Unique operating unit opens at the Sklifosovsky emergency care institute

Unique operating unit opens at the Sklifosovsky emergency care institute
Photo: Photo by the Mayor and Moscow Government Press Service. Denis Grishkin
The overhauled operating unit will accommodate about 5,000 operations a year, including a large number of high-tech and minimally invasive surgeries.

Russian Health Minister Veronika Skvortsova and Moscow Mayor Sergei Sobyanin visited the Sklifosovsky Research Institute of Emergency Medicine, whose operating unit just underwent a thorough overhaul.

“The 30 percent increase in the operating capacity has virtually eliminated the waiting lists for planned surgeries,” said Mr Sobyanin.

The Moscow Mayor said the city authorities are closely working with the Sklifosovsky Research Institute of Emergency Medicine. “[The institute] takes a substantial patient load, particularly when the city is in trouble, when it is struck by man-made disasters, accidents, etc.,” Mr Sobyanin said, thanking the institute’s staff for their hard work.

The Mayor also said the city had contributed 3 billion roubles for the new medical equipment and refurbishment of the institute, in the past few years. “We do it regularly, even though the modernisation programme has officially long been over,” he said. “We invest billions of roubles every year into new medical equipment and technologies, including here. Just recently, we overhauled nine operating theatres. And this is the core, the centrepiece of the Sklifosovsky Institute, and it has undergone complete renovation.”

The institute now has newly built pathology and laboratory medicine units, and a new ambulance station will be built soon. “We are starting the project design, it will be a massive centre, one of the best in the city,” Mr Sobyanin said. “I think it will also help improve the Sklifosovsky Institute’s performance.”

According to the Mayor, the institute has also done a lot of scientific research. “It is hard to fit into the tough framework of health insurance,” he said. “We have agreed and will shortly decide on special grants for institutes that pursue scientific research programmes. Even though this does not fall under the city authorities’ competence, it has historically happened that talented staff, and a large number of research departments that we proactively cooperate, with are centered here.”

Russian Health Minister Veronika Skvortsova in turn thanked the Moscow authorities for their support for the institute. “The whole country looks up to the Sklifosovsky Institute as the main emergency care centre,” she said. “Despite being a Moscow institution, we see it as the main office that cooperates with all regions and supports and provides training to all emergency medicine doctors of the country.”

Director of the Sklifosovsky Institute Mogeli Khubutia said his medical staff saw 15,000 patients from other cities and towns in 2016. He said the renovation had covered 3,000 sq m of the institute. “By now, thanks to the city programme, our operating theatres have been completely overhauled to the best modern standards.”

Mr Khubutia also said that the reconstruction had made it possible to perform an increasing number of surgeries at the institute. He added that the institute would be able to perform up to 10,000 planned surgeries per year, and conduct 23,000–25,000 emergency operations.

Main emergency care hospital

The Sklifosovsky Research Institute of Emergency Medicine was founded in 1923 at the site of the Sheremetyevskaya hospital. Today it is the leading emergency medicine hospital in Moscow, able to accommodate 950 patients, including 132 in the intensive care unit.

The Sklifosovsky Institute consists of 10 research and 44 clinical departments, and also five municipal centres: a burn injury centre, a centre for liver transplantation, a severe poisoning centre, a radiosurgery centre and a regional vascular centre.

The institute employs 571 doctors, including two academicians of the Russian Academy of Sciences, two corresponding members of the academy, 82 doctors and 206 candidates of medical sciences, and also 1,162 nurses and 185 researchers.

From 2011–2017, the Moscow budget funded 1,415 pieces of modern medical equipment supplies with a total cost of over 2.6 billion roubles. The equipment included four CT scanners, two angiographs, two MRI scanners, a gamma camera and a gamma knife, 355 equipment units for operating theatres, and 35 ultrasound scanners.

In 2016, the Sklifosovsky Institute received 68,400 patients, with 34,500 of them staying in the in-patient unit.

The institute has been actively involved in key projects to modernise Moscow healthcare: an  oncological programme, a programme to modernise the surgical centres and a programme to improve medical care of stroke patients and other patients.

New quality surgical aid

The operating unit for planned surgeries opened in the hospital in 1984, and it underwent complete refurbishment from 2013–2017 under the Moscow Healthcare programme. The unit rooms were totally redesigned, and climate installations were installed together with other new equipment.

This is now a modern unit with nine operating theatres and all the relevant adjoining facilities. Its “clean” areas are made of modern high-tech materials. Climate installations allow operating theatres to function independently, using laminar air flow. During the surgery, air temperature and purity are maintained at a certain level to prevent purulent septic infections.

An integrated operating room controls the microclimate, illumination, visualisation and storage of medical records, access and energy provision. A nurse controls all the assisting processes on the computer (the OR one system).

The operating rooms are supplied with high-tech video laparoscopic, thoracoscopic and arthroscopic surgical instruments of the world’s leading brands.

Apart from video endoscopy, each operating theatre has ultrasound and X-ray equipment for diagnostics and treatment procedures, which allows doctors to perform hybrid operations and facilitates their work in complex cases.

The overhauled operating unit is fully equipped for various surgical invasions, including angiographic (vascular) surgery, surgical gastroenterology, liver surgery, pancreas and bile duct surgery, thoracic surgery, gynaecology and trauma surgery. Video-endoscopes make any operations possible, including high-tech surgeries, with a modern approach and minimal damage to tissues.

On average, each operating theatre can accommodate 2–6 surgeries per day, depending on their complexity. According to the plan, the unit will perform 5,000–5,500 surgeries per year, most of them high-tech and minimally invasive operations.

The medical staff and surgeons of the operating unit have been trained to use the new equipment at the simulation centre of the Botkin State Clinical Hospital.