Medical Services

The clinic is equipped with the latest 640-slice Toshiba Aquilion ONE CT scanner (640 slice). The device is distinguished by high resolution, covering a large area, and speed, which provides a clear differentiation of moving structures. Computer coronary angiography is a non-invasive method of examining the blood vessels of the heart, which allows detailed visualization of the coronary arteries. Using this method, it is possible to detect atherosclerotic plaques of blood vessels, evaluate their structure, and determine localization and quality in case of stenosis. It is also used to detect congenital anomalies and anatomical features of both blood vessels and the heart, and to assess the condition of the coronary artery bypass graft and stent.

The department of Endoscopy provides diagnostics and treatment of gastrointestinal diseases:

• Esophagogastroduodenoscopy (EGD) using digital equipment, including the function of narrow-spectrum and image magnification;
• Colonoscopy using digital equipment, including the function of narrow-spectrum and image magnification;
• Rectosigmoidoscopy using digital equipment, including the function of narrow-spectrum and image magnification;
• Biopsy;
• Gastrointestinal endoscopic polypectomy (excision of a small polyp);
• Endoscopic polypectomy (excision of a large polyp);
• Endoscopic polypectomy (excision of a “flat” polyp);
• Dilation (expansion) of an esophageal stricture with a balloon or a bougie;
• Stenting of the esophagus (prosthetics) with self-expanding metal stents (SEMS) during narrowing due to various reasons;
• Stopping bleeding from the gastrointestinal tract;
• Ligation of varicose veins of the esophagus;
• Removal of a foreign body from the esophagus and stomach;
• Endoscopic retrograde cholangiopancreatography (ERCP) (Diagnosis of diseases of the bile ducts and pancreatic ducts using a radiopaque substance);
• Endoscopic papillosphincterotomy (EPST) (dissection of the junction of the bile duct with the duodenum and extraction of stones from the bile ducts);
• Bile duct stenting – when the bile duct is narrowed (stricture) due to cancer;
• Mechanical lithotripsy – crushing of bile duct stones.

The following types of manipulations and operations are performed in the urological department of the clinic “Medcenter”:

• Urinary retention (surgical epicystotomy) under local anesthesia;
• Laser therapy (using the “MUSTANG” device) (one session);
• Orchiopexy;
• Trocar epicystostomy;
• Surgical treatment of hydrocele;
• Surgical treatment of varicocele;
• Periurethral abscess (drainage);
• Electroresection of the urethral polyp (surgical);
• Paraphimosis (surgical treatment);
• Plastic orchiectomy;
• Urological procedure (massage);
• Biopsy of the prostate;
• Bladder catheterization;
• Penile fracture;
• Hydrocele testis;
• Extension of frenulum of prepuce (short frenulum);
• Testicular trauma;
• Testicular torsion;
• Plastic surgery of the renal pelvis and the ureter;
• Sectoral resection of the foreskin;
• Bougienage of the urethral stricture;
• Excision of the urethral fistula (plastic surgery);
• Excision of the urethral fistula (plastic surgery);
• Electrocoagulation (burning) of polyps of the urethra and foreskin and genital warts of the glans penis;
• Renal stone (Pyelolithotomy);
• Kidney cyst (surgery);
• Renal colic (relief);
• Cystolithotripsy (crushing stones in the bladder) of mild complexity;
• Cystolithotripsy (crushing stones in the bladder) of medium complexity;
• Renal colic (ureteral stenting, cystoscopy);
• Nephrectomy;
• Nephrectomy in case of kidney cancer;
• Paraphimosis (surgical treatment) under local anesthesia;
• Cystoscopy + catheterization (ureteral stenting);
• Peyronie’s disease;
• Pyonephrosis (surgical nephrostomy);
• Plastic castration (for prostate cancer) under local anesthesia;
• Plastic castration (for prostate cancer);
• Diagnostic cystoscopy (overview);
• Genital tumor, resection under general anesthesia;
• Priapism;
• TUR of the prostate;
• Kidney cyst (with puncture method);
• Circumcision;
• Testicular cancer (op. high testicular incision);
• Ureterorenoscopy;
• Narrowing of the external opening of the urethra (meatostenosis – op.meatotomy);
• Phimosis (circumcision);
• TUR of the bladder;
• Bladder diverticulum (op. diverticulectomy);
• Epididymectomy;
• Excretory urography;
• Surgical treatment of varicocele (under local anesthesia);
• Stress Urinary Incontinence (SUI): (operation TVT-Burch);
• Retention of urine (surgical epicystomy);
• Urethral stone (op. ureterolithotomy);
• Surgical treatment of hydrocele (under local anesthesia);
• Epididymectomy under local anesthesia;
• Bilateral hydrocele;
• Phimosis (circumcision) under local anesthesia;
• Cyst of epididymis;
• Pyonephrosis (puncture stoma);
• Pyelography (urological lobe);
• Adenomectomy;
• Urethrocystography (urological lobe);
• Retention of urine (trocar epicystostomy);
• Lymphadenectomy nephrectomy plastic surgery of the aortic wall resection;
• Vasectomy;
• Plastic surgery of the urethra;
• Laparoscopic method of surgical treatment of kidney cysts;
• Laparoscopic kidney plastic;
• Plastic castration (for prostate cancer) under local anesthesia.

In the oncology department of the “Medcenter” clinic you can undergo diagnostics and treatment of all types of oncological diseases using the latest methods. Early diagnosis of breast and cervical cancer. Biopsy of various organs and peripheral lymph nodes. Cytological, histological and immunohistochemical studies of biopsy material. Determination of key tumor markers important for the diagnosis of oncological diseases.

For the first time in western Georgia, patients with cancer were given the opportunity to undergo radiation therapy in our clinic. (See additional information on the Department of Radiation Oncology).

The following types of operations are performed in the Oncology Department:

• Removal of large benign neoplasms
• Removal of large benign soft tissue neoplasms
• Excisional biopsy (complex) of lymph nodes or soft tissue tumors
• Mastectomy with lymphadenectomy
• Hemicolectomy with stapler
• Resection of the sigmoid colon
• Left-sided hemicolectomy, anterior rectal resection
• Pancreatoduodenal resection (PDR)
• Malignant skin tumors, surgical treatment
• Bilateral sectoral breast resection
• Unilateral sectoral breast resection
• Excision of malignant skin neoplasms with autodermoplasty of a large skin defect and regional lymphadenectomy
• Total gastrectomy or radical resection (due to stomach cancer)
• Breast quadrantectomy with lymphadenectomy
• Armpit lymphadenectomy under general anesthesia
• Trephine biopsy
• Breast lumpectomy
• Formation of a gastroenteroanastomosis
• Gastrostomy
• Formation of a biliary-enteric anastomosis
• Formation of enterostomy
• Formation of colostomy
• Surgical intervention for locoregional tumor recurrence
• Biopsy with control of the computed tomography
• Excision of a tumor without an organ of the retroperitoneal space
• Excision of large recurrent tumor
• Myotomy or tenotomy of the spine or neck with or without excision
• Complete excision of the soft tissue tumor of the spine
• Extended excision of a soft tissue tumor of the spine
• Myotomy or tenotomy of the muscles of the scapula or upper limb with or without excision
• Complete excision of the tumor of the muscle of the scapula or upper limb
• Extended excision of a muscle tumor of the scapula or upper limb
• Other surgery on a muscle or tendon of the scapula or upper limb
• Complete excision of a soft tissue tumor of the elbow or forearm
• Complete excision of the soft tissue tumor of the knee or lower leg
• Extended excision of soft tissue tumor of the knee or lower leg
• Complete excision of the soft tissue tumor of the ankle or foot
• Extended (wide) excision of a soft tissue tumor of the ankle or foot
• Removal of cervical lymph nodes
• Removal of armpit lymph nodes
• Excision of the thigh lymph nodes
• Removal of groin lymph nodes
• Excision of other lymph nodes in a single block
• Chemotherapy in a day hospital (multi-day)

In the gynecological department of the “Medcenter” clinic, the patient can undergo complete prevention, diagnosis and treatment of gynecological diseases.

In the gynecological department, sonohysterosalpingoscopy and sonohysterosalpingography are performed to identify pathologies of the uterine cavity. And the patency and functioning of the fallopian tubes are checked by metrosalpingography.

For various pathologies of the cervix, the following are used:

• Cryodestruction
• Ablation and conization
• Electrocoagulation

Prevention, early diagnosis, and treatment of cervical pathologies:

• Colposcopy
• Papanicolaou test

In the clinic “Medcenter” the following types of gynecological manipulations and operations are carried out:

• Cryodestruction of the cervix
• Conization of the cervix with local anesthesia
• Electrocoagulation
• Radiofrequency ablation (RFA)
• Diagnostic hysteroscopy
• Hysteroresectoscopy (HRS)
• Salpingography (gynecological share)
• Taking aspirate from the uterine cavity
• Amputation / extirpation of the uterus by laparotomy
• Laparoscopic hysterectomy
• Laparoscopic ovarian cauterization
• Ovarian apoplexy (laparoscopy)
• Ovarian drilling
• Torsion of the uterine appendages (laparoscopy)
• Ectopic pregnancy (laparoscopy)
• Vaginal extirpation of the uterus with vaginal plastic
• Excision of the cervix
• Uterus amputation (laparoscopy)
• Plastic of the vaginal walls
• Cyst of the vaginal wall
• Chromopertubation
• Laparocentesis
• Plastic of the labia
• Defloration
• Plastic of the hymen
• Surgery for ruptured uterus
• Laparoscopic sterilization
• Vulvectomy, vaginal total Prolift mesh implantation
• Vaginal plastic for genital prolapse (mesh)
• Сolpocystopexy with prolapse of the genitals and urinary incontinence (mesh)
• Surgery to preserve the fallopian tube
• Partial removal of the fallopian tube due to tubal ectopic pregnancy
• Total excision of the fallopian tube
• Plastic of the fallopian tubes (laparoscopy)
• Introduction of a hormonal replacement coil into the uterine cavity

Laboratory studies:

• Bacterioscopic examination of the smear
• Aspirate from the cervical canal and uterine cavity for cytological examination
• Cytological examination of the cervix
• Histological examination
• PCR of HPV virus
• Femoflor screening
• Tumor markers

Available in the department:

• Treatment of bulk tumors of the brain and spinal cord with minimally invasive microsurgical methods.
• Surgical treatment of neurovascular conflict (Trigeminal, facial, hypoglossal nerves).
• Surgical treatment of pathologies of the first and second vertebra of the neck.
• Surgical treatment of hydrocephalus – shunting.
• Surgical treatment of discogenic and spondylogenic pathologies of the spine
• Metal fixation of the spinal column
• Reconstructive surgery on the peripheral nervous system

In the clinic “Medcenter” in the department of traumatology (orthopedics-traumatology) you can undergo both surgical and conservative treatment.

Conservative treatment is carried out for the following diseases:

• Arthritis of various joints

Arthritis of the knee joint

Coxitis

Periarthritis of the scapula

Periarthritis of the shoulder joint

• Arthrosis

Gonarthrosis

Coxarthrosis

• Arthropathies

De Quervain’s disease

Osteochondropathy

Epicondylitis (medial, lateral)

Osgood-Schlatter Disease

Styloiditis

• Joint bruises
• Stretching, trauma to the articular yogic apparatus

And etc.

Surgical treatment:

Osteosynthesis for fractures of long tubular bones (open, closed, with displacement, without displacement), femur, tibia, humerus, forearm bones, clavicle bones, metacarpals and ankle bones (LCP; DCP plates, intramedullary rods, external fixation rod), total hip replacement for femoral neck fractures. Cementless endoprosthetics, Austin Moore-type cemented endoprosthesis.

• Total hip endoprosthesis (Replacement)
• Total endoprosthesis of the knee joint
• Revision total hip replacement
• Arthroscopic meniscectomy
• Plastic surgery of the anterior and posterior cruciate ligaments arthroscopically
• Achilles tendon reconstruction

Surgical orthopedics:

• Coxarthrosis grade 3-4
• Gonarthrosis grades 3-4
• Aseptic necrosis of the femoral head
• Hip Rheumatoid Arthritis (RA) of the Last degree
• Deformity of the joint connecting the big toe to the foot (bunion, hallux valgus)
• Knee meniscus injury
• Post-traumatic false joints of long tubular bones

In the department, intra-articular injections, periarticular blockades, immobilization with plaster, mobilization with modern polymer fixatives are performed.

Mamography

Specialized X-rays of the breast to aid in the early detection of breast cancer. A yearly mammogram is recommended for women age 40 and older.

Reproductive Endocrinology

Care and treatment for couples having difficulties conceiving a child. Conventional therapies such as medication and surgery can help your dreams of parenthood come true. Our partnership with Mayo Clinic allows us to provide referrals when advanced reproductive techniques are required.

Integrative Medicine

Alternative therapies stemming from the premise the mind, body and spirit function as one and addressing all promotes healing.

Chemical Dependency Treatment

Care for people with alcohol and other drug addictions. All treatment plans are individualized, ensuring that each person’s unique needs are met to promote healing and recovery. Dignity and respect are foundational values that guide our work.

Physical Therapy

Therapeutic care to restore movement and function to people disabled by disease or injury. Care may include exercise, training in activities of daily living and education. Our team works in collaboration with other specialties to offer comprehensive care and quickly restore you to your optimal health.

In the radiology department of the “Medcenter” clinic, highly qualified medical personnel will provide you with various services and the ultramodern equipment will allow you to make an accurate diagnosis.

The following types of examinations are available in the department:

Magnetic resonance imaging (MRI):

• Magnetic resonance imaging of the brain
• Magnetic resonance imaging of the brain with non-contrast magnetic resonance angiography
• Magnetic resonance imaging of the brain using magnetic resonance spectroscopy
• Magnetic resonance mammography
• Magnetic resonance imaging of the abdominal cavity
• Magnetic resonance imaging of the pelvic cavity
• Magnetic resonance imaging of the orbits, paranasal sinuses, middle ear
• Magnetic resonance imaging of soft tissues
• Magnetic resonance imaging of the joint
• Magnetic resonance imaging of the mediastinum
• Magnetic resonance imaging of the spine and spinal cord
• Magnetic resonance imaging of the spine and spinal cord segment
• Magnetic resonance imaging (MRI) of the heart
• Peripheral angiography

Computed tomography (CT) studies:

• CT aortography with dynamic contrast enhancement
• Dynamic contrast-enhanced peripheral CT arteriography
• Dynamic contrast-enhanced coronary CT angiography
• Dynamic contrast-enhanced cerebral CT angiography
• Dynamic contrast-enhanced carotid angiography
• CT polytrauma
• CT scan of the brain
• CT scan of the spine segment
• CT scan of the extremities
• Chest CT
• CT scan of the abdomen
• CT scan of the pelvic organs
• Dental computed tomography
• CT of the paranasal sinuses
• CT of the orbits, middle ear
• CT scan of the bones of the face
• Whole body CT angiography
• CT angiography of the pulmonary arteries
• Computed tomography-guided targeted biopsy
• CT enterography and CT examination of the urinary system

In our clinic, patients can undergo both conservative and surgical treatment of proctological diseases.

Surgical treatment:

• Incision and drainage of an abscess (Acute, putrefactive necrotizing paraproctitis)
• Lancing and drainage of an abscess, necrectomy, debridement (Acute, anaerobic paraproctitis)
• Anal and rectal polyps
• Ligation of hemorrhoid with a latex ring
• Hemorrhoidectomy with “Longo Method”
• Anterior levatoro-sphincteroplasty (rectocele, recto-vaginal fistulas)
• Excision of the epithelial sacrosciatic orifice-tube
• Traumatic injury of the sacroiliac joint – resection of the coccygeal bone
• Excision of condyloma
• Electroresection of the polyp from the colon
• Acute paraproctitis – Incision and drainage of an abscess
• Acute hemorrhoids, pinched nodes, thrombosis
• Excision of the cleft, sphincteroplasty
• Stricturotomy, sphincteroplasty
• Fistulectomy in the intestinal lumen, sphincteroplasty
• Fistulectomy, sphincteroplasty
• Hemorrhoidectomy
• Decomposition of coprostasis, removal of a foreign body
• Bleeding from the rectum.

The clinic “Medcenter” carries out digital X-ray diagnostics;

• Fluoroscopy of the chest
• X-ray of the esophagus
• X-ray examination of the gastrointestinal tract
• Overview fluoroscopy of the abdominal cavity
• X-ray of the skull
• X-ray of the paranasal sinuses
• X-ray of the bones of the facial skeleton
• X-ray of the cervical vertebrae
• X-ray of the thoracic vertebrae
• X-ray of the thoracic vertebrae
• X-ray of the lumbar vertebrae
• X-ray of the lumbar vertebrae
• X-ray of the sacro-sciatic vertebrae
• X-ray of the shoulder girdle
• X-ray of the humerus
• X-ray of the forearm bones
• X-ray of the elbow joint
• X-ray of the wrist joint
• X-ray of the metacarpal bones
• X-ray of the metacarpal bones
• X-ray of the phalanges
• X-ray of the spinal column
• Chest x-ray
• Overview X-ray of the abdominal cavity
• X-ray of the hip joint
• X-ray of the femur
• X-ray of the knee joint
• X-ray of the tibia
• X-ray of the ankle joint
• X-ray of the ankle bones
• X-ray of the calcaneus
• Fistulography
• Excretory urography
• Mammography
• Salpingography
• Urethrocystography
• Orthospondylography

In the endocrinology department of the clinic “Medcenter” you can carry out a complete diagnosis and treatment of the following endocrine diseases:

• Diabetes mellitus type 1 and 2, gestational diabetes
• Obesity and metabolic syndrome
• Diseases of the thyroid gland (Hypothyroidism, thyrotoxicosis, nodular goiter, iodine deficiency diseases, thyroiditis)
• Diseases of the parathyroid gland (hyperparathyroidism, hypoparathyroidism)
• Pituitary gland diseases
• Osteoporosis of the adrenal glands
• Dysfunction of the male sexual function

For the diagnosis of endocrine diseases, the following is used:

• Ultrasound examination
• Roentgenography
• Scintigraphy (Thyroid, parathyroid, whole body)
• Computed tomography (adrenal glands)
• Magnetic resonance imaging (pituitary, adrenal)
• Fine needle aspiration biopsy (of thyroid gland)

The “School of Obesity” is also functioning in the clinic. It is a comprehensive approach to overcoming excess weight, which includes:

• Lecture course
• Nutritionist-endocrinologist consultation
• A wide range of laboratory and instrumental studies
• Surgical treatment

The polyclinic has a department of pediatric endocrinology.

In the Department of Radiation Oncology of the “Medcenter” clinic, you will be served by professional specialists!

Radiation therapy of tumor of all localizations is carried out in the Department of Radiation Oncology of our clinic with modern irradiation technology with 3D-planning of the VARIAN CLINAC linear accelerator, the device is equipped with a perfect imaging system, which allows you to effectively irradiate the tumor. Radiation therapy is one of the leading methods of complex treatment of oncological diseases. Timely and adequate treatment of various tumor pathologies allows complete recovery. In the case of an advanced form of the disease, radiation therapy significantly improves the patient’s health, increases the duration and quality of life.

The laboratory of “Medcentre” is equipped with the latest generation of closed-system analyzers, with full automation of the examination, the device automatically controls all technological processes, and most importantly, highly qualified personnel is a guarantee of the accuracy and quality of the results obtained.

The hospital offers a complete study in the following areas:

• Hematology
• Coagulation
• Biochemistry
• Serology
• Immunology
• Hormonal
• Tumor markers
• Infections
• Urine examination
• Rheumatoid examination
• Genetic
• Molecular studies
• Histopathology
• Cytology
• Oncology

In the Department of Oncology, you will be able to undergo diagnostics and treatment of all types of oncological diseases using the latest methods.

• Early diagnosis of breast and cervical cancer.
• Biopsy of various organs and peripheral lymph nodes.
• Cytological, histological and immunohistochemical studies of biopsy material.
• Determination of key tumor markers important for the diagnosis of cancer.

The following methods are available for the treatment of oncological diseases in the department:

• Surgical methods
• Chemotherapy
• Radiation therapy

In the department of plastic and reconstructive surgery “Medcenter” the following types of operations are performed:

Aesthetic surgery

• Rhinoplasty
• Septorhinoplasty
• Reconstructive nose surgery
• Blepharoplasty (Eyelid plastic surgery)
• Face lifting (Face plastic surgery)
• Correction chin form
• Augmentation mammoplasty (breast augmentation)
• Reduction mammoplasty (breast reduction)
• Mastopexy (hanging breast lift, correction)
• Brachioplasty (upper arm plastic surgery)
• Abdominoplasty (plastic of the anterior abdominal wall)
• Liposuction
• Plastic surgery of the buttocks
• Buttocks augmentation
• Plastic surgery of hip area