Hernia Center established, Da Vinci's single-port surgery has a low pain index
The Hsinchu Affiliated Hospital of the University of Traditional Chinese Medicine has been in operation for more than four years. The president Chen Ziliang announced the establishment of the Hernia Center, which integrates medical care across departments and provides better medical services for the public, including general surgery and urology. It can be treated, and Da Vinci's fourth-generation xi robotic arm has been introduced. A single hole can open bilateral hernias. Not only the wound is small, the bleeding is less, the recovery is quicker, and more importantly, the pain index is reduced.
Li Bozhang, chief secretary of the Hsinchu Affiliated Hospital of the University of Traditional Chinese Medicine and general surgeon, said that not only men but also women may suffer from hernias from infants to 100 years old. Some people may be born with weak abdominal muscle fascia. The day after tomorrow, the high-risk group includes long-term heavy work, long-term coughing or sudden heavy lifting, elderly tissue aging, etc., which may increase abdominal pressure and cause hernia. Urologist Luo Mincheng pointed out that if the hernia is not treated, it will cause the risk of omentum or intestines getting stuck, which may lead to organ necrosis and even cause serious complications.
Li Bozhang said that a six-year-old baby boy was crying constantly. The mother found the baby boy’s right groin protrusion while taking a bath. She came to the hospital for treatment. After a physical examination, she was diagnosed as a hernia and arranged for surgery. The wound was about 1 cm. It took about 20 minutes, and the baby boy went home after the operation. Therefore, parents are especially reminded that babies do not express themselves, and will express discomfort through crying. You can observe whether there is swelling in the groin on both sides, and you can bring it to the doctor.
Gu Junping, director of the Hernia Center and a general surgeon, pointed out that the current treatment methods for hernia include minimally invasive 3D laparoscopic double wall hernia surgery, tension-free hernia repair, and endoscopic hernia repair. Fix the artificial omentum in the defect. Da Vinci's fourth-generation xi robot arm is also used in hernia surgery. The main reason is that Da Vinci surgery only requires a single-hole wound to treat hernias on both sides. The wound is small, bleeding is less, recovery is quicker, and the pain index is reduced. The pain index of traditional surgery is about 7-8. , The pain index of minimally invasive 3D surgery is about 5-6, and the pain index of Da Vinci surgery is about 4-3.
Chen Ziliang also announced that the Department of Anesthesiology established the "Postoperative Accelerated Recovery (Elex) Center" to strengthen the quality of anesthesia care during surgery, and customize the "three-in-one" monitoring of anesthesia depth, injury index monitoring and targeted drug delivery to achieve The multiple goals of stably maintaining various vital signs during the operation, rapid recovery from anesthesia, and reducing postoperative delirium, nausea, and vomiting. The depth of anesthesia monitoring (BIS) based on brain wave spectrum analysis allows anesthesiologists to quickly know the patient's anesthesia state directly through brain wave changes, which is more direct, rapid and accurate than the traditional observation of heartbeat and blood pressure. During the operation, the anesthesia dose suitable for the current physical condition can be received, and the patient can "sleep just right"; the analgesic injury index (ANI) monitoring of pain sensory nerve receptors combined with precise targeted analgesia reduces the patient's pain index.
In terms of intraoperative muscle strength monitoring and postoperative muscle strength recovery, the optimal muscle tension surgery assisted treatment (OMT) is introduced, which is used together with muscle relaxation, recovery monitoring and quick-acting muscle relaxation reversal agents to achieve ideal relaxation of muscles at the surgical site during surgery. Surgeons can get a clearer surgical field of view to facilitate surgery, and can quickly restore muscle strength after surgery, reduce postoperative respiratory complications, and make postoperative life rehabilitation easier. For Da Vinci surgery, laparoscopic surgery , thoracic surgery, otolaryngology-related surgery, thyroid surgery, and related surgery requiring neuromuscular monitoring all have certain benefits.
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China Times_China medical university hsinchu hospital establishes a hernia center