Ars Medica Lézerklinika
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UMBILICAL HERNIA SURGERY

 

One-day surgery - for free of charge

For patients having valid so-called "TAJ" card, containing the ID No. of National Health Service, one day surgery is available for free from July 1st 2007 due to a contact with National Health Insurance Bursary. More...

 

The condition

The umbilical hernia "sneaks out" from the abdominal cavity through the open and widened umbilical ring. It can be congenital, or develop in adulthood. Congenital umbilical hernias may resolve spontaneously if reduced and taped for a few weeks, otherwise are repaired surgically in infancy. The hernia defect does not close on its own. Umbilical hernias should be repaired when complaints are still minor, because incarceration may lead to bowel necrosis, obstruction and peritonitis. These complications significantly increase the minor risks associated with surgery, since the operation has to be performed emergently.

Examination and consultation

On the day of the surgery, the patient signs the consent form, then the necessary lab tests are done and the surgery fee is paid. Immediately before the operation, the patient is premedicated with an injection containing analgesic and sedative. The operation can be performed under local, spinal or general anesthesia. The majority of our surgeries are performed with local anesthesia, which means infiltration of the surgical field with 1% Lidocaine. The hernia sack is mobilized and removed after a crescent shaped incision is done around the navel preferably in a natural fold. The herniated organs are placed back into the abdomen and the hernia defect is closed. We close the wound with cosmetic sutures.

Fee of examination and consultation: 10.000 HUF > Euro

One day surgery

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by a helper, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (I.e.: good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation, home care, must have phone to contact the clinic or the surgeon if necessary, etc).

Preparation for surgery

At the booked operative time patients must bring their lab tests, slippers, night-suit. Before placed into sick-room a "STATEMENT" is to be signed in order to entitle our clinic for the performance of the procedure. Besides patients have to undertake home wound care.

Important!

Considering that operation is performed in general anesthesia, food and drink intake is allowed until 24:00 pm on the prior day to procedure -for patient have to arrive with empty stomach for the surgery!

Please take the regularly taken drugs in time and dose. Take morning drugs with little liquid at home before departure and in case you may have drugs to be taken in day-time, please bring them with to the clinic!

The procedure

On the day of the surgery, the patient signs the consent form, then the necessary lab tests are done and the surgery fee is paid. Immediately before the operation, the patient is premedicated with an injection containing analgesic and sedative. The operation can be performed under local, spinal or general anesthesia. The majority of our surgeries are performed with local anesthesia, which means infiltration of the surgical field with 1% Lidocaine. The hernia sack is mobilized and removed after a crescent shaped incision is done around the navel preferably in a natural fold. The herniated organs are placed back into the abdomen and the hernia defect is closed. We close the wound with cosmetic sutures.

The duration of surgery is 15-25 minutes.

Possible complications

No doctor can guarantee a complication-free surgery. Complications can arise even following the most carefully performed procedures. The possible early complications: post-operative bleeding and inflammation, and recurrence are easily treatable. If you experience even the slightest indication of complications (for example, bleeding or fever), you can contact your surgeon day or night, who will take the necessary steps to remedy any of the complications. The development of later complications (recurrence) can be avoided by refraining from physical work for three months following the surgery, and appropriate careful surgical technique.

Postoperative care

The surgery is commonly followed by 6-8 hours of observation, during which time the vital functions (blood pressure, urine output) stabilize, the sedative effects of the premedications wear off, and patients are able to leave the center on their own feet, with the help of an escort. During the first week the patient should refrain from physical strain, however constant bed rest is not necessary. At the one week follow-up examination the stitches are removed. The average recuperation time is 3-4 weeks, that does not mean that the patient is bedridden for this period, but rather the time needed to resume normal activities. The second control examination takes place after four weeks, at this time we find healed status.

Fees

For patients with a valid TAJ card:

Fee of surgery: 0 HUF (paid by National Health Insurance Fund)
Charge for general anesthesia: 40.000 HUF (paid by patient, optional) > Euro
Charge for overnight stay: 0 HUF
Fees of control examinations: 0 HUF (paid by National Health Insurance Fund)

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal but these mean no further costs for our patients.

For patients without a valid TAJ card. More...

Surgery performed under local anesthesia: 130.000 - 150.000 HUF > Euro
Charge for general anesthesia: 80.000 HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro
Fees of control examinations: 5.000 HUF > Euro

50% of the fee is due at the time the operation is scheduled, as a prepayment.
These are estimated charges and may also be affected by the severity of the condition.

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal.



Appointments: Monday-Friday, 8 am - 8 pm.
Telephone: + (36 1) 266-7766

 

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