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FSBI "Federal Neurosurgical Center"
Novosibirsk, Russia


Neurosurgical division #4 (Oncological)

Brain surgery is not dangerous – it’s our profession!

Juha Hernesniemi

 

Онкологическое нейрохирургическое отделение ФГБУ "ФЦН" г. Новосибирск

Welcome to the Internet page of our division!

Neurosurgery is not at a stop; its development is moving towards minimally invasive procedures and minimal injuries. Within recent years philosophy of microsurgery concerning brain and spinal cord paraplasms underwent significant changes – from huge skin incisions, huge craniotomy and long, seriously endurable surgical procedures to small craniotomies and physiological approaches to the tumor sparing generic anatomy and wonderful cosmetic result.  In such cases post-op period runs without any problems, the patients recover quickly that reduces long terms of staying in the hospital, helps soonest recovery of the patients and his coming back to the family and active life. This happens thanks to implementation a new surgical microscope, modern endoscopes, micro instruments, neuronavigation and intra-operational neurophysiological monitoring into neurosurgery. Nevertheless, micro neurosurgery is a principally fresh approach to the pathology based on the up-to-date investigations in the sphere of neurosciences, intimate knowledge of anatomy and conception about physiology of surgical procedures. Alongside with progress of the world neurosurgery we also grow constantly, master new surgical techniques, and closely cooperate with the leading neurosurgeons of the world. Besides, we understand that each case of the disease is specific; when a patient gets into a hospital, he himself and his relatives are in stress. That is why decision about the type of the surgical procedure, its details is made in the presence of neurosurgeon, a patient and his family. Medical attendants and nursing staff manage all modern methods of pre- and post-op patients’ care. They are always ready to take the patients kindly, help and support them because it’s also a significant part of our job. Thus, in our division you will obtain not only most modern neurosurgical assistance but also attention, support and care of our nursing staff.

 

With the best regards,

The Head of the Oncological Division

Neurosurgeon, Candidate of Medical Sciences,

Chernov Sergey Vladimirovich

 

Our division contains 20 beds; comfortable conditions are created for
residence of patients: single or semi-private rooms with shower, WC, desk, refrigerator and cupboards for clothes. Highly experienced doctors and attentive nursing staff are working in the division having extensive knowledge and practical experience with patients. The division is equipped with the most modern medical equipment and tools.

 

The whole range of surgical services will be offered for the patients with benign and malignant tumors of CNS and PNS:

 

  • Intra-cerebral tumors (gliomas) of frontal, temporal, parietal, occipital lobes and tentorium;
  • Gliomas of deep brain structures including mesolobus;
  • Tumors of chiasmatic and cellar area, pituitary adenomas, craniopharyngiomas (in this case minimally invasive endoscopic microsurgery will be a priority direction);
  • Intraventricular tumors (side ventricle, the 3rd and the 4th ventricles);
  • Benign and malignant tumors of pinus  and pineal area;
  • Brain stem tumors;
  • Brain stem meningiomas of olfactory fossa, suprasellar meningiomas, sphenoid wing meningiomas, periotic bone meningiomas petroclival meningiomas (with the growth to the Blumenbach’s clivus); meningiomas of cerebello-pontine angle and meningiomas of great occipital foramen;
  • Meningiomas of venous sinus of durae matris (superior, diametrical and sigmoid  sagittal sinus), falx and tentorium meningioma;
  • Acoustic neurinomas, neurinomas of trigeminal nerve and other cerebrocranial nerves;
  • Spinal cord tumors (meningioams, neurinomas, ependymomas, astrocytomas) of all sites;
  • Cranial bones tumors.

 

Patients’ treatment is minimally invasive, minimally traumatic and the doctors take good care of all the tissues and structures of cerebrospinal axis. We guarantee high operation precision based on the micro anatomy and neurophysiology, application of neuronavigation before and during the surgical procedure. Pre-op examination including MRI or multi-level spiral CT with contrast, tractography, non-invasive variants of angiography, allow planning operation process in details, avoiding affection of functional cerebral cortex zones and also vascular structures. Facilities of our OR and also experience obtained during different foreign educational courses and trainings, allow performing either all types of minimally invasive, or any types of approaches to the skull base necessary for removal of complex basal tumors with minimal affection to the brain.

The following methods are used in our division to achieve these goals:

 

1.    Microsurgery

Surgical procedures directed to removal of intracerebral (gliomas) or extra cerebral (meningiomas) tumors are performed through a small physiologic approach with observation of all principles of micro neurosurgery. It’s obligatory to use high class operational microscope (Zeiss and Leika) equipped with intraoperational angiography and fluorescency modules, modern micro instruments (Aesculap), ultrasonic aspirators (Soering), bipolar electric coagulation. In addition to that, the state of functional brain, cerebral nerves is being controlled with the help of neurophysiological monitoring during the surgical procedure. All this allows significantly increasing radicality of the surgical procedure and decrease the risk of neurologic deficiency appearance in the post-op period.

 

2.    Neuroendoscopy

Modern endoscopic equipment is used in microsurgery of ventricular system in our department. In such case it’s necessary to perform the only minimal skin incision and micro craniotomy to administer high optical resolution endoscope obtaining additional channels for micro instruments into the ventricular cavity.

Video endoscopic assistance. This method provides visualization of different anatomic structures such as cerebral nerves, arterial and venous vessels in various brain areas.

Aside from open surgery endoscopic trassphenoidal (transnasal) microsurgery of pituitary adenomas and chiasmatic and cellar area tumors is also a priority direction. Here it’s possible to avoid head skin incision and craniotomy and to remove the tumor though natural anatomic accesses with good clinical results.

 

3.    Stereotactic biopsies

In cases when it’s necessary to verify the diagnosis histologically to determine further optimal treatment tactics of a patient, we offer highly precise stereotactic biopsies of intracerebral tumors with the use of up-to-date neuronavigation equipment.

 

4.    Operations on spinal fluid bypassing

Surgical treatment of different types of brain dropsy is possible in case of clinical indications with the use of endoscope or with modern types of bypasses.

Besides, in some cases to achieve better results it’s possible to combine the above mentioned methods or their staged application.

Thus, the priority in surgical procedures is maximally radical removal of mass lesions with minimal effects on healthy tissues and anatomic structures. In cases of many lesions their microsurgical removal releases the patients from symptoms precipitated by the tumor, it gives the chance to control epileptic seizures and apply additional treatment methods such as radio- or chemotherapy. All these measures decrease appearance of recurrence of the disease and in some cases it may lead to ultimate recovery.

DOCTORS OF THE ONCOLOGICAL DIVISION:


Sergey Chernov

Chief of the division, neurosurgeon. He has 9-years’ experience in neurosurgery and 11-years’ experience in practical healthcare, candidate of medical sciences.

The sphere of his professional interests is microsurgery of brain and spinal cord tumors, skull base surgery, cerebrocranial traumas consequences, and traumas of peripheral nervous system, surgical correction of congenital anomalies of the central nervous system development, brain dropsy of different origin.

In 2008 doctor Chernov was awarded a prize of Novosibirsk region Administration in “Medicine and Public Healthcare” nomination for his thesis “Microsurgery of parasagittal brain meningiomas with the use of surgical laser”. He is the co-author of 3 invention patents in the sphere of “neurosurgery”; he is the author of 39 scientific publications.

International trainings:

2009 – University clinic of Helsinki (Finland); training under the leadership of Professor Juha Hernesniemi (3 months);

2010 – International Institute of Neurosciences, Hannover (Germany); training under the leadership of Professors Madjid Samii, Rudolf Fahlbusch, Helmut Bertalanffy (3 months);

2011 – Neurosurgical clinic of Rudolfstiftung Hospital, Vienna (Austria); training under the leadership of Professor Gunther Kleinpeter (1 month); 

2012 - Barrow Neurological Institute, Phenix, Arisona (the USA); training under the leadership of Professor Robert F. Spetzler (3 months).



Aleksandr Zotov

Neurosurgeon.

He has 2-years’ experience in neurosurgery. The sphere of his professional interests is microsurgery of brain and spinal cord tumors, skull base surgery, cerebrocranial traumas consequences, and traumas of peripheral nervous system, surgical correction of congenital anomalies of the central nervous system development, brain dropsy of different origin, degenerative and dystrophic disc diseases.




Ekaterina Gormolysova

Neurosurgeon.
She has 4-years’ experience in neurosurgery. The sphere of her professional interests is microsurgery of brain and spinal cord tumors, skull base surgery, cerebrocranial traumas consequences, and traumas of peripheral nervous system, brain dropsy of different origin.






Galina Moisak

Neurologist.









Elena Uzhakova

Oncologist.









Nursing staff of the Oncological division.