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ПРОЧИТАЈ ПОВЕЌЕ

ПРОЧИТАЈ ПОВЕЌЕ

• Benign breats diseases ( cysts, fibroadenoma, itraductal papilloma, abscesses and other benign surgical breasts diseases)
• Wire-guided localization in non-palpable and small suspicious breast lesions (microcalcifications)
• Malignant breast cancer ( small and radical surgical interventions)
• Reconstructive breast surgery

• Surgery treatment of benign thyroid gland diseases ( cysts, nodules, benign tumors, functional disturbances, diffuse struma and other benign conditions)
• Thyroid gland carcinoma and their surgical treatment( partial, subtotal and total thyoidectomy with or without removal of neck lymph nodes(neck dissection)

• Benign and malignant diseases of the chest wall ( chest wall resection with possible use of muscular flaps or synthetic materials)
• Chest deformities, pectus carinatum, pectus infundibuliformis- by using the minimally invasive surgical method by Nuss or by using the classical surgery technique by Rawitch

• Use of VATS ( Videoassisted thoracoscopic surgery)
• LVRS- Lung Volume Reduction Surgery ( reduction of pathologically changed lung tissue), method that is used in the treatment of lung emphysema
• Surgical treatment of echinococcus disases ( dog tapeworm), with open surgical methods or by use of VATS- Videoassisted thoracoscopic surgery
• Surgical treatment of lungs benign conditions(cysts, bulla, abscesses, benign tumors) by use of VATS or open thoracotomy
• Lungs carcinoma
• Radical lung resections with lymphadenectomy with use of staplers and other modern surgical apparatus and instruments
• Lung metastatic tumors
• Use of VATS- Videoassisted thoracoscopic surgery or use of open resections with use of laser technologies in the treatment of lungs metastatic changes
• Minimally invasive lungs or pleural biopsy
• Mediastinoscopy( biopsies from mediastinum)
• VATS talk of recurrent pleural effusions
• Placing pleural catheters while existence of pleural effusions
• Contemporary surgical treatment of all types of pneumothoraces by use of Videoassisted thoracoscopic surgery- VATS

• Surgical treatment of varicose veins with the use of:
• Radiofrequency ablation (VNUS)
• Laser treatment
• Treatment with open surgical methods
• Sclerotherapy

• Diagnostics of acute and chronical diseases of Ear, Nose and Throat
• Child ENT
• Video- endoscopic examination of upper respiratory tract
• Alergy testing and treatment
• Hearing and balance diseases
• Voice and speech disorders (hoarseness, speech aid prosthesis)
• Taste and smell disorder
• Diagnostics and treatment of sleep apnea
• Diagnostics of tumor skin changes of head and neck
• Inhalations, aspirations, air therapy

• Third tonsil and tonsils
• Deviated nasal septum
• Plastic operation of nasal pyramid
• Thicked and bullosic changed nostrils
• Polyp in nose and sinuses
• FESS
• Sinoscopes
• Microlaryngoscopy( polyp and papilloma on vocal cords)
• Biopsy of tumorous changes in throat
• Parcial resections of larynx ( cordectomy), laringectomy

• Laser treatment of polypose and papilomatose changes in throat and vocal cords (ML- scopy, abrasion ,ablation)
• Laser treatment of tumorous changes in throat(larynx)
• Laser treatment of ( concha bullosa and concha hypertrophy)
• Laser treatment of nose polyp ( polypectomy nasal)
• Ablation of lymph nodes in neck
• Laser treatment of moles and other pigmented tu skin changes on head and neck – Laser treatment of Sleep apnea (laser interventions)
• Surgical corections and aesthetic interventions of head nad neck changes
• Ear shells

• Removal of scar changes and tattoos
• Correction of facial and neck wrinkles (Restylane)

• Consultation diagnostic procedures
• Complete infection screening (urinoculture, sperm culture, urethral swab, Chlamydia testing, HPV)
• Screening of prostate cancer- tumor marker PSA investigation and Transrectal prostate ultrasound, with prostate biopsy (TRUS – biopsy);
• Uroflowmetry
• Treatment and diagnosis of erectile dysfunction
• In cooperation with the in vitro fertilization department- diagnosis of sterility in men
• Diagnosis of urinary calculus
• Cystoscopy
• Placing urethera and J-J probes and bougienage, conservative prostate carcinoma ( antiandrogen therapy) and bladder tumors ( intravesical installation of BCG and Mytomycin)
• Treatment and diagnostic of erectile dysfunction

• Treatment of kidney calculus
  Minimally invasive treatment of kidney calculus with a breaking kidney stone apparatus (ESWL), endoscopic treatment of urethreal stones ( ureterorenoscopy with lithotripsy), endoscopic treatment of bladder stones.

Screaning of prostate carcinoma – tumor marker PSA investigation and Transrectal prostate ultrasound, with prostate biopsy (TRUS – biopsy);

• Laparascopic procedures
  Laparascopic urology is used completely in all urologic interventions- Radical prostatectomy, radical nephrectomy, correction of stenotic UP segment, excision of kidney cyst. The interventions are conducted with participation of D-r Zoran Krstanoski, urologist form R. Slovenia, who has many years experience in laparascopic urology.
• Microsurgical procedures
  Novelty in the IVF program at Re – Medika are the microsurgical procedures in the treatment of male sterility – especially micro tese and microsurgical procedure after the varicocele treatment.
• Transurethral surgery
  Transurethral resection of bladder tumor and transurethral resection of prostate and resolving the urethra structure – urethromy intera.
• Complete diagnostic of urinary calculus
• Cystoscopy
• Classical ( opened surgery procedures- nephrectomy simplex; radical nephrectomy; radical prostatectomy, correction of stenosis on uretheropielic neck; uretherocystoneostomy).
• What is laser prostate surgery
  The photo selective vaporsation of prostate with “Green-light laser” is a relatively new technology in the treatment of BPH. According clinical results, it has proved as an equivalent method of TUR-P. In the 7-years- clinical experience, over 370000 patients have been treated, presented in over 100 clinical articles and 150 published abstracts, which confirm safety and efficiency of the method: -risk absence for TUR- syndrome, liquids absorption or blood transfusion and less than 1% reported cases of erectile dysfunction. The mechanism of action is, interference of laser beam with oxyhemoglobin from the prostatic tissue, in watery area, enabled by specific wave length -532nm, with the power to 120W and energy of 275KJ that enables penetration into the tissue to 4mm, during work temperature from 55 and 85 degrees.
• Procedure
  When the patient is under anesthesia and lithotomic (gynecologic) position, the intervention begins, first, with an examination of the urethra, bladder and prostate under eye control, with optic instrument- cystoscopy, and then a fiber optic is used that emits laser beam with the previously mentioned wave length. The high temperature and the mentioned wave length from the laser beam with the use of watery area, and the constant wash out with physiology solution, causes vaporization- prostate melting, so the extra tissue is being eliminated and a urine channel with a larger lumen is done. Following the intervention, a urinary catheter is placed. Postopearation- there are no additional treatments with wash outs or blood transfusion or blood products, which is usual for all other prostate surgeries. The postsurgical laboratory analyses do not differ in great way from the ones done before surgery, and that applies for the hemoglobin values and hematocrit values, as referents of blood loose.

  It is a minimally invasive procedure, bleeding and damaging the areal tissue is minimal, so usually patients are discharged from hospital the same day or the following day. The urinary catheter is displaced after 24 hours. The patient returns to his activities the next day after the procedure and the physical activity must be avoided in the period of two weeks.

• Advantages of the Green-light treatment
  It is suitable for the operation risky patients- cardiovascular risk ( heart diseases), sick people with anticoagulant therapy. The time of the interevantion is relatively short- 40-60minutes. There is a good visibility and no blood loose. The period of catetherisation is short- 1 day. Short period of hospitalization. No need of blood therapy and blood derivates. Fast recovery.
• What are the adventages of the laparascopic prostatectomy and where it is done in Macedonia
  This procedure in Macedonia is conducted exclusively in our hospital. The advantage is in the short period of patient’s hospitalization, minimal blood loose, minimal distress, fast and easy recovery, taking out of the catether the 7th day after surgery.
• What is micro tese -biopsy of testicles
  Only in Re-Medika the microsurgical procedures are conducted in the area of in vitro fertilization, when there is sterility in men. These types of interventions allow precise sperm extraction from testicles under microscopic control. The results are obvious and far better than the conventional testical biopsy.
• What is the most accurate biopsy for proving the prostate cancer
  Using endorectal probe, the most sophisticated one by TOSHIBA manufacturer, through the rectum an image for the size, form, structure, limitations, the weight of the pathological prostate blood supply are gained, as well as the possible pathological changes of tissue that may be with malignant characteristics. Only in this way may the required information be gained for the prostate condition, while the prostate echo examination through abdomen (transabdominal ultrasound of prostate) has got many weaknesses, i.t., only the size and the weight of the prostate may be determined. As a written rule- EAU guidelines, is the principle of abstracting pieces of prostate tissue, after the so- called Vienna protocol for prostate biopsy, usually 6+6 cylinders prostate tissue, of 15-20mm length.