Surgical Short Stay Unit at a Metropolitan Children's Hospital

Surgical Short Stay Unit at a Metropolitan Children's Hospital

Currently, the development of day care hospitals is determined by the need to improve medical, social and economic efficiency of medical institutions, and high demand among population for this type of medical service. Our foreign colleagues' experiance shows that the volume of planned surgical...

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Bibliographic Details
Published in:Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny Vol. 27; no. Special Issue; p. 587
Main Authors: Korochkin, M V, Kravchuk, S V, Poddubnyj, G S, Sumarokova, E V, Tarusin, D I
Format: Journal Article
Language:English
Russian
Published: Russia (Federation) 01-08-2019
Subjects:
Algorithms
Child
Hospitals, Pediatric
Hospitals, Urban
Humans
Length of Stay
Male
Moscow
Moscow
laparoscopy
children
surgical hospital short-term stay
laryngeal mask
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Summary:Currently, the development of day care hospitals is determined by the need to improve medical, social and economic efficiency of medical institutions, and high demand among population for this type of medical service. Our foreign colleagues' experiance shows that the volume of planned surgical care in such structural units reaches 80%. The article analyzes the results of the Surgical Short Stay Unit at the Moscow Morozov children's hospital. From February 2017 to December 2018, 5684 surgical interventions were performed in the Department, 1073 of them were performed via the laparoscopic method in patients with inguinal hernias, varicocele, and non-palpable testicular syndrome. The length of patients' stay at the hospital averaged 6-8 hours. A unique algorithm of anesthetic support using 2-lumen laryngeal masks without muscle relaxants and narcotic anesthetics was performed. Only 1 patient needed to be transferred to a 24-hour hospital from the Unit. There were no surgical complications. The organization of the short stay unit in Morozov Moscow Children's Hospital allowed to radically improve the availability of minimally invasive modern medical care for children, to free highly specialized round-the-clock surgical beds, and to increase economic benefits for the medical institution.
ISSN:0869-866X
DOI:10.32687/0869-866X-2019-27-si1-587-593