Treatment of GERD
For GERD, conservative treatment is often prescribed: constant use of drugs that reduce the acidity of gastric juice and a strict dietary regimen. However, once it is stopped, all manifestations of GERD return. In addition, long-term use of such medications increases the risk of stomach cancer and worsens the entire digestive process. Therefore, they often resort to surgery.
It becomes necessary if conservative therapy is ineffective, GERD is combined with a hiatal hernia (HH) or complications arise, especially Barrett's esophagus. In Russia, this is almost always a Nissen fundoplication, during which a closed cuff is formed from the fundus of the stomach around the esophagus.
It helps get rid of reflux, but disrupts the function of the lower esophageal sphincter. The possibility of such physiological protective mechanisms as belching and vomiting is lost, and swallowing becomes difficult. In addition, in two out of three cases after Nissen surgery, GERD recurs within one to two years.
Surgeon Puchkov Konstantin. Girls, who knows anything about him?
2 hours ago, \\AnnaBel// said:
I was diagnosed with adenomyosis when I was 25 years old, I consulted more than one doctor, I was told that every second person has it.You can first do a ferticuloscopy under IV anesthesia and see how things are in the pelvis, it will be cheaper.
Regarding his condemnation and vilification of another doctor: usually adequate doctors try not to vilify or belittle their colleagues. It's not even ethical or beautiful.
Regarding the prices for lapora in Moscow: what they told you is very expensive.
Ferticuloscopy...I’ve never heard of this)) I need to take a look, I agree with everything to be honest, just don’t waste time..(((
Otherwise, I agree, I think money is paramount... and in general the price for an ordinary lapara is astronomical. It's amazing that he has clients...
2 hours ago, Nikita79 said:
@Kak dela endometriosis is also imbalance of hormones - a large amount of estrogens, therefore, when injected into the IR, hormones are blocked and the foci of endometriosis, without receiving replenishment, dry out. Minor endometriosis is now increasingly being treated non-surgically. IR will not help in any way regarding pipe obstruction; it is not interrelated. An office hystera is done without anesthesia at all, because without dilating the cervical canal - they only look at the uterus from the inside. The tubes are checked during another procedure - but yes, I heard about spasms, but not everyone and not always have them (I didn’t do it, I can’t say anything - they just checked the tubes at the lapar).
Interestingly, my hormones are perfectly normal. I gave everything away. For this reason, the gyn sent me to get pregnant on my own... so I don’t understand a little how this disease lives in me without showing signs... the only thing is that it’s a daub until full M for three days. Dark daub
2 hours ago, Varvarushka&Nastasya's Mom said:
I did a paid lapar + gister in 2014 for 30 years, in the region in the central hospital the head of the department did it, they found endometriosis, lesions came, then IR for 5 months, they found impassable pipes just because of endometriosis. Then IVF pregnancy, then independent pregnancy. There is a thread here where girls talk about endometriosis, the main thing is that the ovaries are not affected by endometriosis cysts
Amazing! After eco, independent B)) gives hope, to be honest... did you endure this B? I wonder how your pipes are back to normal?
2 hours ago, irinaiv said:
girls, where do these prices come from?! Here in Ivanovo, a large research institute named after Gorodkov, they come from Moscow for treatment, all laparoscopists are experienced and good. Both the hospital and the laboratory, and the sutures are “beautiful.” The main specialization is infertility. Price 50 offhand, if you find out everything exactly, then the price is on the website. The equipment is modern, the reviews are real. 5 days to stay, on Lastochka 3.40 minutes from Moscow and 15 minutes by taxi or 30 by bus from the station.
Thank you very much for the info! I will look at everything and everyone and decide, 50 tons is even a very reasonable price! Especially if the doctors are good)
2 hours ago, Katena said:
I looked at the website of his clinic, there are only praises everywhere and there is not even a price list for services. I also didn’t find any information there about other doctors at the clinic, only general words about what kind of cool specialists work for us. To be honest, it's very embarrassing. The prices are astronomical, in the PMC or in Lapino they are no worse and you can have surgery cheaper, it seems to me, with good doctors.
In general, most doctors (gynecologists and reproductive specialists) say that adenomyosis does not interfere with pregnancy. And it is far from a fact that if there is adenomyosis, then there is endometriosis. If I were you, I would start by going to a competent fertility specialist, checking the tubes and having an expert ultrasound. Or an office gister. I think that they will give you an idea of what the reason might be. And here they haven’t really examined it yet, but they’ve already made diagnoses in absentia and rolled out the bill, fuck-up!
??????I agree with you, I will do so.., I won’t waste any more time.. if I had known earlier or at least suspected about such a situation, I would have done everything long ago. First of all I would check the pipes...
I was a little taken aback about the diagnosis over the phone. He diagnoses me with a 90% probability of external endometriosis))) or experience or simply stupidly justifies the price for the op. They say there is so much work.., both internal and external and that’s why the price is so)))) well, it’s just nonsense
Surgical treatment of GERD in Moscow
At the Swiss University Clinic in Moscow, a laparoscopic improved version of partial Toupet fundoplication is performed for GERD. Unlike the Nissen technique, the cuff surrounding the lower part of the esophagus is made unclosed; it is created only 3⁄4 of its circumference, enveloping the esophagus only from the back and from the sides for 270o. Thus, it prevents the reflux of the contents of the underlying sections of the digestive tract into the esophagus, but does not interfere with the implementation of physiological mechanisms.
Patients operated on by Toupet radically get rid of reflux and then do not need medications or dietary restrictions. At the same time, they swallow freely, their belching and vomiting mechanisms are not impaired, so there is no heaviness, bloating or other discomfort associated with nutrition.
The head and chief surgeon of the Swiss University Clinic is Professor Konstantin Viktorovich Puchkov. He is a well-known specialist in the field of classical and laparoscopic surgery far beyond the borders of Russia, one of the best surgeons in Europe. Having experience of 25,000 operations for various diseases, Professor K.V. Puchkov prefers to perform laparoscopic operations for GERD and hiatal hernia, which allow achieving excellent results in the safest and least traumatic way for the patient. He performed more than 2,000 such interventions, improving the Toupet technique and receiving a patent for a new modification.
Puchkov Konstantin Viktorovich
Good day to everyone who is currently on the site! My name is Natalya Tarygina, I am 34 years old, I was born in February 2012. I had an operation with Konstantin Viktorovich, and was very pleased with his work, this man, as people say, is a doctor from God, I don’t know what would have happened to me if I hadn’t gone to him….
At the end of January, I found out that I had a huge fibroid on my uterus - 21 weeks, I found out when I was in the 15th Filatov hospital in Moscow. The doctors in this hospital treated me as if I was not a person - they spoke very rudely, did not pay any attention to me at all, to my question - what should I do now, the head of the gynecology department, without any regret and without any understanding in their eyes answered without thinking - just cut it out along with the uterus, but why do you need it? Without even asking whether I have children or not!!!!!!!!………
But I don’t have children yet, but I want them so bad!!!!! I also asked the doctors at Hospital No. 15: is there absolutely nothing that can be done to save the uterus? To which I heard the answer - well, I don’t know who will take on this, it’s your own fault that you started the disease like this, we’ll discharge you tomorrow, go to your clinic, and let them refer you for a planned operation…….
You simply cannot imagine what happened to me... , I didn’t want to live with such a diagnosis, I cried all day and night, but then I pulled myself together and gathered my thoughts about what I should do. I don’t know any gynecologists, I went to Elena Malysheva’s website, where she talked about my sore in the program “Live Healthy”, there, live, I saw Konstantin Viktorovich Puchkov performing an operation on a girl right in the studio to remove fibroids, also of large size with the preservation of the organ, and suddenly I had at least some hope. I was discharged from the 15th hospital and straight to the clinic with Konstantin Viktorovich the very next day, there, already at the reception, I was met by very friendly girls, I especially remember Olya - a kind-hearted person, you look at her smile, and the desire to live already appears in you ….
And so every doctor in this clinic will be very attentive to you, friendly, will always listen to you with understanding, and will give practical advice. In general, I passed all the tests, I received the results immediately after 10 minutes. based on the results, Konstantin Viktorovich said that it would be possible to remove the fibroid and save the uterus - my happiness knew no bounds, I began to prepare for the operation, two weeks later I was operated on, although my operation was abdominal - the fibroid was very large, but this is not the main thing , as you understand, the main thing is that they saved my uterus, and I will be able to have children in the future. The operation was successful, they cut out my 2.5 kilogram myoma... Three days later I was discharged, and during these three days I realized that there are still very good doctors and nurses. Many thanks to YOU Konstantin Viktorovich for the work done, I thank YOU from the bottom of my heart for giving me the opportunity to be a woman, and in the future to feel like a mother, I am very grateful to YOU, and I am also grateful to the gynecologist Yulia Evgenievna Andreeva, who, even due to her workload, will never refuse advice to you if you have any questions, she will always politely answer you by phone, even at 24-00, even at 03-00 in the morning, if you have health problems. I'm just shocked by the attitude in this clinic...
Nowadays, wherever you turn, everyone just growls at you - in state hospitals or clinics, but here, I couldn’t believe my eyes... This doesn’t happen in all even paid hospitals, here the doctors do their work with all their hearts, I didn’t notice any greed about money here at all, they want to help you, and they don’t mind giving you money for it, and that’s not the price for preserving such an important organ for starting a new life!!!!!!!!! I am very pleased that I came here and I don’t regret it one bit.
So, dear girls, women - if you suddenly have such a problem, don’t waste your time looking for a cheaper doctor, don’t waste your time, but go boldly to Konstantin Viktorovich Puchkov, you won’t regret it!!!! !!
THANK YOU SO MUCH KONSTANTIN VIKTOROVICH, once again for YOUR WORK!!!!
Natalia [email protected]
Other types of surgical interventions, plastic and reconstructive operations
Representatives of vascular surgery and phlebology are also present on the staff of the SwissClinic medical center in Moscow. Patients who need:
- complex surgical treatment with phlebectomy or suprafascial resection of perforating veins;
- sclerosis of individual vessels;
- radiofrequency intervention for varicose veins.
Surgeons-proctologists advise patients, prescribe examinations, drug treatment and perform operations for resection of rectal fistula, correction of the epithelial coccygeal tract, as well as ligation of hemorrhoids using the Parkes and Longo method. The best minds in Russia are involved in the treatment of diseases of the endocrine system. Surgeries for resection of the thyroid gland, adrenal cysts, epididymis, etc. are performed here.
Popular among visitors to the SwissClinic (Puchkov University Clinic) are the services of a plastic surgeon. This medical institution performs the following types of operations:
- endoscopic and minimally invasive lifting of the face or its individual parts (forehead and eyebrows), circular lifting of the facial skin;
- rhinoplasty, including interventions to remove benign tumors and reconstruction of the nasal passages;
- mammoplasty with installation of implants, breast lift, areola surgery, nipple surgery, removal of excess gland volume;
- abdominoplasty in combination with liposuction and elimination of diastasis defects.
Positive patient reviews
Reviews about the clinic are useful information, because the choice of a medical institution plays an important, if not a key role in the fight against serious diseases. The level of the clinic determines how comfortable the treatment will be, how much effort, nerves, money and time will be spent on the process itself. In Moscow, SwissClinic (university clinic) is one of the best medical institutions, but, based on reviews, it has not only pros, but also cons.
Compared to public hospitals, the level of service here is much higher, there is no crowds and corruption. And although specialists at budget clinics do not charge patients for consultations or ultrasounds, there is a whole list of diseases whose treatment is not provided for by the compulsory health insurance program, and if it is, the quality of service leaves much to be desired. This is why patients choose a private clinic, namely the Swiss University Clinic.
Judging by the reviews, many with a calm heart undergo operations at SwissClinic, trusting the team of professionals with the most valuable thing they have - life and health. An important advantage when choosing a clinic is the equipment of the medical institution and the ability to receive the entire range of services in one place. The Swiss University Hospital has all the necessary equipment for diagnostic examinations.
The convenient location of the clinic is another important advantage. The building is located in the center of Moscow, within walking distance from a metro station, which is especially important for people with limited free time.
If we evaluate various parameters of the institution, including the condition of the building inside, repairs in the wards, the quality of treatment, food for inpatients, and the attitude of staff towards patients, the Swiss clinic could be given a solid five. But since for each patient certain criteria have different priorities, it is not easy to give an objective assessment of the level of service.
The presence of highly specialized specialists on staff is also a big plus for the clinic. By contacting a specialized medical center, the patient has the opportunity to receive advice from a doctor of the relevant specialty and, if necessary, immediately undergo an examination.
Treatment of diseases of the genitourinary system in women
In the clinic, located in the very center of the capital, you can get a doctor’s consultation, undergo a comprehensive examination and treatment. If surgical intervention is indicated for a detected disease, the center’s specialists will perform it efficiently and will do everything to ensure that the rehabilitation period passes quickly and without complications.
In particular, the SwissClinic in Moscow is a medical institution where complex minimally invasive and organ-preserving gynecological operations are performed:
- myomectomy;
- supravaginal amputation and hysterectomy using SILS technology;
- removal of endometrioid cystic formations;
- treatment of retrocervical endometriosis and foci of the disease on the peritoneal and pelvic organs;
- resection of part of the ovary, adnexectomy or cystectomy (an intervention in which the cyst is removed and healthy tissue is preserved);
- surgical treatment of urinary incontinence;
- removal of bladder tumors.
At the Puchkov K.V. clinic, gynecological surgeons perform simultaneous operations that allow patients to get rid of not just one, but several diseases at once during one intervention. For diagnosis, only the latest examination methods are used - video colposcopy, hysteroscopy, ultrasound and laparoscopy, which allows you to take a sample of biomaterial for further histological and cytological examination.
If necessary, patients can receive advice from other specialists: an endocrinologist, mammologist, etc. In addition, at the clinic on Nikoloyamskaya you can take advantage of a treatment program for both sexual partners.
Surgeons in urology
Diseases of the genitourinary tract are often diagnosed in men. Lack of timely treatment and the occurrence of chronic foci of infection can lead to the development of serious complications. Moreover, urologists also treat representatives of the fairer sex, in whom, due to the anatomical structure of the urethra (it is shorter than in men), infectious and inflammatory processes in the pelvis develop faster.
Among the urological diseases that are diagnosed in patients, the most common are:
- urethritis, cystitis, pyelonephritis;
- balanoposthitis, orchitis, epididymitis;
- prostatitis;
- enuresis and stress urinary incontinence;
- nephroptosis – prolapse of the kidneys;
- sexually transmitted diseases (human papillomavirus, chlamydia, genital herpes, mycoplasmosis);
- urolithiasis disease;
- urethral stricture, inflammation of the ureters;
- varicocele, cyst, testicular tumor;
- malignant and benign tumors affecting the pelvic organs in men.
Symptoms of pathologies for which it is necessary to consult a doctor as soon as possible are numerous and varied. Without conservative or surgical treatment as indicated, urological diseases can lead to sexual dysfunction, the development of arterial hypertension, infertility, and renal failure.