Head of the Department Artem Valentinovich Myzin, M.D.

The Department of Endoscopic Surgery, RCCH, was founded in 1990, and presently it is a unique endoscopic center for Russia. Its specialists provide virtually all kinds of endoscopic diagnostic procedures and treatment techniques for children with congenital or acquired disorders of the gastrointestinal tract or bronchopulmonary system, otolaryngologic problems, hematological and vascular diseases.
The department occupies over 500 sq.m., and this area enables us to keep examination rooms and auxiliary wards in complete accordance with international and sanitary standards. To perform laparoscopic and thoracoscopic operations, we have rooms for regular planned surgeries and for emergency ones.
Over 3500 examinations are annually conducted at our department (fibroesophagogastroduodenoscopies, ileoscopies, retrograde cholecystopancreatographies, fibrocolonoscopies, broncho- and rhinoscopies, laparoscopies, thoracoscopies) from children from 1 month to 17 years old. The share of endosurgical interventions is about 15%. Some surgeries are widely used in our daily practice: endoscopic polypectomy; electrical and laser coagulation of esophageal, tracheal, and bronchial stenoses; treatment of varicose esophageal veins; laparoscopic surgeries in children with abdominal or gynecological disorders. In 2001-2006, we operated 657 children with defects, malformations, and diseases of abdominal organs (intestinal duplication, intestinal malrotation, atresia/absence of rectum and sigmoid colon; hepatic, splenic, gastric, and esophageal malformations and diseases). Most children underwent major surgeries: splenectomy, partial removal of the large and small intestine, 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 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, we conducted over 200 thoracic surgeries for children with diseases and other disorders of lungs and mediastinal organs.
In accordance with a special program of the Russian Ministry of Public Health and Compulsory Medical Insurance Foundation, videoendoscopic equipment of the EVIS-160 series (Olympus) was delivered to the Russian Children's Clinical Hospital in May and June 2002 and completely installed by July 1, 2002.
The rich stock of endoscopic equipment (over 30 endoscopes of various models) enables up to use an individual approach for selection of endoscopes depending on the patient's age, clinical situation, and aim of examination or manipulation.
The possibility of using several endoscopes in turn during our work, the use of an EW-30 washing machine and a KS-2 ultrasonic cleaner make it possible to perform more examinations and treatment procedures owing to automatization of the disinfection and sterilization process, which is performed under an exhaust hood with artificial ventilation.
A computer database of documents on endoscopic examinations was created in 2002. The use of video equipment in combination with computer technologies has enabled us to create a large video archive featuring the most serious or rare disorders.
The staff of our department works in close cooperation with the Departments of Pediatric Surgery, Childhood Diseases, and Clinical Pharmacology of the Russian State Medical University. Three Ph.D. theses and one doctoral thesis have been defended. We annually publish over 10 papers on endoscopic diagnostic examinations and treatment in central medical journals. We participate in congresses of child gastroenterologists, meetings of the Russian Society of Alimentary Tract Endoscopy, conferences on contemporary problems in coloproctology. We have submitted 15 innovation proposals and three inventions.
The availability of contemporary techniques makes it possible to perform complex diagnostic and endosurgical procedures, and the use of information technologies helps in providing early diagnosis and adequate treatment.

For details, see the Web site of the Department of Endoscopic Surgery, RCCH, at
http://rosendo.ru [in Russian only]

Phone (495) 936-90-87, 936-93-87