertility;
  • laparoscopic organ-saving operations for tubal pregnancy; restoration of pipe patency;
  • hysteroscopic treatment of intrauterine pathology;
  • electrosurgical, laser and thermal ablation of the endometrium, embolization of the uterine arteries.

The motto of the team of gynecological departments is
warm and attentive attitude towards patients.

The clinic receives dozens of letters of gratitude. The implementation of high-tech methods is carried out by the doctors of City Clinical Hospital No. 31 in close professional contact with the staff of the department.

general information

    • Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian National Research Medical University - Doctor of Medical Sciences, Academician of the Russian Academy of Sciences, member of the presidium of the board Russian society obstetricians and gynecologists, chairman of the presidium of the Moscow Society of Obstetricians and Gynecologists, member of the New European Surgical Academy (NESA), member of the International Federation of Obstetricians and Gynecologists (FIGO) - Kurtser Mark Arkadievich— student of the founder and honorary head of the department — Savelyeva Galina Mikhailovna, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Honored Scientist, Vice-President of the Russian Association of Obstetricians and Gynecologists, Head of the Department of Obstetrics and Gynecology of the Faculty of Pediatrics from 1971 to 2017.
      IN currently the clinic's achievements are associated with the implementation wide range laparoscopic therapeutic and diagnostic intervention on the pelvic organs. Over the past 20 years, one of the department’s employees, Doctor of Medical Sciences, Professor Sergei Vyacheslavovich Shtyrov a school of endoscopic gynecology was created on the basis of 31 hospitals.Professor Valentina Grigorievna Breusenko- founder of the hysteroscopic method in City Clinical Hospital No. 31. On modern stage, with the introduction of hysteroresection, laser ablation and thermal ablation of the endometrium, the arsenal of hysteroscopic operations performed has been significantly expanded. Since 2004, the hospital has firmly established a modern organ-saving method of treating uterine fibroids and adenomyosis - uterine artery embolization. Over the past 5 years, cooperation with the department has allowed practicing doctors to defend 4 doctoral and 38 candidate dissertations. A grant has now been received to implement scientific developments on this topic " Early diagnosis ovarian cancer." To the employees of the department: Academician of the Russian Academy of Medical Sciences G.M. Savelyeva, professors V.G. Breusenko, S.V. In 2003, Shtyrov was awarded the Russian Government Prize for the development and implementation of endoscopic methods of diagnosis and treatment in gynecology.


general information

Uterine artery embolization (UAE) is one of the modern areas of surgical treatment of uterine diseases, which consists of puncture of the artery on the thigh, catheterization of the uterine vessels and the introduction of particles of a special embolization drug.

Symptomatic or growing uterine fibroids

  • Size up to 20 weeks of pregnancy in the absence of significant pathology of the cervix, endometrium and ovaries.
  • In patients interested in pregnancy, with a confirmed role of uterine fibroids in the pathogenesis of infertility or with a high risk of miscarriage, when it is impossible to perform a safe myomectomy.
  • As preparation for myomectomy or hysteroresectoscopy.

Intense uterine bleeding of various etiologies, when other treatment methods are impossible or are associated with a real threat to the patient’s life.

When determining indications for UAE for fibroids, the motivation of patients is important: the patient’s strong desire to preserve the uterus, avoid surgery, interest in pregnancy.

Uterine artery embolization (UAE) is performed in:

general information

Robotic surgery is a new, high-tech type of minimally invasive surgery, which consists of surgical intervention through small incisions on the patient’s skin and the ability to operate remotely. This ensures minimal trauma, more fast recovery, the length of the patient's stay in the hospital is reduced, and the likelihood of further complications is minimized.

Benefits of Robotic Surgery

The da Vinci Si robot does not perform operations on its own, contrary to popular belief. But thanks to remote control and high-quality visualization, it allows the operating surgeon to make more precise movements and eliminates hand tremors. That is, the robot follows all the movements of the surgeon, and it is not able to move or program itself.

These factors create ideal conditions for the surgeon and facilitate complex laparoscopic operations. As a result of the maximum precision of even very complex instrument movements, thanks to excellent image quality and the ability to perform surgery in small and difficult-to-reach areas, the length of hospital stay for patients is reduced, they feel less pain, lose less blood, have a better aesthetic result, undergo faster rehabilitation and return to work sooner. Everyday life.

Robotic surgeries in gynecology, City Clinical Hospital No. 31

In the 70-80s, the widespread introduction of laparoscopy into clinical practice began, which was associated with the advent of fiber optics and special instruments. As a result, not only the quality of diagnosis has improved, but also some interventions on organs have become possible abdominal cavity. By the way, in our country, the experience of using laparoscopy in gynecology was summarized in 1977 in the monograph by G.M. Savelyeva - Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, professor and our doctor, under whose leadership the first operation was performed in our hospital after its opening in 1970.

On this moment Almost all gynecological operations are performed using laparoscopy and robot. Robotic surgery in gynecology is one of the fastest growing fields and is used in the treatment of all benign and malignant gynecological diseases. Our gynecologists perform operations on women with the problem of genital prolapse (prolapse), including pelvic floor support (promontofixation using a mesh implant), removal of myomatous nodes (myomectomy) with preservation of the uterus, panhysterectomy with lymph node dissection. Thus, operations previously performed laparoscopically can now be reliably performed robotically.

Surgery for uterine fibroids and ovarian tumors

Today endoscopic operations are carried out routinely regardless of the size of the uterus. Depending on the location of the myomatous nodes and their number, removal can be done with small incisions and without resorting to open surgery. In this case, uterine fibroids, regardless of their size, are removed from the abdomen in small sections using a marcellator.

Radical hysterectomy (removal of the uterus) is a classic and effective treatment method oncological diseases uterus and appendages initial stage. Robot-assisted surgery makes it minimally invasive, with less blood loss and hospitalization time.

Experience in performing robotic operations in City Clinical Hospital No. 31

At the moment, in City Clinical Hospital No. 31, robotic operations of varying complexity using the da Vinci robotic system are carried out on a regular basis.

Today, gynecological robotic surgeries include removal of ovarian tumors, myomectomies, promontofixations, total and partial hysterectomies, treatment of endometriosis, as well as treatment of endometrial and ovarian cancers.

general information

Laparoscopy is endoscopic method emergency and planned surgery. It allows you to inspect internal organs abdomen through a small hole in the abdominal wall. The inspection is carried out using an optical tube. After 2-3 other punctures, the necessary manipulations with the organs are performed. Laparoscopy is practically bloodless and low-traumatic.

At the origins of laparoscopic gynecology in Russia is Academician of the Russian Academy of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian State Medical University Galina Mikhailovna Savelyeva. Every laparoscopy specialist rightfully calls her your Teacher.

Range surgical interventions performed by laparoscopic access is wide: gynecological operations, cholecystectomy and hernioplasty, gastrectomy, pancreaticoduodenectomy and operations on the colon and rectum.

general information

Ectopia of the cervix (also Ectopia of the cervical epithelium, Pseudo-erosion of the cervix, Cervical erosion, Endocervicosis) is the location of the columnar epithelium lining the canal of the cervix on its vaginal surface, which outwardly looks like a red spot around the external opening of the canal. Ectopia occurs in approximately half of women reproductive age and almost never occurs in women over 40 years of age.

general information

Hysteroscopy is an examination of the walls of the uterine cavity using a hysteroscope, followed by (if necessary) diagnostic and surgical procedures. Hysteroscopy allows you to identify and eliminate intrauterine pathologies, remove foreign bodies, take tissue biopsies, and remove endometrial polyps.

Indications for the diagnostic procedure are:

  • Anomalies of uterine development.
  • Bleeding in postmenopause.
  • Infertility.

Indications for the surgical procedure are:

  • Submucosal uterine fibroids.
  • Intrauterine septum.
  • Intrauterine synechiae.
  • Endometrial polyp.
  • Endometrial hyperplasia.

Contraindications are:

Indications for carrying out diagnostic procedure are:

  • Submucosal uterine fibroids.
  • Intrauterine septum.
  • Intrauterine synechiae.
  • Endometrial polyp.
  • Endometrial hyperplasia.
  • Removing remnants of the intrauterine contraceptive device.

Indications for the surgical procedure:

  • Suspicion of internal endometriosis of the uterine body, submucosal fibroid, synechia (adhesion) in the uterine cavity, remnants of the fertilized egg, cervical and endometrial cancer, endometrial pathology, perforation of the uterine walls during abortion or diagnostic curettage.
  • Suspicion of uterine malformations.
  • Violation menstrual cycle in women of childbearing age.
  • Anomalies of uterine development.
  • Bleeding in postmenopause.
  • Infertility.
  • Control examination of the uterine cavity after surgery on the uterus, in case of miscarriage, after hormonal treatment.

The 22nd gynecological department operates as part of the City Clinical Hospital named after. S.P. Botkin since 1913

The main directions of medical, operational and scientific activities of the department:

  • Emergency surgical interventions at urgent conditions in gynecology from laparoscopic access (anemic form of ovarian apoplexy, ectopic pregnancy, impaired blood supply to ovarian tumors and fibroid nodes, peritonitis of gynecological etiology, etc.);
  • Minimally invasive technologies in the diagnosis and surgical treatment of intrauterine pathology (hysteroresection of polyps, myomatous nodes, intrauterine septa, synechiae, correction of uterine factor infertility, endometrial ablation, resection and vaporization of the endometrium in hyperplastic processes of the endometrium and its precancerous conditions, treatment of cervical pathology in erosions, infections HPV, etc.);
  • Organ-preserving, reconstructive plastic surgeries for uterine fibroids, adenomyosis, infertility using modern methods conservative (targeted, hormone therapy) And surgical treatment (conservative myomectomy) from laparoscopic, transvaginal and traditional approaches, using modern suture material and alloplants;
  • Carrying out alternative methods treatment of uterine fibroids using X-ray surgical technologies: uterine artery embolization, MRI-FUS ablation of myomatous nodes;
  • Endoscopic technologies in the diagnosis and treatment of endometriosis and endometrioid cysts, endocrine factor of infertility, complex shapes endometriosis with damage to neighboring organs and disruption of their function, uterine fibroids of various sizes and locations, adenomyosis;
  • Endoscopic technologies in the diagnosis and treatment of tumors and tumor-like formations of the ovaries, fallopian tubes and retroperitoneal space of the small pelvis, performing organ-preserving operations;
  • Modern approaches using endoscopic technologies in the treatment of purulent-inflammatory diseases of the pelvic organs, sexually transmitted diseases, prevention of infertility and chronic diseases;
  • Correction of prolapse and prolapse of the pelvic organs, incontinence (urinary incontinence) using both traditional surgical operations through transvaginal access and modern technologies from laparoscopic access, sling operations, use modern materials and mesh implants.

The department's doctors are proficient in all methods of treating gynecological diseases and the main types of gynecological operations performed on a planned and emergency basis. The department employs 9 doctors, including 4 candidates of medical sciences, 5 doctors highest category, 1 – first. Senior sister of the department: Trushkova Elena Vladimirovna.

The department also provides bed capacity for the management of pregnant women with toxoplasmosis.

The 22nd gynecology department has all the capabilities of modern diagnostic and instrumental methods examinations, including general clinical and laboratory methods, immunological diagnostic methods, bacteriological diagnostics, comprehensive ultrasound of the abdominal and pelvic organs and extremities, computed tomography and magnetic resonance imaging (MRI), etc.

Laparoscopic surgery for hysterectomy without appendage

Maria Klimenko Moscow, 25 years old

Natalya Belova Moscow, 25 years old

Valeria N. Moscow, 61 years old

I would like to express my deepest gratitude to Stromberger Andreas.

This is a real wizard! He was able to literally put my husband back on his feet. My husband suffered a severe stroke and we were given no hope of recovery at all.

Thanks to the people for suggesting me to contact GMS Hospital. There is a completely different attitude here. After detailed diagnostics and precise methods treatments have arrived. Every day we saw real results. Now everything is fine with my husband)) Thank you so much!!!

Read more

Alexander Rybakov Ulyanovsk

I would like to say a special thank you to Tatyana Ivanovna Leites.

Her versatile laparoscopic technique produces excellent results. My wife suffered from endometriosis for a long time, and no one undertook the operation. She's too responsible.

Tatyana Ivanovna did everything efficiently and professionally. There are no complications! It is good when a doctor is constantly improving his knowledge and techniques. After all, the result is many grateful patients. Thanks for taking care of me!

Read more

Jeanette

Thanks to the wonderful doctor and the best nurse

Many thanks to endoscopist Victoria Gennadievna Zalesova and her assistant nurse Valentina Bulganina for their exquisite, wonderful work, warm, attentive attitude and support.

Read more

Catherine Ekaterinburg, 44 years old

I am very grateful to Pavel Yurievich Turkin!!!

He helped me deal with varicose veins veins The problem turned out to be not only cosmetic. It is immediately clear that Pavel Yurievich is an experienced specialist and in the right place.

At the GMS clinic, all doctors undergo regular advanced training, including abroad. There is not even a trace of surgical interventions) Thank you SO MUCH!

Read more

Alexey G.

I express my gratitude to Bashankaev!

Thank you, Badma Nikolaevich, for your attention, good attitude to the patient and given to me high quality life.

Read more

Natalia Moscow, 27 years old

Kirillov Georgy Mikhailovich is truly a professional specialist.

No wonder o GMS Clinic only excellent reviews on the Internet. When our son Seryozha managed to stuff a bunch of balls into his nose, every second was precious.

We called ambulance and we were taken to the GMS Hospital clinic in the Emergency Surgery Department. Everything was done quickly, we didn’t even expect it. Georgy Mikhailovich managed to calmly get everything out of our spout. In addition, the doctor was able to find such an approach to the child that he was not afraid. Thank you very much!

Read more

Valentina Moscow

Gratitude to Doctor Bulat

A dog bit me on the leg. An infection began, my leg became swollen and I couldn’t even stand on it. I turned to the GMS clinic for help, namely to Dr. Bulat. Help was provided quickly and professionally.

Throughout the long process of eliminating the infection and dressing, the doctor supported me, did everything clearly, efficiently and painlessly. Thanks to his professionalism, the infection did not begin to spread. Afterwards, he gave clear recommendations for caring for my leg and I quickly began to recover. Thank you very much. Thanks to doctors like Bulat, you don’t worry about your health at all.

Read more

Elena

Thank you

I sincerely thank my attending physician Oleg Sergeevich Abramov, as well as anesthesiologist Igor Aleksandrovich Volodin for the successful operation - endoscopic sinusotomy.

High professionalism, friendliness, confidence, calmness and the ability to always contact Dr. Abramov helped me cope with my fears about upcoming operation. One hour in the operating room, a day in a comfortable hospital and my big problem was solved forever. Now I can start implanting the upper tooth.

I wish you, Oleg Sergeevich, professional success! And, of course, if suddenly one of the members of our large family needs help, despite the distance of 600 km - only to you!

Read more

Tatiana

Igor Arkadyevich Abdullaev helped in a difficult situation. Thank you!

Thanks to urologist Abdullaev I.A.
In the evening I needed a consultation with a urologist. The doctor stayed late at work to wait for the patient, took his time explaining everything and conducting a diagnosis. Helped to accept correct solution about hospitalization. In the morning I felt much better. Thank you!

Read more

Anna

Oleg Abramov is more than a doctor!

Hello. With great pleasure I will leave my review here and tell our story. I have long noticed that my child often breathes through his mouth, during games, in his sleep, when watching cartoons. Breathing at night was often noisy; during an acute respiratory infection, it was the real snoring of an adult.

One day I noticed that the child began to hold his breath for 10-15 seconds during sleep and this became a serious reason to worry. By some miracle, I believe, it was during this period that I watched a webinar by a pediatric dentist about caries and learned that caries - mouth breathing - adenoids - narrowing upper jaw- it turns out that everything is very closely interconnected. I decide to start an examination and ask the dentist for the contact information of the best ENT specialist in Moscow. This is how we got to Oleg Abramov. From the first minute of our acquaintance it became clear that we were in good hands, that we were in the best clinic with the most modern equipment. That Oleg Abramov is a true fan of his business. We had all the indications for the operation. Firstly, our most important problem is nocturnal enuresis. It turned out that this is directly related to apnea - holding your breath during sleep. Who would have told me about this earlier, when all the neurologists in our city prescribed the most terrible injections for the child (we are not from Moscow). Secondly, during a consultation with an orthodontist regarding a narrowed upper jaw, we were told unequivocally: just REMOVE! And we began preparations for the operation. It was not complicated and we had the operation quickly enough) The child remembers this day with a smile. The conditions in the clinic are comparable to those in a classy hotel; they are ideal. The staff is incredibly friendly and smiling. The nurse who put an IV on the child inflated elephants out of medical gloves)) Drew their eyes, ears and earrings)) The child laughed and did not notice how the IV ended! Oleg gave us quiet breathing through his nose, our night problem. Oleg Abramov, my maternal THANK YOU! You, like a good wizard, are always in touch and we are happy that we have you!

Read more

Operative gynecology is one of the areas of general surgery and is widely used for the diagnosis and treatment of a number of female diseases. reproductive system. Methods such as laparoscopy and hysteroscopy are successfully used at the stage of preparation for IVF to increase the effectiveness of ART programs, as well as to prevent the development of complications during pregnancy. Surgical treatment in gynecology is carried out according to medical indications after a thorough examination of the patient.

Surgical treatment methods in gynecology are used to treat patients with fibroids, polyps or prolapse of the uterus, cystic formations or ovarian tumors, obstruction of the fallopian tubes, endometriosis, isthmic-cervical insufficiency, ectopic pregnancy and other pathologies.

Minimally invasive surgical methods in gynecology have a number of advantages over abdominal operations: minimal trauma, short recovery period and high treatment efficiency.

Need specialist advice?

Request a call back

Our advantages

We use the best equipment latest generation



The Department of Operative Gynecology at Nova Clinic in Moscow carries out different kinds interventions, including:

  • (without anesthesia) - such a surgical intervention in gynecology can be indicated for examining the uterine cavity, removing polyps up to 10 mm in size and dissecting single synechiae), as well as hysteroscopy with anesthesia.
  • Hysteroresectoscopy is a surgical intervention in gynecology, during which the removal of nodes of submucous uterine fibroids, separation of adhesions, removal of the septum of the uterine cavity, resection of the uterine mucosa.
  • Laparoscopic operations varying degrees difficulties. Such surgical interventions in gynecology as tubectomy (removal fallopian tube), adnexectomy (removal of the tube and ovary), myomectomy (removal of myomatous nodes), removal of cystic formations of the ovary, foci of endometriosis and endometrioid cysts, adhesiolysis (dissection of adhesions), are widespread and very effective.

The Center for Operative Gynecology "Nova Clinic" has the most modern medical equipment and a staff of highly qualified specialists with extensive practical experience work in this area. We give the most close attention not only to the technical equipment and qualifications of doctors, but also to the comfort of patients. Our department of operative gynecology has cozy rooms that fully meet international standards, allowing you to recover as quickly as possible after the operation.

@ 2024 wowway.ru - Diets and nutrition. Diagnostics and tests. Medicines. Cholesterol. Atherosclerosis