SURGERY DEPARTMENT OF GLMED RESIDENCE
Our Residence is especially proud of our surgery suite meeting European standards, where the most complicated, unique and critical procedures are performed.
Properly furnished surgery room with high-grade equipment is not merely a requirement of the standards but considerable help for surgeons, confidence in predictability and effectiveness of each step. Each element creating ergonomic and comfortable conditions for surgeons team is intended to support their actions and help patient’s organism to tolerate surgical intervention normally.
Equipment in our surgery room conforms to the strictest requirements of efficacy and safety for the patients. For provision of air sterility in the surgery room, special laminar complying with Sanitary Rules and Regulations and DIN is used. It serves as the third step of air filtration in the air conditioning system. Air passing through medical sterilizer is decontaminated and supplied to the room by sterile laminar flow. Laminar or unidirectional air flow supplied with certain speed prevents infection penetration into surgery zone and completely covers surgery room with the table, surgical brigade, equipment with tables and tools and sterile materials. Floors in the surgery room have special antibacterial covering. Enclosing structures of walls and ceilings exclude penetration and accumulation of bacterial flora. All of this allows to reduce the risk of postsurgical complications in the significant extent and reduces patient’s recovery period.
Surgical table is equipped with the local and remote control compatible with any anaesthetic and resuscitation equipment. Table configuration ensures comfortable access to the patient for surgeons and assistants. During surgery this construction can be easily adjusted quickly adapting to the situation. It saves efforts of the personnel, increases accuracy and precision of actions.
High-quality surgical instruments are the basis for any surgery. While mastery, accuracy and reliability of surgeons are essential factors of surgery success, the same requirements are imposed to the used instruments.
For achievement of effective surgical treatment with minimization of risk, it is necessary to use highly-technological instruments produced on the basis of innovative achievements. In our surgery room special endo-video equipment “ESKULAP” by German manufacturer B.Braun is used, which is the global leader of manufacture of precision instruments for endoscopic surgery.
Electrocoagulator FORCE TRIAD is advanced generator by Valleylab. It is represented as “energy platform” since it combines advantages of different generators. Unique basis of electrosurgical effect of this generator is TissueFect – technology of monitoring electric parameters of the tissue. REM – security system of Valleylab – excludes the risk of burns for the patient upon use of two-section pasted dissipating electrodes (patient’s plates).
Anesthesia machine FABIUS PLUS (DRAGER) is an example of German engineering master skills, newest solution in the field of anesthesia increasing its efficacy and reliability to a new level. High-capacity compact device with convenient design is furnished with a wide choice of highly technological options – from full set of ALV modes (artificial lung ventilation) and monitoring of the patient’s state to monitoring of anaesthetic gases.
We prefer minimally invasive surgery. It is a small injury rate, mini-invasiveness, short periods of patient’s stay in the inpatient department (2-7 days), quick recovery after surgery, absence of painful feelings and post-surgical scars which are observed, for example, after abdominal surgeries with dissection. Laparoscopic surgery in many cases successfully replaced upfront surgery. Used optics enables to see the object of surgery under different angles, which ensures much higher possibility of visualization than during traditional surgeries. Modern laparoscopic equipment provides magnification by up to 40 times, i.e. operation is performed almost under the microscope. Sparing, precision (highly accurate) hardware supports careful treatment of operated organ tissues; it reduces and almost brings to naught negative effects of postsurgical injury, which is an important factor for longevity achievement.
The range of minimally invasive surgeries performed in our Residence is quite wide.
Minimally invasive surgery of liver and bile ducts. Laparoscopic cholecystectomy (LCE) for chronic and acute calculous cholecystitis. Cholecystectomy surgery under US control became widely spread among elderly and senile patients. It allows to neutralize the inflammatory process in a prompt manner and prepare a patient for scheduled surgery in more favorable conditions. For avoidance of bile leakage, puncturing and drainage of the gall bladder is performed through the liver tissue adjoining the gall’s bottom.
Appendectomy. In contrast to “upfront” method, laparoscopic appendicectomy is accompanied with a smaller rate of pyogenesis in the post-operative wound.
Inguinal hernioplasty in technical terms significantly differs from the traditional methods. It essence consists in the covering of medial and lateral inguinal fossae by the synthetic net.
Adhesiolysis is the adhesiotomy for acute adhesive intestine obstruction. Operation is performed in the absence of obvious swelling of the loops of the small and large bowl. Counter-indication is also peritoneal adhesions, i.e. the situation when a patient experienced a number of “upfront” surgeries in the abdominal cavity organs, including the same for adhesive intestine obstruction. In such case, the risk of intestine damage during pneumoperitoneum provision of insertion of trocars into the abdominal cavity increases significantly.
Peritoneal abscesses. For many decades the only method of their treatment was laparotomy and abdominal drain. Today, minimally invasive operation of external abscesses draining under US and CT control became widely spread in such situations. It can be used for abdominal abscesses complicating the state of any acute disease (appendicitis, cholecystitis, pancreatitis, diverticulitis, etc.) or arising after various surgical interventions in the abdominal cavity organs.
Minimally invasive method of intra-articular administration of sodium hyaluronate (artificial prosthesis of synovial fluid) under US control used in the Residence is rejuvenating for the joints.
Use of PRP therapy in orthopedics (cellular therapy)
in modern orthopedics, plasma enriched with platelets (PRP) is used for the most rapid recovery of injured tendons and cords, for acceleration of the process of cartilaginous tissue recovery in case of arthritis of different nature (traumatic or associated with degenerative processes), for relief of painful feelings upon injuries. After PR therapy, injuries healing is accelerated without use of any drugs and the possibility of surgical intervention decreases.
“Growth factors” contained in PRP stimulate intensive recovery of the damaged tissues of joints, cords, tendons. Using PRP therapy, we concentrate thrombocytes and, accordingly, “growth factors”, contributing to rapid recovery.
Aesthetic plastic surgical operations can be classified according to the areas of operation:
- face rejuvenation (rhytidectomy, face lifting)
- lifting of eyebrows and forehead (frontlifting)
- surgery of eyelids (blepharoplasty)
- surgery of nose (rhinoplasty, septoplasty)
- surgery of ear auricles (otoplasty)
- surgery of lips (cheiloplasty)
- hair transplantation
- surgery of chin (mentoplasty, mandibuloplasty and genioplasty)
- surgery of cheekbones (malarplasty)
- surgery of neck and submental region (cervicoplasty)
- surgery of breast (mammoplasty)
- abdominal surgery (abdominoplasty, liposuction)
- surgery of buttocks (gluteoplasty)
- surgery of hands (brachioplasty)
- surgery of legs and inner surface of hips (cruroplasty and femurplasty)
- surgery of labia minora and labia majora (labiaplasty)
- surgery of virginal membrane (hymenoplasty)
- surgery of vagina (vaginoplasty)
- surgery of penis (phalloplasty)
- surgery of neck (platysmaplasty)
- skin tightening after weight loss (panniculectomy, torsoplasty)
- combined plasty (two and more regions)
- reconstructive plasty (upon massive external damages)
One of the most popular aesthetic operations is liposuction performed in different zones depending on indications.
Minimally invasive surgery in gynecology allows to reduce blood loss during operation, avoid development of adhesive process and shorten the recovery period. Minimally invasive surgery leaves only a small aesthetic suture and almost no scars. Minimally invasive surgery uses several methods:
- colposcopy – diagnostic examination of vagina and vaginal walls with the help of a special device (colposcope);
- hysteroscopy – examination of uterine cavity walls with the help of hysteroscope allows to identify and eliminate intrauterine pathologies, remove foreign matters, take tissues biopsy ;
- laparoscopic operations – in case of infertility, inflammation, tumors of female reproductive system.
Laparoscopy is an additional method of tubal infertility diagnostics. During diagnostic laparoscopy, when it is necessary to identify only the reasons and determine the character of infertility, one section is made in the umbilical area or below or next to it.
Diagnostic laparoscopy in our residence is performed only under general anesthesia. In case of inflammatory processes in the uterine tubes, laparoscopy gives a chance to preserve the organs and, accordingly, to have children. In case of acute inflammation, uterine tubes are opened and washed, necessary drugs are administered into inflammation focus. During operation out doctors also liquidate any adhesions met. The tubes are not eliminated. Laparoscopy is used in case of occurrence of neoplasms, cysts, myomatous nodules. In contrast to cavity surgery during which uterine is removed together with the myoma for avoidance of bleeding, laparoscopy allows to remove only myomatous nodules. However, laparoscopy (as well as all endoscopic methods) is an effective method of struggle only with myomatous nodules. In case of a large myoma formation (more than 12 weeks), laparotomy is used (abdominal operation).
Labiaplasty in gynecology
Special attention in our Residence of Longevity and Beauty is paid to changes of female organism connected with the age.
Minimally invasive operations are performed once per 8-12 months. Effect can be assessed in several days already. Used materials stay in the patient’s organism for a long time and produce dual effect: “mechanical” effect (volume replenishment, correction of anatomic peculiarities, narrowing of vagina lumen) and treating-and-preventive (improvement of micro-circulation, humidification, nutrition promotes synthesis of own connective-tissue fibers and natural strengthening of skin and mucous membranes).
Such methods allow to solve narrower objectives – for example, improvement of quality of sexual life by means of G points augmentation, correction of the initial stages of enuresis, treatment of chronic cystitis with dystopia of urinary tract.
Used materials do not induce allergies and rejections and undergo complete biodegradation in the organism. Procedures included into minimally invasive operations are mostly combined with other methods of influence, such as plastic surgery of perineum: contraction, change of shape of labia minora and majora, cicatrectomy, narrowing of vagina opening, necessary operative instructions on genitals prolapsed and dysfunction of adjacent organs with the use of special materials for reinforcement of the pelvic floor, prolift tapes and nets. For prolongation and improvement of effect after surgery, we offer a wide range of rehabilitation and supporting measures.
Our work is to care about your health and longevity relying on the advanced scientific developments and traditional medical examinations, to make you be loved and adored forever.
Modern rhythm of life does not allow to leave work and home cares for a long time. That is why methods of treating varicose are upgraded towards lower injury rate, higher aesthetics, speed of performance and recovery after treatment. Minimally invasive endovenous laser ablation meets these requirements.
Advantages of minimally invasive interventions in veins:
- treatment is performed on the outpatient basis and takes 30-40 minutes, after which the patient leaves the clinic;
- low injury rate, which allows to perform simultaneous treatment of varicose on both legs;
- excellent cosmetic effect – absence of sutures and scars on skin after intervention;
- procedure is performed under local anesthesia, which excludes pain syndrome prior to and after treatment;
- absence of complications and safety for the patient;
- high healing effect – complete absence of disease recurrences;
- quick recovery – you can start working on the day of treatment of the next day.