10 November 2016
Neurosurgery has become safer
Text: Marina Fedorova
Building 21 of Botkin Clinical Hospital, the
famous medical center’s neuropathological surgery department, has opened its
doors again after a complete renovation. The remodeling has made it possible to
perform minimal intervention surgical procedures and offer patients more
advanced and convenient treatment options.
Mayor of Moscow Sergey Sobyanin with the medical center
The management plans to continue modernizing
The facility houses a modern in-patient ward for 124 beds
plus 9 neurological ICU beds. High-comfort rooms feature air cooling systems,
bedside control panels, and WCs. As the Mayor of Moscow Sergey Sobyanin pointed
out during the opening ceremony, once the entire hospital is renovated, it will
become the most modernized one in Moscow, in addition to already being the
“The memories of what the center looked like before
the renovation are still fresh. One room might have accommodated five patients
while now it’s never more than three. But what matters even more than comfort
is the equipment in the operating rooms,” said the Mayor.
The works took about four years to complete, after which
the center has been furnished with more than 1.1 million units of new medical
equipment. The large-scale reconstruction project has been accomplished with
participation of the MedImport company, which took care of supplying and
installing a whole spectrum of medical equipment, including operating tables,
surgical and anesthesia control panels, medical ventilators, and patient
Of particular interest is the new neurosurgical navigation
system. According to MedImport project manager Liliya Reimbaeva, it
constitutes one of the most advanced technologies in the field of brain and
spine surgery, ENT surgery, traumatology, and orthopedics. The system enables
the surgeon to calculate the least traumatic way to the tumor, often located in
the difficult to access parts of the brain or spinal cord. All the details of
the surgery are recreated and displayed on large monitors, allowing the surgeon
to see the exact location of the instrument and view the tumor or aneurysm
together with the parts of the brain it affects – areas responsible for hands
or feet movement, speech centers, etc. Combining these data with previously
obtained CT scans, the system helps to precisely calculate the surgeon’s
manipulations during the operation.
The newly renovated building has already opened for
In the past, these complex movements used to be performed
only by means of craniotomy, and the hospital stay therefore used to last about
three weeks. Now, post-operational patients will be able to return home within
3−5 days, thanks to the advanced equipment that minimizes surgical invasion. At
the same time, most sophisticated surgical procedures become more precise and
effective, while patient risk and recovery period are reduced.
In addition to a powerful microscope and the neuronavigation
system, the operating room is also equipped with modern telecommunications
devices. The operating lights have built-in video cameras, and the microscope
cameras and an audio system. The technology makes it easy to train new surgeons
and enables operating personnel to consult with leading experts around
the world in real time. The new operating unit, according to Botkin Hospital’s
Head Physician Alexey Shabunin, allows to perform more than a thousand
procedures per year.
The renovated building also houses an integrated vascular
center, where heart disease patients receive their treatment. The
reconstruction plans specifically provided for moving the center’s many units,
previously scattered throughout the hospital’s many buildings, to a single
location at the neurosurgery ward. Placing all related services in one spot
will help provide better medical care to patients with stroke. In the past, Dr.
Shabunin reveals, hemorrhagic stroke almost certainly meant disability for 50%
of the patients. Thanks to modern equipment, today this risk has decreased by
at least 20%, and the maximum possible number of patients with this diagnosis
getting treatment has increased from 1,100 to 2,000 persons annually.
The new neurosurgical navigation system
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