Regional gynecology. Department of Gynecology and Reproductive Surgery. The motto of the group of gynecological departments is a warm attentive attitude towards patients

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Temple of female health

The gynecological department of CBC, created in the difficult post-war years, has assisted to all women in Kaluga and the Kaluga region, including oncological patients.

Here were the wonderful specialists, honored doctors: Ts. Ghanzis, N. Serbryakova, E. Petrov, N. Makarova, R.Grinyev, who saved the life in the literal sense of the words of hundreds of women and had qualified assistance to dozens of thousands.

Since 1982, during 20 years, the department was led by the Honored Doctor of the Russian Federation R. Balkhenko, with the participation of which fundamentally new methods for the treatment of purulent-inflammatory diseases were introduced, reconstructive plastic operations were carried out for the first time in the region.

Since 2002 Head of the gynecological department of Klimov G.S., Executive Healthcare, Honored Health Worker of the Kaluga Region.

At any time of the day and night, directly in the department or through the Department of Emergency Advisory Assistance are treated for the help of obstetrician-gynecologists of all regions of the region. According to the first call, doctors leave for Patients at the reanimobile, assist in place or transport to the gynecological department of the regional hospital. A year is obtained highly qualified specialized gynecological care for three thousand women. 85-90% of them are carried out operational treatment. The most complex gynecological patients with severe extragenital pathology are concentrated here.

Since 1991, a complex endoscopic technique is used in the department, which allowed for the first time in the area to introduce such an intrauterine endoscopic operation as hysteroscopy. This operation made it possible to precisely diagnose, properly assign hormonal therapy, to reduce repeated operations several times.

Since 2002 Laparoscopic technology began to introduce, which significantly improved the diagnosis and treatment of gynecological patients.

The office is a female health center in which highly qualified doctors and medical sisters work.

Our advantage is the joint work of the team of obstetric-gynecologists and anesthesiologists-resuscitation and the use of modern medical equipment.

Our goal is to preserve the health of a woman in every period of her life, starting with children's age and to elegant age.

Gynecology in the Kaluga Regional Clinical Hospital:

Infertility

Myoma uterus is conservative and surgical treatment, includingmethod of embolization of uterine arteries(EMA)

The possibility of combined operations (vaginal operations withlaparoscopic assistants)

External genital endometriosis, adenomyosis- conservative and surgical treatment

The formation of ovarian (including pregnancy time)

Endometrial pathology: endometrial hyperplasia, polyp endometrial, uterine bleeding(Hysteroscopy using in / in anesthesia)

Ectopic pregnancy

Apoplex and twist ovarian

Syndrome hyperstimulation of ovarian

The usual loss of pregnancy, undustful pregnancy

Chronic inflammatory diseases of small pelvis,sexually transmitted infections

Pathology of cervix

Gynecological endocrinology

Plastic operations when omitting and falling off genitals.

Employees of our branch are adherents of minimally invasive organosuming methods of surgical intervention, so for each patient, you choose the optimal method of treating the uterine misa, taking into account the age of related diseases, the desire to have children in the future.

Topolskaya Irina Vladimirovna - Head of the Department, an obstetrician-gynecologist of the highest qualification category. Education higher professional, graduated from the Saratov Order of the Labor Red Banner State Medical Institute in the specialty "Pediatrics", a diploma of 06.23.1988; Certificate in the specialty "Obstetrics and Gynecology", the validity period from 04/22/2019 to 22.04.2024; Certificate in the specialty "Organization of Health and Public Health", validity period from 04/22/2019 to 22.04.2024

Work schedule: 08.00-16.18

Donskoy Irina Viktorovna - Senior Medical Sister of the Second Qualification Category. Education Average - professional, graduated from the Tambov Regional Medical College in the specialty "Obstetric Business", a diploma of 06/23/2006; Education higher professional, graduated from GOU VPO "Saratov State Medical University. View of Romaumovsky "in the specialty" Nursing case ", a diploma of 11.06.2011; Certificate of specialty "Nursing", validity period from 04/25/2019 to 25.04.2024

Work schedule: 8.00-16.18 (break during the work shift)

List of specialist doctors division

Kuzina Marina Sergeevna - An obstetrician-gynecologist of the first qualifying category. Education higher-professional, graduated from GOU VPO "Ryazan State Medical University. academician I.P.Pavlova MZ of the Russian Federation "in the specialty" Therapeutic case ", a diploma of 06/22/2007; Certificate in the specialty "Obstetrics and Gynecology", the validity period from 10.02.2018 to 10.02.2023

Work schedule: 08.00 - 16.18 (break during the working shift)

Kondakova Olga Alekseevna - An obstetrician-gynecologist of the first qualifying category. Education higher-professional, graduated from GOU VPO "Saratov State Medical University. IN AND. Razumovsky "in the specialty" Therapeutic case ", a diploma of 18.06.2005; Certificate in the specialty "Obstetrics and Gynecology", validity period from 03.10.2015 to 03.10.2020

01/28/2020 lay down on a planned surgery in gynecology. I just pay from pride for our youth !!! Lord, thanks for talented children! Real doctors with a capital letter, the change has grown better. Thank you and bow Vaganov Evgeny Fedorovich and the whole team ! Clean and nutrition at the highest level, not a single complaint. Confessment in the first place. All !!!

I want to express a lot of gratitude to the doctors of Bochkareva and Aliyeva, if I hadn't, I don't know what I would do with me. They are professionals with a capital letter, I have big problems with veins, from the word completely, they are simply no (long use intravenously). No one can take blood I am constantly tormented, catheters are no longer possible everywhere. Here they also found a venous vein, they said to be patient, although I myself was to blame, calmed me down .... and did not have to climb into a groin vein and neck. If it were not for not to see me not the operation, no more than the catheter, and without it could not be introduced into anesthesia. Huge thanks to them for this that was tormented with me at 23 o'clock, on that day I had the last and with such problems, just at the attending doctor Roddenkov A, for the manifested care upon admission

Feldenshi Nadezhda

Many thanks to all employees of the gynecological department! Enrolling in this office, I saw how the team works, I realized that in our medicine is not all lost! Work is set at the highest level! I am a nurse, work experience of 32 years old. I am very glad that there are such teams and real professionals in our medicine!

Marina us

I want to express great gratitude to the doctors who spent me an operation on the extripitation of uterus with the appendages of Lologayeva M.S., Muradanz S.M. Ordinator Z.T. Magomedova. Anasthesiologist Pshonkin D.N. and the operating sister Girueli D.O. All medical sisters department and head. Department Aryutin D.G for his ability to organize the work of the whole team.

Good day! Dried to the Gynecology Department of Hospital # 29 from 10/28/2019 to 01.11.2019. I want to express a lot of gratitude to my attending doctor Rodchenkova Alexandra Andreevna and the order of Magomedova Zainab Tagirovna for the responsible attitude to work, attentiveness and courtesuity! Despite your enough young age they perform their work clearly and professionally! Thank you very much! I also want to note the perfectly organized work of middle medical personnel. In the department, excellent medical sisters and nurses. Purity perfect! All very kind and responsive people!

I want to express gratitude to the doctor Vaganov Evgeny Fedorovich. The professional of his case is not indifferent says simply and understandable. More such doctors. In general, the department was pleasantly surprised, purely, there are no smells. I had a feeling that I care about and lead me. Work at the department is well organized, the brigades are coordinated and this despite repairs in the department. I want to thank the head. Department of Arukina D. G. for such an organization of work, as well as his anesthesiologist Dmitry Sergeevich. The injection in the back did easily, and I was very afraid. I wish the whole team of success in their difficult work and of course health. Sincerely, Batagova E. V.

On the basis of the gynecological departments of the Hospital of GKB №31, the clinic of the Department of Obstetrics and Gynecology Rhine is deployed.

GKB GKB GKB №31 is considered to be one of the best in Moscow. All types of conservative and operational treatment of any gynecological diseases are applied. It is possible to hysteroscopic and laparoscopic diagnostics, and operational treatment with the help of these methods allows you to maximize the recovery period and is the most gentle for patients.

Since 2004, a modern organ-saving method of treatment of uterine and adenomyosis is firmly rooted in the hospital - embolization of the uterine arteries.

detailed information

general information

Head of Department No. 1- Doctor of Medical Sciences, Professor E.N. Cathwow.
Senior Medical Sister Department - Yu.N. Tarasova.

Head of separation №2 - Ph.D. O.I. Misieva.
Senior nurse - N.G. Kosolapova.

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

• uterine bleeding of reproductive, perimenopazal periods, periodios of menopause;
• cervical diseases;
• physiology and pathology of postmenopause periods;
• intrauterine pathology (uterine myoma, adenomyosis, polyps endometrial, endometriosis, synechia, foreign bodies);
• ovarian education in patients of various age periods
• inflammatory diseases of internal genital organs.

Main types of surgical treatment:

• diagnostic laparoscopy;
• waste and laparoscopic operations in the volume of amputation and extirpation of the uterus;
• waste and laparoscopic operations on appendages;
• vaginal extirpation;
• plastic vaginal operations, including when the uterus is losing and omitting the vaginal walls;
• laparoscopic operations for the treatment of infertility;
• laparoscopic organ-saving operations during tubular pregnancy; restoration of pipe patency;
• hysteroscopic treatment of intrauterine pathology;
• electrosurgical, laser and thermoablation of endometrial, embolization of uterine arteries.

The motto of the group of gynecological offices -
Warm careful attitude towards patients.

Dozens of letters come to the clinic. The implementation of highly technological methods is carried out by the PCM No. 31 doctors in close professional contact with the staff of the Department.

general information

• • Heads the Department of Obstetrics and Gynecology of the Pediatric Faculty Rhinim -Odtor Medical Sciences, Academician of the Russian Academy of Sciences, Member of the Presidium of the Board of the Russian Society of Acouver Gynecologists, Chairman of the Presidium of the Moscow Society of Gynecologists, Member of the NEW EUROPEAN SURGICAL ACADEMY Society (NESA), Member of the International Center for Gynecologists ( Figo) - Kurtern Mark Arkadyevich- 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 Worker of Science, Vice-President of the Russian Association, Gynecologists, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty from 1971 to 2017.
    At the moment, the clinic is reached with the implementation of a wide range of laparoscopic medical and diagnostic intervention on the organs of the small pelvis. Over the past 20 years, one of the staff of the department is a doctor of medical science professor Sergey Vyacheslavovich Pinsov On the basis of 31 hospitals created a school of endoscopic gynecology. Proofessor Valentina Grigorievna Bresenko - The founder of the hysteroscopic method in GKB №31. At the present stage, with the introduction of hysterorezing, laser ablation and thermalablation of the endometrium, the arsenal performed hysteroscopic operations was significantly replenished. Since 2004, a modern organ-saving method of treatment of uterine and adenomyosis is firmly rooted in the hospital - embolization of the uterine arteries. Over the past 5 years, cooperation with the department allowed practical doctors to protect 4 doctoral and 38 candidate dissertations. Currently received a grant for the implementation of scientific developments on the topic "Early diagnosis of ovarian cancer." Employees of the Department: Academician Ramna G.M. Savelyeva, professors V.G. Bresenko, S.V. Pins in 2003 for the development and implementation of endoscopic methods of diagnosis and treatment in gynecology in gynecology was awarded the Government Prize.

general information

Embolization of the uterine arteries (EMA) is one of the modern directions of the operational treatment of uterus diseases, which consists in puncture of the artery on the thigh, the catheterization of the vascular vessels and the introduction of particles of a special embolization preparation.

Symptom or growing uterine myoma

• Up to 20 weeks of pregnancy in the absence of severe pathology of the cervix, endometrial and ovaries.
• In patients interested in pregnancy, with a confirmed role of Misa uterus in the pathogenesis of infertility or with a high risk of miscarriage, if it is impossible to perform safe momectomy.
• As preparation for momectomy or hysteroresterakopy.

Intensive uterine bleeding of various etiology, when other treatment methods are impossible or conjugate with the real threat to the patient.

When determining the testimony to the EMA on Moma, the patient's motivation is important: the patient's persistent desire to save the uterus, avoid operation, interest in pregnancy.

Embolization of the uterine arteries (EMA) is performed in:

general information

Robotic surgery is a new, high-tech type of minimally invasive surgery, which lies in surgical intervention through small cuts on the patient's skin and the ability to operate remotely. This ensures minimal traumatization, faster recovery, decreases the duration of the patient's stay in the hospital, and the likelihood of further complications is minimized.

Advantages of robotic surgery

The "DA Vinci Si" robot does not work independently, contrary to popular belief. But due to remote control and high-quality visualization, it allows the operating surgeon to perform clearer movements and excludes hand shakes. That is, the robot follows the movements of the surgeon, and it is not able to move or program independently.

These factors create ideal conditions for a surgeon and make it easier to carry out complex laparoscopic operations. As a result of maximum accuracy of even very complex movements tools, thanks to the excellent image quality and the possibility of carrying out the operation on small and hard-to-reach areas, the duration of hospitalization of patients decreases, they feel less pain, lose less blood, have a better aesthetic result, rehab are passing faster and rather return to Everyday life.

Robotic operations in gynecology GKB №31

In the 70s and 190s, the wide introduction of laparoscopy in clinical practice began, which was associated with the advent of fiber optics and special tools. As a result, not only the quality of diagnosis increased, but some interventions on the abdominal organs began. By the way, in our country, the experience of using laparoscopy in gynecology was summarized in 1977 in the monograph G.M. Savelyeva - Academician RAS, D.M., Professor and our doctor, under the guidance of which the first operation was carried out in our hospital after its discovery in 1970.

At the moment, almost all gynecological operations are carried out using laparoscopy and robot. Robotic surgical activities in gynecology is one of the fastest growing areas and is used in the treatment of all benign and malignant gynecological diseases. Our gynecologists perform operations in women with a prolapse problem (loss) genitalia, which includes support for the pelvic bottom (promotofixation using a mesh implant), removing myomatous nodes (momectomy) with uterine preservation, phenisterectomy with lymphodissection. Thus, the operations previously conducted by laparoscopically can currently be reliably carried out by a robotic method.

Operation of uterine and ovarian formations

Today, endoscopic operations in normal mode are carried out regardless of the size of the uterus. Depending on the localization of myomatous nodes and their quantity, the removal can be made with small cuts and do not resort to open surgery. In this case, the uterus momas, regardless of its size, removed from the abdomen with small areas with the help of marcelerator.

Radical hysterectomy (the removal of the uterus) is a classic and efficient method of treating oncological diseases of uterus and appendages at the initial stage. The robot-assisted operation makes it minimally invasive, with less blood loss and the duration of hospitalization.

Experience in robotic operations in GKB №31

At the moment, in the GKB No. 31, robotic operations of various difficulties with the use of a robotic system da Vinci are carried out on a regular basis.

Today, gynecological robotic operations include the removal of tumor formations of ovaries, momectomy, promotecting, total and partial hysterectomy, treatment of endometriosis, as well as the treatment of oncological diseases of endometrial and ovaries.

general information

Laparoscopy is an endoscopic method of emergency and planned surgery. It allows you to explore the internal organs of the abdomen through a small hole in the abdominal wall. Inspection is carried out using an optical tube. After 2-3 other punctures, the necessary manipulations with the organs are produced. Laparoscopy is almost bloodless and small-acting.

In the sources of laparoscopic gynecology in Russia there is an academician of RAMS, a professor, head of the department of obstetrics and gynecology of the Pediatric Faculty of RGMU Galina Mikhailovna Savelyev. Each laparoscopy specialist rightly call her to his teacher.

The spectrum of surgical interventions carried out by laparoscopic access is wide: gynecological operations, cholecystectomy and hernioplasty, gastrectomy, pancreatododenal resection and operations on thick and rectakes.

general information

Ectopia of the cervix (also ectopia cervical epithelium, cervical pseudo-erosion, cervical erosion, endocervicosis) - the location of the cylindrical epithelium, lining the cervical channel, on its vaginal surface, which looks like a red stain around the outer hole of the channel. Ectopia occurs about half of the female reproductive age and is almost not found in women after 40 years.

general information

Hysteroscopy is to examine the walls of the uterus with a hysteroscope, followed by conducting (if necessary) diagnostic and operational manipulations. Hysteroscopy allows you to identify and eliminate intrauterine pathology, remove foreign bodies, tissue biopsy, delete endometrial polyps.

Indications for the diagnostic procedure are:

• Anomalies for the development of the uterus.
• Bleeding in postmenopausal.
• Infertility.

Indications for the surgical procedure are:

• Sublifier mioma uterus.
• Intrauterine partition.
• Intrauterine synechia.
• Polyp endometrial.
• Endometrial hyperplasia.

Contraindications are:

• Recently transferred or existing inflammatory process of genital organs.
• Progressive pregnancy.
• Abundant uterine bleeding.
• Stenosis of the cervix.
• Common cervical cancer.
• General infectious diseases in the aggravation stage (influenza, pneumonia, pyelonephritis, thrombophlebitis).
• Heavy condition of the patient with the disease of the cardiovascular system, liver, kidneys.

Indications for the diagnostic procedure are:

• Sublifier mioma uterus.
• Intrauterine partition.
• Intrauterine synechia.
• Polyp endometrial.
• Endometrial hyperplasia.
• Removal of remnants of the intrauterine contraceptive.

Indications for the surgical procedure:

• Suspicion of the inner endometriosis of the body of the uterus, the submembraty node of the mioma, synechia (sobbing) in the uterus cavity, the remains of the fetal egg, the cervical cancer and endometrial, the pathology of the endometrium, perforation of the walls of the uterus during an abortion or diagnostic scraping.
• Suspicion of the malformations of the uterus.
• Violation of the menstrual cycle in women of childbearing age.
• Anomalies for the development of the uterus.
• Bleeding in postmenopausal.
• Infertility.
• Control examination of the uterus after surgery in the uterus, when pregnant, after hormonal treatment.

Altukhova Oksana Borisovna

head of the department, Ph.D., doctor of the highest qualification category.

The separation is designed for 60 beds. The state of the department employs 7 doctors who own the entire spectrum of operational interventions carried out in the department. Four of them have the highest qualifying category, three are candidates of medical sciences. Every year, experts are trained in advanced training courses at the central bases of Moscow and St. Petersburg. The state of the department employs 25 qualified nurses, 8 of which are certified for the highest qualification category. The presence in the separation of modern equipment, tools and medicines allows us to provide planned and emergency medical care in full.

The priority direction in the work of the department is the development of endoscopy, both diagnostic and surgical, improving organ-bearing operations with benign tumors of uterus and appendages, vaginal operations. When used in the treatment of surgical methods, preference is given to high-tech, small-acting and organ-powder operations.

Diseases requiring operational intervention:

• ectopic pregnancy;
• myoma uterus:
• diseases of the appendages of the uterus (cysts, ovarian tumors);
• endometriosis;
• infertility;
• omitting and falling out of the genital organs;
• endometrial diseases (polyps, hyperplasia);
• cervical diseases;
• bartolin cysts, vaginal and parauretral cysts;
• urinary incontinence.

The department turns out all types of gynecological assistance to women with gynecological diseases:

• all types of operational treatment with laparotomic access;
• carrying out laparoscopic operations in the uterus and appendages;
• laparoscopic treatment of infertility (SalpingOrvolIsis, fimbroplasty, demadool of ovarian, chromohydroscopy, conservative momectomy);
• diagnostic hysteroscopy;
• therapeutic hysteroscopy (hysterorecheutoscopy, endometrial ablation);
• performing operations with vaginal access - extirpation of uterine with appendages and without, plastic operations in the insolvency of the pelvic bottom muscles, when omitting the walls of the vagina, uterus, the elongation of the cervix, including the most effective plastics techniques using synthetic materials (set grids);
• modern methods for the treatment of stress incontinence of urine in women, ureterpexia according to the TVT method;
• combined operations with vaginal access with the laparoscopic stage;
• interrupting pregnancy for medical testimony at different times of pregnancy;

To provide full-fledged specialized medical care to teenage girls in the department, juvenile beds are deployed.

Due to the presence of a modern branch of physiotherapy and rehabilitation, at the end of the acute period of the disease, especially after surgical treatment, a set of measures is carried out, aimed at rapid recovery and the return of a woman to active life.

In the department, the patient is located in separate 1-4 local chambers in which there is everything necessary in order to make the hospital stay as comfortable as possible. There are postoperative chambers of intensive therapy and a chamber of high comfort. After bulk operational interventions and for patients with severe somatic pathology, chambers in the resuscitation department with round-the-clock observation of medical personnel and hardware monitoring of vital functions are provided.