Innovation in the service of medical workers

Friday,  28  Июнь  2013

Medicine of the new generation is not conceivable without innovation. Doctors of the Republican Research Center for Neurosurgery keep pace with the times, using in their work new methods of treating patients. Note that this is not only the transfer of medical technology from abroad, but also the use of own innovations - developed by local staff. It is no secret that neurosurgery is one of the most knowledge-consumptive, high-tech and high-growth areas of medicine. In five years the Center physicians have implemented and applied in practice for more than 40 innovative treatments. For a long time for this kind of surgery Kazakhstan citizens traveled abroad. Today, thanks to the active technology transfer and development of the own scientific base, the country began to hold rare operations that give maximum results with minimal surgical intervention and low blood loss. One striking example can be called endovascular neurosurgery direction that promotes Kazakhstan Department of Vascular Neurosurgery of the RRCN head by Dr. Yerbol Makhambetov. "The direction of endovascular neurosurgery is a method of minimally invasive vascular surgery of the brain and spinal cord. The method consists in the fact that through a small puncture of the vessel surgeons injected into the affected vessels various catheters, wires, tools, and under X-ray equipment conduct the necessary surgery" says Dr. Makhambetov. In Kazakhstan, this technique was introduced in 2008, the year of foundation of the Neurosurgery Center in Astana. Since then, several hundred of similar operations have already been done at the most advanced equipment. However, the process is still being improved, says Yerbol Makhambetov: "In the future, we plan to acquire so-called "bi-routine angiographic unit", which allows during the operation at the same time to see the vessel in two projections. Now in the process we have to constantly move the arc to see the other side of the vessel. With that system we will be able to monitor its condition in two projections". Moreover, such technique allows using 3D-procedure angiography program as so-called rotary color imaging perfusion during surgery when the surgeon can see the lack or increase of blood flow in certain areas of the brain. In addition to the purchase of the latest equipment, the Center constantly develops its own research projects. One of them just recently has been sent to the consideration of the Nazarbayev University. The fact is that five percent of the world population susceptible to a cerebral aneurysm. However, some of them rupture, and others do not. Therefore, the aim of the authors’ idea is to identify patients prone to rupture of the aneurysm, in other words the risk group. Research will be held in conjunction with genetics-based research center. Now the idea is under consideration. "The project of our department devoted to the topic of cerebral aneurysms. This is one of the major diseases that we do in our department. Aneurysms are a so-called bag on the vessel wall, which leads to hemorrhagic strokes. This is a very serious disease. And the concept of the project aims to determine which patients - carriers of aneurysms - are at higher risk of rupture. If we find some regularity, it would be very useful in practical terms, because the aneurysm is very common pathology", - said Dr. Yerbol Makhambetov. The head of the department of CNS pathology Nurzhan Ryskeldiev also told about the mutual studies at the DNA level together with the Nazarbayev University. According to him, this university has enough equipped technical and laboratory facilities to examine genetic pathways occurrence of malignant brain tumors. Another new direction for the first time mastered in Kazakhstan by the department of CNS pathology was endoscopic neurosurgery. By the way, this trend continues to evolve to this day, both in our country and around the world. Head of the department told about other new projects. Many of them are willing to work with foreign experts. For example, during his visit to Astana, the President of the European Association of Neurosurgical Societies Vladimir Benes said that doctors found out that the problems of pituitary adenomas, tumors of the pineal region are acute in the Czech Republic. Therefore Dr. Nurzhan Ryskeldiyev believes that physicians of different countries should cooperate and share their achievements to seek a common path. The result can be a joint project with the University of Prague, where works Professor Benes. Republican Research Center for Neurosurgery also conducts transnasal removal of tumors of the skull base, carries out the most complex spinal surgery, minimal invasive surgery in pediatric neurosurgery with neonatal period. For five years the Center of Neurosurgery has done a great research work, carried out a number of unique operations, achieved recognition of foreign colleagues. As the result of innovation center for the five-year period can be considered a resarch work "Development of high-tech innovative treatments of neurosurgical pathology in the Republic of Kazakhstan" developed by doctors T. Kerimbayev, Ye. Makhambetov, A. Nurpeisov, M. Rabandiyarov, N. Ryskeldiyev under the leadership of doctor of medical sciences, academician of NAS RK Prof. S. Akshulakov. The paper presents the implementation of high-tech materials for innovative methods of treatment used in the best clinics in the world, as well as on fundamental areas of neurosurgery. But most importantly, it reflects the information on the own researches and developments of RRCN successfully implemented in Kazakhstan. The results of the scientific achievements of the Centre are presented in 13 innovative patents and pre-patents, 208 publications in domestic and foreign periodicals, 6 monographs, 1 guideline and 20 papers at the international conferences. This large-scale work combines all innovations of physicians of the Center into one project nominated for the State Prize of the Republic of Kazakhstan in the field of science and technology in 2013, which is the highest recognition of the merits of the Center to the society and the state.