The document discusses ambulatory hernia surgery. It summarizes data from 88 hernia repairs performed between March 2010 and August 2011 at Nova Medical Centers, with 66 being inguinal hernias. Procedures were performed using local anesthesia, general anesthesia, or regional anesthesia with short-acting drugs and no narcotics. Selection criteria included patient medical status and social support. Most patients were discharged within 6-14 hours with few complications. The document reviews the literature on ambulatory hernia surgery and concludes some patients are not suitable for day surgery due to medical or psychological factors.
A presentation on smart content (what it is, how it is produced, why it is useful, and its relevance to the future of scholarly publishing) for the Association of American Publishers Professional and Scholarly Publishing Pre-Conference in Washington, D.C. on 2012-02-01.
A presentation on smart content (what it is, how it is produced, why it is useful, and its relevance to the future of scholarly publishing) for the Association of American Publishers Professional and Scholarly Publishing Pre-Conference in Washington, D.C. on 2012-02-01.
Nova Medical Centers wins most innovative mid-size healthcare companies awardNova Specialty Hospitals
Nova Medical Centers, India's premier chain of specialty surgery centers and fertility centers has bagged an award in the 'Innovation in Responsible Business' category at the Innovative100 awards held in 2014.
Weight Loss (Bariatric Surgery): Myths, facts and frequently asked questionsNova Specialty Hospitals
Expert bariatric surgeon, Dr. Neha Shah from Nova Specialty Hospitals, answers your queries and concerns about losing weight through bariatric surgery.
Total Knee Replacement at Nova enhances mobility, improves Quality of LifeNova Specialty Hospitals
Total Knee Replacement at Nova enhances mobility, improves Quality of Life.
Nova Specialty Hospitals, Mumbai, ensures precision, higher success rates and faster recovery.
Weight Loss Solutions at Nova helps many lose weight safely and successfully.
Reduces blood pressure, diabetic and coronary conditions while improving mobility.
Nova Medical Centers wins most innovative mid-size healthcare companies awardNova Specialty Hospitals
Nova Medical Centers, India's premier chain of specialty surgery centers and fertility centers has bagged an award in the 'Innovation in Responsible Business' category at the Innovative100 awards held in 2014.
Weight Loss (Bariatric Surgery): Myths, facts and frequently asked questionsNova Specialty Hospitals
Expert bariatric surgeon, Dr. Neha Shah from Nova Specialty Hospitals, answers your queries and concerns about losing weight through bariatric surgery.
Total Knee Replacement at Nova enhances mobility, improves Quality of LifeNova Specialty Hospitals
Total Knee Replacement at Nova enhances mobility, improves Quality of Life.
Nova Specialty Hospitals, Mumbai, ensures precision, higher success rates and faster recovery.
Weight Loss Solutions at Nova helps many lose weight safely and successfully.
Reduces blood pressure, diabetic and coronary conditions while improving mobility.
Dr Bhat, Medical Director of Nova Medical Centers Pvt. Ltd. takes over as the...Nova Specialty Hospitals
Hernia repair may be the most common surgical procedure by a practicing surgeon today. It is apt that hernia management is an area that a surgeon ought to be comfortable with. After introduction of laparoscopic / endoscopic hernia repair, lot of debate has been generated. A group of like minded hernia enthusiasts from the Asia Pacific region joined hands together and Asia Pacific Hernia Society (APHS) was formed in September 2004 at Singapore. The Hernia Society of India (National Chapter of Asia Pacific Hernia Society) is created to propagate the aims and missions of the parent society in India. The object of the Society shall be to promote and advance the teaching and research in hernia surgery in India and the Indian subcontinent.
The enduring partnership between Suresh Soni and Dr. Mahesh Reddy has helped Nova script an astonishing growth story. Nova Medical Centers has expanded at a lightening pace with 12 short stay surgical hospitals, 7 IVF centers and an advanced genetic diagnostics lab, straddling eight cities in India. In the pipeline are 25 centers in India and the Middle East.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
2. Ambulatory Hernia Surgery
Evaluation of
Hernia Repair
in
Ambulatory Surgery
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 2
3. Ambulatory Hernia Surgery
Data : March 2010–August 2011
Total Hernia Repairs: 88
Hernia Lap Open Total M:F=71:17
Inguinal 43 23 66 65:1
Umbilical 6 13 19 6:13
Incisional 1 2 3 0:3
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 3
4. Ambulatory Hernia Surgery
Data : March 2010–August 2011
66 patients underwent
Inguinal Hernia Repair (105)
Open TEP TAPP Total Repairs
Single 21 4 2 27 27
Bilateral 2 34 3 39 78
Total 23 38 5 66 105
GA 11 38 5 54
LA 12 0 0 12
Stay : 6-14hrs ( 1 over night)
Data Authenticated by the UBQ systems of Nova Medical Centers Pvt Ltd, India
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 4
5. Ambulatory Hernia Surgery
OPD Assessment
Appointment
Comes to Center
Surgery
Shifted to Post op
Discharge
Telephonic Check
Follow up In OPD
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 5
6. Ambulatory Hernia Surgery
Anesthesia and Analgesia
In Day Care Surgery
•GA
•LA
•Regional
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 6
7. Ambulatory Hernia Surgery
Anesthesia and Analgesia
•Short Acting Relaxants
•Total Avoidance of Sedatives/Narcotics
•Analgesics –
IV Paracetamol
NSAIDs
Paracetamol
Tramdol
Proxyvon
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 7
8. Ambulatory Hernia Surgery
Anesthesia and Analgesia
Local Anesthesia
Layer by Layer Anesthesia
Xylocaine 2% - 20ml
Sensorcaine 0.5% -10ml
Adrenaline 1:200000 - 20ml
Hylase -
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 8
9. Ambulatory Hernia Surgery
Selection Criteria
• Selected from Out Patient
• General Status
• Size of Hernia
• No Major Co Morbid Conditions
• Social Background/Help at Home
• Psychological Status
• Anesthetic Clearance
• Doctors Comfort
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 9
10. Ambulatory Hernia Surgery
Haematoma-1
Problems Ur Retention-1
Hernia Lap Open Total Stay
Inguinal 43 23 66 One overnight stay
Umbilical 6 13 19 Two overnight stay
Incisional 1 2 3 2 stayed 48hrs
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 10
11. Ambulatory Hernia Surgery
Stand Alone
Ambulatory
Surgical Centers
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 11
12. Ambulatory Hernia Surgery
Ambulatory Surgery
• Doctor Acceptance
• Patient Selection
• Patient Acceptance
• Patient Counseling
• Anesthetic Support
• Pain Management
• Home Care
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 12
13. Ambulatory Hernia Surgery
Service and Outlook Differences
•Well Streamlined Service
•No delays
•Anesthesia
•Analgesics
•Financial Benefits
•Satisfaction
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 13
14. Ambulatory Hernia Surgery
Literature Review - Pubmed
J. of Ambulatory Surgery 12 (2006) 167–171
Evaluation of inguinal hernia in ambulatory
surgery: A prospective monocentric study on
1009 inguinal hernia
E. Jacquet a,∗, P. Puche a, J. Alahyane a, et all
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 14
15. Ambulatory Hernia Surgery
Literature Review - Pubmed
Ann Surg. 1999 Nov;230(5):721-7.
Return hospital visits and hospital
readmissions after ambulatory surgery.
Mazel G, Chung F, Department of Anaesthesia,
Toronto Western Hospital, University of Toronto,
Ontario, Canada.
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 15
16. Ambulatory Hernia Surgery
Literature Review - Pubmed
Ann R Coll Surg Engl. 2010 Mar;92(2):127-30.
Over a thousand ambulatory hernia repairs in a primary
care setting.
Dhumale R, Tisdale J, Barwel N .
Surg Endosc. 2006 Jan;20(1):76-81
Day-case endoscopic totally extraperitoneal inguinal
hernioplasty versus open Lichtenstein hernioplasty for
unilateral primary inguinal hernia in males: a randomized
trial. Lau H, Patil NG, Yuen WK
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 16
17. Ambulatory Hernia Surgery
Literature Review - Pubmed
Surg Endosc. 2003;17:49149-49153
Day-case Laparoscopic Hernia Repair in a Single
Unit, McCloud JM, Evans DS
Laparoscopic groin hernia repairs on 769
patients, 218 had bilateral repairs
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 17
18. Ambulatory Hernia Surgery
Day Care Surgery
Not Suitable
•Unfit Patients (co morbid conditions)
•Large Hernias
•Emergency Hernias
•Requiring More Days of Stay
•Psychologically Unsuitable
•No Help to Take care at home
•Doctors Comfort
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 18
19. Ambulatory Hernia Surgery
Thank you
drmgbhat@novamedicalcenters.com National Ambulatory Surgery, Sept 2011, Bangalore 19