The department was established in 1981 on the basis of one of the oldest children's hospitals in Moscow - Children's Clinical Hospital No. 20 named after K.A. Timiryazev, which occupies a central place in providing emergency care children with surgical pathology and injuries in the structure of Moscow healthcare. (Photo 1)

Given the vast practical experience and the rapid development of innovative technologies, in 2003. by order of the Moscow government on the basis of the children's city hospital No. K.A. Timiryazev created the Research Institute of Emergency Pediatric Surgery and Traumatology (Director - Prof. L.M. Roshal). (photo.2)

At present, the NII NDKhT is a scientific-practical and educational-methodical center with wide medical and diagnostic capabilities, excellent conditions for the provision of medical care and the stay of patients.
The permanent head of the department since 1981 is a world-famous pediatric surgeon prof. L.M. Roshal

The main objective of the institute is to provide effective medical care to children with emergency surgical, neurosurgical and traumatological pathologies in Moscow in order to reduce mortality, disability, improve health and quality of life based on the optimization of pre-hospital, specialized hospital and rehabilitation care.

The main direction of the department's work is the optimization of emergency care for children with acute surgical diseases and trauma at all stages of its provision. (photo.3)

The priority development in the department was the use of minimally invasive technologies: diagnostic and operative laparoscopy; (photo 4) methods of extrafocal functionally stable osteosynthesis, arthroscopy, neuroendoscopy. Methods of osteosynthesis with bioresorbable implants are being actively introduced into practical work. Considerable attention throughout the entire existence of the department is given to the problems of purulent surgery and the treatment of purulent-septic diseases in children. The department has developed a comprehensive program for the differentiated treatment of appendicular peritonitis in children using minimally invasive technologies (laparoscopy, percutaneous puncture and drainage under ultrasound control); a program for the treatment of purulent and primary infected wounds using active drainage methods, laser radiation, low-frequency ultrasound and specialized dressings with early reconstructive and restorative surgical treatment.

The priority development in the department was the use of minimally invasive technologies: diagnostic and operative laparoscopy; (photo 4) methods of extrafocal functionally stable osteosynthesis, arthroscopy, neuroendoscopy. Methods of osteosynthesis with bioresorbable implants are being actively introduced into practical work. Considerable attention throughout the entire existence of the department is given to the problems of purulent surgery and the treatment of purulent-septic diseases in children. The department has developed a comprehensive program for the differentiated treatment of appendicular peritonitis in children using minimally invasive technologies (laparoscopy, percutaneous puncture and drainage under ultrasound control); a program for the treatment of purulent and primary infected wounds using active drainage methods, laser radiation, low-frequency ultrasound and specialized dressings with early reconstructive and restorative surgical treatment.

The Department of Anesthesiology and Resuscitation is located in a modern building that meets all sanitary and epidemiological, medical and social standards and is equipped with the latest equipment that allows to carry out all modern methods intensive care and resuscitation, as well as all modern views anesthetic support, including regional and conduction methods of anesthesia for emergency and planned operations in children:
- Philips MP60 multi-module tracking system connected to a network of monitors connected to the central station;
- Servo-i breathing apparatus, with a respiratory function monitor in intensive care units and Siesta anesthesia and respiratory apparatus in operating rooms; (photo.7)

From unpredictable situations, as a result of which health suffers, no one is immune. Immediate assistance helps to avoid serious complications. It is especially important to respond in a timely manner when it comes to the health of the child. emergency health care is the main activity of the Research Institute of Pediatric Traumatology and Surgery in Polyanka.

Basic information about the medical institution

It was created relatively recently. The first patients began to come here only in 2003. Despite a short history, the hospital quickly gained the trust of patients. Specialized medical care here is really on high level. The work is aimed at solving several problems. First of all, this is emergency care for minor patients requiring surgical intervention. Most of the work is also occupied by research activities. Specialists are looking for new ways to solve problems associated with acute surgical diseases.

The medical institution is located at the address: Moscow, Bolshaya Polyanka street, 22. The consultative diagnostic department is open daily, except Saturday and Sunday. Emergency medical assistance can be provided around the clock.

The Research Institute of Emergency Pediatric Surgery and Traumatology is a place where first aid will be provided to a child with high quality. The best specialists of Russia work here. There are more than 400 employees, including professors, scientists, doctors of the highest category. All specialists are proficient in modern methods of therapy and diagnosis of patients with complex pathologies. Quite a few good reviews you can also hear about the average medical staff. Nurses know how to work with young patients.

It is also possible to achieve good results thanks to modern equipment. The technology used to deliver primary health care could bring an institution to the level of European clinics. This is the merit of numerous sponsors who do not leave little patients in need of emergency care in trouble.

The development of the institute would not have been possible if the management had not invested maximum efforts in its work. Roshal Leonid Mikhailovich - President of the Research Institute of Pediatric Traumatology and Surgery. A public figure, the professor also finds time for the therapy of small patients.

Consultative and diagnostic department

The department on the basis of the institute began to function in 2010. Here is the district in which care is provided for small patients, if hospitalization is not required. Services can be provided both urgently and by appointment. Patients who come for a scheduled examination must first have a card at the reception, then take a coupon to the desired office.

At acute pain emergency assistance may be provided. The structure of the district trauma center includes a purulent dressing room (for the treatment of infectious wounds), a plaster one (bandages are performed here for various injuries), and an x-ray room. The department has the necessary equipment to quickly determine the location of the injury, its severity.

Emergency and emergency medical care is provided to minors with neurosurgical pathologies, diseases of the musculoskeletal system, traumatic brain injuries, and complex surgical pathologies.

Department of Traumatology and Disaster Medicine

The Polyanka Research Institute of Pediatric Traumatology and Surgery is the place where the latest methods of treating skeletal injuries are applied. It is here that minor patients get after car and domestic accidents. The Department of Traumatology and Disaster Medicine is equipped with all the necessary equipment to respond urgently to any serious situation. The hospital's arsenal includes electro-optical converters, equipment for emergency anesthesia, lung ventilation, radiopaque operating tables, mobile units for ultrasound and X-ray diagnostics.

The specialists of the institute have the skills to treat the most complex injuries of the musculoskeletal system. Minimally invasive techniques are used that increase the chances of a full-fledged life of the child in the future.

In most cases, fractures in children do not require surgical treatment. It is enough to perform manual stabilization of bone fragments, correctly apply a plaster cast. Junior medical staff has all the necessary first aid skills.

Due anatomical structure In preschool children, injuries of the knee joints are common. For the treatment of injuries within the walls of a medical institution, a modern technique is used - arthroscopy. There is no need to make an incision that leaves a scar for life. The specialist performs several punctures in the area of ​​the damaged joint, introduces a video camera (for diagnostic purposes), as well as surgical instruments.

Serious injuries require complex surgical interventions on the musculoskeletal system. The Research Institute of Emergency Pediatric Surgery and Traumatology is a place where specialists provide assistance to small patients as delicately as possible. This reduces the risk of complications during the rehabilitation period.

Department of Neurosurgery and Neurotrauma

The Research Institute of Pediatric Traumatology and Surgery at Polyanka is currently the leading medical institution in Moscow dealing with the treatment of serious traumatic brain injuries in children. The technique of microsurgical and endoscopic operations is owned by specialists far from all clinics. Institute doctors regularly improve their knowledge, attend international conferences, gain experience in foreign medical institutions. Thanks to this, the research institute is able to carry out complex operations and save the lives of young patients.

The Institute has a good diagnostic potential, which makes it possible to treat children with complex neurosurgical pathologies. The arsenal of the medical institution includes CT and MRI devices, equipment for electroencephalography and neurosonography. The laboratory operates around the clock, allowing you to quickly examine the damaged tissues and blood of young patients. Children who are registered in Moscow and the Moscow Region receive neurosurgical care free of charge.

Operations department

This includes children with urgent pathologies requiring surgical interventions. The block has six operating rooms. Research Institute of Pediatric Traumatology and Surgery (Bolshaya Polyanka) is a medical institution equipped with advanced technologies. This is manifested not only in the treatment and diagnosis, but also in the arrangement of departments. Thus, air exchange systems operate in the operating unit, which allow maintaining a normal atmosphere in the wards with severe patients. After surgery, children are on multifunctional beds. Small patients feel comfortable, the risk of bedsores is reduced.

In the operating unit there is equipment for low-traumatic surgical interventions. These are laser, electrocoagulators, ultrasonic equipment. In many clinical cases, modern techniques can be used to avoid blood loss during operations. In case of force majeure, the Polyanka Research Institute of Pediatric Traumatology and Surgery has an autonomous power supply system. All operating rooms are equipped with additional energy sources.

Department of Purulent Surgery

Failure to provide timely primary health care when a child is injured increases the risk of infection. In this case, slight damage can lead to serious complications. Purulent-inflammatory diseases of soft tissues in young patients are treated by specialists from the Department of Purulent Surgery. This also includes patients with osteomyelitis, as well as a complex form of appendicitis. The department uses modern diagnostic methods, including laparoscopy. Thanks to this approach, specialists are able to identify the localization of the infection, select antibacterial drugs taking into account the sensitivity of pathogenic microflora.

The Department of Purulent Surgery is located in the modern building of the Institute. Up to 50 small patients can be accommodated here at the same time. There are wards where children can stay with their parents. Additionally, there are rooms for massage, physiotherapy exercises, physiotherapy procedures. Here, patients undergo rehabilitation after surgical interventions.

intensive care unit

Patients often come to the Polyanka Research Institute of Pediatric Traumatology and Surgery in a serious condition. Wanted resuscitation allowing to restore the functionality of the main body systems. The department can accommodate 18 patients at the same time. The beds here are arranged in such a way that assistance to the patient can be provided without delay. Junior medical personnel are on duty around the clock near the children.

Near each bed there is equipment that allows you to constantly monitor the life systems of a sick child. Heart rate is measured regularly arterial pressure, pulse. Modern methods of bedside diagnostics allow you to urgently respond to the rapid deterioration of the patient's well-being.

The department has a special ventilation system that allows you to maintain a normal atmosphere in the room where the patient stays for a long time.

Department of Rehabilitation

Timely assistance to the child is only half the success. The period of rehabilitation is decisive. If the specialists do everything right, even after a serious injury, a small patient will be able to lead a full life. The department employs doctors who help to eliminate physiological, somatic, psychological disorders that have arisen as a result of a traumatic brain injury. The work uses an integrated approach. This includes physiotherapy procedures (therapeutic baths, massage, exercise therapy), consultations of a speech therapist, psychologist, cardiologist, ophthalmologist and other related specialists.

Rehabilitation hospital and are closely related. The specialist decides whether the patient will be hospitalized or rehabilitation measures can be carried out on an outpatient basis. The work is carried out taking into account individual features the patient's body. The rehabilitation process necessarily includes family members of a sick child.

Department of Psychological and Pedagogical Assistance

To face a violation of mental functions to have after a serious traumatic brain injury. The department employs qualified specialists who allow patients to restore speech and communication skills. After suffering injuries, children have to go through a long path of rehabilitation, and the help of a psychologist is required. Often support is needed not only for the child, but also for adult family members.

When working with young patients, play therapy shows good results. The arsenal of the medical institution has everything you need to work with children: pencils, colored paper, plasticine, etc.

Research activities

The activities of the Research Institute of Pediatric Traumatology and Surgery are aimed not only at providing, but also at finding new ways to treat difficult patients. It is mandatory to maintain a unified information system that allows recording all clinical cases faced by specialists of a medical institution. Started for each patient In this way, it is possible not only to archive information about patients at the lowest cost, but also to find the necessary data as quickly as possible when the patient re-admits.

Information support of the scientific and practical activities of the institute is carried out with the help of the scientific and medical library. It stores not only time-tested, but also modern literature on surgery, traumatology and other related branches of medicine. A significant contribution to the development of the library was made by the president of the research institute, Roshal Leonid Mikhailovich.

"Doctor from God" - this is how they say about those specialists who, sparing no effort and time, practically bring back the most hopeless from the abyss of non-existence. These are people who can rightly be awarded the title "Doctor Life". In their "golden" hands, it acquires a different, deeper meaning.

Doctors from God are disinterested, they sincerely rush to help anyone who is in trouble. And there is neither time nor space for them. Leonid Roshal is one of the few who are considered as such. He is known in many countries as a first-class specialist, as a person with a good heart, ready to fly to anywhere in the world. He is not afraid of the consequences of earthquakes and tsunamis.

Dream of becoming a doctor

Born Leonid Roshal from the city of Livny, in the Oryol region. The doctor's father was a pilot, because of which the family often had to move from place to place. Leonid's mother dreamed that her son would follow in his father's footsteps and also become a military man. But fate decreed otherwise. Even at school, he had a desire to become a surgeon. Having studied at school and received a diploma of secondary education, without much thought he applied to medical institute them. Pirogov.

And he chose the specialty of a pediatric surgeon. Leonid Roshal, while still a student, showed interest in the field of pediatric traumatology. His brilliant career began with work in a regular clinic. Also Dr. Roshal is a world famous pediatrician.

He has two dissertations behind him. He defended his PhD in 1960, his doctorate ten years later. All this time he worked as a senior researcher at the MONIKI named after M. F. Vladimirsky. Leonid Roshal is highly qualified as a pediatric surgeon, he himself has developed several methods for the treatment various diseases and problems in traumatology and neurosurgery of the early age group.

The history of the Roshal children's clinic in Moscow

The first mention of a medical institution dates back to the 19th century. Like all medical institutions of that time, a hospital was opened in Moscow at the expense of the Iberian community of sisters of mercy of the Red Cross. They bought a three-story mansion on Malaya Yakimanka and placed in it two wards with six beds for all those in need of medical care.

Over time, the hospital began to develop. With the help of the philanthropist Z. G. Morozova, two additional buildings were rebuilt and opened. In those days, the hospital was equipped with the latest science and technology. Here, in addition to the wards, there was not only an operating room, but also an X-ray room, almost the only one in all of Moscow.

From the hospital to the clinical base of the research institute

Doctors received the population, identified diseases, prescribed therapy. The hospital even had its own laboratory, where studies were carried out to clarify the diagnoses. The sisters of mercy of the Iberian community, and indeed the entire staff of the hospital, took an active part in providing medical care to each patient who turned to them. To the first world war the buildings housed a hospital, and after the revolution - a city hospital.

The favorable location of the buildings was best suited for receiving children, and already in the 1920s they became the main patients here. Talented doctors have worked here for many years, and the wise leadership has changed more than once. The hospital developed rapidly and already in 1982 became the clinical base of the department emergency surgery. In the same year, Leonid Roshal came to the post of chief physician.

Little fidgets and injuries

The clinic in Moscow is open around the clock and for everyone. The disease does not ask what faith or nationality the child is. Within the walls of the hospital, highly qualified doctors provide assistance, even if a simple consultation is needed, not to mention more complex situations when surgical intervention is required. Emergency measures are taken immediately. Children are mobile, swift and naive. They want to quickly get to know this world and often do not understand how many dangers it is fraught with.

Roshala accepts children with various injuries, including severe craniocerebral, spinal compression, and joint damage. Because of their curiosity, restless boys and girls different ages there are also construction sites, explore rivers, ponds and mountains. Unfortunately, often this ends with a fall from a height, fractures, drowning. The doctors of the Leonid Roshal clinic in Moscow help everyone without exception.

Initial examination and diagnosis

The first department where the child enters is the reception. Here, doctors conduct an examination and immediately decide where to send the little patient next. The department itself is equipped with the latest equipment, oxygen supply is installed in separate boxes, there are systems for infusion therapy. In order not to waste time in vain, emergency operations and resuscitation can be carried out in the emergency department.

This is an anti-shock ward, where there is the equipment necessary to clarify the diagnosis. If a child with injuries was admitted to the tests, they are taken immediately. The necessary research will be done on an emergency basis, which sometimes becomes a salvation for those who find themselves between life and death. There are also diagnostic rooms nearby. Their location is so thought out that it significantly improves the quality of treatment and makes the Roshal clinic in Moscow one of the best.

The latest developments and methods of treatment

More than 2,500 children pass through the Department of Traumatology and Disaster Medicine every year. This department is equipped with a hospital, where equipment for computed tomography, radiography, MRI, ultrasound of the joints and soft tissues is installed. For the treatment of bone fractures, the latest developments and techniques are used, the author or co-author of which is Leonid Roshal.

The restlessness and pampering of children often leads to joint injuries, especially the knees. In Moscow, at the Roshal clinic, doctors often use arthroscopy. This is a modern surgical procedure that minimizes the risks associated with joint surgery. It passes without incisions with the help of an arthroscope through small holes. This procedure allows you to assess the degree of damage to the joint, determine the exact localization of the injury and make a conclusion about the advisability of radical surgery.

The address of the clinic of Leonid Roshal in Moscow

The Department of Traumatology operates around the clock. And such an operation can be carried out at any time of the day. Over many decades, the doctors of the clinic have accumulated considerable experience in the diagnosis and treatment of injuries of various origins. To resolve controversial issues in the diagnosis, specialists appoint a council, where the correct and most accurate decision is made. You can get quality help at the Roshal clinic in Moscow at the address: st. Bolshaya Polyanka, house 22. This is next to the Tretyakovskaya metro station.

Medical care is provided free of charge, except for that which is not included in the "Program of state guarantees for the provision of free medical care to citizens of the Russian Federation." Chambers of enhanced comfort or additional services at the request of citizens can be paid. The quality of services is at a high level, as evidenced by the reviews of the Roshal clinic in Moscow.

Parents of affected children often note the attentive attitude of the staff, the responsiveness of doctors and nurses. We are especially grateful for the timely procedures and difficult operations, which most often end successfully.

Neurotraumas and their treatment

Currently, such an industry as neurosurgery is actively developing. Specialists in this field are engaged in surgical treatment of various head injuries, congenital diseases, hydrocephalus, defects of the central nervous system, spinal cord injuries, brain tumors. The Department of Neurosurgery of the Research Institute for Emergency Children's Care is currently the leading one among similar institutions in the city of Moscow.

Highly qualified doctors have extensive experience in performing the most complex operations. The Department of Neurosurgery annually performs several thousand unique microsurgical and endoscopic procedures. It is equipped with the most modern medical equipment. For the treatment of children with neurosurgical diseases, doctors have a powerful research arsenal at their disposal. These are MRI, computed tomography, neurosonography, round-the-clock laboratory diagnostics.

Rehabilitation in the early stages and outpatient

Upon admission of a child with a formidable disease, in addition to surgery, restorative procedures may be prescribed. The clinic pays great attention to the rehabilitation of children. It can be classical physiotherapy exercises, massage or pressure chamber. Any disease, of course, is easier to prevent than to cure. But if there was a trouble, in addition to the correct diagnosis and treatment, rehabilitation measures are vital.

The clinic has departments whose activities are aimed at restoring motor functions organism. Sometimes it happens that specialists perform such activities already in intensive care and work with their patients throughout the entire time of his stay in the clinic. You can also seek help on an outpatient basis, for this you need to contact the above address of the Roshal clinic where you can ask questions of interest, listed on the official website of the institution: http://www.doctor-roshal.ru/parents/contacts/.

Motion therapy and robots

In the department of physical therapy, mechanical and kinesiotherapy, a sick child is helped to strengthen the muscular corset and reduce spasms, and prevent muscle atrophy. Therapy can be carried out directly in the ward using unique restorative techniques. One of the most effective is kinesiotherapy, that is, movement therapy.

Such exercises are used in the early stages of the disease. The varieties of kinesiotherapy include hydrokinesiotherapy (treatment by movement in water). Another environment that can maximally relax the muscular system allows you to achieve amazing success. With such therapy, not only the physical condition improves, but also the psycho-emotional one. There are also robots in this department. Yes Yes! Or rather, robotic devices that are specially designed to force individual joints and muscles to move.

Hyperbaric chamber to speed up recovery

The clinic intensively uses a pressure chamber. For the rehabilitation of large and small patients, oxygen is needed, which is supplied under high pressure to the chamber. This procedure is not only for children, but also for adults. Oxygen, penetrating into the cells, saturates them and restores the ability to regenerate. And from this it follows that the process of recovery will be better and will be much faster. By the way, barotherapy sessions rejuvenate the body and help to lose weight quickly and harmlessly. To sign up for a session, it is enough to know the contacts of the Roshal clinic in Moscow.

The Research Institute of Emergency Pediatric Surgery and Traumatology is focused on the treatment of young patients and is located in the Russian capital. Within the walls of the institution, children with injuries of varying severity or in need of urgent operations are treated around the clock. We will tell you what else is remarkable about the Institute, what services it provides, and who treats babies.

Brief information about the Institute

The modern history of the research institute begins in 2003, when the construction of a new surgical and resuscitation building began on the territory of the children's city hospital. The purpose of the construction was to create a children's clinic that has no analogues in the country. And it succeeded:

1. About 8,500 children are treated in the hospital every year.
2. The trauma center accepts up to 50,000 small patients.
3. On the roof of the building there is a helipad for transporting especially seriously ill patients.
4. Water supply and electricity supply can be autonomous.
5. Operating rooms and wards are equipped with the most modern equipment.

All the work of the Research Institute of Pediatric Surgery and Traumatology is organized in such a way as to save every second. In combination with the professionalism of doctors, this helps to increase the percentage of recovered children and improves other indicators.

In the ward of the Research Institute of Pediatric Surgery

Main Services of the Institute

The research institute specializes in providing emergency care to children with serious problems with health. To do this, there are six departments on the territory of the complex, not counting the diagnostic buildings:

1. Advisory. Reception is conducted by specialists of all directions, from the therapist to the pediatrician. It is possible to do an ultrasound, take tests for laboratory research.
2. Emergency station. Accepts children who have been attacked by animals, as well as those with or fractures.
3. Clean surgery. Operations are performed for hernias, injuries of muscles and joints, compression fractures of the spine.
4. Purulent surgery. Doctors treat children with appendicitis, osteomyelitis, extensive pyoinflammatory processes.
5. Neurosurgery. Held the most complex operations about injuries of the brain, spine, as well as neurosurgical diseases.
6. Disaster medicine. Children who have received serious injuries of the musculoskeletal system are treated here, and then undergo rehabilitation.

Within the walls of the research institute, almost any disease of bones and joints can be cured, including congenital pathologies, arthrosis and arthritis, dislocations and fractures. In general, about 4,000 operations are performed annually.

Children's institute doctors

The best doctors of Russia practice in this institution. The number of staff is more than 400 people, among them candidates medical sciences, doctors and professors. The Institute is headed by Professor L. M. Roshal. In the treatment of children, he is helped by a team of grabbers, let's get acquainted with three of them.

Semyonova Zhanna Borisovna Neurosurgeon, MD. She has been treating children for more than 20 years, she worked in the clinic named after. Burdenko. Her works in the field of medicine are regularly published in Russian and foreign publications. Head of the Department of Pediatric Neurosurgery.