City Multidisciplinary Hospital No. 2 (St. Petersburg)

City Hospital No. 2 was founded in 1991 . In 1992, a federal loan was allocated, thanks to which, in 1992-1996, with the active participation of German specialists, an additional modernization and reconstruction of the diagnostic and operating units of the hospital was carried out. The result was a hospital built according to European standards: an operating unit for 19 operating rooms, small rooms with separate bathrooms, cozy halls and lounges ^[1] . The hospital was officially opened on July 1, 1993.

Currently, the hospital is the largest specialized multidisciplinary hospital in St. Petersburg and the entire North-West region. The hospital of the City Multi-disciplinary Hospital No. 2 is on a par with the largest federal healthcare institutions in terms of equipment, qualifications of specialists, hospital capacity, complexity of tasks, and the use of high-tech treatment methods. It is a training base for medical universities and research institutes. The hospital is among the ten best medical institutions in Russia. This is the only clinic in the region where a European safety standard has been introduced and is in force for the patient.

The treatment and diagnostic departments are equipped with the most modern equipment and tools, including computer and magnetic resonance imaging scanners, an angiographic complex, equipment and devices for operating and resuscitation rooms, laser diagnostic and manipulation facilities, an automatic laboratory complex and much more.

The structure of the hospital includes city specialized scientific and practical centers (neurosurgery, cardiosurgery, ophthalmology, spinal surgery, intensive pulmonology and thoracic surgery, maxillofacial and plastic surgery), which are headed by prominent scientists from Russia and St. Petersburg.

Over the years, the hospital has rightfully taken a leading position in the region and a strong position in the international market. On the basis of the hospital, city, national and international conferences, symposia and seminars on topical issues of medicine with the participation of prominent scientists from Russia and foreign countries are regularly held, exchange of advanced technologies with foreign partners. The hospital treats more than 40,000 patients every year. Of all those treated in hospitals in St. Petersburg, one in ten is a patient of the city multi-disciplinary hospital No. 2.

Today, hospital No. 2 is actively introducing and successfully using advanced medical diagnostic and treatment technologies:

• angiographic, electrical stimulating and surgical methods in the diagnosis and treatment of atherosclerosis, coronary heart disease, heart failure and cardiac arrhythmias, diseases and injuries of the brain and spinal cord, spine, large blood vessels, organs of vision and other diseases;
• operations using cardiopulmonary bypass in congenital and acquired heart diseases, plastic and valve-guarding operations on the heart and aorta, operations on a working heart;
• video endoscopic interventions and operations with video support on the organs of the chest, abdominal cavity, spine, blood vessels and other organs;
• prosthetics of blood vessels and large joints of the limbs;
• complex treatment of diseases of the lungs and mediastinum, including reconstructive and repeated surgery on the trachea and bronchi (including allotransplantation);
• various methods of extracorporeal detoxification and immunocorrection in surgery, therapy, neurology, etc .;
• diagnosis of psychosomatic disorders, neurosis, depression and other disorders of the neuropsychic sphere. Treatment with various methods of psychotherapy.
• cryosurgery, laser surgery, electrosurgery, microvascular surgery in the treatment of diseases and injuries of the eye, maxillofacial region, genitourinary system and other organs;
• radiation diagnostics (computed and magnetic resonance imaging, dopplerography, ultrasound methods), a variety of functional, laboratory and endoscopic studies in the diagnosis of diseases of all organs and systems;
• all types of surgical care for any disease, including cancer;
• all types of early rehabilitation of patients with surgical and therapeutic profiles, various methods of physiotherapeutic treatment, massage, mechanotherapy, recreational and therapeutic swimming in the pool, water and mud baths work ^[2] .

• Outpatient consultation department (diagnostic unit);
• Department of physical therapy and massage
• City Ophthalmology Center (includes five beds and three auxiliary);
• Physiotherapy room;
• Department of Anesthesiology and Resuscitation;
• Resuscitation and Intensive Care Unit No. 1;
• Resuscitation and Intensive Care Unit No. 2;
• Department of Gastroenterology;
• Department of Gynecology;
• Department of Emergency Cardiology;
• Department of Cardiology No. 1;
• Department of Cardiology No. 2;
• Department of Cardiology No. 3;
• Department of Cardiac Surgery;
• Department of Neurology No. 1;
• Department of Neurology No. 2;
• Department of Neurology No. 3;
• Department of Neurosurgery;
• Department of General Surgery;
• Department of blood transfusion;
• Department of Psychotherapy;
• Rehabilitation department;
• Department of X-ray diagnostic methods of diagnosis and treatment;
• Department of Vascular Surgery;
• Department of Therapy;
• Department of Traumatology and Orthopedics;
• Department of Urology;
• Department of Oral and Maxillofacial Surgery;
• Department of Endocrinology;
• Center for Thoracic Surgery and Intensive Pulmonology (includes three departments);
• Center for spinal surgery.

The department, which is one of the leaders of Russian neurosurgery, is headed by professor, doctor of medical sciences Shulev Yuri Alekseevich.

Hospitalization of patients is carried out in a planned manner, by transfer from the neurological and neurosurgical hospitals of the city. Assistance is also widely provided to patients from other regions of Russia and the CIS countries.

The main areas of surgical activity of the neurosurgical department of the hospital № 2 are:

- treatment of degenerative-dystrophic diseases of the spine (hernias of the intervertebral discs, stenosis of the spinal canal)

- treatment of oncological diseases of the central nervous system (brain and spinal cord tumors)

- treatment of vascular pathology of the brain (ischemic disease of the brain, surgery of cerebral aneurysms)

-functional neurosurgery (treatment of pain syndromes, in particular trigeminal neuralgia , hemifacial spasm , glossopharyngeal neuralgia)

- treatment of peripheral nerve damage

- treatment of traumatic brain injury

The department is equipped with modern operating rooms (equipped by Carl Zeiss ), operating microscopes, endoscopic and stereotactic units, an ultrasonic destructor, equipment for intraoperative neurophysiological monitoring. This allows you to carry out the full range of neurosurgical surgical interventions at a high technical level. The neurosurgical department is designed for 60 beds.

Surgical activity in 2010 was 79%, which is one of the highest rates in the city among neurosurgical hospitals.

The development and further implementation of new surgical interventions based on the principles of minimally invasive neurosurgery continues - the removal of tumors of the chiasmal-sellar region with transsphenoidal access using endoscopic assistions, removal of tumors of the base of the skull, plastic surgery of the peripheral branches of the facial nerve, instrumental fixation of craniovertebral articulation in traumatic joints. Minimally invasive interventions are introduced without creating an interbody block in degenerative-dystrophic diseases of the cervical spine.

The technique of microvascular decompression of the cranial nerves in the cerebellopontine angle has been improved. Intraoperative electroneuromyographic monitoring with microvascular decompression due to hemifacial spasm has been introduced into practice, which also improves the treatment results of patients suffering from this disease. Monitoring of the integrity of the facial nerve during interventions in the area of ​​the cerebellar cerebellar angle (vestibular schwannomas, basal meningiomas) has been introduced into routine practice, which has improved the functional results of treatment of this group of patients. A comparative statistical analysis of the department’s work shows that the register of performed diagnostic manipulations and surgical interventions corresponds to the multidisciplinary nature of the medical institution.

Scientific works of the department’s employees are published in leading periodical scientific journals in Russia and the world. ^[3] , ^[4]

• The official website of the head of the first neurosurgical department of the city multidisciplinary hospital No. 2 and the professor of neurosurgery Shuleva Yu.A.
• Official site of the city multi-disciplinary hospital № 2