Research Institute of Pediatric Surgery and Traumatology reviews. Department of Emergency Pediatric Surgery and Pediatric Trauma

No one is immune from unpredictable situations that result in health damage. Emergency assistance helps avoid serious complications. It is especially important to respond in a timely manner when it comes to the health of a child. Emergency medical care is the main activity of the Research Institute of Pediatric Traumatology and Surgery in Polyanka.

Basic information about the medical institution

It was created relatively recently. The first patients began to arrive here only in 2003. Despite its short history, the hospital quickly gained the trust of patients. Specialized medical care here is provided at a truly high level. The work is aimed at solving several problems. First of all, this is emergency care for minor patients requiring surgical intervention. Research activities also occupy a large part of the work. Experts are looking for new ways to solve problems associated with acute surgical diseases.

The medical institution is located at the address: Moscow, Bolshaya Polyanka Street, building 22. The advisory diagnostic department is open daily, except Saturday and Sunday. Emergency medical care can be provided around the clock.

The Research Institute of Emergency Children's Surgery and Traumatology is a place where a child will receive truly high-quality first aid. The best specialists in Russia work here. There are more than 400 employees, including professors, scientists, and doctors of the highest category. All specialists are proficient in modern methods of therapy and diagnosis of patients with complex pathologies. A lot of good reviews can also be heard about nursing staff. Nurses know how to work with young patients.

It is also possible to achieve good results thanks to modern equipment. The technology with which primary health care is provided can bring the institution to the level of European clinics. This is the merit of numerous sponsors who do not leave little patients in need of emergency care in the lurch.

The development of the institute would not have been possible if the management had not put maximum effort into its work. Roshal Leonid Mikhailovich - President of the Research Institute of Pediatric Traumatology and Surgery. A public figure, the professor also finds time to treat young patients.

Consultative and diagnostic department

The department on the basis of the institute began to function in 2010. There is a district hospital here that provides care to small patients unless hospitalization is required. Services can be provided either urgently or by appointment. Patients who come for a routine examination must first create a card at the reception desk, then take the coupon to the desired office.

In case of acute pain, emergency assistance can be provided. The district trauma center includes a purulent dressing room (for treating infectious wounds), a plaster room (bandages are made here for various injuries), and an X-ray room. The department has the necessary equipment to quickly determine the location of the injury and its severity.

Emergency and emergency medical care is provided to minor patients with neurosurgical pathologies, diseases of the musculoskeletal system, traumatic brain injuries, and complex surgical pathologies.

Department of Traumatology and Disaster Medicine

The Research Institute of Pediatric Traumatology and Surgery in Polyanka is a place where the latest methods of treating skeletal injuries are used. This is where minor patients end up after car and domestic accidents. The Department of Traumatology and Disaster Medicine is equipped with all the necessary equipment that allows an emergency response to any serious situations. The hospital's arsenal includes electro-optical converters, equipment for emergency anesthesia, ventilation, radiopaque operating tables, mobile units for ultrasound and x-ray diagnostics.

The institute’s specialists have the skills to treat the most complex injuries of the musculoskeletal system. Minimally invasive techniques are used to increase the child’s chances of a full life in the future.

In most cases, fractures in children do not require surgical treatment. It is enough to perform manual stabilization of bone fragments and correctly apply a plaster cast. Junior medical staff have all the necessary first aid skills.

Due to the anatomical structure, injuries to the knee joints often occur in preschool children. To treat injuries within the walls of a medical institution, a modern technique is used - arthroscopy. There is no need to make an incision that will leave a scar for life. The specialist performs several punctures in the area of the damaged joint, inserts a video camera (for diagnostic purposes), as well as operating instruments.

Serious injuries require complex surgical interventions on the musculoskeletal system. The Research Institute of Emergency Children's Surgery and Traumatology is a place where specialists provide care to young patients as delicately as possible. This reduces the risk of complications during the rehabilitation period.

Department of Neurosurgery and Neurotrauma

The Research Institute of Pediatric Traumatology and Surgery in Polyanka is today the leading medical institution in Moscow dealing with the treatment of serious traumatic brain injuries in children. Not all clinics have mastered the technique of microsurgical and endoscopic operations. The institute’s doctors regularly improve their knowledge, travel to international conferences, and gain experience in foreign medical institutions. Thanks to this, the research institute is able to perform complex operations and save the lives of young patients.

The Institute has good diagnostic potential, allowing it to treat children with complex neurosurgical pathologies. The medical institution has CT and MRI machines, equipment for electroencephalography and neurosonography. The laboratory operates around the clock, allowing us to quickly examine damaged tissues and blood of small patients. Children registered in Moscow and the Moscow region receive neurosurgical care free of charge.

Operating department

Children with urgent pathologies requiring surgical interventions are admitted here. The block includes six operating rooms. Research Institute of Pediatric Traumatology and Surgery (Bolshaya Polyanka) is a medical institution equipped with advanced technologies. This is manifested not only in treatment and diagnosis, but also in the arrangement of departments. Thus, in the operating unit there are air exchange systems that make it possible to maintain a normal atmosphere in the wards with seriously ill patients. After surgery, children are kept on multifunctional beds. Young patients feel comfortable and the risk of bedsores is reduced.

The operating unit contains equipment for performing low-traumatic surgical interventions. These are lasers, electrocoagulators, and ultrasound equipment. In many clinical cases, modern techniques can be used to avoid blood loss during operations. In case of force majeure, the Research Institute of Pediatric Traumatology and Surgery in Polyanka has an autonomous power supply system. All operating rooms are equipped with additional energy sources.

Department of Purulent Surgery

If a child is injured and does not receive timely primary health care, the risk of infection increases. In this case, minor damage can cause serious complications. The treatment of purulent-inflammatory diseases of soft tissues in young patients is carried out by specialists from the department of purulent surgery. This also includes patients with osteomyelitis, as well as a complex form of appendicitis. The department uses modern diagnostic methods, including laparoscopy. Thanks to this approach, specialists are able to identify the location of the infection and select antibacterial drugs taking into account the sensitivity of the pathogenic microflora.

The department of purulent surgery is located in the modern building of the institute. Up to 50 small patients can be accommodated here at the same time. There are rooms in which children can stay with their parents. Additionally, there are rooms for massage, physical therapy, and physiotherapeutic procedures. Here patients undergo rehabilitation after surgical interventions.

Intensive care unit

Patients often arrive at the Research Institute of Pediatric Traumatology and Surgery in Polyanka in serious condition. Resuscitation measures are required to restore the functionality of the main body systems. The department can accommodate 18 patients at a time. The beds here are positioned in such a way that help can be provided to the patient without delay. Junior medical staff are on duty around the children around the clock.

Near each bed there is equipment that allows you to constantly monitor the vital functions of a sick child. Heart rate, blood pressure, and pulse are regularly measured. Modern bedside diagnostic techniques make it possible to urgently respond to a rapid deterioration in the patient’s well-being.

The department has a special ventilation system that allows maintaining a normal atmosphere in the room where the patient stays for a long time.

Rehabilitation Department

Providing timely assistance to a child is only half the success. The rehabilitation period is decisive. If specialists do everything correctly, even after a serious injury, a small patient will be able to lead a full life. The department employs doctors who help eliminate physiological, somatic, and psychological disorders that arise as a result of traumatic brain injury. The work uses an integrated approach. This includes physiotherapeutic procedures (therapeutic baths, massage, exercise therapy), consultations with a speech therapist, psychologist, cardiologist, ophthalmologist and other related specialists.

Rehabilitation hospital and are closely related. The specialist decides whether the patient will be hospitalized or whether rehabilitation measures can be carried out on an outpatient basis. The work is carried out taking into account the individual characteristics of the patient’s body. Family members of the sick child must be included in the rehabilitation process.

Department of Psychological and Pedagogical Assistance

You have to deal with mental dysfunction after serious traumatic brain injuries. The department employs qualified specialists who allow patients to restore speech and communication abilities. After suffering injuries, children have to go through a long road of rehabilitation; the help of a psychologist is required. Often support is needed not only for the child, but also for adult family members.

When working with young patients, play therapy shows good results. The medical institution has everything necessary for teaching children: pencils, colored paper, plasticine, etc.

Research activities

The activities of the Research Institute of Pediatric Traumatology and Surgery are aimed not only at providing care, but also at finding new methods of treating complex patients. It is mandatory to maintain a unified information system that allows recording all clinical cases encountered by specialists at a medical institution. It is created for each patient. In this way, it is possible not only to archive patient information at the lowest cost, but also to quickly find the necessary data when the patient is re-admitted.

Information support for the scientific and practical activities of the institute is carried out with the help of a scientific and medical library. It stores not only time-tested, but also modern literature on surgery, traumatology and other related branches of medicine. The president of the research institute himself, Leonid Mikhailovich Roshal, made a significant contribution to the development of the library.

The department was created in 1981 on the basis of one of the oldest children's hospitals in Moscow - Children's City Clinical Hospital No. 20 named after K.A. Timiryazev, which occupies a central place in providing emergency care to children with surgical pathology and injuries in the structure of Moscow healthcare. (Photo 1)

Taking into account the vast practical experience and the rapid development of innovative technologies, in 2003. by order of the Moscow government on the basis of the children's city hospital No. 20 named after. K.A. Timiryazev created the Research Institute of Emergency Pediatric Surgery and Traumatology (director - Prof. L.M. Roshal). (photo.2)

Currently, the Research Institute of NDHiT is a scientific, practical, educational and methodological center with wide therapeutic and diagnostic capabilities, excellent conditions for the provision of medical care and stay for patients.
The permanent head of the department since 1981 is a world-famous pediatric surgeon, Prof. L.M.Roshal

The main goal of the institute is to provide effective medical care to children with emergency surgical, neurosurgical and traumatological pathologies in Moscow in order to reduce mortality, disability, improve health and quality of life based on optimizing pre-hospital, specialized hospital and rehabilitation care.

The main direction of the department’s work is to optimize emergency care for children with acute surgical diseases and trauma at all stages of its provision. (photo 3)

The use of minimally invasive technologies has received priority development in the department: diagnostic and operative laparoscopy; (photo4) methods of extrafocal functionally stable osteosynthesis, arthroscopy, neuroendoscopy. Methods of osteosynthesis using bioresorbable implants are being actively introduced into practical work. Throughout its existence, the department has paid significant attention to the problems of purulent surgery and the treatment of purulent-septic diseases in children. The department has developed a comprehensive program for differentiated treatment of appendiceal peritonitis in children using minimally invasive technologies (laparoscopy, percutaneous puncture and ultrasound-guided drainage); a program for the treatment of purulent and primary infected wounds using methods of active drainage, laser radiation, low-frequency ultrasound and specialized dressings with early reconstructive surgical treatment.

The Department of Anesthesiology and Resuscitation is located in a modern building that complies with all sanitary-epidemiological, medical and social standards and is equipped with the latest equipment complex, allowing for all modern methods of intensive care and resuscitation, as well as all modern types of anesthesia, including regional and conduction methods of anesthesia for emergency and planned operations in children:
— Philips MP60 multi-module tracking system, integrated into a network of monitors connected to a central station;
— Servo-i breathing apparatus, with a respiratory function monitor in intensive care and Siesta anesthesia-respiratory apparatus in operating rooms; (photo.7)

The following specialists receive appointments at the Research Institute of Emergency Pediatric Surgery and Traumatology:

Doctor - neurologist and neurosurgeon

Traumatic brain injury and its consequences;
. Spinal cord injury and its consequences;
. Hydrocephalus;
. Craniostenosis;
. Malformations of the nervous system: spina bifida, cranial hernia, arachnoid cysts;
. Damage to the peripheral nervous system;
. Suspicion of neurosurgical pathology.

Doctor - traumatologist

Injuries to the knee joint and their consequences;
. Incorrectly healed bone fractures.

Orthopedist

A preventive examination and ultrasound screening of the hip joints is carried out in children from 2 weeks to 3 months.

Hip dysplasia:
. Congenital hip dislocations (hip subluxations),
. Immaturity of the hip joints;
. Congenital muscular torticollis;
. Valgus/varus feet;
. Valgus/varus curvatures of the lower extremities;
. Congenital clubfoot;
. Poor posture;
. Gait disturbance.

Surgeon

Purulent-inflammatory diseases (recurrent abscesses and felons, extensive long-term non-healing wounds, recurrent ingrown nails);
. Hernias are inguinal, inguinoscrotal, umbilical, paraumbilical;
. Epithelial-coccygeal tract (pilonidal cyst);
. Benign neoplasms of soft tissue and subcutaneous fat (atheroma, lipoma, hygroma, cyst, pigment spots, etc.);
. Organized hematomas;
. Fistulas of any location;
. Polyps of the small and large intestine, anal fissures;
. Congenital and acquired diseases of the lungs and bronchi (cysts, bronchiectasis, aplasia and hypoplasia of the lungs, pulmonary sequestration, congenital lobar emphysema);
. Congenital and acquired deformities of the chest (funnel-shaped, keeled, other deformations: hypoplasia of the costal cartilages, muscular-costal defects, osteochondral exostoses of the ribs, postoperative deformity);
. Anomalies in the development of the biliary tract and pancreas (cysts and stones of the common bile duct and pancreas);
. Congenital anomalies of the stomach, duodenum, small and large intestine (gastric membrane, annular pancreas, intestinal atresia at any level, anal atresia, Hirschsprung's disease, dolichosigma, megarectum, anorectal defects), hernia of the esophageal diaphragm and the diaphragm itself;
. Cystic formations of the thoracic and abdominal organs;
. Chronic colonic stasis (chronic spastic and atonic constipation).

The Consultative and Diagnostic Department (CDD) of the Research Institute of NDT and T uses a wide range of high-tech, highly effective and non-contact laser treatment methods, guaranteeing an aesthetic result and the absence of relapse, when eliminating any congenital and acquired defects of the skin, subcutaneous tissue and mucous membranes:

warts;
papillomas;
condylomas;
moles;
age spots;
hemangiomas;
scars;
tattoos;

and many others, as well as laser treatment for ingrown toenails and purulent wounds.

Doctor - otolaryngologist

Deformations of the nasal septum;
Chronic rhinosinusitis;
Foreign body of the nasal cavity and nasopharynx;
Hypertrophy of the adenoids;
Tubotitis, exudative otitis media, recurrent acute otitis media;
Congenital stridor (diagnosis);
Dysphonia (diagnosis).

Doctor - urologist - andrologist

Varicocele
Cryptorchidism;
Dropsy of the testicular membranes (hydrocele);
Spermatic cord cyst (funiculocele);
Epididymal cyst;
Swollen scrotum syndrome;
Phimosis: cicatricial, hypertrophic, physiological;
Synechiae of the foreskin
Balanoposthitis;
Hypospadias;
Meatostenosis;

Doctor - ophthalmologist

Consequences of traumatic brain injury of any severity:
- Pathology of the oculomotor system (common strabismus, paralytic),
- Pupillary pathology;
. Ametropia (myopia, myopic disease, hypermetropia, astigmatism);
. Amblyopia;
. Pathology of the visual pathway:
- partial atrophy of the optic nerve of congenital hereditary, post-traumatic, toxic, inflammatory, compression origin,
- inflammation of the optic nerve (intra- and retrobulbar neuritis),
- congestive optic disc,
- optochiasmal arachnoiditis;
. Damage to the organ of vision (contusions of the eyeball, orbit, auxiliary organs, thermal and chemical burns).

Pediatrician

Prolonged abdominal pain of unknown etiology;
. Gastroduodenitis;
. Chronic reactive pancreatitis.

Endoscopy
Children are referred for endoscopy by a district doctor - a gastroenterologist or by referral from specialist doctors from the Children's Clinical Hospital.
To conduct an endoscopic examination, the child must have test results for HIV, HBS, and RW.
The following studies are carried out in the endoscopy department:
. Esophagoscopy;
. Esophagogastroscopy;
. Esophagogastroduodenoscopy;
. determination of Helicobacter pylori using the helpil test (express diagnostics), morphological method;
. total colonoscopy;
. rectosigmoidoscopy;
. sigmoidoscopy.

Here you can learn about the rules for visiting children at the Scientific Research Institute of National Economy and Technology, find out how to contact us, get answers to your questions and learn about the rules for providing first aid in case of injuries.

The Research Institute of Emergency Pediatric Surgery and Traumatology is focused on treating young patients and is located in the Russian capital. Within the walls of the institution, children with injuries of varying severity or in need of urgent operations are treated around the clock. We’ll tell you what else is remarkable about the Institute, what services it provides, and who treats the children.

Brief information about the institute

The modern history of the research institute begins in 2003, when construction of a new surgical and intensive care building began on the territory of the children's city hospital. The purpose of the construction was to create a children's clinic that has no analogues in the country. And it succeeded:

About 8,500 children are treated in the hospital every year.
The trauma center receives up to 50,000 small patients.
There is a helipad on the roof of the building for transporting especially critically ill patients.
Water supply and electricity supply can be autonomous.
The operating rooms and wards are equipped with the most modern equipment.

All work of the Research Institute of Pediatric Surgery and Traumatology is organized in such a way as to save every second. Combined with the professionalism of doctors, this helps increase the percentage of recovered children and improves other indicators.

In the ward of the Research Institute of Pediatric Surgery

Main services of the Institute

The research institute specializes in providing emergency care to children with serious health problems. For this purpose, there are six departments on the territory of the complex, not counting the diagnostic buildings:

Advisory. Reception is carried out by specialists of all directions, from a therapist to a pediatrician. It is possible to do an ultrasound and undergo laboratory tests.
Emergency station. Accepts children who have been attacked by animals, as well as those with fractures.
Pure surgery. Surgeries are performed for hernias, muscle and joint injuries, and compression fractures of the spine.
Purulent surgery. Doctors treat children with appendicitis, osteomyelitis, and extensive purulent-inflammatory processes.
Neurosurgery. The most complex operations are performed for brain injuries, spinal injuries, as well as neurosurgical diseases.
Disaster medicine. Children who have suffered serious injuries to the musculoskeletal system are treated here and then undergo rehabilitation.

Within the walls of the research institute, almost any disease of bones and joints can be cured, including congenital pathologies, arthrosis and arthritis, dislocations and fractures. In total, about 4,000 operations are performed annually.

Doctors at the Children's Institute

The best doctors in Russia practice in this institution. The number of personnel is more than 400 people, among them candidates of medical sciences, doctors and professors. The institute is headed by Professor L. M. Roshal. A team of doctors helps him treat children; let’s meet three of them.

Semenova Zhanna Borisovna. Neurosurgeon, Doctor of Medical Sciences. She has been treating children for more than 20 years, worked in the clinic named after. Burdenko. Her works in the field of medicine are regularly published in Russian and foreign publications. Heads the pediatric neurosurgery department.