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Department of Surgery

The accredited surgical department provides modern outpatient and inpatient care in the entire range of general and colorectal surgery, traumatology, vascular surgery and urology. In all disciplines, modern mini-invasive techniques (laparoscopic approaches to acute and elective procedures, including hernia and bowel surgery) are preferred. The complete scope of intestinal surgery is guaranteed by the highest education of the surgeons - specialists (coloproctology certification-eligibility). In the surgical department, the principles of modern perioperative care (ERAS) are applied, which allow for a fast postoperative recovery and reduce surgical stress. The inpatient department is completely renovated. Patients who require intensive care are admitted to the modern equipped surgical intermediate care beds or to the beds of the multidisciplinary intensive care unit with a connection to the anaesthesiology and resuscitation department. Acute outpatients are treated in the acute surgical outpatient department of the central reception (CP) with all-day operation, chronic patients in the CHA1 outpatient department.

We provide diagnostic and therapeutic care for patients:

  • with injuries to the musculoskeletal system and skeleton, with the exception of spinal fractures requiring osteosynthesis and fractures of the skull and facial skeleton associated with penetrating brain injury or requiring osteosynthesis

  • with a diagnosis of, or suspected, acute abdominal condition

  • with diseases of the digestive tract
    cholecystectomy (removal of the gallbladder), appendectomy (removal of the appendix), hernioplasty (hernia repair)

  • with abdominal injuries, chest injuries, or patients with brain injuries not requiring invasive neurosurgical treatment

  • indicated for surgical treatment of malignant tumours
    of the breast, the digestive tract, the skin

  • vascular diseases
    varicose vein removal, bypass surgery, ischaemic and diabetic lesions of the lower limbs

  • with inflammatory lesions requiring surgical intervention or failing to respond satisfactorily to outpatient treatment

  • anorectal conditions
    haemorrhoids, fistulas, inflammatory conditions of the rectum, tumour surgery, including low-lying rectal tumours, utilising state-of-the-art equipment and evidence-based medicine

  • breast conditions indicated for surgical treatment

  • with non-specific gastrointestinal inflammation (IBD)
    , Crohn’s disease, ulcerative colitis, indeterminate colitis
  • diaphragmatic hernias and gastro-oesophageal reflux
  • with morbid obesity, including the treatment of diabetes and associated conditions
    (R-Y bypass surgery, mini gastric bypass, gastric sleeve gastrectomy and reoperations) 

Outpatient services:

  • diagnosis of abdominal conditions, including cancer screening,
  • traumatology – treatment and follow-up of post-traumatic conditions,
  • excision of skin lesions, with or without a referral from a dermatologist,
  • comprehensive care for leg ulcers and chronic wounds,
  • follow-up examinations and aftercare for patients following surgical procedures,
  • comprehensive care for patients with non-specific bowel inflammation,
  • treatment of rectal conditions, including outpatient haemorrhoid removal.

Outpatient clinic

Ordering tel. no. 311 555 000

DEPARTMENT

Department of Surgery I tel. no.: 311 553 110
Department of Surgery II tel. no.: 311 553 010
Intermediate care (IMCU) tel. no.: 311 553 013
E-mail chirurgie@nemocnice-horovice.cz

Ordering superior rooms

Surgical Ward I tel. no. 311 553 103
Surgical Ward II tel. no. 311 553 002

Patient information I 7:15 - 7:45, 14:45 - 15:00

Surgical Ward I tel. no.: 311 553 110
Surgical Ward II tel. no.: 311 553 010
Intermediate care (IMCU) tel. no.: 311 553 013




Pre-operative examination procedure

Your GP will carry out the basic pre-operative examinations on an outpatient basis. The examinations include blood tests, an ECG and, if necessary, a chest X-ray if you are a smoker or over 50 years of age. We recommend that you arrange this examination in good time (at least one week before the operation, but no more than four weeks previously if you are in good health, and no more than two weeks previously if you suffer from a chronic condition). If you do not have the results and medical report with you at admission, your operation will be postponed!

  • If you have a chronic condition or are over 50, your physician will refer you for a consultation with a consultant in internal medicine.
  • If you are taking hormonal contraception, stop taking it one month before your planned operation!!!
  • Please bring all your test results and the report from your GP (or consultant) to Hospital Hořovice, to the surgical admissions desk (ground floor, opposite the orthopaedic outpatient clinic), where you will also undergo a pre-operative anaesthetic assessment.
  • After assessing the results and discussing them with you, the anaesthetist will recommend the type of anaesthesia that is most suitable for you. The physician may wish to repeat some tests or carry out additional ones. These examinations will be carried out during the day in the inpatient ward or in the specialist outpatient clinics at Hospital Hořovice. Based on the results of these additional examinations, the anaesthetist will return to the ward to assess them and finalise your ‘premedication’ (the administration of medication prior to anaesthesia). The aim of pre-operative preparation is to prevent serious complications (thrombosis, embolism, allergic reactions, etc.).

 What to bring with you to hospital

  • pyjamas
  • underwear
  • a dressing gown
  • a change of shoes
  • personal hygiene items
  • towel, washcloth
  • health insurance documents
  • hernia belt (for hernia surgery), which you will need after the operation (your physician will issue a prescription for this in advance), crutches or walking sticks if you are having lower limb surgery
  • medication you are currently taking (for the expected duration of your stay)
  • valuables and money: you can store valuables and money in the hospital’s central safe. You will receive a written receipt for these items, which you must present to have them returned to you upon discharge from hospital. The hospital is not liable for the loss of items left in the open or stored outside their designated place. In your own interests, we recommend that you do not bring large sums of money or valuables into the hospital
  • Clothing and personal belongings: A wardrobe in your room is provided for storing your clothes during your stay in hospital; items for daily personal use can be stored in the bedside table next to your bed
  • Medicines: During your stay in hospital, all your medicines will be prescribed by your attending physician and dispensed by a nurse. If you are taking any medicines to treat a specific condition, please bring them with you to hospital and hand them to a nurse on arrival at the ward. Your attending physician will incorporate them into the range of medicines you will be given during your hospital treatment. As it is very important to coordinate your overall treatment, please do not take any medicines during your stay in hospital without your attending physician’s knowledge – not even those you normally take at home (whether on prescription or over-the-counter). You will be given all necessary medicines by the nurses in the prescribed dose and at the specified times.

Admission

On the day of your scheduled admission, please report to the surgical admissions desk on the 2nd floor of the NH.

If you are having surgery on the day of admission, please arrive by 8.00 am on an empty stomach.

If your operation is scheduled for the following day, simply arrive between 10.00 and 12.00.

If you are having surgery on a Monday, you must report for admission on Friday. Once all the necessary admission procedures have been completed (see above), you may go home (on temporary leave) and report to the ward on Sunday between 5.00 pm and 6.00 pm (You may eat and drink!) or on Monday at 7.00 am on an empty stomach. Everything is arranged in consultation with the physician at admission.

Sequence of pre-operative examinations

Your GP will carry out the basic pre-operative examinations on an outpatient basis. The examinations include:

  • blood tests,
  • an ECG,
  • and, if necessary, a chest X-ray if you are a smoker or over 50 years of age.

We recommend that you arrange this examination in good time (at least one week before the operation, but no more than 4 weeks previously if you are in good health, and no more than 2 weeks previously if you suffer from a chronic condition). If you do not have your test results and medical report with you at admission, your operation will be postponed!

  • If you have a chronic condition or are over 50, your physician will refer you for a consultation with a consultant in internal medicine.
  • If you are taking hormonal contraception, stop taking it one month before your planned operation!!!           
  • Please bring all your test results and the report from your physician (or consultant) to Hospital Hořovice, to the anaesthesia outpatient clinic (ground floor, opposite the orthopaedic clinic), where you will undergo a pre-operative anaesthesia assessment. You will be contacted by telephone by a call centre operator to arrange your pre-anaesthetic examination.
  • After assessing the results and speaking with you, the anaesthetist will recommend the type of anaesthesia that is most suitable for you. The physician may wish to repeat some tests or carry out additional ones. These examinations will be carried out during the day in the inpatient ward or in the specialist outpatient clinics at NH. Based on the results of these additional examinations, the anaesthetist will return to the ward to assess them and finalise your ‘premedication’ (the administration of medication prior to anaesthesia). Pre-operative preparation aims to prevent serious complications (thrombosis, embolism, allergic reactions).

Rooms:

The ward comprises both standard and superior single rooms with en-suite facilities. Room facilities: Rooms are equipped with an electrically adjustable bed, comfortable furniture, a fridge and a television.

Room bookings:
Deluxe rooms are in high demand among patients and must therefore be booked in advance by calling 311 553 110 or 311 553 010, at least 14 days in advance.

The price for superior rooms is 1,200 CZK per night.

Billing and payment:
The final amount for a superior room is payable at the end of your hospital stay at the NH cash desk. You can pay on weekdays until 3.30 pm by credit/debit card or in cash. Outside working hours, at weekends and on public holidays, when the cash desk is closed, you will pay your bill at the ward (cash only). In both cases, you will receive a receipt for payment.

IMPORTANT NOTICE: Thepremium room serviceincludes only a higher standard of hotel services. Under no circumstances does it imply any difference in the way the nursing staff treat patients.

Information on the patient’s medical condition for their relatives

Information regarding the patient’s medical condition is confidential and may only be disclosed, with the patient’s consent, to those persons whom the patient has designated in writing upon admission to the hospital in the Consent to Hospitalisation form. This information will be provided by the attending physician in the morning between 7.15 am and 7.45 am or in the afternoon between 2.45 pm and 3.00 pm, or by prior arrangement with the ward nurses.

 Daily schedule

6.00–6.30 h: handover and nurses’ reports
6.30–7.30 am: morning ablutions; making beds; collection of biological samples; measurement of vital signs; changing dressings; serving breakfast
7.30–10.30 am: physicians’ rounds; insulin administration; administration of medication and breakfast; cleaning of rooms
8.30 – 10.00: processing physicians’ consultations; administering infusions and injections; physiotherapy; maintaining nursing records
10:30 – 13:00 processing of patient admissions; administering antibiotics, midday medication and lunch
13:00 – 15:00: processing doctors’ consultations and patient admissions; administering injections and antibiotics; afternoon personal hygiene; making beds
15:00 – 17:00: assisting with consultations; monitoring vital signs; serving afternoon snacks; collecting laundry; visiting hours
17:00 – 17:45: administering medication and serving dinner
17:45 – 18:00 handover and nurses’ reports
18:00 – 19:00 physicians’ rounds; processing physicians’ consultations
19:00 – 21:00 Evening wash-down; making beds
21:30 – 05:00 night’s rest; regular checks on patients
10.00 pm – 6.00 am: Night’s rest; regular checks on patients

 

Daily medical rounds: 7.00–7.45; 18.00–19.00

Chief physician’s rounds
CHIR 1: Tuesday 7.15 am
CHIR 2: Thursday 7.05 am

Visits are possible daily. Due to the treatment regime and the ward's regime, we recommend visiting between 14.00 and 18.00. Please note that visitors may be asked to leave the patient's room in the case of bedside procedures, personal hygiene or physician appointments. Visitors under the age of 10 are not appropriate.

In case of isolation of the patient due to infectious disease, the visitor is required to equip himself/herself with personal protective equipment (drape, gloves, empire) before entering the room according to the instructions of the ward staff.

In case of hospitalisation of the patient in the IMCU, visits of maximum 1 person to the patient's bed are possible. Please respect the staff's recommendation on the appropriate length of visit.

Chronic General Surgery Outpatient Clinic

Make an appointment: 311 555 000

Specification of care provided:

  • It provides outpatient surgical treatment for patients in non-acute cases and follow-up care following discharge from the surgical ward.
  • The unit provides routine trauma care for injuries initially treated at the surgical outpatient clinic, including wound dressings, management of complicated healing, planning of diagnostic care and consultation on examination results in collaboration with other departments.
  • Patients are referred here for planned operations within the scope of general surgery as well as for minor outpatient procedures.

Important information:

  • The outpatient clinic provides care daily on working days from 7.00 am to 3.30 pm.
  • You must book an appointment at reception or by telephone on 311 555 000 (full number).

Location within the hospital grounds:

  • On the ground floor of the main building, in the left wing, next to reception and the cash desk.

Office hours

Day Hours
Lékaři chirurgického oddělení Mo 8:00 – 12:00 13:00 – 15:00
Lékaři chirurgického oddělení Tu 8:00 – 13:00
Lékaři chirurgického oddělení We 8:30 – 12:00 13:00 – 15:00
Lékaři chirurgického oddělení Th 8:30 – 12:00 13:00 – 15:00
Lékaři chirurgického oddělení Fr 8:30 – 12:00 13:00 – 15:00
The last patient will be treated 30 min. before the end of office hours.

Location in the hospital

Ground floor