Mr. Wang Lao, who lives in Xuhui District, Shanghai, recently suffered from dark shadows in front of his eyes and decreased vision. After seeking medical treatment, he was diagnosed as “retinal detachment” , requiring early surgery to save vision.
During the special period of epidemic prevention and control, the hospitalization process will inevitably be prolonged, and he, who is visually impaired, needs his son to accompany him throughout the hospitalization period. He has to ask for leave just after resuming work and production?
When the family was in a dilemma, they heard that the ophthalmology department of Shanghai Tenth People’s Hospital could carry out the fundus surgery in the day surgery center.
After a comprehensive specialist examination and systemic evaluation in the outpatient clinic, as well as strict preoperative flow and review, Wang Chaoyang, director of the Department of Ophthalmology of Shanghai Tenth People’s Hospital, made an appointment for the next day’s surgery.
The next morning, the son took the old man to the hospital, completed the relevant procedures through the “green channel”, and entered the ophthalmology day ward. After all the preoperative preparations were in order, Wang Chaoyang performed vitrectomy for him.
Although this is a highly difficult fourth-level operation, the operation was very successful under the escort of superb technology. After postoperative observation, everything was fine, and the patient and family members returned home smoothly in the afternoon with the doctor’s detailed instructions for discharge. The next day, when Mr. Wang came back to the hospital for a re-examination, his eyesight had recovered somewhat. The family was full of praise for the effect and convenience of the operation.
It is reported that vitreous surgery (referred to as vitrectomy) developed in the early 1970s, making many people considered dead in the past. However, these operations are all fourth-level operations. On the one hand, the requirements for the operator’s operating skills are relatively high, and on the other hand, various instruments such as vitrectomy machines are required, involving a variety of consumables, and it is very important for the operation room. Management operations also have relatively high requirements.
Incorporating “vitreous body cutting surgery” into the day surgery program, which is the first time in Shanghai and even in the whole country, greatly shortens the overall hospitalization time of patients undergoing fundus surgery, and reduces the possible risk of epidemic prevention and control , but also shorten the waiting time of patients, reduce hospital costs.
On the basis of strictly implementing relevant epidemic prevention regulations and eliminating nosocomial infections, how to not only ensure the quality of medical care, but also provide patients with convenient procedures and humanized services? The answer from the Department of Ophthalmology of the Tenth Hospital is that, under the premise of strictly implementing the hospital’s epidemic prevention requirements, ensuring the “entrance” and ensuring safety, make full use of and give full play to the resource advantages of the day surgery center. “Vitrectomy” and other surgeries are carried out in every ward, which greatly broadens the daytime treatment and diagnosis and treatment items of the ophthalmology department.
At present, the daytime treatment of diseases has changed from “cataract and intraocular injection, etc.” to include “retinal detachment, vitreous hemorrhage, diabetic retinopathy, premacular injection, etc.” A variety of fundus diseases, including “film”, cover most of the current ophthalmic diseases and surgeries to the greatest extent. Since June 1, the Day Surgery Center of the Eye Department of Shanghai Tenth Hospital has completed 53 fundus surgeries.
In 2018, the Ophthalmology Department of Shanghai No. 10 Hospital established the first day surgery center among the top three hospitals in Shanghai. Over the past four years, the operation volume of the center has increased year by year, which not only saves the cost of patients, but also reduces the average waiting time before surgery. The average length of hospital stay has also been significantly shortened.
At the moment of the special stage of the epidemic, in order to solve the actual difficulties of patients with fundus diseases, Wang Chaoyang led the team with the help of strong technical strength, strong confidence and boldness, and once again gave the special period. “Optimal solution”.
Author: Li Chenyan Gao Peng
Editor: Li Chenyan< /p>
Responsible editor: Fan Liping
*Wenhui’s exclusive manuscript, please indicate the source for reprinting .