Moscow surgeons from the Buyanov City Hospital have recently performed a unique type of cardiac surgery – the video-assisted sympathectomy, said Head of the Moscow Department of Healthcare Alexei Khripun at the Moscow Urban Forum.
The 20-year old patient was diagnosed with a rare type of tachycardia – hereditary cardiac arrhythmia. This disease is characterised by frequent arrhythmic episodes, which is why people diagnosed with it have to be in therapy that helps their hearts function for their entire lives.
“It was Russia’s first sympathectomy performed on an adult patient with a diagnosis like this,” Khripun said. “Previously, only children diagnosed with this pathology could get an operation. After the sympathectomy, the number of arrhythmic episodes goes down by 85-90 percent.”
The operation was carried out under the supervision of Sergei Termosesov, Professor, Doctor of Medical Science and cardiac surgeon at Buyanov City Hospital. The whole process was recorded on video. The doctors performed a minimally invasive operation aimed at cutting the nerves in the sympathetic nervous system. Before and after the operation, the doctors assessed the basic electrophysiological parameters of the patient’s heart with the help of a previously implanted defibrillator. The monitoring data showed that the operation was a success. The patient has already been released from the hospital; her recovery is now proceeding without any complications.
“The ability to perform such an operation that is unique in Russia showcases the level of competence of Moscow’s doctors and the high profile of this hospital as well,” Khripun added. “Key hole surgery performed with the help of endoscopic video imaging is one of the most promising fields of operations in the city’s healthcare system. This sort of an operation is performed by making tiny incisions. Today, a total of about 65 to 70 percent of all operations in Moscow are being carried out this way.”
The Buyanov City Hospital is part of the city’s heart attack and stroke prevention networks, where patients have access to high-technology and specialised medical care. This network comprises 29 regional cardiovascular centres created in the city’s multidisciplinary hospitals, including the Davydovsky clinical hospital, the Sklifosovsky National Research Institute of Emergency Care, the Botkin hospital and many other places as well. Once a person has a heart attack, ambulance workers immediately transport the patient to one of these hospitals. If necessary, doctors can promptly perform an operation.
High-tech medical care is now available at 48 city hospitals. There is no such high-tech medical service that is not currently available in Moscow. City hospitals offer almost 1,500 modern methods in 20 medical fields. For the past seven years, the city has purchased over 150,000 pieces of high-tech equipment. All the equipment is connected to the single system that allows the monitoring of their performance. When a machine goes down, it is promptly replaced with a new one.
The Moscow Urban Forum is being held for the eighth time. In 2018, between 17 and 22 July, it will be held at Zaryadye’s Philharmonic. This year’s theme is the Megacity of the Future: New Space for Living. On day one, experts discussed the way cities cope with new challenges, rapidly changing socio-economic conditions and new technological landscape. On day two, they have been discussing the development models for the world’s largest cities for the next decades to come.
Last year, the Moscow Urban Forum was held at VDNKh Pavilion No 75 and became the largest platform for discussing the future of cities and agglomerations. The business programme brought together 11,000 participants from 68 different countries, and 50,000 people visited the city projects exhibition.