Surgical treatment of female infertility in Russia

In the gynecology department Dobrinskaya CRH performed all kinds of gynecological surgery.
Most operations are carried out on the endoscopy facility.

All transactions are recorded in real time on DVD-ROM, which our patients receive, along with the extract and recommendations for further treatment.

The department used an intrauterine intervention using hysteroresectoscopy for the removal of the uterus polyps, nodes and endometrial ablation for recurrent uterine bleeding.

Currently there are several ways to treat the so-called tubal infertility.

Separation peritubarnyh adhesions accompanies almost any operation.

The basic rule here - it colliotomy without damaging the cover of serous fallopian tubes and surrounding tissues, which are soldered the fallopian tubes. This is a basic and fundamental condition - otherwise the operation becomes meaningless. If in the process managed to give salpingolizisa fallopian tubes to restore normal mobility and normal anatomy - you are on the road to success. The various conservative methods of treatment in the postoperative period, we consider excessive. Salpingolizis, laparoscopic method is quite sufficient.

If formed hydrosalpinx.

The following method is salpinostomiya or salpingostomatoplastika - in effect - restoration of an impassable ampullar of uterine tube.

We produce such an operation only by bursting pipes - using the principle - WHERE IS FINE - THERE AND TORN. Talked about this yet Professor Matsuev AI With this method significantly reduces the possibility of bleeding and fimbrial department pipe recovers best. We are categorically against the use of sutures in this operation.

The above operations we perform only laparoscopically. This is the best prevention of postoperative adhesions, which in such operations is critical - is important.

Operations such as various types of anastomoses were ineffective and even inferior in terms of IVF OUT with a baby.

We spend all kinds of transactions and even to restore patency of the fallopian tubes after surgical sterilization. But we believe the principal after such operations producing so-called post-operative laparoscopy in terms of not more than a month - about the need for such a laparoscopy also spoke Professor Matsuev.

Our clinic is held annually 250-300 operations for infertility. All of them are recorded on electronic media and stored in the video library.

Special thanks to the verification of the Fallopian tubes by methods gidrotubatsii and hysterosalpingography. We never check the patency of the fallopian tubes. We believe that this not only brings benefits, but also extremely harmful to the patient. There is no connection between the artificially-defined cross-pipes for the liquid one sort or another and the onset of pregnancy. Unfortunately we have to admit that to date no methods for determining the functional status of the fallopian tubes. Capable of it just the nature ....

At todays complex endoscopic operations are carried out:

1. Dissection of adhesions in the pelvis to restore normal anatomy and the location of the pelvic organs.
2. Restoration of tubal patency in pathological changes of the ampullar Department - neosalpingostomiya or fimbrioplastika depending on the extent of damage.
3. Endoscopic coagulation of endometriotic foci, followed by a course of treatment with type DANOVAL within 8 months.
4. Removal of myoma nodes (myomectomy).
5. Ovarian wedge resection in sklerokistoze.
6. Surgery to remove ovarian cysts.

Carried out all kinds of gynecological surgery for uterine fibroids.

Including the combined operations - LAVG (laparoscopic-assisted vaginal hysterectomy).
Combined surgery in the volume of amputation followed by subfascial resection of the stump.
Thus, in each case selects the optimal method of treatment, taking into account all factors: age, extragenital diseases, type of fibroids, etc.
Just chosen form of anesthesia.

The department works as a doctor - an anesthesiologist highest category of working experience in the specialty for over 30 years Tretyakov, Bronislaw P..

Operating equipped with the necessary tracking equipment and modern anesthetic machine.
Hysteroscopy and hysteroresectoscopy.
Carried out all kinds of intrauterine operations to remove submucous nodes, polyps, adhesions and partitions.
Uteromat used to control the residual liquid, which excludes the possibility of overloading the body patsientki.Tretyakov Bronislaw P..

For residents to residents of other countries.

The clinic operates on a high level.
We produce a record transactions in real time on DVD, and issue a patient's arm.
Further information can be used to correct treatment and advice.
The cost of treatment significantly lower than in Moscow - Russia's capital.
There is a direct railway communication with Moscow (Paveletsky station).
Distance to Moscow on the highway - 450 km or 8 hours of driving.

About the clinic.

The clinic is located at the base of gynecological department of CRH.
Equipped with the latest endoscopic anesthetic and tracking equipment.

The clinic has operated on patients from all regions of Russia and CIS countries.
In patients who were operated in our clinic from Turkey, Cyprus, Spain - had children.
About the Doctor - ZARUBA Michail

He graduated from the Ryazan Medical Institute im.akad.I.P.Pavlova in 1978 ..
He worked in the Lipetsk Regional Hospital and the Department of Obstetrics and Gynecology, Voronezh honey. Academy.
Thesis on the issue of laparoscopy in the treatment of infertility in 1987 on his own material.

He is currently working head. gynecological department, equipped with the most advanced endoscopic equipment 300 operations a year.
Owns all kinds of endoscopic surgery on the uterus, uterine appendages and intrauterine operations using hysteroresectoscopy.
The need for endoscopic surgery.

1. The operation clearly shows women with infertility who had undergone surgery on the uterus and appendages (removal of cysts, ectopic, removal of myoma nodes, etc.), especially if these operations were cavitary method.
2. Infertility is more than 2-3 years with a healthy sexual partner.
3. Suspected endometriosis - (clinically) or the results of ultrasound.
4. If history medabort or transferred adnexitis. Etc.
5. Age older than 25 years, when laparoscopic surgery can significantly reduce the time of the survey and focus treatment.
A combination of the operations.

We carry both laparoscopic and hysteroscopic surgery, especially in cases of so-called unexplained infertility, or on the testimony ultrasound - survey (polyp cavity malformation, etc.)
The simultaneous abortion and surgical sterilization.
Carry out laparoscopically - assisted vaginal hysterectomy - especially in the elderly.
On the preoperative examination.

Carried out on site within an hour on a modern laboratory complex.
In the presence of concomitant diseases, requires the conclusion of a specialist who is watching you.
Correspondence counseling.

Perhaps by phone: 8-903-699-94-43

It is advisable for you to answer questions on prior surveys, test results, and so on.
On the hospital.

Accommodation in 2-bed wards.
Operating works only disposable instruments, disposable underwear and modern suture material.
All patients receive sick leave at the time of hospital stay and open for 10 days in advance.
All patients receive a recording operation on DVD with commentary and excerpt.
Length of stay in hospital for endoscopic sinus surgery for 2 days.
The term of operation is determined individually depending on the suspected cause of infertility.

Prices:
Laparoscopic surgery - $ 350

Hysteroresectoscopy - $ 350

Abdominal surgery + 8 days in the hospital - $ 350

Timing of treatment:

Laparoscopic surgery - 2 days

Hysteroresectoscopy - 2 days

Abdominal surgery - 8 days

Surgical treatment of female infertility in Russia.