Semin Dmitry Sergeevich surgeon. North-Western State Medical University named after N.N. I. Mechnikova. Semin Dmitry Sergeevich

Bulletin of Surgery 2017

UDC 616.34-007.43-031.5::611.957:616.381-072.1-089

V. P. Zemlyanoy, B. V. Sigua, D. S. Semin, E. R. Sopia

ENDOVIDEOSURGICAL ASPECTS OF THE TREATMENT OF BILATERAL INGUINAL HERNIAS*

Department of Faculty Surgery. I. I. Grekova (Head - Doctor of Medical Sciences Prof. V. P. Zemlyanoy), North-Western State Medical University. I. I. Mechnikov” of the Ministry of Health of Russia, St. Petersburg

PURPOSE OF THE STUDY. Determination of risk factors for the formation of supravesical hernias and relapses in patients with bilateral inguinal hernias after laparoscopic hernioplasty and development of a solution to this problem. MATERIAL AND METHODS. Analysis of the results of treatment of 84 patients based on clinical ultrasound examination 3-5 years after surgery. RESULTS. The factors of high risk of recurrence and formation of supravesical hernias were determined - a combination of peculiarities of labor and sports activities with increased physical activity and chronic diseases, with regular rises in intra-abdominal pressure. The algorithm for choosing the method of laparoscopic surgery was determined: at high risks, total prosthetics of the suprapesical and inguinal regions according to the developed original technique are indicated, and in the absence of such, standard separate hernioplasty is indicated. CONCLUSION. The proposed algorithm allows to significantly reduce the frequency of relapses and the formation of supravesical hernias.

Keywords: bilateral inguinal hernia, supravesical hernia, laparoscopic hernioplasty

V. P. Zemlyanoy, B. V. Sigua, D. S. Syomin, E. P. Sopiya Endovideosurgical aspects of treatment of bilateral inguinal hernias

Department of faculty surgery named after I. I. Grekov, I. I. Mechnikov North-Western State Medical University, St. Petersburg

OBJECTIVE. The article detected risk factors of supravesial hernia formation and its recurrence in patients with bilateral inguinal hernias after laparoscopic herniaplasty. The authors would like to develop a strategy in order to solve this problem. MATERIAL AND METHODS. An analysis of treatment results was made in 84 patients. The research was based on ultrasound clinical data at the period of 3-5 years after operation. RESULTS. Factors of high recurrence rate and supravesial herhia formation were identified as a combination of features of work activity and increased physical exertion accompanied by chronic diseases and regular intra-abdominal rise of pressure. The algorithm of choice among various laparoscopic methods of surgery was designed. Total prosthesis of supravesial and inguinal regions using developed original technique is recommended for application in cases of high risk group. Standard separate hernioplasty could be used in an absence of high risk. CONCLUSIONS. The proposed algorithm allowed doctors to reduce the rate of recurrence and formation of supravesial hernias. Key words: bilateral hernia, supravesial hernia, laparoscopic herniaplasty

Introduction. Endovideosurgical treatment of patients with inguinal hernias has a number of advantages and is less traumatic, and in recent years it has been recognized as the “golden” standard of treatment, especially for bilateral localization of inguinal hernias. The most widely used technique is preperitoneal prosthetic hernioplasty. Traditionally, in laparoscopic hernioplasty in patients with bilateral inguinal

howling hernia, separate bilateral prosthetics are performed with separate mesh grafts. One of the main criteria for the effectiveness of surgical treatment is the frequency of relapses. A significant proportion of patients seeking re-surgical treatment with suspected recurrence have a suprapesical hernia that did not previously exist. According to domestic authors, their frequency reaches 25% of all suspicions of relapse.

* Report at the scientific-practical conference "Modern technologies for the treatment of hernias of the anterior abdominal wall" 20-21.04.2017 at the St. Petersburg Clinical Hospital of the Russian Academy of Sciences.

V. P. Zemlyanoy and others.

"Herald of Surgery" 2017

after bilateral laparoscopic hernioplasty.

The purpose of the study is to develop a unified diagnostic and treatment algorithm for patients with bilateral inguinal hernias.

Material and methods. The study included 84 patients with bilateral inguinal hernias who underwent surgical treatment at the clinical bases of our department from 2010 to 2016. A retrospective analysis of 51 cases of endovideosurgical bilateral preperitoneal prosthetic hernioplasty was carried out, followed by a follow-up examination 3-5 years after the operation . The follow-up examination included a standardized protocol consisting of an anamnesis, an objective examination and ultrasound examination (ultrasound) of the anterior abdominal wall with visualization of the inguinal and supravesical areas, as well as abdominal ultrasound. It should be noted that the preoperative diagnosis of supravesical hernias is extremely difficult, they are difficult to differentiate from direct inguinal hernias. That is why ultrasound of the anterior abdominal wall, inguinal and supravesical areas was preferred. This study is affordable, economical and highly informative. Ultrasound was performed according to a single protocol; it included a study in standing positions, lying down, as well as using the Valsalva test. According to the results of the follow-up examination, only 1 (1.96%) patient had a unilateral recurrence of an inguinal hernia, and 8 (15.68%) had suprapubic hernias, which were not previously detected. In all patients with identified supravesical hernias, signs of a high risk of recurrence were determined. These included the connection of labor and (or) sports activities, with physical exertion and a combination with chronic pathological conditions associated with frequent episodes of increased intra-abdominal pressure (cough, constipation, difficulty urinating and other pathological symptoms). In a retrospective analysis, it was found that in patients with bilateral inguinal hernias in combination with professional and (or) sports activities associated with increased physical exertion and the presence of chronic diseases accompanied by regular long episodes of increased intra-abdominal pressure, there is a high risk of formation of supravesical hernia after laparoscopic bilateral hernioplasty.

Taking into account the obtained unsatisfactory results of separate prosthetics in laparoscopic bilateral preperitoneal inguinal hernioplasty in patients with a high risk of supravesical hernia formation, we developed an endovideosurgical method for total preperitoneal prosthetics in the inguinal and supravesical areas using a single endoprosthesis.

Technical features of the technique. The parietal peritoneum over the inguinal and supravesical areas was dissected as a single sheet, the inguinal, femoral, and supravesical areas were isolated with mobilization of the bladder floor, and a mesh graft with lateral cuts was used to cover the inguinal, femoral, and supravesical areas. The dimensions of the prosthesis were determined by intraoperative measurements, taking into account the coefficient of "pulling", they averaged 30x14 cm. Fixation and peritonization

the prosthesis was carried out at typical points, as in the traditional method of separate prosthetics (patent for the invention of the Russian Federation No. 2564757 "Method of laparoscopic hernioplasty for bilateral inguinal hernias", application No. 2014133584/14, invention priority 14.08.2014).

In addition, an algorithm for choosing the method of laparoscopic hernioplasty for bilateral hernias was developed and introduced into clinical practice: the presence of high-risk factors for recurrence and the formation of a suprapubic hernia was an indication for total prosthetics according to the proposed method, and in the absence of such factors, for the traditional separate bilateral bilateral preperitoneal prosthetic inguinal hernioplasty. According to the developed algorithm, 33 patients with bilateral inguinal hernias were operated on. At the same time, the main and retrospective groups of the study were comparable in age (both groups included patients of young, middle, elderly and senile age), by gender (with a characteristic predominance of men in both groups - about 90%), the presence and nature of concomitant pathological conditions. .

Results. In the retrospective (control) group, a recurrence of an inguinal hernia was detected on one side in 1 (1.96%) patient, and supravesical hernia was diagnosed in 8 (15.68%) patients. The main group included 33 patients with bilateral inguinal hernia who underwent endosurgical treatment according to the developed algorithm: 14 of them had high-risk factors for recurrence and suprapesical hernia formation - they underwent total prosthesis with a single endoprosthesis; the rest 18 had traditional separate hernioplasty with separate mesh prostheses. It should be noted that in 2 patients, who were initially included in the subgroup with a high risk of recurrence and formation of a supravesical hernia, primary supravesical hernias were detected. The duration of the operation in the prospective and retrospective groups was 64.6 ± 29.3 and (58.6 ± 17.5) minutes. Postoperative bed-day and duration of postoperative pain relief in both groups were comparable. No early complications were observed in the prospective study group. In the late postoperative period, follow-up examinations were performed using the developed single protocol with ultrasound - none of the patients had relapses and newly formed suprapubic hernias.

Discussion. In patients with bilateral inguinal hernia, when choosing a method of laparoscopic surgery, it is necessary to make a differentiated approach to the choice of technique, depending on the presence of factors of high

Volume 176 No 3

Endovideosurgery of bilateral inguinal hernias

the risk of recurrence of inguinal hernia and the formation of supravesical hernia.

Conclusions. 1. Laparoscopic preperitoneal total prosthetic hernioplasty using a single mesh graft is indicated in the presence of high risk factors.

2. In the absence of high-risk factors, endovideosurgical separate bilateral prosthetic hernioplasty using two separate mesh grafts is indicated.

3. Endovideosurgical method of a single total prosthesis is also the method of choice for primary supravesical hernias.

Welcome to the portal site!

First, let's get acquainted, my name is Dmitry Semin. I am the creator of the resource, as well as a practicing implant surgeon: I am engaged in treatment, complex extraction, restoration and implantation of teeth, bone grafting - at the end of my appeal you can see in detail what courses and training I took, trying to constantly improve my skills. Indeed, in such a business as dentistry and implantology, one can never stand still, it is important to keep up with the times.

The problems of people who come to the reception for many years of practice have resonated in my heart, and I realized that I have a unique opportunity today: to convey all the experience gained to users through modern means of communication.

The project site was created to help people who have problems with the oral cavity in their lives: a violation of the functionality, integrity and appearance of the teeth. Also, those who simply care about the health of their teeth and gums, who want to know in advance about possible pathologies that ultimately lead to tooth loss, methods for their treatment and prevention, will also receive information here.

From my own experience, I know how difficult it is to find a doctor who you can trust with your health: this is why the site has sections where you can watch a video, get a completely impartial free consultation, ask a question and get an answer not even from one, but from different experts, compare their answers and choose what is right for you. In addition, here you can see different clinics that provide dental services in Moscow. Again, compare prices, pick up a territorial location.

A little bit about yourself.

Semin Dmitry Sergeevich

Specialty: orthopedic dentist, implant surgeon.

Basic education:

• 2002: graduated from the Stavropol State Medical Academy (SSMA),
• 2003: clinical internship in general dentistry,
• 2004: primary specialization in surgical dentistry on the basis of GBUZ MO MONIKI,
• 2005: primary specialization in orthopedic dentistry on the basis of GBUZ MO MONIKI.

Additional education:

• 2006-2008: conducted a surgical and dental appointment in two private dentistry in Moscow,
• 2009: course “Osstem. Cons of sinus lifting and errors of dental implantation”,
• 2011: basic course Astra Tech Implant System day,
• 2012: course "Main practical aspects in complex orthopedic treatment",
• 2013: training in surgical protocol for MIS implants,
• 2014: course "Clinical aspects of implantology in complex prosthetics of missing teeth",
• 2014: training on the topic “Advanced course on implantation. Bone grafting, Moscow,
• 2016: Online courses on the All-on-4 treatment protocol from Nobel,
• 2017: course “Implantation and prosthetics on implants of the ALPHA DENT IMPLANTS system.

Always glad to communicate with you!

Sincerely, Dmitry Semin.

In September 2018, they finally diagnosed me at the Mechnikov hospital. Before that, where I had not gone, no one could make a diagnosis. This year I have a completely different opinion, because the attending physician considered the MRI and X-ray of the thoracic spine and my complaints related to diseases of the spine to be unimportant. At first, the doctor told me that I should not have back massage, because the MRI indicated edema of the bone marrow of a reactive-inflammatory nature. In the recommendations, she wrote what needs to be done in the clinic. Although she wrote in the extract from the medical history that it is reflected in the MRI, it is not worth attention. protrusion, small Schmorl's hernias, violation of statics. I also want to note that normalization of blood pressure failed: in the morning of June 22-164/95, which is dangerous in retinal angiopathy. They wrote that the strength in the arms and legs increased. It increased because I didn’t do anything there, as I ended up at home, it’s still the same. .

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7 812 303-50-35

The department of neurology is an absolute indifference to the patient and the absence of a proper examination and treatment for the disease (according to the instructions in the order of the Ministry of Health for a specific disease). In the discharge summary, they wrote about the allegedly conducted course of Mexidol droppers, which was only on paper. Treated-Goldobin Vitaly Vitalievich. Are such people in white coats afraid of anything and can they lead patients only for a tick about “work done”?

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

Good afternoon! I am writing this review to warn everyone against going to this hospital. And in order to tell the "doctors" the wishes they deserve. On December 12, 2018, my mother became ill at home. They called an ambulance. The emergency doctor examined her and said that there was water in her lungs. “There is nothing terrible yet, but you need to go to the hospital.” By ambulance I brought my mother to this “hospital” (named after Peter the Great, State Budgetary Educational Institution of Higher Professional Education “North-Western State Medical University named after I.I. Mechnikov”, Piskarevsky Ave., 47) with heart disease. At the emergency department, she immediately provided extracts from two hospitals of cardiological departments, in which my mother had previously been treated. She moved on her own. In the emergency department, having made an x-ray, they said that "Water in the lungs." They put her in a non-core resuscitation and intensive care unit of a therapeutic profile No. 2 (building 24, 3rd floor). The resuscitator was informed about all chronic diseases, including type 2 diabetes mellitus, insulin-dependent. The resuscitator asked to give all the medicines (pills) of the patient that she took, insulin, plates with a device for determining blood glucose and the next day to bring more insulin with plates, since blood glucose control would be required. Naturally, the next day she brought 2 boxes of records and insulin pens. And then the nightmare began. Within 5 days, the same answer: "The condition is stably grave." Doctors in intensive care do not come out and do not talk at all. Under the doors of intensive care were not only us, and not one hour. Although there is an announcement: "The time of the conversation with the resuscitator is from 14:00 to 15:00." In the corridor it was possible to talk with the attending physician (of a strange appearance and complete lethargy). According to the attending physician, the condition is serious, the water in the lungs (pneumonia, but they cannot understand whether it is cardiac or infectious), they are being treated with antibiotics, connected to an artificial lung ventilation (ALV) machine. They are not allowed into the emergency room. On the 4th (Saturday) day, I ended up in intensive care. There were no droppers, no lung ventilation apparatus connected. Oxygen mask, barely breathing, swelling on the legs. Promise on Monday to hold a consultation of doctors and transfer to cardiology. I would like to ask the grief of the "doctors": And what did YOU do for 3 days? On Sunday they said - come on Monday at 14:00. On Monday I arrived at the hospital at 10:00. The nurse reports that my mother was transferred at night to another hospital with a STROKE. Then the resuscitator deigned to leave and said that from 16. On 12.18 on 17.12.18 (at night), the mother was transferred (transported) with a stroke, with all things to another hospital, to a neurological intensive care unit in serious condition and with poor symptoms. The ventilator (lung ventilator) was turned off for her, as I quote: “The patient was against it and snorted.” To my question: “Why didn’t they tell me, didn’t call me? And on what basis were they transported in a serious condition without the permission (consent) of relatives? The resuscitator brazenly and boorishly replied that he had no time. Until 10:00 am on 12/17/18 - NO TIME. But to collect all her things found time. They immediately returned to me all the medicines (pills), insulin, which I gave when my mother was admitted to their intensive care unit. After checking all 3 insulin pens, I found that NOT A SINGLE INJECTION was given!!! Arriving at another hospital, the doctor said that the patient was admitted in a severe (unconscious) condition, namely: bilateral pneumonia (pneumonia), thrombosis, ischemic stroke “not in the first hours”, “time is lost”. The right side is paralyzed. When I saw my mother in intensive care, I was shocked. Coming with his feet 5 days ago to the hospital. Mechnikov, we could not even think that we would see this. Returning on the same day, 12/17/18 to the hospital. Peter the Great GBOU HPE "North-Western State Medical University named after I.I. Mechnikov, pr. Piskarevsky, 47; the department of resuscitation and intensive care of the therapeutic profile No. 2, I turned for clarification to the head of the department Ruslyakova Irina Anatolyevna. To the question: “What did you do for 5 days? Why bilateral pneumonia, stroke? The head of the department Ruslyakova Irina Anatolyevna answered with a smile: “So she did with pneumonia. They were treated with antibiotics." To my question: “Why were they transferred (transported) without notification, without the permission (consent) of relatives?” and “Which of the resuscitation doctors was on shift?”. The answer of the Head of Department Ruslyakova Irina Anatolyevna: “There was no time.” As for the doctor on shift, the answer was silence. From the second time, they reluctantly answered me that Gulay Vitaly Leonidovich. For two days, doctors from another hospital fought for my mother's life, but her heart could not stand it anymore. On December 19, 2018, my mother died, she was only 67 years old. I believe that the so-called "doctors" of the hospital. Mechnikov They did not take any action to alleviate the condition of my mother, diagnose and treat, and even transferred in a serious condition to another hospital. They just threw it away. I wish ALL of YOU, the so-called "doctors", the head of the resuscitation and intensive care unit of the therapeutic profile No. 2 (building 24, 3rd floor) and your relatives the same fate that you arrange for your patients. And so that you experience the same in your life. I ask everyone who read this review to take care of your loved ones, do not end up in this hospital, especially in this department (reanimation). There are no doctors, there are not even people. There are bad people working there.

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

I express my deep gratitude to the doctor with a capital letter and a wonderful person Kachiuri Andrey Sergeevich (Department of Surgery). He performed the operation on my mother, gave all the necessary recommendations, a real specialist. You can easily trust such a doctor with the people closest to you. We are insanely grateful to the department for such specialists as Andrey Sergeevich!

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

Recently I was in the Mechnikov hospital in the Department of Gynecology, I want to express my gratitude to all the medical staff: nurses, doctors. I would especially like to thank my operating doctor Churkin K.S. and the attending physician Akopyan R.A. March 13 to 14, 2018. Thank you very much (Elya Grigorievna)

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

2 years ago

Bobrova E.Yu., 66 years old. I am delighted with the excellent work of the team of the 2nd surgical department (15-2). Nurses, nurses work conscientiously, everyone is polite, they always smile kindly. In short - everything is fine! But I want to express special gratitude to my surgeon Kachiuri Andrey Sergeevich. In his 30s, he is a high-level professional who knows how to make quick and correct decisions. Andrey Sergeevich treats his patients with soul, knows how to create a positive mood. As long as we have such young doctors, our medicine is alive! Thank you all dear!

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

3 years ago

Hello! I am writing to warn everyone against getting into this HORRIBLE hospital, in which they made it so that in the end my dear grandmother died! Let me explain why this is so! On November 14, 2016, the granny was brought to this ill-fated hospital with a massive heart attack (within the first 1.5-2 hours after the attack). They put me in the intensive care unit of the 16th cardiological department. There, the doctor said that it is necessary to do caronarography, without explaining the contraindications! He said there was no risk. We thought, but agreed, and after a few days it turned out that this procedure has many specific contraindications that my grandmother has (DOCTORS KNEW ALL THIS). For two days, my grandmother was in intensive care ... the condition was called stably severe. On the 3rd day (Wednesday), she was transferred to the cardiology department and NOBODY called her relatives, although all the phones were. The person needed care, and they simply threw her on the bed in the ward and left. All we had to do was call in advance and we would come, then we would hire a 24-hour nurse if necessary. But the doctors thought otherwise ... the result: the strongest fall of the grandmother when trying to get out of bed without supervision, which the doctors and nurses kept silent about. We learned about this fact from patients. On that day, my mother called the intensive care unit, and they said that my grandmother had already been at the department for several hours. Mom arrived and saw that her condition had deteriorated sharply, in comparison with admission to the hospital. Grandmother's speech was severely impaired, she did not move well, and there were obvious brain disorders similar to a stroke. However, no one diagnosed a stroke and did not even check the head, judging by the extract. Then the next day, the granny was again transferred to the intensive care unit, ALLEGEDLY only for the weekend due to the fact that there were not enough people in the department and they would not be able to take care (the doctors knew about the possibility of having a nurse). But in the intensive care unit already in the therapeutic department, with an extensive heart attack complicated by diabetes mellitus. On Monday, no one transferred my grandmother to the department, and they kept her in intensive care, where they let her in only 1 time. The condition was always assessed as stably serious ... they didn’t say anything special. And now, in intensive care, instead of several days (the transfer was promised on Thursday and until Monday), she lay there for 7 days and then they told us that they say take it ... we write it out. We were in shock, not understanding, because every day there is only one answer about the state of "stably serious". With difficulty, my mother persuaded the intensive care doctor to treat my grandmother for a couple more days. As a result, judging by the extract, no one treated these couple of days. .. just held. As it turned out, the head of cardiology has such a practice: to throw off patients in serious condition from their department, supposedly for the weekend, to a non-core therapeutic intensive care unit! And then don't take it back. This doctor from cardiology said so: no one will take her to the department, no one will take care and treat her ... there are no places (they say if you want, then we will leave her in the corridor on the bed). As a result, a person in serious condition is discharged from intensive care IMMEDIATELY HOME. The condition after their treatment was only worse, most likely the grandmother was not even fed there and it is not known how she was treated. They were kept in the hospital for only 12 days, and then the last 2 days only thanks to the head of resuscitation therapy. Discharged home in a terrible state, and in the extract they wrote (attention!), The state is "satisfactory" (you would have such a satisfactory doctor or your family) and is discharged to the clinic. By the way, the extract does not say that the person almost all the time was not in cardiology, but in therapy. In the discharge and analyzes, everything is good, and the ECG is also supposedly normal in dynamics. But in fact, a person who walked to the hospital on his own feet, had a good idea for 86 years, came home nothing (lying and sleeping, with impaired speech and almost without strength). The next day we call an ambulance, because we realized that everything in the statement is a lie. The ambulance doctors determine atrial fibrillation on the ECG, blood sugar is 26 (although everything was supposedly okay in the hospital), low hemoglobin = 70 (although everything is perfect according to the tests in the extract). They are already hospitalized in another hospital, where the doctor directly says that the condition is serious and even deplorable! This is the next day, after a SATISFACTORY condition, according to the cardiology of the hospital of Peter the Great (though the condition was, it remains so). In that hospital, they fought for 2 weeks ... after my grandmother passed away. I believe that the fault is to a large extent on the hospital of Peter the Great, especially on the head of the 16th cardiology department. SHE acted inhumanly and cruelly, as a result, this led to the death of a person dear to us.

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

3 years ago

Many thanks to the doctors of the 2nd Thoracic Department Denis Vasilievich Alkaz, Professor Elkin, Dmitry Leonidovich. They are excellent doctors, kind, sympathetic, decent people. They saved my husband when everyone refused to help. They undertook the most difficult operation to remove a malignant tumor in the upper lobe of the lung ( PANKOSTA) I thank them for life! Thanks to all the medical staff! We wish you health, peace, kindness. WE WILL NEVER FORGET YOU! 5

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

3 years ago

I thank all the staff of the gynecological department of the St. Petersburg Mechnikov Hospital (Peter the Great Clinic) for their friendly attitude and effective treatment. The order established in the department is maximally adapted for the comfort of patients, down to such details as a pack of washing powder in the toilet, on the table near the buffet, kettles with boiled water, boiling water and tea leaves. The department is very clean. I saw, they wrote on the Internet that you can’t go to the toilet, there’s nowhere to step, dirt. Unfortunately, not everyone is accustomed to clean up after themselves, some leave terrible dirt, although there are mops with a floor cloth in the toilets and in the shower, there is a washing tank, and it is not difficult to clean up after yourself. about the quality of treatment. The doctors are very attentive, aware of how each of their patients is doing, and when they meet in the hallway, they can ask a specific question about the signs of recovery or answer any specific question without holding a medical history in their hands. They really keep in mind the treatment of each ward. At the same time, recovery occurs quickly, enhanced if necessary by additional procedures. Helps recovery and physiotherapy. I had two attending physicians - Konstantin Sergeevich Churkin, who introduced himself to me immediately after the examination as a professor-surgeon, and Yulia Evgenievna Gavrish, to whom he passed on my treatment and introduced us to each other. And after the "transfer" for some time he was interested in how I was doing. Both are very competent and attentive, as I can judge by the answers to my questions and advice on how best to proceed. The operation was performed by Professor Dina Fyodorovna Kostyuchek, a most pleasant, optimistic and encouraging woman with her communication. Most communication occurs with nurses. They solve many issues that may arise unexpectedly, skillfully perform their work. For example, they do excellent injections, they take blood from a vein much more deftly than usual in clinics. Exceptionally friendly, they always willingly respond to requests, even if they had to turn late at night. Nurse Lyudmila Vasilievna accompanies the operation. The day before, she comes and tells what you need to take with you, how to prepare. The fact that a familiar person takes her to the operation, and is not driven on a stretcher, wrapped in a sheet, has a calming effect. She accompanies to the very operating table and lays on it. Then comes the anesthesiologist. The anesthesia was good, from which it was easy to get out - there was only drowsiness. I did not have time to find out the name of the anesthesiologist - she switched off . The food in the hospital is hearty and tasty - roast, cottage cheese casserole, chicken casserole and other main courses, delicious soups, delicious cereals. I would like to repeat the same dishes at home. Two friendly women are handing out food, so kind and generous that I was worried that I might gain weight. They are happy to deliver food to the wards, they make sure that no one misses and does not go hungry, and they are happy when the dishes offered are liked. (The hospital food department's guest book is full of thanks.) Do not think that I am writing this review to order. I just checked out and am happy with the results. I saw such terrible reviews on the Internet that at first I was even afraid to go to this hospital. But one woman on the selection committee said that she had already been there and the second time only again there. This convinced me, and now I also say the same thing a lot - if something happens, then to the Mechnikov hospital. Therefore, I am writing a review and my opinion for the sake of objectivity. I also saw on the Internet complaints about admission to the ambulance. One night there were a lot of doctors, interns, graduates of the medical academy in the hospital - at least a day, if not more. Many new patients appeared, all of them did not take revenge in the wards, they lay in the corridor. The medical staff walked around them all night, until the morning, put droppers, questioned them, treated them. It is hard to imagine that with such activity, someone was not helped. I am grateful to all the staff of the gynecological department, headed by the head Victoria Anatolyevna Pechenikova, who more than once examined every patient in her department, and was no less aware of the treatment than the attending physicians. She created a friendly atmosphere. In the mornings, the sick and the medical staff who came to work greeted each other. Thank you for your kind and caring attitude!

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

3 years ago

I did an ultrasound of the heart for myself and my daughter at the ultrasound doctor Sergey Alexandrovich Afanasyev. A very competent doctor. I am a doctor myself and I know that he can be trusted. And in the medical center on Gogol, in addition, an ultrasound machine of an expert level. I highly recommend the doctor!

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

3 years ago

Surgical Department Ivanov Andrey Sergeevich, surgeon Semin Dmitry Sergeevich. Andrey, 39 years old. I came from the Leningrad region to have an operation to eliminate an umbilical hernia and diastasis of the rectus abdominis muscles. Andrey Sergeevich accepted without question to his department for compulsory medical insurance. A planned operation in January 2016 was performed by the surgeon Semin Dmitry Sergeevich, he made a cosmetic suture - for which special thanks. Everything went without complications, and on the second day after the operation I went home, after 10 days I started working. The impression of the department is only positive (building 15 of the North-Western State Medical University named after Mechnikov, Piskarevsky pr. 47), excellent staff, good service and food.

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

4 years ago

I want to express my sincere gratitude and great gratitude to the surgeon Trunina Tatyana Vladimirovna (building 15/3). 21.10.2015 she performed an operation on the lungs of my sister Egorova O.V. The operation was successful, and in the postoperative period, Tatyana Vladimirovna paid a lot of attention to her patient and, even on a Saturday (not being on duty in the department), she came to make a dressing. Tatyana Vladimirovna, many thanks for your professionalism, sensitivity and kindness; success in your noble, not easy and so necessary work.

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

4 years ago

I want to say a huge thank you! Doctors of the 20th department Kravtsov Dmitry Viktorovich and Lev Alekseevich for the operation performed on my mother, for the warm attitude, for the high-quality work done! I bow to you! Be healthy and happy!

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

4 years ago

I want to thank the cardiology department (building 17-3), and all the medical staff, as well as personally the head. Department Marinin Petr Antonovich, and surgeon Yakovlev Dmitry Aleksandrovich, for their professionalism, hard work and for the operation performed on my grandfather. Low bow to you, and health for many years! The Smolyaninov family

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North-Western State Medical University named after N.N. I.I. Mechnikova+7 812 303-50-35 St. Petersburg, pr-kt Piskarevsky, 47

4 years ago

YEAR - PRESENT. -SPRING. -APRIL. FORGOTTEN - PAIN - AND - BED AFTER - TREATMENT - STAGED! THEREFORE, -LYUDMILA -KARPOVA WANTS -IN -LOVE -BIG -TO BE CONFESSED TO DOCTORS -FROM -CASE --- SEVENTEEN! / THIRD - FLOOR --- SAVIOR - OUR! /

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