Gynecological separation of the Central Supplies of the Office of the President. Gynecological department. In what periods a woman should contact a gynecologist

First of all, I must say that all experts, including a gynecologist, are carried out in the central clinical hospital. It works as usual and adopt women on identifying, preventing and treating gynecological diseases.

What are the categories of gynecologists

It must be said that gynecology covers a huge range of female diseases, and studies the female organism comprehensively. Therefore, specialists are required for full-fledged work in this area:

1. Gynecologist immunologist.
2. Gynecologist homeopath.
3. Gynecologist Endocrinologist.
4. Gynecologist obstetrician.
5. Mammologist.
6. Children's gynecologist.
7. Gynecologist Obstever Surgeon.

All these specialists are engaged in women's health issues:

1. GOOD SYSTEM.
2. Sex system.
3. Reproductive system.
4. Endocrine system.
5. Breast.
6. Surgery.

It is also worth noting that an adult woman should regularly visit the gynecologist and pass the gynecological examination. In addition, if it has gynecological symptoms, the following character arise, then it must contact the doctor immediately:

1. Strong or pulling pain at the bottom of the abdomen.
2. Allocations from the vagina.
3. Blood or brown selection in the middle of the menstrual cycle.
4. Violation of the menstrual cycle.
5. Itching and burning in the genitals.
6. Discomfort or pain during sexual interchange.

In what periods a woman should contact a gynecologist

In the life of a woman there are several periods when helping and consulting the gynecologist can be taken. This is the beginning of sexual life, at this moment the woman can already pass a full-fledged survey at the gynecologist. He will have a visual inspection, as well as prescribe an ultrasound study of the internal pelvis organs. It is necessary in order to identify violations in their work, as well as identify congenital pathologies and structural changes.

In addition, a woman should appeal to the gynecologist at the stage of pregnancy planning. This approach is extremely acquitted, as it makes it possible to enter the pregnancy completely healthy and with cured gynecological diseases. This will give a guarantee a good course of pregnancy and the birth of a healthy child. Moreover, an experienced gynecologist will conduct detailed advice and will tell the woman about all the peculiarities of this state and will prepare it for childbirth.

Next, you need consultation and examination of the gynecologist during the period of Clemaks. A woman must contact a doctor and will explain to it as this period flows and assigns tests. The climatic period is very important to monitor the level of hormones to avoid unpleasant symptoms, such as tides and blood pressure jumps.

What the gynecologist is engaged

Gynecological care is that specialists detect, prevent and treat all kinds of diseases:

• inflammatory processes on the internal organs of the small pelvis,
• acute inflammation of external genital organs,
• treatment of complex gynecological diseases,
• identification of congenital gynecological pathologies,
• viral diseases of the sexual sphere.

In addition, gynecologists and a number of operational events are carried out:

• abortion,
• laparoscopic operations, including diagnostic,
• hysterological operations
• endoscopic operations
• the introduction of intrauterine contraception.

In order to identify these violations, the gynecologist appoints a woman a number of analyzes and surveys, which will give him the opportunity to correctly diagnose the gynecological disease:

1. Ultrasound examination.
2. Basic tests:

• on HIV infection
• PCR diagnostics,
• on bacterial flora,
• on hepatitis.

3. Laparoscopic diagnostics.
4. Hysterological diagnostics.
5. Endoscopic diagnostics.
6. Biopsy.

In the life of a woman there are several periods when helping and consulting the gynecologist can be taken. This is the beginning of sexual life, at this moment the woman can already pass a full-fledged survey at the gynecologist.

Gynecological branch number 2 was established in AGK TsKB in 1990 at the initiative of academicians V.I. Kulakova and G.M. Savelyeva, following the requirements for the modern obstetric hospital.

Gynecological separation No. 2 is a structural division of the surgical service and is located in the obstetric-gynecological building (Corp. No. 4) - with the modern and comfortable, equipped with the latest medical equipment. The branch is deployed on 14 beds.

As part of the compartment of 2-seater, single and chambers of "Lux". Each chamber is equipped with air conditioner-air conditioner (laminar streams), functional beds with a panel equipped with an individual illumination, a radio button and an emergency call button. Also in the ward there are: plasma TV, individual cabinets for clothing, a separate bathroom (with a sink, shower and toilet, having an emergency call of medical staff).

Patients are provided with 4-time meals individually in the ward or in a comfortable dining room, depending on the residence mode.

Personal round-the-clock service by doctors and nurses.

The main activities of the gynecological department

Conducting therapeutic measures aimed at preserving and restoring the reproductive function of a woman;
Preparation of a woman's body to pregnancy;
Providing stationary obstetric and gynecological assistance to pregnant women in the 1st half of pregnancy;
Conducting therapeutic and rehabilitation activities in the postpartum period;
Prevention, diagnosis and treatment of diseases of the reproductive sphere of women using high-tech methods;
Providing medical care in connection with the artificial interruption of pregnancy;
Prevention of diseases of the reproductive system, unwanted pregnancy;
Carrying out the analysis of the causes of gynecological diseases;
Interaction with polyclinics;
Genetic examination;
The introduction of modern methods for the prevention, diagnosis and treatment of the usual non-obscuration of pregnancy, the introduction of new minimally invasive technologies for the preservation and restoration of the reproductive function of a woman;
Evaluation of the coagulation system of blood, which is extremely important to determine from the early terms of pregnancy;
Implementation of contraceptive measures (individual selection of methods of contraception, including and oral contraceptive in postpartum and post-fear periods, surgical contraception by endoscopic method);
Organization of improving the training of medical and medium-sized medical personnel.

The department employs three physicians, two of them are two candidates. Sciences, two doctors have the highest qualifying category, one doctor is the first category. All medical sisters have a qualifying category.

Basic medical manipulations of the gynecological department

Laparoscopic operations:

With ovarian cysts;
when infertility;
for momas of the uterus;
with ectopic pregnancy;
when apoplections of ovaries;
in endometriosis;
With benign diseases of the uterus and its appendages.

Cosmetic plastic operations on outdoor genital organs caused by both aesthetic and functional reasons.

Plastic operations when omitting the walls of the vagina and the fallouts of the uterus

Hysteroscopy with separate diagnostic scraping of the uterus.

Hysterasectoscopy:

Dissection of intrauterine synechs;
Removal of polyps endometrial and endocervix;
removal of submucosic nodes of the Mioma;
Endometrial ablation.

Treatment of the following diseases of the cervix with the help of a radio wave surgical method - the Surgitron apparatus: erosion, ectopias, cervical deformists with postpartum gaps, erosioned ectropones, cervical hypertrophy, cervical endometriosis, leukoplakia, chronic cervicitis, cordials and papillomas vulva, vagina, crotch, vaginal cysts And the eve of the vagina, as well as diagnostic and therapeutic manipulations on the cervix.

The recovery postoperative course includes physiotherapy procedures, therapeutic and respiratory gymnastics. In concomitant diseases, consultations of related specialists are held.

Colposcopy (Dr. Campscope with color printer and the ability to print photos).

Examination and preparation of patients to pregnancy.

Treatment of the threat of pregnancy abortion up to 12 weeks.

Artificial abortion up to 12 weeks of pregnancy and under the control of the ultrasound (the ability to prepare the cervix in front of the abortion of hygroscopic dilapan expander).

Interruption of underdeveloped pregnancy with histological and genetic research.

Interrupt pregnancy for medical testimony after 12 weeks.

Ultrasound examination of small pelvis organs on a modern ultrasonic apparatus in 3D format.

The obstetric and gynecological department of the clinic works in the best traditions of the Kremlin medicine. Attentive, careful and professional attitude towards each patient.

Our gynecologists doctors are specialists of the highest category and candidates of medical sciences. They can take advice and get comprehensive professional medical care.

The work of doctors consists of two main components: obstetrics and gynecology.

The doctor conducts preparation and examination of women planning pregnancy, observation of patients during pregnancy, which includes regular tests, inspections of other specialties, ultrasound examinations with dopplerometry, cardiomonitorial survey of the fetus. If necessary, the woman is sent to the reception to the genetics doctor. With the rejection of the course of pregnancy from the norm, the doctor hospitalizes pregnant in our maternity hospital, where it is being carried out by the necessary healing procedures. When testimony, after extracting from the hospital, treatment can be continued in the day hospital polyclinic under the control of physician doctors.

The department is conducted by the Maternity School, where women have the opportunity to get the necessary knowledge about themselves and about the future child. If you wish the patient for the delivery, it can be directed to the maternity hospital. After childbirth, the woman returns to his doctor to inspect to determine the activities to restore and select contraception.

The gynecological reception includes diagnostics and treatment:

• moma uterus;
• endometriosis;
• ovarian cysts;
• hyperplasia and polypose endometrial and cervix;
• pathology of cervix;
• uterine bleeding of any etiology;
• inflammatory diseases of the organs of the female reproductive system;
• infertility;
• sexually transmitted infections.

At the outpatient reception, the patient receive recommendations on the diagnosis and treatment of a wide range of gynecological diseases, including the problems of hormonal contraception, treatment of premenstrual and climacteric syndromes, as well as substitution hormone therapy.

In the presence of indications for surgical treatment, the following types of interventions are carried out: hysteroscopy with separate diagnostic scraping of the uterine cavity and cervical canal, polypectomy, knife biopsy cervix, miniature. After surgical treatment, the patient is further observed in a day hospital.

When examining the patients are used:

• laboratory diagnostics: clinical and biochemical studies, hormone studies, genetic and immunological, taking gynecological smears and scrapings, histological and cytological examination of PCR tissues diagnostics of sexually transmitted infections, including viral infections (HPV, HPV);
• tool diagnostics: colposcopy, ultrasound examination, hysterosalpingography, hysteroscopy, fractional scraping, computed tomography, magnetic resonance tomography;
• manipulations and operations carried out in the department: Introduction and removal of the Navy, medication abortions, cervical cerotherapy, electrical removal of candidal exterior genitals and vagina with simultaneous biopsy, PAYPPEL - aspiration, polypectomy.

With the ineffectiveness of the outpatient treatment of infertility, patients are sent to the department of auxiliary reproductive TSK technologies. If it is necessary to provide emergency gynecological assistance to the patient are hospitalized into one of the gynecological departments of the CCR.

On the basis of the gynecological departments of the Hospital of GKB №31, the clinic of the Department of Obstetrics and Gynecology Rhine is deployed.

GKB GKB GKB №31 is considered to be one of the best in Moscow. All types of conservative and operational treatment of any gynecological diseases are applied. It is possible to hysteroscopic and laparoscopic diagnostics, and operational treatment with the help of these methods allows you to maximize the recovery period and is the most gentle for patients.

Since 2004, a modern organ-saving method of treatment of uterine and adenomyosis is firmly rooted in the hospital - embolization of the uterine arteries.

detailed information

general information

Head of Department No. 1- Doctor of Medical Sciences, Professor E.N. Cathwow.
Senior Medical Sister Department - Yu.N. Tarasova.

Head of separation №2 - Ph.D. O.I. Misieva.
Senior nurse - N.G. Kosolapova.

In the two gynecological departments of the hospital, all types of conservative and operational treatment are successfully used, including the following diseases:

• uterine bleeding of reproductive, perimenopazal periods, periodios of menopause;
• cervical diseases;
• physiology and pathology of postmenopause periods;
• intrauterine pathology (uterine myoma, adenomyosis, polyps endometrial, endometriosis, synechia, foreign bodies);
• ovarian education in patients of various age periods
• inflammatory diseases of internal genital organs.

Main types of surgical treatment:

• diagnostic laparoscopy;
• waste and laparoscopic operations in the volume of amputation and extirpation of the uterus;
• waste and laparoscopic operations on appendages;
• vaginal extirpation;
• plastic vaginal operations, including when the uterus is losing and omitting the vaginal walls;
• laparoscopic operations for the treatment of infertility;
• laparoscopic organ-saving operations during tubular pregnancy; restoration of pipe patency;
• hysteroscopic treatment of intrauterine pathology;
• electrosurgical, laser and thermoablation of endometrial, embolization of uterine arteries.

The motto of the group of gynecological offices -
Warm careful attitude towards patients.

Dozens of letters come to the clinic. The implementation of highly technological methods is carried out by the PCM No. 31 doctors in close professional contact with the staff of the Department.

general information

• • Heads the Department of Obstetrics and Gynecology of the Pediatric Faculty Rhinim -Odtor Medical Sciences, Academician of the Russian Academy of Sciences, Member of the Presidium of the Board of the Russian Society of Acouver Gynecologists, Chairman of the Presidium of the Moscow Society of Gynecologists, Member of the NEW EUROPEAN SURGICAL ACADEMY Society (NESA), Member of the International Center for Gynecologists ( Figo) - Kurtern Mark Arkadyevich- student of the founder and honorary head of the department - Savelyeva Galina Mikhailovna, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Honored Worker of Science, Vice-President of the Russian Association, Gynecologists, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty from 1971 to 2017.
    At the moment, the clinic is reached with the implementation of a wide range of laparoscopic medical and diagnostic intervention on the organs of the small pelvis. Over the past 20 years, one of the staff of the department is a doctor of medical science professor Sergey Vyacheslavovich Pinsov On the basis of 31 hospitals created a school of endoscopic gynecology. Proofessor Valentina Grigorievna Bresenko - The founder of the hysteroscopic method in GKB №31. At the present stage, with the introduction of hysterorezing, laser ablation and thermalablation of the endometrium, the arsenal performed hysteroscopic operations was significantly replenished. Since 2004, a modern organ-saving method of treatment of uterine and adenomyosis is firmly rooted in the hospital - embolization of the uterine arteries. Over the past 5 years, cooperation with the department allowed practical doctors to protect 4 doctoral and 38 candidate dissertations. Currently received a grant for the implementation of scientific developments on the topic "Early diagnosis of ovarian cancer." Employees of the Department: Academician Ramna G.M. Savelyeva, professors V.G. Bresenko, S.V. Pins in 2003 for the development and implementation of endoscopic methods of diagnosis and treatment in gynecology in gynecology was awarded the Government Prize.

general information

Embolization of the uterine arteries (EMA) is one of the modern directions of the operational treatment of uterus diseases, which consists in puncture of the artery on the thigh, the catheterization of the vascular vessels and the introduction of particles of a special embolization preparation.

Symptom or growing uterine myoma

• Up to 20 weeks of pregnancy in the absence of severe pathology of the cervix, endometrial and ovaries.
• In patients interested in pregnancy, with a confirmed role of Misa uterus in the pathogenesis of infertility or with a high risk of miscarriage, if it is impossible to perform safe momectomy.
• As preparation for momectomy or hysteroresterakopy.

Intensive uterine bleeding of various etiology, when other treatment methods are impossible or conjugate with the real threat to the patient.

When determining the testimony to the EMA on Moma, the patient's motivation is important: the patient's persistent desire to save the uterus, avoid operation, interest in pregnancy.

Embolization of the uterine arteries (EMA) is performed in:

general information

Robotic surgery is a new, high-tech type of minimally invasive surgery, which lies in surgical intervention through small cuts on the patient's skin and the ability to operate remotely. This ensures minimal traumatization, faster recovery, decreases the duration of the patient's stay in the hospital, and the likelihood of further complications is minimized.

Advantages of robotic surgery

The "DA Vinci Si" robot does not work independently, contrary to popular belief. But due to remote control and high-quality visualization, it allows the operating surgeon to perform clearer movements and excludes hand shakes. That is, the robot follows the movements of the surgeon, and it is not able to move or program independently.

These factors create ideal conditions for a surgeon and make it easier to carry out complex laparoscopic operations. As a result of maximum accuracy of even very complex movements tools, thanks to the excellent image quality and the possibility of carrying out the operation on small and hard-to-reach areas, the duration of hospitalization of patients decreases, they feel less pain, lose less blood, have a better aesthetic result, rehab are passing faster and rather return to Everyday life.

Robotic operations in gynecology GKB №31

In the 70s and 190s, the wide introduction of laparoscopy in clinical practice began, which was associated with the advent of fiber optics and special tools. As a result, not only the quality of diagnosis increased, but some interventions on the abdominal organs began. By the way, in our country, the experience of using laparoscopy in gynecology was summarized in 1977 in the monograph G.M. Savelyeva - Academician RAS, D.M., Professor and our doctor, under the guidance of which the first operation was carried out in our hospital after its discovery in 1970.

At the moment, almost all gynecological operations are carried out using laparoscopy and robot. Robotic surgical activities 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 in women with a prolapse problem (loss) genitalia, which includes support for the pelvic bottom (promotofixation using a mesh implant), removing myomatous nodes (momectomy) with uterine preservation, phenisterectomy with lymphodissection. Thus, the operations previously conducted by laparoscopically can currently be reliably carried out by a robotic method.

Operation of uterine and ovarian formations

Today, endoscopic operations in normal mode are carried out regardless of the size of the uterus. Depending on the localization of myomatous nodes and their quantity, the removal can be made with small cuts and do not resort to open surgery. In this case, the uterus momas, regardless of its size, removed from the abdomen with small areas with the help of marcelerator.

Radical hysterectomy (the removal of the uterus) is a classic and efficient method of treating oncological diseases of uterus and appendages at the initial stage. The robot-assisted operation makes it minimally invasive, with less blood loss and the duration of hospitalization.

Experience in robotic operations in GKB №31

At the moment, in the GKB No. 31, robotic operations of various difficulties with the use of a robotic system da Vinci are carried out on a regular basis.

Today, gynecological robotic operations include the removal of tumor formations of ovaries, momectomy, promotecting, total and partial hysterectomy, treatment of endometriosis, as well as the treatment of oncological diseases of endometrial and ovaries.

general information

Laparoscopy is an endoscopic method of emergency and planned surgery. It allows you to explore the internal organs of the abdomen through a small hole in the abdominal wall. Inspection is carried out using an optical tube. After 2-3 other punctures, the necessary manipulations with the organs are produced. Laparoscopy is almost bloodless and small-acting.

In the sources of laparoscopic gynecology in Russia there is an academician of RAMS, a professor, head of the department of obstetrics and gynecology of the Pediatric Faculty of RGMU Galina Mikhailovna Savelyev. Each laparoscopy specialist rightly call her to his teacher.

The spectrum of surgical interventions carried out by laparoscopic access is wide: gynecological operations, cholecystectomy and hernioplasty, gastrectomy, pancreatododenal resection and operations on thick and rectakes.

general information

Ectopia of the cervix (also ectopia cervical epithelium, cervical pseudo-erosion, cervical erosion, endocervicosis) - the location of the cylindrical epithelium, lining the cervical channel, on its vaginal surface, which looks like a red stain around the outer hole of the channel. Ectopia occurs about half of the female reproductive age and is almost not found in women after 40 years.

general information

Hysteroscopy is to examine the walls of the uterus with a hysteroscope, followed by conducting (if necessary) diagnostic and operational manipulations. Hysteroscopy allows you to identify and eliminate intrauterine pathology, remove foreign bodies, tissue biopsy, delete endometrial polyps.

Indications for the diagnostic procedure are:

• Anomalies for the development of the uterus.
• Bleeding in postmenopausal.
• Infertility.

Indications for the surgical procedure are:

• Sublifier mioma uterus.
• Intrauterine partition.
• Intrauterine synechia.
• Polyp endometrial.
• Endometrial hyperplasia.

Contraindications are:

• Recently transferred or existing inflammatory process of genital organs.
• Progressive pregnancy.
• Abundant uterine bleeding.
• Stenosis of the cervix.
• Common cervical cancer.
• General infectious diseases in the aggravation stage (influenza, pneumonia, pyelonephritis, thrombophlebitis).
• Heavy condition of the patient with the disease of the cardiovascular system, liver, kidneys.

Indications for the diagnostic procedure are:

• Sublifier mioma uterus.
• Intrauterine partition.
• Intrauterine synechia.
• Polyp endometrial.
• Endometrial hyperplasia.
• Removal of remnants of the intrauterine contraceptive.

Indications for the surgical procedure:

• Suspicion of the inner endometriosis of the body of the uterus, the submembraty node of the mioma, synechia (sobbing) in the uterus cavity, the remains of the fetal egg, the cervical cancer and endometrial, the pathology of the endometrium, perforation of the walls of the uterus during an abortion or diagnostic scraping.
• Suspicion of the malformations of the uterus.
• Violation of the menstrual cycle in women of childbearing age.
• Anomalies for the development of the uterus.
• Bleeding in postmenopausal.
• Infertility.
• Control examination of the uterus after surgery in the uterus, when pregnant, after hormonal treatment.