The Neonatal and Infant Critical Care Department provides specialized management for pediatric patients with a wide range of medical complexities, focusing on the treatment and care of preterm and extremely premature newborns. It is adept at managing both congenital and acquired conditions in full-term newborns, including rare diseases, following international best practices and guidelines.
The department’s strength lies in its highly skilled, multidisciplinary team at Iashvili Clinic, which ensures the comprehensive management of the most challenging medical cases. The department houses 42 beds, equipped according to international medical standards, with infrastructure and equipment designed to minimize risks associated with possible complications.
Staffed by highly qualified medical professionals, both nursing and physician teams are engaged in continuous medical education and training in various European and American hospitals. This high-tech environment, combined with skilled medical personnel, enables the department to manage a wide spectrum of complex conditions successfully.
The department provides both therapeutic and surgical management for high-risk, preterm, and full-term newborns with congenital malformations. Services include:
• Care for preterm and extremely immature infants.
• Treatment of congenital malformations and tumors of the brain and spinal cord.
• Management of cerebral vascular conditions.
• Treatment of congenital and acquired hydrocephalus.
• Treatment of cranial malformations, including complex craniosynostosis.
• Surgical treatment for congenital respiratory malformations.
• Therapeutic and surgical care for congenital malformations of the gastrointestinal system.
• Management of congenital urogenital anomalies.
• Care for rare, genetic, and metabolic disorders.
This department provides continuous, comprehensive care tailored to the critical needs of newborns and infants, supported by cutting-edge technology and expertise.
The Emergency Medicine (ER) Department at Iashvili Children's Hospital is one of the most advanced services in the region, dedicated to pediatric patients requiring urgent care. The department is equipped with state-of-the-art medical equipment, has well-developed infrastructure, and is tailored to maximize patient comfort, creating a stress-free environment for first-time interactions with the medical facility.
The emergency department includes 12 observation beds and 3 shock beds, providing 24-hour, comprehensive multidisciplinary services for pediatric patients aged 28 days to 18 years. The department successfully handles complex somatic, traumatic, and acute intoxication treatments. A multidisciplinary team of physicians is involved in the care process, providing individualized treatment based on the specific needs of each patient.
The department is equipped with the latest medical technology, including access to computed tomography, radiological, endoscopic, and ultrasound examinations. Laboratory tests are available 24/7.
Notably, Iashvili Children's Hospital is the only third-level referral pediatric medical center in the country, capable of managing diseases and traumatic injuries of any complexity.
The Pediatric Anesthesia and Critical Care Department provides comprehensive medical services for critically ill pediatric patients aged from 28 days to 18 years. The medical staff, including doctors and nurses, work collaboratively in the treatment and management processes. Available services in this department include:
• Pediatric Anesthesia: Optimal pain management is provided during and after surgical procedures through precisely tailored dosages of modern medications
• Pediatric Intensive Care Unit (PICU): This includes intensive monitoring and advanced procedures essential for the recovery of critically ill patients
• Pain Management Service: Pain control involves both pharmacological and non-pharmacological interventions customized to each patient’s unique needs
• Preoperative Assessment, Postoperative Management, and Urgent Care: Comprehensive support is provided through all phases of the patient's medical journey
Equipped with advanced medical infrastructure and technology, the department effectively manages critical conditions arising from various multi-system diseases, including respiratory system injuries, acute leukemia, severe and chronic neurological disorders, polytrauma (neurotrauma, abdominal and renal trauma), congenital metabolic disorders, rare diseases, and more.
In addition, the department successfully performs renal replacement therapy (peritoneal and hemodialysis) in cases of acute renal failure, manages life-threatening conditions due to genetic mutations, monitors intracranial pressure in neurosurgical patients, and provides various other critical interventions.
The Department of Respiratory and Abdominal Medicine at Iashvili Children’s Central Hospital offers comprehensive diagnostic and treatment services for respiratory and abdominal conditions in patients aged 28 days to 18 years. As the only hospital in the country providing pediatric care for these conditions without the need for international referral, we are proud to offer a full spectrum of services in respiratory and abdominal specialties.
Our respiratory services adhere to both national protocols and international guidelines from the European Respiratory Society and the American Thoracic Society. We provide expert care for conditions such as:
• Acute respiratory infections, including bacterial and viral infections
• Diseases associated with acute respiratory failure
• Chronic respiratory diseases (e.g., bronchial asthma, chronic bronchitis)
• Congenital lung anomalies and interstitial lung diseases
• Pneumonias with cavitary or pleural complications
• Pulmonary diseases associated with neuromuscular disorders
• Early diagnosis and management of tuberculosis
• Allergic diseases, including asthma and allergic rhinitis
In abdominal care, our multidisciplinary team—including infectious disease specialists, gastroenterologists, endoscopists, allergists, and pediatricians—manages a broad range of gastrointestinal and hepatic conditions. We treat conditions such as:
• Gastrointestinal pathologies
• Liver failure
• Acute and chronic liver and biliary diseases
• Congenital and acquired pancreatic diseases
• Ulcerative enterocolitis, celiac disease, nutritional disorders, and more
Our department is committed to delivering the highest standard of care, supported by a dedicated team of specialized physicians who ensure thorough and patient-centered treatment for all.
The Department of Orthopedics, Traumatology, and Spine Surgery offers specialized services dedicated to the treatment of traumatic injuries and disorders of the musculoskeletal system and soft tissues. The team provides round-the-clock care to pediatric patients from birth to 18 years of age.
High-complexity surgeries are predominantly performed using minimally invasive techniques, including the globally recognized MIPO (Minimally Invasive Plate Osteosynthesis) technique, which involves the insertion of a specialized plate through a minimal incision for the stabilization of fractures. Another modern approach utilized in the department is the application of titanium elastic rods.
The department successfully performs surgical treatment of both congenital and acquired deformities of the hip joint and musculoskeletal system, corrective procedures for joint contractures, correction of congenital and acquired limb deformities or discrepancies in limb length, tendon lengthening and shortening procedures, surgery for benign tumors of the musculoskeletal system, and various corrections of traumatic injuries and deformities.
Of note is the department’s success rate in spine surgery at Iashvili Children’s Hospital. Comprehensive surgical and conservative treatments are available for all types of spinal deformities and pathologies. Common conditions treated include various forms of scoliosis, kyphosis, intervertebral disc herniation, torticollis, costal humps, spinal instability, and coccygeal deformities.
The Maxillofacial Surgery Department offers a full spectrum of services for pediatric patients, including comprehensive outpatient care and 24/7 inpatient services. The department successfully performs both emergency and elective surgical treatments for conditions of the oral cavity and maxillofacial region. Surgical procedures are conducted using both traditional methods and intraoral approaches, ensuring the absence of postoperative scarring and sutures.
Specifically, the department provides:
• Surgical treatment for congenital and acquired jaw development anomalies.
• Surgical management of trigeminal nerve and facial nerve pathologies.
• Surgery for maxillofacial region infections.
• Surgical intervention for oral cavity and maxillofacial tumors.
• Reconstructive surgeries for post-traumatic deformities of the maxillofacial region.
• Surgical treatment for salivary gland diseases.
• Surgical management of temporomandibular joint disorders.
• Surgical correction/plastic surgery for postoperative scarring.
• Treatment of age-related and retained teeth (wisdom teeth and molars).
• Management of inflammatory diseases of the maxillofacial region (phlegmons, abscesses, periostitis), and more.
The Maxillofacial Surgery Department is available 24/7, providing comprehensive emergency medical care to ensure the health and well-being of pediatric patients.
The Otolaryngology Department at Iashvili Children’s Hospital provides comprehensive diagnostic and treatment services for ear, nose, and throat (ENT) conditions, including outpatient and inpatient management of sinus disorders, hearing impairments, and pharyngeal pathologies.
Pediatric ENT conditions are diverse and often influenced by various factors. Commonly treated conditions include acute otitis media, allergic rhinitis, tonsillitis, adenoiditis, congenital abnormalities, chronic sinusitis, as well as sleep, speech, and language disorders. The department also addresses frequent cases of foreign body removal from the throat, ears, and nasal passages, along with treatment for traumatic injuries.
Our team offers a full range of surgical interventions for ENT disorders, such as adenoidectomy, tonsillectomy, septoplasty, cauterization of bleeding capillaries, drainage of retropharyngeal and parapharyngeal abscesses, and foreign body extraction, among others.
Led by Dr. Vladimer Kvachantiradze, our team is comprised of highly qualified physicians with Western training and expertise, ensuring that each patient receives care that is both advanced and patient centered.
The General, Abdominal, and Thoracic Surgery Department offers a broad range of specialized services, providing comprehensive care for pediatric patients of all ages (from 0 to 18 years) with various surgical needs.
Iashvili Children's Hospital manages the most severe surgical pathologies and congenital defects in newborns. High-complexity surgical treatments are successfully performed, including surgery for congenital anomalies and tumors.
In the fields of general and abdominal surgery, all types of surgical interventions are available for newborns, children, and adolescents. Surgeries for gallbladder conditions (cholecystectomy, Kasai procedure, treatment of biliary tract pathologies, bile duct reconstruction, etc.), liver, and pancreas surgeries are successfully performed. Duodenal surgeries are conducted with full restoration of passage, and treatment for Hirschsprung's disease is carried out via transanal approach. Surgical treatment is available for both large and small bowel pathologies. Additionally, appendectomy (removal of the appendix), gastrectomy (partial or total resection of the stomach), proctological surgeries, surgery for portal hypertension of various origins, and treatments for rare pathologies such as Mediterranean fever, gluten intolerance (celiac disease), and non-specific ulcerative colitis are available.
In thoracic surgery, all types of thoracic surgeries are performed on newborns, children, and adolescents. Surgical treatment is provided for congenital anomalies, acquired diseases, and traumatic injuries of the respiratory tract and thoracic organs. Specifically, successful surgeries include tracheal surgery, diaphragm hernia, congenital pulmonary atresia, anomalies of the lungs and esophagus, chest deformities, and tumors.
Surgeries are performed using both traditional methods and modern approaches, which involve minimally invasive techniques, reduced risk of complications, and simplified postoperative recovery.
The Pediatric Oncology and Hematology Department at Iashvili Children’s Hospital is the only facility in the country providing comprehensive inpatient services for oncology patients from birth to 18 years. Our department treats all types of solid tumors, with a collaborative approach that includes Georgia’s top specialists and, when necessary, consultations with Western medical experts.
A multidisciplinary approach is at the heart of our treatment philosophy. Each patient’s case is reviewed by a medical board comprising clinical oncologists, radiation oncologists, chemotherapists, hematologists, surgeons, radiologists, and pathologists. Our state-of-the-art diagnostic services include:
• Immunophenotyping of blast cells using next-generation flow cytometry
• Bone marrow aspiration and trephine biopsy
• Cytomorphological and cytochemical analyses
• Molecular and genetic testing via PCR
• Detection of minimal residual disease (MRD) for precise monitoring
Our comprehensive pediatric oncology services include:
• Clinical oncology (chemotherapy, immunotherapy, targeted therapy, hormone therapy)
• Radiation oncology, providing various radiation treatments to halt tumor growth while preserving healthy cell function
• Oncologic surgery for the resection of malignant and selected benign tumors
Since 1995, the department has adhered to the BFM protocol, a European standard for treating acute leukemia, which has improved complete recovery rates to 70% among patients. All patients diagnosed with leukemia receive a two-year follow-up treatment program (maintenance therapy) at no cost.
This comprehensive service model reflects our commitment to providing exceptional, evidence-based care and supporting each patient and family throughout their treatment journey.
The Pediatric Neuroscience Department at Iashvili Children’s Central Hospital stands as the premier facility in the country, providing comprehensive diagnostic, therapeutic, and surgical care for all neurological and neurosurgical conditions in patients from birth to 18 years.
Our department is equipped with advanced diagnostic capabilities, including electrophysiological, electroencephalographic (EEG), and electromyographic (EMG) technologies, along with state-of-the-art CT imaging. These diagnostic tools enable precise assessment of a wide range of neurological conditions.
We specialize in highly complex neurosurgical procedures to address brain and spinal cord malformations, tumors, vascular malformations, and traumatic injuries. Our skilled surgical team successfully manages neurosurgical treatments for spinal neurological disorders, as well as oncological pathologies affecting the brain, spinal cord, and peripheral nervous systems.
Our neurosurgical offerings encompass a full spectrum of procedures, supported by neurophysiological monitoring and minimally invasive endoscopic techniques. These include shunt-related surgeries (shunt revision/reconstruction, cystoperitoneal shunt placement), cranial trauma reconstruction, cranial repair (cranioplasty), spinal and nerve root surgeries, intracranial lesion excision, and resection of encephaloceles, myeloceles, and meningoceles, among others.
Our department also offers an Epilepsy Diagnostic and Monitoring Program, providing accessible and complimentary evaluation services to any Georgian citizen, covering both suspected and confirmed cases of epilepsy.
It is notable that Iashvili Children’s Hospital pioneered the surgical treatment of craniosynostosis in Georgia, further demonstrating our commitment to advancing pediatric neurosurgical care in the region.
The exceptional scope of services we offer is delivered by a team of Georgia’s leading experts in pediatric neuroscience. The department is headed by Dr. Nana Tatishvili, Professor and Doctor of Medical Sciences, and complex neurosurgical operations are performed under the leadership of Dr. Vladimir Tsikharishvili, Doctor of Medicine.
The Surgical Unit (Operating Block) at Iashvili Children’s Central Hospital is equipped with state-of-the-art medical technology, tailored to the highest standards of pediatric care. The unit includes high-definition visualization systems, instruments for both minimally invasive and traditional surgeries, and specialized anesthesia equipment designed specifically for pediatric patients.
More specifically, the unit is outfitted with an anesthesia machine and a patient monitor displaying all critical vital parameters recommended by the American Society of Anesthesiologists. This setup enables anesthesiologists and surgeons to perform surgeries safely, with minimal risk of complications, following Western medical standards.
The range of surgical procedures available at Iashvili Children's Hospital includes neurosurgery, endovascular surgery, urology, general surgery, thoracic surgery, trauma surgery, and more. The team comprises the country's leading professionals, including surgeons specialized in various fields and highly qualified pediatric anesthesiologists, ensuring the safest and most effective care for each patient.
The Urology, Nephrology, Rheumatology, and Toxicology Department at Iashvili Children’s Hospital is staffed by a multidisciplinary team of highly qualified urologists, nephrologists, rheumatologists, and toxicologists, offering specialized inpatient care to pediatric patients from birth to 18 years of age.
In nephrology, the treatment of kidney diseases is carried out using a multidisciplinary approach. The department successfully provides surgical treatment for acute kidney failure, chronic renal pathologies, nephrotic syndrome, organ-specific acute damage, and developmental defects. Additionally, dialysis is available for pediatric patients with acute renal failure.
In the field of urology, all types of urological surgeries are available for pediatric patients. Surgical procedures are performed using both open and endoscopic methods, as needed. Laparoscopic techniques are employed for the treatment of congenital pathologies of the upper urinary tract and genital system, including hydrocele, varicocele, inguinal hernia, undescended testes, and others. The department also offers surgical correction of congenital defects in the development of the urethra, such as hypospadias. Complex urological conditions, such as hydronephrosis, bladder exstrophy, obstructive pathologies of the bladder-urethral segment, congenital reflux uropathy, and others, are treated using open surgery techniques.
In the field of rheumatology, Iashvili Children’s Hospital provides treatment for various systemic diseases using the latest technologies and international guidelines. Available treatments include care for connective tissue and musculoskeletal system pathologies such as juvenile rheumatoid arthritis (systemic, oligoarticular, polyarticular), vasculitis (Kawasaki disease, Behçet's disease, Wegener’s granulomatosis, Takayasu’s arteritis), systemic lupus erythematosus, acute rheumatic fever, juvenile dermatomyositis, Sjögren’s syndrome, and periodic fever syndromes (FMF, PFAPA), among many others.
In toxicology, Iashvili Children’s Hospital is the only institution in the country providing comprehensive pediatric services for the management of acute intoxications caused by toxic agents. The department effectively treats cases of drug poisoning, corrosive poisoning, chemical substance intoxication, heavy metals, pesticides, harmful gases, carbon monoxide poisoning, and biological toxins (plant, animal).
The department is dedicated to providing comprehensive, high-quality care to pediatric patients, ensuring their well-being and long-term health through advanced, evidence-based medical practices.
The Pulmonary Center specializes in the diagnosis, treatment, and management of various pulmonary pathologies. The involvement of a multidisciplinary team ensures personalized ambulatory services for pediatric patients aged 0 to 18 who require specialized care for congenital, acquired, allergic, and rare pulmonary conditions, as well as tuberculosis and diseases of the thoracic cavity organs. The treatment process includes specialists from various fields (pediatricians, pediatric pulmonologists, phthisiatrists, allergists, pediatric surgeons, endoscopists, and radiologists).
The center successfully manages diseases associated with lung collapse, pleural complications, and acute respiratory failure, as well as acute respiratory infections (acute bronchitis, croup, bronchiolitis), chronic pulmonary diseases (cystic fibrosis, interstitial pneumonia, bronchial asthma), and pulmonary pathologies related to neuro-muscular complications. The center also provides differential diagnosis for suspected tuberculosis cases.
In terms of respiratory system diagnostics, a full spectrum of instrumental and laboratory tests is available, including high-tech and specific examinations, such as:
• Spirometry – assessment of external respiratory function
• Basic allergic testing
• Computed tomography (CT)
• Radiological examinations
• Echocardiographic study of the thoracic cavity
• Endoscopic diagnostics, including bronchoscopy
• Early diagnosis of wheezing using the Wheeze Scan apparatus
• Complete viral panel testing for respiratory system acute infections based on the Lugar Laboratory
Laboratory studies, including bacterial, biochemical, and immunological investigations
