The most famous scientific research medical institution in Ukraine is the Shalimov Institute, which has been operating in Kiev for over 35 years.
Founder and teacher
The name of Alexander Alekseevich Shalimov is well known to every Ukrainian surgeon. Coming from the Lipetsk region, Shalimov was not only an active member of many international surgical associations, but also a Hero of Ukraine, who founded the national surgical school.
This is the person to whom the definition of "made himself" fully fits. Alexander Alekseevich was one of 14 children in a large family peasant family. After accelerated training in the Kuban Medical Institute, the young surgeon passed the Patriotic War in the surgical hospital in the Chita region. He was not taken to the front for health reasons. Many people were already obliged to him by healing.
During his life, this man performed more than 40 thousand surgical interventions, developed the technology of many methods of surgical treatment. The first heart transplant operation in Ukraine was conducted under his direction. He was recognized as the Person of the Planet in 1998. An outstanding surgeon died in 2006. Even during the life of the surgeon, the medical institution, which was given many years, was called simply the Shalimov Institute.
Friends and achievements
Shalimov's best friend and rival in the unofficial professional competition was Nikolai Amosov, one of the best thoracic surgeons in the world. Introducing new methods of surgical treatment, Shalimov was the first in the then USSR to perform a pancreas transplantation to a diabetic patient. He developed and introduced operational methods for the treatment of cancer, including the removal of a part of the liver.
Today the Shalimov Institute continues the work of its founder, successfully curing various surgical pathologies. The institute does not have a specific surgical specialization, it provides effective care for people with various diseases.
What is being treated?
Today, the Shalimov Institute is the leading medical institution in Ukraine with a surgical profile, in which such departments function successfully:
- surgery of the gastrointestinal tract;
- Laparoscopic surgery;
- transplantation and liver surgery;
- surgery of the main vessels;
- microvascular, plastic and reconstructive surgery;
- kidney transplantation;
- Transplantation and heart surgery;
- endovascular surgery and angiography;
- anesthesiology and intensive care;
- Radiation and functional diagnostics.
In its composition the National Institute. Shalimova has clinical laboratories that provide the full range of diagnostic manipulations. There are laboratories of biochemistry and bacteriology, endoscopy, pathomorphology and cytology, ultrasonic diagnostics.
The Department of Experimental Surgery is the most interesting in the institute. Hence the "birth" of new technologies and surgical techniques, saving afterwards many lives. The head of the department is the Honored Worker of Science and Technology of Ukraine, Doctor of Medical Sciences Yury A. Furmanov.
As you know, new methods in our days can arise only at the intersection of science, which is shameless Shalimov Institute. The testimonies of grateful patients say that they are here to help in the most confusing and non-standard cases.
It was here that the methods of seamless connection of living tissues, their electric welding, plasma welding for stopping bleeding were developed and tested.
Here, a resouceable suture material, atraumatic threads for microsurgery, bandages for wounds of purulent wounds, wound hemostatics, synthetic medical glues, disposable surgical clothing were given a "ticket to life".
Eyes on Europe
From Europe, the doctors of the Shalimov Institute borrowed a comprehensive approach to the problem of transplantology. Here, for the first time in Ukraine, an electronic database of patients of the department of transplantology was created. The very concept of an "electronic card" has appeared. Upon admission, a file is entered for each patient, where all the data on his examination and treatment are recorded. Anyone who has ever tried to find archival information about this or that surgical intervention appreciates the instant availability of information.
In addition, organ transplant surgery is carried out by a team consisting of not only surgeons, nurses and anesthesiologists, but also including technical specialists. This approach allows you to cope with medical problems of any complexity.
Practically all doctors of the Shalimov Institute have a scientific degree, and this greatly increases the overall level of professionalism of the clinic's staff. If colleagues have the opportunity to consult on complex medical and diagnostic issues with the authors of the methodologies, then the corresponding result is completely predictable.
Institute of Surgery and Transplantology. Shalimova accepts her patients in a consultative polyclinic on working days from 8 to 16 hours. The speed of work of physicians meets the most stringent European criteria: all diagnostic procedures are performed on the day of treatment.
Naturally, the patient should be ready to carry out diagnostic procedures. To inform patients, there is a registry and free hotline phone numbers, where specialists will answer all questions.
The candidates and doctors of medical sciences consult the patients, so the patient receives the verdict about his state of health first-hand.
When do doctors recommend using stem cells?
Officially in Ukraine, it is recommended to use stem cells for treatment only in three states:
- pancreatic necrosis or death of the pancreas;
- critical limb ischemia;
- injuries and burns.
Shalimov Institute of Transplantology is one of 5 medical institutions that have official permission from the Ministry of Health of Ukraine to use stem cells for medical purposes. This permission was received by the institute in 2013, and since then the method has been successfully used.
Be careful - stem cells!
Stem cells require extremely cautious and professionally justified application. The fact is that undifferentiated stem cells can "grow up" to cells of various organs with a strictly defined function, such as hepatocytes - liver cells, cardiac cells - heart cells or hematopoietic cells - producing blood cells.
Transplantation of stem cells, performed poorly and unskilled, can lead to cancerous degeneration - that's why such a transplantation can be performed only by very experienced doctors.
Cure pancreas can only surgeon
Many people suffer from abdominal pain and digestive disorders caused by chronic inflammation of the pancreas or pancreatitis. This is especially evident after the holidays, when people overeat, washing down fatty food with alcohol. Experienced doctors of the "First Aid" always take such patients to the surgical department, because only surgical intervention can really help.
Kievans in this sense were more fortunate than others - they have an institute named Shalimov, whose address is: ul. Heroes of Sevastopol, 30. Here we have an exceptional clinical experience in the treatment of pancreatic diseases. There is a whole department of pancreas surgery and reconstructive surgery of bile ducts.
This combination is not accidental. The fact is that the most common cause of pancreatic diseases are gallstones, which fall out of the gallbladder and block a tiny duct through which the secret of the pancreas is excreted into the intestine. Due to the fact that the duct is blocked, the pancreas swells with a secret, and in one far from perfect moment the gland capsule bursts. This leads to melting of the gland tissue with its subsequent death. Without prompt intervention, in this case a person may die.
Microvascular, plastic and reconstructive surgery
This is not quite what the "plastic surgeon" associates with the layman. Here they are engaged not only in creating glamorous beauties, but also in replacing lost anatomical structures: muscles, joints, hands and feet.
The direction of the hand microsurgery is of great social importance, within the framework of which the limb replantation is performed. Defects or lack of brushes can be corrected in this compartment.
Genital injuries, the consequences of surgical removal of tumors, the consequences of burns, defects in limb development, auricles, vascular malformations of the head and neck, and lymphovenous insufficiency can be cardinally cured. The flap of the patient's own living tissue on the vascular pedicle in the hands of a skilled surgeon can create real miracles.
High technology is forever "registered" here. The only thing the doctors complain about is the lack of medical equipment, but surgeons can not solve this problem on their own.
Department of Endovascular Surgery and Angiography
The Shalimov Institute of Surgery saves lives of people suffering from heart and vascular diseases, as well as those who are transplanted to various organs.
Live tissue dies off due to the fact that they stop receiving blood carrying oxygen. This occurs most often because of severe vasospasm, when there is practically no clearance, the blood can not "squeeze". An obstruction can also serve as a thrombus, atherosclerotic plaque or trauma, destruction of the vessel itself.
To save a person's life in this case can a stent or a thin metal frame, not allowing the walls of the vessel to shrink. A thrombus or plaque located at the site of constriction is pre-crushed with a balloon, and the formed lumen is fixed with a stent. Metal construction does not care whether the person is nervous or not, experiencing physical overload or adrenaline rush - the stent holds the lumen firmly, and the blood supply goes normally.
So people with chronic illnesses remain for whom stenting is the only chance.
The Institute performs such unique operations as transplantation of a part of the liver from a living relative, removal of esophageal tumors, surgical treatment of obesity and much more.
Patients' comments about doctors
They were divided almost equally: pro and contra. After the death of Academician Shalimov, the Institute is going through hard times. The qualification of surgeons did not become worse, the administration changed. A team of unique specialists is managed by a person who has not only outstanding scientific achievements, but also a moral core. The situation in the institute heated up so much that the scandal went beyond the walls of a respected institution. The situation aggravates the fact that now the institute does not accept complicated patients, "not to spoil the statistics" by lethal outcome.
It remains to be hoped that the institute will be guided by the enthusiast of his work someday, which will allow the clinic to return its former glory.