Pediatric surgery department

Head of Pediatric Surgery Dept

Dmitry Brovin

Pediatric oncologist, Pediatric surgeon

PhD in medicine

RU

Pediatric endocrine surgery concerns with patients aged between 1 month and 18 years with endocrine system diseases. These include hereditary conditions and disorders caused by them.

We have hi tech environment to provide surgical help to children. Modern anesthesia and intensive care facilities make surgical interventions possible for any age.

Our department provides a crucial part in the comprehensive treatment of thyroid diseases (nodular goiter, malignant neoplasms, diffuse toxic goiter).

We are able to perform some of the rarest kinds of surgical interventions in pediatric practice. They are required to treat parathyroid gland diseases such as: adenoma, adenocarcinoma, primary hyperparathyroidism with multiple endocrine neoplasia syndrome.

The utmost difficult task to locate neoplasms inside a complex anatomic scenery is made possible by latest tools and methods, such as ultrasound, CT, SPECT, scintigraphy, for pre-operative investigation and intraoperative ultrasound, radiosounding, fluorescence during surgery.

Modern technology lets us bring down the risk of complications quite a bit. These tech include:

Ultrasound scalpel (speeds up surgery, reduces blood loss);

Neuromonitoring to visualize recurrent laryngeal nerves (reduces the risk of vocal cord paresis);

Parathyroid autotransplantation technique reduces the risk of postoperative hypoparathyroidism.

WHAT WE DEAL WITH:

ADRENAL DISEASES

We operate on hormone-active tumors, including pheochromocytoma, paragangliomas, adrenocortical cancer, Itsenko-Cushing's disease, incendentalomas, nodular hyperplasia, and primary hyperaldosteronism.

As we select our surgical approach, we use all modern diagnostic methods, visualization (ultrasound, CT with contrast, MRI) and hormonal activity gauging by endovascular technique of selective blood sampling.

We have built a system of pre-operative care, intraoperative and postoperative management of patients that lets us significantly reduce risks in this extremely dangerous area of pediatric surgery. We use modern surgical and anesthesia equipment and other high-tech instruments. Surgeries are performed laparoscopically.

SEX FORMATION DISORDERS, DISEASES OF THE REPRODUCTIVE SYSTEM

Surgical treatment of children with gender formation disorders and reproductive system diseases is an integral part of the most complex rehabilitation of this category of patients. Multidisciplinary approach to the problem is crucial to achieve results and give these kids a chance to adapt to society.

Every patient requires the attention of an endocrinologist, a geneticist, a pediatric surgeon, a urologist-andrologist, a gynecologist, and a psychologist. At the ERC they are arranged as a group. The genetic and hormonal laboratory is equipped to differentiate precisely the variant of gender formation disorder, and the experience of our specialists allows to carry out all the necessary measures so that the patient can adapt in the chosen field.

Unique surgical techniques adopted and developed at the Center allow to complete rehabilitation in full and in the shortest possible time — before sexual identity starts to form.

FEMINIZING AND MASCULINIZING SURGERIES

We perform both feminizing and masculinizing surgeries (removal of dysgenetic gonads and gonads of the opposite sex, clitoroplasty, labiaplasty and introitoplasty, including one-stage surgery in early childhood, vaginoplasty, mammoplasty, testicular relegation, removal of rudimentary uterus (using laparoscopic or open method), phallourethroplasty, testicular endoprosthesis, correction of gynecomastia).

Children’s andrology and urology

Correction of various forms of hypospadias, hidden penis;
Surgical treatment of cryptorchidism, by laparoscopic or open method;
Treatment of varicocele;
Surgeries with hydrocele and inguinal hernia;
Epididymis cyst excision;
Surgical treatment of phimosis (circumcision and foreskin surgery options)
Testicular prosthesis;
Surgical correction of gynecomastia;
Diagnosis and surgical treatment of testicular tumors.

HELP FOR CHILDREN WITH DIABETES MELLITUS

Surgical treatment of children with diabetes mellitus is a special area.
Modern equipment for glycemia control and insulin administration allows to maintain stable glycemia levels even during lengthy surgeries. Continuous glycemia monitoring and use of insulin pumps in combination with the experience of pediatric diabetologists working at the ERC allow safe surgery and postoperative care of patients with diabetes mellitus and surgical pathology.

SURGERIES WE DO:

Surgeries for thyroid diseases (thyroid cancer, nodular goiter, diffuse toxic goiter, hypertrophic form of autoimmune thyroiditis) such as hemithyroidectomy, thyroidectomy, removal of neck lymph nodes in the presence of metastases in them.

Surgical treatment of perithyroid diseases (primary and secondary hyperparathyroidism): removal of adenomas of parathyroid glands, total parathyroidectomy with implantation of unchanged perithyroid gland into the forearm muscle in multiple endocrine neoplasia syndrome type 1.

Surgical treatment of adrenal diseases (pheochromocytoma, paragangliomas, adrenocortical cancer, Icenko-Cushing's disease, incidentaloma, nodular hyperplasia, primary hyperaldosteronism): adrenalectomy through laparoscopic and open access.

Surgical treatment of insulinomas: laparoscopic pancreatic resection.

Surgeries for gender formation disorders, diseases and malformations in the inguinal region and genitals: correction of hypospadias, phimosis, hidden penis, cryptorchidism, inguinal hernia, testicular hydrocele, varicocele, spermatocele, feminizing operations for virilization of external genitalia in girls, correction of gynecomastia.

Inpatient admission at the Surgery department is to be approved by a medical panel upon examination by one of our pediatric surgeons.

Inpatient admission (general info)

Admission using Compulsory Medical Insurance (CMI)

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