Category Archives: Services

08
May

Spinal Neurosurgery

The neurosurgery centre at the medical centre is the largest in Estonia handling scheduled and emergency treatment for diseases needing neurosurgery.

All modern treatment options
The neurosurgery centre has modern equipment for every type of treatment and diagnosis of neurosurgery patients, with computer tomography and magnetic tomography, neurophysiological monitoring during operations, and neurophysiological studies. An intraoperative ultrasound examination is used for navigating during operations. Disorders of the central nervous system requiring surgery such as brain tumours, cerebrovascular disease, or traumatic head injury are treated here, as are degenerative diseases of the spine like herniation of the intervertebral discs causing neck and lumbar radicular pain, lumbar spinal stenosis, and peripheral nerve diseases and injuries.

An excellent interdisciplinary medical team
Since 2004, all the neurosurgeons working at the medical centre have taken training courses run by the European Association of Neurosurgical Societies. Working with specialists from other departments of the hospital, such as radiologists, critical care doctors, neurologists and oncologists, they are able to ensure maximum complex, high quality and rapid neurosurgical support. Treatment approaches for complicated cases are decided in consultation with specialists from the other departments at the weekly neurosurgical council.

A wide network of partners
The main partners of the neurosurgery centre are Tartu University Hospital and Karolinska Hospital in Stockholm, while the partners for children’s neurosurgery are Tallinn Children’s Hospital and foreign partners in the Berlin Charité Hospital Pediatric Neurosurgery Unit and the Oulu University Hospital. Neurosurgeons from the medical centre attend various training courses every year in Europe and elsewhere, and they also lecture in courses presenting the latest neurosurgery methods and positions in Estonia to their colleagues.

THE SERVICE PACKAGES AVAILABLE:
• Outpatient neurosurgery consultation with additional tests if needed
• Radicular neck pain treatment to release nerve roots
• Radicular neck pain and myelopathy treatment with intervertebral implants
• Surgery for radicular lumbar pain
• Radicular neck pain and myelopathy surgery with implants
• Surgical treatment of narrow lumbar spinal canal syndrome

Sample prices*:
Surgery for radicular neck and lumbar pain: € 2330 – € 6300
Surgical treatment of narrow lumbar spinal canal syndrome: € 3060 – € 3430
* Prices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Dentistry

Estonian dentists use the best technology available in the world and work together to find solutions for even the most compli- cated treatment cases. Great attention is paid to patient com- fort and pain-free treatment wherever possible, and to personal communication between doctor and patient.

Interdisciplinary treatment solutions
Our dentists are well-known for their interdisciplinary treatment, with treatment plans and procedures being carried out by teams of specialists from various fields. The interdisciplinarity helps make sure that the treatment process is medically the most reasonable and effective for the patient, and generally better priced. Estonian doctors are experienced in dealing with complicated cases and an individual treatment plan is drawn up for each patient to meet their specific needs and interests.

World-class efficient and painless dental treatment
With patient safety and comfort in mind, we use all modern technologies, including 3D x-ray, root canal treatment microscopes, virtual treatment planning programmes, and needle-free anaesthesia. Operation and recovery rooms for dental treatment under anaesthesia have an integrated anaesthesia monitor of the type usually used for general surgery in large hospitals. The first dental auto-transplant was carried out in Estonia, in which a living tooth of a patient was moved to a different place in the mouth.

Top specialists with international experience
Our dentists keep themselves up to date at numerous professional conferences and further training courses around the world, as part of which they are members of the prestigious Spear Study Club and organise international professional conferences in Estonia. They have long experience of working with patients from Finland, Sweden and other European countries including Switzerland.

THE CHOICE OF SERVICES:
• Dental examination
• Tooth spa, thorough cleaning of the teeth
• Teeth whitening
• Dental anaesthesia
• Oral surgery
• Root canal treatment
• Orthodontics
• Implants
• Gum treatment
• Prosthetic dentistry

Sample prices:
Tooth spa: € 85
Ceramic crown: € 425
Implant surgery first stage: € 750
Implant crown: € 775 – € 1100
Set of braces from: € 2500
*Prices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Vascular Surgery

The skills of Estonian vascular surgeons have been proven at the highest global level, and their arsenal includes all the most modern and technologically advanced equipment and methods of treatment, allowing the best possible functional and aesthetic results to be achieved.

A world-class surgical team
Estonia’s vascular surgeons are specialists with long international experience, several of whom have practised in Camp Bastion hospital in the active war zone in Afghanistan, treating the most complex cases requiring operative intervention.

Solutions that save
Both surgery and procedures within the blood vessels like extension and stenting are used to treat the abdominal aorta, and the lower and upper limb arteries and the carotid artery.

European standards of instrumental studies
Many instrumental tests are done during the diagnosis of patients with vein and artery diseases that are the same as in other European centres of vascular surgery. The use of several types of test means that the best solution can be chosen for each individual patient.

THE CHOICE OF SERVICES:
• Reconstructive vascular surgery
• Surgical and endovascular (intravenous) treatment for peripheral vascular disease
• Treatment of diabetic and ischemic ulcers
• Surgical treatment of abdominal aortic aneurysms
• Treatment of peripheral arterial aneurysms
• Carotid artery surgical treatment to prevent strokes
• Treatment of vascular tumours
• Treatment of varicose veins and venous insufficiency
• Varicose vain removal by various methods including surgery, laser treatments, endovascular treatment and sclerotherapy
• Treatment of venous ulcers
• Endarterectomy

Sample prices*:
Sclerotherapy: € 75
Varicectomy and saphenectomy, removal of varicose veins without trunk removal: € 525
Varicectomy and saphenectomy, removal of varicose veins with trunk removal: € 625
Minimally invasive endovascular laser treatments: € 800
Ultrasound examination of variegated sclerosing artery: € 175
“Shave” surgery of varicose ulcers with skin surgery: € 500
Perforated laser ablation: € 275
*Prices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Reproductive Medicine

The accessibility and success of treatment for childlessness in Estonia are among the best in the world. Experienced senior specialists and treatment centres with the most up-to-date equipment mean that infertility treatments of the highest possible professional standards can be delivered. Gynaecologists, andrologists and embryologists working together Reproductive medicine is handled by specialists in diagnosis and treatment of infertility in both men and women, and by embryologists. Estonia has a lot of experience of infertility treatment, and the first artificially conceived child anywhere in the Baltic region was conceived, observed and born in Estonia in 1995. Estonia’s results are among the best in the world Around 600 IVF children are born in Estonia each year, which is four percent of all births. This is one of the highest figures in Europe or the whole world, and shows how good and how accessible treatment is. A good reputation in the Nordic countries Estonian specialists are known across the region and our clinics provide infertility treatment services for large numbers of patients from the Nordic countries and ever more patients are coming to Estonia from even further away. Infertility treatment, tests and procedures, the treatment methods and the medicines used, and the legal considerations are all explained straightforwardly and in depth.

THE CHOICE OF SERVICES: • Diagnostics for infertility treatment • Semen analysis • Medicinal treatment • Intrauterine inseminatsioon (IUI) • Extracorporeal fertilisation (IVF) • Intracytoplasmic sperm injection (ICSI) • Frozen embryo transfer (FET) • Sperm preservation

Sample prices: FET: € 500 – € 600 IVF: € 1100 – € 1500 *rices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Rehabilitation

Successful treatment is considered in Estonia to rely equally on good communication and trust between a therapist and a client working closely together and on modern equipment.

Therapies teach independent living
Therapy is an important part of rehabilitation in Estonia, as this is when the patient learns to cope independently. Successful treatment increases the patient’s capacity for work and shortens the illness and the time needed for a return to the life and work from before the trauma, even for patients who need a wheelchair for everyday mobility. For treatment to be effective, it is important that it is given in good time, with supportive care and in a calm environment to encourage recovery. This is very possible in Estonia, where there are both well-equipped hospital environments with private doctors available, and specially built rehabilitation centres.

A personal evidence-based approach
Patients are treated by a medical rehabilitation doctor, a physiotherapist, an occupational therapist, a psychologist, a speech therapist, a social worker, a massage therapist, support staff, and if necessary, a neurologist and other doctors and specialists. The team work together to assess the overall health of the patient; draw up a personal treatment plan; carry out all the necessary treatment; assess the patient’s ability to cope and additional needs; suggest ways of adapting the home, work and study environments, and getting and using aids to movement; and give advice to the family.

A full range of specialised equipment
Estonian rehabilitation centres are well equipped with modern technology and fittings, like neuro-orthosis, functional electrical stimulators, walking tracks for workouts and a walking robot walking aid. Even more important than the modern technology are the long experience of the medical team and their excellent training.

THE CHOICE OF SERVICES:
• Rehabilitation planning
• Cardiological rehabilitation
• Neurological rehabilitation
• Oncological rehabilitation
• Orthopaedic rehabilitation
• Rheumatological rehabilitation
• Pulmonological rehabilitation

Sample prices*:
Rehabilitation: € 120 for 24 hrs.
Rehabilitation package (10 days stay in hospital with all necessary treatments and consultation, and accommodation in a two-bed ward): € 1200
*Prices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Plastic surgery

Top Estonian surgeons have world-class plastic surgery skills, and a number of them have chosen to practise in active war zones. Minimally invasive methods are preferred in reconstructive surgery, and the best possible aesthetic results are sought.

The contribution of reconstructive surgery to medical advances
All the most modern methods for plastic surgery are used, together with innovative regenerative medicine techniques. Estonian surgeons work closely with top specialists from the European Union and NATO to develop innovative new treatment techniques and technologies. This can be seen in Estonia’s unique cell laboratory for growing stem cells, and in the completely new operating techniques using stem cells at the Hospital of Reconstructive Surgery, where autologous stem cells from the patient’s own body are transplanted to the damaged areas, where they can repair tissues and organs.

Outstanding international experience
Our surgeons are specialists with long international experience who have practised as visiting surgeons in the world’s leading clinics, several of them in one of the best trauma hospitals in the world in Camp Bastion in Afghanistan. The medical teams caring for patients contain a surgeon, an anaesthetist, a nurse and other specialists, who have learned their skills in Finland, Sweden, Switzerland, England, Germany and the USA.

A popular choice for plastic surgery
Estonian plastic surgeons carry out over 2000 operations a year for foreign patients, most of them from Finland. Demand is high because the doctors and the medical infrastructure are very good, and the post-surgery survival rate in Estonia is one of the best in Europe, ahead of even Finland and Sweden. Personal contact with the patient is considered to be very important in Estonia, with clear and caring communication.

THE CHOICE OF SERVICES:
Reconstructive and aesthetic surgery:
• Correction of defects and deformities following trauma
• Correction of various distortions and defects in the development of the hand
• Correction of lymphostasis of the upper and lower limbs
• Medically necessary body reduction surgery
• Surgical treatment of soft tissue tumours
• Breast reconstruction using various methods
• Aesthetic operations on face, body and neck
• Aesthetic operations on the body and limbs

Sample prices*:
Surgery for sagging breasts: € 2800
Surgery for the anterior abdominal wall: € 3000
*rices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Nursing Care

Top-class round-the-clock attentive and friendly nursing care is available in Estonia and helps patients maintain a stable level of health and functioning, and improve it where possible. Personal solutions for professional support Nursing care facilities look after patients in a stable condition over the long term, offering care and support through nursing by well-qualified and attested highly-trained specialist carers. Carers use the most modern treatment techniques and any necessary technical equipment. A safe and homely environment Estonian nursing services understand that patients need to be sure of dignified surroundings, cleanliness, tranquillity, privacy, a varied diet and personal care. Our care homes are ideal places for a short-term break or for long-term treatment. In both cases all treatments are supervised by doctors. Professional staff who can speak the patient’s native language are available whenever needed to help with medical procedures and hygiene matters. Patients’ families are constantly kept up to date Electronic call out systems guarantee that patients’ families can get full reports of the patient’s status during treatment and of what the care facility is doing. Regular email reviews on the ongoing condition of the patient are also standard. Options such as skype or webcams can be used by relatives to monitor the progress of patients in care homes.

THE CHOICE OF SERVICES: • Consultation with a specialist • Physiotherapy • Massage • Various relaxation and therapeutic procedures • Leisure time options

Sample prices: Round-the-clock nursing care: € 100 *Prices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Otolaryngology

Estonian ear-nose-and-throat specialists are known across Europe. A wide choice of procedures Operations ranging from simple removal of adenoids and tonsils up to plastic surgery and hearing restoration can be carried out in Estonia. The most common operations include nasal septum surgery or septoplasty, and modern laser therapy, ultrasound, microscopic and endos- copic surgery are all used in Estonia. Very good results The long experience of treatment in Estonia means that there are very few postoperative complications, and the number of days spent in hospital is low and the post-operation quality of life is high.

THE CHOICE OF SERVICES: • Treatment for hearing problems • Endoscopic ear tests • Bone-anchored hearing aid (BAHA) • Ear surgery • Treatment for speech disorders • Treatment of diseases of the throat and vocal cords • Treatment of swallowing disorders • Adenoidectomy or removal of adenoids • Tonsillectomy or tonsil removal • Surgery to stop snoring, uvulopalatopharyngoplasty • Rinoplasty and otoplasty operations

Sample prices*: Operations to remove tonsils and adenoids: € 350 – € 500 Plastic surgery operations on the nose: € 2300 *Prices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Orthopaedic Surgery

The high quality of orthopaedic treatment in Estonia is ensured by highly experienced specialists who have practised abroad, and by the rapid adoption of new methods. Estonia’s trade- mark in orthopaedic surgery is reconstructive orthopaedia. A wide range of experience Treatment teams in Estonia contain a surgeon specialising in orthopaedics and traumatology, an anaesthesiologist, a radiologist, nurses, rehabilitation specialists, and other specialists if necessary. All the most modern methods of diagnosis, treatment and rehabilitation for orthopaedic illnesses are used along with prostheses and implants made by leading US and Swiss manufacturers. Sport medicine is highly developed, so orthopaedic specialists have a lot of experience of treating sporting injuries and joint injuries of the type that can pose a major threat to elite athletes or to any other active person. Possible second opinions Before any major joint operation goes ahead, the very experienced Estonian doctors can be asked for a second opinion. Our orthopaedic doctors can also help in cases where an initial operation in another country has not proven as successful as was hoped. A patient-centred environment Orthopaedic operations can be carried out in several different centres around Estonia, and all the operation centres have hi-tech operating theatres equipped to provide level 3 critical care, intensive care departments, recovery rooms and visiting wards. Foreign patients from Finland, Sweden, Germany, the USA and Canada come to Estonia for orthopaedic care.

THE CHOICE OF SERVICES: • Arthroscopy for knee, shoulder, hip, arm or leg • Arthrosis treatment • Bunion surgery • Treatments for spinal diseases • Treatment for meniscus and tendon injuries • Intra-articular injection of growth hormone • Endoprosthesis of knee, hip and small joints (hands and feet) • Minimally invasive hand and foot surgery • Meniscus implants • Plasma treatment (autologous conditioned plasma, or ACP) • Hyaluronic acid treatment

Sample prices: Arthroscopic procedures: € 800 – € 1500 Hip replacement: € 3700 – € 5000 Knee replacement: € 3800 – € 5500 *rices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.

19
Mar

Oncology

Estonian oncologists are highly professional and patient-focused and achieve excellent treatment results. At the forefront in using new methods in oncology All modern treatment methods of medicines, radiology and surgery are used in Estonia. Treatment uses all the modern medicines, with cytotoxic, hormonal and biological medicines, and treatment schedules derived from the best results of medicine trials. Cancer indicators in the blood, CT, MRI and PET-CT imaging, biopsies, endoscopic tests, molecular and genetic tests for prescribing treatment, and other diagnostic methods are used in diagnosing cancers and tumours. Diagnostic techniques for melanomas have been developed, including telederma- tology. Innovation and scientific development Estonian oncologists work closely with the researchers developing cancer diagnostics and medicines. Doctors use genetic tests carried out in Estonia to decide on the course of treatment, and a new blood test for the early detection of breast cancer has been developed here. Treatment is open to innovation, and the first hematopoietic stem cell transplant in the whole Baltic region was performed in Estonia. Interdisciplinary medical teams Our oncology specialists have wide international experience, which they call on in their day to day work treating patients. Cancer is treated by teams containing an oncologist, an oncology surgeon, an anaesthesiologist, a radiologist, an oncology nurse, a rehabilitation doctor, and other highly trained specialists. Among the best in Europe In 2011 the European Surgical Outcomes Study (EuSOS) survey showed that post-operative survival rate for non-cardiac surgery in Estonia is in the top five in Europe alongside Finland, Iceland, Norway and Sweden.

THE CHOICE OF SERVICES: • Treatment for skin melanomas • Breast cancer treatment • Cervical cancer treatment • Ovarian cancer treatment • Gastric cancer treatment • Colorectal carcinoma treatment • Prostate cancer treatment • Bladder cancer treatment • Lung cancer treatment • Colorectal cancer treatment • Treatment of haematological malignancies • Bone marrow and blood stem cell transplantation • Palliative care

Smaple prices: Malignant skin tumour excision and histology tests: € 250 *Prices are given as a guideline only. The actual price will depend on the choice of services and may vary between service providers.