Kidney transplantation has been introduced at the health care institution "Brest Regional Clinical Hospital" . More than 1,500 cardiac surgeries are performed annually in the Cardiac Surgery and X-ray Endovascular Department , including coronary artery bypass grafting on a beating heart and in cardiopulmonary bypass mode, correction of acquired heart defects, angioplasty and stenting of coronary arteries, stenting of large vessels of other organs (kidneys), implantation pacemaker. Emergency interventional care is being provided to sick patients with acute coronary syndrome with the installation of stents in the coronary arteries. Hybrid surgeries stenting + open cardiac surgery, angioplasty and transradial stenting, recanalization of coronary artery occlusion, myocardial revascularization in acute myocardial infarction, bifurcation stenting of coronary arteries have been introduced. The department of purulent surgery treats patients with autogenous transplantation of bone marrow mesenchymal stem cells with pathology:obliterating atherosclerosis of the lower extremities, KHAN III st. with critical ischemia, pain syndrome; post-phlebothrombotic disease of the legs in the stage of recanalization, CVI stage IV. with trophic ulcers of the lower leg and foot; varicose disease of the legs C5-C6, including a combined variant with phlebectomy; diabetic angiopathy of the legs in combination with neuropathy in the stage of trophic changes; long-term non-healing wounds, decubital ulcers of various etiologies. Thoracic surgeons perform surgical treatment: parasternal diaphragmatic hernia by extraperitoneal transmiorectal hernia repair; relaxation of the diaphragm by laparo- and thoracoscopy, plication of the relaxed dome; achalasia of the cardia by laparoscopic instrumental esophagofundostomy; thoracoscopic lung resection: thoracoscopic segment- and lobectomy; endoscopic esophagectomy and endoscopic plastic surgery of the esophagus with a gastric tube, simultaneous operations (endoscopic nephrectomy + pneumonectomy, coronary artery bypass grafting + lung resection); Traumatologists and orthopedists perform prosthetics of the hip and knee joints, arthroscopic operations using an endoscopic stand. Otorhinolaryngologists perform the operation of hearing improvement, rhinoostioseptoplasty under a microscope, strengthening of the tympanic membrane with cartilage in case of retrotympanic pockets. The department of eye microsurgery performs intra and extracapsular cataract extraction, cataract extraction with implantation of intraocular soft lenses, strabismus correction surgery, retinal detachment surgery, scleroplasty for progressive myopia, optical coherence tomography and laser microsurgical interventions: laser coagulation of the retina, laser discission of the VPK, laser peripheral iridectomy for angle-closure glaucoma, laser posterior synechiotomy. Operations of laser laparoscopic excision of kidney cysts, laser contact ureterolithotripsy and cystolithotripsy, laser resection of the kidney, laparoscopic nephropexy have been introduced in the urological departments .
Cardiac surgery
- Angioplasty of the pulmonary artery — ≈ $1,240
- Aortic valve replacement (AVR) — ≈ $11,153
- Atrial septal defect (ASD) repair — ≈ $4,960
- Bio-prosthetic valve replacement — ≈ $8,508
- Cardiac resynchronization therapy with defibrillator (CRT-D) — ≈ $5,742
- Cardiac resynchronization therapy with pacemaker (CRT-P) — ≈ $4,231
- Coarctectomy in children — ≈ $4,456
- Coronary artery bypass graft (CABG) — $36,729
- Coronary catheterization — $272
- Double valve repair — ≈ $6,638
- Double valve replacement — ≈ $6,781
- Dual chamber pacemaker insertion — ≈ $3,460
- Fractional flow reserve (FFR) — ≈ $345
- Heart transplantation — ≈ $9,173
- Heart tumor surgery — ≈ $9,195
- Heart valve repair — ≈ $7,445
- Heart valve replacement — ≈ $6,130
- Leadless Pacemaker implantation Micra and Nanostim — ≈ $3,859
- MAZE procedure — ≈ $7,764
- Management of pacemaker system — ≈ $172
- Mechanical valve replacement — ≈ $11,153
- Minimally invasive valvular heart surgery with valve repair or replacement — $0
- Mitral valve replacement (MVR) — ≈ $4,987
- Off-pump coronary artery bypass surgery — ≈ $8,043
- Open-heart intracardiac foreign body removal — ≈ $13,429
- Pacemaker replacement — ≈ $1,905
- Patent ductus arteriosus (PDA) open heart surgery in adults — ≈ $2,181
- Percutaneous coronary intervention (PCI) with angioplasty — $486
- Percutaneous coronary intervention (PCI) with stent insertion — $486
- Permanent pacemaker implantation — ≈ $2,299
- Pulmonary artery thromboendarterectomy — ≈ $3,577
- Redo heart surgery — ≈ $3,859
- Removal of permanent pacemaker — ≈ $1,726
- Repair of the ruptured sinuses of Valsalva — ≈ $4,178
- Rotational atherectomy — ≈ $610
- Septal myectomy — ≈ $4,693
- Single chamber pacemaker insertion — ≈ $3,366
- Surgery for tetralogy of Fallot (TOF) in adults — ≈ $3,218
- Surgical ventricular restoration (SVR) — ≈ $4,099
- Temporary pacemaker implantation — ≈ $284
- Transcatheter aortic valve replacement (TAVR) — ≈ $11,325
- Transcatheter pulmonary valve replacement (PVR) — ≈ $5,231
- Tricuspid valve replacement (TVR) — ≈ $4,793
- Ventricular assist device (LVAD, RVAD, BVAD) implantation — $0
- Ventricular septal defect (VSD) repair — ≈ $6,013
Thoracic surgery
- Video-assisted thoracoscopic (VATS) lobectomy, bullectomy, bilobectomy — $208
- Windpipe cancer surgery — ≈ $2,366
Vascular surgery
- Abdominal aortic aneurysm repair — ≈ $9,101
- Abdominal endovascular aneurysm repair (EVAR) — ≈ $7,325
- Angioplasty and stenting of visceral arteries (celiac trunk, superior mesenteric artery) — $486
- Angioplasty of the arteries of the lower or upper limbs — ≈ $2,037
- Angioplasty of the brachiocephalic vessels — $486
- Aortic arch replacement — ≈ $3,850
- Aortic reconstruction — ≈ $2,927
- Aortobifemoral stent grafting — ≈ $2,749
- Aortography — $166
- Aortoiliac allografting — ≈ $5,218
- Arteriovenous (AV) fistula surgery — $43-53
- Arteriovenous (AV) graft surgery — ≈ $1,064
- Bentall surgery — ≈ $7,208
- Bilateral varicose veins surgery — ≈ $811
- Carotid angiography — $226
- Catheter-directed sclerotherapy (CDS) (Bilateral) — ≈ $208
- Catheter-directed sclerotherapy (CDS) (Unilateral) — ≈ $151
- Central venous catheter (CVC/CVAD) placement — ≈ $46
- Cerebral angiography — ≈ $52
- Chemodectoma surgery — ≈ $2,243
- Complex aortic surgery — ≈ $6,734
- Crossectomy — ≈ $419
- Crossectomy + Saphenous vein ligation and stripping + Side vein surgery — ≈ $539
- Crossectomy and side vein surgery — ≈ $651
- Cryosurgery of varicose veins — ≈ $963
- Endoscopic vein harvesting (EVH) for coronary artery bypass graft surgery (CABG) — ≈ $156
- Endovascular thrombectomy — ≈ $1,466
- Endovenous laser ablation (EVLA) for varicose vein (Bilateral) — ≈ $982
- Endovenous laser ablation (EVLA) for varicose vein (Unilateral) — $344
- Femoral artery angiography — ≈ $67
- Femoral-popliteal bypass graft surgery — ≈ $2,413
- Foam sclerotherapy (Bilateral) — ≈ $290
- Foam sclerotherapy (Unilateral) — ≈ $183
- Hybrid varicose veins treatment (open+endovascular) — $0
- Inferior vena cava (IVC) filter placement — $447
- Laser treatment for spider veins — ≈ $191
- Ligation of incompetent perforator veins — $87
- Mechanochemical Ablation (MOCA) — ≈ $519
- Peripheral angiography — $166
- Peripheral artery angioplasty and stent placement — $486
- Peripheral artery bypass — ≈ $3,049
- Phlebectomy (including mini-phleboctomy) — ≈ $439
- Phlebography — ≈ $402
- Portocaval anastomosis — $0
- Pulmonary angiography — $287
- Radiofrequency ablation (RFA) for varicose veins (Bilateral) — ≈ $940
- Radiofrequency ablation (RFA) for varicose veins (Unilateral) — ≈ $622
- Reconstructive surgery for peripheral artery disease (PAD) — ≈ $4,004
- Renal artery angioplasty and stenting — ≈ $2,159
- Renal artery bypass surgery — ≈ $2,496
- Replacement of central venous catheter — ≈ $878
- Ross operation — ≈ $7,100
- Secondary Cimino arteriovenous anastomosis surgery — ≈ $393
- Spider vein sclerotherapy — ≈ $109
- Surgical thrombectomy — ≈ $1,309
- Thoracic aortic aneurysm surgery — ≈ $4,067
- Thoracic endovascular aneurysm repair (TEVAR) — ≈ $7,613
- Unilateral varicose veins surgery — ≈ $584
- Valve sparing root replacement (VSRR) — ≈ $4,162
- Varicose vein stripping (Unilateral) — ≈ $1,459
- Varicose veins treatment — ≈ $1,261
- Venaseal glue therapy of varicose vein (Bilateral) — ≈ $1,701
- Venaseal glue therapy of varicose vein (Unilateral) — ≈ $1,269
- Visceral organs angiography — $226
Neurosurgery
- Benign peripheral nerve tumor removal — ≈ $315
- Brachial plexus surgery — ≈ $638
- Brain biopsy — ≈ $1,662
- Brain tumors surgery — ≈ $2,850
- Burr hole surgery — ≈ $1,612
- Craniofacial surgery — ≈ $1,913
- Cranioplasty — ≈ $1,213
- Craniotomy — ≈ $3,621
- Decompressive craniectomy — ≈ $2,499
- Elevation of depressed skull fracture — ≈ $2,389
- Endoscopic pituitary surgery — ≈ $1,627
- Epidural hematoma treatment — ≈ $1,125
- External ventricular drain (EVD) placement — ≈ $476
- Facial nerve repair — ≈ $334
- Head injury surgery — ≈ $987
- Intracerebral hemorrhage (ICH) surgical treatment — ≈ $428
- Intracranial hemorrhage treatment — ≈ $2,026
- Nerve decompression surgery — ≈ $960
- Nerve graft repair — ≈ $859
- Ommaya reservoir placement — ≈ $1,559
- Peripheral nerve repair — ≈ $937
- Subarachnoid hemorrhage treatment — ≈ $551
- Subdural haematoma treatment — ≈ $1,782
- Surgery for an acoustic neuroma — ≈ $2,275
- Traumatic cerebrospinal fluid leaks surgical repair — ≈ $428
Oncology
- Chemotherapy for leukemia — $0
- Chemotherapy for lymphoma — $0
- Chemotherapy for myeloma — $0
- Cholecystectomy — from $105
- Cord blood stem cell transplantation — $0
- Cordectomy — ≈ $427
- Cryotherapy for skin lesions — ≈ $218
- Endolaryngeal surgery — ≈ $739
- Extended cholecystectomy — ≈ $2,184
- Hematopoietic stem cell harvest — $0
- Hemilaryngectomy — ≈ $857
- Hemithyroidectomy — ≈ $1,268
- Laparoscopic cholecystectomy — from $81
- Laser therapy for skin lesions — ≈ $310
- Melanoma surgical removal — ≈ $972
- Mohs surgery — ≈ $439
- Nasal cavity cancer surgery — ≈ $582
- Paranasal sinus cancer surgery — ≈ $698
- Parathyroidectomy — ≈ $928
- Pharyngeal cancer surgery — ≈ $350
- Removal of benign skin lesions — $58-232
- Skin cancer surgery — ≈ $284
- Splenectomy — ≈ $1,413
- Stem cell transplant (peripheral blood) — $0
- Subtotal thyroidectomy — ≈ $956
- Total laryngectomy — ≈ $1,287
- Total skin electron therapy (TSET) — $0
- Total thyroidectomy — $134
Spine surgery
- Anterior cervical discectomy and fusion (ACDF) — ≈ $2,367
- Anterior lumbar interbody fusion (ALIF) — ≈ $2,098
- Atlantoaxial fixation — ≈ $1,193
- Cervical fusion — ≈ $1,428
- Cervical laminectomy — ≈ $1,381
- Corpectomy + Spinal stabilisation — ≈ $1,405
- Device for intervertebral assisted motion (DIAM) — $0
- Discectomy — $60
- Foraminotomy — ≈ $1,363
- Instrumented spine stabilization — ≈ $3,285
- Interspinous fixation with implant — ≈ $2,164
- Laminectomy — ≈ $977
- Laminoplasty — ≈ $2,791
- Lateral access lumbar fusion — $0
- Lumbar fixation — ≈ $2,132
- Lumbar laminectomy — ≈ $1,739
- Lumbosacral plexus surgery — ≈ $3,205
- Occipitocervical fusion surgery — ≈ $1,405
- Percutaneous pedicle screw fixation — ≈ $1,138
- Posterior lumbar interbody fusion (PLIF) — ≈ $425
- Spinal cord herniation surgery — $0
- Spinal synovial cyst removal — ≈ $132
- Spine biopsy — ≈ $723
- Spine dynamic stabilization — ≈ $1,339
- Spine fractures surgical treatment — ≈ $2,710
- Spine tumor surgery — ≈ $2,986
- Surgical spine procedures — ≈ $3,568
- Tailbone removal — $0
- Thoracic discectomy — ≈ $1,286
- Thoracic laminectomy — ≈ $1,646
- Thoracic spine fixation — ≈ $2,555
- Total en bloc spondylectomy (TES) — ≈ $2,807
- Transforaminal lumbar interbody fusion (TLIF) — ≈ $3,584
Orthopedic surgery
- Achilles tendon repair surgery — ≈ $136
- Ankle arthrodesis — ≈ $1,287
- Ankle fracture surgery — from $122
- Ankle ligament reconstruction surgery — ≈ $817
- Ankle osteophyte removal — ≈ $316
- Ankle osteotomy — ≈ $1,234
- Arthrocentesis — ≈ $101
- Arthroscopic adhesiolysis of the knee joint — $0
- Arthroscopic arthrolysis — ≈ $837
- Arthroscopic capsular release of the ankle joint — ≈ $594
- Arthroscopic chondroplasty — ≈ $1,003
- Arthroscopic jumper's knee surgery — ≈ $580
- Arthroscopic knee debridement — ≈ $1,080
- Arthroscopic loose bodies removal — ≈ $499
- Arthroscopic meniscus repair — ≈ $1,597
- Arthroscopic partial meniscectomy — from $102
- Arthroscopic reconstruction of the knee ligament — $716-895
- Arthroscopic reconstruction of the posterior cruciate ligament (PCL) — ≈ $1,481
- Arthroscopic synovectomy of the knee joint — ≈ $858
- Arthroscopic total meniscectomy — ≈ $1,175
- Arthroscopic treatment of prepatellar bursitis — ≈ $593
- Arthroscopic trochanter bursitis surgery — ≈ $435
- Baker's cyst surgery — ≈ $528
- Carpal tunnel surgery — $835
- Claw toe surgery — ≈ $535
- Clubfoot surgical treatment — ≈ $623
- Complex foot surgery — ≈ $1,267
- De Quervain's tendon release — ≈ $322
- Diagnostic arthroscopy — $706-895
- Dupuytren's contracture surgery — ≈ $467
- Fasciotomy of the lower limb — ≈ $522
- Femoral osteotomy — ≈ $438
- Finger reconstruction — ≈ $655
- First metatarsophalangeal joint arthrodesis — ≈ $701
- Foot and ankle arthroscopy — ≈ $928
- Foot and ankle tendon surgery — ≈ $535
- Foot arthrodesis — ≈ $1,145
- Foot deformity correction — ≈ $867
- Foot drop surgery — ≈ $1,166
- Foot ganglion cyst removal — ≈ $397
- Forearm fracture surgery — ≈ $142
- Guyon's canal release — ≈ $421
- Haglund's deformity surgery — ≈ $602
- Hallux rigidus surgery — ≈ $469
- Hallux valgus surgery — $539-597
- Hammer toe surgery — ≈ $400
- Hamstring syndrome surgery — ≈ $575
- Hand ganglion cyst removal — ≈ $355
- Hand rejuvenation with structural fat grafting — ≈ $867
- Hand surgery — ≈ $997
- Hand tendon surgery — ≈ $329
- Heel bursectomy — ≈ $653
- High tibial osteotomy — ≈ $1,633
- Hindfoot fracture surgery — ≈ $1,088
- Hip arthrodesis — ≈ $1,378
- Hip arthroscopy — ≈ $1,217
- Hip core decompression — ≈ $945
- Hip debridement surgery — $0
- Hip fracture surgery — from $148
- Hip osteotomy — ≈ $438
- Hip revision — $4,769-5,961
- Hip surgery — ≈ $2,835
- Interphalangeal joint arthrodesis — ≈ $598
- Kidner procedure — ≈ $281
- Knee arthroscopy — $706-895
- Knee osteotomy — ≈ $1,777
- Lapidus arthrodesis — ≈ $952
- Mallet finger surgery — ≈ $327
- Mallet toe surgery — ≈ $529
- Morton’s neuroma surgery — ≈ $468
- Muscle transfer — $0
- Osgood–Schlatter disease (OSD) surgery — ≈ $434
- Partial hip replacement — $144
- Partial knee replacement — $4,769-5,961
- Partial patellectomy — ≈ $898
- Patella fracture surgery — ≈ $142
- Patella stabilisation surgery — ≈ $1,065
- Piriformis syndrome surgery — ≈ $289
- Plantar fasciitis surgery — ≈ $407
- Quadriceps tendon reconstruction — ≈ $1,181
- Quadricepsplasty — ≈ $1,135
- Revision Achilles tendon reconstruction — ≈ $1,531
- Running injuries surgical treatment — ≈ $335
- Scaphoid pseudarthrosis reconstruction — ≈ $592
- Shoulder arthroscopy — $706-895
- Surgery for hip impingement — ≈ $1,022
- Tailor's bunion surgery — ≈ $754
- Tarsal coalition surgery — $0
- Tarsal tunnel surgery — ≈ $422
- Tendon repair — ≈ $508
- Tendon transfer — ≈ $591
- Tenotomy — ≈ $391
- Toe joint arthroscopy — ≈ $811
- Toe shortening surgery — ≈ $415
- Total hip replacement (Unilateral) — $3,696-4,769
- Total knee replacement (Unilateral) — $4,172-4,769
- Total patellectomy — ≈ $438
- Trapeziectomy — ≈ $668
- Trigger finger release — ≈ $102
- Weil osteotomy surgery — ≈ $539
- Wrist arthroscopy — $706-895
- Wrist fracture surgery — ≈ $142
- Wrist ligament repair — ≈ $679
- Wrist synovectomy — ≈ $166