Journal of Surgery
Review Article
Over use of Surgery in Russia and Belarus: An Update
Jargin SV*
Department of Pathology, People’s Friendship University of Russia, Russian Federation
*Address for Correspondence:Jargin SV, Department of Pathology, People’s Friendship University of Russia, Clementovski per 6-82, 115184 Moscow, Russia, Tel: +7 4959516788; E-mail: sjargin@mail.ru
Submission: 05 May, 2025
Accepted: 21 June, 2025
Published: 25 June, 2025
Keywords: Healthcare; Russia; Medical Ethics; Breast Cancer; Thyroid Nodules; Respiratory Diseases
Abstract
The main topics of this review are invasive procedures used today
or in the recent past in Russia without sufficient indications. Besides,
overtreatment of thyroid nodules in Belarus is discussed. Numerous
examples of overtreatment have been described with documentary
evidence in a recedntly published book. Invasive methods were applied
without sufficient indications in people diagnosed with alcohol-related
disorders, also for research. Cauterization of endocervical ectopies
without a preceding Pap-smear has been applied. Exessive radicalism
of breast cancer management, overuse of surgery for peptic ulcers
and certain respiratory conditions are discussed here in more detail.
Some contributing factors have remained since the Soviet time: the
authoritative management style, paternalism and partial isolation
from the international scientific community. Admttedly, free Internet
resources are helpful. Considering shortcomings of medical practice,
research and education, governmental directives and increase in
funding is unlikely to be a solution. Measures for improvement of the
healthcare in Russia must include participation of authorized foreign
advisors.