Artificial Kidney Unit Opens at Lugansk all-Republic Clinical Hospital

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Today, the Lugansk all-Republic Clinical Hospital (LRKB) opened a new ICU unit with an artificial kidney to treat acute renal failure. Chief LRKB doctor Oleg Volman told us:

We needed to open an artificial kidney unit, but since we lacked the money to do so, we asked [Chairman Plotnitsky], who then gave us 700,000 roubles (67,100 Renminbi. 701,500 INR. 10,500 USD. 14,030 CAD. 14,600 AUD. 9,910 Euros. 6,980 UK Pounds) to do it. In mid-October, Minister of Health Larisa Airapetyan and I told [Plotnitsky] about the problems associated with the formation of a new division in the ICU using an artificial kidney when [Plotnitsky] was here to inaugurate our new minimally invasive surgery unit. After hearing expert opinions, Plotnitsky assured us that he’d see to it that he’d finance creating such a unit. As you can see, both parties kept up their part of the deal. Today, the unit is functioning, we’ve installed the new equipment, so, you can see that it’s a great achievement.

Airapetyan said:

The opening of this unit is very important for the LNR. If in the former Ukrainian times, we still had problems although we had steady funding, now, in the midst of a war, this is a huge step forward.

The new ICU division will essentially serve as a resuscitation unit. Its function is to arrest acute renal failure caused by other serious diseases and conditions. Previously, the LRKB had to transfer these patients to another department for scheduled haemodialysis. Now, a new specialised ICU unit will provide an opportunity to provide assistance quickly in one place, so, there’d be no need to transport patients with acute renal failure, often unconscious, from one department to another. It can also provide effective assistance to a wider range of patients in need of this treatment, for example, pathological pregnancies, acute intoxication, mushroom poisoning, etc.

Volman informed us:

With Russian help, our hospital was able to triple the number of existing haemodialysis machines. Initially, this department only had five usable units, but over the last six months, because the Russians sent us spares for our machines, we’ve been able to repair 15 out of 17 knackered units.

25 November 2015

LITs Lugansk Information Centre

http://lug-info.com/news/one/otdelenie-ostroi-pochki-otkrylos-v-respublikanskoi-bolnitse-8619

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Plotnitsky Toured New LRKB Unit

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Today, LNR Chairman of the Government I V Plotnitsky visited the Lugansk all-Republic Clinical Hospital (LRKB), to acquaint himself with the progress of preparations for the launch of the first minimally-invasive/endoscopic surgery clinic in the Republic. Plotnitsky praised the active development of the leading medical centres of the Republic, the introduction of promising innovative treatment techniques and the high quality of the training of their qualified specialists, stating:

The LRKB goes to the cosmic level. Recently, our friends from Moscow confirmed the qualification of our surgeons and conformity of the equipment that we’ve received. Therefore, the Republic can only benefit from this. Now, we can increase the number of operations, and we can offer a higher level of care. That’s great and it’s thanks to the efforts of the Minster of Health, the head physician, and the entire staff. The clinic will soon receive the necessary funding to set up dialysis treatment with artificial kidney apparatus. Today, we took the decision to allocate the money needed by the hospital. In return, we’re getting six people who need dialysis treatment. However, if we compare the money with people’s lives, then, the cost doesn’t matter.

Dr Oleg Volman, the head of the LRKB added:

Today our physician staffing level is at 46 percent, the general medical staff level is at 60 percent, and we have a full complement of nurses. Over the past six months, 48 doctors came back [to work in Republic]. The hospital has highly qualified doctors who can work on this equipment. Of course, we want all our doctors to return and resume their work. After all, today, we’re back to the pre-war level of patients, so, that means that we have a shortage of doctors; therefore, their workload is twice as much as normal. .

LNR Health Minister Larisa Airapetyan shared plans for further development at the LRKB:

On the ground floor at the hospital, we plan to open an emergency casualty ward. We have the equipment on order. Another important point is that we’re going to launch therapy using hemodialysis machines. We’re going to make a distinction between chronic and acute cases. We’d further develop our cardiac surgery. In particular, we’d continue the practise of coronary stenting for the treatment of heart attack patients. We retrained our specialists in Krasnodar recently. At the same time, there are problems constraining development. We’ve had a problem with pacemakers. However, we’ve tackled this, so, within two months, we expect to have imported models on hand. We have to keep up with advances in heart surgery… that would reduce the death rate from heart attacks. Of course, the war saw a slight uptick in these… as a minimum, we want to return to the pre-war figures. We also want to provide in vitro fertilization (IVF) services. Implementation of these plans requires a number of prerequisites. First, we need to learn the procedure of running a medical-genetic laboratory. We’d base it in the perinatal centre, and we’ve taken the first steps in this direction. To head this effort, we’ve transferred our leading gynaecologist Oleg Aliboevicha Valiev. I really want us to have IVF, because I’m an obstetrician myself. We’re going to work on it.

13 October 2015

LITs Lugansk Information Centre

http://lug-info.com/news/one/glava-lnr-oznakomilsya-s-khodom-podgotovki-k-zapusku-otdeleniya-maloinvazivnoi-khirurgii-foto-7579

First Minimally Invasive and Endoscopic Surgery Unit to Open at Lugansk LRKB

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Dr Oleg Volman, the head of the Lugansk all-Republic Clinical Hospital (LRKB) told us that the first minimally invasive and endoscopic surgery unit in the LNR would open on 1 November at the LRKB, saying:

We never had anything like this, not even anything analogous. We thank our political leadership, as the LNR Ministry of Health and LNR Health Minister Larisa Airapetyan worked so hard to open this unique clinic. We now have a completely new unit, a single centre offering the most-modern high-tech minimally invasive surgery and endoscopic surgery. We’d be able to do minimally invasive surgery performed through relatively small incisions in the skin, without extensive cutting and massive blood loss. We’ll remove this class of patient completely from general population and concentrate them in one unit. This significantly reduces the risks involved, including infections. This new unit will have proper equipment, with staff with expertise in these techniques and the ability to use the most up-to-date gear. We plan to open the doors on 1 November; on 2 November, we’d admit our first patients and carry out our first operations.

Andrei Mayatsky, Head of the LRKB Department of Minimally Invasive Surgery noted:

We’ll start out with trauma, gynaecological, and general surgery. Over time, we’d add endoscopic surgery, microsurgery, and vascular surgery. Despite the fact that the unit only has ten beds, the intensity and low invasiveness of treatment increases the number of treated patients, as most receive discharge a day or two after surgery. Although we’re only starting with ten beds, we eventually see the need to expand it. When we introduce new categories of surgery, if necessary, we’d add beds. This is high-intensity medicine, people will come, get their operations, and, given the specificity of these surgical interventions, we’d send them home or transfer them to outpatient facilities after one or two days. People won’t have to lie in bed for two weeks after a large abdominal operation. We have a fully provided material and technical base; we have all the equipment that we need. It’s in the pipeline, it isn’t here yet, we have it delivered, it just isn’t onsite yet. We’ve trained everybody on what to do, how to perform the operations, and how to run the equipment. We’ve trained all of our specialists; everybody knows the procedures. When we begin actual operations, we’d send our doctors on to further training, to gain additional skills. Over time, we’d train new interns; we must train and nurture more doctors.

11 October 2015

LITs Lugansk Information Centre

http://lug-info.com/news/one/pervoe-v-respublike-otdelenie-maloinvazivnoi-khirurgii-otkryvaetsya-v-luganske-7524

DNR Doctors Saved Baby from LNR with Unique Skin Transplant Operation

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Today, Professor Emil Fistal, Director of the Gusak Institute of Emergency Reconstructive Surgery, told us that specialists at the Donetsk Burn Centre saved the life of an infant girl from the LNR by performing a complex skin transplant operation:

In the middle of September, a two-week-old girl came to us from Lugansk in serious condition. She had extensive necrosis of the skin. To save her, we had to perform a risky and complex operation to transplant skin tissue from the mother to the child. In my 50 years of medical practise, this was only the third such operation performed on a newborn. Implementation of such procedures in practical usage is extremely rare. Today our little patient feels well; we’re ready to discharge the baby.

The Donetsk Burn Centre is the informal name of the Department of Thermal Damage at the Gusak Institute of Emergency Reconstructive Surgery. It started operations in 1999 as part of the Oblast Central Hospital. Its specialists saved hundreds of lives of children and adults with burns of varying severity. One of the most severely injured patients at the facility was a 7-year-old boy wounded in the 24 September terakt* at the Torez Polygon*. Doctors continue to fight for his life.

• Terakt: Russian acronym for “terrorist action”

• Polygon: Russian colloquialism for a military base, due to polygonal concrete blocks on the drill ground and airfields

9 October 2015

DAN Donetsk News Agency

http://dan-news.info/obschestvo/vrachi-dnr-spasli-zhizn-mladenca-iz-luganska-s-pomoshhyu-unikalnoj-operacii-po-peresadke-kozhi.html