Erebouni Medical Center
Medical Journal Erebouni

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;

 

Erebouni Medical Center: General & Thoracic Surgery DepartmentThe 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


Erebouni Medical Center: General & Thoracic Surgery DepartmentThe 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.


Erebouni Medical Center: General & Thoracic Surgery Department


Types of minimal invasive thoracic surgical interventions performed in the department:


  1. Thoracoscopic biopsy of lung and the mediastinal lymph nodes;
  2. Thoracoscopic removal of tumors and cysts of the mediastinum, including thymectomy in generalized myasthenia gravis;
  3. Thoracoscopic surgery for spontaneous pneumothorax, palmar hyperhidrosis, emphysema, pleurisy;
  4. All kinds of surgery for benign and malignant tumors of the lung;
  5. Complex treatment of cancer and metastatic tumors of the lung, including lung resection using a neodymium YAG laser;
  6. All kinds of surgery for tumors and diverticula of the esophagus;
  7. Reconstructive surgery of the trachea and bronchi, including surgery for tracheal stenosis and tracheoesophageal fistula;
  8. Surgical treatment of hernias of the diaphragm;
  9. 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
Hovhannes Sarukhanyan MD Hovhannes Sarukhanyan MD Write a letter Head of Surgery Clinic surgery Grand PhD (d.m.s.) Professor
Artak Hovhannisyan MD Artak Hovhannisyan MD Write a letter Head of General & Thoracic Surgery Clinic thoracic surgeon Grand PhD (d.m.s.) Professor
Arsen Asatryan, MD Arsen Asatryan, MD Write a letter Scientific- Practical Head of General & Thoracic Surgery Department surgeon
Ara Vardanyan MD Ara Vardanyan MD Write a letter Head of General & Thoracic Surgery Department surgeon MD +37493832813 vardanjan.ara@rambler.ru
Alexandr Uzankichyan MD Alexandr Uzankichyan MD Write a letter surgeon
Artur Aleksanyan MD Artur Aleksanyan MD Write a letter surgeon MD
Artak Vardanyan Artak Vardanyan Write a letter surgeon PhD (c.m.s.) Associate Professor
David Arazyan MD David Arazyan MD Write a letter surgeon
Gor Meliqyan Gor Meliqyan Write a letter thoracic surgeon
Harutyun Minasyan MD Harutyun Minasyan MD Write a letter surgeon
Hrachya Aleksanyan Hrachya Aleksanyan Write a letter surgeon
Gagik Soghomonyan Gagik Soghomonyan Write a letter thoracic surgeon
Amur Ateyan, MD Amur Ateyan, MD Write a letter surgeon
Albert Martirosyan Albert Martirosyan Write a letter 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

 

Price list

Code

Examination

Price (AMD)

 

Examination by head of the Department (head of service)

5,000

 

Examination by doctor

3,000

2900 003

Cost for 1-Day treatment (medication and examinations are not included)

20,000

2900 004

Cost for 2-Day treatment (medication and examinations are not included)

40,000

2900 005

Cost for 3-Day treatment (medication and examinations are not included)

60,000

2900 006

Cost for 1-Day treatment (including medication, without examinations)

30,000

2900 007

Cost for 2-Day treatment (including medication, without examinations)

60,000

2900 008

Cost for 3-Day treatment (including medication, without examinations)

90,000

2900 009

Conservative treatment

170,000

 

Code

Service

Price (AMD)

2900 076

Soft-tissue abscesses, mastitis

50,000

2900 077

Small tumor removal without anesthesia

70,000

2900 078

Small tumor removal under general anesthesia

100,000

2900 011

Laparoscopic appendectomy, diagnostic laparoscopy

275,000

2900 074

Diagnostic laparotomy

275,000

2900 079

Appendectomy
inguinal and femoral hernia repair without placing a mesh, sectoral mastectomy

230,000

2900 080

inguinal and femoral hernia repair by placing a mesh

250,000

2900 113

inguinal and femoral hernia repair by placing a mesh, laparoscopic

350,000

2900 081

Bilateral inguinal (femoral) hernia repair without placing a mesh

300,000

2900 082

Bilateral inguinal femoral) hernia repair by placing a mesh
echinococcosis

400,000

2900 083

Cholecystectomy
Ventral hernia without mesh
Liver cysts

300,000

2900 084

Cholecystectomy and choledocholithotomy, external drainage Postcholecystectomy syndrome, mechanical jaundice, internal drainage of choledochal cysts, spleen

420,000

2900 085

Large ventral hernia without mesh
Bowel obstruction, necrosis, cholecystectomy with adhesions, gastrointestinal tract surgeries,
Laparoscopic Cholecystectomy

350,000

2900 114

Laparoscopic surgeries for obstructions, gland cysts, pancreatitis, ventral hernias, splenectomies

500,000

2900 086

Stomach resection

450,000

2900 087

Combined resection of the stomach

650,000

2900 088

Gastrectomy

530,000

2900 089

Esophageal cancer

650,000

2900 090

Reconstructive surgery
Colon resections

600,000

2900 091

Abdominoperineal resection

700,000

2900 092

Adhesive obstruction

300,000

2900 093

Pancreatic resection

700,000

2900 131

Surgical treatment of anaerobic infections (1 anatomical cycle)

600,000

2900 132

Surgical treatment of anaerobic infections (2 and more anatomical cycles)

1,000,000

2900 094

Complicated tumors of the lungs

1,300,000

2900 095

Non-Complicated tumors of the lungs

860,000

2900 096

Decortication of the Lung

750,000

2900 097

Cyst-related lung cancer

700,000

2900 109

Mediastinal surgery

860,000

2900 098

Reconstructive surgeries

850,000

2900 099

Radical mastectomy, - removal of Chest wall tumors with rib resection

560,000

2900 100

Sector resection of breast

400,000

2900 101

Exploratory thoracotomy

350,000

2900 102

Open biopsy

500,000

2900 103

Lymphadenectomy

400,000

2900 026

Tracheostomy

150,000

2900 070

Bilateral pneumothorax, hemothorax, hemopneumothorax, bruised lung, lymphadenectomy, lymphobiopsy

380,000

2900 024

Minor thoracic surgery ` - removal of Chest wall tumors, hemothorax, pneumothorax without general anesthesia 

255,000

2900 104

Removal of the pulmonary hydatid cyst

750,000

2900 105

Double-cavity surgeries

950,000

2900 106

Pleural puncture for inpatient and outpatient patients

50,000

2900 107

Pleural drainage for inpatient

150,000

2900 133

Chest wall reconstructive procedures

860,000

2900 134

Skeletal chest wall reconstruction (metal construction not included)

750,000

2900 135

Bedsore Reconstruction

650,000

2900 112

Restoration of the diaphragm through abdominal approach, Drainage of pleural cavity.

450,000

2900 108

CT-guided biopsy (the cost of CT is not included)

100,000

2900 500

Reimbursement of additional medicine, based on the actual costs incurred

1,000

2900 501

Reimbursement of additional medicine, based on the actual costs incurred 1

5,000

2900 502

Reimbursement of additional medicine, based on the actual costs incurred 2

10,000

2900 550

In case of concomitant somatic chronic diseases of the I degree, to the cost of surgery, treatment is added

40,000

2900 551

In case of concomitant somatic chronic diseases of the II degree, to the cost of surgery, treatment is added

80,000

2900 552

In case of concomitant somatic chronic diseases of the III degree, to the cost of surgery, treatment is added

120,000

2900 553

In case of concomitant somatic chronic diseases of the IV degree, to the cost of surgery, treatment is added

160,000

2900 554

Various types of minor surgical procedures in bandage room

15,000

2900 555

Medium degree surgical procedures in bandage room under local anesthesia

45,000

 

 

 

 

 

 

Ultrasound and X- ray - guided Minimally Invasive Diagnostic and Therapeutic Interventional Procedures *

Code

Service

Price (AMD)

2902 001

Biopsy of organs of the abdominal cavity and retroperitoneal space

100,000

2902 002

Biopsy of organs of the abdominal cavity and retroperitoneal space without anesthesia

70,000

2902 003

Biopsy of the thyroid

30,000

2902 004

üÇÙÇá

35,000

2902 005

Puncture/catheter treatment of restricted fluids in the retroperitoneal cavity

165,000

2902 006

Puncture/catheter treatment of restricted fluids in the retroperitoneal cavity without anesthesia

140,000

2902 007

Drainage of abdominal fluid (ascites)

47,000

2902 008

Fistulography

35,000

2902 009

Hepatic cyst puncture

290,000

2902 010

Hepatic cyst puncture without anesthesia

260,000

2902 011

1 Hepatic Cysts treatment by the catheterization technique

330,000

2902 012

1 Hepatic Cysts treatment by the catheterization technique without anesthesia

300,000

2902 013

2 Hepatic Cysts treatment by the catheterization technique

370,000

2902 014

2 Hepatic Cysts treatment by the catheterization technique without anesthesia

340,000

2902 015

3 Hepatic Cysts treatment by the catheterization technique

350,000

2902 016

3 Hepatic Cysts treatment by the catheterization technique without anesthesia

320,000

2902 017

4 Hepatic Cysts treatment by the catheterization technique

405,000

2902 018

4 Hepatic Cysts treatment by the catheterization technique without anesthesia

380,000

2902 019

Replacement of biliary drainage, recanalization (external-internal drainage), endoprosthetics

205,000

2902 020

Gallbladder Drainage

215,000

2902 027

Gallbladder Drainage without anesthesia

185,000

2902 021

Biliary drainage (1 duct)

370,000

2902 022

Biliary drainage (1 duct) without anesthesia

340,000

2902 023

Biliary drainage (2 ducts)

415,000

2902 024

Biliary drainage (2 ducts) without anesthesia

385,000

2902 025

Biliary Stenting Combined with Balloon Dilation (the cost of stent is not included)

410,000

2902 026

Biliary Stenting Combined with Balloon Dilation (the cost of stent is not included) without anesthesia

380,000

2902 028

Drain replacement

115,000

 

 

 

Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011*

2900 031

Minor surgical procedures

20,000

2900 032

Abdominal organ perforation (Appendectomy, cholecystectomy, other surgeries)

120,000

2900 033

Abdominal organ perforation (with complications and /or concomitant diseases) (Appendectomy, cholecystectomy, suturing for ulcer, stomach resection, bowel resection,other surgeries)

140,000

2900 034

Common peritonitis (Appendectomy, cholecystectomy, suturing for ulcer)

160,000

2900 035

Abdominal organ perforation, external and internal (venous and arterial) profuse bleeding (stomach resectionbowel resection,other surgeries)

160,000

2900 036

Penetrating abdominal, pelvic and chest trauma with internal organs injury

160,000

2900 037

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

2900 038

Penetrating abdominal, pelvic and chest trauma with internal organs injury (with complications and /or concomitant diseases)

180,000

2900 039

Sepsis

180,000

2900 040

Acute hemolytic crisis, anemia ( Hb-60g/L and less or RBCs =1.7x10դԱ/1 and less)( with complications and /or concomitant diseases)

180,000

2900 041

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

2900 042

Surgeries for spontaneous and traumatic pneumothorax

120,000

2900 043

Surgeries for spontaneous and traumatic pneumothorax (with complications and /or concomitant diseases)

160,000

2900 044

Surgeries for spontaneous and traumatic pneumothorax (Reconstruction and Rehabilitation)

300,000

 

 

 

Cost of paid hospital rooms

Code

Hospital room

Price  (AMD)

2900 045

620

5,000

2900 049

621

10,000

2900 115

601

20,000

2900 116

602

10,000

2900 117

603

10,000

2900 118

604

10,000

2900 119

605

10,000

2900 120

606

10,000

2900 121

607

10,000

2900 122

608

10,000

2900 123

609

10,000

2900 124

611

10,000

2900 125

612

10,000

2900 126

613

20,000

2900 127

614

20,000

2900 128

615

20,000

2900 129

616

20,000

2900 130

617

20,000

 

 

 

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