Major, medium and minor surgeries

According to the Medical Standard of Surgery, depending on their volume and complexity, surgeries may be minor, medium, major (complex) and most major (very complex). The types of surgeries performed at a medical facility depends on the level of competence of its Surgery Department.


The Surgical Department at Nadezhda Hospital has Second Level of competence, which means that the surgeries performed in the Surgical Department range from minor to most major. When a malignant process is suspected, an express tissue analysis is carried out during surgery (Gefrier) – part of the mass or removed lymph nodes are examined for the presence of any cancer cells. This allows a timely reassessment of the extent of surgical intervention and reduces the likely need for repeated surgical intervention.

Operating theatres

Nadezhda Hospital has four operating theatres with modern equipment, enabling the performance of surgical interventions of various types and scopes of in the field of obstetrics, gynecology, general and abdominal surgery, oncological surgery – conventional and laparoscopic (minimally invasive) surgical procedures, minor interventions with short or one-day hospital stay (abrasions, punctures, biopsies, procedures controlled via ultrasound or endoscopy). The operating theatres at Nadezhda are furnished with highly specialized medical equipment – diode laser, for performance of minimally invasive surgery with a number of advantages for the patient – less pain, less blood loss, faster recovery, without the risk of complications.

One of the theatres has a video and Internet connection and allows remote training sessions to be performed live.

Major, medium and minor surgeries

A wide range of surgical interventions are performed in the following areas:

Includes surgical treatment for the following conditions:

  • Appendicitis;
  • Peritonitis;
  • intra-abdominal abscesses;
  • cholecystitis and cholelithiasis (diseases of the bile and bile ducts) – conventional and minimally invasive surgical treatment;
  • Benign and malignant tumors and other diseases of the small and large intestine;
  • diseases of the oesophagus, stomach and duodenum;
  • diseases of the liver (echinococcus, etc.), gallbladder and bile ducts;
  • diseases of the pancreas and peritoneum;
  • diseases of the spleen;
  • diseases of the adrenal glands.

Includes performing surgical interventions in the following cases:

  • Organ-preservation or radical treatment for benign and malignant tumors of the mammary gland.
  • Reconstruction after radical surgical treatment for breast cancer.

Hernias – ventral, inguinal, diaphragmatic and postoperative, with or without incarceration (entrapment)

Includes surgical treatment for the following conditions:

  • infectious soft tissue diseases, skin tumors, abscesses, phlegmon
  • diseases of the anus and perianal space (anal fissures, fistulas, abscesses, haemorrhoids, dermoid cysts).

Includes performing the following surgical interventions:

  • circumcision (circumcision) – performed for medical reasons (phimosis) or religious reasons (shunette);
  • dorsumciso – cutting the ring of the foreskin on the dorsal side of the penis with a longitudinal incision;
  • frenulotomy (surgical treatment of men with frenulum breve – a short glans or short glans penis head;
  • testicular biopsy;
  • operations for hydrocele and varicocele;
  • removal of testicular tumors;
  • orchifuniculectomy (testicle removal).

Includes performing the following surgical interventions:

  • varicocele sclerotherapy;
  • stripping;
  • phlebectomy;
  • laser ablation of superficial veins;
  • construction of AV fistulas for hemodialysis;
  • placement of Port-A-Cath devices for general and regional chemotherapy.

Conventional and video-assisted thoracoscopy (VATS).

See also

Endoscopic surgery
Admission to Surgery Department
Stay at the Surgery Department