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Erebouni MC / Էրեբունի ԲԿ

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.

Staff

Ara Vardanyan MD Write a letter Head of General & Thoracic Surgery Department Specialty:surgeon Scientific Degree:MD Phone:+37493832813 E-mail:vardanjan.ara@rambler.ru
Hovhannes Sarukhanyan MD Write a letter Head of Surgery Clinic Specialty:surgery Scientific Degree:Grand PhD (d.m.s.) Title:Professor	Artak Hovhannisyan MD Write a letter Head of General & Thoracic Surgery Clinic Specialty:thoracic surgeon Scientific Degree:Grand PhD (d.m.s.) Title:Professor
Gor Meliqyan Write a letter Specialty:thoracic surgeon	Gagik Soghomonyan Write a letter Specialty:thoracic surgeon
Artur Aleksanyan MD Write a letter Specialty:surgeon Scientific Degree:MD	Artak Vardanyan Write a letter Specialty:surgeon Scientific Degree:PhD (c.m.s.) Title:Associate Professor
Amur Ateyan, MD Write a letter Specialty:surgeon	Albert Martirosyan Write a letter Specialty:thoracic surgeon

Education

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

Publications

Charity and promotions

01.06.2010 - 15.06.2010 - Free consultation and treatment prescribtion for socially vulnerable population

Special events and achievements

04.11.2015 - Esophageal achalasia. Surgical treatment.
06.11.2014 -
17.06.2014 - Unique surgery for giant tumor's removal
31.05.2014 -

Price list

	Examinations	Price (AMD)
	Examination by head of the Department (head of service)	5,000
	Examination by doctor	3,000
	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

	Service	Price (AMD)
	Soft-tissue abscesses, mastitis	50,000
	Small tumor removal without anesthesia	70,000
	Small tumor removal under general anesthesia	100,000
	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
	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
	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)
	620	5,000
	621	10,000
	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
	616	20,000
	617	20,000
	618	15,000

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