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Surgeon

A surgeon is a doctor who works with pathologies that potentially require surgical intervention, or is engaged in reconstructive or aesthetic surgical transformation of the human body. The EMC Clinic has a department of general surgery, as well as narrow-profile surgical departments. Our highly qualified surgeons use the latest medical equipment, including the advanced Da Vinci robotic system.


The main sections of surgery

Surgical treatment may be required for diseases of various organs and tissues.

The main sections of surgery:

  1. General surgery. A general surgeon is a general practitioner who performs operations on the abdominal and thoracic cavities, for example, treats hernias, intestinal obstruction, and appendicitis. In addition, the doctor removes benign skin growths, including purulent ones: abscesses, boils, lipomas, fibroids, ingrown nails, etc. As a rule, it is the general surgeon who conducts the initial admission of patients, performs diagnostics, treatment of wounds and injuries, stopping bleeding, etc.
  2. Colorectal surgery. Surgical methods in coloproctology are used to treat pathologies that have not been cured by conservative therapy: hemorrhoids, fistulas, anal fissures, rectal prolapse, fecal incontinence, neoplasms, etc.
  3. Neurosurgery. A branch of medicine that deals with the surgical treatment of diseases of the nervous system. For the success of neurosurgical operations, the most modern diagnostic and treatment tools are needed, as well as the highest qualifications of doctors. The EMC Neurosurgery Center employs world-class specialists. We successfully treat brain and spinal cord tumors, spinal cord injuries, traumatic brain injuries, congenital anomalies of the nervous system, and vascular pathologies of the brain.
  4. Gynecological surgery. The EMC clinic performs small and large operations for diseases of the reproductive system. We treat endometriosis, uterine fibroids, cysts and ovarian tumors, and restore the anatomical position of the pelvic organs when the uterus and other organs are lowered.
  5. Thoracic surgery. Doctors of this specialization treat diseases affecting the organs of the chest. Thoracic surgeons often perform operations for neoplasms, including lung cancer, esophageal cancer, and metastasis of oncological diseases of other localization to the lungs. In addition, thoracic surgery treats pathologies such as emphysema, bronchiectasis, tuberculosis, purulent diseases, stenosis, and others.
  6. Purulent surgery. Specialists in this industry are responsible for long—term non-healing and infected wounds, trophic ulcers, purulent lesions of the skin and subcutaneous tissue, tissue lesions in diabetic foot syndrome, etc.
  7. Orthopedic surgery. Considers performing operations on ligaments, joints, bones, and muscles in case of traumatic injury or inflammatory processes. The EMC clinic uses an effective minimally invasive arthroscopy method to treat joint diseases. Arthroscopic surgery is performed on any joints: knee, shoulder, ankle, elbow, hip, wrist.
  8. Vascular surgery. This branch of medicine is engaged in the prevention and treatment of chronic diseases of veins and blood vessels, including aortic aneurysms, lower limb ischemia, diseases of the carotid and other brachiocephalic arteries, vasorenal hypertension, etc.
  9. Oncological surgery. Surgery is one of the main cancer treatment methods. In oncological surgery, interventions are performed to remove tumors within healthy tissues, remove precancerous growths for preventive purposes, alleviate the condition of patients in the late stages of cancer when the tumor cannot be completely removed, or for diagnosis to determine the nature of the tumor and its stage..
  10. Plastic surgery. Plastic surgeons are engaged in the elimination of cosmetic defects of the face and body, which may be of congenital origin, or appear as a result of injuries, diseases, previous surgical treatment. EMC clinic doctors use the most modern methods of correcting age-related changes, perform mammoplasty, abdominoplasty, rhinoplasty and other operations.


In addition to the main types of surgery, there are a large number of auxiliary surgical disciplines. For example, bariatric surgery is a promising area for the correction of obesity and overweight. There are stomach reduction operations, thanks to which the patient can lose weight effectively, safely and without the risk of regaining excess weight.

Goals of surgical intervention

Depending on the medical situation and indications, surgical intervention can be performed for various purposes:

  1. Diagnostics. Surgeries are performed to clarify the stage of pathology and diagnosis, if this cannot be achieved using non-invasive diagnostic procedures. A typical example of diagnostic surgery is a biopsy if a malignant neoplasm is suspected. Through a small puncture, the surgeon inserts a biopsy needle into the patient's body, through which he selects tissue particles for cellular analysis. In the EMC clinic, this operation is performed under the supervision of ultrasound, CT and MRI.
  2. Treatment. Therapeutic surgical intervention can be performed to remove tumors, repair damaged organs or tissues, correct congenital or acquired abnormalities or defects, eliminate infections (for example, when removing appendicitis, abscess, boil, etc.). Medical operations also include transplantation, amputation and other types of surgical intervention.
  3. Relief of the patient's condition. If it is impossible to achieve a complete cure of the patient using existing methods, palliative treatment is carried out, which helps to reduce severe symptoms (for example, reduce the intensity of pain) and prolong life.

Surgical treatment methods

According to the degree of urgency, the following types of surgical operations are distinguished:

  1. Emergency. They are carried out immediately due to the threat to the patient's health and life. As an emergency, the patient is operated in case of acute appendicitis, peritonitis, acute intestinal obstruction, paraproctitis, gastrointestinal bleeding, injuries, infected wounds, etc.
  2. Urgent. They are prescribed when surgical intervention can be postponed for a short period of time to clarify the diagnosis and examination.
  3. Planned ones. Surgeries are scheduled for conditions that do not pose an immediate threat to the patient's life, so there is an opportunity to conduct a full examination and thorough preparation before surgery.

In addition, there are special types of operations:

  1. Microsurgical. They are performed under magnification of 3-40 times using a special microscope or magnifying glass, as well as microsurgical instruments.
  2. Endoscopic (laparoscopic or thoracoscopic). They are carried out through the natural openings of the body, small incisions or punctures in a closed manner, under the control of a video probe.
  3. Endovascular. They are performed on blood vessels by percutaneous access under the control of radiation imaging methods (radiography).

In what cases is it necessary to consult a surgeon

Referral to a surgeon is given by a general practitioner, pediatrician or general practitioner, or a specialist doctor who has discovered a pathology requiring surgical treatment.

A surgeon should also be consulted in the following cases:

  • soreness during movement, limited mobility, pain, swelling, redness of joints;

  • injuries to bones, joints, and soft tissues;

  • intestinal pathology (after consultation with a gastroenterologist or proctologist);

  • dermatological problems and injuries that are accompanied by inflammation or infection (boils, abscesses, ulcers, burns, wounds, bites, etc.);

  • congenital pathologies or aesthetic defects;

  • acute pains of unknown origin.

You can make an appointment for a consultation with an EMC clinic surgeon online or by phone +7 495 933-66-55.


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Questions and answers

Dermoid cyst and pregnancy
An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have the 3rd child, another
ultrasound was done today. The doctor said that the cyst had increased. I am concerned about it. Don't know where to start. What tests are needed? Thank you.
...more
Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we perform such an intervention laparoscopically through 3 small punctures. Patients go home next morning after the surgery and may return to work after 3 days.
This surgery must be as delicate to preserve healthy ovarian tissue (considering your reproductive plans) as radical at the same time to remove the mass together with the capsule. At the preoperative stage an expert level ultrasound with Doppler is required, as well as blood tests for Ca-125 and НЕ-4 tumor markers. The decision concerning the necessity of FEGDS and colonoscopy is taken based on the results of these tests.
...more
Total knee replacement
My mom suffers from gonarthrosis for the past three years. Despite treatment by injections the pain is still present. MRI revealed a meniscal tear in the posterior horn, the presence of small bony osteophytes on the patella, a small amount of fluid in the joint cavity (signs of exudative synovitis were detected)
joint space is asymmetrically narrowed in the medial segment. The pain is ongoing but the knee remains flexible. Tell me, please, whether the surgery is contraindicated for meniscal tear in case of arthrosis? Is it possible to do an arthroscopic surgery on the meniscus in our case or it should be «major» surgery? And what would you advice concerning knee replacement for the patient in the age of 57? What is the life time of the artificial joint?
...more
It is necessary to make an X-ray of the knee in direct projection in standing position. If it turns out that there is no medial cartilage in the medial area, then the knee replacement is the only solution. The age of 57 is normal for the prosthetics. Modern artificial knee joint (when properly placed of course) will
serve for a lifetime. You can make an appointment via phone +7 (495) 933-66-44.
...more
Kardanov Andrey
07 September 2016
Pain
I am 19 years old, professionally engaged in weightlifting. I did an arthroscopy of both knee joint a year ago, now feel pain in them and it prevents me from training at full capacity. I visited a traumatologist, and «osteoarthritis of 1 degree» was diagnosed. Could you advise me some medicines or anything else to
relief the pain? Thank you very much for the answer!
...more
First of all you should undergo an MRI and find out what was done at arthroscopy; if it’s really an arthrosis of 1 degree, hyaluronic acid injections are possible and physiotherapy is not required. Anyway, you are always welcome to consultation for thorough examination.
Question to Dr. Yakobashvili
Tell me, please, at which age child's hearing should be checked-up if we were informed at the hospital before discharge that one ear does not hear. At the moment the child’s age is 1.5 months. Thank you.
These tests done in the hospital are often false negative. Hearing can be tested now, it is necessary to make an appointment to the audiologist.
Cought
A child of 11 years old, suffers from cough for more than six months. The cough is dry, sometimes attack-like, mainly begins during the day, and often occurs before sleep. There is no cough at night. CBC is normal, glucose is 4.16, total IgE 111.80, Toxocara, Ascaride are negative, Cytomegalovirus, Mycoplasma are
negative, PPD test is negative as well. A chest x-ray is normal. We have already consulted with a therapist, otolaryngologist, pulmonologist, neurologist, gastroenterologist... the cough is still present. What should we do?
...more
First of all, there are no results of whooping cough testing among the results provided above. The disease cannot be ruled out, even if your child was vaccinated. The blood test for antibodies against the whooping cough germ is required (blood test for class M and G antibodies against Bordetella pertussis). Second,
even a slight increase in class E antibodies is a reason to visit an allergist and to perform an evaluation of respiratory function with bronchodilator. This method will detect a latent bronchial spasm in your child. Even if the results of the test will be normal, allergologist mast rule out the allergic nature of the cough even if it's not obstructive syndrome. Third, this cough can be due to gastroesophageal reflux. It is difficult to draw any conclusions having no data of gastroenterologist’s consultation. 24-hour acidity monitoring of the stomach and esophagus is carried out to confirm or exclude the presence of reflux. Fourth, you didn’t mention whether x-ray of nasopharynx and paranasal sinuses was done. Perhaps, after all, the pathology is associated with ENT organs.
...more

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Reviews

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I reiterate my gratitud
I reiterate my gratitud for the kindness and excelent professional services of Dr. Oxana Levkina and her team.

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I feel much better now
Thank you so much for all doctors , nurses, helpers for helping me when i got hospitalized 3 weeks ago. I feel much better now.

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Thanks to Dr. Oxana Levkina
Thanks to Dr. Oxana Levkina and her teams. Excellent as always.

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Many thanks to all medical staff and especially Dr. Alexey Afanasyev
Many thanks to all medical staff and especially Dr. Alexey Afanasyev for the professional treatment. This was my second visit, in 2015 I had a successful knee surgery done in ECSTO. Thank you and best regards, Mirza Petrus Auraha

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Excellent care
I am very grateful to Evgeniya Kondrashova for her excellent care while I was a patient in the hospital.Throughout my stay she monitored and cared for me with noteworthy professionalism and was readily available if I had questions or needed reassurance.

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Highly recommended
I recently had a cardioverter defibrillator implanted by EMC surgeon-arrythmologist Dr Oleg Evgenievich Sukhorukov. I spent five days in the hospital and I cannot praise this wonderful Doctor enough for the skill, care and attention he provided. I can confidently recommend him and
the excellent team of cardiologists. They are thoroughly professional, immensely skilled and dedicated to producing the best outcome for their patients.
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Thanks very much to Dr. Oxana Levkina
Thanks very much to Dr. Oxana Levkina. As always professional and human.

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I wish you all good health and professional success
Many thanks to the doctors Moskalets E. R. and Penkova O. V., who described my pictures on the day of the study, as well as to the staff of the PET CT department Nikolay, nurse Ekaterina, laboratory assistants Eduard and Nikolay, who were with me from the beginning and until the
end of the study, we worked in a coordinated, professional and friendly manner.
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My child was in the very best hands
From the cloakroom attendant to the doctors— we felt warmly welcome. We had a close supervision by the assistants. And the doctors took plenty of time for the patient and examined utmost empathetic.

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I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
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I express my gratitude for the treatment!
He came back with severe pain in the neck. The diagnosis revealed an intervertebral hernia. The very next day, the operation was carried out, everything was very fast. After the operation, he was surrounded by nurses. I would especially like to express my gratitude to:
Krivoshapkin Alexey Leonidovich, Yulia Markina, Vladimir Klimov, Orkhan Abdullayev, Gleb Sergeevich Sergeev, and Alexander Loginov.
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Thanks to Dr. N. Samokhina
All consultations and prescribed treatment are always positive.

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Thanks to dr. Oxana Lepkkina
Her colleagues and her teams. As always, perfect.

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Many thanks to Dr. Samokhina Nadezhda Ildarovna!
She is the most reliable ambulance for our family, which has helped out in critical situations more than once. At the same time, Nadezhda Ildarovna is distinguished by her great friendliness and ability to calm the patient and not get depressed.

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We thank all the staff of the clinic for saving our lives
We thank Alexey Leonidovich Krivoshapkin, Alexey Sergeevich Gaitan, Orkhan Abdullayev and all the clinic staff for saving our lives.

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Thanks to Dr. Makarov V. K.
I express my gratitude to Dr. Makarov V. K.

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Thanks
Everyone was very kind and helpful, thanks.

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Endless gratitude
Endless thanks to my dear Dr. Pavel Koposov.

City: Tyumen
Gratitude
Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

City: Tiburon, California
Huge thank you to Dr. Marina & team to help us deliver our first born!
Dr. Marina Sharova = A+++++! Highlights => super knowledgeable! Confident! Professional! Mother-type! Truly terrific bedside manner! Spends endless time with moms! A wonderful choice for all, especially first time moms and foreigners who only speak English! Special thank you to
midwife Svetlana Kirsanova and anesthesiologist Vladislav Stanivlavovich! Great team! Great work!
... more

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