18 KB72 KB16 KB192920262002Barovič, VesnaBrate-Šolar, TatjanaLogar, Primožletnik:71str. II-63-II-66številka:supl. 2ISSN:1318-0347COBISSID:14711513URN:URN:NBN:SI:doc-5HRNAENFslSlovensko zdravniško društvoZdravniški vestnikAmbulantna oskrbaAmbulatory carekirurško zdravljenjeoftalmologijaPooperativna negaPostoperative carePredoperativna negaPreoperative careVitrectomyVitrektomijaAmbulantna vitreoretinalna kirurgija| Ambularoty vitreoretinal surgery|Background. To present introduction of vitreoretinal ambulatory surgery in Slovenia. To explain advantages and disadvantages of such method of work. Methods. In the last two years more than 250 ambulatory vitreoretinal operations in the Očesni kirurški center were done. The duration of the longest procedure was almost 5 hrs. Most of them were performed in local anaesthesia, only few in general anaesthesia. The organisation of daily work is described as well as indications and contraindications for ambulatory vitreoretinal procedures. Results. We found that patients relatively favourable tolerate even long operations. Rehabilitation was fast, general handicap smaller than in hospitalisation. Functional results were the same as at hospitalized patients. Ambulatory operations also have disadvantages and are not suitable for all patients. Conclusions. The introduction of ambulatoryvitreoretinal surgery in Slovenia was important in shortening of waiting list and larger accessibility for vitreoretinal operations because of increased number of operations with no increase of average hospitalisation timeIzhodišča. Prikazati želimo uvedbo ambulantnih vitreoretinalnih posegov v Sloveniji ter pojasniti prednosti in pomanjkljivosti takega načina dela. Metode. V Očesnem kirurškem centru smo v zadnjih dveh letih napravili več kot 250 ambulantnih vitreoretinalnih posegov s trajanjem do 5 ur. Večina posegov je bila v lokalni anesteziji, nekaj v splošni. Prikazana bo organizacija dela v kirurškem centru in indikacije ter kontraindikacije za ambulantne kirurške posege. Rezultati. Ugotavljamo, da bolniki sorazmerno dobro prenašajo tudi daljše posege. Okrevanje je hitro, splošna prizadetost manjša kot pri hospitalizaciji. Funkcionalni rezultati so enaki kot pri hospitaliziranih bolnikih. Seveda imajo ambulantni posegi tudi pomanjkljivosti in niso primerniza vse. Zaključki. Uvedba ambulantnega zdravljenja vitreoretinalnih bolezni v slovenski prostor je zaradi povečanega števila operativnih posegov pomembno prispevala k skrajšanju čakalnih dob ob enaki povprečni ležalni dobi in s tem omogočila večjo dostopnost vitreoretinalnih posegovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo