Gbuzvo "regional clinical hospital" Vladimir. Volgograd Regional Neurosurgical Center Neurosurgeons of the regional hospital paid services

The Neurosurgery Clinic of MONIKI is one of the leaders of specialized institutions in the country, where the latest technologies for diagnosing and treating a wide variety of diseases of the central and peripheral nervous system are constantly being developed and actively used in everyday practice. The clinic uses the latest scientific achievements of domestic and world neurosurgery. The clinic is a unique institution in the Central region of Russia, where specialized care is provided on the basis of a multidisciplinary institute.

The clinic team conducts scientific research and carries out practical activities in four main areas: neuro-oncology, vascular neurosurgery of the brain and spinal cord, traumatic lesions of the skull and brain, surgery for diseases and injuries of the spine and spinal cord.

The clinic employs doctors of medical sciences, professors, candidates of medical sciences, and doctors of the highest category with many years of experience. This personnel composition allows us to successfully combine scientific achievements and many years of clinical experience accumulated over many decades of the existence of the MONIKI neurosurgical school in routine practical work.

Technologies and new developments of the clinic

In neuro-oncology, we are developing and improving high-tech neuronavigation microsurgical methods for treating brain and spinal cord tumors using neuronavigation, laser spectrophotometric probe fluorescent navigation with the drug Alasens. Based on neuroimaging technologies, the boundaries of the space-occupying lesion are verified, optimal accessibility to the lesion and microsurgical, with spectrophotometric control, removal of the space-occupying lesion are planned.

The use of combined navigation has been noted to be highly effective for the purpose of radical removal of malignant brain tumors with minimal trauma to intact brain tissue. The use of sapphire capillaries and contact-type detectors developed on their basis in conjunction with the Institute of Physics and Technology of the Russian Academy of Sciences made it possible to significantly increase the accuracy and radicality of tumor removal by combining the diagnostic function in a limited volume, neuronavigation and laser fluorescent navigation and the destruction of identified tumor tissues and their removal.

For the first time in the Moscow region, endoscopic surgery for pathology of the brain and spinal cord was launched and is successfully developing - transnasal removal of space-occupying formations of the chiasmatic-sellar region, which made it possible to raise the surgery of pituitary tumors to a qualitatively new level. Endoscopic techniques have become widely used for the treatment of nasal liquor leaks. The use of new technologies has made it possible to improve the quality of treatment for patients in the Moscow region with this type of pathology, reduce the number of postoperative complications and reduce the disability of patients.

Good results have been achieved in the surgery of tumors of the pineal region, tumors of the cerebellopontine angle and giant parasagittal meningiomas.

As part of the implementation of the Federal program for providing care to patients with vascular diseases, the department provides surgical treatment of patients with arterial aneurysms and arteriovenous malformations, both using open techniques and endovascularly. To approach aneurysms of the anterior parts of the Circle of Willis, a minimally invasive supraorbital approach is also used. A minimally invasive supraorbital approach to space-occupying formations of the anterior cranial fossa has been developed and introduced into clinical practice. The access allows removal of space-occupying formations adequately and completely with minimal trauma to the brain and surrounding structures.

Surgical treatment of patients with hypertensive hemorrhages is carried out, including using a minimally invasive technique of local fibrinolysis of non-traumatic parenchymal hemorrhages.

In order to prevent ischemic strokes and correct cerebral hemodynamics, revascularization operations on the brachiocephalic arteries have begun.

Spine treatment

The clinic performs all types of modern surgical interventions on various parts of the spine and spinal cord for oncological, inflammatory, degenerative diseases and injuries using a microscope, spinal endoscopy, various modern stabilizing systems and endoprostheses of discs and vertebrae.

A method for the treatment of inflammatory diseases and injuries of the craniovertebral region has been developed and introduced into clinical practice. Decompressive and stabilizing operations of the cranio-vertebral region are performed (transoral decompression and stabilization, various types of occipitospondylodesis with modern metal structures, posterior spinal fusion of the CI-CII vertebrae with screw systems).

A minimally invasive technique for osteosynthesis of the odontoid process of the CII vertebra has been developed and introduced into clinical practice.

The clinic also widely uses minimally invasive techniques for the treatment of diseases and injuries of the spine - cold plasma nucleoplasty, vertebroplasty, and balloon kyphoplasty.

Development of the clinic

In the work of the clinic, much attention is paid to interaction with health care facilities in the Moscow region. Employees of the neurosurgical department provide consultations to patients in all clinics of the institute and hospitals in the Moscow region, in addition, they constantly travel to provide emergency assistance to the population of the region through MOVLEK.

2 new neurosurgical departments were created in Solnechnogorsk and Dolgoprudny, the work of previously existing departments in Ramenskoye, Podolsk and Noginsk was reorganized. Much attention is also paid to improving the qualifications of neurosurgeons in the Moscow region. Educational cycles and joint regional conferences are regularly held on various topical issues of neurosurgery and the organization of neurosurgical services in the Moscow region.

Currently, we can say with confidence that the MONIKI neurosurgical clinic is one of the leaders among medical institutions of a similar profile in Russia, neighboring countries and many foreign countries.

The neurosurgical department is located in building 11 on the 2nd floor, where there are 45 adult staff beds. The department has 10 wards, which are staffed by men or women depending on the admission of patients. Of these, there are 8 comfortable 5-bed rooms (each room has a toilet, shower, sink), there are also 2 and 3-bed superior rooms.

The department has a puncture-dressing room and a treatment room, located in separate rooms. Two nurses' stations are located in the corridor. The intensive care unit of building 11 (1st ward with 5 beds), located on the 2nd floor of building 11, serves, in addition to neurosurgical patients, also patients from the trauma, ophthalmic, neurological and 2nd therapeutic departments. The operating room is located on the floor of the department and includes 2 operating rooms. There is an X-ray room on the floor. In addition, a computed tomograph is located on the 1st floor of building 11 and on the 2nd floor of building 15. The angiography unit is located on the 12th floor of building 15. The MRI scanner is located in the basement of building 9 and in building 1. Patients are delivered to buildings 15 and 9 via an underground passage.

The center includes a neurosurgical department with 40 beds and an anesthesiology and intensive care unit No. 2 with 10 beds.

The scientific director, chief operating surgeon and coordinator of the center is Petr Ivanovich Kushniruk, Candidate of Medical Sciences, neurosurgeon of the highest category, chief freelance neurosurgeon of the Volgograd Region Health Committee, chief neurosurgeon of the Southern Federal District, member of the board of the Association of Neurosurgeons of Russia, member of the European Association of Neurosurgical Societies . P.I. Kushniruk annually performs more than 200 operations on the brain and spine, in most cases using the most modern technologies, including those mastered and implemented after numerous specializations in the best neurosurgical clinics in the world (Switzerland, Finland, Germany, etc.). Experience in the specialty “neurosurgery” – 30 years.

Head of the Department of Anesthesiology and Resuscitation No. 2, anesthesiologist-resuscitator Vadim Alekseevich Kolpakov.

Specialists of the Neurosurgical Center provide specialized medical care to patients in Volgograd, the Volgograd region and other regions of the Russian Federation under compulsory medical insurance, voluntary medical insurance and paid services. Unique high-tech operations are carried out in the fields of “neurosurgery” and “traumatology and orthopedics” within the framework of annual quotas in the compulsory medical insurance system and the Federal budget.

The center provides emergency and planned neurosurgical care to patients with pathologies such as:

• Brain tumors of various locations;
• Spinal cord tumors (extra and intramedullary);
• Tumors of peripheral nerves;
• Hydrocephalus;
• MTS damage to the brain and spine;
• Arteriovenous malformations, cerebral aneurysms;
• Traumatic brain injury and its consequences;
• Acute cerebrovascular accident of hemorrhagic type;
• Complicated and uncomplicated spinal cord injury and its consequences;
• Pathological fractures of the spine due to osteoporosis, hemangiomas, metastatic lesions;
• Degenerative diseases of the spine: osteochondrosis, herniated intervertebral discs, spondyloarthrosis with facet syndrome, spondylolisthesis, spinal canal stenosis;
• Inflammatory diseases of the spine: epiduritis, discitis and spondylitis.

The neurosurgical center is equipped with the most modern medical equipment

The Pentero 9000 surgical microscope, with the help of which complex surgical interventions are performed for variously located brain tumors, together with an intraoperative navigation station from Stryker for precise access to the tumor, clipping of brain aneurysms, when removing tumors of the base of the skull, tumors of the cranial nerves, spinal cord, as well as for other neurosurgical interventions requiring precise and exquisite work of a neurosurgeon;

X-ray C-arc Arcadis 3D from Siemens, which allows you to take x-rays intraoperatively and obtain an accurate 3D reconstruction of the required area of ​​study

ultrasonic dissector Cusa from Valleylab, capable of recognizing and removing pathological tumor tissue with minimal trauma to the brain and its vessels

When transferred to the neurosurgery department, all patients undergo the necessary studies on a 64-slice, with a step of 1 mm, Somatom definition AS computer tomograph from Siemens.

Carl Storz endoscopic stand, which allows performing various minimally invasive surgical interventions with minimal trauma to surrounding tissues

After the CT scan is performed, the patient is transported to the ward. The neurosurgical center has 1, 2, 3, 4 and 5-bed superior wards with the necessary hygienic amenities such as shower and toilet.

For several years now, residents of the Volgograd region and other regions of Russia have been receiving timely and high-quality specialized neurosurgical care at the level of leading clinics in our country. Providing high-tech specialized assistance to residents of the most remote areas of the region using all the capabilities of the center.

Contact Information:

Address: Volgograd region, Volgograd, Angarskaya str. 13, building 4.

tel.: (8442) 36 – 38 – 34.

Make an appointment for a consultation with a neurosurgeon at the State Budgetary Healthcare Institution “VOKB No. 1”, tel.: 43 – 81 – 91.

History of the development of neurosurgery in the Kirov region

The emergence of specialized neurosurgical care in the Kirov region dates back to the years of the Great Patriotic War, when, on the basis of the surgical department of the military evacuation hospital, doctor Valeria Fedorovna Bezmelnitsyna began treating wounded with damage to peripheral nerves.

In the post-war years, the surgical department of the Kirov Regional Hospital provided assistance to patients with neurotrauma. Patients with neurological diseases were examined (the pneumoencephalography technique was mastered in 1953) at the neurological department of the Regional Clinical Hospital and transported by air ambulance to the Burdenko Research Institute (Moscow) and the Polenov National Chemical Institute (St. Petersburg) where they underwent operations.

In 1954, when the first Vyatka neurosurgeon V.F. Bezmelnitsyna was trained at the Polenov Neurosurgical Institute, 5 and then 10 neurosurgical beds were allocated in the surgical department of the OKB.

In 1961, a specialized neurosurgical department with 30 beds was created, headed by V.F. Bezmelnitsyna. Subsequently, the department was expanded to 40 beds. Great assistance in mastering neurosurgical operations, methods of examining patients, and improving the qualifications of young doctors of the department was provided by professors of the Leningrad Neurosurgical Institute named after Prof. A.L. Polenov - A.G. Zhagrin and I.A. Nikitin. Since the opening of a specialized department on Kirov land, patients have been provided with full neurosurgical care.

From 1973 to 2000, the neurosurgical department was headed by Evgeniy Aleksandrovich Zhuikov. For many years, highly qualified care for neurosurgical patients was provided by doctors of the highest category V.V. Kislitsyn, D.D. Kiselnikov, V.N. Khromushin. At this time, the department mastered and introduced all new modern methods of diagnosis and treatment of neurosurgical patients.

In 1987, a medical institute was created on Kirov land and departments were formed. The Department of Neurology and Neurosurgery is created and headed by Doctor of Medical Sciences, Professor Boris Nikolaevich Bein, a student of Professor D.G. Shefer, a graduate of the Sverdlovsk Neurosurgical School. Since 1989, the neurosurgical clinic was headed by Doctor of Medical Sciences, Professor B.N. Bein, with whose arrival the microsurgical technique for removing brain tumors of complex localization began to actively develop, and operations on cerebral aneurysms and acoustic neuromas began to be performed.

Under the leadership of B.N. Bein, a new generation of neurosurgeons came to the clinic - graduates of the Kirov Medical Institute - M.A. Konopatkin, Yu.V. Kislitsyn, D.S. Starkov, S.S. Mazeev and V.A. Nikulin. In the period from 1997 to 2003, there was a complete change in the team of the neurosurgical department.

Since 2000, the department has been headed by M.A. Konopatkin, several areas are actively developing in the department - minimally invasive spine surgery, neurovertebrology, new methodological approaches are used for cerebral aneurysms, microneurosurgery.

Currently, the neurosurgical department provides specialized care to residents of Kirov and the region. All types of surgical interventions are performed for diseases and injuries of the central and peripheral nervous system.

In the last few years, the material and technical base of the department has been actively updated.

A significant event for Kirov Neurosurgery was its inclusion in the federal program of providing high-tech medical care to the population in 2007 within the framework of the priority national project “Health”. Since then, every year the department provides high-tech care in the field of neurosurgery.

Further prospects for the development and improvement of neurosurgery at the Kirov Regional Clinical Hospital generally appear positive, but are determined by the availability of adequate funding and require the creation of a targeted program for the development of neurosurgery.

Treatment methods for spinal diseases

Relevance of the problem of spinal diseases Nowadays

• Consistently high number of patients of working age;
• The true incidence of osteochondrosis is 51.2 per 1000 population, and with age, the frequency of neurological manifestations increases exponentially (K.I. Shapiro, 1993);
• Degenerative-dystrophic diseases of the spine account for up to 76% of all cases and up to 72% of days of temporary disability in the outpatient clinic network, and in neurological hospitals - 56% and 48%, respectively.

Does your back or legs hurt, does every movement of your body cause you pain? Don't be scared!

There are many ways to relieve you from suffering:

First of all, you need to consult with an experienced neurosurgeon(a specialist in the diagnosis and treatment of spinal diseases);

• You will undergo the necessary full examination, after which the treatment tactics for your disease will be determined;
• Even if conservative methods at this stage of the disease can no longer help you, then in this case there is no reason for pessimism and a feeling of hopelessness. Modern medicine has long abandoned methods of surgical treatment of spinal diseases that are crippling and require long-term postoperative immobilization of the patient.

To treat spinal diseases, the Neurosurgical Department of the Kirov OKB uses the entire range of methods, ranging from conservative treatment and minimally invasive interventions, to decompression and stabilization operations using the most modern metal structures, up to the implantation of artificial discs.

Our doctors

• Nikulin Vladimir Alexandrovich— neurosurgeon of the highest qualification category, candidate of medical sciences.
• Starkov Denis Sergeevich
• Mazeev Sergey Sergeevich- neurosurgeon of the highest qualification category.
• Zubov Evgeniy Valerievich- neurosurgeon of the highest qualification category.
• Belko Nikolay Sergeevich- neurosurgeon of the second qualification category.