Clinical examination of surgical patients

The dispensary of surgical patients is conducted by the FAP paramedic under the supervision of the surgeon-curator.

There are two types of medical examination. This is the medical examination of patients suffering from certain chronic diseases, and the medical examination of certain contingents of healthy ones. An example of the latter method can be the prophylactic examination of children, pregnant women or groups united by some peculiarities of work and life, for example, machine operators, dairy farm workers, shepherds, etc.

The following groups of individuals should be distinguished for medical examination of surgical patients:

• healthy;

• persons suffering from chronic surgical diseases( for certain diseases);

• persons who underwent surgery.

The first group - healthy persons - is subject to preventive examination once a year before the beginning of intensive field work. If any surgical diseases are detected or if a stationary examination is necessary, these patients are referred to a polyclinic or a hospital for examination and surgical sanitation according to the plan drawn up by the doctor.

The second group - patients with chronic surgical diseases - is 2-4 times a year with the participation of not only surgeons, but also doctors of other specialties.

The main task of dispensary examinations is active surgical sanation of patients with peptic ulcer of stomach and duodenum, cholelithiasis, chronic cholecystitis, hernias, varicose veins of lower extremities, chronic osteomyelitis, etc.

With the help of a surgeon-curator, persons who are subject to planned surgical intervention, and make a plan for referral to the surgical department. These patients before being referred to the CRH are subject to examination in a polyclinic. Preliminary preoperative out-patient examination shortens the patient's stay in the hospital bed, which significantly reduces the cost of treatment.

Part of the patients suffering from this or that chronic surgical disease, due to various circumstances, can not be radically operated because of neglect of the process or general contraindications. Patients in this group need conservative therapy, whose goal should be to maximize recovery of health and ability to work. The plan of their treatment, referral to a hospital, sanatorium treatment, etc. is also made by a surgeon, taking into account the seasonality of the exacerbation of the disease.

Allocate another group of patients who, according to their illness, need sanatorium treatment or treatment in the rehabilitation center, for example, after resection of the stomach for ulcers, cholecystectomy, etc.

The next group are patients who require maintenance treatment or an anti-relapse course. This includes patients with chronic diseases of blood vessels, erysipelas, furunculosis, trophic ulcers that are not subject to radical treatment for a number of reasons.