Rus / Eng

Treatment in Russia. Kirov

Vascular surgery

OFFICE

OPERATIONS

DOCTORS

The office of vascular surgery is engaged in surgical treatment of pathology of carotid, subclavial, vertebral arteries. The office is engaged in reconstructive surgery of obliterating diseases of arteries of extremities, operations at critical ischemia of the lower extremities are carried out, stenoses of renal arteries, an aortic aneurysm and peripheral arteries are eliminated by means of surgical methods, the syndrome of abdominal ischemia is liquidated.

Endovascular techniques of operations are widely applied to correction of stenoses of arteries and restoration of passability of vessels in office. It is balloon angioplasty and stenting of arteries of various pools.

One of the directions of medical work of office — expeditious treatment of diseases of veins. Doctors of office have vastest experience of successful surgical treatment of the most widespread disease of veins – a varicosis. By means of a method of a miniinvasive phlebectomy great cosmetic and esthetic results of operations are achieved. Operations on forming of vascular access for carrying out a hemodialysis are carried out.

For fine adjustment of the diagnosis, determination of character and extent of distribution of pathological process in vessels the advanced diagnostic methods on the modern equipment are used. Treat such methods: ultrasonic duplex scanning of arteries and veins on ultrasonic scanners of an expert class, a computer and tomographic angiography the brakhiotsefalnykh of arteries, aortas, branches of an aorta, arteries of the lower extremities. The digital angiography of an aorta and the main arteries, a digital flebografiya and coronary angiography are carried out.

Phlebectomy. Phlebectomy with surgical correction of femoral vein valves.

Description

Indications

Preoperative Examination

Rehabilitation

Phlebectomy is considered to be traditional and the most effective treatment of lower limb varicose veins.

During surgery, the vascular surgeon through several separate mini incisions (punctures) of the skin completely removes the trunk of the subcutaneous vein and all varicose veins of the limb keeping the veins unchanged. Thus, normal venous outflow is restored and venous insufficiency is eliminated.

All surgical interventions are carried out in the surgery unit equipped with the necessary modern equipment. The doctors of the hospital are highly qualified. The surgery usually lasts 1.5-2 hours, it is carried out without anesthesia, under spinal anesthesia.

Varicose nodes (veins) on the legs in combination with chronic venous insufficiency or without it.

Complete blood count (CBC) and clinical urine analysis. Biochemical analysis of blood.  RW analysis and HIV testing, markers of viral hepatitis B and C. ABO and RhD typing. ECG. Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

Before surgery, all the patients undergo duplex ultrasound scanning of the lower limbs veins. In some cases, if there are cardinal signs (pathology) of deep veins, a phlebographic study is carried out in the hospital on the basis of which it is determined if any surgery is needed.

After surgical treatment, the patient becomes physically active and is able to move on 1st day. The hospital stay is 3-5 days, it can be extended to 9 days  if necessary. Rehabilitation is not required

Reconstructive surgery of the aorta, brachiocephalic arteries and arteries of the upper and lower limbs

Description

Indications

Preoperative Examination

Rehabilitation

Bypass surgery, prosthetics and plastic endarterectomy are traditional and the most effective operations for patients with obliterating atherosclerosis. The ultimate goal of such operations is to prevent limb amputation, improve the quality of the patient's life, prevent stroke.

The surgery is performed under general or spinal anesthesia. During surgery, the vascular surgeon removes the atherosclerotic plaque from the vessel and if it is not possible sews a new vessel bypassing the clogged blood vessel using the patient's own vein or artificial vessel (vascular prosthesis) of the required diameter and length. Thus, arterial blood flow to the diseased organ or limb is restored.

All surgical interventions are carried out in the surgery unit equipped with the necessary modern equipment. The doctors of the hospital are highly qualified. Endarterectomy with plastic surgery lasts 1.5-2 hours, bypass surgery and prosthetics last up to 4 hours.

Chronic arterial insufficiency of the lower or upper limbs, cerebrovascular insufficiency

Complete blood count (CBC) and clinical urine analysis. Biochemical analysis of blood.  RW analysis and HIV testing, markers of viral hepatitis B and C. ABO and RhD typing. ECG. Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

Before surgery, all patients undergo ultrasound and angiographic examination, computed tomography.

After surgery, the patient immediately or after a few hours can be transferred to the ward, becomes physically active and is able to move within 1-3 days.  

The hospital stay usually does not exceed 14 days, it can be reduced to 6-7 days if necessary. Rehabilitation lasts 1 month, after major surgery, it is up to 4 months.

Genetically engineered biological drug treatment if background therapy is not effective.

Description

Indications

Preoperative Examination

Rehabilitation

In case of large lower limb arterial lesion, lower limb peripheral arterial disease, if it is not possible to perform a reconstructive surgery to restore blood circulation in the limb, injections of plasmid deoxyribonucleic acid are done in the diseased limb using a special injection technique. The drug stimulates the development of small vessels in the limbs, thereby improves and compensates blood circulation.

Two injections are given in 14 days.

The procedure is performed by the doctor in the dressing room. Anesthesia is not required.

Lower limb peripheral arterial disease. Chronic arterial insufficiency 2B-3 Stage (according to Pokrovsky-Fonteine)

Complete blood count (CBC) and clinical urine analysis. Biochemical analysis of blood.  RW analysis and HIV testing, markers of viral hepatitis B and C. ABO and RhD typing. ECG. Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

Before surgery, all patients undergo ultrasound duplex scanning of lower limb arteries, as the circumstances require, angiographic examination, computed tomography.

After surgery, the patient is immediately transferred to the ward, becomes physically active and is able to move on  1st day. The hospital stay usually does not exceed 12 days, it can be reduced to 3-4 days if necessary. Rehabilitation is not required.

Arteriovenous fistula construction and reconstruction for hemodialysis

Description

Indications

Preoperative Examination

Rehabilitation

In case of severe kidney failure, it is necessary to replace the cleansing and excretion function of the kidneys, it is called hemodialysis. It is performed in one patient more than 100 times a year. For the sake of simplicity and convenience of such a frequent procedure, surgery is necessary, the operation is arteriovenous fistula construction.

During surgery, the vascular surgeon stitches the artery with the vein in the arm or leg using an artificial vessel of the desired diameter and length if necessary.

All surgical interventions are carried out in the surgery unit equipped with the necessary modern equipment. The doctors of the hospital are highly qualified. The surgery lasts from 30 minutes to 1.5-2 hours (rarely), the common anesthetic technique is local anesthesia.

Severe kidney failure

Complete blood count (CBC) and clinical urine analysis. Biochemical analysis of blood.  RW analysis and HIV testing, markers of viral hepatitis B and C. ABO and RhD typing. ECG. Chest X–ray with the number, date, description, ticket. The valid period is 1 year.

Before surgery, all patients undergo ultrasound examination with diameter measurement and search for suitable arteries and veins in the arm or leg.

After surgery, the patient is immediately transferred to the ward, becomes physically active and is able to move on 1st day. The hospital stay usually does not exceed 12 days, it can be reduced to 3-4 days if necessary. Rehabilitation is not required.

MOTOVILOV MIKHAIL ARKADYEVICH

The manager of office of vascular surgery, the doctor - the cardiovascular surgeon

Doctor of higher category

Education: graduated from the Izhevsk GMI majoring in medical business in 1989

Qualification: doctor

Specialty: cardiovascular surgery

STOLBOV PAVEL YURYEVICH

Doctor-cardiovascular surgeon

Doctor of higher category

Education: graduated from the Kirov GMA majoring in medical business in 2000

Qualification: doctor

Specialty: cardiovascular surgery

POSAZHENNIKOV DMITRY IVANOVICH

Doctor-cardiovascular surgeon

Doctor of higher category

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

Qualification: doctor

Specialty: cardiovascular surgery

Consultation with the doctor