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Recently, a radical prostatectomy for a malignant tumor was performed using the laparoscopic method at the “Ajapnyak” Medical Center. The surgery was carried out thanks to the collaborative efforts of the head of the Dilanian Clinic in Moscow, an experienced and renowned urologist, oncologist, and surgeon, our compatriot Dr. H.E. Dilanian, along with the surgical and urological specialists of the “Ajapnyak” Medical Center. This highly complex operation can be performed laparoscopically only through the expert teamwork of specialists, as it requires exceptional coordination and individual skills from the surgical team. The surgical process was further complicated by the tumor’s invasion into adjacent organs, necessitating the surgical team’s additional skills and efforts to completely remove the affected areas, thereby providing the foreign patient with a greater chance of recovery. Laparoscopic radical prostatectomy for prostate cancer is rarely performed in Armenia due to the high technical and professional requirements for this procedure. Dr. H.E. Dilanian regularly visits our Center and performs highly complex surgeries.

Gastrointestinal bleeding is one of the most dangerous complications of ulcer disease, potentially leading to the most severe outcomes. Stopping the bleeding through medication is often challenging, making surgery the usual alternative to drug treatment. Here’s how leading endoscopic specialist Dr. Yevgenia Latsko successfully stops bleeding through endoscopic clipping. This intervention requires a cohesive team effort, high individual professional skills, and practical, applicable knowledge. The video shows the moment when Dr. Latsko, using Pentax equipment, once again saves a patient from a complex surgery. If unsuccessful, the patient’s only chance for survival would have been a large and extremely risky surgical operation. Video:

How long does the surgery take? The surgery lasts 2.5-3.5 hours, with three surgeons participating: specialists in bariatric and laparoscopic surgery. When can I return to my normal daily routine after the surgery? Like any other surgery, this procedure requires specific postoperative care, the duration of which is highly individual and depends on the body’s recovery resources, internal biorhythms, the specifics of the surgery, and various other factors. Usually, it takes about 3-4 weeks. When can I eat on my own? Typically, within 48 hours after the surgery, food intake gradually begins under the supervision of a doctor, taking into account the specifics of the surgery. The diet includes a combination of essential and necessary components for your body at that time. What risks can arise during and after the surgery? It is important to understand that bariatric surgery is a complex surgical intervention, even if it is performed laparoscopically. During the surgery, there can be bleeding, tears in the intestines or other organs, damage. Later, hernias, infections, pancreatitis, intestinal obstruction, and other complications may occur. What results can I expect after the surgery? Complete results can be discussed no earlier than 7-11 months after the surgery. However, it is extremely important to continue physical activity, dietary nutrition, and maintaining an active lifestyle after the surgery. In such cases, a reduction of excess weight by 1/3-1/2 is considered a good result. What is included in the cost of the surgery, and will I need to pay anything extra later? The cost of the surgery includes a package offer, which already covers standard preoperative laboratory and instrumental examinations, consultations with specialists — endocrinologist, cardiologist, dietitian, psychologist, anesthesiologist, resuscitator, pulmonologist, and surgeons. The surgery itself, anesthesia, surgical care, medications, food, and postoperative examinations are also included. The cost also includes additional examinations that may arise as a result of the examination, as well as additional consultations with specialists.

On June 3, the first meeting of the School of Hypertension Patients took place. The meeting was attended by more than planned – 38 patients who were given the necessary examinations free of High Blood Pressure self control, were counseled, their care, medications, diet, and many questions were explained. Our qualified and experienced doctors A. Hovhannisyan (pulmonologist), A. Mnatsakanyan (district physician), A. Grigoryan (cardiologist), A. Karapetyan (therapist) gave comprehensive answers and explained in detail all the important questions about care. Warm and kind responses and words of gratitude from our patients were not late, which is the best reward for us. Thank you to all the participants. We promise this will continue

Dear visitors. It is really important for us to provide a high level of medical care. It is of paramount importance for us to shorten waiting times, make the visit civil and the medical services qualified. For this purpose our Medical Center always welcomes pre-registration for examinations or consultations. On our official website www.ajapnyakmc.com we already operate an online appointment system, which is integrated with the famous Earlyone app. Now you will be able to get a comfortable time for your planned examination or consultation in absentia – from the comfort of your home. Notify the staff of the Help Center when you visit that you already have a pre-confirmed appointment.

In the last decade, revolutionary and fundamental positive changes have occurred in medicine. New fantastic diagnostic and treatment methods are being actively introduced. Molecular and genetic diagnostics are developing rapidly. In place of traditional medical methods, intraoperative endoscopy is being used in almost all areas, and robots and artificial intelligence are being used extensively in all areas of medicine. One of the main areas is targeted therapy, which unfortunately often leaves behind experienced specialists who studied medicine before the current young specialists. And now it seems that a doctor’s well-being depends not only on how well he can actually treat a patient, but also on how he can present himself to the patient in this technological and marketing era. Advertising and competition in medicine have become of enormous importance. It is noteworthy that after all this, I involuntarily shudder from within, as it is difficult for a talented specialist to remain true to Hippocratic principles and maintain a harmonious balance between professional ethics and professional freedom in these conditions. This is most vividly manifested in surgery, where professional responsibility is perhaps at its highest. In surgery, the contradiction between this surgical professional art and medical knowledge is becoming increasingly evident. In this technological and crazy race, we doctors must stop for a moment and realize that in the new era of independent information and the market of human souls, expert intuition, and of course, experience remain essential. I am confident that in medicine, especially in surgery, there will always be a place and a role for the classic character of a doctor, for whom the patient’s health will remain paramount despite everything.

In our previous articles, we have already mentioned the aging population, and unfortunately, as people age, the fight against various chronic diseases becomes increasingly difficult. Ensuring a high quality of life for people approaching the end of life and dignified care for the deceased has become a serious social problem worldwide. In the past, palliative or hospice care was attributed to people with incurable cancer, but over the years, it has become clear that people who are bedridden, immobile, with various cranial and other diseases, or simply in old age, also need to receive professional and high-quality care. Their caring relatives, along with patients, need advice from competent specialists on how to provide maximum comfort to the patient, how to communicate, in what position the patient should be in bed, how to eat, how to care for wounds, bedsores, etc. By the way, it should not be forgotten that the roles of an oncologist and a palliative care physician are completely different for cancer patients, and they also differ from the services of an emergency doctor. In the case where an oncologist mainly deals with fighting the main disease, and an emergency doctor provides assistance only at the time of the call, a palliative care physician, together with an oncologist or another narrow specialist, deals with eliminating symptoms that reduce the quality of life, conducts detoxification courses, and ensures the fastest possible recovery of the body, permissible for the next course of chemotherapy. On the other hand, there is a mistaken belief that palliative care is death, but it should not be forgotten that there are thousands of patients who effectively receive aggressive and serious treatment for various serious diseases but also need the professional palliative care of a physician who understands and is competent to be with the patient at any time and together support the course of the most severe illness. It has been proven that timely palliative care significantly increases the survival of patients battling a serious illness. And finally, palliative medicine is a separate science, where emotional and psychological support is also considered an important, often decisive component. The Ajapnyak Medical Center has a mobile palliative care service. In this modern and recently opened multi-profile medical center, where, along with many surgical, therapeutic, and diagnostic services, there is also an extremely important palliative mobile service. The head of the service, an oncologist, Dr. Eric Demirchyan, together with his professional palliative team, provides consultations and house calls for all those in need of the aforementioned assistance. By the way, along with palliative medicine calls, ultrasounds, laboratory tests, etc. are also conducted at home.

Hysteroscopy is the most effective modern method for examining the uterine cavity, which allows for a very precise study of the state of the uterine mucous membrane, and in case of detecting processes, polyps, adhesions, they can be immediately removed. The specialists of the gynecological service of the “Achapnyak” Medical Center conduct hysteroscopy using the PRINCESS equipment of the latest generation from the German company Richard Wolf, and the specialists are experienced and knowledgeable gynecologists of Armenia. Operations are performed under spinal or general anesthesia. The operations are also carried out with a social package. The cost of operations is reduced. If it is determined during the consultation that you need hysteroscopy, no fee is charged for the consultation. Call +374 94 380144 to make an appointment for a consultation.