MILES AXLE Translation. Region: Russian Federation –
Source: Moscow Government – Government of Moscow –
More than 90 clinical departments, a flagship emergency center, minimally invasive surgery, innovative equipment, organ transplantation, scientific research and implementation of advanced technologies. This is what it looks like today City Clinical Hospital named after S.P. Botkin. It recently received a new status – Moscow Multidisciplinary Scientific and Clinical Center (MMNCC). This is a natural result of the evolution that the hospital has undergone over the past 10 years. A mos.ru correspondent spoke with doctors about its key transformations.
What specialized medical centers have opened in renovated buildings, how are cancers treated at stage zero, what surgeries are performed by robots, how innovators create cutting-edge technologies, and why is city recognition important to them – in our article.
From emergency care to bone marrow transplants
The transformation of the Botkin Hospital began about 10 years ago, since then 11 buildings have been built and renovated. Specialized medical centers are being opened in them, where they provide a full cycle of care – from diagnostics to treatment and dynamic monitoring.
In 2024, the hospital will celebrate 114 years since its foundation. All these years, it has been providing emergency medical care in various areas. We maintain centuries-old traditions and introduce new technologies into our work. We create unique specialized centers, use innovative equipment, develop minimally invasive surgery, train doctors, conduct scientific research and develop advanced treatment methods. Thanks to the achievements of recent years, the hospital has received the status of a scientific and clinical center Dmitry Grekov Deputy Director for Clinical Work of the Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin
In 2019, the only city ophthalmology center in the capital began operating — one of the largest and most modern specialized centers in Russia and Europe. It treats any eye pathologies. Later, the hematology building was modernized, where courses of chemo-, immuno-, and targeted therapy, as well as bone marrow transplantation, are now conducted. In the outpatient oncology care center, under the supervision of one team of doctors, you can undergo pathomorphological examinations, receive radiation and surgical treatment. The interdistrict nephrology center specializes in the treatment of kidney pathologies: hemodialysis, replacement therapy, transplantation. Another transformation of the Botkin Hospital is the launch in 2021 of the first high-throughput endoscopic center in Moscow for the early diagnosis of oncological diseases of the gastrointestinal tract (GIT). Patients from the risk group are referred here.
“Every fourth patient in the capital has neoplasms in the gastrointestinal tract. But they can be avoided if screening is performed in time. The center conducts gastro- and colonoscopy under intravenous anesthesia, and if polyps are detected, endoscopists remove them immediately. Sometimes we already see tumor cells in the removed polyps, this is stage zero cancer. After the procedure, the patient does not need medications or operations – only regular examinations. Over three years of work, the center has conducted almost 130 thousand studies and removed about 15 thousand formations. That is, we have already prevented oncology in so many people,” Dmitry Grekov emphasized.
Last year, the Botkin Hospital opened a flagship emergency medical care center; during the first 24 hours of hospitalization, patients undergo diagnostics, surgical treatment, and intensive care. That same year, the Moscow City Urology Center opened, which became the largest in Russia.
Sergei Sobyanin spoke about the comprehensive modernization of the Botkin HospitalThanks to nephrology centers in Moscow, the number of emergency hospitalizations for kidney diseases has decreasedThe capital reported on the results of the work of endoscopic centers over three yearsOperations of any complexity and high technology: a tour of the flagship and urological centers of the Botkin Hospital
Laparoscopes, surgical robots and neuronavigators
The S.P. Botkin MMNCC is a leader in the number of high-tech surgeries performed. Innovative equipment has made it possible to develop minimally invasive surgery. During laparoscopy, the doctor does not make large incisions, but inserts an endoscope with a camera transmitting an image to the screen and instruments through punctures into the organ. With the endovascular method, vessels are operated through punctures.
“Minimally invasive surgery has become commonplace for us. We are also pioneers in robotic technologies. In 2013, the first Da Vinci robot appeared in the hospital in Moscow, now we have six of them. They operate following the surgeon’s commands. Their “hands” can perform complex manipulations, as they rotate 540 degrees. Robots remove tumors in the liver, lungs, stomach, mediastinal tumors (this is an anatomical space in the middle sections of the chest cavity). They have no equal in narrow places: the rectum, pelvis, prostate gland. With the help of the Da Vinci robot, more than 10 thousand operations have already been performed in our clinic,” said Dmitry Grekov.
The MMNCC has modern CT and MRI machines at its disposal. Angiographs visualize the lumen of blood vessels and heart cavities. In neurosurgery and ophthalmology, intraoperative microscopes are indispensable for detailing deep lesions. The neuronavigator builds a route to the affected area of the brain so that the surgeon does not touch functionally significant areas.
“Our center has one of the largest experience in Russia in using minimally invasive methods to treat people with complicated malignant neoplasms. We have almost all medical specialties, which has allowed us to form multidisciplinary teams and make decisions at a single consultation. For example, we have already performed more than 10 operations for kidney tumors, when the tumor thrombus grows along the inferior vena cava and reaches the heart. In such a situation, the operating team consists of urologists, cardiac surgeons, vascular and abdominal surgeons,” the doctor said.
A place where medical work is inseparable from scientific work
Treatment should go hand in hand with science – this is the principle of the S.P. Botkin MMNCC. Since its foundation in 1910 to the present day, the institution remains an innovator. All scientific staff are practicing doctors.
Our goal is to improve treatment methods and medical technologies based on our experience. We see a weak point and try to find a solution. We start by analyzing the results. We performed surgery on 300 people, and 10 percent had postoperative complications. What factors influenced the procedure — age, smoking, diabetes? Statistics indicate the cause, and the team begins to create a medicine, a new treatment strategy, or a device. The development is tested at the center, and then the database is collected again. One study takes an average of three years. In emergency surgery, the results are immediately visible: on the 10th day after the operation, it is clear whether there are complications or not. In oncology, you have to wait for years for the results Pavel Drozdov Deputy Director for Science, S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center
If the effectiveness is proven, the new technology is “broadcast” to the capital’s medicine. In 2015, the city’s first simulation center opened in the hospital. There are simulators for endovascular and maxillofacial surgery, neurosurgery, and endoscopy. For example, Moscow doctors are taught to perform laparoscopic surgeries on organ dummies. Some simulators recreate acute cholecystitis and appendicitis, and intestinal obstruction.
The MMNCC team has repeatedly received the Russian Federation Government Prize in Science and Technology. Success was achieved in the treatment of pancreatic necrosis, a condition in which part of the pancreas becomes necrotic, causing its juice to digest nearby tissues. The team determined the types of this pathology (the tail, head, or entire gland died) and treatment tactics for each of them, for which they were awarded.
Doctors were also awarded for developing minimally invasive methods of surgical treatment of abdominal tumors: they wrote instructions on how to use laparoscopy and robots for interventions on the liver, stomach, and intestines. Doctors were also encouraged for creating a technology for machine perfusion of donor kidneys and liver. In order for organ cells to function while waiting for a transplant, they began to be enriched with a solution saturated with oxygen. This way they take root faster in the recipient.
“Awards are not the goal of our work, but they are recognition of our contribution to the development of medicine. We managed to prove that we are not just a hospital, and as a result, we received the status of a scientific and clinical center. We plan to expand the staff of scientific employees and continue to improve the quality of care,” added Pavel Drozdov.
Scientific work has been carried out in neurology, cardiology, neurosurgery, hematology and other areas, many projects receive grants from the city. The endoscopic method of operating on ulcers complicated by bleeding comes from the MMNCC. Within the walls of the center, a synthetic prosthesis-loop with a tension control mechanism for people suffering from urinary incontinence has been developed, as well as a program based on artificial intelligence, which helps diagnose prostate cancer, select therapy, and predict the course of the disease.
Currently, doctors are working on an algorithm for performing different types of keratoplasty (surgery to restore the cornea). MMNKTs has something to share: it is the only city clinic that performs corneal transplants.
Moscow doctors have introduced the latest method of treating a common disease in menNeural networks helped the capital’s radiologists process 13 million studiesTechnologies on guard of health: what high-precision equipment is used in Moscow hospitalsThe era of technology. Doctors spoke about new standards in the capital’s healthcareSaving Hearts. Moscow’s Chief Cardiac Surgeon on Minimally Invasive Techniques and Disease Prevention
Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.
Please note; This information is raw content directly from the information source. It is accurate to what the source is stating and does not reflect the position of MIL-OSI or its clients.
https://vvv.mos.ru/nevs/item/145005073/
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.
