Topolskaya Irina Vladimirovna- head of the department, obstetrician-gynecologist of the highest qualification category. Higher-professional education, graduated from the Saratov Order of the Red Banner of Labor State Medical Institute with a degree in pediatrics, diploma dated June 23, 1988; certificate in the specialty “obstetrics and gynecology”, valid from 04/22/2019 to 04/22/2024; certificate in the specialty “health care organization and public health”, valid from 04/22/2019 to 04/22/2024.

Working hours: 08.00-16.18

Donskikh Irina Viktorovna- senior nurse of the second qualification category. Secondary vocational education, graduated from Tambov Regional Medical College with a degree in obstetrics, diploma dated June 23, 2006; higher professional education, graduated from the State Educational Institution of Higher Professional Education “Saratov State Medical University named after. VI Razumovsky" with a degree in nursing, diploma dated June 11, 2011; certificate in the specialty “nursing”, valid from 04/25/2019 to 04/25/2024.

Work schedule: 8.00-16.18 (break during the work shift)

List of medical specialists of the unit

Kuzina Marina Sergeevna - obstetrician-gynecologist of the first qualification category. Higher education - professional, graduated from the State Educational Institution of Higher Professional Education "Ryazan State Medical University named after. Academician I.P. Pavlov of the Ministry of Health of the Russian Federation" with a degree in general medicine, diploma dated June 22, 2007; certificate in the specialty "obstetrics and gynecology", valid from 02/10/2018 to 02/10/2023

Work schedule: 08.00 - 16.18 (break during the work shift)

Kondakova Olga Alekseevna - obstetrician-gynecologist of the first qualification category. Higher education - professional, graduated from the State Educational Institution of Higher Professional Education "Saratov State Medical University named after. IN AND. Razumovsky" with a degree in general medicine, diploma dated June 18, 2005; certificate in the specialty "obstetrics and gynecology", valid from 10/03/2015 to 10/03/2020

On the basis of the gynecological departments of the City Clinical Hospital No. 31, a clinic of the Department of Obstetrics and Gynecology of the Russian National Research Medical University has been established.

Gynecology of City Clinical Hospital No. 31 is rightfully considered one of the best in Moscow. All types of conservative and surgical treatment of any gynecological diseases are used. Hysteroscopic and laparoscopic diagnostics are possible, and surgical treatment using these methods makes it possible to speed up the recovery period as much as possible and is the most gentle for patients.

Since 2004, the hospital has firmly established a modern organ-saving method of treating uterine fibroids and adenomyosis - uterine artery embolization.

detailed information

general information

Head of Department No. 1 - Doctor of Medical Sciences, Professor E.N. Kauhova.
Senior nurse of the department - Yu.N. Tarasova.

Head of Department No. 2 - Ph.D. O.I. Mishieva.
Senior nurse - N.G. Kosolapova.

In two gynecological departments of the hospital, all types of conservative and surgical treatment are successfully used, including for the following diseases:

• uterine bleeding of the reproductive, perimenopausal periods, menopausal periods;
• cervical diseases;
• physiology and pathology of the postmenopausal period;
• intrauterine pathology (uterine fibroids, adenomyosis, endometrial polyps, endometriosis, synechiae, foreign bodies);
• ovarian formations in patients of different age periods
• inflammatory diseases of the internal genital organs.

Main types of surgical treatment:

• diagnostic laparoscopy;
• abdominal sectioning and laparoscopic operations including amputation and hysterectomy;
• abdominal sectioning and laparoscopic operations on the appendages;
• vaginal extirpations;
• plastic vaginal surgeries, including for uterine prolapse and prolapse of the vaginal walls;
• laparoscopic surgeries for the treatment of infertility;
• laparoscopic organ-saving operations for tubal pregnancy; restoration of pipe patency;
• hysteroscopic treatment of intrauterine pathology;
• electrosurgical, laser and thermal ablation of the endometrium, embolization of the uterine arteries.

The motto of the team of gynecological departments is
warm and attentive attitude towards patients.

The clinic receives dozens of letters of gratitude. The implementation of high-tech methods is carried out by the doctors of City Clinical Hospital No. 31 in close professional contact with the staff of the department.

general information

• • Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian National Research Medical University - Doctor of Medical Sciences, Academician of the Russian Academy of Sciences, member of the presidium of the board of the Russian Society of Obstetricians and Gynecologists, chairman of the presidium of the Moscow Society of Obstetricians and Gynecologists, member of the New European Surgical Academy (NESA), member of the International Federation of Obstetricians and Gynecologists ( FIGO)- Kurtser Mark Arkadievich— student of the founder and honorary head of the department — Savelyeva Galina Mikhailovna, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Honored Scientist, Vice-President of the Russian Association of Obstetricians and Gynecologists, Head of the Department of Obstetrics and Gynecology of the Faculty of Pediatrics from 1971 to 2017.
    Currently, the clinic’s achievements are associated with performing a wide range of laparoscopic therapeutic and diagnostic interventions on the pelvic organs. Over the past 20 years, one of the department’s employees, Doctor of Medical Sciences, Professor Sergei Vyacheslavovich Shtyrov a school of endoscopic gynecology was created on the basis of 31 hospitals.Professor Valentina Grigorievna Breusenko- founder of the hysteroscopic method in City Clinical Hospital No. 31. At the present stage, with the introduction of hysteroresection, laser ablation and thermal ablation of the endometrium, the arsenal of hysteroscopic operations performed has been significantly expanded. Since 2004, the hospital has firmly established a modern organ-saving method of treating uterine fibroids and adenomyosis - uterine artery embolization. Over the past 5 years, cooperation with the department has allowed practicing doctors to defend 4 doctoral and 38 candidate dissertations. Currently, a grant has been received to carry out scientific research on the topic “Early diagnosis of ovarian cancer.” To the employees of the department: Academician of the Russian Academy of Medical Sciences G.M. Savelyeva, professors V.G. Breusenko, S.V. In 2003, Shtyrov was awarded the Russian Government Prize for the development and implementation of endoscopic methods of diagnosis and treatment in gynecology.

general information

Uterine artery embolization (UAE) is one of the modern areas of surgical treatment of uterine diseases, which consists of puncture of the artery on the thigh, catheterization of the uterine vessels and the introduction of particles of a special embolization drug.

Symptomatic or growing uterine fibroids

• Size up to 20 weeks of pregnancy in the absence of significant pathology of the cervix, endometrium and ovaries.
• In patients interested in pregnancy, with a confirmed role of uterine fibroids in the pathogenesis of infertility or with a high risk of miscarriage, when it is impossible to perform a safe myomectomy.
• As preparation for myomectomy or hysteroresectoscopy.

Intense uterine bleeding of various etiologies, when other treatment methods are impossible or are associated with a real threat to the patient’s life.

When determining indications for UAE for fibroids, the motivation of patients is important: the patient’s strong desire to preserve the uterus, avoid surgery, interest in pregnancy.

Uterine artery embolization (UAE) is performed in:

general information

Robotic surgery is a new, high-tech type of minimally invasive surgery, which consists of surgical intervention through small incisions on the patient’s skin and the ability to operate remotely. This ensures minimal trauma, faster recovery, reduces the patient's length of stay in the hospital, and minimizes the likelihood of further complications.

Benefits of Robotic Surgery

The da Vinci Si robot does not perform operations on its own, contrary to popular belief. But thanks to remote control and high-quality visualization, it allows the operating surgeon to make more precise movements and eliminates hand tremors. That is, the robot follows all the movements of the surgeon, and it is not able to move or program itself.

These factors create ideal conditions for the surgeon and facilitate complex laparoscopic operations. As a result of the maximum precision of even very complex instrument movements, thanks to excellent image quality and the ability to perform surgery in small and difficult-to-reach areas, the length of hospital stay for patients is reduced, they feel less pain, lose less blood, have a better aesthetic result, undergo faster rehabilitation and return to work sooner. Everyday life.

Robotic surgeries in gynecology, City Clinical Hospital No. 31

In the 70-80s, the widespread introduction of laparoscopy into clinical practice began, which was associated with the advent of fiber optics and special instruments. As a result, not only the quality of diagnosis has improved, but also some interventions on the abdominal organs have become possible. By the way, in our country, the experience of using laparoscopy in gynecology was summarized in 1977 in the monograph by G.M. Savelyeva - Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, professor and our doctor, under whose leadership the first operation was performed in our hospital after its opening in 1970.

At the moment, almost all gynecological operations are performed using laparoscopy and a robot. Robotic surgery in gynecology is one of the fastest growing fields and is used in the treatment of all benign and malignant gynecological diseases. Our gynecologists perform operations on women with the problem of genital prolapse (prolapse), including pelvic floor support (promontofixation using a mesh implant), removal of myomatous nodes (myomectomy) with preservation of the uterus, panhysterectomy with lymph node dissection. Thus, operations previously performed laparoscopically can now be reliably performed robotically.

Surgery for uterine fibroids and ovarian tumors

Today, endoscopic operations are routinely performed regardless of the size of the uterus. Depending on the location of the myomatous nodes and their number, removal can be done with small incisions and without resorting to open surgery. In this case, uterine fibroids, regardless of their size, are removed from the abdomen in small sections using a marcellator.

Radical hysterectomy (removal of the uterus) is a classic and effective method of treating cancer of the uterus and appendages at the initial stage. Robot-assisted surgery makes it minimally invasive, with less blood loss and hospitalization time.

Experience in performing robotic operations in City Clinical Hospital No. 31

At the moment, in City Clinical Hospital No. 31, robotic operations of varying complexity using the da Vinci robotic system are carried out on a regular basis.

Today, gynecological robotic surgeries include removal of ovarian tumors, myomectomies, promontofixations, total and partial hysterectomies, treatment of endometriosis, as well as treatment of endometrial and ovarian cancers.

general information

Laparoscopy is an endoscopic method of emergency and elective surgery. It allows you to examine the internal organs of the abdomen through a small hole in the abdominal wall. The inspection is carried out using an optical tube. After 2-3 other punctures, the necessary manipulations with the organs are performed. Laparoscopy is practically bloodless and low-traumatic.

At the origins of laparoscopic gynecology in Russia is Academician of the Russian Academy of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian State Medical University Galina Mikhailovna Savelyeva. Every laparoscopy specialist rightfully calls her your Teacher.

The range of surgical interventions performed using laparoscopic access is wide: gynecological operations, cholecystectomy and hernioplasty, gastrectomy, pancreaticoduodenectomy and operations on the colon and rectum.

general information

Ectopia of the cervix (also Ectopia of the cervical epithelium, Pseudo-erosion of the cervix, Cervical erosion, Endocervicosis) is the location of the columnar epithelium lining the canal of the cervix on its vaginal surface, which outwardly looks like a red spot around the external opening of the canal. Ectopia occurs in approximately half of women of reproductive age and almost never occurs in women over 40 years of age.

general information

Hysteroscopy is an examination of the walls of the uterine cavity using a hysteroscope, followed by (if necessary) diagnostic and surgical procedures. Hysteroscopy allows you to identify and eliminate intrauterine pathologies, remove foreign bodies, take tissue biopsies, and remove endometrial polyps.

Indications for the diagnostic procedure are:

• Anomalies of uterine development.
• Bleeding in postmenopause.
• Infertility.

Indications for the surgical procedure are:

• Submucosal uterine fibroids.
• Intrauterine septum.
• Intrauterine synechiae.
• Endometrial polyp.
• Endometrial hyperplasia.

Contraindications are:

• Recent or existing inflammatory process of the genital organs at the time of the study.
• Progressive pregnancy.
• Profuse uterine bleeding.
• Cervical stenosis.
• Common cervical cancer.
• Common infectious diseases in the acute stage (influenza, pneumonia, pyelonephritis, thrombophlebitis).
• The patient is in a serious condition with diseases of the cardiovascular system, liver, and kidneys.

Indications for the diagnostic procedure are:

• Submucosal uterine fibroids.
• Intrauterine septum.
• Intrauterine synechiae.
• Endometrial polyp.
• Endometrial hyperplasia.
• Removing remnants of the intrauterine contraceptive device.

Indications for the surgical procedure:

• Suspicion of internal endometriosis of the uterine body, submucosal fibroid, synechia (adhesion) in the uterine cavity, remnants of the fertilized egg, cervical and endometrial cancer, endometrial pathology, perforation of the uterine walls during abortion or diagnostic curettage.
• Suspicion of uterine malformations.
• Menstrual irregularities in women of childbearing age.
• Anomalies of uterine development.
• Bleeding in postmenopause.
• Infertility.
• Control examination of the uterine cavity after surgery on the uterus, in case of miscarriage, after hormonal treatment.

Indications for hospitalization in gynecological departments:

Absolute indications for hospitalization:

threat to the patient’s life due to acute (emergency) surgical pathology;

patient conditions requiring urgent treatment and diagnostic measures and (or) round-the-clock monitoring.

General criteria for selecting patients for planned hospitalization in 24-hour hospitals:

impossibility of carrying out therapeutic measures in outpatient settings;

impossibility of carrying out diagnostic measures in outpatient settings;

patient conditions that require round-the-clock monitoring due to the possibility of developing complications of the underlying disease that threaten the patient’s life;

the need for constant medical supervision at least 3 times a day;

the need to perform treatment procedures around the clock at least 3 times a day;

isolation for epidemiological reasons;

threat to the health and life of others;

complicated pregnancy and childbirth;

territorial distance of the patient from the hospital (taking into account potential deterioration);

ineffectiveness of outpatient treatment for frequently and long-term ill patients.

General criteria for selecting patients for hospitalization in a day hospital, day hospital:

continuation (completion) of the course of treatment prescribed in a 24-hour hospital, in a state that does not require observation in the evening and at night, under active inpatient conditions;

carrying out complex diagnostic procedures that are impossible in an outpatient setting and do not require round-the-clock monitoring;

the presence of an acute disease or exacerbation of a chronic disease in the absence of indications for hospitalization in a 24-hour hospital and the need for therapeutic measures no more than 3 times a day;

the need to carry out rehabilitation measures that are impossible in an outpatient setting;

the presence of concomitant pathology requiring adjustment of treatment in a patient in a condition that does not require observation in the evening and at night;

the impossibility of hospitalization in a 24-hour hospital in situations depending on the patient (nursing mothers, small children and other family circumstances) that do not require bed rest.

Indications and conditions for planned hospitalization in gynecological departments

The scope of the minimum examination at the outpatient stage:

general blood analysis;

general urine analysis;

blood test for RW;

examinations for sexually transmitted diseases (chlamydia, gonorrhea, trichomonas, ureaplasma, etc.), for inflammatory diseases;

biopsy from the uterine cavity for cytohistological and bacteriological examination;

blood test for serum iron (anemia of pregnancy, fibroids);

biochemical blood test (functional tests of the liver, kidneys, coagulation system) for gestosis of the 1st-2nd half of pregnancy and uterine fibroids, endometriosis;

fluorography of the chest.

Indications for a 24-hour hospital:

acute salpingoopharitis;

acute parametritis;

tubo-ovarian inflammatory formations.

B. Endometriosis, adenomyosis - to clarify the diagnosis and surgical treatment.

uterine fibroids - for surgical treatment;

ovarian cysts - for surgical treatment;

vaginal cysts - for surgical treatment;

leukoplakia - for surgical treatment (diathermo-conization);

cervical dysplasia grades 1 - 2;

recurrence of cervical polyp;

uterine body polyp - for surgical treatment.

G. Infertility:

in order to clarify the patency of the fallopian tubes.

D. Menstrual dysfunction:

Dysfunctional uterine bleeding of the reproductive period.

E. Complications of pregnancy:

severe gestosis in the 1st-2nd half of pregnancy;

severe threat of miscarriage;

recurrent miscarriage;

severe extragenital pathology.

Indications for day hospital:

A. Inflammatory diseases:

chronic salpingitis;

chronic parametritis;

chronic oophoritis;

chronic endometritis;

pelvic peritoneal adhesions;

cervicitis and endocervicitis;

vaginitis and vulvovaginitis.

B. Endometriosis - for hormonal, absorbable therapy (including physiotherapy).

B. Tumors of the female genital organs:

vaginal leukoplakia;

vaginal polyp;

erosion and ectropion of the cervix;

corpus luteum cysts;

cervical polyp.

G. Infertility:

associated with lack of ovulation;

hypothalamic pituitary origin;

tubal infertility;

uterine infertility;

cervical or vaginal origin;

other specified genesis.

D. Menstrual irregularities:

amenorrhea;

hypomenorrhea;

hypermenorrhea;

juvenile bleeding (after clarification of genesis);

opsomenorea;

metrorrhagia in the reproductive period;

premenstrual syndrome.

E. Complications of pregnancy:

early gestosis in the absence of ketonuria;

dropsy of pregnancy without pronounced edema;

critical miscarriage without clinical signs of threatened miscarriage;

threat of termination of pregnancy in the 1st and 2nd trimesters in the absence of a history of habitual miscarriages and a intact cervix;

vegetative-vascular dystonia and hypertension 1 tbsp. in the 1st and 2nd trimesters of pregnancy, anemia with a decrease in HB not lower than 90 g/l;

extragenital pathology requiring diagnostic examination, assessment of the intrauterine state of the fetus, treatment of CPRF, chronic fetal hypoxia (if the fetus is assessed at least 7 points).

G. Anemia:

postoperative (HB not lower than 90 g/l);

posthemorrhagic - for preoperative preparation.

Z. Medical abortion.

The procedure for hospitalization in the gynecological department:

Stage I - FAP, local hospitals without a gynecologist:

conditions requiring emergency care followed by transportation or calling a doctor.

Stage II - local hospital with an obstetrician-gynecologist, district hospital, central district hospital of category III, in addition to stage I:

conditions requiring emergency medical care;

cervical biopsy;

removal of cervical polyp;

separate diagnostic curettage of the cervical canal and the walls of the uterine cavity;

inflammatory diseases of the gastrointestinal tract requiring conservative treatment in a hospital setting.

Stage III - central district hospitals of categories I-II, in addition to stage II:

inflammatory diseases of the female genital organs requiring surgical treatment;

benign neoplasms.

Stage IV - city maternity hospitals and obstetrics and gynecology departments of city and regional hospitals, in addition to stage III:

prolapse of the genital organs;

endometriosis;

patients with DUB requiring qualified hormonal examination.

Stage V - specialized institutions, gynecology departments at universities, research institutes, in addition to stage IV:

female infertility;

abnormal development of the genital organs;

genital fistulas;

gynecological patients with severe extragenital pathology.

Indications for hospitalization during pregnancy are severe toxicosis in the early and late stages of pregnancy, low levels of hemoglobin in the blood, pain in the lower back and lower abdomen, spotting, increased uterine tone, pyelonephritis and the presence of chronic diseases in the expectant mother. Let's take a closer look at each of these pathologies during pregnancy: 1. Early and late toxicosis. Any toxicosis accompanied by severe vomiting and sudden weight loss in a pregnant woman leads to dehydration and nutritional deficiency. Late toxicosis or gestosis can cause miscarriage or premature birth. With gestosis, the baby develops hypoxia, and the pregnant woman herself experiences pressure surges and swelling. Both with severe early toxicosis (vomiting more than 10 times a day, lasting more than 2 weeks), and with gestosis, round-the-clock monitoring by a gynecologist is required. 2. Reduced hemoglobin level. Low hemoglobin levels pose a serious threat to the normal development of the fetus; it can even lead to child hypoxia. If no vitamins and consumption of foods rich in iron lead to an improvement in the blood composition of the expectant mother, then the doctor is obliged to refer her to hospital treatment. 3. Pain in the lower back and lower abdomen. These symptoms may indicate a possible miscarriage, and if in late pregnancy, premature birth. In a hospital setting, with proper treatment, all these adverse events can be prevented. For this purpose, the doctor prescribes drugs that help improve the metabolism of the expectant mother, and in case of premature birth, the pregnant woman is given an IV. This speeds up the formation of the baby's lungs and eliminates breathing problems during childbirth. 4. Increased uterine tone. Sometimes an expectant mother may experience increased uterine tone for the entire nine months and not affect the course of pregnancy in any way. But often it is this that causes miscarriage or premature birth. If your doctor recommends that you go to the hospital due to increased uterine tone, then it is better not to ignore the specialist’s advice and “rest a little” in the hospital. 5. Chronic diseases of the expectant mother. When a pregnant woman has serious illnesses, such as pyelonephritis, cystitis, or interruptions in heart function, hospitalization is required. Acute infectious diseases also serve as a reason for sending the expectant mother to the hospital for maintenance therapy.

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GBUZ MO "Moscow Regional Research Institute of Obstetrics and Gynecology" is a maternity institution with a rich history, which distinguishes it especially from the line of similar institutions in the Russian Federation.

The institute has 130 obstetrics and gynecology beds, of which: 50 are pregnancy pathology beds, 40 are maternity beds, 40 are gynecology beds (including 10 beds for endoscopic operations). The children's department has 10 intensive care and neonatal pathology beds.

GBUZ MO "Moscow Regional Research Institute of Obstetrics and Gynecology" is the leading system-forming scientific and practical institution for the entire healthcare and obstetric service of the Moscow region. The prerogative of the institute was and remains to provide high-quality medical care and protect the reproductive health of the female population of the Moscow region. The geographical location of the institute ensures optimal accessibility of the institution for patients from the entire Moscow region (located within a 10-15 minute metro ride from the five main railway stations in Moscow).

The institute employs 16 professors and doctors of science, 58 candidates of medical sciences. A specialized Academic Council for the defense of doctoral and candidate dissertations in the specialty “obstetrics and gynecology” has been created and is functioning at the State Budgetary Healthcare Institution MO MONIIAG.

In 1990, on the basis of the State Budgetary Healthcare Institution MO MONIIAG, the Department of Obstetrics and Gynecology was revived at the Faculty of Institutions of MONIKI named after. M.F. Vladimirosky. Every year, up to 250 obstetricians-gynecologists, therapists, and neonatologists are trained at the department. Specialists are trained in clinical residency, full-time and part-time postgraduate studies, and within the framework of additional professional education programs. At the same time, on the basis of the institute, 10-12 doctors from the region study full-time clinical residency, 6-8 are engaged in scientific research in graduate school.

Over the past five years, the team of the State Budgetary Institution of Healthcare of the Moscow Region MONIIAG has carried out 32 research projects, of which 8 were financed from the budget of the Moscow region. In accordance with the research agreements with the Ministry of Health of the Russian Federation, 5 complex topics were carried out. Based on the results of the research, 8 doctoral and 32 candidate dissertations were completed and defended; 11 monographs and textbooks were published; 36 methodological recommendations of republican and regional significance were published, 760 scientific papers were published.

The main areas of work of the GBUZ MO MONIIAG is the provision of qualified specialized care to women of the Moscow region during pregnancy, childbirth and the postpartum period, and to gynecological patients at high risk. The Institute is a collection institution, which concentrates the most complex, most severe obstetric and gynecological patients, not only from the Moscow region, but also from other regions of Russia. During the calendar year, the institute's employees travel 300-350 times to medical institutions in the Moscow region to provide emergency medical care to pregnant women, gynecological patients and newborn children (air ambulance).

Since 2007, a reproduction department has been created and began its work at the institute, headed by Doctor of Medical Sciences, Professor K.V. Krasnopolskaya, the department’s task is to provide the population of the Moscow region with access to complex and high-cost reproductive technologies that make it possible to overcome almost all forms of female and male infertility. For this purpose, the department uses modern methods of assisted reproductive technologies, including the procedure of in vitro fertilization (IVF) and ICSI and all their modifications. At the beginning of 2015, the reproduction department carried out more than 6,500 IVF attempts, of which 2,035 resulted in pregnancy in previously infertile women. This is a good result, consistent with global performance indicators for reproduction departments. About 85% of patients with pregnancies after IVF are observed by specialists from the State Budgetary Healthcare Institution MO MONIIAG until the due date. Moreover, almost half of them give birth within the walls of the institute, and the rest in high-risk obstetric institutions “Moscow Regional Perinatal Center”, “Vidnovsky Perinatal Center” under the supervision of specialists who have undergone special training on the basis of MONIIAG. At the Moscow Regional Research Institute of Obstetrics and Gynecology, 1,350 test tube babies were born from 2007 to 2015.