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Research Institute of Traumatology and Orthopedics in the clearing. Research Institute of Emergency Children's Surgery and Traumatology

The following specialists receive appointments at the Research Institute of Emergency Pediatric Surgery and Traumatology:

Doctor - neurologist and neurosurgeon

Traumatic brain injury and its consequences;
. Spinal cord injury and its consequences;
. Hydrocephalus;
. Craniostenosis;
. Malformations of the nervous system: spina bifida, cranial hernia, arachnoid cysts;
. Damage to the peripheral nervous system;
. Suspicion of neurosurgical pathology.

Doctor - traumatologist

Injuries to the knee joint and their consequences;
. Incorrectly healed bone fractures.

Orthopedist

A preventive examination and ultrasound screening of the hip joints is carried out in children from 2 weeks to 3 months.

Hip dysplasia:
. Congenital hip dislocations (hip subluxations),
. Immaturity of the hip joints;
. Congenital muscular torticollis;
. Valgus/varus feet;
. Valgus/varus curvatures of the lower extremities;
. Congenital clubfoot;
. Poor posture;
. Gait disturbance.

Doctor - surgeon

Purulent-inflammatory diseases (recurrent abscesses and felons, extensive long-term non-healing wounds, recurrent ingrown nails);
. Hernias are inguinal, inguinoscrotal, umbilical, paraumbilical;
. Epithelial-coccygeal tract (pilonidal cyst);
. Benign neoplasms of soft tissue and subcutaneous fat (atheroma, lipoma, hygroma, cyst, pigment spots, etc.);
. Organized hematomas;
. Fistulas of any location;
. Polyps of the small and large intestine, anal fissures;
. Congenital and acquired diseases of the lungs and bronchi (cysts, bronchiectasis, aplasia and hypoplasia of the lungs, pulmonary sequestration, congenital lobar emphysema);
. Congenital and acquired deformities of the chest (funnel-shaped, keeled, other deformations: hypoplasia of the costal cartilages, muscular-costal defects, osteochondral exostoses of the ribs, postoperative deformity);
. Anomalies in the development of the biliary tract and pancreas (cysts and stones of the common bile duct and pancreas);
. Congenital anomalies of the stomach, duodenum, small and large intestine (gastric membrane, annular pancreas, intestinal atresia at any level, anal atresia, Hirschsprung's disease, dolichosigma, megarectum, anorectal defects), hernia of the esophageal diaphragm and the diaphragm itself;
. Cystic formations of the thoracic and abdominal organs;
. Chronic colonic stasis (chronic spastic and atonic constipation).

The Consultative and Diagnostic Department (CDD) of the Scientific Research Institute of NDT and T uses a wide range of high-tech, highly effective and non-contact laser treatment methods, guaranteeing an aesthetic result and the absence of relapse, when eliminating any congenital and acquired defects of the skin, subcutaneous tissue and mucous membranes:

  • warts;
  • papillomas;
  • condylomas;
  • moles;
  • age spots;
  • hemangiomas;
  • scars;
  • tattoos;

and many others, as well as laser treatment for ingrown toenails and purulent wounds.

Doctor - otolaryngologist

  • Deformations of the nasal septum;
  • Chronic rhinosinusitis;
  • Foreign body of the nasal cavity and nasopharynx;
  • Hypertrophy of the adenoids;
  • Tubotitis, exudative otitis media, recurrent acute otitis media;
  • Congenital stridor (diagnosis);
  • Dysphonia (diagnosis).

Doctor - urologist - andrologist

  • Varicocele
  • Cryptorchidism;
  • Dropsy of the testicular membranes (hydrocele);
  • Spermatic cord cyst (funiculocele);
  • Epididymal cyst;
  • Swollen scrotum syndrome;
  • Phimosis: cicatricial, hypertrophic, physiological;
  • Synechiae of the foreskin
  • Balanoposthitis;
  • Hypospadias;
  • Meatostenosis;

Doctor - ophthalmologist

Consequences of traumatic brain injury of any severity:
- Pathology of the oculomotor system (common strabismus, paralytic),
- Pupillary pathology;
. Ametropia (myopia, myopic disease, hypermetropia, astigmatism);
. Amblyopia;
. Pathology of the visual pathway:
- partial atrophy of the optic nerve of congenital hereditary, post-traumatic, toxic, inflammatory, compression origin,
- inflammation of the optic nerve (intra- and retrobulbar neuritis),
- congestive optic disc,
- optochiasmal arachnoiditis;
. Damage to the organ of vision (contusions of the eyeball, orbit, auxiliary organs, thermal and chemical burns).

Doctor - pediatrician

Prolonged abdominal pain of unknown etiology;
. Gastroduodenitis;
. Chronic reactive pancreatitis.

Endoscopy
Children are referred for endoscopy by a district doctor - a gastroenterologist or by referral from specialist doctors from the Children's Clinical Hospital.
To conduct an endoscopic examination, the child must have test results for HIV, HBS, and RW.
The following studies are carried out in the endoscopy department:
. Esophagoscopy;
. Esophagogastroscopy;
. Esophagogastroduodenoscopy;
. determination of Helicobacter pylori using the helpil test (express diagnostics), morphological method;
. total colonoscopy;
. rectosigmoidoscopy;
. sigmoidoscopy.

Here you can learn about the rules for visiting children at the Scientific Research Institute of NDT, find out how to contact us, get answers to your questions and learn about the rules for providing first aid in case of injuries.

The Research Institute of Emergency Pediatric Surgery and Traumatology is focused on treating young patients and is located in the Russian capital. Within the walls of the institution, children with injuries of varying severity or in need of urgent operations are treated around the clock. We’ll tell you what else is remarkable about the Institute, what services it provides, and who treats the children.

Brief information about the institute

The modern history of the research institute begins in 2003, when construction of a new surgical and intensive care building began on the territory of the children's city hospital. The purpose of the construction was to create a children's clinic that has no analogues in the country. And it succeeded:

  1. About 8,500 children are treated in the hospital every year.
  2. The trauma center receives up to 50,000 small patients.
  3. There is a helipad on the roof of the building for transporting especially critically ill patients.
  4. Water supply and electricity supply can be autonomous.
  5. The operating rooms and wards are equipped with the most modern equipment.

All work of the Research Institute of Pediatric Surgery and Traumatology is organized in such a way as to save every second. Combined with the professionalism of doctors, this helps increase the percentage of recovered children and improves other indicators.

In the ward of the Research Institute of Pediatric Surgery

Main services of the Institute

The research institute specializes in providing emergency care to children with serious health problems. For this purpose, there are six departments on the territory of the complex, not counting the diagnostic buildings:

  1. Advisory. Reception is carried out by specialists of all directions, from a therapist to a pediatrician. It is possible to do an ultrasound and undergo laboratory tests.
  2. Emergency station. Accepts children who have been attacked by animals, as well as those with fractures.
  3. Pure surgery. Surgeries are performed for hernias, muscle and joint injuries, and compression fractures of the spine.
  4. Purulent surgery. Doctors treat children with appendicitis, osteomyelitis, and extensive purulent-inflammatory processes.
  5. Neurosurgery. The most complex operations are performed for brain injuries, spinal injuries, as well as neurosurgical diseases.
  6. Disaster medicine. Children who have suffered serious injuries to the musculoskeletal system are treated here and then undergo rehabilitation.

Within the walls of the research institute, almost any disease of bones and joints can be cured, including congenital pathologies, arthrosis and arthritis, dislocations and fractures. In total, about 4,000 operations are performed annually.

Doctors at the Children's Institute

The best doctors in Russia practice in this institution. The number of personnel is more than 400 people, among them candidates of medical sciences, doctors and professors. The institute is headed by Professor L. M. Roshal. A team of doctors helps him treat children; let’s meet three of them.

Semenova Zhanna Borisovna. Neurosurgeon, Doctor of Medical Sciences. She has been treating children for more than 20 years, worked in the clinic named after. Burdenko. Her works in the field of medicine are regularly published in Russian and foreign publications. Heads the pediatric neurosurgery department.

“A doctor from God” - this is what they say about those specialists who, without sparing their own time and energy, practically bring back the most hopeless from the abyss of non-existence. These are people who can rightfully be awarded the title “Doctor Life”. In their “golden” hands it takes on a different, deeper meaning.

Doctors from God are selfless; they sincerely rush to help anyone who is in trouble. And there is neither time nor space for them. Leonid Roshal is one of the few who is considered as such. He is known in many countries as a first-class specialist, as a person with a kind heart, ready to fly to anywhere in the world. He is not afraid of the consequences of earthquakes and tsunamis.

Dream of becoming a doctor

Leonid Roshal comes from the city of Livny, in the Oryol region. The doctor's father was a pilot, which is why the family often had to move from place to place. Leonid’s mother dreamed that her son would follow in his father’s footsteps and also become a military man. But fate decreed otherwise. While still at school, he had a desire to become a surgeon. After finishing school and receiving a diploma of secondary education, without much hesitation he applied to the Medical Institute. Pirogov.

And he chose the specialty of a pediatric surgeon. Leonid Roshal, while still a student, showed interest specifically in the field of pediatric traumatology. His brilliant career began with work in an ordinary clinic. Also, Dr. Roshal is a world famous pediatrician.

He has two dissertations under his belt. He defended his candidate's dissertation in 1960 and his doctorate ten years later. All this time he worked as a senior researcher at MONIKI named after M. F. Vladimirsky. Leonid Roshal is a highly qualified pediatric surgeon; he himself has developed several techniques for treating various diseases and problems in traumatology and neurosurgery of the early age group.

History of the Roshal Children's Clinic in Moscow

The first mention of a medical institution dates back to the 19th century. Like all medical institutions of that time, a hospital was opened in Moscow with funds from the Iveron community of nurses of the Red Cross. They bought a three-story mansion on Malaya Yakimanka and placed in it two wards of six beds for all those in need of medical care.

Over time, the hospital began to develop. With the help of philanthropist Z. G. Morozova, two additional buildings were rebuilt and opened. In those days, the hospital was equipped with the latest science and technology. Here, in addition to the wards, there was not only an operating room, but also an X-ray room, perhaps the only one in all of Moscow.

From a hospital to a clinical research institute

Doctors received the population, identified diseases, and prescribed therapy. The hospital even had its own laboratory, where studies were carried out to clarify diagnoses. The sisters of mercy of the Iveron community, and the entire hospital staff, took an active part in providing medical care to every patient who turned to them. During the First World War, the buildings housed a hospital, and after the revolution - a city hospital.

The favorable location of the buildings was best suited for receiving children, and already in the 20s they became the main patients here. Over the years, talented doctors have worked here, and the wise leadership has changed more than once. The hospital developed rapidly and already in 1982 became the clinical base for the emergency surgery department. In the same year, Leonid Roshal came to the post of chief physician.

Little fidgets and injuries

The clinic in Moscow is open around the clock and for everyone. The disease does not ask what faith or nationality the child is. Within the walls of the hospital, highly qualified doctors provide assistance, even if a routine consultation is needed, not to mention more complex situations when surgical intervention is required. Emergency measures are carried out immediately. Children are active, fast-paced and naive. They want to quickly get to know this world and often do not understand how many dangers it is fraught with.

Roshalya accepts children with various injuries, including severe traumatic brain injury, spinal compression, and joint damage. Due to their curiosity, restless boys and girls of different ages also visit construction sites, explore rivers, ponds and mountains. Unfortunately, this often ends in a fall from a height, fractures, or drowning. Doctors at the Leonid Roshal Clinic in Moscow help everyone without exception.

Initial examination and diagnosis

The first department where the child ends up is the reception department. Here doctors conduct an examination and immediately decide where to send the little patient next. The department itself is equipped with the latest equipment, oxygen supply is installed in separate boxes, and there are systems for infusion therapy. In order not to waste time, emergency operations and resuscitation measures can be carried out in the emergency department.

This is an anti-shock ward, where there is equipment necessary to clarify the diagnosis. If a child is admitted with injuries, tests are taken immediately. The necessary research will be done urgently, which sometimes becomes a salvation for those who find themselves between life and death. There are also diagnostic rooms very close by. Their location is so well thought out that it significantly improves the quality of treatment and makes the Roshal clinic in Moscow one of the best.

Latest developments and treatment methods

More than 2,500 children pass through the Department of Traumatology and Disaster Medicine every year. This department has a hospital equipped with equipment for computed tomography, radiography, MRI, ultrasound of joints and soft tissues. To treat bone fractures, the latest developments and techniques are used, the author or co-author of which is Leonid Roshal.

Restlessness and pampering of children often leads to joint injuries, especially the knees. In Moscow, at the Roshal Clinic, doctors often use arthroscopy. This is a modern surgical procedure that reduces the risks associated with joint surgery to a minimum. It passes without incisions using an arthroscope through small holes. This procedure allows you to assess the degree of damage to the joint, determine the exact location of the injury and draw a conclusion about the advisability of radical surgical intervention.

Address of Leonid Roshal clinic in Moscow

The traumatology department operates around the clock. And such an operation can be carried out at any time of the day. Over many decades, the clinic’s doctors have accumulated significant experience in diagnosing and treating injuries of various origins. To resolve controversial issues in making a diagnosis, specialists appoint a consultation, where the correct and most accurate decision is made. You can get quality help at the Roshal clinic in Moscow at the address: st. Bolshaya Polyanka, house 22. It is next to the Tretyakovskaya metro station.

Medical care is provided free of charge, except for that which is not included in the “Program of State Guarantees for Providing Free Medical Care to Citizens of the Russian Federation.” Superior rooms or additional services can be paid for at the request of citizens. The quality of services is at a high level, as evidenced by reviews of the Roshal clinic in Moscow.

Parents of injured children often note the attentive attitude of the staff and the responsiveness of doctors and nurses. We are especially grateful for timely procedures and difficult operations, which most often end successfully.

Neurotraumas and their treatment

Currently, the field of neurosurgery is actively developing. Specialists in this field are engaged in the surgical treatment of various head injuries, congenital diseases, hydrocephalus, defects of the central nervous system, spinal injuries, and brain tumors. The Department of Neurosurgery of the Research Institute of Emergency Pediatric Care is currently the leading among similar institutions in Moscow.

Highly qualified doctors have extensive experience in performing complex operations. The Department of Neurosurgery performs several thousand unique microsurgical and endoscopic procedures annually. It is equipped with the most modern medical equipment. To treat children with neurosurgical diseases, doctors have a powerful research arsenal at their disposal. These include MRI, computed tomography, neurosonography, and 24-hour laboratory diagnostics.

Rehabilitation in the early stages and on an outpatient basis

When a child is admitted with a serious disease, in addition to surgery, restorative procedures may be prescribed. The clinic pays great attention to the rehabilitation of children. This could be classical physical therapy, massage or a pressure chamber. Any disease, of course, is easier to prevent than to treat. But if trouble happens, in addition to correct diagnosis and treatment, rehabilitation measures are vitally necessary.

The clinic has departments whose activities are aimed at restoring the motor functions of the body. Sometimes it happens that specialists perform such activities already in intensive care and work with their patients throughout the entire time they are in the clinic. You can also seek help on an outpatient basis; to do this, you need to contact the above address of the Roshal Clinic, where you can ask questions, listed on the official website of the institution: http://www.doctor-roshal.ru/parents/contacts/.

Movement therapy and robots

In the department of exercise therapy, mechanical and kinesiotherapy, a sick child is helped to strengthen the muscle corset and reduce spasms, and prevent muscle atrophy. Therapy can be carried out directly in the ward using unique restorative techniques. One of the effective ones is kinesiotherapy, that is, treatment with movement.

Such exercises are used in the early stages of the disease. Types of kinesiotherapy include hydrokinesiotherapy (treatment with movement in water). Another environment that can relax the muscular system as much as possible allows you to achieve amazing success. With this therapy, not only the physical condition improves, but also the psycho-emotional one. There are also robots in this department. Yes, yes! Or rather, robotic devices that are specially designed to force individual joints and muscles to move.

Hyperbaric chamber to speed up recovery

The clinic uses a pressure chamber intensively. For the rehabilitation of large and small patients, oxygen is needed, which is supplied under high pressure into the chamber. Not only children, but also adults undergo this procedure. Oxygen, penetrating into cells, saturates them and restores their ability to regenerate. And from this it follows that the recovery process will be better and will go much faster. By the way, barotherapy sessions rejuvenate the body and help you lose weight quickly and harmlessly. To sign up for a session, it is enough to know the contacts of the Roshal clinic in Moscow.

Be careful! Boorish and indifferent attitude towards children in the 4th trauma department (!)

I will leave the review that I wrote on the research institute’s website:
Good afternoon
My child is receiving inpatient treatment at your institute. We were admitted on June 24, 2012; one of the parents wanted to stay with the child to provide post-operative care. Priode, but honey. the nurse from the reception department argued that this was not possible (violating our rights under Article 22 of the Fundamentals of the Legislation of the Russian Federation “On Health Protection”), then the operation was performed (I can’t say anything bad about the work of the doctors, I’ll immediately note the high professional approach to their work by Sergei Sidorov Vladimirovich), but as for the postoperative period, middle and junior staff, I’ll tell you this: complete rudeness, indifference and low level of qualifications of m/s and nurses (!), it wouldn’t be a bad idea for them to take another course in “nursing” and read lectures on “Medical Ethics” (with the exception of this department there are only two nurses - Oksana, unfortunately

I don’t know her last name (special thanks to her for her understanding and humanity) and Larisa, the rest of the “plankton”, including Art. m/sister, just rude bastards (see below)
Having taken the child to the ward (after anesthesia), they no longer approached him, they did not give out a bedpan, but it should stand on a chair, and when not necessary, under each bed! (!), the child was ill all night, honey. There were no staff at the post (I vomited on the floor, what should I do?). A couple of hours after being delivered to the ward, the child complained to me on the phone, ATTENTION!, that her face hurts! and swells. I hope you yourself can guess what you can think about, of course, this is NOT post-traumatic swelling (no one hit their face or head during a fall, and then the soft tissues of the face react so quickly even to minor trauma that swelling and hematoma would appear while we It took 2 hours to get to the clinic (!), so “You fell” doesn’t apply in this case. On the next day, shaking appeared.
Reading the medical history, I see that the doctor at the emergency room had NOT registered swelling and hematoma on the face (!), but where could they be there!? What kind of injury didn’t he write (?) and rightly so, he didn’t dare take it upon himself.
I, a doctor, know “the whole kitchen”, no matter how hard the work and small salaries are, but your patients are children, children with injuries and not only physical, but also psychological, and the condition of the little one depends on the work of all links the patient and, by the way, their parents. Anyone can find themselves in such a situation, including you, honey. sisters are not immune from such a case.
Well, yesterday, on the night of June 28 to June 29. my daughter, while looking for a nurse, heard addressed to her: “Where did you go, goat, well, let’s go to the ward.” The child called at 2.30 in the morning and sobbed into the phone.
I think it’s enough to describe what I saw and what I experienced during these days; you yourself (the administration) know your sins. I would like to wish the institute “keep up the brand”.
P.S. I am upset, both as a mother and as a health worker, by the attitude and indifference of the honey. personnel 4 injuries dept. The only reassuring thing is the work of the doctors and positive reviews about other departments of the institute. So there is still hope.