Objectives: Surgery in private clinic differs a lot from surgery in hospital setting. Doctor, staff and patient alike are faced to complete different settings. To achieve surgery results of excellence the organisation and the procedures have to be adapted when performing out patient surgery in private clinic.
Introduction: As the preconditions in private clinic are completey different to the facilities in professional surgery units in hospital the danger for complication after surgery in privat clinic might be higher. Therefore some crucial things have to be considered and applied when doing surgery in a private clinic setting.
Materials / method: Dangers in private clinic are in limited equipement and improvised setting with less staff with less skills. This leads to higher rate of unexpected invents. This again leads to time pressure and to higher risk of complications. Complete sterility like in the hospital setting is simple not possible, but also not needed in this extend as infection occurs particularly after traumatic surgery and/or tension of the wound with long surgery duration
Results: To achieve results of excellent after surgery in private clinic the whole procedure has to be adapted. The intervention has to be planed in every detail before the intervention. Surgery itself has to be as atraumatic as possible with tensionless sutures to avoid bleeding or bruising, which leads to infection. Tension in the wound leeds to dehiscence and to possible necrosis. The staff has to be trained to achieve the best setting within the surgery itself. KISS = Keep It Simple and Safe!
Conclusion: Surgery on a out patient base in private clinic with limited technical equipement and limited skills of staff can be challenging. Therefore you should plan the intervention itself and the additional duties which are important like pre- and aftercare as simplle as possible to avoid mistakes leading to complications. KISS = Keep It Simple and Save!
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