Sourasky Medical Center

Neurosurgery at the Medical Center. Sourasky (Ichilov)

Neurosurgery is the leading direction in the research and clinical practice of the Ichilov hospital today.

Patients from all over Israel and the world seek treatment at the hospital, which is considered the leading neurosurgical institution in Israel and one of the best in the world.

The Department of Neurosurgery at Tel Aviv Sourasky Medical Center (TASMC) specializes in the treatment of diseases of the brain, spinal cord and peripheral nervous system in adults and children.

The department is headed by Zvi Ram , a doctor with 35 years of experience, a neurosurgeon, a member of the World Federation of Neurosurgery, a professor at the Department of Surgery at the Faculty of Medicine (Tel Aviv University).

Why is Ichilov clinic worth choosing for hernia treatment?

TASMC Spinal Surgery has a wealth of clinical experience in minimally invasive and endoscopic surgery:

• about 6,000 patients are admitted to the spinal surgery unit annually;
• more than 2000 surgical operations are performed under the control of the intraoperative MRI system (O-Arm);
• the latest developments of implants and preparations-stimulants of bone tissue restoration are used;
• treatment involves a minimal risk of damage to bone and soft tissues - in 95% of cases, the patient can rise the very next day.

As a result, in 90% of cases, there is a positive trend, which lasts for 10-12 years;

Diagnostics of the IVD hernia in the Ichilov clinic (Sourasky)

Before the operation, the doctors at the Sourasky Clinic conduct a comprehensive diagnostic examination of the patient.

Basic diagnostic methods:

• X-ray of the spine in 2-3 projections;
• MRI, CT - visualization of intervertebral hernia tissues;
• laboratory blood tests: immunological, biochemical, general analysis.

The cost of diagnosing a herniated disc

Complete blood count - $ 370;

MRI of the lumbar spine - $ 1550.

You can find out the exact cost of diagnostics from a doctor at Clinics Direct.

Pituitary adenoma

TASMC performs 3 methods of surgical operations:

• Transnasal
• Endoscopic
• Transcranial

The operations are carried out by Zvi Ram, a doctor with 35 years of experience, a neurosurgeon, under whose leadership 2000 successful operations have taken place.

The duration of postoperative rehabilitation during surgery is 2-3 days. It all depends on the extent of the lesion and the dynamics of treatment.

Operation cost

Transnasal removal of pituitary adenoma - $ 27,150

Transcranial removal of pituitary adenoma - $ 30,000-35,000

The indicated amount includes:

• preoperative preparation (ECG, chest x-ray, consultation with an anesthesiologist);
• hospitalization in a 2-bed ward of the hospital;
• consumables and equipment;
• express biopsy during surgery.

We know all about the treatment of pituitary adenomas in the Center Sourasky doctors and sign up for a consultation at the Clinics Direct website.

Spinal Cord Tumor Treatment

The Sourasky Center employs some of the world's best oncologists, hematologists, neurosurgeons, radiologists, orthopedic surgeons and other doctors.

The treatment plan is always drawn up and approved by an interdisciplinary panel of specialist doctors.

Spinal cord cancers are treated in a specialized spinal surgery unit at Tel Aviv Sourasky Medical Center under the guidance of vertebrologist Zvi Lidar.

The department works in close collaboration with the Israel Orthopedic Oncology Center and performs the full range of treatments and operations related to cancers on the spine.

The senior doctors of the department have completed mandatory refresher courses in the field of spinal surgery in the best medical centers in the USA and Canada.

The TASMC Oncology Department uses the most advanced diagnostic imaging technologies and equipment: PET, CT, MRI, intraoperative MRI, liquid biopsy, the latest Novalis TrueBeam STX linear accelerator for stereotaxic radiosurgery , and the Da Vinci Xi robotic surgery system.

Diagnostics is comprehensive:

• Examination by a neurologist, neurosurgeon - the level of damage and the severity of the condition are determined;
• X-ray and myelography of the spine;
• MRI and CT of the spine (detection of a tumor up to 2 mm in diameter);
• examination of cerebrospinal fluid and blood biochemistry.

Among the main methods of treatment:

1. Surgical :

• Spinal cord tumor resection;
• Radiosurgery - controlled localized radiation (including internal radiation exposure, brachytherapy ).

2. Chemotherapy and radiation therapy.
3. Cytokine therapy is the newest method of oncoimmunotherapy, in which “special” proteins destroy malignant formations.
4. Combined methods.

The choice of treatment depends on the stage of the disease, the size and location of the tumor, the presence of metastases, and existing contraindications.

More than 50% of patients who apply on time recover completely.

Learn more about the treatment of spinal cord tumors in Sourasky Center and sign up for consultation coordinators Clinics Direct.

Cerebrovascular aneurysm

The Department of Neurosurgery at Tel Aviv Sourasky Medical Center (TASMC) specializes in the treatment of diseases of the brain, spinal cord and peripheral nervous system in adults and children.

The department is headed by Zvi Ram , a doctor with 35 years of experience, a neurosurgeon, a member of the World Federation of Neurosurgery, a professor at the Department of Surgery at the Faculty of Medicine (Tel Aviv University).

One of the most important specializations of the Department of Neurosurgery is the treatment of cerebral (intracranial) aneurysms.

Leading neurosurgeons of the department, professor Zvi Ram , prof. Shimon Maimon , Dr. Andrew Kanner , Dr. Margalit Navo , show phenomenal success - 97% of successful operations.

Intracranial aneurysm - a protrusion of the vessel wall with localization in the brain is especially dangerous due to the risk of stroke, and therefore requires careful diagnosis and early detection.

In TASMC have every opportunity to 100% diagnosis of aneurysm of the brain arteries:

Intracerebral angiography is a method of X-ray diagnostics of blood vessels using a contrast agent, which allows to reveal the shape, size and degree of vasoconstriction / expansion. Research is carried out by the method:

• CT angiography is a painless non-invasive diagnosis of cerebral vessels, which allows you to examine the vessels in as much detail as possible;
• MRI angiography is a high-precision layer-by- layer imaging of the brain that allows you to obtain three-dimensional images and cross-sections of blood vessels.

Cerebrospinal fluid analysis - performed in patients to detect intracranial (subarachnoid) hemorrhage.

General clinical diagnostics (complete blood biochemistry, coagulogram, visual tests).

Cost of vascular aneurysm diagnostics at Sourasky Medical Center

• Neurosurgeon's consultation - $ 800;
• detailed blood test - $ 470 ;
• CT scan of the brain - $ 780 ;

You can find out the exact cost of diagnostics from the coordinating physician at Clinics Direct.

Depending on the indications, degree of neglect, size, location, age of the patient and other concomitant diseases, an individual treatment regimen is prescribed, which can be used alone or in combination.

The main types of treatment for vascular aneurysm in the Ichilov clinic:

1. Conservative (medication) - prescribed if the diagnosis did not reveal the risk of hemorrhage, the walls of the vessels are not torn, and the size is not more than 1 cm.

In this case, the patient's condition is monitored under the control of drugs (painkillers, anticonvulsants, etc.).

2. Surgical intervention is the only option for the complete elimination of this vascular pathology:

• Open cranial surgery is a traditional transcranial intervention followed by "clipping" of a portion of the vessel;
• Endovascular embolization is a complex minimally invasive operation, during which the aneurysm is blocked by microcoils and excluded from the circulatory system. The method reduces risks to a minimum, is carried out under CT control.

At the moment, this is the most preferred operation by patients and doctors at the Sourasky Center.

Cost of cerebral aneurysm treatment in the Sourasky center

Get a free indicative aneurysm treatment program from the Clinics Direct International Support Center coordinator.

Brain Tumor Treatment

The Department of Neurosurgery at Tel Aviv Sourasky Medical Center annually performs more than a thousand operations to remove brain tumors using innovative technologies and methods of neurosurgery.

The department is headed by Professor Wolf Ido , an oncologist, a doctor with 25 years of experience, under whose leadership more than 1000 successful operations have been performed.

The Ichilov clinic practices: minimally invasive surgery with neuronavigation systems, intraoperative MRI, the Da Vinci Xi robotic surgery system, stereotactic radiosurgery, endoscopic surgery, deep brain stimulation.

Timely and accurate diagnosis largely determines the successful outcome of the operation.

In TASMC have every opportunity to 100% diagnosis of brain tumors, the procedure is as follows:

1. General examination, including taking anamnesis and consulting a leading oncologist.
2. Instrumental studies (CT, MRI, PET-CT, PET-MRI): the most accurate modern methods that allow you to clarify the localization, shape, size of the tumor, identify possible lesions of internal organs, metastases.
3. Biopsy - histological analysis of a neoplasm in order to identify the status of the tumor: type, stage of malignancy.

Brain cancer treatment at TASMC is performed by surgical, radiological (radiation therapy) and drug methods and their combinations ( for example , radiation therapy with drugs, etc.).

At all stages of therapy, patients and their relatives receive qualified psychological assistance.

Invasive and minimally invasive interventions are performed in the neurosurgery department of the Ichilov clinic.

After surgery, radiation therapy is necessary as an accompanying stabilizing treatment and constant monitoring over time.

Depending on the size and location of the tumor, radiotherapy can also be used as the main treatment - radiological methods effectively affect inoperable and primary malignant brain tumors.

To get the exact cost of brain cancer treatment at Tel Aviv Sourasky Center and to make an appointment, please contact the coordinating doctors at Clinics Direct.

Treatment in the Department of Orthopedics and Traumatology

The Orthopedics Department at Tel Aviv Sourasky Medical Center is known far beyond Israel's borders - people from all over the world come to Ichilov for the best medical care to get back on their feet.

The latest methods of therapy, diagnostics, rehabilitation (and this is the most important component in this area of medicine) and innovative equipment can solve almost any problem: joints, bones, tendons, ligaments. Special attention is paid to professional sports injuries.

Every year, world-renowned orthopedic surgeons perform more than 2000 operations of the musculoskeletal system, of which in 95% of cases, patients return to a fully functional state as soon as possible.

The department is headed by a world-recognized doctor, Professor Moshe Salai , a specialist in joint prosthetics with 35 years of experience.

The Orthopedic Department of the Sourasky Center specializes in a wide range of procedures, including:

• complex reconstructive surgery for traumatic injuries;
• rehabilitation - literally a day after the operation, doctors begin stress testing of the joints;
• spinal surgery: sliding disc surgery, scoliosis and other deformities, intervertebral hernia ( Spinal Fusion, DISC FX, APOS rehabilitation system are used );
• joint replacement surgery (endoprosthetics);
• hand surgery - treatment of degenerative diseases and traumatic injuries (including tendon correction);
• diagnosis and treatment of intra-articular wrist disorders, including radial bone fractures;
• treatment of diseases of the foot and ankle joint, including the condition of the diabetic foot;
• minimally invasive arthroscopic shoulder and knee surgery.

Every year 65,000 outpatients and inpatients are treated in the department.

For the treatment of any orthopedic diseases at the Ichilov clinic, please contact our coordinating doctors at Clinics Direct.

Treatment in the Department of Cardiology

The cardiology department of the Tel Aviv Sourasky Medical Center (Ichilov) is one of the largest in the clinic - 56 thousand square meters. It is located in a new separate building - the Sami Ofer Heart Center , opened in 2011.

The Center employs the most qualified Israeli doctors, using sophisticated equipment for accurate diagnosis and providing effective care for patients with various cardiovascular diseases: angina pectoris, myocardial infarction, cardiac arrhythmia, heart valve disorders, heart failure, thoracic aortic aneurysm, congenital heart defects, etc. .d.

The center's cardiologists and cardiac surgeons use the most accurate diagnostic methods:

• endovascular ultrasound diagnostics of coronary vessels;
• angiography of the coronary vessels;
• echocardiography;
• CT, MRI of the heart.

The Ichilov hospital uses innovative endovascular methods for the diagnosis and treatment of cardiovascular diseases: placement of antithrombotic-coated stents, implantation of pacemakers and defibrillators, replacement of the transcatheter aortic valve (TAVI).

Cardiac surgery department at Tel Aviv Sourasky Medical Center, led by Dr. Ben-Gal Yanaya has international recognition, having proved himself a brilliant conducting such interventions as:

• Complete arterial bypass surgery for the treatment of coronary artery disease;
• procedures on the valves of the heart, using minimally invasive methods of modern cardiac surgery;
• coronary artery bypass grafting without the use of an artificial heart-lung apparatus;
• endovascular aortic valve replacement.

For accurate information on cardiovascular treatment at the Sourasky Center, please contact the coordinating physicians at Clinics Direct.

Arrhythmia treatment

Arrhythmia treatment is an important cardiac area at Tel Aviv Sourasky Medical Center with very high cure rates of 85–90%.

This is one of the best in the world - so in Cardiology "named Sami Ofer Heart Center" to be treated by the most qualified doctors, patients travel from all over the world.

Heart rhythm disturbance is a serious problem that worsens the quality of life, and because the disease is progressive, without taking measures, in 10-15% of cases it is fatal due to the development of a stroke or sudden cardiac arrest.

Department of Cardiology Ichilov Hospital provides diagnosis, treatment and monitoring of patients with atrial fibrillation of the upper heart chambers (atrial fibrillation).

Fibrillation occurs due to the chaotic electrical activity of the atria: rapid and irregular flickering leads to blood flow and an irregular heartbeat.

The special heart rhythm unit of the Cardiology Department is headed by Professor Bernard Belassen , cardiologist, specialist in electrophysiology, doctor with 40 years of clinical experience.

Methods for treating cardiac arrhythmias at Tel Aviv Sourasky Medical Center

When conservative medical treatment fails, proven modern surgical techniques are the best option:

• Radiofrequency ablation (RFA) is the most promising and widespread method of minimally invasive treatment of atrial fibrillation in Israel. The bottom line is to neutralize ("cauterization" by introducing an elastic catheter through the groin or neck, microregions of cardiac tissue) foci of ciliated tissue, i.e. abnormal electrical signals.

The benefits for patients are clear:

• the procedure takes place within 3 hours;
• absence of scars and scarring of the tissue;
• rehabilitation lasts only about 2 days;
• there is no need for medication antiarrhythmic drugs in the future.
• Cardiac pacing - installation of a special device that "makes a rhythm" with a replaceable power supply.
• Revascularization - placement of a stent to normalize blood flow.
• Cryoablation is a method of exposure to low temperatures (-70 ° C) on abnormal atrial cells.

Arrhythmia treatment cost

RF ablation price - $ 18,000 - $ 20,000.

The price for installing a heart rate pacemaker depends on the type and model of the device, its manufacturer and the availability of additional functions.

To get the exact cost of treatment and make an appointment for a consultation, contact the coordinating doctors at Clinics Direct.

The Sourasky ENT department specializes in the treatment of diseases of the head, neck, ear, throat and nose. Doctors perform tumor removal, endoscopic nasopharyngeal surgery, hearing restoration, and vocal cord reconstruction.

The department makes the installation of a cochlear implant for children and adults.

The department includes a specialized center for maxillofacial surgery.

Primary thyroid cancer treatment in Israel

The initial treatment for all types of thyroid tumors is removal. The extent of the operation depends on the type of tumor and the extent to which it has spread. Usually all or nearly all of the glands are removed. Thyroid resection is called Thyroidectomy. In the presence of metastases in the lymph nodes, the nearby lymph nodes are also removed.

Ablation process

During the ablation process, the glands that remain after the operation are removed under the influence of radioactive iodine. Thyroid hormone therapy after thyroid resection.

The activity of the glandular cells (the absorption of iodine and the secretion of thyroid hormones is regulated by the pituitary gland, which is located in the brain and produces regulatory hormones).
The hormone that regulates the thyroid gland is called TSH (thyroid stimulating hormone).
The role of TSH is to stimulate the activity of thyroid cells to absorb iodine and secrete proteins and thyroid hormones .
The situation in which there is a decrease in the level of thyroxine is called insufficient activity of the thyroid gland. This condition, which occurs due to a significant decrease in metabolism, leads to a drop in heart rate, fatigue, depression, difficulty concentrating, weight gain, swelling of the face and body, intolerance, dry skin, hoarseness, and more.
Thus, after the removal of the thyroid gland, the doctor will prescribe hormone therapy for the thyroid gland, which will serve as a substitute for the hormone previously secreted by the thyroid gland. Another goal of thyroid hormone therapy after thyroid resection is to suppress TSH secretion. Exposure to the hormone TSH over time can promote the formation of thyroid tumors because it encourages the formation of thyroid cells. Therefore, taking a thyroid hormone substitute signals the pituitary gland to secrete less TSH.

Thyroglobulin (Tg) test

This protein is secreted in the body only by the cells of the thyroid gland. After a complete resection of the thyroid gland, no thyroid cells should be found in the body (as they have been removed or destroyed by surgery and ablation). An increase in TSH levels in the body stimulates the activity of thyroid cells (for example, if they exist, in the case of local tumor recurrence or metastases), and they secrete thyroglobulin, which is detected by blood tests. Thus, detecting a high level of protein in the blood allows you to determine that thyroid cells (normal or tumor) are located somewhere in the body.

Imaging tests

Imaging tests are done to allow the doctor to "see" the bladder and pelvic tissue surrounding the bladder. If bladder cancer is suspected, the doctor may refer the patient for one or more imaging tests to see if the disease has spread to nearby lymph nodes and bladder tissue and more distant organs.

1. Intravenous pyelogram (IVP) is an X-ray examination of the urinary system done with an iodine-based injection into a vein. Iodine flows through the kidneys and stains the ureter and bladder. This uniquely and more clearly identifies these organs on x-rays, and also helps detect tumors. This test is not a routine test and has been replaced by computed tomography (see below).
2. Retrograde pyelography. For this test, a thin, flexible tube called a catheter is inserted through the cystoscope into the ureter. After that, a dye is injected through a catheter to expose the mucosal membranes of the ureters and kidneys so that they look better on x-rays. Like intravenous pyelography, this test can be used to detect tumors in the upper urinary tract.
3. X-ray: A chest X-ray can be used to look for tumors or spots in the lungs that may be the result of bladder cancer proliferation.
4. CT (computed tomography) scan A CT scan is a specific type of X-ray that gives a detailed picture of the internal organs. The test can help find enlarged lymph nodes that may contain cancer cells and describe the exact picture of the kidneys and bladder. Scanner - CT produces many photos as it rotates. Before starting the test, the patient may be asked to drink a liquid dye that will accentuate the gastrointestinal tract and separate it from adjacent organs. Intravenous contrast agent may also be required, as with intravenous pyelography.
5. Magnetic resonance imaging (MRI) can help detect signs that cancer has spread outside the bladder to nearby tissues or lymph nodes. It also helps find tumors that have spread to the brain or spinal cord. This test is similar to CT, but it simulates using electromagnetic waves and radio waves rather than powerful X-rays. Some tests are done with a contrast agent injected into a vein to highlight specific structures. Currently, MRI does not have much advantage over CT in the diagnosis and treatment of bladder cancer . An MRI scan can take longer than a CT scan - this procedure can take up to an hour.
6. Ultrasound procedure. Ultrasound uses sound waves to map the internal organs of the body. It can show the size of the tumor in the bladder, and whether the tumor has spread outside the bladder.
7. Bone scintigraphy: For this test, a small amount of radioactive material is injected into a vein. The material accumulates in the area of the bone that contains cancer cells. The scanner is able to detect these areas and show them in the image.

Treatment

There are several options for treating bladder cancer . The selection of the optimal treatment can depend on various factors, such as the type of cancer, the degree of development, the general health of the patient, etc.

• Surgery
• Biological therapy
• Chemotherapy
• Radiation therapy

Bone marrow transplantation is performed at the Department of Oncohematology of the Ichilov Clinic. Sourasky.

The medical center receives 10,000 annually.

They specialize in the treatment of:

• lymphomas
• leukemia,
• myeloma diseases.

The cost of the operation:

• allogeneic - donor cells - from $ 160,000
• autologous - own cells - from $ 68,000

The treatment is carried out for both adults and children - Professor Odelia Gur.

• Why clinic them. Is Sourasky leading the way in treating lymphoma?
• Which doctors treat lymphoma at the Ichilov clinic?
• Diagnosis of lymphoma at the Ichilov clinic
• How much does it cost to diagnose lymphoma?
• Lymphoma treatment methods in the Ichilov clinic
• The cost of lymphoma treatment in the clinic. Sourasky

Why clinic them. Is Sourasky leading the way in treating lymphoma?

• a multidisciplinary approach is used to treat lymphoma;
• high efficiency of lymphoma treatment in 80% of cases;
• 95% remission when pathology is detected at the initial stage;
• lymphoma treatment in Ichilov is carried out using sparing methods ;
• treatment prices are regulated by the state.

Which doctors treat lymphoma at the Ichilov clinic?

Lymphoma is diagnosed and treated by experienced doctors: radiologists, surgeons, oncologists, pathomorphologists. They treat patients under the guidance of world-renowned doctors - Professor Ella Naparstek and Dr. Odelia Gur , as well as the chief specialist in lymphoma, Dr. Sigal Tavor .

Diagnosis of lymphoma at the Ichilov clinic

At the Ichilov Medical Center, the country's leading diagnostician, Dr. Inna Molchanova , after examining the patient, draws up a program for laboratory and instrumental diagnostics of lymphoma, which includes:

• advanced blood tests ;
• PET-CT ;
• revision of a previously performed biopsy or biopsy of an enlarged lymph node;
• morphological and immunological tissue analysis;
• CT , MRI, echocardiography ;
• spirography .

Lymphoma treatment methods in the Ichilov clinic

In the Ichilov clinic, depending on the patient's condition and age, the following types of lymphform treatment can be prescribed:

• radiation therapy (indicated for the treatment of stage 1-2 lymphogranulomatosis);
• chemotherapy (prescribed for stages 3-4 of the disease);
• combined treatment (chemotherapy and radiotherapy);
• monoclonal antibody therapy (immunotherapy);
• bone marrow transplant (in the most severe cases);

• Ichilov specialists in the treatment of leukemia
• Diagnosis of leukemia in the Ichilov clinic
• Treatment of acute and chronic leukemia in Sourasky
• Estimated cost of treatment

Ichilov specialists in the treatment of leukemia in Israel

The Ichilov Clinic is the largest medical center in Israel with JCI accreditation, one of the best clinics for the treatment of cancer not only in the country, but also in the world.

Treatment of leukemia in adults is carried out by experienced doctors under the guidance of a hematologist with more than 35 years of experience - prof. Ella Naparstek. Patients from the CIS countries are received by a well-known Dr. Fredy Aviv . He is one of the few Israeli specialists who provides consultations in Russian.

Hospital them. Sourasky also treats leukemia in children. For patients under 17 years old, a separate multidisciplinary clinic "Dana Duek" has been built, on the basis of which the department of hematological oncology and bone marrow transplantation operates under the leadership of oncohematologist - Ronit El Hasid.

Diagnosis of leukemia in the Ichilov clinic

To diagnose leukemia in Ichilov, patients undergo the following procedures:

• general and biochemical blood test;
• bone marrow biopsy;
• lumbar puncture;
• genetic research;
• cytochemical analysis, immunohistochemistry.

Treatment of acute and chronic leukemia in Sourasky

For the treatment of leukemia, Ichilov specialists use gentle chemotherapy drugs, as well as the latest protocols for targeted therapy and biological treatment.

In the remission stage of acute leukemia, patients require bone marrow transplantation - the most effective procedure for leukemia. More than 1,000 transplants are performed at the Ichilov hospital a year. The Department of Oncohematology of the clinic cooperates with international registries of bone marrow donors and carries out all types of bone marrow transplants for foreign patients.

Estimated cost of treatment

The prices for the treatment of leukemia, in particular for chemotherapy, at the Ichilov clinic depend on the severity of the patient's disease and the required treatment protocol. The cost of a bone marrow transplant is from $ 70,000 to $ 180,000, depending on the type of transplant performed. You can get an individual program for the treatment of leukemia from the coordinating physician of Clinics Direct.

The department works closely with the Faculty of Medicine of Tel Aviv University in the field of scientific and clinical research.

A team of specialists is involved in the treatment of patients: hematologists, oncologists, infectious disease specialists, nutritionists, psychologists, music therapists and social workers.

Most patients are treated in single rooms equipped with HEPA filters to purify the air and reduce the risk of infections.

The Department of Pediatric Cardiac Surgery is part of the Dana-Dwek Children's Clinic. It specializes in the treatment and diagnosis of congenital heart defects and blood flow disorders. The department uses equipment to detect fetal heart defects. Treatment of fetal arrhythmia of a child in the womb.