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Minor surgery department

At the minor surgery department of the N. N. Petrov NMRC of Oncology there is a unit of minimally invasive interventions which is designed to provide special medical care to patients with malignant and benign neoplasms and with background and precancerous diseases.

Surgical aggressions are performed (under local or general anesthesia) in the day hospital mode. More than 1300 surgical aggressions are performed here every year.

AMBULATORY SURGERY OR ONE-DAY SURGERY – IT IS A NEW FORM OF MEDICAL CARE, WHICH HAS A GREAT POPULARITY IN THE WORLD HEALTH SYSTEM.

Benefits:

  • surgical aggressions are performed without hospitalization into the in-patient department;
  • short stay;
  • minimally risk of nosocomial infection.

Structure:

The department is equipped with the modern equipment of leading German manufacturers: endovideosurgical stand with HD system, electro-surgery units (which make is possible to use different types of energy), as well as VITOM TM system.

A surgery block is intended for surgical aggressions (under the local or general anesthesia), which requiring no special preparing and long stay in the in-patient department. The department has all necessary infrastructure, as well as a modern after operating ward for patients.

Some gynecological aggressions are performed here: various types of biopsies and punctures of neoplasms, discussion, aggregation of tissues, resection and destruction of tumors in the pathology of female genital organs.

Hysteroscopy is widely used to remote endometrial and cervical canal polys, targeted biopsies, ablations and perform the cervical conization and vaginascopy.

In another surgery block minimally invasive aggressions are performed in disease of breast, skin, various endoscopic aggressions under anesthesia and minimally invasive aggressions under the modern navigation.

Procedures:

SURGERY IN GYNECOLOGY:

  • Radio–wave treatment;
  • Cervical erosion coagulation;
  • Cervical erosion conization;
  • Cervical tumor targeted biopsy;
  • Cervical leukoplakia coagulation;
  • Vagina tumors removal;
  • Removal of endometrioid cervical heterotopias;
  • Perineal genital removal;
  • Removal of vulvar tumors;
  • Cervicogisteroscopy;
  • Hystero-Resectoscopy of endometrial polyp;
  • Imperforate hymen discission;
  • Labiaplasty;
  • Diagnostic curettage of the cervical mucosa, uterine cavity.
VITOM TM SYSTEM

SURGERY IN UROLOGY:

  • orchiectomy;
  • circumcision;
  • urine drainage bag installation;
  • genital biopsy;
  • urine drainage alternation;
  • kidney stands installation and alternation;
  • cystoscopy.

SURGERY IN MAMMOLOGY:

Surgical treatment of the fibroadenomas of the mammary glands and other benign neoplasms.

SURGERY IN DERMATOLOGY:

  • skin tumors biopsy;
  • removal of lipomas, atheromas, fibromas, papillomas, warts, nevi, hemangiomas of dermoid cysts, granulomas;
  • removal of precancerous and malignant skin neoplasms: melanoma, basal cell carcinoma, epidermoid carcinoma, Merkel cell carcinoma, tomato tumor, Bowen’s disease.

MINIMALLY INVASIVE UNDER ULTRASOUND INVESTIGATION CONTROL:

  • abdominal paracentesis;
  • pleural puncture;
  • installation of metal marker in the area of the tumor node;
  • marker installation;
  • trepan-biopsy of tumors of external localization;
  • trepan-biopsy of bone tumors;
  • biopsy of tumors, tumor-like formations of soft tissues;
  • puncture biopsy of formations of external localization;
  • drain of fluid cavern;
  • ultrasonic diagnosis;

NECESSARY VOLUME OF PREOPERATIVE EXAMINATIONS:

A primary consultation of the specialist:

  • clinical blood analysis (10 days ago);
  • coagulogram (10 days ago);
  • biochemical blood assay (10 days ago);
  • clinical urine analysis (10 days ago);
  • RW, blood analysis in F-50 form, hepatitis B and C (90 days ago);
  • Blood group analysis and rhesus blood factor analysis;
  • ECG after 30 years (1 month ago);
  • fluorography (during 1 year);
  • consultation with the therapeutic about unless contraindicated to surgical aggression for patients after 40 years.

Head of department - Lavrinovich Olga Evgenievna, Candidate of Medical Sciences, researcher, oncologist.

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