1
General & Laparoscopic Surgery Department
General characteristics
Laparoscopic or minimally invasive surgery is considered an innovative surgical technique, and it has a number of advantages over traditional surgery. Laparoscopic surgery for abdominal and pelvic organs, without a traditional incision, using the latest technology are less traumatic for the patient with the lower chance of bleeding and lower levels of postoperative complications, short period of hospitalization (1-2 days), rapid rehabilitation and excellent cosmetic effect.
Laparoscopic surgery is considered as a breakthrough in the field of surgery and in many cases it has replaced traditional surgery. It provides a higher precision and higher quality for different surgical procedures. At the same time, laparoscopic surgery requires high skill and experience of the surgeon in work with medical equipment designed for performance of such surgery intervention.
Department of General and Laparoscopic Surgery at the Erebouni Medical Center was founded in February 1993.
The range of surgical intervention in this department is quite wide: from cholecystectomy (gallbladder removal) to gastrectomy (removal of the stomach).
In the department of general and laparoscopic surgery is carried out the following types of laparoscopic surgery:
- laparoscopic cholecystectomy, appendectomy, hernia repair with open access and/or laparoscopic techniques
- laparoscopic liver surgery
- laparoscopic procedures in the case of liver abscesses
- laparoscopic fundoplication (Nessen's operation) (in hernia of the diaphragm)
- laparoscopic hemicolectomy
- adrenalectomy
- laparoscopic dissection of adhesions (in bowel obstruction)
- stitching of perforation of stomach and/or duodenal ulcer with open access or laparoscopic techniques
- diagnostic laparoscopy
- bariatric surgery (weight loss surgery)
Using laparoscopic approach in the presence of appropriate indications enables the surgeon to perform intervention on the several abdominal organs at the same time (simultaneous).
Almost all of the laparoscopic intervention in the department is carried out under general anesthesia. During the operation, the abdominal cavity filled with CO2 gas to facilitate viewing through camera that allows to see the abdominal cavity on the screen.
Laparoscopic surgery requires a high level of professionalism and skills of the surgeon, and may be performed for patients of all ages.
Department is equipped with a full range of advanced equipment from leading European companies.
The priorities of department's activity are:
- Laparoscopic colectomy - a method of treatment of colorectal cancer when removing the rectum and colon.
- Laparoscopic Sleeve Gastrectomy relates to methods of obesity treating. During the intervention, the stomach takes the form of a sleeve because part of it lengthwise to the longitudinal axis is removed.
- Laparoscopic Gastro bypass intervention is the method of treatment of obesity when the reservoir in the upper part of the stomach is created.
- Laparoscopic resection of the small bowel – it is removing the part of the small intestine in patients with the tumors, Crohn's disease, duodenal ulcer, acute intestinal obstruction, hernia and other diseases.
- Laparoscopic hernioplasty is a minimally invasive surgery to remove an umbilical hernia.
- Laparoscopic removal of the spleen.
Yuri Harutyunyan MD
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Head of General & Laparoscopic Surgery Department
surgery
Grand PhD (d.m.s.)
Professor
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Ara Meliqyan MD
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surgeon
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Armen Sahakyan
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surgeon
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Karen Mkhitaryan
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surgeon
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Saribek Saharyan MD
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surgeon
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Tigran Ghandilyan
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surgeon
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Tigran Araqelyan
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surgeon
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Ptukyan David
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surgeon
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Education material for specialists
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Education material for Patients
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| Laparoscopic appendectomy | |
| Diagnostic laparoscopy |
- 25.09.2015 - Gastrectomy is the “gold standard” of stomach cancer treatment
- 01.07.2015 -
- 01.07.2015 -
- 08.04.2015 -
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Examinations |
Price (AMD) |
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Examination by head of the Department (head of service) |
5,000 |
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Examination by doctor |
5,000 |
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Cost for 1-Day treatment (medication and examinations are not included) |
20,000 |
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Cost for 2-Day treatment (medication and examinations are not included) |
40,000 |
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Cost for 3-Day treatment (medication and examinations are not included) |
60,000 |
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Cost for 1-Day treatment (including medication, without examinations) |
30,000 |
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Cost for 2-Day treatment (including medication, without examinations) |
60,000 |
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Cost for 3-Day treatment (including medication, without examinations) |
90,000 |
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Conservative Treatment |
170,000 |
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Service |
Price (AMD) |
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Soft -tissue abscesses, mastitis |
50,000 |
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Small tumor removal without general anesthesia |
70,000 |
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Small tumor removal under general anesthesia |
100,000 |
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Laparoscopic appendectomy, diagnostic laparoscopy |
275,000 |
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Diagnostic laparotomy |
275,000 |
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Appendectomy inguinal and femoral hernia repair without placing a mesh, sectoral mastectomy |
230,000 |
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Inguinal and femoral hernia repair by placing a mesh |
250,000 |
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Inguinal and femoral hernia repair by placing a mesh 15x15 |
290,000 |
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Bilateral inguinal (femoral) hernia repair without placing a mesh |
300,000 |
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Bilateral inguinal femoral) hernia repair by placing a mesh Echinococcosis |
400,000 |
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Cholecystectomy Ventral hernia without mesh Liver cysts |
300,000 |
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Ventral hernia by placing a mesh15x15 |
350,000 |
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Cholecystectomy and choledocholithotomy, external drainage Postcholecystectomy syndrome, mechanical jaundice, internal drainage of choledochal cysts, spleen |
420,000 |
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Large ventral hernia without mesh Bowel obstruction, necrosis, cholecystectomy with adhesions, gastrointestinal tract surgeries, Laparoscopic Cholecystectomy |
350,000 |
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Ventral hernia by placing a mesh15x15 |
400,000 |
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Stomach resection |
450,000 |
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Combined resection of the stomach |
650,000 |
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Gastrectomy |
530,000 |
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Esophageal cancer |
650,000 |
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Reconstructive surgery Colon resections |
600,000 |
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Abdominoperineal resection |
700,000 |
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Adhesive obstruction |
300,000 |
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Pancreatic resection |
700,000 |
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Trauma surgeries at damage to 1 organ of the abdominal cavity |
450,000 |
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Trauma surgeries at damage to 2 or more organs of the abdominal cavity |
650,000 |
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Laparoscopic biopsy of the abdominal cavity and retroperitoneal space |
350,000 |
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Colon and Rectal Surgery |
800,000 |
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Reimbursement of additional medicine, based on the actual costs incurred |
1,000 |
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Reimbursement of additional medicine, based on the actual costs incurred 1 |
5,000 |
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Reimbursement of additional medicine, based on the actual costs incurred 2 |
10,000 |
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In case of concomitant somatic chronic diseases of the I degree, to the cost of surgery, treatment is added |
40,000 |
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In case of concomitant somatic chronic diseases of the II degree, to the cost of surgery, treatment is added |
80,000 |
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In case of concomitant somatic chronic diseases of the III degree, to the cost of surgery, treatment is added |
120,000 |
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In case of concomitant somatic chronic diseases of the IV degree, to the cost of surgery, treatment is added |
160,000 |
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Various types of minor surgical procedures |
15,000 |
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Medium degree surgical procedures under local anesthesia |
45,000 |
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Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011* |
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Minor surgical procedures |
20,000 |
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Abdominal organ perforation (Appendectomy, cholecystectomy, other surgeries) |
120,000 |
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Abdominal organ perforation (with complications and /or concomitant diseases) (Appendectomy, cholecystectomy, suturing for ulcer, stomach resection, bowel resection,other surgeries) |
140,000 |
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Common peritonitis (Appendectomy, cholecystectomy, suturing for ulcer) |
160,000 |
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Abdominal organ perforation, external and internal (venous and arterial) profuse bleeding (stomach resectionbowel resection,other surgeries) |
160,000 |
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Penetrating abdominal, pelvic and chest trauma with internal organs injury |
160,000 |
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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 |
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Penetrating abdominal, pelvic and chest trauma with internal organs injury (with complications and /or concomitant diseases) |
180,000 |
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Sepsis |
180,000 |
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Acute hemolytic crisis, anemia ( Hb-60g/L and less or RBCs =1.7x10դԱ/1 and less)( with complications and /or concomitant diseases) |
180,000 |
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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 |
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Cost of paid hospital rooms |
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Hospital rooms |
Price (AMD) |
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701 |
10,000 |
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702 |
15,000 |
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703 |
15,000 |
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710 |
10,000 |
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708 |
7,000 |
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711 |
7,000 |
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709 |
5,000 |
