The Department of Intensive Care urgently needs equipment
Center for Microvascular Surgery needs equipment
At the end of 2007, a new Department of Intensive Care was opened at the
Russian Children's Clinical Hospital. Its patients have various disorders: children
after abdominal or thoracic operations, after neurosurgical interventions, patients
from the Departments of Oncology and Oncohematology, children with acute
or chronic renal insufficiency, etc.
However, there is a shortage of equipment at our department, and therefore
the most efficient treatment and contemporary diagnostic procedures are not
yet available. For this reason, sometimes the hospital just cannot admit one or another
patient.
This primarily concerns patients with renal insufficiency. Small children
sometimes develop a specific kidney disorder during an intestinal infection,
and the kidney just stop functioning completely; this condition is called acute
renal insufficiency. Treatment of such patients primarily consists in
temporary replacement of lost kidney function using hemodialysis or
peritoneal dialysis.
Over the years after the opening of the Intensive Care Department at
our hospital, fine results have been achieved in treatment of children with acute renal insufficiency.
In the 1980s, the death rate among such patients was 60-80%; presently it is almost zero.
However, now we cannot admit babies (under 1 year) with acute renal
insufficiency, because our department has no water purification setup (based on reverse
osmosis) for hemodialysis. Such a setup is urgently needed. It costs $7000.
The second problem is that our patients are bed-ridden and their transportation even
within the hospital is often impossible in their condition. So, several diagnostic
instruments should be available right at our department.
1. To evaluate the functional state of blood circulation for timely adjustment of therapy,
we need a Sonosite micro MAX cardiovascular ultrasound system, which costs about
$30,000.
2. For our patients with neurological disorders, severe epilepsy, and impairment
of consciousless, we need an Encephalan PM EEG device with add-ons;
it costs about 600,000 roubles ($25,530). There are many such patients
at our department, and this instrument would enable us to improve the quality
of their treatment to a significant extent.
3. Our patients are bed-ridden, and most of them, especially those with leukemia
and similar diseases, receive large volumes of various solutions intravenously.
To evaluate the adequacy of infusion therapy, one simple parameter should
be regularly measured: the patient's weight. But a bed-ridden patient cannot
stand on ordinary floor scales. For such patients, we could use special bed scales
Seca, which cost $6000. Our department and patient would benefit
a lot from them.
Head of the Department of Intensive Care
Mikhail G. Akopyan
May 20, 2008
The use of present-day technologies sometimes allows us to avoid complicated
and dangerous surgeries, to reduce the duration of in-hospital treatment,
and to achieve positive results.
The method of microwave hyperthermia is presently widely used as
an integral part in combined treatment of large hemangiomas of various
anatomical localizations.
The microwave-frequency field should be generated by the Yakhta
setup (915 MHz) with a set of different radiation sources, both
for local hypertermia (diameter of radiating head from 2.5 to 10
cm) and for in-tissue and endovascular coagulation (diameter of
radiation sources from 1.5 to 0.62 mm).
Many pathological processes involve life-threatening complications,
which are accompanied by heavy bleedings and present serious difficulties
for surgical treatment. A good and stable response of a tumor tissue
to treatment, combined with absence of coarse scars on the skin,
is most effective from the cosmetic standpoint in the treatment
of large facial hemangiomas, angiomatoses, and lymphangiomas of
various localizations.
The energy of the molecular structure interaction with the microwave-frequency
field is transformed into heat, and a region of local hyperthermia
appears, leading to destructive changes in the pathological tissues.
The curative effect of this technique has been confirmed by the
data of diagnostic angiography, ultrasonic analysis of the zone
of angiomatosis, and histological research.
The equipment and consumables will cost $35,000.
Head of the Center for Microvascular Surgery
Alexander V. Bystrov
Oxy Megastation apparatus for microdermabrasive correction of cicatricial lesions on facial skin - purchased! Cost: 900,000 roubles ($29,900)
The Department of Microvascular Surgery of the Russian Children's Clinical Hospital annually provides treatment to about 500-600 children with tumorlike growths and cicatricial (including post-burn) lesions of face, trunk, or extremities.
In most cases, these children face the problem of postoperative scars and require a series of rehabilitation measures. This problem becomes especially pressing when the scars are localized on the face.
One of special rehabilitation procedures at our department is microdermabrasion using aluminum oxide powder for correction of cosmetic defects.
The required apparatus is multifunctional. The use of Oxy Megastation at our hospital department will enable us to provide more aid to children with various kinds of cicatricial skin lesions (postburn, postoperative), since this setup can perform microdermabrasion not only per se but also in combination with oxymesotherapy. That is, we will perform oxygen therapy of damaged skin and also injection-free administration of various drugs into deep skin layers, in order to improve skin trophism, reparation and regeneration processes. This is the mesotherapy method.
That is, the best approach is to work on the damaged tissues using several techniques simultaneously: microdermabrasion, mesotherapy, vacuum massage, oxygen therapy.
Thus, it is becoming possible to provide complete treatment for scars and postoperative wounds in both early and late period after the injury.
The advanced treatment will make it possible to perform rehabilitation more successfully, to achieve significant results in correction of disfiguring scars in a shorter time, including cases of large cicatricial lesions. This is especially important when the scars are localized on the face. Thanks to the use of this method, it is not only possible to provide better rehabilitation of children after plastic surgeries but also perform medical and social adaptation of the ill child. Presently, unfortunately, no Russian in-patient clinic is using apparatus-based cosmetology in rehabilitation of children.
The setup (manufactured by Soling Cosmetic) costs 900,000 roubles (a little below $3000).
The X-ray Department of the Russian Children's Clinical Hospital is a unique hospital division with X-ray diagnostic equipment and digital image processing. About 20,000 examinations, including 5000 high-tech ones, are annually performed. Our X-ray equipment matches the highest world standards. Nevertheless, there is a problem. The last of our mobile X-ray setups is out of order. This means real problems in performing bedside X-ray examinations for seriously ill children with surgical and hematological disorders. Indeed, to examine a patient, the staff has to take him or her to a certain X-ray room. But our hospital is huge (even a healthy person may walk from one building to another for 10-15 minutes), and making even one X-ray picture sometimes becomes a difficult problem.
For example, take children with cancer or serious blood disorders. They often need X-ray examinations to detect or exclude complications of their main disease. These examinations are often vitally important. But, to carry them out, now we have to put a child (often with severe pains) on a gurney and take him or her to the examination along passageways, in elevators, amidst dozens of people. Naturally, the risk of in-hospital infections increases. In addition, all experienced physicians know that any transportation of patients in serious condition may aggravate their condition: jolting may cause postoperative complications or dizziness, even up to fainting.
Dear Lina Zinovievna,
Please help us purchase a Mobile DaRt Evolution digital X-ray apparatus (Shimadzu) for seriously ill patients of the intensive care unit and several departments of the Russian Children's Clinical Hospital, since presently the hospital has no working mobile X-ray setups. The setup costs 15,000,000 roubles ($498,200).
Head Physician of Russian Children's Clinical Hospital N.N. Vaganov
Head of X-ray Department T.E. Netsvetaeva
Multichannel EEG System NEUROFAX EEG-1200K with Video-EEG monitoring option - purchased! Cost: €101,200
We would like to ask the Foundation for help in purchasing a 128-channel EEG system NEUROFAX EEG-1200K NIHON KOHDEN with video-EEG monitoring option for the
Department of Psychoneurology-2 of the Russian Children's Clinical Hospital. This apparatus is necessary for examining children with symptomatic focal forms of epilepsy, who may be candidates for surgical treatment. Every year about 100 children with drug-resistant forms of epilepsy due to focal structural brain defects are examined and treated at the Department of Psychoneurology-2. Video EEG monitoring of these children for long periods of time using a multichannel EEG system at a neurological hospital department is necessary for precise identification of epileptogenic zone, paths of propagation of abnormal activity, and, finally, for deciding if surgical treatment of epilepsy in cooperation with the Department of Neurosurgery would be appropriate.
The system costs €101,200.
Head Physician of Russian Children's Clinical Hospital N.N. Vaganov
Head of Department of Psychoneurology-2 E.S Ilyina
The Department of Endoscopic Surgery needs equipment - purchased!
12.07.2008 The Department of Endoscopic Surgery
has asked our Foundation to buy certain kinds of equipment:
"Every day over 40 children receive examinations and treatment at the Department of
Endoscopic Surgery. Many children are in such grave condition that they can be transported
only in the lying position. From four to seven manipulations and surgical interventions
under anesthesia are performed at this department daily. After anesthesia, the children
are transported to a special ward where they spend one or two hours while they wake up.
The problem is that the department has only two gurneys and two special beds, very
old and repeatedly repaired. If the doctors had new gurneys and manipulation tables,
they could make the postsurgical periods of our patients much safer and ensure
fast and efficient transportation of patients.
Your foundation regularly helps the Department of Endoscopic Surgery in purchase
of new and expensive equipment. It would be fine if you could help now, too.
The gurneys and manipulation table cost a total of 430,000 roubles ($18,300).
Deputy Head Physician of Russian Children's Clinical Hospital
A.A. Bologov"
The Department of Medical Genetics urgently needs an Alpha 01 mobile setup
for fast air purification
- purchased!
A problem that has appeared at the Department of Medical Genetics
requires urgent help. Head of the department Sergei Yu. Semykin is telling:
"Dear ladies and gentlemen!
Presently the epidemiological situation at our hospital department is very serious. Sputum
cultures of many children with cystic fibrosis show growth of
Burcholderia cepacia, an extremely pathogenic microorganism. This microbial
agent is dangerous not only for patients with cystic fibrosis but also for those suffering
from immunodeficient conditions, from oncological and hematological diseases.
Infection with Burcholderia cepacia makes our patients' condition much
worse in terms of the main disease and significantly shortens their life
expectancy (the lethal outcome may happen in 2 to 5 years).
Since there are no separate wards at our department, we cannot strictly isolate
children with different kinds of microflora from each other. Therefore, it is important
to disinfect the rooms used by all our patients: wards, lavatories, bathroom, playroom,
dining-hall, treatment room, etc.
There is an efficient method for fast sterilization of air and open surfaces indoors
using an Alpha-01 mobile setup.
This setup removes bacteria, spores, viruses, and microbes from air within a short time.
In this connection, we are asking for your help in purchasing an Alpha-01 mobile setup
for the Department of Medical Genetics. The use of this equipment will prevent
virtually inevitable dissemination of the nosocomial infection into other
hospital departments, especially immunological and hematological.
The cost of the setup is 500,000 roubles ($21,275).
Head of the Department of Medical Genetics
S.Yu. Semykin."
The Department of Endoscopic Surgery
needs an electronic carbon dioxide insufflator (Karl Storz, Germany)
- purchased!
The Department of Endoscopic Surgery (Russian Children's Clinical
Hospital) is the only hospital department in Russia that performs the
entire spectrum of endoscopic manipulations and operations.
The yearly number of examinations performed at our department
is above 3500; among them, there are 300 laparoscopic and thoracoscopic
interventions.
In 2001-2007, we operated 1877 patients with congenital anomalies
and defects and with abdominal diseases (intestinal duplication,
intestinal malrotation, atresia [absence] of rectum and sigmoid
colon, as well as hepatic, splenic, gastric, and esophageal
defects and diseases). Most of these children had major surgeries
involving splenectomy, partial colectomy, cholecystectomy, correction
of the positions of esophagus and stomach.
These surgeries can be performed only if carbon dioxide is continuously
pumped into the abdominal cavity via a special device: electronic
insufflator. The device that we had used before became totally
unfit for further use in December 2007. It is impossible to repair
it any more.
The Department of Endoscopic Surgery urgently needs a
electronic endoscopic carbon dioxide desufflator of model
26430502 (Karl Storz, Germany). It costs 104,073 roubles
($4248).
Head of the Department of Endoscopic Surgery
Artem V. Myzin
The Department of Endoscopic Surgery needs disposable instruments
- purchased!
The Department of Endoscopic Surgery needs disposable instruments and appliances
for major surgeries on children with grave hematological and oncological diseases. Many children
with these illnesses have to undergo serious surgical intenventions with splenectomy or partial removal
of small intestine. These organs have large vessels, which can be quickly and efficiently dissected
and ligated using a LigaSure apparatus, purchased for the Department of Endoscopic Surgery
by your charitable foundation. Thanks to this help, all major surgeries on abdominal organs
are now performed at our department using this apparatus, in compliance with international
standards.
But the LigaSure apparatus requires the use of disposable add-on devices introduced directly
into the abdominal cavity. Without such devices, a surgery involves a higher risk of bleeding,
which is dangerous for a child with blood problems. Recycling of such devices is impossible,
and they are very expensive. In addition, to perform our surgeries, we need disposable
containers, which will allow us to extract organs through incisions with a length no
more than 1 cm."
The total cost of disposable containers and instruments needed by the department
at present (12 positions in the list) is 522,189 roubles ($21,315). We hope
for your help!
Head of the Department of Endoscopic Surgery
Artem V. Myzin
Center for Plastic, Microvascular, and
Reconstructive Surgery needs a Wavetronic 5000 digital radiosurgical apparatus
- purchased!
Physicians working at the Center for Plastic, Microvascular,
and Reconstructive Surgery (Russian Children's Clinical Hospital)
ask for help in purchasing a Wavetronic 5000 digital radiosurgical
apparatus (Loctal Ltd.).
This apparatus has been under testing at the Russian Children's
Clinical Hospital since July 2007. It combines the functions
of a coagulator and a radio-frequency scalpel. It can also work
in pulse mode. Using this device, we have already performed
over 50 surgical interventions: removal of papillomas, fibromas,
angiofibromas, condylomas, pigmented nevi, hemangiomas,
and telangiectasias. The apparatus has been successfully used
in plastic surgery, otolaryngology, vascular surgery, gynecology,
microsurgery, and maxillofacial surgery.
The use of this device speeds up the surgery, which
means that a child will spend less time under general anesthesia.
In addition, the blood loss and the damage to surrounding tissues
are minimized.
During the trial period, the apparatus was shown to be highly
efficient, and it would be extremely beneficial for our patients
if we could buy it for our center.
The approximate cost of the apparatus is 180,000 roubles ($7200).
Head of Center for Plastic,
Microvascular, and Reconstructive Surgery, RCCH
Alexander V. Bystrov
October 23, 2007
The Department of Endoscopic Surgery urgently needs additional instrument kits
- purchased!
The importance of the endoscopic service in providing curative and diagnostic
help to in-hospital patients is traditionally high.
The endoscopic service of the Russian Children's Clinical Hospital
has existed for sixteen years. It has developed from a single room
for diagnostic esophagogastroscopy into one of the key departments
of this specialization in Russia.
The Department of Endoscopic Surgery
is unique regarding the number and quality of examinations performed
there, as well as diversity of disorders thus found. Presently it is the only
department in Russia where the entire possible spectrum of endoscopic
manipulations and surgeries is conducted.
This department annually performs over 3500 examinations, including
about 300 laparoscopic and thoracoscopic surgeries.
In 2001-2006, a total of 657 children with malformations and
diseases of abdominal organs
(intestinal duplication, intestinal malrotation,
atresia/absence of rectum or sigmoid colon;
hepatic, splenic, gastric, or esophageal malformations and diseases)
underwent surgeries.
Most children had major surgeries: splenectomy, partial
removal of the large and small intestines, cholecystectomy,
correction of the position of the intestine and stomach.
A total of 714 surgeries have been performed on girls with diseases
or malformations of the uterus and its adnexa
(removal of ovarian or tubo-ovarian cysts, complete
or partial removal of the uterus and adnexa, plastic surgery and correction
of the position of the uterus and adnexa).
Over the aforementioned period, specialists of the department conducted
over 200 thoracic surgeries for children with diseases and other disorders
of lungs and mediastinal organs.
Among our patients who have undergone surgical interventions, about 30%
children carry the antigens of viral hepatites and CMV infection, TBC
bacteria, or even HIV. After surgical interventions on such patients,
much longer time is required for disinfection and sterilization.
Thus, repeated use of instruments is delayed and the number of surgeries
per week decreases.
Also, long exposure to high temperatures and toxic aggressive media during
sterilization of instruments after surgeries on such patients lead
to early wear and failure of laparoscopic equipment.
The Department of Endoscopic Surgery needs additional instruments,
which would enable us to increase the number of surgeries,
improve the technical level of interventions, and reduce the time
required for in-hospital treatment of each patient.
Here is the list of required endoscopic instruments (Storz, Germany):
* Forceps:
33322 CS (one),
33322 CL (one),
33322 CC (one),
34325 SH (two),
33324 MW (one),
33324 MP (two).
* Scissors:
34325 MS (one),
34325 MA (two),
34325 MW (one).
* Trocar 6 mm assembled
30160 AP (two).
Head of the Department of
Endoscopic Surgery
Artem V. Myzin
The Laboratory of Clinical Cytology needs a device
for fluorescent in situ hybridization in cytogenetic diagnostics
of malignant neoplasms;
The Departments of Oncohematology needs 4 B.Braun space sets
- purchased!
9.10.2007 The heads of the Departments of Oncohematology-16
and -27 ask for urgent help in purchase of equipment:
"The Laboratory of Clinical Cytology at our hospital has long
been needing a VP2000 (Abbott) automatic slide processor for fluorescent in
situ hybridization (FISH). The FISH technique is used for cytogenetic
diagnostics of malignant neoplasms, providing more precise diagnosis
and excluding potentially fatal errors. The VP2000 device automatically
prepares samples for various cytogenetic investigations of pathological
substrates, which is especially important for our hospital, where the
number of laboratory specialists is always insufficient.
In addition, both departments of oncohematology regularly need various
devices, setups, and consumables. For example, most of our infusion and syringe
pumps (Infusomats and Perfusors) have been bought some or another time ago
thanks to sponsorship, mainly via your foundation. However, these apparata
are insufficient now, because part of them are worn-out and old. And, besides,
our departments presently just need a larger number of pumps, since
marrow autotransplantations are sometimes done directly at these departments.
The situation with infusomats and perfusors is critical. We need four B. Braun
Space sets with four devices in each. The total cost of this equipment
is 2.5 million roubles (about $100,000).
Yours respectfully,
Head of the Department of Oncohematology and Chemotherapy D. Litvinov
Head of the Department of Oncohematology N. Myakova
The Department of Craniomaxillofacial Surgery needs a RED II
(Rigid External Distractor) appliance
- purchased!
Patient Olga B-na, aged 14, from an orphanage in the Yegorievski Pogost
settlement (Moscow region) has been admitted to the Department of
Maxillofacial Surgery. Her diagnosis is Saethre-Chotzen syndrome.
It is a serious congenital cranial lesion, which requires long and
expensive treatment. The child has a very severe facial deformation
due to cleft upper lip and palate in combination with median
facial cleft. As a result of such a combination of unfavorable factors,
the child has very serious underdevelopment of the upper jaw with
a deficit of about 3 cm. Traditional schemes used for surgical
treatment of such patients include forward extension of the upper
jaw, but, unfortunately, single-stage extension can amount to
no more than 1 cm. So, a satisfactory cosmetic result
can be obtained after at least three surgical interventions on
the upper jaw. Besides, traditional surgical treatment of the
maxilla will not eliminate deformations of the nose and eye
sockets, and other surgical interventions will be requied.
However, presently there is a chance to use a special
RED
(Rigid External Distractor)
appliance for surgical treatment
in such cases. It is an apparatus for external distraction
of the facial bones, which makes it possible to extend
the upper jaw by more than 3 cm and at the same time
shift the eye sockets and the dorsum of the nose by the required
distance, using only one surgical intervention to bring the
facial proportions to the anatomical standard. Thus, subsequent
surgeries will become either unnecessary or shorter and less serious.
Unfortunately, the RED apparatus is produced only in
Germany
and costs about 10,500 euro.
Olya B-na is completely normal, both mentally and physically.
After the deformation of her facial skeleton is removed, she
will look virtually like any other girl of her age. Later,
this apparatus will be used to treat other patients with
similar pathologies.
Head of the Department of Craniomaxillofacial Surgery
Prof. Andrei V. Lopatin
The Department of Maxillofacial Surgery urgently needs the
SurgiCase CMF software package for 3D craniofacial modeling
- purchased!
Dear colleagues,
Thanks to your help, the Department of Maxillofacial Surgery
is successfully developing at the Russian Children's Clinical
Hospital. Our department helps children with congenital
and acquired defects and deformations of the face and skull.
About 50% patients at our department are either orphans
or children from poor families.
Creation of 3D skull models is necessary to plan surgeries
for this group of patients. Elaboration of the surgical plan
using such models makes the surgery itself much shorter
and provides better functional and esthetic results. However,
manufacturing of one stereolithographic skull model takes
about a week and costs approximately 1000 euro.
Presently the Materialise company (Belgium) has developed
the SurgiCase CMF software product, which performs 3D modeling
of the craniofacial area on the basis of data obtained
using ordinary computed tomography. Moreover, this software
determines the nature of alterations in facial soft tissues
due to bone reconstruction, which is impossible for
stereolithographic modeling. Such a program can model
surgeries for as many children as desired. The package
costs 5400 euro. Considering the cost of a stereolithographic
model, one can see that these expenses will be compensated
after the first six procedures.
Yours gratefully,
Head of the Department of Maxillofacial Surgery
Prof. Andrei V. Lopatin
April 11, 2007
The Department of Marrow Transplantation needs a BIPAP Vision
setup for noninvasive and invasive lung ventilation
- purchased!
Patients of the Department of Marrow Transplantation need
a BIPAP Vision setup for noninvasive and invasive lung ventilation,
which will efficiently provide patients with oxygen directly in
their sterile wards. About 20% patients of our department
develop respiratory insufficiency, which can be due to infectious,
toxic, or immunological complications. When a child is
transferred from sterile conditions at the Department of
Marrow Transplantation to the intensive care unit for
lung ventilation, he or she encounters a high risk of
fatal infectious complications.
The equipment costs 32551,44 euro.
Head of the Department of Marrow Transplantation
Elena V. Skorobogatova
April 11, 2007
The Department of
Endoscopic Surgery urgently needs a LigaSure apparatus for hemostasis
- purchased!
How can one help a child with an oncological disease or grave blood
disorder? Usually the answer to this question includes a serious and
difficult surgery, sometimes a multistage one.
Virtually all such surgeries entail blood losses, which require
transfusions of blood or blood components both during and after the
surgical intervention. But will endless blood transfusions be
beneficial for a child who has almost no red blood cells of his or her own?
Surgeons of the Russian Children's Clinical Hospital perform many
surgeries with endoscopic (that is, through tiny incisions) dissection
of large vessels. Therefore, the child suffers less after the surgery,
and a smaller amount of narcotic analgesics is required.
Even an adult person can become addicted to narcotic analgesics.
And just think of children!
But sometimes it becomes impossible to minimize the surgical trauma
and blood losses, and it can happen that the surgeon's skill and
experience are insufficient to stop the bleeding during an endoscopic
surgery. And a tragedy happens: during this non-stop bleeding, one has
to perform a major surgery with large mutilating incisions,
tubes and tampons in the abdomen. As a result, the bleeding can be
stopped, but there are terrible pains after the surgery, adhesions,
scars across the whole body...
How can we tell this to the child's parents? How can we explain that
we did all we could but finally we still had to make a large incision,
that the child will spend days or even weeks at the intensive care
unit, that additional blood transfusions will be needed?
This situation could be avoided if we had state-of-the-art equipment,
which is functioning in many hospitals in other countries but
not available here because of its high cost.
However, there is a way out. It consists in buying a LigaSure apparatus
for hemostasis. This apparatus makes it possible to perform all kinds
of complex surgeries almost without blood losses and without narcotic
analgesics. It is just our professional duty to admit that we need it
now. But we cannot buy it without financial support. The total cost of this equipment is 567,123 roubles ($21,812).
Head of the Department of Endoscopic Surgery
Artem V. Myzin
and the staff of the department
* LigaSure generator with two pedals and a bipolar adapter;
* LigaSure laparoscopic instrument, D 5 mm, length 35 cm (N 4);
* LigaSure Atlas laparoscopic instrument with a knife, D 10 mm,
length 37 cm (N 3);
* LigaSure V laparoscopic ligature forceps with knife and manual control,
D 5 mm, length 37 cm (N3).
Advanced microendosurgical equipment is needed by the Department of
Ophthalmology; Department of Otolaryngology; and the Center for Vascular,
Reconstructive, and Plastic Surgery
- purchased!
28.07.2006 We thank Vneshtorgbank [one of the largest banks in Russia], which
presented an advanced endoscopic set for complex microsurgeries to
our hospital within the World without Tears charitable project.
The set costs 1,652,381 roubles ($61,200).
Several departments of the Russian Children's Clinical Hospital perform
reconstructive and plastic surgeries aimed at restoring the functioning
of various organs or systems with congenital or acquired defects
and also at recovery of patients with anatomical defects and developmental
abnormalities. Among such departments, one can mention the Center
for Vascular, Reconstructive, and Plastic Surgery; the Department
of Otolaryngology; and the Department of Ophthalmology. The reconstructive
and plastic surgeries performed at these departments are lengthy,
require long general anesthesia, and often evoke painful wounds
and postsurgical bleedings. As a result, the risk of complications
and recurrences increases.
Having contemporary microendosurgical equipment, specialists of
these departments could help many patients with illnesses requiring
reconstructive and plastic microsurgeries: disorders of the vascular
system, nasopharynx, nasal sinuses, oropharynx, tear passages.
Reconstructive surgeries performed using microendoscopic equipment
have a number of important advantages:
Good visual control during the surgery.
Minimum volume of surgical intervention and reduced injury in
comparison with traditional surgeries.
No bleeding during and after the surgery.
No skin incisions on the face, i.e., good cosmetic effect.
Shorter time of surgery under anesthesia, sometimes even the
possibility of surgery or examination without general anesthesia.
Smooth postsurgical period and faster recovery.
Significant reduction of recurrence rate.
Possibility of successful treatment even for patients who were
earlier regarded as incurable.
The number of patients needing such surgeries each year:
At the Department of Otolaryngology: about 350.
At the Center for Vascular, Reconstructive, and Plastic Surgery:
about 100.
At the Department of Ophthalmology: about 100.
The required endoscopic equipment includes
rhinoscopes, monitor, endoscopic video camera;
shavers with nozzles;
high-frequency electrosurgical device;
aspirator-irrigator;
instrument kits;
additional equipment and consumables.
Head of the Center
for Microvascular Surgery, Head of the Department of Reconstructive
and Plastic Microsurgery
Dr. Alexander V. Bystrov
Head of the Department of Ophthalmology
Dr. Igor V. Chinenov
Acting Head of the Department of Otolaryngology
Dr. Svetlana I. Sidorenko
A new set of nozzles and drills for a Servotronic electric saw
- purchased!
Dear ladies and gentlemen!
The Department of Maxillofacial Surgery (Russian Children's Clinical
Hospital) provides treatment to children with congenital defects and
acquired deformations of the craniomaxillofacial area.
Each year, we perform more than 60 surgeries for congenital and acquired
cranial deformations. Children admitted to our department come from
all regions of the Russian Federation. Many of them are either from
poor families or from orphanages.
The main stage in such surgeries is displacement of large fragments
of cerebral and cranial skullbones and their setting in the right
anatomical position. The bone fragments are cut using electric saws
with various attachments.
However, owing to intense use of these attachments, they often get
broken. And, unfortunately, this kind of equipment just cannot be
repaired.
Our department needs a new set of nozzles and drills for the Servotronic
electrical saw. Such a set costs about 5600 euro. We will be extremely
grateful if you help us!
Head the of Department of Maxillofacial Surgery
Prof. Andrei V. Lopatin
The Department of Oncology needs special instruments for endoprosthetic
surgeries - purchased!
For 20 years, since the day of its foundation, our Department of
Oncology has been providing treatment to children and adolescents with
bone tumors: osteogenic sarcoma, Ewing's sacroma, malignant fibrous bone
histiocytoma, and chondrosarcoma. In combination with present-day
intensive chemotherapy, organ-preserving surgeries are now used as an
alternative to amputations.
Throughout the world, the most advanced existing method of preserving
extremities in children with bone tumors is endoprosthetic surgery of
the joints. More than 60 such operations have been performed at the
Department of Oncology over 20 years, and good results have been
achieved. During the last 3 years, we have been using only contemporary
"growing" endoprostheses, which are specially designed for
children and make it possible to elongate the operated extremity so that
it would have the same length as the healthy one. Thus, we preserve the
look and functioning of the upper and lower extremities for patients
with tumors of the tibia, femoral bone, or humerus.
Now we have started using Implantcast endoprostheses (produced in
Germany) in the treatment of our children. This endoprosthesis, the most
advanced one at present, provides the best surgical results,
with almost normal look and functioning of the extremity. However, this
endoprosthesis can be set only using specialized sets of instruments for
the shoulder, hip, knee, and ankle joints. Our hospital does not
possess such instruments now. So, even having an Implantcast
endoprosthesis, we have no technical possibility to perform operations
with it.
We are grateful to all sponsors who are going to help us in buying the
endoprostheses and the instruments for endoprosthetic surgeries.
The instrument kit for the shoulder joint costs approximately 180,000
roubles (about $6700); for the knee joint, 600,000 roubles ($22,200).
Head of the Department of Oncology
Dr. Vladimir I. Kovalev
The Laboratory of Tissue Typing Needs Urgent Replacement
of Some Equipment
- purchased!
06.06.2005
A SmartSpec Plus spectrophotometer worth 210,746.82
roubles (about $7500) has been bought for the Laboratory of Tissue Typing,
Institute of Pediatric Hematology.
We thank Denis and Katya, who made the main contribution ($5000).
Allogeneic transplantation of hematopoietic stem cells makes it
possible to cure over 100 malignant and hereditary blood diseases.
In industrially developed countries, the number of transplantations
is 60-100 per 10 million inhabitants. In Russia, this number is
7-8.
The overwhelming majority of allogeneic transplantations to Russian
children are performed at the Marrow Transplantation Department
and other departments of the Hematology Center of the Russian Children's
Clinical Hospital. In 2004, 41 children received transplantations,
and 11 among them were from unrelated donors.
The first stage in allogeneic transplantation is tissue typing,
which makes it possible to identify a related donor and, if this
donor is lacking, to launch the search for an unrelated matching
donor in foreign registries.
The Protrans apparatus for high-precision tissue typing was installed
at the Research Institute of Pediatric Hematology (affiliated with the
Russian Children's Clinical Hospital) several years ago. It is capable
of finding a matching donor quickly, within two days. Over 500 examinations
conforming to high international standards have been performed at
this laboratory of tissue typing.
Presently, some components of this equipment are out of service,
and so the examinations cannot be performed quickly enough and,
which is the main thing, precisely enough. The laboratory needs
additional equipment. Its necessary element is a spectrophotometer,
which is used for precise determination of the DNA content in any
sample under consideration.
Since state financing of such purchases is not available but the
work of the tissue typing laboratory should not be interrupted (being
of critical importance for the whole process of allogeneic transplantation),
we ask sponsors for help in purchasing this equipment.
The SmartSpec Plus spectrophotometer and the necessary components
cost 210,000 roubles (about $7500).
Head of the Hematology and Marrow Transplantation Center,
Deputy Director of the Research Institute
of Pediatric Hematology
Prof. Alexei A. Maschan
Please help us in buying a pH Day-2 instrument
for 24-hour intragastric acidity monitoring
- purchased!
9.11.2005 A pH Day-2 instrument for intragastric round-the-clock
acidity monitoring has been bought for the Department of Thoracic Surgery
for 192,525 roubles (approx. $6640).
Among patients who undergo medical examinations and treatment
at the Thoracic Department of the RCCH, there are many children
from orphanages and poor families from various regions of Russia.
Presently an increasing number of children suffer from gastroesophageal
reflux disease. More than 50 operations for treatment of this condition
were performed at our department in 2004. For its diagnosis, we
use X-ray examination of the esophagus with barium salt and fibroesophagoscopy.
Unfortunately, this is effective only in 60-70% of all cases. More
precise diagnosis of the reflux disease is possible using 24-hour
pH control. Our department needs about 200 such examinations each
year, and the Department of Gastroenterology also needs them.
Presently our hospital lacks the equipment for such examinations.
This summer, we tested a pH Day-2 instrument produced by Menfis
bioMedica (Italy). We use it to perform more than 50 examinations,
which enabled us to diagnose the children's conditions more precisely
and to elaborate the optimum treatment method in each case. However,
the company took its instrument back after the testing.
In this connection, it would be very good if you could help us
in buying pH Day-2 for the Thoracic Department of the RCCH.
The required sum is 5900 euro.
Head of the Department of Thoracic Surgery
Dr. Tatiana A. Goritskaya
Please help us in buying a nephroureteroscope for the
Department of Urology - purchased!
Specialists of the Urology Department perform many endoscopic operations
on the upper and lower urinary tracts. A novel, recently developed
technique now makes it possible to remove kidney stones according to
an advanced method. This department possesses an endoscopic nephroscope,
which allows us to reveal the presence of stones and other disorders
of the pelvis and ureter. However, many children need removal of
these stones also by low-invasive endoscopic methods. For this purpose,
we must buy a special small (child-size) nephroureteroscope.
Also, the department needs a special lamp as the source of light for visualization
of all objects in the kidney and bladder. All this equipment will
enable the children to receive due treatment without large cuts,
lengthy operations, to extract the stones without much injury and
with little invasion, sometimes to remove capillary tumors and other
neoplasms of the pelvis and ureter.
The estimated cost of the nephroureteroscope is 10,000 euro.
Head of the Department of Urology
Dr. Fuat K. Abdullaev
A Servotronic electric drill is needed
- purchased!
16.09.2005 A Servotronic electric drill worth 220,032 roubles (over $7500)
has been bought for the Department of Maxillofacial Surgery. We thank S.P. Korneev,
whose donation made it possible to buy this surgical instrument, which is so
important for the department.
Thanks to your help, the
Department of Maxillofacial
Surgery is successfully developing at our hospital. Specialists
of this department help children with congenital and acquired defects
and deformations of the face and skull. About 50% patients of the
department are children from orphanages or from poor families.
The surgical work at the department is so intense that instruments
often become broken. For example, now a Servotronic electric drill is out
of function, and so large cranial reconstructions are impossible.
Meanwhile, several patients of the department, aged from 12 to 20 months,
urgently need surgical intervention.
Specialists in repair of medical equipment say that the drill can be
repaired only in 5 or 6 months and the cost of this repair (above $6000-7000)
is comparable to the price of a new instrument.
We will be very grateful if you help us in buying a new Servotronic drill
worth $8000 for the Department of Maxillofacial Surgery.
The Department of Neurosurgery needs an instrument
for neurosonography - purchased!
Patients of the Neurosurgery Department of the RCCH are children
with hydrocephaly of various origins, cerebral tumors, aftereffects
of intracranial hemorrhages, severe cerebral traumas, developmental
defects, purulent diseases of the central nervous system requiring
up-to-date surgical treatment. Most of the patients are very young
chidlren from various regions of Russia and other exUSSR countries
who cannot receive correct diagnosis and adequate treatment at local
hospitals.
About 415-420 children are annually admitted to the Neurosurgery
Department of the RCCH. Among them, 40% are under one year, and
65% are under three years of age. We perform about 250 complex neurosurgical
operations each year.
Among contemporary diagnostic techniques, neurosonography is of
special importance. It also ensures "navigation" during
neurosurgical operations. Neurosonography provides extremely valuable
information when used for navigation purposes in ventriculoperitoneal
shunting, removal of deep-lying cerebral tumors, drainage of cysts
and abscesses in the brain, operations in cases of cerebral hemorrhages,
biopsies. About 600 ultrasound examinations are annually performed
at the Department of Neurosurgery and other departments of our hospital.
The neurosonography device currently available at the Department
of Neurosurgery is outdated and has a low diagnostic capacity.
Buying a contemporary digital ultrasound scanning system would enable
us to achieve a significantly higher success rate in treatment of
children with grave CNS pathologies and to reduce the number of
complications.
The optimum model of the ultrasound scanner for the Department
of Neurosurgery is SonoSite 180PLUS. It costs approximately $35,000.
Head of the Department of Neurosurgery,
Prof. V.V. Palm, M.D.
Please help us in buying a finger pulsoxymetry
sensor for the Department of Anesthesiology and Resuscitation
- purchased!
The MRI laboratory of the RCCH possesses
a unique instrument for monitoring the patient's condition during
an MRI scan (MRI monitor S/5). There are no more such instruments
in Russia. Unfortunately, the pulsoxymetric sensor of our monitor
is currently out of order. This sensor is necessary to monitor the
state of the patient's cardiovascular system during the examination
and also the blood oxygen saturation level (in percent). So we could
monitor the adequacy of the patient's breathing and prevent hypoxia,
which is especially important during lengthy examinations, such as
MRI scans according to the epileptological program (only our clinic
performs such examinations in Russia). Now that the sensor is out
of order, we cannot perform such examinations on anesthesized patients.
Please help us in purchasing this sensor, because the hospital may
need a long time to buy this expensive instrument. It costs $2789.06.
Head of the Anesthesiology and
Resuscitation Department
and surgical ward
Prof. V.S. Kochkin
The 
The 
We would like to ask the Foundation for help in purchasing a 128-channel EEG system NEUROFAX EEG-1200K NIHON KOHDEN with video-EEG monitoring option for the
12.07.2008 The 
Patients of the 
