Central Clinical Hospital Gynecological Department 1. Gynecology. The motto of the team of gynecological departments is a warm, attentive attitude towards patients

Gynecologist– is engaged in the diagnosis, treatment and prevention of diseases of the female reproductive system.

Consultation with a gynecologist is necessary not only for those women who have discovered symptoms of the disease. As a preventive measure, it is recommended to visit a gynecologist's consultation at least once a year.

• Lower abdominal pain;
• Discharge from the genitals;
• Bloody discharge in the middle of the menstrual cycle;
• Menstrual irregularities;
• Itching and burning of the genitals;
• Discomfort during intercourse.

• Planning for pregnancy;
• Menopause;
• Beginning of sexual activity.

• Inflammatory diseases (vaginitis, colpitis, cervicitis, endometritis and others);
• Sexually transmitted diseases (STDs);
• Menstrual disorders (amenorrhea, dysmenorrhea, PMS, menorrhagia);
• climacteric syndrome;

Initial consultation

At the initial appointment, the gynecologist will listen to your complaints and conduct a thorough examination. If your disease requires urgent treatment, already at the first consultation, the gynecologist will prescribe medications that will reduce symptoms and make you feel better.

To clarify the diagnosis, additional examinations may be prescribed -

• collection of biological material for flora,
• for diagnosing infections
• colposcopy,
• Ultrasound - transvaginal or transabdominal.
• Of the blood tests, the following can be prescribed: an analysis for hormones, an enzyme immunoassay.

Repeated consultation with a gynecologist

At a repeated consultation with a gynecologist, changes in well-being and the results of the examination are taken into account. If the diagnosis is not completed and doubts remain about the accuracy of the diagnosis (for example, in complex cases of infertility), a decision may be made to conduct additional examinations - hysterosalpingography, hysteroscopy, laparoscopy.

In some cases, at this appointment, the doctor decides to adjust the treatment in order to get rid of the pathology as effectively as possible.

Do not underestimate the importance of re-admission: even if you have had unpleasant symptoms, it is imperative to see a specialist - after all, only he can remove the appointment and tell you that you are healthy!

Diagnosis of gynecological diseases

For the diagnosis of gynecological diseases, the following studies can be applied:

At the Central Clinical Hospital of the Russian Academy of Sciences you will receive a consultation from a qualified and experienced gynecologist and will be able to undergo all the necessary examinations at a convenient time for you on one base.

The CDC of the Central Clinical Hospital of the Russian Academy of Sciences (m. Leninsky Prospekt) and the Medical and Diagnostic Center (m. Yasenevo) are equipped with everything necessary for accurate and quick diagnosis of diseases - their own laboratory, ultrasound diagnostics, X-ray diagnostics, magnetic resonance imaging (MRI), multislice computed tomography ( MSCT), endoscopic diagnostics, experienced consultants of all specialties.

It is also possible to carry out minor surgical interventions in the operating block of the Day Hospital (without daily hospitalization). The advantage is that you do not need to stay in the hospital around the clock - you are discharged a few hours after the operation.

Gynecologists of the CDC of the Central Clinical Hospital of the Russian Academy of Sciences in the conditions of the Day Hospital carry out:

• coagulation and conization of the cervix
• removal of warts, papillomas
• biopsy of the external genitalia
• cervical biopsy
• separate diagnostic curettage
• removal of bartholin gland cysts

If at the appointment the gynecologist reveals indications for inpatient treatment, he can offer you hospitalization in the hospital of the Central Clinical Hospital of the Russian Academy of Sciences.

Gynecologists of the Medical and Diagnostic Center in the conditions of the Day Hospital carry out:

Women's consultation on the basis of the Central Clinical Hospital of the Russian Academy of Sciences is a reliable medical institution, whose doctors you can trust your health. If you have noticed signs of pathology, are planning a pregnancy, or are just looking for the best gynecologist in Moscow, we recommend that you sign up for a paid consultation and professional examination with our doctors. You can clarify any details on the work schedule of gynecologists, the price of medical services at the clinic, find out how to prepare for tests or get other information by calling the hospital. If you decide for the first time to make an appointment with a gynecologist at the Medical Center of the Central Clinical Hospital of the Russian Academy of Sciences, immediately indicate your wishes - should it be a specialist woman, do you need an obstetrician-gynecologist or a gynecologist-endocrinologist, etc. Registration is also carried out online on the website of the CCH clinic.

A consultation with a gynecologist-endocrinologist is indicated if it is necessary to diagnose and treat diseases caused by a violation of the hormonal background of the female body. Excessive or insufficient production of certain hormones. We remind you that an endocrinologist is in charge of dealing with such problems as endometriosis, juvenile bleeding, severe premenstrual syndrome, menopausal symptoms, infertility due to hormonal causes, etc.

An appointment with a gynecologist oncologist should not be postponed in case of suspicion of the development of a neoplasm in the pelvic organs. Good specialists at the Central Clinical Hospital effectively use complex therapy for cervical cancer, ovarian cancer and uterine cancer, including when it comes to the disease at serious stages.

It is necessary to undergo an examination and get a consultation with a reproductologist if a married couple cannot conceive a child within 12 months or miscarriage occurs. A specialist in reproductive technologies will conduct an examination, verify the diagnosis, and select an effective treatment.

On the basis of the gynecological departments of the hospital GKB No. 31, a clinic of the Department of Obstetrics and Gynecology of the Russian National Research Medical University has been deployed.

Gynecology City Clinical Hospital No. 31 is rightfully considered one of the best in Moscow. All types of conservative and surgical treatment of any gynecological diseases are used. Hysteroscopic and laparoscopic diagnostics are possible, and surgical treatment using these methods allows to speed up the recovery period as much as possible and is the most gentle for patients.

Since 2004, the modern organ-preserving method for the treatment of uterine fibroids and adenomyosis has been firmly rooted in the hospital - uterine artery embolization.

detailed information

general information

Head of Department No. 1 - Doctor of Medical Sciences, Professor E.N. Kaukhova.
Head Nurse of the Department Yu.N. Tarasova.

Head of Department No. 2 - Ph.D. O.I. Mishiev.
Senior nurse - N.G. Kosolapova.

In two gynecological departments of the hospital, all types of conservative and surgical treatment are successfully applied, including for the following diseases:

• uterine bleeding of the reproductive, perimenopausal periods, menopausal periods;
• diseases of the cervix;
• physiology and pathology of the postmenopausal period;
• intrauterine pathology (uterine fibroids, adenomyosis, endometrial polyps, endometriosis, synechia, foreign bodies);
• ovarian formations in patients of different age periods
• inflammatory diseases of the internal genital organs.

The main types of surgical treatment:

• diagnostic laparoscopy;
• abdominal surgery and laparoscopic operations in the amount of amputation and extirpation of the uterus;
• abdominal surgery and laparoscopic operations on the appendages;
• vaginal extirpations;
• plastic vaginal surgeries, including prolapse of the uterus and prolapse of the walls of the vagina;
• laparoscopic surgery for the treatment of infertility;
• laparoscopic organ-sparing operations in tubal pregnancy; restoration of patency of pipes;
• hysteroscopic treatment of intrauterine pathology;
• electrosurgical, laser and thermal ablation of the endometrium, embolization of the uterine arteries.

The motto of the team of gynecological departments is
warm care for patients.

The clinic receives dozens of letters of thanks. The implementation of high-tech methods is carried out by the doctors of City Clinical Hospital No. 31 in close professional contact with the staff of the department.

general information

• • Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian National Research Medical University - Doctor of Medical Sciences, Academician of the Russian Academy of Sciences, Member of the Presidium of the Board of the Russian Society of Obstetricians and Gynecologists, Chairman of the Presidium of the Moscow Society of Obstetricians and Gynecologists, member of the New European Surgical Academy (NESA), member of the International Federation of Obstetricians and Gynecologists ( FIGO)- Kurtser Mark Arkadievich— student of the founder and honorary head of the department — Savelieva Galina Mikhailovna, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Honored Scientist, Vice President of the Russian Association of Obstetricians and Gynecologists, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty from 1971 to 2017.
    At the moment, the achievements of the clinic are associated with the implementation of a wide range of laparoscopic therapeutic and diagnostic interventions on the pelvic organs. Over the past 20 years, one of the employees of the department, Doctor of Medical Sciences, Professor Sergei Vyacheslavovich Shtyrov a school of endoscopic gynecology was established on the basis of 31 hospitals.Professor Valentina G. Breusenko- the founder of the hysteroscopic method in the City Clinical Hospital No. 31. At the present stage, with the introduction of hysteroresection, laser ablation and thermal ablation of the endometrium, the arsenal of hysteroscopic operations performed has significantly expanded. Since 2004, the modern organ-preserving method for the treatment of uterine fibroids and adenomyosis has been firmly rooted in the hospital - uterine artery embolization. Over the past 5 years, cooperation with the department has allowed practitioners to defend 4 doctoral and 38 master's theses. Currently, a grant has been received to carry out scientific developments on the topic "Early diagnosis of ovarian cancer." To the staff of the department: Academician of the Russian Academy of Medical Sciences G.M. Savelieva, professors V.G. Breusenko, S.V. In 2003, Shtyrov was awarded the Prize of the Government of the Russian Federation for the development and implementation of endoscopic methods of diagnosis and treatment in gynecology.

general information

Uterine artery embolization (UAE) is one of the modern directions of surgical treatment of uterine diseases, which consists in puncture of the artery on the thigh, catheterization of the uterine vessels and the introduction of particles of a special embolization preparation.

Symptomatic or growing uterine fibroids

• Size up to 20 weeks of pregnancy in the absence of severe pathology of the cervix, endometrium and ovaries.
• In patients interested in pregnancy, with a confirmed role of uterine fibroids in the pathogenesis of infertility or with a high risk of miscarriage, when it is impossible to perform a safe myomectomy.
• As preparation for myomectomy or hysteroresectoscopy.

Intensive uterine bleeding of various etiologies, when other methods of treatment are impossible or are associated with a real threat to the life of the patient.

When determining the indications for UAE for fibroids, the motivation of patients is important: the patient's strong desire to preserve the uterus, avoid surgery, and interest in pregnancy.

Uterine artery embolization (UAE) is performed in:

general information

Robotic surgery is a new, high-tech type of minimally invasive surgery, which consists in surgical intervention through small incisions on the patient's skin and the ability to operate remotely. This ensures minimal trauma, faster recovery, reduces the length of the patient's stay in the hospital, and minimizes the likelihood of further complications.

Benefits of Robotic Surgery

The da Vinci Si robot does not perform operations on its own, contrary to popular belief. But thanks to remote control and high-quality imaging, it allows the operating surgeon to make more precise movements and eliminate hand tremors. That is, the robot follows all the movements of the surgeon, and he is not able to move or program himself.

These factors create ideal conditions for the surgeon and facilitate complex laparoscopic operations. As a result of the maximum precision of even very complex instrument movements, excellent image quality and the ability to operate on small and hard-to-reach areas, patients spend less time in hospital, feel less pain, lose less blood, have a better aesthetic result, recover faster and return to hospital sooner. Everyday life.

Robotic operations in gynecology City Clinical Hospital No. 31

In the 1970s and 1980s, laparoscopy began to be widely introduced into clinical practice, which was associated with the advent of fiber optics and special instruments. As a result, not only the quality of diagnostics has improved, but some interventions on the abdominal organs have also become possible. By the way, in our country, the experience of using laparoscopy in gynecology was summarized in 1977 in a monograph by G.M. Savelyeva, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, professor and our doctor, under whose leadership the first operation was performed in our hospital after its opening in 1970.

At the moment, almost all gynecological operations are performed using laparoscopy and a robot. Robotic surgery 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 on women with genital prolapse (prolapse), including pelvic floor support (promontofixation using a mesh implant), removal of myomatous nodes (myomectomy) with preservation of the uterus, panhysterectomy with lymph node dissection. Thus, operations that were previously performed laparoscopically can now be reliably performed using a robotic method.

Operation of uterine fibroids and ovarian formations

Today, endoscopic operations are routinely performed regardless of the size of the uterus. Depending on the localization of myomatous nodes and their number, removal can be done with small incisions and without resorting to open surgery. In this case, uterine fibroids, regardless of their size, are removed from the abdomen in small sections using a marcellator.

Radical hysterectomy (removal of the uterus) is a classic and effective method of treating oncological diseases of the uterus and appendages at the initial stage. Robot-assisted surgery makes it minimally invasive, with less blood loss and hospital stay.

Experience in conducting robotic operations in City Clinical Hospital No. 31

At the moment, in City Clinical Hospital No. 31, robotic operations of varying complexity using the da Vinci robotic system are carried out on a regular basis.

Today, gynecological robotic surgeries include removal of ovarian tumors, myomectomy, promontofixation, total and partial hysterectomy, endometriosis treatment, and endometrial and ovarian cancer treatment.

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Laparoscopy is an endoscopic method of emergency and elective surgery. It allows you to examine the internal organs of the abdomen through a small opening in the abdominal wall. Inspection is carried out using an optical tube. After 2-3 other punctures, the necessary manipulations with the organs are performed. Laparoscopy is practically bloodless and less traumatic.

At the origins of laparoscopic gynecology in Russia is the Academician of the Russian Academy of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian State Medical University Galina Mikhailovna Savelyeva. Every laparoscopy specialist rightfully calls her your Teacher.

The range of surgical interventions performed by laparoscopic access is wide: gynecological operations, cholecystectomy and hernioplasty, gastrectomy, pancreatoduodenal resection and operations on the colon and rectum.

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Ectopia of the cervix (also Ectopia of the epithelium of the cervix, Pseudo-erosion of the cervix, Erosion of the cervix, Endocervicosis) - the location of the cylindrical epithelium lining the cervical canal, on its vaginal surface, which looks like a red spot around the outer opening of the canal. Ectopia occurs in about half of women of reproductive age and almost never occurs in women over 40 years of age.

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Hysteroscopy - examination of the walls of the uterine cavity with a hysteroscope, followed by (if necessary) diagnostic and surgical manipulations. Hysteroscopy allows you to identify and eliminate intrauterine pathologies, remove foreign bodies, take tissue biopsies, and remove endometrial polyps.

Indications for a diagnostic procedure are:

• Anomalies in the development of the uterus.
• Bleeding in postmenopause.
• Infertility.

Indications for a surgical procedure are:

• Submucosal uterine fibroids.
• Intrauterine septum.
• Intrauterine synechia.
• Endometrial polyp.
• hyperplasia of the endometrium.

Contraindications are:

• Recently transferred or existing by the time of the study, the inflammatory process of the genital organs.
• Progressive pregnancy.
• Profuse uterine bleeding.
• Stenosis of the cervix.
• Advanced cervical cancer.
• General infectious diseases in the acute stage (influenza, pneumonia, pyelonephritis, thrombophlebitis).
• Severe condition of the patient with diseases of the cardiovascular system, liver, kidneys.

Indications for a diagnostic procedure are:

• Submucosal uterine fibroids.
• Intrauterine septum.
• Intrauterine synechia.
• Endometrial polyp.
• hyperplasia of the endometrium.
• Removal of remnants of the intrauterine contraceptive.

Indications for a surgical procedure:

• Suspicion of internal endometriosis of the uterine body, submucosal fibroid node, synechia (unions) in the uterine cavity, remnants of the fetal egg, cervical and endometrial cancer, endometrial pathology, perforation of the uterine walls during abortion or diagnostic curettage.
• Suspicion of malformations of the uterus.
• Menstrual disorders in women of childbearing age.
• Anomalies in the development of the uterus.
• Bleeding in postmenopause.
• Infertility.
• Control examination of the uterine cavity after surgery on the uterus, in case of miscarriage, after hormonal treatment.

The gynecological department at the Central Clinical Hospital of the Russian Academy of Sciences is widely known in Moscow for the highest level of treatment, qualified personnel, including doctors of the highest category, and an individual approach to each patient who turns to us for help. In the conditions of the gynecology center of our clinic, you can use medical and diagnostic paid services, planned or emergency, which differ in affordable cost.

The gynecological department of the hospital is designed for 30 beds.

The department has 1 and 2-bed rooms, as well as 1-bed superior rooms.

Every year, more than a thousand patients are treated in our department.

Diagnosis and treatment of a wide range of gynecological diseases are carried out in accordance with international standards, using modern methods of diagnosis and treatment. On the basis of our hospital, round-the-clock emergency assistance is provided, if necessary, preparation and examination for planned surgical treatment is carried out.

Gynecological diseases treated in the clinic of the Central Clinical Hospital of the Russian Academy of Sciences

• Adenomyosis
• Atypical endometrial hyperplasia
• Genital prolapse (prolapse of the uterus and vaginal walls)
• Ovarian dysfunction of the reproductive, premenopausal periods
• ovarian cysts
• External genital endometriosis
• Started miscarriage
• Urinary incontinence
• Non-developing pregnancy
• Acute pelvioperitonitis
• Acute, chronic salpingo-oophoritis

Treatment methods

Therapeutic treatment of gynecological diseases in our hospital carried out using medical techniques and physiotherapy - ozone therapy, magnetotherapy, ultrasound.

The department performs the following types of operations:

• Diagnostic hysteroscopy , surgical hysteroscopy and separate diagnostic curettage (with endometrial pathology: hyperplasia, polyps of the endometrium and cervical canal). With a preserved menstrual cycle, the intervention is carried out on the 5th-7th day of the menstrual cycle.
• Hysteroresectoscopy, polypectomy, myomectomy with submucosal location of uterine fibroids, endometrial ablation, dissection of the intrauterine septum and synechiae.
• Radio wave surgery of the cervix using the Surgitron apparatus, including conization of the cervix (ectopia of the cervix against the background of infection with the human papillomavirus, leukoplakia, dysplasia). High amputation of the cervix in severe cervical dysplasia.
• With prolapse (omission, prolapse) of the genitals, the uterus is extirpated by vaginal access, colpoperineorrhaphy, levatoroplasty, Manchester operation. Correction of stress urinary incontinence with free synthetic loop urethropexy.
• Removal of a cyst of a large gland of the vestibule of the vagina.
• Laparotomy, extirpation of the uterus, myomectomy with myomatous nodes and giant ovarian tumors.
• Operations on the appendages by laparoscopic access: external endometriosis, endometrioid ovarian cysts, benign ovarian tumors, ectopic pregnancy, inflammatory diseases of the appendages (including tubo-ovarian formations), tubo-peritoneal infertility, PCOS.
• Supravaginal amputation of the uterus, extirpation of the uterus by laparoscopic access, myomectomy with a subserous arrangement of nodes by laparoscopic access.

The best gynecologists in Moscow

Doctors of the highest category are receiving patients from the capital and regions. A deep understanding of the characteristics of the female body and many years of practical experience allow patients of the antenatal clinic to count on accurate diagnosis and an individual treatment plan for diseases of any complexity.

Outpatient reception

Doctors obstetrics and gynecology clinics RAS consults patients at the outpatient stage. It is possible to receive recommendations on any gynecological pathology, including the problems of hormonal contraception, hormonal treatment of various diseases, and the treatment of menopausal syndrome.

hospital

Treatment

Our doctors, thanks to their high qualifications and extensive experience, treat all gynecological pathologies, infections, and diseases. In addition, in the early stages, it is possible to cure uterine cancer in our clinic. We treat this and other diseases comprehensively, that is, therapeutically, medically, as well as by the surgical method.

The treatment of oncological diseases requires a clear understanding of the localization, stage and type of process. A formidable diagnosis is always scary for a patient; the resulting fear and panic do not allow one to correctly assess one's condition and make a decision on the necessary treatment. In our clinic, we can conduct any diagnostic tests at the modern level to clarify the diagnosis, choose the optimal type of treatment, the necessary and radical extent of the operation, determine the need for chemotherapy, radiation therapy, hormonal therapy before or after the operation. In the case of detection of continued tumor growth after previously performed non-radical operations, there is always the possibility of a second operation aimed at eliminating the tumor and the resulting complications from adjacent organs, improving the quality of life.

Thanks to the use of various techniques - both traditional and innovative - an effective and efficient treatment of women's diseases is ensured. We carry out joint medical work together with the Department of X-ray Surgical Methods of Diagnosis and Treatment of the Radiation Center of the clinic, which allows us to carry out a unique procedure for the treatment of uterine fibroids: embolization of the uterine arteries. We also use conservative myomectomy, extirpation and amputation of the uterus.

Operations:

The surgical unit of our clinic allows for all kinds of surgical interventions, including organ-preserving ones (removal of uterine fibroids, ovarian cysts while preserving the diseased organ and preserving reproductive function), using laparoscopic, endoscopic and other equipment.

• Recanalization of the fallopian tubes. The RCM method allows you to restore the patency of the fallopian tubes. The procedure is carried out using an X-ray machine, under the control of which a special catheter with a balloon is inserted and advanced into the uterine cavity. Once in the mouth of the pipe, the balloon inflates and expands the lumen of the pipe. The catheter is advanced until the tube becomes patent. But the RCM method is not always effective: in cases where the pipe is significantly overtightened by an external solder, the chances of solving the problem "from the inside" are reduced.
• Removal of an ovarian cyst
• Removal of polyps
• Extirpation of the uterus
• Embolization of the uterine arteries
• Amputation of the uterus
• Elimination of purulent-inflammatory formations, abscesses
• Plastic correction of the genital organs