Where does a good gynecologist take. Free gynecological appointment. The indications for a surgical procedure are

It is important to understand that regular monitoring of the state of women's health and consultation with a specialist allows you to track all changes in the body. This is the only way to timely detect the development of pathology at the initial stage. The doctors of our gynecology department are ready to advise you on all issues, conduct a scheduled examination and, if necessary, prescribe treatment.

Gynecology as a science

Gynecology is a special branch of medicine that studies the structure of the female genital organs and related diseases. Gynecology is often called the "science of women", and its significance for each of the fair sex is enormous.

A gynecologist is a doctor who diagnoses, treats and prevents diseases of the female reproductive system. The scope of professional activity this year of the doctor is quite diverse:

• scheduled examination and provision of urgent medical care;
• detection and treatment of infectious and inflammatory diseases of the genital area;
• detection of hormonal disorders;
• determination of the causes and treatment of infertility;
• planning and management of pregnancy;
• consultation of women during menopause.

A gynecologist deals with the treatment of ovarian dysfunction, cervical erosion, dysplasia, polyps, benign neoplasms.

A woman independently chooses a gynecologist. She can go to the clinic at the place of residence or make an appointment with a paid specialist.

When should you see a gynecologist?

Every woman should visit a gynecologist at least once every six months. Even if there are no complaints, a simple examination by a doctor and a conversation with a gynecologist will make sure that the body is working properly. Consultation with a gynecologist is the first step towards identifying and treating pathologies at an early stage.

Absolute indications for contacting a gynecologist are the following complaints of a gynecological nature:

• pain in the lower abdomen;
• discharge and bleeding;
• itching and other unpleasant symptoms in the vaginal area;
• menstrual disorders;
• painful menstruation.

With severe symptoms, an appointment with a qualified gynecologist should be made immediately. The lack of adequate treatment can lead to a deterioration in the general condition, the development of dangerous infectious processes, and increased pain. An experienced doctor will listen to the patient's complaints, conduct an examination and prescribe an examination in order to eliminate the cause of the disease as soon as possible.

Be sure to consult a gynecologist for problems with conception. The doctor will conduct all the necessary examinations and prescribe therapy.

How is a gynecological examination performed?

Before visiting a gynecologist, no special preparation is required. The main thing is to follow the simple rules of intimate hygiene and tune in psychologically. A consultation with a gynecologist always begins with a conversation, during which the doctor asks questions about disturbing symptoms, the characteristics of the menstrual cycle and sexual life, and the methods of contraception used.

The initial appointment and consultation with a gynecologist includes examination on a chair, visual examination, palpation, examination of the cervix with mirrors. Having received a general idea of ​​the patient's health status, the gynecologist may prescribe an extended examination (ultrasound, taking smears for analysis).

If tests were taken at the initial examination, their results will be announced during the second visit to the gynecologist. When a disease is detected, the doctor prescribes therapy, a sparing diet is selected, and a therapeutic regimen is drawn up. Compliance with the recommendations will allow you to get rid of the pathology as soon as possible.

Gynecologist's appointment at the Clinic of Modern Medicine

If you truly value your health, then monitoring it should be entrusted to real professionals. The gynecologists of our center are specialists with vast experience, in the arsenal of which are the most modern techniques.

A gynecologist's appointment in our clinic is:

• friendly attitude towards each patient;
• confidentiality;
• acceptable cost of consultations and examinations.

An appointment with a paid specialist is carried out by phone in Moscow. Contact our representatives to get detailed advice on the prices for services and the work of the gynecological department.

A female doctor, according to tradition, is most often referred to by women simply as a gynecologist. Although this is not entirely true, because there are several rather narrow specializations in such a noble profession. And sometimes it is very difficult to find a specialist. Very often, such a doctor as a gynecologist-endocrinologist is in demand in Moscow. Patient reviews help to choose not just a specialist, but an attentive, competent and really good professional.

What kind of doctor?

If many girls know about what a gynecologist does, then some have to seriously think about the activities of a gynecologist-endocrinologist. And it's worth knowing. The study of the hormonal background and hormones in the female body is what a gynecologist-endocrinologist does. It is not problematic to find a good specialist, it is more difficult to decide on the choice of a particular doctor. Moreover, an unstable hormonal background is the scourge of modern women. As a result of an excess or deficiency of a particular hormone, changes occur throughout the body, which often leads to overweight or underweight for no apparent reason, mood swings, depression, and unstable metabolism. In addition, violations in the endocrine system in the female part most often end in infertility. Many women, before becoming pregnant, have to undergo a course of treatment. And for some, this is also required in order to endure and give birth to a healthy and strong baby.

The choice of a specialist

Naturally, everyone wants to be treated by the best. According to reviews, gynecologists-endocrinologists of the capital can be very bad, very good, and completely ordinary. It is worth remembering that people's opinions may not coincide with yours. However, one should not forget that a large number of laudatory reviews from patients indicate that the specialist really knows his business and has proven himself well. A good endocrinologist and gynecologist-endocrinologist most often do not work in an ordinary provincial clinic, and it is very problematic to get an appointment with them. Therefore, an appointment must be made in advance, betting not on one, but on several doctors at once. In Moscow, fortunately, there are no difficulties with this. There are many really good specialists who are ready to see the patient at a convenient time for her.

Shakharatova I.A.

Irina Alexandrovna is a specialist with 23 years of experience. Many women pass on her name and contacts as a "baton". And there are reasons for that. After graduating with honors in 1992, Irina Alexandrovna actively moved from theory to practice, constantly improving her skills and expanding her knowledge base. Most often, in the treatment she does not adhere to traditional medicine, but homeopathic alternatives. And this also bears fruit. In addition, the doctor seeks an individual approach to each specific patient, relying not only on general data and statistics, but also on the comfort of women. This is really not bad in the work of Shakharatova Irina Alexandrovna there are very different.

What many patients dislike

Most often, girls and women who, for one reason or another, did not like the treatment by a specialist, say that they prescribe the same medicines to everyone. Or rather, dietary supplements and herbs. It is worth noting that many non-serious deviations in the hormonal background are really better treated with homeopathic remedies, without the use of drugs, which usually have a lot of side effects. However, in the presence of serious, advanced or chronic diseases, it is worth turning to traditional medicine. For those who want to get pregnant, natural preparations and infusions help strengthen the immune system and prepare the body for the long-awaited event. In advanced cases, Irina Aleksandrovna turns to traditional medicine, prescribes the most gentle, but effective drugs, and performs operations herself.

What do patients like

Irina Alexandrovna Shakharatova is currently receiving in the private medical organization "Health Clinic", located in Klimentovsky Lane, or, as the institution was called by the people, in the "clinic on the Mile". Many patients like the attentive and sensitive approach, the opportunity to find out in detail what kind of treatment plan is prescribed, and possible problems in its implementation. In addition, the majority also notes the benefits of gynecological massage, which is not included in traditional medicine, but brings real benefits to the body. That is why many women and girls sincerely believe that Shakharatova Irina Alexandrovna is a worthy gynecologist-endocrinologist and they also willingly leave the work of a specialist both in the clinic itself and outside its walls. In addition, many patients also note the high qualification of the ultrasound doctor, who works in tandem with Shakharatova Irina Alexandrovna.

Gevorkyan M.A.

Marianna Aramovna is considered one of the best specialists in the field of infertility treatment in the capital. Many girls and women turn to her on the recommendations, waiting in line for quite a long time. A doctor with more than twenty years of experience, who is attentive to the problems and experiences of patients, Ph.D., an expert in her field. Many even note that she is the best gynecologist-endocrinologist in Moscow. Reviews about this can be heard not only from patients, but also from other specialists who redirect women for a consultation with Gevorkyan Marianna Aramovna. The doctor sees at hospital No. 68 on Shkuleva Street, house 4. It is difficult to get to a specialist, but it is quite possible.

What do women like

Many people note that the endocrinologist does not just conduct an ordinary examination, but listens carefully to the complaints and concerns of women. In addition, if necessary, Marianna Aramovna answers all questions in detail, in an accessible and detailed way, describes the problem and ways to solve it. Naturally, many girls and women who, after a long period of infertility, get the desired pregnancy, remain grateful to such an attentive and professional person. And the reviews are relevant. Marianna Aramovna is a friendly and professional doctor who prefers to be attentive to the problems of her patients and to correct the treatment plan if necessary.

What do you dislike about treatment?

Some are absolutely sure that paid medicine (taken by Marianna Aramovna for a fee) is a "pulling" of funds without a positive result in the end. That is why the specialist himself even recommends a consultation not only with her, but also with another doctor. At the same time, she does not say that the patient needs this or that gynecologist-endocrinologist in Moscow. Reviews in this regard are not the most positive. It seems to some that this is disrespectful and unreasonable - after a paid appointment, contact someone else to confirm or refute the diagnosis and treatment method. But in a number of cases, it still makes sense, although consultation trips cost a tidy sum in the end.

Kaplina Lyubov Ivanovna

Doctor of the first category with more than 35 years of experience, who specializes in gynecology and endocrinology. A specialist is received at a clinic on Zoologicheskaya Street, 22. The appointment is paid, the average cost of a visit is 2,500 rubles. At the same time, it is quite difficult to make an appointment with Lyubov Ivanovna, since her work schedule is scheduled months in advance. That does not prevent her from seeing as many patients as possible per day. The approach to each of them remains purely individual, attentive and professional. Perhaps, Kaplina Lyubov Ivanovna is the best endocrinologist-gynecologist (Moscow). Medical centers in Moscow, which have many doctors of various specializations on their staff, invited her more than once for cooperation, however, the specialist remained faithful to her clinic in Beauty Park, as the patients used to call this place.

What clients like

The first thing that attracts attention is a friendly and attentive approach to delicate issues. Patients note that the doctor not only looks at the test results, but also listens to complaints on a particular issue. And even the very high cost of admission does not bother anyone who applied. Many girls and women note that the treatment plans prescribed by Kaplina Lyubov Ivanovna always bring the desired positive result. And that she is a really good gynecologist-endocrinologist in Moscow. Reviews about Kaplina L.I. passed from mouth to mouth, from one girl to another. And not only in the capital, but also beyond its borders. At the same time, no one spoke bad words about the doctor, no negative opinions were reported. It seems that the specialist is really standing, a true professional in his field.

How to choose a good doctor

Gynecologists-endocrinologists in Moscow, making an appointment with them can sometimes be very problematic, most often they are all professionals. But in order to choose a really good doctor, you need to listen not only to the reviews of the patients who visited them, but also to the opinions of other specialists. So, when a particular problem is identified, the staff gynecologist of a district clinic or hospital, as a rule, recommends contacting a doctor with a narrower specialization. In addition, it will be useful to visit not one, but several gynecologists-endocrinologists. And only then choose the most appropriate treatment option.

Gynecologist in Moscow is a specialist in the diagnosis, treatment and prevention of diseases of the female reproductive system. The tasks of a gynecologist include solving issues of conception, pregnancy and childbirth. Here you can consult a gynecologist, gynecologist, endocrinologist under comfortable conditions and at the lowest price. All specialists of the Medical Center are professional and licensed doctors.

A gynecologist-endocrinologist is a specialist in the diagnosis and treatment of diseases associated with the female reproductive system, which appeared as a result of hormonal system disorders.

Consultation of a gynecologist-endocrinologist It is necessary in cases where a hormonal imbalance occurs in a woman's body, which has arisen as a result of external influences, such as unfavorable ecology, the effects of stress, an unhealthy lifestyle, and much more. Such changes cannot be ignored, since hormones regulate the reproductive function and are the basis of the metabolism in the body, which threatens with serious consequences for a woman.

The reproductive function of a woman is regulated at the following levels, failures and malfunctions in which cause violations:

• Pituitary,
• Hypothalamus,
• Cortex,
• Ovaries and organs of the reproductive system (mammary glands, uterus, skin and bones, adipose tissue).

Indications for a gynecological consultation

A consultation with a gynecologist-endocrinologist may be necessary for a woman of any age if the following symptoms are detected:

• precocious puberty, revealed when secondary sexual characteristics are detected;
• a pronounced premenstrual period, accompanied by an increase in blood pressure, weight gain, soreness and swelling of the mammary glands;
• violations or complete absence of the menstrual cycle;
• painful menstruation;
• the appearance of masculine signs in women (hair growth according to the male pattern: on the face, on the chest, in the middle of the abdomen; voice changes);
• impossibility to become pregnant within a year, in the presence of an active sexual life without protection;
• miscarriage;
• detection of signs of metabolic disorders, such as obesity or a sudden change in weight, acne and skin rashes;
• the onset of climate syndrome;
• a consequence of operations on the organs of the reproductive system.

But not only this series of symptoms can be a reason to visit a gynecologist-endocrinologist. A completely common situation is a consultation before taking hormonal contraceptives, which can only be prescribed by this specialist.

It is important to understand that only a gynecologist-endocrinologist is able to eliminate the causes of cosmetic defects, such as acne on the skin, hair loss and excessive oiliness, hair growth on the face and chest, and even excess weight. All this is caused by changes in the hormonal system, and should be eliminated first of all by this specialist, and then by a dermatologist, trichologist or cosmetologist.

Preparing for a consultation

In order to visit a specialist on the part of the patient, no mandatory preparation is required. It is worth taking care of personal hygiene. To conduct a successful consultation and subsequent examination, on the eve of visiting a doctor, it is necessary to stop drinking alcohol and smoking.

It is necessary to have with you early examinations, such as ultrasound, blood tests, opinions of other doctors. This is necessary so that the doctor has clear grounds for making a diagnosis and prescribing the right treatment, and additional examinations can also be prescribed by the doctor.

Of the additional diagnostic procedures that allow to reveal the picture of the state of health, the following are carried out:

• blood test for hormones (such as progesterone, estrogen, FSH, PRL, thyroid and adrenal hormones, etc.),
• general blood analysis,
• blood test for glucose and insulin levels,
• taking swabs for flora and PCR,
• testing for sexually transmitted infections,
• breast ultrasound,
• Ultrasound of the pelvic organs,
• thyroid ultrasound,
• adrenal ultrasound,
• colposcopy,
• examination of the uterine cavity,
• endometrial biopsy,
• electroencephalography,
• CT and MRI of the pituitary gland.

Also, the doctor may refer you to other specialists for examination.

Stages of examination by a gynecologist endocrinologist

The entire consultation process can be divided into stages:

1. history taking

The doctor studies the patient's health history, in particular the state of health in a given period of time. Certain aspects of the medical history are important factors:

• age, gender and occupation,
• the presence of complaints and symptoms,
• clarification of the presence of chronic diseases and predisposition to them,
• list and history of taking medications,
• past medical history,
• family history.

1. Inspection

Inspection subject to external and internal genital organs on the gynecological chair.

1. Purpose of the survey

It is carried out to clarify the causes of changes in the hormonal background, to make a diagnosis, as well as to prescribe effective methods of treatment and prevention.

Some diseases detected by a gynecologist endocrinologist

Gynecologist-endocrinologist diagnoses the following diseases:

• Sclerosis and polycystic ovaries,
• ovarian dysfunction,
• endometriosis,
• Primary and secondary infertility.

A consultation with a gynecologist-endocrinologist in Moscow should be visited if you are faced with reproductive problems and if you are planning a pregnancy. Today, this service is incredibly popular, as such problems affect women of all age groups and social status, and anyone wants to stay beautiful, feel happy and healthy. Consultation of a gynecologist-endocrinologist in Moscow at the MDC-S takes place in comfortable conditions and is carried out by qualified specialists.

Gynecologists are currently in high demand. They can conduct reception on a paid and free basis. There is an opinion among the people that free gynecological appointment not the best, but it's not. These gynecologists solve very important tasks that are aimed at maintaining women's health. Specialists in the field of obstetrics and gynecology are engaged in two main areas:

Obstetrics is a specialty that studies the issues of pregnancy, how to conduct it correctly, determines the method of childbirth and the timing of their onset

Gynecology is a specialty that solves the issues of the development of diseases of the female genital organs in different age periods, methods of their diagnosis, treatment, and prevention.

However, this is not the only division of these specialists who are receiving free of charge. There are also narrower specialties, which include:

Miscarriage Specialist
- Specialist in reproduction (engaged in the study of assisted reproductive technologies)
- Endocrine gynecologist
- Oncologist-gynecologist
- Specialist in cervical pathology, etc.

Tasks of an obstetrician-gynecologist

Free gynecological appointment involves solving the following questions:

He studies the causes leading to the appearance of various pathological conditions in obstetrics and gynecology (however, it is not always possible to determine the exact causes, therefore it is customary to identify predisposing factors that increase the likelihood of developing a particular process)

The study of pathogenesis, that is, the mechanisms that led to the development of certain disease states

Engaged in the study of diagnostic methods, and also describes the characteristic clinical manifestations of a particular disease and condition

Allows you to choose the most rational method of treatment for each patient

He is engaged in the study of prevention, that is, how to reduce the likelihood of developing a particular pathological process.

Preventive checkups

Free gynecological appointment includes both preventive and unscheduled examinations. Each of these examinations has its own specific indications and methodology, which are applied individually, depending on the situation.

Preventive examinations at the gynecologist all women pass with a certain frequency, regardless of the presence or absence of complaints. The recommended frequency of such medical screening examinations is:

- Women of reproductive age and those who have not reached it, but live sexually - once every six months

Women of the perimenopausal and postmenopausal period - once a year.

Unlike preventive unscheduled examination by a gynecologist indicated for women who have certain clinical manifestations of the disease.

Types of treatment in gynecology

Gynecology has the following types of medical care:

Conservative therapy
- Laparoscopic treatment
- Hysteroscopic treatment
- Carrying out laparotomy operations
- Carrying out vaginal surgeries
- Uterine artery embolization
- Immunological treatment, etc.

In order to choose a rational method of treatment, gynecologist takes into account factors such as:

Woman's age
- The nature of the pathological process
- Accompanying illnesses
- Patient preferences
- Possible contraindications to this or that method of treatment.

obstetric care

Free gynecological appointment in the obstetric aspect deals with the following issues:

Reasons why a woman cannot get pregnant
- Treatment of infertile couples
- Rational management of pregnant women
- Determination of indications when a woman needs inpatient treatment
- The choice of methods of childbirth, as well as the timing of their onset

Summarizing all of the above, it must be emphasized that obstetrician-gynecologist , leading a free reception, helps a woman maintain her reproductive health at the proper level. His correct and effective work improves the demographic indicators in the country and in the world, so this profession is indispensable in modern society.

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, the duration of hospitalization of patients is reduced, they feel less pain, lose less blood, have a better aesthetic result, have faster rehabilitation 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 tumor-like formations, myomectomy, promontofixation, total and partial hysterectomy, treatment of endometriosis, as well as treatment of endometrial and ovarian cancer.

general information

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.

general information

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.

general information

Hysteroscopy - examination of the walls of the uterine cavity using 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.