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Regional neurosurgery hospital. Neurosurgical Department

History of the development of neurosurgery in the Kirov region

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

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

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

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

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

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

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

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

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

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

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

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

Treatment methods for spinal diseases

Relevance of the problem of spinal diseases Nowadays

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

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

There are many ways to relieve you from suffering:

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

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

The main goal of modern neurosurgery is help the patient on time, effectively and with a minimum period of disability.

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

Our doctors

Nikulin Vladimir Alexandrovich- neurosurgeon of higher education qualification category, Candidate of Medical Sciences.
Starkov Denis Sergeevich
Mazeev Sergey Sergeevich- neurosurgeon of the highest qualification category.
Zubov Evgeniy Valerievich- neurosurgeon of the highest qualification category.
Belko Nikolay Sergeevich- neurosurgeon of the second qualification category.

Ovcharenko Sergey Ivanovich

Head of Department, Candidate of Medical Sciences, doctor of the highest qualification category.

Over the more than 50-year history of the neurosurgical department of the Belgorod Regional Clinical Hospital of St. Joasaph, more than 35 thousand patients have received medical care here, which suggests extensive practical experience in treating patients with various pathologies of the nervous system. Today this department has 40 beds, equipped with the most modern medical equipment and instruments, where conditions have been created for providing specialized high-tech medical care to patients with severe damage to the central and peripheral nervous system.

The department employs 9 neurosurgeons, most of whom are specialists of the highest and first qualification categories, 4 candidates of medical sciences. They are not inferior in their qualifications and nurses departments, more than 40% of which have the highest and first qualification categories.

The material and technical base and personnel of the department allow us to perform up to 1000 surgical interventions per year, almost a third of which relate to high-tech medical care. Today, the department performs almost the entire range of specialized treatment various diseases nervous system:

surgical treatment of degenerative-dystrophic diseases of the spine at all levels: for herniated intervertebral discs - video endoscopic discectomy, microdiscectomy, puncture nucleoplasticity; for stenosis and instability of spinal motion segments - installation of dynamic and rigid stabilizing systems (Coflex, intervertebral disc prostheses, transpedicular fixation), etc.;
surgical treatment of tumors of the central and peripheral nervous system: microsurgical removal of brain tumors of any location using 3D planning of optimal surgical access, intraoperative navigation and neuromonitoring, microsurgical removal of tumors spinal cord, spine and peripheral nervous system, vertebroplasty for pathological fractures and neoplastic lesions of the vertebrae of any location, endoscopic treatment of occlusive hydrocephalus and venriculoperitoneal shunting, etc.;

surgery vascular diseases brain: clipping of cerebral aneurysms, intravascular embolization of aneurysms and malformations of the brain (department of X-ray surgical treatment methods), formation of extra-intracranial anastomoses for ischemic strokes, removal and lysis of intracerebral hematomas for hemorrhagic strokes and etc.;
surgical treatment of vascular diseases of the brain: clipping of cerebral aneurysms, intravascular embolization of aneurysms and brain malformations (department of X-ray surgical treatment methods), formation of extra-intracranial anastomies for ischemic strokes, removal and lysis of intracerebral hematomas for hemorrhagic strokes, etc.;

Equipping operating rooms with modern medical equipment and highly qualified department staff contribute to scientific research, the results of which last years Three candidate's dissertations were defended and over 60 scientific articles were published. The algorithms for diagnosing and treating degenerative diseases of the spine developed in the department were highly appreciated by the Russian medical community. In 2007, the employees of the department (head of the department S.I. Ovcharenko and neurosurgeon S.A. Kovalev) were awarded the highest prize of the ASVOMED association - “Crystal Dolphin” for first place in the All-Russian professional competition in the “Diagnostic Technologies” category. In terms of volumes and results of surgical treatment of patients, our department has held a leading position among neurosurgical departments in the Black Earth Region for many years.

Material and technical base, highly qualified specialists and more than 50 - summer story Neurosurgical Department of the Belgorod Regional Clinical Hospital of St. Joasaph allows us to count on obtaining the best results of surgical treatment of diseases of the central and peripheral nervous system.

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

The scientific director, chief operating surgeon and coordinator of the center is Petr Ivanovich Kushniruk, candidate of medical sciences, neurosurgeon of the highest category, chief freelance neurosurgeon of the Volgograd Region Health Committee, chief neurosurgeon of the South Federal District, member of the board of the Association of Neurosurgeons of Russia, member of the European Association of Neurosurgical Societies.

P.I. Kushniruk annually performs more than 200 operations on the brain and spine, in most cases using the most modern technologies, including those mastered and implemented after numerous specializations in the best neurosurgical clinics in the world (Switzerland, Finland, Germany, etc.). Experience in the specialty “neurosurgery” – 30 years.

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

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

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

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

The neurosurgical center is equipped with the most modern medical equipment

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

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

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

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

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

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

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