Emergency surgery

We provide effective emergency surgery around the clock 7 days a week (24/7).
Guarantee for the result

When emergency surgery is required


The issue of emergency surgery arises in cases of severe, critical conditions that threaten life and health and require immediate diagnosis and surgery.

Emergency surgery is performed on an emergency or urgent basis, in peacetime or wartime.

Emergency surgery is usually performed using specialized technologies, such as resuscitation and intensive care, and other instrumental and laboratory parameters, if necessary. This allows the doctor to accurately determine the nature of the disorder and provide appropriate emergency surgical care. Special equipment allows performing emergency surgical interventions with minimal damage to surrounding tissues (endoscopically, laparoscopically or laparotomically), in particular, single-incision laparoscopic surgery (SILS).

Timely and properly provided emergency surgical care allows patients to return to normal life and maintain or restore its quality.

At the Valikhnovski Surgery Institute, we specialize in addressing a variety of issues requiring emergency surgery, including: Get acquainted
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  • acute cholecystitis
  • acute pancreatitis
  • acute intestinal obstruction
  • acute appendicitis
  • perforation of gastric and duodenal ulcers
  • penetration of gastric and duodenal ulcers
  • peritonitis
  • strangulated hernia (hernia)
  • internal bleeding
  • acute urinary retention
  • ectopic pregnancy
  • pathological labor
  • acute paraproctitis
  • severe hemorrhoidal bleeding

If needed, our doctors provide consultations not only in Ukraine but also worldwide, both at our clinic in Kyiv and online through prior appointments. Comprehensive diagnostics, treatment, and prevention are offered.

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  • 25

    Years of experience

  • 511262


  • 850

    A modern clinic in the center

  • 13216

    Successful operations

  • 52

    Unique surgical techniques

  • 28

    Branch of surgery

  • 43

    Units of the latest equipment

  • 30 %

    Charitable surgical assistance


Consultation and examination concerning emergency surgery

You should promptly consult regarding emergency surgery if you experience the following symptoms:

  • sharp pain in the abdomen, increasing in intensity
  • pain in the upper abdomen, more on the left side, girdling, like a “dagger stabbing”, intensifies in the supine position (typical for pancreatitis)
  • pain in the upper abdomen, may become widespread (characteristic of complicated gastric ulcer and duodenal ulcer)
  • pain in the middle abdomen in the right hypochondrium, aggravated by pressure in the right hypochondrium (characteristic of cholecystitis)
  • abdominal pain, aggravated by palpation after pressing and releasing (characteristic of peritonitis)
  • pain in the lower abdomen and lower back (characteristic of acute urinary retention, in particular, renal colic, ectopic pregnancy.)
  • sharp pain, increasing in the anus (characteristic of paraproctitis)
  • tension and pain in the area of hernial protrusion
  • during palpation there are areas of increased tenderness, there may be redness of the skin
  • severe nausea and vomiting without relief
  • increased amount of saliva
  • loose stool or absence of stool
  • blood in the stool (typical for hemorrhoidal bleeding)
  • bloating in the abdomen
  • “flat” abdomen due to muscle contraction
  • fever with chills
  • prolonged bitter taste in the mouth, yellowish color and itching of the skin and visible mucous membranes (typical for acute cholecystitis with cholelithiasis)
  • dark color of urine
  • decreased or absent appetite
  • if you eat, the condition worsens
  • lowering of blood pressure
  • frequent heartbeat (tachycardia)
  • pale skin (characteristic of bleeding)
  • sharp decrease in urination up to complete absence
  • bloody impurities in the urine
  • especially painful contractions in a pregnant woman
  • pushing in a pregnant woman
  • sudden or increasing deterioration of the condition against the background of a chronic disease
  • injuries with serious dysfunction
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A consultation in emergency surgery includes:

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interview (the doctor asks about complaints, learns about medical history and life)

external clinical assessment (the patient will be thoroughly examined, palpated, all altered areas and the condition of each organ system will be examined)

laboratory examination (both general clinical tests and special tests)

instrumental examination (to determine both the general condition of the body and those areas where changes have developed).

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    Main methods of emergency surgery

    Specialists of the Valikhnovski Institute of Surgery in Kyiv perform such various surgery interventions as: Get acquainted
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    • consultation with a surgeon
    • consultation of a proctologist
    • ultrasound examination
    • X-ray computed tomography
    • magnetic resonance imaging
    • endoscopic retrograde cholangiopancreatography
    • endoscopic retrograde cholecystopancreatography
    • fibroesophagogastroduodenoscopy
    • endoscopic removal of a foreign body from the gastrointestinal tract
    • diagnostic laparoscopy in surgery
    • Repeated laparoscopy after complications (relaparoscopy)
    • laparocentesis
    • vagotomy
    • Raparoscopic longitudinal resection of the stomach
    • subtotal gastric resection
    • gastric resection according to Bilrot I
    • gastric resection according to Bilrot II
    • gastric resection according to Balfour
    • pyloroplasty
    • Suturing of gastric ulcer defects
    • Suturing of ulcerative defects of the intestine
    • Suturing of bleeding ulcer with pyloroplasty
    • endoscopic papillosphincterotomy (opening of the large papilla of the duodenum)
    • laparoscopic cholecystectomy
    • open cholecystectomy
    • SILS cholecystectomy (single-incision laparoscopic surgery)
    • external drainage of the choledochus
    • bile duct resection
    • hepaticojejunostomy
    • pancreaticoduodenal resection (uncomplicated)
    • opening of pancreatic abscess
    • necrectomy of the pancreas
    • drainage of pancreatic cysts
    • pancreatectomy
    • specimenectomy from the pancreatic duct
    • stenting of the pancreatic duct;
    • creation of anastomosis between the pancreas and duodenum
    • longitudinal pancreatic jejunostomy
    • laparoscopic appendectomy
    • SILS appendectomy
    • elimination of small intestinal fistula by intraperitoneal access
    • elimination of small intestinal fistula by extraperitoneal access
    • segmental resection of the colon
    • subtotal resection of the large intestine
    • laparoscopic hernioplasty of complicated umbilical hernia
    • laparoscopic hernioplasty of complicated inguinal hernia
    • laparoscopic hernioplasty of complicated hernia of the white line of the abdomen
    • laparoscopic hernioplasty of complicated diaphragmatic hernia
    • laparoscopic hernioplasty of complicated ventral postoperative hernia
    • transabdominal preperitoneal inguinal canal plastic surgery (TAPP)
    • total extraperitoneal inguinal canal plastic (TEP)
    • IPOM for ventral postoperative hernias (intraperitoneal onlay mesh)
    • surgical treatment of Gilmore’s hernia (sports hernia)
    • surgical treatment of congenital internal hernias (Latin hernia abdominalis interna)
    • surgical treatment of post-traumatic hernias
    • surgical treatment of inguinal hernias
    • Surgical treatment of perineal hernias (herniae permeates)
    • surgical treatment of Spieghel line hernia
    • Surgical treatment of hernia of the obturatoriae (Latin herniae obturatoriae)
    • surgical treatment of paraesophageal hernias
    • surgical treatment of Lorrey-Morgagni hernia
    • surgical treatment of Bohdalek hernia
    • surgical treatment of hernia of the Winslowi hole
    • surgical treatment of supravesical hernia (Latin hernia supravesicalis interna)
    • surgical treatment of paracentral hernia (Latin: hernia paracaecalis interna)
    • surgical treatment of mesenteric hernia (Latin: hernia mesenterico-parietalis interna)
    • surgical treatment of duodenal hernia (Latin: hernia paraduodenalis, hernia Treitzi)
    • laparotomy
    • repeated laparotomy (relaparotomy) due to complications
    • lapatologic revision of abdominal organs 
    • lapatologic sanitation of the abdominal cavity 
    • laparotomy with drainage of purulent cavities
    • laparotomy with necrectomy
    • laser ablation of chronic paraproctitis
    • application of ligature for drainage of paraproctitis
    • opening and drainage of subcutaneous paraproctitis
    • opening and drainage of intrasphincteric paraproctitis
    • open surgery for chronic paraproctitis (Gabriel’s operation)
    • hemorrhoidal artery ligation and rectoanal repair (HAL-RAR)
    • transanal hemorrhoidal dearterialization (THD)
    • excision of anal fissure
    • anal sphincterotomy
    • anoplasty
    Preparation for emergency operations follows general principles for surgical interventions: Get acquainted
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    in case of taking any medications, inform your doctor and agree with him/her (it may be necessary to limit them or change the dosage or regimen);

    before the operation, follow a sparing diet, water and drinking regimen and do not drink alcoholic beverages - so that the body reacts more adequately and predictably to anesthesia and other drugs

    refrain from eating for 6-12 hours before the operation, and do not drink, chewing gum, or smoke for 2-4 hours before the operation to protect against the ingestion of stomach contents into the respiratory system during anesthesia, etc

    if possible, before the operation, take a shower or otherwise hygienize the body, cleanse the intestines with an enema to prevent spontaneous passage of feces during anesthesia due to sphincter relaxation

    immediately before the operation –

    - removable objects (piercing jewelry, dentures) are removed from the oral cavity and face so that they do not accidentally get into the respiratory system or interfere with the surgical intervention during the operation
    - remove other items (contact lenses, hearing aids, jewelry, etc.) to prevent accidental injury to the body and to prevent them from getting damaged
    - remove cosmetics (makeup, nail polish, false nails) from the body to facilitate visual assessment of the body's condition and automated registration with medical equipment
    - empty the bladder and, if necessary, the intestines to prevent spontaneous bowel movements during anesthesia
    change into special clothes provided by the clinic

    Other preparatory measures can be taken in addition, taking into account individual characteristics of the body and the specifics of the surgical intervention

    How emergency surgery is performed


    The main stages:

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    • 1
      The patient is either brought to the operating room on a gurney

      or escorted on foot. At the gateway, they put on a medical cap and shoe covers (to protect against microorganisms in the air of the operating room).

    • 2
      Surgical operations are performed by an operating team

      of a certain composition, taking into account the specifics of each operation.

    • 3
      The patient is placed on the operating table

      (depending on the specifics of the operation, the body position may differ), and fixed to it with special straps to prevent accidental involuntary movements that would interfere with the operation, as well as to prevent accidental falling of the body from the table.

    • 4
      The nurse anesthetist punctures a vein in the arm,

      installs a catheter to administer the necessary drugs, places electrodes on the body to monitor the electrical activity of the heart, puts a blood pressure cuff on the shoulder and a sensor on the finger to determine the oxygen content in the blood. All this is necessary for continuous monitoring of the body's condition during anesthesia and surgery.

    • 5
      The further course of the operation depends on the specific task,

      the area of the body where the intervention is performed, and the specifics of the chosen surgical tactics, technique, etc



    Postoperative period and rehabilitation

    After the operation, the patient wakes up in the ward for postoperative observation. If necessary, oxygen may be administered through a thin tube to ensure that the body has enough oxygen. The nurse will carefully monitor the patient’s condition and, if necessary, use medications agreed with the doctor.

    Before returning home, the doctor will examine the postoperative sutures, agree on the tactics of further rehabilitation, and give additional advice.

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      Oleksiy Sukhanov

      Journalist, radio presenter, TV presenter. Host of the talk show "Ukraine Speaks" on the "UKRAINE" TV channel.

      Andrii Danylevich

      Journalist, presenter of the programs "Applies to everyone", "Coolest of all" on the "INTER" TV channel.

      Gennady Fuzailov

      A pediatrician and anesthesiologist, he works at the Shriners Hospitals for Children Boston clinic, which belongs to Harvard University. Is a leader in the field of children's medicine.

      Larisa Dyatlyuk

      Participant of the project "I am ashamed of my body" TV channel "STB".


      What symptoms require emergency surgery?

      Emergency surgical medical care is provided for symptoms such as sharp, attack-like and growing abdominal pain, nausea and vomiting without relief, fever, changes in the color of urine and feces, palpitations, pale skin, low blood pressure, a sharp decrease in urination, bloody impurities in the urine, sudden deterioration of the condition against the background of a chronic disease or injury.

      What conditions require emergency surgery?

      Most often, emergency surgery is required for the following pathological conditions and diseases acute cholecystitis, acute pancreatitis, acute intestinal obstruction, acute appendicitis, perforation of gastric and duodenal ulcers, penetration of gastric and duodenal ulcers peritonitis, strangulated hernia (hernia), internal bleeding, acute urinary retention, ectopic pregnancy, pathological labor, acute paraproctitis, severe hemorrhoidal bleeding.

      What methods of diagnosis and treatment are used for emergency conditions in surgery?

      In the practice of emergency surgery, X-ray computed tomography (CT), magnetic resonance imaging (MRI), pulse oximetry, ultrasound, electrocardiography (ECG), surgical intervention (surgery), resuscitation, intensive care, anesthesia, oxygen therapy and other methods are used.

      What specialists provide emergency surgical care?

      The surgical team for emergency surgical care usually consists of an operating physician, a surgical nurse, an anesthesiologist, and an anesthesia nurse. In specific cases, the team may be supplemented by other surgeons and surgical nurses and subspecialists depending on the clinical situation.

      What steps are taken to ensure patient safety during emergency surgery?

      For the safety of patients, we use sterile medical equipment, ensure compliance with hygiene standards in the premises, carefully follow medical protocols and standards.

      Is there a guarantee for emergency surgery?

      The guarantee for the results of emergency surgery applies to medical consumables and equipment. It guarantees the provision of emergency surgical medical care in accordance with modern medical advances, the high level of qualification of the clinic’s specialists and the technical equipment of the clinic. The final clinical effect is influenced by many factors that depend not only on the doctor and the clinic, such as individual characteristics of the body, lifestyle, environmental conditions, and other factors.

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      Find out the cost of services or get a consultation by filling out the form