Rus / Eng

Treatment in Russia. Kirov

Neurosurgery

OFFICE

OPERATIONS

DOCTORS

In department there is a specialized, including hi-tech medical care to patients with spine injuries their effects, backbone diseases, at spinal fractures of all localizations and their effects, at deformations of a backbone and at traumatic dislocations of vertebras.  

Operational treatment of hernias nuclei pulposi and backbone osteochondrosis practices.  

All types of surgeries at diseases and injuries of the central and peripheral nervous system are carried out.

Injuries of a brush of any degree of complexity are successfully operated with microsurgeons by means of high-precision modern technologies. Microsurgical change of complexes of fabrics with recovery of their blood supply is carried out, injuries of sinews of razgibatel and sgibatel of fingers are operated.

Medical equipment such is that it can compete at the level of world clinics. Beginning from diagnostic manipulations by means of computer and magnetic resonance imaging, extensive "park" of x-ray complexes, including digital, and finishing with the operating rooms equipped by the last word. Hi-tech equipment - devices for intraoperative roentgenoscopy like S-arc, devices for blood reinfusion, endovideo surgical racks of an expert class, computer navigation, the modern respiratory, monitoring equipment, the electrosurgical equipment and many other things.

Surgical treatment of degenerative spine diseases (osteochondrosis, spondylolisthesis)

Description

Indications

Preoperative examination

Rehabilitation

All major types of surgical interventions for degenerative spine diseases in all its departments (cervical, thoracic and lumbar) are performed in the neurosurgery department.

All surgical interventions are performed in the surgery unit, equipped with the necessary modern equipment. A surgery microcop, C-arc, monitoring, micro-tools are used. The doctors of the clinic are highly qualified. The surgery time is usually 1 - 2 hours.

Degenerative spine diseases accompanied by neurological symptoms

Before the planned hospital admission, the patient must have a medical check-up at the place of residence.

• CBC, clinical urine analysis, venous blood glucose, bilirubin, blood creatinine

• RW analysis, HBsAg, anti-HCV, HIV testing. With a positive hepatitis test - additional AST, ALAT tests and the consultation of an infectious disease specialist.

• ECG with description.

• Medical reports from a therapist, a dermatologist (pediculosis, scabies), a dentist (about the possibility of surgical treatment); if medically required -an endocrinologist, a cardiologist, a pulmonologist, and other specialists. Mandatory drugs prescription, recommendations for the patient staying in hospital.

•Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

MRT scan of the affected spine section

2 weeks prior to hospital admission cancel:

- anticoagulants (aspirin, cardiomagnyl, thrombo ASS, etc.),


Inpatient treatment takes from 3 to 7 days, as a rule, even in difficult cases it does not exceed 10 days.

The rehabilitation program with the patient starts from the first day after thesurgery.

The full recovery period after surgery takes 1-3 months.

Microsurgical and endoscopic removal of discal hernia at the lumbar and cervical levels       

Description

Indications

Preoperative examination

Rehabilitation

Microsurgical and endoscopic isurgeries are performed for herniaы. Minimally invasive interventions are performed for stenosis (narrowing) of the spinal canal.

All surgeriess are performed in the surgery unit, equipped with the necessary modern equipment. An operative microcop, C-arc, monitoring, micro-tools are used. The doctors of the clinic are highly qualified. surgery time is usually 1 - 2 hours.

Degenerative spine diseases accompanied by neurological symptoms

Before the planned hospital admission, the patient must have a medical check-up at the place of residence.

• CBC, clinical urine analysis, venous blood glucose, bilirubin, blood creatinine

• RW analysis, HBsAg, anti-HCV, HIV testing. With a positive hepatitis test - additional AST, ALAT tests and the consultation of an infectious disease specialist.

• ECG with description.

• Medical reports from a therapist, a dermatologist (pediculosis, scabies), a dentist (about the possibility of surgical treatment); if medically required -an endocrinologist, a cardiologist, a pulmonologist, and other specialists. Mandatory drugs prescription, recommendations for the patient staying in hospital.

•Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

MRT scan of the affected spine section

2 weeks prior to hospital admission cancel:

- anticoagulants (aspirin, cardiomagnyl, thrombo ASS, etc.),

After  surgery the patient is immediately transferred to the ward. Inpatient treatment, as a rule, lasts 5-7 days.

The rehabilitation program with the patient begins on the first day after surgery.

The full recovery period after the surgery takes from 2 to 4 weeks.

Decompressive-stabilizing surgeries on all parts of the spine applying a variety of accesses and modern implants

Description

Indications

Preoperative examination

Rehabilitation

Surgery with the use of modern implants and spinal stabilizing systems is widely used. All types of stabilization are performed - front stabilization (ALIF), lateral stabilization (XLIF), posterior and posterolateral stabilization (PLIF, TLIF). A single and multilevel pedicle fixation is used.

Degenerative spine diseases accompanied by neurological symptoms

Before the planned hospital admission, the patient must have a medical check-up at the place of residence.

• CBC, clinical urine analysis, venous blood glucose, bilirubin, blood creatinine

• RW analysis, HBsAg, anti-HCV, HIV testing. With a positive hepatitis test - additional AST, ALAT tests and the consultation of an infectious disease specialist.

• ECG with description.

• Medical reports from a therapist, a dermatologist (pediculosis, scabies), a dentist (about the possibility of surgical treatment); if medically required -an endocrinologist, a cardiologist, a pulmonologist, and other specialists. Mandatory drugs prescription, recommendations for the patient staying in hospital.

•Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

MRT scan of the affected spine section

The tests are valid for 10 days, hepatitis and HIV - 1 month.

2 weeks prior to hospital admission cancel:

- anticoagulants (aspirin, cardiomagnyl, thrombo ASS, etc.),

After surgery the patient is immediately transferred to the ward. Inpatient treatment, as a rule, lasts 5-7 days.

The rehabilitation program with the patient begins on the first day after surgery.

The full recovery period after surgery takes 2 to 4 weeks.

Minimally invasive spinal surgeries - radiofrequency denervation

Description

Indications

Preoperative examination

Rehabilitation

This technique relates to minimally invasive methods of surgical treatment. It is necessary for patients with persistent and long backpains.

The essence of the method consists in the destruction of nerve endings innervating intervertebralis with ultra high frequency currents. Manipulation is performed under sterile conditions of the surgery unit under X-ray control. Local anesthesia is used. The procedure lasts 20-30 minutes on the average.

Pain syndrom in the back

Before the planned hospital admission, the patient must have a medical check-up at the place of residence.

• CBC, clinical urine analysis, venous blood glucose, bilirubin, blood creatinine

• RW analysis, HBsAg, anti-HCV, HIV testing. With a positive hepatitis test - additional AST, ALAT tests and the consultation of an infectious disease specialist.

• ECG with description.

• Medical reports from a therapist, a dermatologist (pediculosis, scabies), a dentist (about the possibility of surgical treatment); if medically required -an endocrinologist, a cardiologist, a pulmonologist, and other specialists. Mandatory drugs prescription, recommendations for the patient staying in hospital.

•Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

MRT scan of the affected spine section

The tests are valid for 10 days, hepatitis and HIV - 1 month.

2 weeks prior to hospital admission cancel:

- anticoagulants (aspirin, cardiomagnyl, thrombo ASS, etc.),

The patient is transferred to the ward immediately after  surgery. The patient goes home a few hours later, or the next day after the procedure. The inpatient treatment is 1-2 days. You can start working the next day after the radiofrequency intervertebralis denervation

Microneurosurgery of brain and spinal cord tumors with the use of neuronavigation

Description

Indications

Preoperative examination

Rehabilitation

The neurosurgery department performs all types of microsurgical interventions for brain and spinal cord neoplasms. Surgeries are performed for benign and malignant, primary and secondary (metastatic) tumors, including skull base tumors. A significant experience of radical minimally invasive surgical treatment has been accumulated.

All surgical interventions are performed in the surgery unit, equipped with the necessary modern equipment. An operative microscope, neuronavigation, monitoring, and microtools are used in operation. The doctors of the clinic are highly qualified. The surgery time is usually from 2 to 4 hours.

Benign and malignant brain tumors, primary and secondary tumors, skull base tumors.

Before the planned hospital admission, the patient must have a medical check-up at the place of residence.

• CBC, clinical urine analysis, venous blood glucose, bilirubin, blood creatinine

• RW analysis, HBsAg, anti-HCV, HIV testing. With a positive hepatitis test - additional AST, ALAT tests and the consultation of an infectious disease specialist.

• ECG with description.

• Medical reports from a therapist, a dermatologist (pediculosis, scabies), a dentist (about the possibility of surgical treatment); if medically required -an endocrinologist, a cardiologist, a pulmonologist, and other specialists. Mandatory drugs prescription, recommendations for the patient staying in hospital.

•Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

CT or MRT scan with contrast intensifying of the spinal cord or brain.

The tests are valid for 10 days, hepatitis and HIV - 1 month.

2 weeks prior to hospital admission cancel:

- anticoagulants (aspirin, cardiomagnyl, thrombo ASS, etc.),

After surgical treatment, the patient is transferred to the intensive care unit, where he usually stays for a day, and then transferred to the ward. The  inpatient treatment usually lasts up to 10 days. The rehabilitation program with the patient starts from the first day after the surgery. After histological verification, a plan is worked out for further treatment of the patient (radiation therapy, chemotherapy, etc., as required).

Transnasal endoscopic interventions for pituitary adenomas

Description

Indications

Preoperative examination

Rehabilitation

Endoscopic transnasal interventions are performed in the neurosurgery department. The main pathology that is operated endoscopically through the nose (without trepanning) are pituitary adenomas. This type of intervention is characterized by a gentle approach, but providing high efficiency. The surgery principle is that the endoscope is inserted through the nasal passage and then with the help of special microtools and under good visual control, the tumor is removed.


Interventions are carried out in the surgery unit, equipped with the necessary modern endoscopic equipment. The doctors of the clinic are highly qualified. Usualsurgery time is 1 - 2 hours. The surgery is performed under general anesthesia.

Pituitary adenomas

Before the planned hospital admission, the patient must have a medical check-up at the place of residence.

• CBC, clinical urine analysis, venous blood glucose, bilirubin, blood creatinine

• RW analysis, HBsAg, anti-HCV, HIV testing. With a positive hepatitis test - additional AST, ALAT tests and the consultation of an infectious disease specialist.

• ECG with description.

• Medical reports from a therapist, a dermatologist (pediculosis, scabies), a dentist (about the possibility of surgical treatment); if medically required -an endocrinologist, a cardiologist, a pulmonologist, and other specialists. Mandatory drugs prescription, recommendations for the patient staying in hospital.

•Chest X–ray with the number, date, description, ticket. The valid period is 1 year. The tests are valid for 10 days, hepatitis and HIV - 1 month.

MRT scan  of the  brain with contrast intensifying.

The tests are valid for 10 days, hepatitis and HIV - 1 month.

2 weeks prior to hospital admission cancel:

- anticoagulants (aspirin, cardiomagnyl, thrombo ASS, etc.),

After the surgical treatment, the patient is transferred to the intensive care unit, where he usually stays for a  day, and then transferred to the ward. The inpatient treatment, as a rule, lasts 5-7 days.

The full recovery period after the surgery takes about 1 month.

Placing extra-intracranital anastomoses with revascularizing purpose in cerebrovascular disease

Description

Indications

Preoperative examination

Rehabilitation

Restoration of the blood supply to the brain by imposing extra - intracranial vascular microanastomosis is one of the methods of treating patients who have undergone ischemic stroke. This type of surgery allows  to give patients a new chance of recovery and protect against a recurrent stroke.


Surgical intervention is performed with the use of a modern surgical microscope and microsurgical instruments.


The doctors of the clinic are highly qualified. Typically, the surgery time is 3-4 hours.


During the operation, the neurosurgeon restores the blood supply to the brain by imposing a micro-anastomosis between the superficial temporal artery, which supplies blood to the scalp and the arteries that feed the brain.

Arterial occlusive disease, Moya-Moya disease

Before the planned hospital admission, the patient must have a medical check-up at the place of residence.

• CBC, clinical urine analysis, venous blood glucose, bilirubin, blood creatinine

• RW analysis, HBsAg, anti-HCV, HIV testing. With a positive hepatitis test - additional AST, ALAT tests and the consultation of an infectious disease specialist.

• ECG with description.

• Medical reports from a therapist, a dermatologist (pediculosis, scabies), a dentist (about the possibility of surgical treatment); if medically required -an endocrinologist, a cardiologist, a pulmonologist, and other specialists. Mandatory drugs prescription, recommendations for the patient staying in hospital.

•Chest X–ray with the number, date, description, ticket. The valid period is 1 year. The tests are valid for 10 days, hepatitis and HIV - 1 month.

• Ultrasound examination of brachiocephalic arteries

• CT angiography of the neck and brain vessels.

2 weeks prior to hospital admission cancel:

- anticoagulants (aspirin, cardiomagnyl, thrombo ASS, etc.),

After the surgical treatment, the patient is immediately transferred to the ward. The inpatient treatment, as a rule, lasts 5-7 days.


The rehabilitation program with the patient begins on the first day after the surgery.

The full recovery period after surgery takes from 2 to 4 weeks.

Spine Endoscopy

Description

Rehabilitation

Endoscopic surgery is performed on the spine in case of spinal disc herniation and narrowing of the spinal canal, as well as nerve compression.

The operation is performed through a minimum puncture incision of no more than 1 cm. A port (a special tube) is installed through it, the muscles being not incised; the endoscope is inserted through the port. The image is visualized on the screen and the doctor sees the anatomical formations of the body and the hernia.

The surgery lasts about 60 minutes. The full recovery time does not exceed one month.

The cost includes surgery, medical tests, anesthesia, hospital stay up to 3 days, meals.

The surgical treatment does not entail long hospital stay, 2 to 3 days of staying in hospital is enough. A few extra days of hospital stay are possible depending on how the surgery went and the patient's condition.

Disc nucleoplasty

Description

Rehabilitation

Endoscopic nucleoplasty is a minimally invasive surgical procedure to reduce protrusion of a deformed intervertebral disk or to heal herniated disks.

In both cases, the intervertebral disc exerts pressure on the nerve roots or the spinal cord causing pain in the lower limbs.

As a result of this intervention, there is a reduction in a disc wall bulge, the volume of the intervertebral disc nucleus is reduced, a pithed nerve is released; consequently, leg pain is reduced as well.

The nucleoplasty procedure is performed through a small puncture incision. This procedure is the most efficient for patients who are not overweight and under 60 years of age. During the surgery the electrode is inserted into the spinal disk with which the volume of the nucleus is reduced by means of vaporization (evaporation); the disk stops squeezing the nerve root and, as a result, pain is relieved.

The surgery takes from 20 to 40 minutes.

The cost includes surgery, medical tests, anesthesia, hospital stay up to 3 days, meals.

The hospital stay does not exceed 2-3 days. Full recovery is expected in a month.

Microdiscectomy Spine Surgery

Description

Rehabilitation

It is a major surgical procedure for a herniated disc. The intervertebral disk is removed along with hernia with the help of special operating tools and microscopes. This surgical intervention allows one to remove the herinated disc through an incision without causing any damage or disruption to the surrounding tissue.

Microdiscectomy is performed through an incision of 2.5–4 cm long made in the middle of the spinal column. The surgery takes from 20 to 40 minutes.

The cost includes surgery, medical tests, anesthesia, hospital stay up to 5 days, meals.

The hospital stay does not exceed 5 days.

The full recovery is expected in 1.5 - 2 months.

Radiofrequency denervation

Description

Rehabilitation

Radiofrequency denervation is an innovative sparing method for the treatment for spondyloarthrosis (or the facet syndrome), which manifests in back pain.

Radiofrequency facet denervation happens through the release of thermal energy when current is passed. As a result of the dose exposure, thermocoagulation of the nerve takes place This minimally invasive intervention procedure on the spine contributes to fast pain syndrome relief.

The surgery takes less than an hour.

The cost includes surgery, medical tests, anesthesia, hospital stay up to 2 days, meals.

The patient can be discharged the next day after the surgery. The full recovery period does not exceed 2 months. A few extra days of hospital stay are possible depending on how the surgery went and the patient's condition.

KONOPATKIN MIKHAIL ANDREEVICH

Manager of neurosurgical office, neurosurgeon

Doctor of higher category

Education: 
graduated from the Perm GMI majoring in medical business in 1993

Qualification: 
doctor

Specialty: 
neurosurgery

STARKOV DENIS SERGEYEVICH

Neurosurgeon

Doctor of higher category

Education: 
graduated from the Kirov GMA majoring in medical business in 1997

Qualification: 
doctor

Specialty: 
neurosurgery

ZUBOV EVGENY VALERYEVICH

Neurosurgeon

Doctor of higher category

Education:
graduated from the Kirov GMA majoring in medical business in 2005

Qualification:
doctor

Specialty:
neurosurgery

KOMLEV PAVEL YURYEVICH

Neurosurgeon

Education:

Qualification:

Specialty:

KOTOV ARTYOM ALEKSANDROVICH

The neurosurgeon managing office of microsurgery (including microneurosurgery)

Education:

Qualification:

Specialty:

Consultation with the doctor