Hepatocirrhosis
TIPS operation is a unique and indolent treatment of hepatocirrhosis complications
Performed by Professor Shipovskiy Vladimir Nikolaevich
Hepatocirrhosis is not a death sentence. This disease is dangerous due to its complications – abdominal dropsy and external abdominal hemorrhage. These complications are curable. Unfortunately, not all patients are aware of TIPS, an advanced surgery that has been performed for the last 18 years by the Russian Professor Vladimir Shipovskiy.
What is TIPS?
TIPS is a contraction standing for transjugular intrahepatic portosystemic shunt.
- Transjugular – through a jugular vein on the neck.
- Intrahepatic portosystemic – inside the liver
- Shunt – placement of a metal stent in the liver
Surgical indication
- Recrudescent (recidivating) hemorrhage of the veins in esophagus or venter (for patients with hepatocirrhosis)
- Abdominal dropsy (constrained resistant ascites) - for patients with hepatocirrhosis
TIPS procedure technique
No general anesthesia
No general anesthesia (only local anesthesia) is an important benefit of TIPS procedure, since general anesthesia may cause serious adverse effects.
As the first step the neck skin is numbed under local anesthesia.
As the first step the neck skin is numbed under local anesthesia.
No incision
As the second step, an anodynous nyxis of the neck skin is carried out with a narrow needle (jugular puncturing) and a polymer tube (introducer) is placed.
Catheter in the neck region (introducer) through which TIPS operation is performed
The introducer diameter is 3 mm which leaves no scar on the neck skin. The rest of the TIPS procedures are performed through the placed introducer.
Coalescence of the two veins
Very thin sophisticated surgical instruments (metal strings, tube "catheters", pressure balls, etc.) are transmitted to the liver through a tubule inserted in the blood vessels. The surgeon's task is to attach the two venous vessels inside the liver (portal vein and hepatic vein) in such a way that the high-pressure blood in the portal vein could flow into the low-pressure blood in the hepatic vein. Coalescence of the both veins is implemented by means of implanting a metal tube (a stent). The stent diameter equals to 9-10 mm. It is implanted into the patient's liver for the life term.
Стент-графт, устанавливаемый в печени
Quick recovery
The surgery takes 1 hour.
No postsurgical care (rehabilitation) is required. The patient is transferred from the surgical theater to the hospital ward. In 6-12 hours, the patient is allowed to go out of the bed and in 2-3 day the patient is discharged from hospital.
No postsurgical care (rehabilitation) is required. The patient is transferred from the surgical theater to the hospital ward. In 6-12 hours, the patient is allowed to go out of the bed and in 2-3 day the patient is discharged from hospital.
Discussion of the upcoming surgery with his colleagues (M.D. Dzharakulov S.R. and Academic Zatevakhin I.I.)
After the TIPS
TIPS surgery is a little surgical trauma with no general anesthesia after which the patient is allowed to go out of bed in 12 hours.
1
Long-term medication intake which improves the liver function (hepatotropic therapy, diuretic therapy)
2
Special diet for the patients with hepatocirrhosis
3
Normal physical activities
4
U/S control of the implanted stent in 1,3,6 and 12 months
5
For some medical cases TIPS surgery makes it possible to avoid liver transplantation surgery.
Who the surgery is performed by?
Vladimir Shipovskiy is an alumnus of the Second Moscow Institute of Medicine (1983). Starting from 1986 he has been working in a new in-patient specialty field – X-ray surgery (endovascular surgery, interventional radiology). His professional seniority equals to 16 years. His major expertise covers balloon angioplasty at critical ischemia of lower extremities, TIPS operation at hepatocirrhosis and portal hypertension as well as coronary stenting.
18 years
Professor Shipovskiy V.N. has the most extensive experience in this type of surgery in the post-Soviet countries.
250 patients
Full recovery after hepatocirrhosis was TIPS operated
International patients
Professor Shipovskiy sees patients from all over the world
A famous Russian TV presenter has invited Professor Shipovskiy several times to talk about his treatment option as well as hepatocirrhosis in general. Take your time to watch one of the TV programs where Professor Shipovskiy elaborates on TIPS. You can watch the other TV programs with Professor Shipovskiy here (available in Russian)
Contact Professor Shipovskiy
Shipovskiy Vladimir Nikolaevich has the most extensive experience in this field both in Russia and the CIS countries. He constantly gives his professional advice to other doctors from all over Russia, acts as an expert in TV programs and sets his patients on their feet.
Contact Professor Shipovskiy
Shipovskiy Vladimir Nikolaevich has the most extensive experience in this field both in Russia and the CIS countries. He constantly gives his professional advice to other doctors from all over Russia, acts as an expert in TV programs and sets his patients on their feet.
Professor, Doctor of Medicine, Laureate of the Russian Federation state prize
Please apply even if you are from the rest of Russia. Professor will certainly respond within the shortest time.
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Professor, Doctor of Medicine, Laureate of the Russian Federation state prize
Please apply even if you are from the rest of Russia. Professor will certainly respond within the shortest time.
By clicking on the button, you consent to the processing of personal data and agree to the Privacy Policy
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vnshipovsky@yandex.ru
vnshipovsky@yandex.ru