Central Surgery Rooms and Sterilisation

The COS performs surgical procedures in general surgery, orthopaedics, traumatology, urology, gynaecology and obstetrics, and ENT.

A qualified team of theatre nurses specialised in “Scrub Nursing in the Operating Theatre” and “Perioperative Care” works here, together with a team of orderlies trained in working at the COS.

Range of surgical procedures by speciality

Ortopedie

• Arthroscopy (ASK) – a minimally invasive method allowing inspection of the joint space for diagnostic and therapeutic purposes
• Knee joint – treatment of the menisci, treatment of cartilage, knee ligament reconstruction
• Shoulder joint
• Ankle joint (ankle)
• Surgical treatment of foot deformities – hallux valgus (bunion), hammer toes, transverse flatfoot
• Surgical treatment of the hand – carpal tunnel syndrome (canalis carpi), trigger finger, inflammatory process of the elbow joint
• Total hip replacement and total or partial knee replacement, knee revision surgery
  Total knee replacement technology – VISIONAIRE
  This method consists of individually manufacturing a cutting guide based on an X-ray image and magnetic resonance imaging, which allows absolutely precise positioning of both parts of the new joint. Precision is decisive for the correct function of the knee and a long implant life. This procedure significantly shortens the operating time and reduces the risk of infection and other post-operative complications. The method considerably speeds up convalescence and the subsequent return to an active life.

Chirurgie

• Brief overview of surgical procedures performed:
• Thyroid surgery
• Breast surgery
• Chest (lung) surgery – trauma, diagnostic, therapeutic
• Abdominal surgery using open and laparoscopic approaches
• Surgery of the pancreas, stomach, gallbladder, liver, small and large intestine
• Hernia surgery – umbilical, inguinal, incisional
• Haemorrhoid surgery
• Dermoid cyst surgery
• Lower limb amputations depending on the extent of the disease
• Lymph node removal – diagnostic, therapeutic
• Insertion of a chemoport for oncological treatment
• Insertion of a peritoneal catheter (a catheter inserted into the abdominal wall) for dialysis
• Pacemaker implantation
• Creation of an AV fistula for haemodialysis
• Carotid artery surgery
• Surgery for varices (varicose veins) of the lower limbs
• Surgical treatment of vascular occlusion – vascular reconstruction of the aorta and lower limbs, removal of thrombi (emboli) from the arterial system

Gynekologie

• Caesarean section delivery
• Surgery for ectopic pregnancy
• Interrupce
• Surgical correction of the external genitalia
• Surgical treatment of urinary incontinence
• Diagnostic procedures
• Surgery of the uterus and ovaries, including radical treatment of oncological diseases in cooperation with surgeons and urologists

Traumatologie

• Surgical treatment of injuries – bone fractures, injuries to tendons, ligaments, internal organs and soft tissues of the human body
• For the surgical treatment of fractures (osteosynthesis), implants made of various materials are used, such as stainless steel, titanium or absorbable material. The advantage of titanium and absorbable material is that it does not require subsequent extraction (removal) after the fracture has healed.

ENT (Ear – Nose – Throat)

• Endoscopic – procedures performed under optical guidance on the adenoids, middle ear, nasal polyps, nasal mucosa, larynx, vocal cords, oesophagus and paranasal sinuses
• Conventional – open surgical procedures
• tonsillectomy, removal of part of the soft palate for snoring, sinus puncture, tracheostomy, radical  maxillary sinus surgery, removal of pathological changes and permanent connection of the maxillary sinus with the nasal cavity, removal of pathological lesions of the neck, face and ear (basalioma, atheroma, verruca), removal of lymph nodes, cysts, fistulas and abscesses, resection of the auricles
• Partial glossectomy – partial removal of the tongue due to a pathological lesion
• Otoplasty – correction, pinning back of protruding ears
• Myringoplasty – repair and reconstruction of the eardrum
• Osteosynthesis – fixation (surgical treatment of fractures) of facial bones using plates and screws
• Extirpation of the salivary glands – parotid – due to the presence of stones

Urologie

Surgical procedures in urology are divided into:

• Open – performed using the conventional surgical technique, in which the integrity of the skin is breached. (procedures on the penis, urethra, testicles, prostate, bladder, ureter, kidney)
• Laparoscopic –  fine instruments and optics are inserted  through small openings made in the skin, and surgical procedures are performed on the kidney
• Endoscopic – the skin is not breached; fine optical instruments are inserted through natural openings and used to perform surgical procedures on the urethra, bladder, prostate, ureters and kidney.

Central Sterilisation (CS)                                                                             

Central sterilisation is located in the diagnostic and surgical wing as a closed unit directly adjoining the COS.

Like the COS, the CS was put into operation in 2003; it is equipped with modern technology and provides staff with a fully air-conditioned, pleasant working environment.

Together with the Central Operating Theatres (COS) and the multidisciplinary ICU, the department is located on the first floor of the new hospital extension.

Central sterilisation is a specialised unit that provides pre-sterilisation preparation, packaging of material, its sterilisation and the issuing of sterilised material to hospital departments, operating theatres and external entities.

The department operates around the clock with a team of nurses who hold the specialisation “Scrub Nursing in the Operating Theatre” or are gradually being trained in the certified course “Methods of Sterilisation, High-Level Disinfection and Disinfection”, together with trained orderlies.