the patient's heart was sewn up on the battlefield and sent to us to the institute. we begin to understand the center of myocardial infarction, what is it? with that, uh, to lead to development, we tried to do it first endovascularly, when this coronary artery was blocked by a canister and this seam was under a pressure of 30 atmospheres, we could not straighten it, so we had to do an operation, uh, to open the chest to sew the cage, to make a shunt, that is, to do this as a bypass sewer, but it saved the man's life, first of all, on the battlefield, that he did not die of bleeding, because if a wound in the heart of a person, the bleeding ends badly, and secondly, thank god

, they figured it out and eh- they provided timely and highly qualified help, i want to show our viewers the video you brought, it really impressed me, i would like you to comment on the video, how 24 pieces of debris get the heart of a soldier who was brought in. tell me how a human heart is in general survived such a large number of soldiers and how they were taken out of there. well, they took them out. well, also, the results of our developments were that we now began, well , the development. in the work of a surgeon, and thanks to these magnets, we manage

to collect almost all of these fragments in a very short period of time, even if they are inside the heart, and it is much easier for us to get them there many types of these magnets have been developed depending on the region of the body. where are we? where do we use these magnets because they are used in general surgery and orthopedics, and in neurosurgery and cardiac surgery. we also use this as our know-how. that is, it is purely ukrainian. the development of the development of our specialists is our development, which appeared on the basis of the experience that was applied in the 14th year and if earlier it took us 1.5-2 hours to find the fragment somewhere

under the heart valve or inside the myocardium of the heart now it takes 1.5-2 minutes and this is the end of the operation. that is, this is an innovative technology developed by ukrainian military and civilian doctors, and innovative technologies have to be developed to replace the lack of power supply in the event that it is turned off, how then many hours of operations take place now in such conditions, when the lights go out, i want to thank the kyiv city administration that, for this entire period, what are the difficulties, we have not faced this yet. but at the same time, we and not only us and the entire national academy of medical sciences. i think that all other medical institutions are also working on this because, for example, we have two power inputs from

different substations, they go, this is the first, the second. the whole institute is a plus if this generator does not work, we still have a generator that works eh in eh for the operating room and for intensive care, the two most bottlenecks that we need to provide if this is well and also eh, the third option or the third option is batteries must to be in everyone and on operating room lamps on artificial blood circulation machines on artificial lung ventilation machines well, we have not yet forgotten about those methods that were 30 years ago when the artificial blood circulation machine is turned by hand so that it

works the handle they turn the pen directly with the pen or breathe with it, some individual person spins with it, it takes two or three hours, well, they take turns, not everyone can withstand the technologies that we tried to forget for many years, but they are military time, the order is probably of the 19th century, when it is like this the device itself needed the simplest things. they work. that's how the very first device in the world was developed in 50-1954. amosov launched his device in 1958, and just then the spare part was this handle that they turn and now continue the traditions of our founders of cardiac surgery, ukrainian, here i am i also found very interesting information for you to arrange field trips to such operating rooms in regions throughout ukraine to help conduct operations for internally displaced persons, especially children. and in vinnytsia, 14 operations were conducted

the lives of children at heart were saved. how many such field projects have you implemented? because we understand that there is a need to carry out military operations, but the lives of ordinary people and civilians continue, and heart problems have not gone away, we just started talking about them less, but people need surgical intervention to save lives as a son, now it is. well, for starters, let us understand that even before the war, 70% of those people who died in ukraine and die are cardiovascular diseases, they also make up neurovascular diseases diseases, that is, if 500,000 die there, somewhere around 300,000, these are cardiovascular diseases. today, in order to combat this, there are 49 cardiosurgical centers in ukraine, and 33 of them perform open-heart surgery, that is, cardiac arrest , and perform these operations when the war has started

. of course, it is necessary to provide help to the people, but it is necessary to go to kyiv. well, only those who are going to not die, therefore, the situation is very high for qualified specialists who had nothing to do to go to different territories of ukraine and decided that their it is necessary to use these specialists of ours, that is why our specialists began to receive tasks in order to organize the provision of cardiosurgical care in those regions where it is possible at that time. that is, we started working in vinnytsia, then this is uzhhorod lutsk-ivano-frankivsk and lviv our specialists also worked and, well, children's

cardiac surgery, for example, for the first time in vinnytsia, because before that children were not operated on in vinnytsia, adults were operated on, and children were not operated on, even some of our specialists who were abroad. they, uh, traveled they operated in uzbekistan, this is tashkent, there are two centers of such cardiac surgery, and even as part of the cardiosurgical brigade there from the world health organization, ours operated in libya, congo, and somewhere else to forget. yes , the un peacekeeping mission is only within the framework of the yes, we have our own mission and in just two months, from february 24 to the end of april, 253 interventions were performed by our specialists, just so you

understand that we perform about 450-480 operations per month, this is existence in mirny e-e peaceful situation, now the situation has changed a little because we are all these months, uh, there is a graph, we can see that in february it decreased sharply, in march there were few operative interventions, and starting from april and up to today, the number of operative interventions performed at the institute is growing and the national academy announced that all operations have been stopped since february 24, and then they began to be restored step by step, because it was the decision of the kyiv city state administration. well, which we had to implement because i have territories but at the same time, every operation on the heart is emergency and urgent, and a very small

percentage of those operations can be postponed and not operated on, because if it is an aortic aneurysm, which the institute performs practically alone throughout ukraine , it is infectious endocarditis, that is, the benefit the heart is rotting from the inside, the valves must be changed, and the whole of ukraine is being taken to us. well, we are no longer talking about acute coronary, that is, heart attacks, there are congenital heart defects that can be performed endovascularly, that is, without incisions through the thigh they start and perform surgical intervention inside the heart without exaggeration. the question of life or death is obvious for many people. the video that you brought and we will also show it to the audience now, how the heart is removed with a bullet. tell me what kind of case it was. and how was it? a patient who was brought to us somewhere approximately and uh, there uh,

with a computer tomography, it is difficult to verify clearly what it is, what it is, how it is located , but a patient was brought to us after a high-explosive wound, that is, there must be shrapnel. we were looking for a fragment of 2 mm was in the pulmonary artery, that is, if this bullet had passed a little more, he would have died on the spot from a hemorrhage, and only during the operation, when we were already taking it out, did we see that it was a 5.45 bullet we asked the soldier already after the operation. thank god everything went well . the operation was carried out.

i decided to shoot the enemies just in case probably so and such situations, but thank god thanks to the doctors at the first stage and at the last stage, the patient was saved and lives until now and his possibilities of this story on an anti-scientific question because well, it is difficult to call it anything other than a miracle, and because they tried to kill the person twice and even before that, she had to get to the place where she would be helped and anything could have happened on the way , but nevertheless, as you say, he is still alive. and here is the anti -scientific question that i wanted to ask you, uh, why do patients survive who, by all accounts, should not have survived, because there is such a medical theory. i know the theory that those who survive are those who really want or those who keep someone in this world, action, act, some great love, some important work or something, people who just want very much do you have the same theory to live? is it possible that you have a different opinion? you hold

the territory. there is no such thing. i still believe that the number of those who survive depends on medicine and on the level of medical care. the patient himself, er, er, i am very pleasantly surprised that you know a person, er, profoundly disabled, you can say that after a heart operation, they become disabled for at least six months , that 1.5-2 months - that's all rehabilitation goes 90 percent of those who ask the first question say to me, “the doctor will be able to go to war, and i will be able to go to war.” again , i say, at least you survived. says no, says i will go to fight further

i still have some business to do with the guys there, so, er, er , er, what kind of mood is there? i only read it in books, you know, during the second world war, when we fought, there was practically no pneumonia, then there were no antibiotics, nothing. but that was er such is the mood of internal affairs, internal mobilizations, immunity was such that there was practically no overgrowth , the same situation, people are war-minded and eager to fight again. by the way, the most experienced military personnel are those who return after returning to the army i returned from the experience of the great world war and the second world war, er, 92% of those who took berlin were

those who were wounded and healed. i think that we will definitely have our victory and i would like there to be fewer wounded who will drive out the enemy beyond the borders of our country. that is, you are referring to the statistics of our military that will take moscow. yes, i understand, well, i would like it to be on the borders of 1991, that's all ukraine , er, donetsk and luhansk - this is ukraine, and she wanted the only important issue ah, too, to catch it, well, that the question of psychological rehabilitation. is enough attention being paid to him now, because i know that in the 14th year there were such problems as tsr and post-traumatic syndrome. and the military actually had no specialists who dealt with this and people were lying in these hospitals. so their lives were saved, but they they lay with their faces against the walls and did not

react to external stimuli, you know, being in a place of repression, it was not that they rushed to the front , but simply did not know how to be at all, especially those people who understood that their physical activity will never be the same as it was before this wounding. is enough attention now being paid to the issue of psychological rehabilitation of such fighters, an extremely important issue that has stood and will stand, it always was, and it was after the second world war after the vietnam war in the united states of america, where for 40 years they could not from this vietnam, well, it was in chechnya, it was in afghanistan, and we have this question here and now there are works that are being conducted in the national academy of sciences

together with doctors, we have an institute of neurology and neurosurgery in kharkiv, which also works with military doctors on this issue. today, the most difficult thing is for our disabled soldiers, in whom psychological rehabilitation should be at the forefront. a year, not for two years, this is work for tens of years, we will have to work with these er patients, and not only those who are injured, who have er psychological traumas of this or that. this is extremely important work. at the state level, it should be resolved and will be resolved. well, this is not a question of heart

surgery, but it is an extremely important issue, because what restores health to people, and they still need to be adjusted to normal life, return them to normal, but that will be after victories. and now it is important for those who are injured, who are disabled and who have to become full-fledged citizens, it is in this way that in the hospital there is where direct help is provided, where a person from the front gets to the operating room, and here after she comes to her senses and she needs to be explained that their life is actually broken, that it will never be the same again. and i understand that in hospitals in such and such hospitals there should be experts who work on this. are you not from specialists have already appeared, they should be like that, but we try to do it in a completely different way, we pay attention to these

patients, friends, military personnel come to them, if there are relatives, they come to visit them and all that so that they feel that they are not lost for uh relatives, for loved ones, for society, in the end, psychologists must they even went to us because a department of psychological rehabilitation was created at the institute of occupational medicine, where it seems to be a completely different profile . but at the same time, it recruits 30-40 military servicemen who need psychological help with them. ukraine is winning on the battlefield, and now we are talking about the power engineers, who are restoring what cannot be restored. and that this experience, which we have, is unique in the world, and our military is already predicting that it will actually be the most powerful army in the world, which has the practical experience of such a war in the matter of medicine

, to what extent have we here in these months gained a unique experience that we will be able to share with the world and how much the world is now helping ukraine on the medical front because we receive humanitarian aid there, weapons in the matter of your profile, how the world responds to us i want to say that as soon as the war started , the medical community all over the world, it helps us, because if it weren't for the humanitarian aid that our volunteers and our colleagues gave there, because basically i, as the president of the association of cardiovascular surgeons in ukraine on march 7 made a statement to the european association of cardiovascular surgeons that a

full-scale war has begun in our country, that we have problems and that we are asking to exclude the russian members of the association from their association, which i was especially pleased now in at the beginning of october, we had a european congress of cardiac surgeons and there was not a single person from russia who would take part in the european one, and the same applied to belarus, even though we previously worked together with them, now we are contacting we say, what are you doing, you at least make a statement there or something, no one has done anything, that is, doctors cannot understand each other and the russians even in such a situation helped us aletva doctors, the association of cardiac surgeons of belarus, there is a european association that helped everyone our doctors are now being accepted for internships practically free of charge

before, you had to pay something there and that's all. but now our doctors go to training, they are accepted there, they provide housing, provide food , everything, everything, everything is said in dark times, it is very clearly visible bright people and just now, these tests gave us the opportunity to see who our real friends are, and who are those people who are... well, i remember. in many professional fields, you were there, there were times when russians were advanced in all practically possible fields of science in medicine, everyone studied in them, tried to attract their top managers in order to manage ukrainian enterprises, invited their specialists for big fees for big money, and now everyone looks like this and understands that we have nothing to do with those russians anymore speaking the truth with doctors is the same way, if speaking correctly, then in the heart and surgery, the russians were never in the first roles in europe and

even in the soviet union, but they were not really further than mykola mykhailovych amosov, who came out and always said, i did so much operations with such and such a result and you didn't have anything to show and we have gas in the kitchen so we answer in moscow yes yes and uh now, in principle, in recent years, cardiac surgery in our country has been at a much higher level than in russia, it is also in that including now, because he can even give you examples that when the russians occupied the crimea, donetsk and luhansk, there was practically no heart surgery there. and if it was performed, it was at the lowest level, and every citizen who was there with a ukrainian passport tried to come to the amosov institute for an operation, this also applies to crimea

and donetsk and luhansk, our return to these temporarily occupied territories will return there not only peaceful life will also return there the opportunity to conduct such operations and we had five beautiful centers, one in crimea, two in donetsk and two in luhansk, were from donetsk, they were moved to kramatorsk, by the way, there are military operations going on there, i also wanted to say that we are helping our colleagues and to date, the cardiosurgical center from kramatorsk, that is, by and large, the donetsk cardiosurgical center has moved to national institute of cardiovascular surgery amosov institute of cardiovascular surgery where they perform their work hours for those e-e citizens from their territories and with a displaced person who also need cardiosurgical assistance, of course we help with personnel and medicines and everything, but

this tells us that not only foreigners should help us, but we ourselves should help our e-e colleagues so that they have the opportunity to provide this help in the near future as well the territories will be vacated, they are moving, but they did not stand still for a year, they worked professionally, are ready and continue to work. well, before the broadcast, you talked about the fact that a large number of young specialists are now joining the work institute and their training continues, i really want to thank every doctor who saves the lives of our boys. you told incredible stories, incredible shots were seen by the audience and you separately . learn to save ukraine thank you mr.

yevhen thank you maria vasylyovych lazoryshnets was our guest ukrainian cardiosurgeon director of the mykola amosov national institute of cardiovascular surgery thank you very much night watch see you darkness is not scary when there is faith in our victory the end of the official darkness we will repeat glory to ukraine eh boys and girls in the trenches it is more difficult the order is difficult, but we are muffled, we will definitely cope with this dark and cold winter, i believe

that our dawn is coming soon, i believe that our strength of unity will help us bypass the frosts and overcome the heat in homes to give rays of happiness to our loved ones, we will defeat the darkness together if you ask me who i am, i'm probably a regular student, everything is supposedly not bad, but only this cursed habit was late , what else anu sports, as the coach says, there will be people from me, competitions, there are she, there are those whom i love, who i

cherish the people for whom i am the army of the rules of a warm country. for the last time we will see all the stories, it is not someone's past , i was hit by shrapnel live, you thereby rose to our hearts, today we must occupy the defense, start people, dig in and stand to the death, these are the stories of people who survived the siege, lived under fire and despite everything resisted, it cannot be documented films about the stories of our days every wednesday at 9:30 p.m.

about new victories that can bring the ukrainian army brave defense of bakhmut how to maintain mobile communication in ukraine after massive missile attacks and a new exchange of prisoners about this not only in the release of the main news of thursday , december 1 from the tsn team - this is a marathon, the only news and channel 1+1 i congratulate you unbreakable ukrainians, patriots for ukraine, what did the leaders of nato countries agree on at the summit in bucharest, what are the chances of getting the most modern american air defense system and when ukraine can an iron dome of sand will appear only when the mobile connection goes down we realized how much of our life is tied to it, what to do when the mobile connection and the internet go down what to prepare for and is there a possible option that the call will not be reached

opportunities, an exclusive interview with the head of the largest mobile operator of ukraine, one chance in a million, every day they looked at him and simply did not understand how it all happened, how a neurosurgeon from dnipro managed to perform a unique operation on the open brain, just on azovstal and what saved him the patient is already in captivity, he is happy that he is alive and healthy . don't miss the details of the extraordinary rescue story in our homes. this is one of the main news on the 281st day of the great war. ukraine returned from enemy captivity. 50 defenders, a photo of the released heroes, was posted by the coordinating headquarters for the treatment of prisoners of war, the defenders of mariupol and azovstal returned to their homeland, as well as prisoners who were in the infamous volynyv colony. also, servicemen were wounded in the battles in luhansk donetsk and zaporizhzhia