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January 18, 2017



“The quality and effectiveness of aid should be a priority, not the price”, repeatedly said the director of JSC “Republican Specialized Surgery Center named after academician Vakhidov” Feruz Nazirov considering issues of the project “Temporarily available” of social network users.

Feruz Gafurovich, the most popular question that you are treated by users of social networks – the cost of high-tech surgical care. They all will come together to the fact that the treatment is, if to put it mildly, is not cheap. What can you say about this?

Crucial in this issue is not price, but the quality and effectiveness of aid. High-tech high-quality and effective surgical medical care cannot be cheap, because it includes the cost of training and retraining of doctors and personnel, the procurement and maintenance of the high-tech equipment and building of the center. In the end, consumables and many tools often cost several thousand dollars. I will say more: the cost of most operations in many foreign centers is several times higher than the performed ones at our center. Our prices are approved taking into account the real opportunities of the population.

However, I will agree, cost of operations is not cheap, and to make our services more accessible the center is funded in 50 % by the state. Due to the budget funds, the cost of treatment of children and socially vulnerable layers of the population are covered. I would say more, these funds will be allocated mainly to cover the high-tech complex heart operations which are not made in other clinics in the country. For correspond orders it is necessary to address the territorial health authorities. The order is substantial support of our patients by the state.

Another common question that many people are interested in, is associated with surgical techniques. Observant readers say that the modern surgery is moving away from large cuts, in addition, advanced technologies allow you to make the operation more accurate. And how do matters stand in this direction?

We try to keep up with global trends. Let’s start with the fact that endovisual equipment – not a panacea, certain operations still require soft tissue incisions. Although, it should be admitted that the technology is evolving, and with them the capability of endovisual surgery is also expanding. And what technology to apply in a particular case is always solved by the doctor. What I mean is that much depends not only on the equipment but also qualification of doctors.

Here, endovisual surgery on blood vessels is well-developed at the center. Via angiographic installations we perform surgery not only allowing to restore the transmission capacity of the heart vessels, limbs and other sites, but even to carry out manipulations on the heart to remove its various defects. Recently, an endovisual surgery branch has been opened which specialized in operations on abdominal and chest organs. At the same time, we are constantly expanding the list of ongoing manipulation. Now it is conducting operations on tumors. Recently we have started to introduce the surgical treatment of severe obesity. In the coming days, with the application of these technologies we will begin to carry out operations on vessels in cirrhosis and portal hypertension. These are jewelry operations.

It is not less important that the global development is the development of transplant surgery. Will this issue be resolved positively?

Today, it is an actual problem. These technologies have been widely used long in world practice. Our fellow citizens are also becoming patients of health centers in this direction. Unfortunately, it is not always possible to track the quality of care that is made abroad. Of course, the best option – to get the whole amount of assistance here, at home, under the supervision of our doctors.

However, we need a law that addresses the legal aspects of the treatment of patients with the use of these technologies. Our center is fully ready to conduct some transplants of donor organs. As part of the preparatory work we have conducted 52 operations on closely related kidney transplantation. All the operations have been conducted successfully, patients feel good. However, in January 2016 we stopped them, but for further general practice, I repeat once again, the law is needed. Our center has performed the most difficult operations for resection of large anatomical zones of the liver, in recent years we have acquired modern equipment that allows to perform these operations in a safe, bloodless way. This indicates that our center is technically ready to conduct transplant operations of this organ. We conduct a series of complex operations on the heart, which also shows that our specialists are ready for surgery on a heart transplant. However this is a more difficult issue as opposed to kidney and liver transplant, not only from the legal side, but the organizational point of view.