General & Thoracic Surgery Department
General characteristics
The Department of General and Thoracic Surgery of MC Erebouni adhere to the following principles:
- Surgical treatment is carried out strictly according to the indications, and only if the conservative treatment has not brought the desired effect;
- When choosing a surgery treatment method the preferences is given to organ preserving operations;
- In most cases the sparing operation are performed using endoscopy, endovideosurgery;
- In case of necessity in simultaneous surgery on different organs and systems the method of simultaneous operations are performed by specialists in various subspecialties simultaneously;
The department has created all the conditions for the successful performance of surgery. Operating theaters meets the international standards for sterility maintaining. Contemporary equipping of the Department allows specialists to carry out the surgery intervention of any complexity, improves the quality of care, reduces the risk of complications, and shortens the patient's stay in hospital.
The Department of General and Thoracic Surgery held:
- all kinds of invasive diagnostic procedures, including biopsies of internal organs;
- surgery on the organs of the chest, including thoracoscopic interventions
- surgery on the abdomen with a predominant use of laparoscopic techniques
- surgery on the mammary gland, including organ preserving operations and organ restoration procedures to ensure complete rehabilitation
Abdominal surgery deals with following surgical procedure:
- defects and anomalies of development of the gastrointestinal tract (Hirschsprung's disease, gastrointestinal tract atresia and stenosis, double bowel, Meckel's diverticulum, pyloric stenosis, etc.)
- adhesive disease
- diseases of the stomach and intestines, in case of which all kinds of reconstructive surgeries performed at the department:
√ gastrectomy with the use of a variety of intervention methods
√ surgical intervention in case of ulcer bleeding, stomach perforation;
√ surgery in case of inflammatory bowel disease, resection of small intestine and colon, Crohn's disease complications such as diferent location and types fistulas, stenosis and the formation of abscesses
√ surgery in case of ulcerative colitis - proctocolectomy with ileoanal anastomosis - Gastroesophageal reflux disease (GERD)
- Cystes and hernias of various localization
The department also conducted surgical treatment of liver and biliary tract:
- Malformations of hepatobiliary zone (biliary atresia, choledochal cysts, hemangioma of the liver, etc.)
- calculous cholecystitis
- Portal hypertension
- Splenomegaly
There are also coloproctological intervention in the following pathologies:
- Malformations and anomalies of the anus and rectum (atresia of the anus and rectum, fistulas of the rectum, cloacal malformation)
- Megarectum
- Scar stenosis of the anus
- pararectal fistulas
- Prolapse of rectal mucosa
- Anal sphincter insufficiency
- Paracoccygeal, presacral cysts
The department also conducts surgery on lungs, bronchus, pleura, diaphragm and other thoracic organs. Contemporary methods of plastic reconstruction of thorax and pleural cavitis are continuously developed and implemented at the department. Great attention is given to the prevention of postoperative complications. The minimal invasive methods of surgery that is modern arsenal of thoracic surgery such as thoracoscopic and endoscopic (WATS) video assisted surgery are widely used at the department too.
Thoracic surgery covers surgical treatment of the following diseases:
- malformations of the broncho-pulmonary system (diaphragmatic hernia, stenosis of the trachea and bronchi, pulmonary atelectasis, cysto- adenomatous malformation, bronchopulmonary cyst, etc.)
- malformations of the upper gastrointestinal (esophageal stenosis, esophageal atresia, tracheo-esophageal fistula, esophageal diverticulum, etc.)
- lung cysts of different etiologies
- benign tumors of the mediastinum
- chest deformity
- Post-traumatic, peptic, post-burn esophageal stenosis, tracheal stenosis of any etiology
- Vascular malformations of lung
The department is widely used also a minimal invasive technologies (up to 70% of thoracic surgery is performed using videothoracoscopy). Maximum preservation of lung tissue is possible to carry out with the help of a neodymium YAG laser, which is especially necessary for removing of multiple metastases of lung.
At the department is introduced plastic surgery for patients with spinal injuries and injuries of spinal canal, with bedsores. Performs all types of breast surgery: breast resizing and the formation of its new forms after the removal or in presence of birth defects.
The department is also successfully conducted laparoscopic and endovideoscopic surgery.
Types of minimal invasive thoracic surgical interventions performed in the department:
- Thoracoscopic biopsy of lung and the mediastinal lymph nodes;
- Thoracoscopic removal of tumors and cysts of the mediastinum, including thymectomy in generalized myasthenia gravis;
- Thoracoscopic surgery for spontaneous pneumothorax, palmar hyperhidrosis, emphysema, pleurisy;
- All kinds of surgery for benign and malignant tumors of the lung;
- Complex treatment of cancer and metastatic tumors of the lung, including lung resection using a neodymium YAG laser;
- All kinds of surgery for tumors and diverticula of the esophagus;
- Reconstructive surgery of the trachea and bronchi, including surgery for tracheal stenosis and tracheoesophageal fistula;
- Surgical treatment of hernias of the diaphragm;
- Surgical treatment of echinococcosis and other parasitic diseases of the lungs.
Also held a mini-invasive abdominal surgery in following cases:
- complicated and non-complicated forms of acute appendicitis.
- periappendicular infiltrates and abscesses.
- acute cholecystitis
- gallstones
- inguinal hernia
- varicose veins of the spermatic cord and the testicle.
- Meckel diverticulum
- intestinal perforation
- adhesive intestinal obstruction
Due to equipping of the Department with modern high quality medical equipment and staffing with highly-professional level of specialist’s team it is possible not only to carry out highly complex, but unique thoracic and abdominal surgery at international standards.
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Haykaz Zakaryan Write a letter thoracic surgeon | Armen Minasyan Write a letter surgeon |
Chair
Chair of Surgery N 3, Yerevan State Medical University after M. Heratsi
Specialists of Department that engaged in education activities
- Hovhannes V .Sarukhanyan
- Artak K. Hovhannisyan
- Alexander A. Uzankichyan
- Arsen R. Asatryan
- Andranik A. Ohanyan
- Artak S. Vardanyan
- Harutyun L. Minasyan
- Arthur B. Alexanyan
- Armen A. Minasyan
- Cupid M. Alexanyan
- Gagik Soghomonyan
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- Ara Vardanyan MD, , -
- 01.06.2010 - 15.06.2010 - Free consultation and treatment prescribtion for socially vulnerable population
- 04.11.2015 - Esophageal achalasia. Surgical treatment.
- 06.11.2014 -
- 17.06.2014 - Unique surgery for giant tumor's removal
- 31.05.2014 -
Examinations |
|
Price (AMD) |
|
|
Examination by head of the Department (head of service) |
10,000 |
|
|
Examination by doctor |
10,000 |
|
|
Cost for 1-Day treatment (medication and examinations are not included) |
20,000 |
|
|
Cost for 2-Day treatment (medication and examinations are not included) |
40,000 |
|
|
Cost for 3-Day treatment (medication and examinations are not included) |
60,000 |
|
|
Cost for 1-Day treatment (including medication, without examinations) |
30,000 |
|
|
Cost for 2-Day treatment (including medication, without examinations) |
60,000 |
|
|
Cost for 3-Day treatment (including medication, without examinations) |
90,000 |
|
|
Conservative treatment |
170,000 |
|
|
Inpatient treatment of a patient with concomitant diseases |
215,000 |
|
|
Inpatient treatment of the patient with concomitant diseases and/or complications |
265,000 |
|
|
Inpatient treatment of a patient, complicated, with impaired function of vital organs |
315,000 |
|
|
Treatment of complex somatic diseases with the inclusion of non-core studies |
515,000 |
|
|
|
|
|
|
Service |
Price |
|
|
Soft-tissue abscesses, mastitis |
50,000 |
|
|
Small tumor removal without anesthesia |
70,000 |
|
|
Small tumor removal under general anesthesia |
100,000 |
|
|
Minor proctologic surgery |
230,000 |
|
|
Laparoscopic appendectomy, diagnostic laparoscopy |
275,000 |
|
|
Diagnostic laparotomy |
275,000 |
|
|
Appendectomy Inguinal and femoral hernia repair without placing a mesh, sectoral mastectomy |
230,000 |
|
|
Inguinal and femoral hernia repair by placing a mesh |
250,000 |
|
|
Inguinal and femoral hernia repair by placing a mesh, laparoscopic |
350,000 |
|
|
Bilateral inguinal (femoral) hernia repair without placing a mesh |
300,000 |
|
|
Bilateral inguinal (femoral) hernia repair by placing a mesh Echinococcosis |
400,000 |
|
|
Cholecystectomy Ventral hernia without mesh Liver cysts |
300,000 |
|
|
Ventral hernia by placing a mesh 15x15 |
350,000 |
|
|
Cholecystectomy and choledocholithotomy, external drainage Postcholecystectomy syndrome, mechanical jaundice, internal drainage of choledochal cysts, spleen |
420,000 |
|
|
Large ventral hernia without mesh Bowel obstruction, necrosis, cholecystectomy with adhesions, gastrointestinal tract surgeries, Laparoscopic Cholecystectomy |
350,000 |
|
|
Large ventral hernia by placing a mesh 15x15 |
400,000 |
|
|
Laparoscopic surgeries for obstructions, gland cysts, pancreatitis, ventral hernias, splenectomies |
500,000 |
|
|
Trauma surgeries at damage to 1 organ of the abdominal cavity |
450,000 |
|
|
Trauma surgeries at damage to 2 or more organs of the abdominal cavity |
650,000 |
|
|
Laparoscopic biopsy of the abdominal cavity and retroperitoneal space |
350,000 |
|
|
Colon and Rectal Surgery |
800,000 |
|
|
Stomach resection |
450,000 |
|
|
Combined resection of the stomach |
650,000 |
|
|
Gastrectomy |
530,000 |
|
|
Esophageal cancer |
650,000 |
|
|
Reconstructive surgery Colon resections |
600,000 |
|
|
Abdominoperineal resection |
700,000 |
|
|
Adhesive obstruction |
300,000 |
|
|
Pancreatic resection |
700,000 |
|
|
Surgical treatment of anaerobic infections (1 anatomical cycle) |
600,000 |
|
|
Surgical treatment of anaerobic infections (2 and more anatomical cycles) |
1,000,000 |
|
|
Complicated tumors of the lungs |
1,300,000 |
|
|
Non-Complicated tumors of the lungs |
860,000 |
|
|
Decortication of the Lung |
750,000 |
|
|
Cyst-related lung cancer |
700,000 |
|
|
Mediastinal surgery |
860,000 |
|
|
Reconstructive surgeries |
850,000 |
|
|
Radical mastectomy, - removal of Chest wall tumors with rib resection |
560,000 |
|
|
Sector resection of breast |
400,000 |
|
|
Exploratory thoracotomy |
350,000 |
|
|
Open biopsy |
500,000 |
|
|
Lymphadenectomy |
400,000 |
|
|
Tracheostomy |
150,000 |
|
|
Bilateral pneumothorax, hemothorax, hemopneumothorax, bruised lung, lymphadenectomy, lymphobiopsy |
380,000 |
|
|
Minor thoracic surgery ` - removal of Chest wall tumors, hemothorax, pneumothorax without general anesthesia |
255,000 |
|
|
Removal of the pulmonary hydatid cyst |
750,000 |
|
|
Double-cavity surgeries |
950,000 |
|
|
Pleural puncture for inpatient and outpatient patients |
50,000 |
|
|
Pleural drainage for inpatient |
150,000 |
|
|
Chest wall reconstructive procedures |
860,000 |
|
|
Skeletal chest wall reconstruction (metal construction not included) |
750,000 |
|
|
Bedsore Reconstruction |
650,000 |
|
|
Restoration of the diaphragm through abdominal approach, Drainage of pleural cavity. |
450,000 |
|
|
CT-guided biopsy (the cost of CT is not included) |
100,000 |
|
|
Biopsy of the abdominal cavity and retroperitoneal space |
100,000 |
|
|
Puncture and catheterization of retroperitoneal space |
165,000 |
|
|
Puncture and catheterization of retroperitoneal space without anesthesia |
140,000 |
|
|
Catheterization of 1 liver cyst |
330,000 |
|
|
Ultrasound-Guided Gallbladder, pancreatic cysts drainage, without anesthesia |
185,000 |
|
|
Biliary drainage (1 duct) |
370,000 |
|
|
Biliary drainage (1 duct), without anesthesia |
340,000 |
|
|
Biliary drainage (2 ducts) |
415,000 |
|
|
Biliary drainage (2 ducts), without anesthesia |
385,000 |
|
|
Intramuscular drainage of the gallbladder, bile duct, abdominal cavity, fat mass, retroperitoneal space without anesthesia |
350,000 |
|
|
Carotid artery surgery (2 vessels) |
1,100,000 |
|
|
Prosthetic repair of the brachiocephalic trunk |
1,500,000 |
|
|
Carotid artery surgery (1 vessel) |
900,000 |
|
|
Carotid artery surgery (1 vessel) simple cases |
800,000 |
|
|
Carotid artery surgery (2 vessels), simple cases |
1,000,000 |
|
|
Migraine surgery 1 site |
280,000 |
|
|
Migraine surgery 2 sites |
400,000 |
|
|
Migraine surgery 3 sites |
600,000 |
|
|
Migraine surgery 4 sites |
900,000 |
|
|
Minor surgical interventions on the rectum |
180,000 |
|
|
Minor Proctologic Surgeries (spinal + epidural anesthesia) |
260,000 |
|
|
Removal of external hemorrhoids by radiowave ablation |
95,000 |
|
|
Combined proctologic surgeries |
310,000 |
|
|
Surgical treatment of complicated proctological diseases |
290,000 |
|
|
|
|
|
|
|
|
|
|
Reimbursement of additional medicine, based on the actual costs incurred |
1,000 |
|
|
Reimbursement of additional medicine, based on the actual costs incurred 1 |
5,000 |
|
|
Reimbursement of additional medicine, based on the actual costs incurred 2 |
10,000 |
|
|
In case of concomitant somatic chronic diseases of the I degree, to the cost of surgery, treatment is added |
40,000 |
|
|
In case of concomitant somatic chronic diseases of the II degree, to the cost of surgery, treatment is added |
80,000 |
|
|
In case of concomitant somatic chronic diseases of the III degree, to the cost of surgery, treatment is added |
120,000 |
|
|
In case of concomitant somatic chronic diseases of the IV degree, to the cost of surgery, treatment is added |
160,000 |
|
|
Various types of minor surgical procedures in bandage room |
15,000 |
|
|
Medium degree surgical procedures in bandage room under local anesthesia |
45,000 |
|
|
|
|
|
Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011* |
|
||
|
Minor surgical procedures |
20,000 |
|
|
Abdominal organ perforation (Appendectomy, cholecystectomy, other surgeries) |
120,000 |
|
|
Abdominal organ perforation (with complications and /or concomitant diseases) (Appendectomy, cholecystectomy, suturing for ulcer, stomach resection, bowel resection,other surgeries) |
140,000 |
|
|
Common peritonitis (Appendectomy, cholecystectomy, suturing for ulcer) |
160,000 |
|
|
Abdominal organ perforation, external and internal (venous and arterial) profuse bleeding (stomach resection , bowel resection, other surgeries) |
160,000 |
|
|
Penetrating abdominal, pelvic and chest trauma with internal organs injury |
160,000 |
|
|
Common peritonitis, Abdominal organ perforation, external and internal (venous and arterial) profuse bleeding, with complications and /or concomitant diseases (suturing for ulcer, stomach resection, bowel resection,other surgeries) |
180,000 |
|
|
Penetrating abdominal, pelvic and chest trauma with internal organs injury (with complications and /or concomitant diseases) |
180,000 |
|
|
Sepsis |
180,000 |
|
|
Acute hemolytic crisis, anemia ( Hb-60g/L and less or RBCs =1.7x10դԱ/1 and less)( with complications and /or concomitant diseases) |
180,000 |
|
|
Abdominal organ perforation, peritonitis, external and internal (venous and arterial) profuse bleeding, Penetrating abdominal, pelvic and chest trauma with internal organs injury (with complications and /or concomitant diseases) |
300,000 |
|
|
Surgeries for spontaneous and traumatic pneumothorax |
120,000 |
|
|
Surgeries for spontaneous and traumatic pneumothorax (with complications and /or concomitant diseases) |
160,000 |
|
|
Surgeries for spontaneous and traumatic pneumothorax (Reconstruction and Rehabilitation) |
300,000 |
|
|
|
|
|
Cost of paid hospital rooms |
|
||
|
Hospital room |
Price (AMD) |
|
|
601 |
20,000 |
|
|
602 |
10,000 |
|
|
603 |
10,000 |
|
|
604 |
10,000 |
|
|
605 |
10,000 |
|
|
606 |
10,000 |
|
|
607 |
10,000 |
|
|
608 |
10,000 |
|
|
609 |
10,000 |
|
|
611 |
10,000 |
|
|
612 |
10,000 |
|
|
613 |
20,000 |
|
|
614 |
20,000 |
|
|
615 |
20,000 |
|
|
616 |
20,000 |
|
|
617 |
20,000 |
|
|
618 |
15,000 |
|
|
619 |
15,000 |
|
|
620 |
15,000 |