Sick leave after laparoscopy. Hospital after laparoscopy of an ovarian cyst. Hormonal and psychological complications

One of effective methods The treatment of uterine fibroids is a surgical intervention, during which the fibroids or the entire uterus are removed. To date, there are various options operation, each of which has both positive and negative sides. The decision to perform a certain type of operation is made by a specialist after a thorough examination of the woman.

Surgery is one of the ways to treat uterine fibroids

Modern surgery offers several methods for surgical treatment of this disease.

One of the most common gynecological diseases that can be diagnosed in a woman of any age is uterine fibroids. This pathology is a benign neoplasm, the site of which can be any part of the reproductive organ and its mucous membrane. The development of fibroids is usually considered the result of hormonal changes. female body and sometimes its size can reach several kilograms.

Modern medicine eliminates this pathology in various ways, among which the most effective is the operation to remove fibroids. Among patients who have undergone such treatment, there are different reviews about the types of surgical intervention. In the event that the tumor is small and does not cause any concern to the woman, that most often specialists simply monitor her condition or apply hormone therapy. The decision to conduct surgery is made in the presence of certain indications that can further worsen the condition of the woman.

Indications for surgery

Myoma surgery is performed in the following cases:

• there is a rapid and rapid growth of the tumor and the result of this is compression of adjacent organs;
• fibroids are the main cause of frequent and prolonged bleeding, which cause the development of anemia;
• the size of a benign neoplasm exceeds more than 12 weeks;
• a woman experiences severe pain in the lower abdomen;
• in the place of localization of the myomatous node, the movement of blood is disturbed and the result of this is the development of necrosis;
• the progression of uterine fibroids is combined with such gynecological pathologies as endometriosis and ovarian tumors;
• a woman cannot become pregnant for a long time, and with a positive result, a spontaneous miscarriage occurs;
• there is a danger that a benign neoplasm in the uterine cavity will degenerate into a malignant one.

Reviews of specialists and patients about operations are rather contradictory and the choice of a particular method of surgical intervention depends on many indicators and, first of all, attention is paid to:

• tumor size;
• its location;
• the presence of comorbidities;
• the age of the patient;
• desires and opportunities to maintain childbearing function.

Varieties of the operation

The decision that it is necessary to operate on the uterus, the specialist takes into account the stage of development of fibroids and get rid of a benign neoplasm in the following ways:

• myomectomy;
• embolization
• radical surgery.

Myomectomy

Reviews of many women indicate that today this method of getting rid of uterine fibroids is considered one of the most effective, since it allows you to cure the tumor and at the same time preserve the reproductive organ.
Most often, this type of operation is used when the tumor has not reached a large size. In medical practice, the following types of myomectomy are used:

1. Laparoscopic myomectomy is a type of surgical intervention that is done using a special device - a laparoscope. Laparoscopic surgery lasts 20-40 minutes and during its implementation a specialist inserts a special device with a video camera and medical instruments into the abdominal cavity. Most often, treatment with this method is used when there is a need to remove subserous neoplasms from the uterine cavity. The positive feedback from patients about this method of treatment is explained by the fact that laparoscopic myomectomy is a less traumatic method, since after it the recovery is quick and quite successful. In addition, the use of this type of surgical intervention helps prevent adhesions in the abdominal cavity. However, the removal of fibroids by laparoscopic method can cause the formation of seals and it is for this reason that it is recommended to be constantly monitored by a gynecologist.
2. Laprotomy myomectomy is an operation in which the tumor is removed through an incision made in the abdominal wall. Reviews of women who have undergone such an operation suggest that the only disadvantage of this type of surgical intervention is the long-term recovery of the female body. When using laparotomic access to the uterine cavity in the postoperative period, the woman is in the hospital for 5-8 days. In addition, after such an operation, the rehabilitation period averages one month.
3. Hysteroscopic myomectomy is a type of surgical intervention in which the removal of a benign neoplasm takes place using a special instrument inserted into the uterine cavity through the vagina. Most often, treatment with this method is used when a woman needs to remove a submucosal node in the uterine cavity. More often you can find positive reviews about this method of treatment, and this is due to the fact that this type of operation is considered the most gentle for the female body, and after it is carried out, there is subsequently a chance of self-delivery.

Embolization

One of the ways to remove fibroids is embolization, in which the blood supply to the myomatous node is removed and the result is its drying out.

Most often, positive feedback from patients about such a surgical intervention prevails, because treatment by this method is the least traumatic and complications after it are minimal.

Many women are concerned about the question of how long the operation and rehabilitation itself will last.

It turns out that embolization lasts only a few hours and the woman will only have to stay in the hospital for one day.

After the operation in the abdominal cavity, the woman has two small punctures, which are subsequently well tightened and leave no traces behind. The postoperative period is largely determined by two factors: when the operation was performed, and how many myoma nodes were removed.

radical surgery

Most often, abdominal surgery is performed in cases where:

• in the uterine cavity there is a large number of myomatous catches of impressive size;
• a woman was diagnosed with malignant neoplasms in the uterine cavity.

An abdominal operation requires careful preparation, and it is for this reason that the patient is prescribed a series of tests and a complete examination by her attending physician. Most often, women's reviews of this method of treatment are not entirely joyful, since with this type of surgical intervention, specialists perform an open incision in the abdominal cavity and remove the entire body of the uterus.

However, despite this, in the future, most women experience various hormonal disorders.

Recovery after removal of fibroids

Any type of surgery is a real test for the female body, so after it is recommended:

• limit physical activity;
• at least temporarily protect yourself from household chores;
• do not push, as this can provoke rupture of the seams;
• avoid visiting baths and saunas, as well as limit the time spent in the sun.

Many patients are concerned about how long after the operation it is necessary to limit themselves, and when it will be possible to return to their usual way of life. It turns out that after the operation, you can do your usual things in 3-4 months. After abdominal surgery, a woman is given a sick leave for two weeks.

Not every specialist will be able to answer a woman's question about how long her rehabilitation period will last. The recovery of a woman's body is determined by several factors, for example, with open surgery, a longer recovery period is required, since the healing process is slower. Most often, it is difficult for a woman to overcome the psychological barrier, since many believe that after the removal of the uterus, life ends.

The rehabilitation period will depend only on the woman herself, because it is the desire of the patient herself to recover that significantly speeds up the recovery process.

The human body is a perfect thing, similar to a well-oiled highly intelligent computer mechanism, only better. But its components sometimes “break”, fail. And then the person goes to the doctor. In the most extreme cases, when nothing else (neither pills, nor ointments, nor injections, nor droppers) can help, the patient is prescribed an operation. Fortunately, now there is a choice - to do an abdominal intervention, with full-fledged incisions of the abdominal wall, or a minimally invasive one - laparoscopy. Moreover, now in most cases both medical specialists and patients themselves make a choice in favor of minimally invasive, endoscopic operations.

Many patients have questions about whether they should be given sick leave after laparoscopy.

Although laparoscopy is a minimally invasive (low-traumatic) intervention, it remains an operation, after which you also need to be treated and recover, so the patient is also entitled to a disability certificate. And laparoscopy of the gallbladder is no exception. When removing the gallbladder, even with the help of minimally invasive intervention, the patient has every right to receive a sick leave. However, many patients still have questions about whether they should give sick leave after laparoscopy: how long does it take, how to open and extend it. With laparoscopy of the gallbladder, a sick leave is ordinary or some special one, is this even a reason not to go to work, by what specialists and where will the sick leave be registered and written out for you?

Is removal necessary?

Although laparoscopy is a minimally invasive (low-traumatic) intervention, it remains an operation, after which you also need to be treated and recover.

For many years, the gallbladder was removed in a very traumatic way, after which the peritoneum, organs and tissues near the removed bladder healed for a long time. In some cases, both the sewn areas and everything nearby became inflamed - and this is pain, discomfort. They say that people recovered after removal and for three, or even four months. And if the patient is already at an advanced age and everything heals much worse for him than in his youth, of course, this leads to additional issues and greatly increases recovery time.

Perhaps that is why people are still afraid of such an operation on some intuitive level. Even with the words “gall removal”, many of us have unpleasant and even frightening associations. Such as pain, discomfort, “bloody”, complex surgery, large incisions, many stitches, and after all this, nothing at all can be done for a long time.

When it comes to the removal of this organ, many patients try to find out from the doctors if something can be done to leave the bubble, not cut it out, to be cured in other ways, not surgical. Some experts (and there are a lot of such opinions on the net, it is worth entering the appropriate query into the search engine and you will “drop out” a million links) say that you can do without surgery and not cut the bubble. For example, to be treated with some miraculous drugs or magic pills. However, other surgeons (and most of them) object: this is very, very risky.

Let's say you can "break" the stones or achieve the intake of drugs so that they begin to come out. But after all, in this case, no one can predict what size these stones will be, how they will go. And at the very least it's a pain. And as a maximum, it can lead to completely unpredictable consequences. How many such cases are known when a stone goes, and then gets stuck, causing unbearable pain to a person. Such therapy in any case leads to surgery. Only in front of her the patient still has time to suffer.

Now they cut out the gallbladder with the help of a full-fledged operation only in very difficult cases when minimally invasive, endoscopic intervention does not help, or for some reason it is impossible to carry out.

Laparoscopy is done necessarily in a hospital setting with all the necessary steps, as in abdominal surgery

Nevertheless, even laparoscopy is done necessarily in a hospital setting with all the necessary steps, as in an abdominal operation. A person enters (lays down) in a medical facility, where they take tests from him, fully examine him, and once again do an ultrasound diagnosis to make sure that removal is still necessary. A sick leave to a person should be opened on the same date when he entered the hospital.

General characteristics of the disease: as a rule, it occurs in people of age who have other concomitant diagnoses. The patient begins to experience first discomfort, and then unbearable pain in the right side of the abdomen, which then spreads further. It is clear that all this negatively affects the quality of life. This type of intervention must be carried out on the first day after the attack, otherwise everything can develop into something more serious and lead to irreversible consequences.

Removal of the gallbladder in a minimally invasive way (laparoscopy) is done using small punctures on the surface of the abdomen. When removing the gallbladder, surgeons make four (and, if necessary, when the area where the liver was located is greatly enlarged, five) such punctures - this will be decided by the attending physician based on the overall clinical picture. A microvideo camera is inserted into these punctures on the electrode. And already through it, a 3D image of what is happening in the patient's abdominal cavity is displayed on the monitor.

The doctor studies the picture, looks at the degree of damage to the gallbladder, looks at what kind of neoplasms are inside it, and only then makes a final decision: to remove the bladder or not.

But a sick leave after an operation to remove the gallbladder is given to the patient as having undergone a full-fledged surgical intervention.

How long is sick leave after laparoscopy?

Of course, patients are interested in how long the sick leave lasts after removal of the gallbladder. How many days they give sick leave after removal of the gallbladder in a particular case - it is impossible to answer this question unequivocally, everything is decided individually. The length of time spent on sick leave, the duration of the sick leave, the length of your stay in the hospital are due to more than one circumstance. First of all, of course, how many days the sick leave will be after the operation depends on how the cut and stitches (internal and external) heal and recover.

The very removal of the gallbladder - cholecystectomy will take only about an hour (sometimes a little more, but two hours, they say, is the maximum). A few more days after such interventions, in the average case, it takes to recover in the hospital. Leading physicians will watch how the incisions and internal sutures are healing. Although already on this day the patient is allowed to get up, and the next day after the operation, the person will feel much better.

The sick leave will be given for the time while the person is in the hospital - he takes tests before the procedure, prepares for it, recovers after surgery in a hospital.

In total, you will have to lie down in the hospital for about seven days, although the period in the hospital can last longer or less - everything will depend on the state of the body after the removal of the organ. Tip: do not rush to run home from the hospital, even if you feel better, as they say. How long does your sick leave last after laparoscopy of the gallbladder - all these days will only benefit. After the removal of the ZhP, they are kept on sick leave no more than it should be.

• Firstly, the body, even after a minimally invasive intervention, can behave completely unpredictably. And at this time it is very important to be under the supervision of experienced and qualified doctors who can help in an emergency.
• Secondly, it is worth understanding - the main thing in this period is a diet.

So, immediately after the operation, you can not do anything at all. Then you can start drinking - water, juices, broths, fruit drinks. When it's time to discharge, you can switch to normal food. But you need to strictly monitor how it is prepared. Nothing fried. Only boiled and steamed. Approximately the same diet should be followed after the hospital. To some, this may seem unusual. And on the other hand, this is proper nutrition, which will help not only restore the body, but also reset the accumulated overweight, If there are any.

You will be kept on sick leave for about 10 more days after you are discharged from the hospital.

In total, you will have to stay on sick leave after removal of the gallbladder using endoscopic technologies for about two weeks. And on average, the duration of the disability sheet after such interventions is 19 days.

As a rule, it is during this time that the patient recovers and can go to work with some restrictions on nutrition and physical activity. Then the laparoscopy of the gallbladder will be forgotten, like a bad dream, and you will calmly take the closed sick leave to the employer, without fear that you will have to take it again.

How to open a sick leave during laparoscopy

Of course, this is not a heart and not lungs, a person can live without a gall. Of course, following certain rules. The gallstone formation has been removed, the sick leave will be given upon admission to the hospital for laparoscopy. The issuance of sick leave is carried out as follows: when the patient is discharged from the hospital, he is given a sick leave. After that, the patient is placed under outpatient supervision in a polyclinic, where he is attached under a compulsory medical insurance policy, or in a clinic that he has chosen himself. Disability certificates, which were issued at the institution where the laparoscopy was performed, will be extended and will be given at the outpatient clinic.

How to extend sick leave when removing the gallbladder

After laparoscopy, complications are sometimes recorded in the form of poor recovery of tissues injured as a result of and after the intervention. And then it is simply necessary to extend the sick leave after the removal of the gallbladder.

What problems and troubles can arise after laparoscopy of the gallbladder? For example, leakage of bile into the peritoneum. This happens if the doctors did something wrong during the intervention, and the segment of the bile duct is badly hemmed by the surgeon. This is manifested in the event that the patient's condition after the operation is poor.

In this case, most likely, you will have to do another laparoscopy and file the bile duct. Otherwise, everything can develop into a more complex deviation, such as peritonitis. Therefore, it will be necessary to do a cholecystectomy again, for how many days the sick leave is given in this case, it is difficult to say. You will be given a new sheet, previously, for a period of the same number of days as before, you will also have to stay in the hospital for about a week. And then the doctors will look at the fact and decide whether to keep you further in the hospital or discharge you home for aftercare. That is, patients must be on sick leave until complete recovery, and this, as a rule, takes a couple of weeks after laparoscopy.

Be that as it may, it all depends on the complexity of the case, and the conclusions about the need for an extension and the extension period will be made by the supervising physician.

From all of the above I would like to draw a conclusion. If the doctor says that you need to remove the gallbladder, you should not look for any other ways to get rid of the problem, it is better to listen to the doctor and go to laparoscopy. And for how many days they give or should they give sick leave after laparoscopy of the gallbladder, this question is this case you should be the least of your worries.

Video

Features of the recovery period after cholecystectomy.

Or the treatment of gynecological pathologies, and is a minimally invasive procedure, after which you can begin to perform your work duties in a short time. How many days are usually given sick leave after laparoscopy and how to make sure that the recovery period does not drag on? This will be discussed.

The start date of the sick leave is the day of hospitalization, and the end date is the last day of the inability to do your job. The document is drawn up by the attending physician, who decides on the duration of the period of temporary disability for this patient. As an exception, the health bulletin is given by the doctor of the polyclinic who referred the woman to the hospital to continue therapy.

If for medical advice or professional help the patient needs to travel to another area, then the time spent on the road is also counted in the duration of the temporary disability sheet.

It is necessary to visit the doctor on the day indicated by him for the possible closure of the sick leave. Otherwise, the specialist will make a note in the official paper about the violation of the regime, which will allow the employer not to pay the period of temporary disability in full.

The hospital bulletin is provided to the personnel department, accounting department or immediately to the head of the organization in which the woman works. If the patient works in several places at once, then she must provide one copy of the document to each of them. It is important that each of them is formatted correctly.

sick leave period

The time during which a woman remains temporarily disabled after surgery is determined by the doctor. Laparoscopy is considered a low-traumatic operation, so the recovery period usually does not last long. The patient does not need strict adherence to bed rest, but is only limited in physical activity. During rehabilitation, the implementation of certain even beneficial to health.

As a rule, a few hours after the manipulation, a woman can already sit down, and the next day she can move around the ward. The main thing is that the movements do not cause any discomfort and pain. Moderate physical activity will not only help you quickly return to your usual life and go to work, but also reduce the likelihood of development.

How many days do they give sick leave after laparoscopy? There is no clear timeframe for the period of temporary disability. How quickly the body recovers is determined by the specifics of the surgical intervention and how it affected the patient's well-being. The first time after the operation, the woman is in the hospital, but after a few days she can go home and then be observed by a gynecologist at the place of residence.

Terms of temporary disability for various operations

What diseases are sick leave? This document is issued, including for pathologies for which laparoscopy was performed, for various periods (depending on the complexity of the manipulations and the woman's well-being). So, after surgery for, the rehabilitation period is usually no more than 10 days. But after a hysterectomy, a woman may need a sick leave for up to 40 days.

Below is a table that indicates the approximate periods of temporary disability for various gynecological operations performed (if there are no complications).

Grounds for extending sick leave

When can I return to work after laparoscopic surgery? The standard length of sick leave is 15 days. To increase this period, the doctor must have good reasons. Five days are allotted to stay in stationary conditions and ten days to recover at home. If it is necessary to extend the sick leave, then a special medical commission is going to. The period of temporary disability is extended in the following cases:

• occurrence of postoperative complications;
• the need for repeat surgery.

Postoperative complications include:

• damage to organs that occurred during the operation (for example, the intestines), as well as blood vessels;
• allergic reactions to medications;
• bleeding;
• violations at work of cardio-vascular system, caused by anesthesia;
• infection of the seams;
• the appearance of thrombi.

If complications arise as a result of surgical intervention, then the woman can be referred for sanatorium treatment. In this case, the temporary disability sheet is extended for another 24 days. To make changes to it, the personal presence of the patient is always required.

How to make sure that the sick leave is not delayed

There is no single period of temporary disability. How quickly a woman can start working depends on the state of her health after the laparoscopy has been performed, and the extent of the surgical intervention. If the patient wants her to go to work faster, then after the operation she must adhere to the following rules:

• follow a diet for seven days;
• perform physical;
• for at least a month to refuse from sports and intimacy;
• within 30 days not to lift weights (weighing more than 3 kg);
• the first month to wear supportive underwear;
• do not drink alcohol for at least 30 days;
• after the end of the set period physical activity increase gradually.

The recovery period usually lasts three to six weeks. At this time, you should not visit saunas, baths, bathe in the bathroom, and also make long trips. It is important to pay attention proper nutrition. You should abandon fatty, spicy, fried foods, marinades, alcoholic beverages, and give preference to food rich in nutrients (vitamins and trace elements).

A woman who underwent laparoscopy needs to monitor her well-being. This procedure is less traumatic and rarely leads to the development of serious complications, however, if signs appear that indicate a deterioration in health, you should consult a doctor as soon as possible.

With the help of laparoscopy, more and more interventions are carried out for various pathologies of the abdominal cavity and small pelvis. Such operations are especially popular in gynecological practice.

This article is about how long a sick leave can last after laparoscopy, as well as some features of its issuance after operations such as laparoscopy of an ovarian cyst, fallopian tubes, removal of the uterus and other interventions in the small pelvis. Namely, about how many days, on average, the patient's stay in the hospital is calculated, after how long she can be discharged after many types of operations.

Laparoscopy has a number of advantages over laparotomy.

Legal aspects

Documents regulating the issuance of disability certificates in Russia:

• Federal Law No. 323.
• Orders of the Ministry of Health and Social Development of Russia, including Order No. 624n “On approval of the procedure for issuing sick leave certificates”.

The sick leave is issued by the attending physician from the day of hospitalization, lasting for the entire time of disability. It determines how long the sick leave should last after laparoscopy in this particular patient. Sometimes a temporary disability certificate can be issued by a polyclinic doctor who referred the patient to a hospital to continue treatment.

If the patient travels for consultation or treatment medical care(in the direction of the medical commission) to a medical organization located in another locality, then she is given sick leave long enough to include the days it would take to get to the counseling site.

It is very important to appear on the day determined by the doctor for a control examination and closing the sick leave. Otherwise, the medical worker will put a mark on the violation of the regime in the document, and this may enable the employer not to pay monetary compensation for sick days in full.

The sick leave must be given to the accounting department, the personnel department or the immediate supervisor, depending on the size of the organization. If the patient has several places of work, then the number of copies should correspond to the number of places of work.

Sick leave can only be issued by licensed medical organizations that provide services for the examination of temporary disability

Terms of incapacity for work

The time for which a sick leave is issued after laparoscopy is determined in each case by the attending physician.

In general, laparoscopic surgery is less traumatic than open surgery and involves early activation. The patient does not need to observe bed rest, it can even harm. A few hours after the operation, you can usually sit on the bed, from the next day the woman needs to get out of bed and move. Moderate physical activity (not through pain) will only contribute to a speedy recovery.

There is no clear framework for how many days sick leave is given. The recovery time also depends on what kind of operation was performed, how hard it is tolerated by the body. So, a woman can leave the hospital within a few hours after laparoscopic surgery, if it was not severe, while falling under the supervision of a gynecologist at the clinic. But it is better after any operation (be it resection of an ovarian cyst or removal of the uterus), the first day to remain under the supervision of specialists. The patient is then discharged from the hospital. If the woman's condition does not allow labor activity or work related to physical labor, the attending doctor issues a sheet of temporary disability.

The recovery time after laparoscopy depends on the extent of the operation and other factors.

The doctor has the right to issue sick leave for a period of not more than 15 days, in order to extend it, a special medical commission will be required. Most often, recovery after laparoscopy of an ovarian cyst, interventions on fallopian tubes takes about 4-5 days, while an operation such as removal of the uterus can require up to 45 days on sick leave.

On average, recovery after laparoscopic interventions takes 15 days. The first 5 days the patient spends in the hospital under the supervision of doctors. Then she is discharged and undergoes rehabilitation at home.

The basis for extending the sick leave arises when a particular complication occurs or if a second surgical intervention is necessary (for example, removal of the uterus).

Factors that Matter

Thus, there is no clearly defined time during which patients should be on sick leave after laparoscopic operations on the female reproductive system. It is determined individually in each clinical case. Much depends on the severity of the operation, for example, removal of the uterus will require more time for rehabilitation than a low-traumatic intervention.

Principles, the observance of which affects the recovery after these laparoscopic interventions:

• It is necessary to follow a light diet for the first few days after surgery, but after a week you can return to your normal diet.
• During the first weeks, you need to limit sports, do not lift weights.
• Sufficient physical activity has a beneficial effect on the recovery of the body.
• After many operations on the female genital organs, it is necessary to limit sex for 1-2 weeks.

If the patient follows the instructions of the doctor and listens to the signals of her body, the rehabilitation period will most likely go smoothly for her. If complications occur, you should contact your doctor as soon as possible so that he can quickly correct the condition.