Content
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1How much is the sickness sheet issued after the operation?
- 1.1How many hospital days are given after the operation?
- 1.2For what period is the sick leave issued after the operation?
- 1.3What time is the hospital sheet given after the operation?
- 1.4How many days are kept on the hospital after an operation of inguinal hernia?
- 1.5After heart surgery
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2Hospital Payments: Why wait for an employee after surgery?
- 2.1Who determines the period of the sick leave after the operation?
- 2.2Maximum and minimum period of sick leave
- 2.3Term of the hospital for various operations
- 2.4The term of the hospital has expired. What to do?
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3Term of sick leave after surgery
- 3.1Duration of the sick leave after spinal surgery
- 3.2After the operation to remove the gallbladder, how many days is the hospital?
- 3.3Hospital after surgery on the knee
- 3.4Hospital after eye surgery
- 3.5How much is kept on the sick-list after heart surgery?
- 3.6Hospital after the operation as a cavity for how many days?
- 3.7Duration of the sick leave after the operation for the removal of the uterus
- 3.8How many days are kept on the hospital after an operation of inguinal hernia?
- 3.9After the operation for appendicitis, how long does the hospital stay?
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4Hospital sheet after surgery: duration and duration
- 4.1Duration of the sick-list after various operations
- 4.2Is it possible to extend the sick-list after the expiration of the period?
- 4.3How do I pay sick leave?
- 4.4What to do after the expiration of the sick-list?
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5Rehabilitation after an operation of inguinal hernia in men
- 5.1How long does the recovery from surgery take in men?
- 5.2Rehabilitation in the outpatient period
- 5.3What the patient should know
- 5.4Complications after surgery
- 5.5Physical activity in the postoperative period
- 5.6What should be done for patients who have undergone similar surgery
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6Term of sick leave after surgery
- 6.1Right to receive a sick leave
- 6.2Maximum duration
- 6.3Term of hospital for operation
- 6.4Possibility of extension
- 6.5The amount of payment for sick leave
How much is the sickness sheet issued after the operation?
The law of the Russian Federation provides for provisions that are able to control the timing of the sick leave after the operation. Some normative acts are not true.
That is, the patient for the time provided by law may not fully recover. In this situation, only doctors will decide: to prolong the patient a document on temporary incapacity for work or to close it.
The employer can not object by law.
How many hospital days are given after the operation?
The law under the law under number 255 says that the patient is provided with a document on incapacity for work during the stay in the hospital. It is only the doctor who is treating him who has the right to open it.
When a patient is registered in a hospital, a document on temporary incapacity for work is opened. After discharge, it is immediately closed. Further official paper should be sent to a medical institution at the place of residence.
It is they who are authorized to observe the patient until they are fully recovered.
According to the law, after full discharge from the hospital, the patient may be on an outpatient recovery for 10 days. Thus, the duration of the document on temporary incapacity for work is 10 days from the moment of discharge from the medical institution.
For what period is the sick leave issued after the operation?
The patient may not have enough time to fully recover. What if you want to renew the temporary disability document? Call a medical commission.
It is she who is authorized to solve such questions. In agreement with the rest of the doctors, the sick leave sheet can be extended up to 300 days (depending on the patient's condition).
But only in the event that a positive outcome of recovery is predicted.
Was a severe surgical operation carried out and the patient needs a long and high-quality recovery? The document on temporary incapacity for work can be extended for up to 12 months.
What time is the hospital sheet given after the operation?
In any case, only the attending physician is able to determine the term of the official document, which in the future must be provided to the employer for payment. The doctor can prescribe a sick leave sheet for up to 30 days.
But what if there are no complications and no contraindications? In this case, the document on temporary incapacity for work is provided for one and a half weeks.
However, having sent it to the medical commission, it can be extended, taking into account the slow recovery of the patient.
How many days are kept on the hospital after an operation of inguinal hernia?
With inguinal hernia, such a vacation can last up to 45 days. However, the patient must comply with all requirements of the doctor during discharge or in the hospital. For example, smoking is contraindicated.
As a result of it, a characteristic and chronic cough occurs. After the operation, this fact can cause increased internal pressure, as a result of which the seams are torn.
In a month you can go back to a past life. That is: work, play sports, relax or ride a bicycle.
However, the walls are finally restored only six months after the operation.
Observe such requirements. Then the recovery period will pass without any complications. Do not think that inguinal hernia can reappear. Does the patient need secondary surgery? The procedure should be conducted no earlier than six months.
After heart surgery
Such an operation is considered a serious interference in the body of each person. The patient needs additional care and medical supervision. The recovery process, as a rule, can be delayed for an indefinite period.
It happens that for the final recovery the patient lacks one surgical intervention on the heart. However, there may be several. Everything depends on the surgeon's skill and favorable outcome.
It is impossible to say exactly how much they keep on the hospital after surgery on the heart.
In such a case, a sick leave sheet is drawn up until the patient finally regains his normal life activity.
Terms can be determined by the attending physician with his own hand. He can also ask advice from his colleagues in the departments. But often such a decision on the extension is taken by a medical commission.
This happens in a few months, when the patient does not have a recovery dynamics. The patient will be examined by various narrow-profile specialists, each of whom will announce such a decision.
A source: http://RussianSU.ru/bolnichnyj-list/na-skolko-vydaetsya-bolnichnyj-list-posle-operacii.html
Hospital Payments: Why wait for an employee after surgery?
The employee, getting sick, does not always recover quickly. There are times when surgery is necessary. And then the sick leave can be delayed. And how much? And on what does its duration depend? How to calculate a sick leave? Let's understand this together.
Who determines the period of the sick leave after the operation?
According to the legislation in force in Russia, a sick leave sheet can be issued only for a certain period of time. And not every health worker can issue a sick leave sheet.
So, the list of incapacity for work can not be obtained:
- at the station where blood is poured;
- from an ambulance.
Hospital after surgery should, as in all cases, prescribe the attending physician. The duration of it is also determined by the doctor.
Maximum and minimum period of sick leave
According to the doctors, the employee can be operated and stay in connection with this in the hospital. After a surgical intervention, the worker takes some time to recover and rehabilitate.
After some time after the operation, the patient is discharged home. Then he continues treatment in his polyclinic, to which he is assigned. And what about the maximum term of the hospital says the legislation?
Law No. 255-FZ states thatthe patient is given a list of incapacity for the entire period of his stay in the hospital. It is issued by the attending physician.
He opens the hospital with a date, when the patient entered the hospital, and closes it - with the date of discharge.
In the future, it must be presented to the hospital at the place of his residence, where the patient will still be observed for some time.
Legislation allows the extension of the hospital for another 10 days after the discharge of the patient from the hospital. Thus, the duration of a sick leave sheet after an operation is 10 days.
The medical commission has the authority to extend the hospital after the operation for up to 10 months, but there must be a positive dynamics during the illness.
If the patient has undergone a complicated operation, due to which a long rehabilitation is required, then the hospital sheet can be increased to 1 year.
Consequently, the duration of the disability sheet after the operation from the moment of discharge from the hospital can reach one year.
But there is one feature -the patient will have to visit the medical institution every 15 days, where an operation was performed, so that his attending physician would inspect and confirm the need for such a lengthy hospital stay.
Most often, after difficult operations, for successful rehabilitation, the patient is sent to the specialized sanatorium for the treatment. In this case, the sanatorium can extend the term of the sick-list by another 24 days.
If the patient does not improve for a long time after the operation, then to send for medical and social expertise to address the issue of the possibility of assigning to such a sick group disability.
To send a sick worker to this examination is possible only if there is no positive dynamics of the results of treatment within six months after the operation.
If the operation was conducted in another city, then the time spent on the way to the return journey is taken into account in the hospital.
Term of the hospital for various operations
Cause of operation | Term, days | Features |
Uterus removal | 20-45 | |
Heart surgery | 30-70 | The appointment of the ITU is possible |
On the rectum | 18 - 40 | |
On the spine | 30-120 | The appointment of the ITU is possible |
When a hernia is removed | 21-45 | Depends on the location of the hernia |
Operation on eyes | 7-60 |
The number of hospital days, as mentioned above, is determined by the attending physician. Its timing can range from the severity of the operation. The days that are presented in our table are far from complete.
Again, here are the approximate dates. Further treatment and recovery after surgery are all at the discretion of the attending physician and medical and social expertise. (ITU)
The term of the hospital has expired. What to do?
The specific period of the sick leave sheet is not established by law - the employee will be on treatment until the moment of full recovery or until the invalidity group is assigned to him.
When this time expires, the patient is obligatorily sent to the ITU (medical and social expertise).
Persons who have not been identified as having a disability are granted a sick leave until they are fully restored or are sent back to ITU.
If the duration of treatment of a patient in a hospital is more in the aggregate of 30 calendar days, then in the column "Signature of the doctor" must be signed by the chairman of the medical commission and the doctor doctor. If the period of stay in the hospital is less than 30 days of the calendar, then in this case only the signature of the attending physician is sufficient.
A source: http://zakonguru.com/trudovoe/oplata/bolnichnyje/posle-operacii.html
Term of sick leave after surgery
Doctor
From diseases, as you know, no one is immune. But what if the ailment requires surgical treatment and deprives you, for a time, of work capacity?
How long does the sick-list last after the surgery for different types of diseases? We will try to answer these and other questions in the above article.
The main legislative act on labor in Russia in Article No. 183 clearly defines - all employers must pay their employees hospital sheets issued in state-run medical institutions (polyclinics and hospitals) in accordance with the law sizes.
Law No. 255-FZ, in turn, regulates that for all days spent by a jobseeker in an in-patient ward, he a special medical document is issued, whereupon the management of the enterprise (organization) compensation.
Next, consider the average time of this sheet for various types of surgery.
Duration of the sick leave after spinal surgery
In the surgical treatment of the spine (for example, with the removal of the intervertebral hernia), the medical sheet is provided for the entire period of the citizen's stay in the hospital.
Most often this period varies from 21 days to 45 days, depending on the severity of surgical procedures and the presence (or absence) of complications.
However, during this period the patient's treatment does not end, since after discharge from the hospital, he must still devote some time to rehabilitation in an outpatient setting or in a sanatorium.
This period is established by law at a level of 10 days. The further period of the person's stay at the rehabilitation rest is decided by the medical commission.
After the operation to remove the gallbladder, how many days is the hospital?
Surgery of the gallbladder refers to operations of medium complexity and, as a rule, occurs even with sufficient neglect of the disease. Therefore, the patient will not only have to spend some time on a stationary bed, but also to undergo a course of restorative treatment.
On average, a person's incapacity for work in this case lasts about a month, which is then compensated by cash payments under the medical certificate.
Hospital after surgery on the knee
With chronic or acute pain in the knee, a person can no longer fully fulfill his labor duties in the workplace and needs surgical treatment of the disease.
There are a great many diseases of the knee joint, and it is their degree of severity that determines how soon the employee will return to fulfilling his job responsibilities.
In any case, with surgery on the knee, the patient will not be able to move normally for a long time. Hospital for the period of treatment in the hospital, and then rehabilitation on average is one month.
At the end of this period, if a person needs an extension of treatment, he is already appointed by the ITU (medical and social expertise).
Hospital after eye surgery
In surgical treatment of eye diseases, the length of stay at the hospital is from one week to two months, depending on the diagnosis and complexity of the procedures performed.
Most often, users are interested in the question, how many days of hospital after a cataract operation? This period is an average of ten days in a hospital and ten days in an outpatient clinic.
How much is kept on the sick-list after heart surgery?
The most difficult kind of surgery is heart surgery. Therefore, it is difficult to unequivocally answer the question, how many in this case there will be a duration of paid days of treatment.
If everything ends safely, then the patient will be able to go to work (and at first light work) 30 to 70 days later. However, most often after such radical interventions ITU is appointed and a person gets a disability of a certain group.
Hospital after the operation as a cavity for how many days?
Band surgery can be very different - from simple removal of appendicitis to the elimination of a cancerous tumor. Therefore, the terms of paid medical certificates are also significantly different.
Next, we will analyze in more detail the duration of the paid treatment, depending on the type of surgical intervention.
Duration of the sick leave after the operation for the removal of the uterus
Removal of the uterus is considered a surgery of an average type of complexity. The minimum term for paid days of treatment is three weeks, and the maximum is 45 days.
How many days are kept on the hospital after an operation of inguinal hernia?
With the removal of inguinal hernia in men, the period of recovery lasts from three weeks to 45 days, which is also is compensated by the employer in money equivalent in accordance with Article 183 of the LC RF (download the code can be link above).
After the operation for appendicitis, how long does the hospital stay?
Removal of appendicitis is the most common type of surgical intervention, which, however, is not considered particularly difficult and requires long-term rehabilitation. Nevertheless, you will have to spend some time in the ward, and then go through a short outpatient treatment.
The length of the paid time of treatment depends on the severity of the surgery:
- with the usual removal of appendicitis without complications - from 5 to 10 days;
- if an emergency surgical procedure was performed and the patient was exposed to intoxication, requiring additional antibiotic treatment - from 2 weeks to a month;
- with complications arising from the intervention - with the permission of the hospital's chief physician, the patient may be left in the hospital for a period longer than a month.
In any case, according to the legislative act No. 255-FZ, for the entire period of the person's stay in the hospital, a paid sick leave sheet is issued to him.
If you have any questions, please consult a lawyer
A source: http://www.samso.ru/bolnichnyj-list/srok-bolnichnogo-lista-posle-operacii.html
Hospital sheet after surgery: duration and duration
Hello! In this article, we will tell you about the terms of the sick leave sheet after a person undergoes a surgical procedure.
In the event of illness, the employee is entitled to receive a sick leave sheet. He has his own terms, according to which the patient is on treatment at home or in a hospital.
The document defining the disease is written out only by the attending physician, but in no case is not an ambulance doctor or honey. employee of the station of blood transfusion.
The maximum time that a doctor can provide for self-treatment is 15 days, and the dentist - 10 days. If a person underwent a surgical intervention, the hospital has its own terms, which is determined by a special medical commission.
Initially, when a patient arrives for admission to a doctor and finds a disease that requires surgical treatment, the doctor writes out a document about the disease for 15 days. If necessary, the doctor prescribes the patient to the operation and the post-operative stay in the hospital for his rehabilitation.
After recuperating, for self-service, the rehabilitated is discharged at the place of residence, that is further he must return to his polyclinic for a full course of medicament treatment.
At the date of admission to the hospital for surgery, the surgeon opens a new hospital sheet, and closes only during discharge from the hospital. This is regulated by Federal Law No. 255. This law allows you to extend the postoperative treatment for another 10 days.
When observing the positive dynamics of the patient's recovery, VC specialists can extend the period for hospital up to 10 months, and in case the patient had to be treated after a complicated operation, then up to 1 of the year.
If a patient is sent for rehabilitation to a dispensary or a sanatorium, this fact implies the extension of the medical document for another 24 days, including the day of travel to the site.
If, as the bulletin shows, a person does not have any health shifts in a positive direction, then he must pass the ITU - medical and social expertise.
This is a consultation of doctors who, after examining the patient's condition, suggest a further extension of the treatment period or the appropriation of a degree and a group of disability. The patient is sent to the ITU after 4 months. from the date of onset of the disease.
Duration of the sick-list after various operations
In medical practice, all types of surgical interventions are divided into two groups:
- Lungs;
- Of moderate severity;
- Heavy.
Easy operations are those after which the patient patient independently rises for the next day and can be discharged from the hospital on the 3rd or 5th day. In some cases, the hospital can be discharged for 15 days, and on the 16th day, it is necessary to begin to perform work duties.
Of moderate severity are operations, after which stay in the hospital can be delayed, and for restoration it is necessary up to 30 days.
Severe surgeries are cases when a person after an operation may need a long-term help from qualified personnel for lifting to their feet. At the same time the duration of the disease can last for several months.
These operations include:
- Open fractures, or fractures with displacement;
- Injuries of the human cranium with concussion;
- Deep severe wounds or abrasions resulting from work in heavy industry;
- Appendicitis with peritonitis;
- Cardiac interventions;
- On the spine.
Consider how much time is required to stay in the hospital after various operations.
Type of surgical intervention | Term of sick leave |
When cutting the uterus | From 20 to 45 days |
Removal of the vertebral hernia | From 21 to 45 days, with an extension of up to 10 days |
Cutting out the gallbladder | Depends on the neglect of the disease and can reach 3 weeks, in some cases more, until complete recovery |
On joints | It lasts about 30 days, after which the renewal of the sick list is carried out by the ITU until full rehabilitation and entry into the workplace |
Eye | Depends on the complexity of the operation. Lasts from 14 to 60 days with an extension of up to 10 days outpatient |
On the heart | 1-2 months, depending on severity. Exit only to easy work. If the operation is complex, the ITU assigns a disability |
Elimination of the male inguinal hernia | Maximum up to 45 days |
Easy appendix removal | 5-10 days |
Removal of appendicitis with the appointment of antibiotics | Up to 30 days |
If complications occur during an operation to remove an appendix | Over 30 days by agreement of the attending physician and the head of the hospital |
Brain Surgery | Within 8 days the patient should be under the supervision of a doctor in the intensive care unit, only after that he is transferred to an ordinary ward, where he can stay up to, months. And such term is established by the doctor without VC. But in case of complications ITU should examine the patient and take a further kind of treatment |
The period of stay at the hospital depends on the type of operation:
- Laparotomy;
- Laparoscopy.
The first case of a cavitary operation is the most complicated and requires a long-term inpatient care, so the attending physician can issue a medical document for a long time.
The second type is less traumatic for humans. It presupposes punctures with special tools, after which the body is able to recover quickly, so the period of stay in the hospital is 15 days.
All of the above cases of meeting with a surgeon must be paid by the employer in accordance with the legislation.
What about plastic surgery? If the patient turned to a plastic surgeon for help to improve one part or another of the body, the hospital patient is not discharged.
But when performing an operation to eliminate difficulties to life, for example, curving the septum in the nose or mouth, the doctor can not refuse a sheet of incapacity for work. It is issued for the period from admission to hospital before discharge from it.
Is it possible to extend the sick-list after the expiration of the period?
Laws do not establish rigid boundaries of the period for the sick-list, they are determined individually in each case. But the last day depends on the patient's complete recovery, which determines his suitability for starting work.
Another outcome of the disease and postoperative treatment is the appropriation of a degree or group of disabilities, which is within the competence of the ITU.
If disability is established, the disability sheet closes automatically on the day of the examination. And if such an option is excluded, the period of the illness is set for a period until complete recovery.
How do I pay sick leave?
An accountant should pay attention when taking a sick leave sheet for the patient to fill in the document confirming the disease.
- If the term of the disease is more than 30 days, then in addition to the signature of the attending physician, there must be a signature of the VC specialist.
- And when passing medical examination, columns should be filled out with the indication of the date of holding, prolongation of the hospital or its closure with the appointment of another.
- Personal data of the employee.
In case of violations, the employee must address the place of treatment with a request for correction of errors. If this does not happen, then the certificate of incapacity for work is considered invalid.
In any case, the sick leave sheet after the operation or not, must be paid by the employer, if with The employee has concluded an employment contract and is paid insurance contributions to the Social Fund. Insurance (FSS).
When the operation and rehabilitation is within 15 days, the employee must pass the sick leave to the company, where within 10 days it will be paid.
Payment for any hospital depends on several factors:
- Duration of the disease from the first day of the illness to the time of discharge;
- The length of service, during which insurance contributions were made for him;
- Average earnings for the last two years preceding the disease.
If the period of sickness is calculated in months, the payment is done in parts, for each extended sheet. This is due to the fact that the form provides only a few lines for the extension of the disease.
The accountant calculates the disability allowance, reimburses the funds from the FSS, and then pays the employee. The amount of payment depends on the number of years of service and is paid in the amount of 60, 80 and 100%.
What to do after the expiration of the sick-list?
Work efficiency of the employee will depend on the transferred operation. Many diseases after discharge require easy work.
- If the employee has undergone the operation before the eyes, and his activity is connected with a long stay in front of the computer, the employee can count on the extension of the term for the sick-list.
- If an employee has an operation on his legs, for example, with varicose veins, the term is prolonged up to 30 days, but this the disease requires a longer rest, so the employer must provide his worker with easy labor for two, three month.
- If the woman is lost during the operation of the uterine tube or uterus, then it is impossible to lift heavy objects (up to 3 kg) for three months, this also has to be taken into account by the employer.
In any case, surgical intervention, the patient first time after work is contraindicated in the load on the body, so that in order not to lose a good specialist, the employer is obliged to provide him with a sparing regime work.
A source: http://kakzarabativat.ru/pravovaya-podderzhka/bolnichnyj-list-posle-operacii/
Rehabilitation after an operation of inguinal hernia in men
Inguinal hernia
Inguinal hernia manifests itself in protrusion in the inguinal region. Elements of the hernial sac may be organs of the abdominal cavity: fragments of a large omentum, intestinal loops, peritoneum. Because of the peculiarities of anatomy, it is more common in men than in women.
The inguinal canal in men looks like a slit-shaped space between the abdominal muscles. Normally, it contains the spermatic cord and nerve fibers. When there are pathological abnormalities, the inguinal canal expands,the oblique or straight inguinal hernia is formed.
How to treat an inguinal hernia? There are many conservative methods and surgical. However, the only and most effective is surgical treatment.
The hernia is removed under local or general anesthesia. In the process of surgical intervention, the hernial sac is removed, the inguinal canal is strengthened, plastic is produced with the help of muscles or an artificial polypropylene graft (both called the "grid").
And here surgical treatment is behind. Further - rehabilitation after an operation of inguinal hernia in men.
How long does the recovery from surgery take in men?
The duration of recovery depends on many factors, the main one of which is the choice of the type of anesthesia. With local anesthesia, it passes more quickly, and if there are no complications, in some clinics such patients can be released home after a few hours.
Further rehabilitation after surgery patients undergo an outpatient stage. They are necessarily on a visit to a doctor, make bandages. The attending physician monitors the course of the postoperative period, in the presence of complications, takes the necessary measures to eliminate them.
How long does the patient have to spend on a hospital bed after an operation conducted under general anesthesia?
If, for whatever reason, surgery was not performed under local anesthesia, the initial stage of recovery is prolonged.In this case, the patient will have to spend 3-5 days in the hospital.
In the postoperative period, inguinal hernia in men pay special attention to the presence of edema, the general condition of the patient, complications.
If the wound in the field of the surgical suture hurts, then anesthetics are prescribed.
Rehabilitation in the outpatient period
The outpatient stage after an inguinal hernia operation in men usually lasts one or two weeks. The patient is recovering, gaining strength. At this time it is very important to observe the diet, rest, dosed and with great care to increase motor activity and exercise.
Postoperative recovery is usually without complications, if the patient visits the doctor on time, fulfills his recommendations, requirements.
The doctor, in turn, monitors the course of rehabilitation after removal of the hernia, gives his recommendations, in case of complications, he hospitalizes or appoints additional treatment.
What the patient should know
Within the first week after removal of the inguinal hernia, the postoperative suture will be sore.This is normal.
To reduce pain sensitivity, the patient takes painkillers prescribed by the doctor.
Recommendations that a post-operative patient should follow:
- Do not lift the weight more than 5 kg, exercise after the operation, build up gradually after 5-7 days;
- To carry out the course of exercises of physiotherapy exercises as prescribed by the doctor;
- If the doctor has appointed wearing a bandage, then it is necessary to purchase a postoperative girdle;
- Follow the hygiene of the postoperative suture: immediately after the operation, the wound is treated in a hospital under the supervision of a doctor. Further on an outpatient basis, treatment is performed by relatives or by the patients themselves. In this case, the doctor should give advice on the treatment of the wound;
- Observe the diet: it must be balanced, constipation and diarrhea are not allowed. It is best to eat in small amounts, 4-5 times throughout the day. The diet should be rich in protein. It is found in chicken meat, dairy products, mushrooms, fish dishes. Due to the high protein content of food, tissues are regenerated faster after an operation to remove the inguinal hernia.
Complications after surgery
Possible consequences of an inguinal hernia operation in men arise as a result of individual patient characteristics, non-compliance requirements of a doctor in the postoperative period, in rare cases, this leads to errors of surgeons (the so-called iatrogenic complications).
To iatrogenic are:
- Violation of the integrity of the spermatic cord. It occurs due to the carelessness of the surgeon, when the excision of the hernia and the extraction of the hernial sac injure the testes. This can lead to a weakening of male potency, a violation of the hormonal background and spermatogenesis, which subsequently threatens with testicular atrophy and inability to fertilize.
- Infection of the wound after surgery. It is a very dangerous complication, as it can threaten the development of sepsis. In such cases, antibiotics are prescribed.
- Damage to the intestine during surgery.
- Bleeding. They can also threaten with serious consequences.
Other possible complications arising after the operation of inguinal hernia:
- Deep vein thrombosis of the lower leg (usually occurs in the elderly, as well as in inactive patients. Accompanied by pain in the calf muscles, rapid fatigue of the lower extremities. To prevent such consequences, anticoagulants or thrombolytics are prescribed.
- Dropsy testicles in men. Happens as one-sided, and from two parties. It is easy to detect: there is an increase in the scrotum on the side of the lesion. Requires re-surgery.
- Edema of the testicle. Usually occurs after surgery, in some cases it passes by itself. It is accompanied by pain in the testicle.
- Repeated emergence of hernial bulging as a result of disturbance to patients in the rehabilitation period: excessive physical activity, heavy lifting, sudden movements, etc.
- Infection in the area of the postoperative suture.
- Formation of a hematoma. To avoid such a complication immediately after surgery, it is necessary to apply cold (ice).
In the event of a violation of the motor activity with the use of unacceptable physical exertion, the postoperative suture, the hematoma, and the recurrence of the hernia may disperse.
Physical activity in the postoperative period
Within 15 to 20 days, any physical activity is excluded. Further, on an individual basis, a patient can be offered a set of gentle gymnastic exercises to restore the muscles of the groin and stomach, as well as morning exercises.
Diet after surgical treatment of inguinal hernia in men
In the rehabilitation period, it is necessary to adhere to simple requirements when choosing products. The food after the operation of the inguinal hernia must be balanced, including all the necessary nutrients and microelements in it. You can eat often, but in small portions.
The main component of nutrition, which will allow a person to recover after surgery - is a protein.
Therefore, the patient in the rehabilitation period should consume a sufficient amount of low-fat varieties of cottage cheese, milk and dairy products, buckwheat porridge, chicken meat, eggs, fish dishes.
The diet is aimed at normalizing the work of the intestines and stomach, that is, products that provoke constipation, diarrhea, flatulence are not allowed.
The first time after surgery, doctors prescribe a special diet, allocating such food as: spicy cereal, fat-free broths and soups, mashed potatoes, boiled fish and meat.
It is necessary to exclude from the diet the following food products:
- sweets;
- fruit;
- products from legumes;
- smoked products and spicy food;
- sweet pastries, rye bread;
- fermented milk products, yoghurts.
What should be done for patients who have undergone similar surgery
At the end of the month after surgery, patients usually return to daily activity. But in order to avoid possible troubles in the postoperative period, one should adhere to uncomplicated requirements:
- to observe the regime of physical activity;
- strictly follow the recommendations of doctors;
- adhere to the regime of proper nutrition;
- observe the hygiene of the postoperative suture.
With the proper implementation of these simple recommendations, you will forever get rid of and forget about the illness that has afflicted you, and after a year even the seam will become almost invisible.
A source: https://gryzhalis.ru/paxovaya/reabilitaciya-posle-operacii-u-muzhchin.html
Term of sick leave after surgery
Operative interventions in the human body, except for unquestionable assistance, entail prolonged recovery and the inability to perform any kind of work during the a certain time.
How is the period of stay on the sick leave sheet determined after the operation? Is it possible to extend the hospital after the operation to restore a healthy state? And on what do decisions about the duration of the disability sheet depend on the doctors?
Right to receive a sick leave
Every citizen of the Russian Federation or a resident of the country has the right to receive medical assistance. Workers, in addition to treatment, also receive a sick leave sheet, which allows them to claim for days of incapacity for work.
The hospital sheet, except for financial compensation, provides the patient with a basis for temporary non-attendance of his workplace on legal grounds. For the period of illness the worker retains his position and salary.
The sick leave is an official document that is issued only in those medical institutions that have special accreditation.
For this reason, the disability sheet can be obtained only by visiting a doctor, when calling an ambulance or a doctor at home his discharge is impossible.
A disability sheet is a special document that has a unique barcode and many degrees of protection. This procedure allows you to prevent forging documents.
The legislation of the Russian Federation defines the following grounds for the issue of a sick list:
- Disease or trauma of a working person.
- The disease of a close relative who is a member of the working family if the patient needs care. It is not issued for the period of in-patient treatment of a relative.
- Quarantine measures. Distributed both to the worker himself and to his children under 7 years of age.
Payments of compensation funds for the period of incapacity for work are guaranteed by the state. The following categories of citizens have the right to financial assistance and payment of a sick leave:
- Employed by employment contracts.
- Employees of state and municipal bodies.
- Entrepreneurs conducting individual activities in various business areas.
- Individuals who on a voluntary basis pay insurance premiums.
The factor that unites all categories is the regular payment of insurance contributions to the Social Protection Fund. For employees, monthly deductions are made by employers.
The standard rate of deductions is,% of the accrued amount of wages. If a person works in hazardous and / or harmful work, the amount of contributions increases.
All funds sent to the FSS form a budget, from which compensation amounts are subsequently paid.
FSS pays:
- Days of temporary incapacity for work.
- Decree payments for pregnancy and childbirth.
Maximum duration
Questions relating to the insurance itself and payment of compensation amounts for the period of illness are regulated by Federal Law No. 255 "On Compulsory Social Insurance for Disability".
In particular, it refers to the duration of hospital sheets. The law establishes maximum periods for different cases.
The maximum does not determine the mandatory closure of the hospital after the specified time, but indicates that the patient will have to extend the form in a different way.
The maximal terms indicated in FZ-255 are calculated on the basis of general medical practice and the periods of recovery of patients.
If, for some reason, the patient is not cured during the allotted period, he must undergo additional examinations and members of the medical commission will stipulate a further period of extension and nuances treatment.
The sick leave can be given by the doctor for 15 days, if the paramedic prepares it, the duration is reduced by five days.
Such terms are used for common diseases for which this period is more than enough.
However, there are other diseases or traumas that require significantly more time to restore the body's functions.
On recovery is given:
- Up to 15 days for colds, such as ARVI, tonsillitis, flu.
- Up to 3 weeks with chicken pox.
- 20-28 days, if a concussion occurred.
- With fractures and injuries to recovery. Most fractures of the limbs take up to 2 months, and the spine up to 8 months.
- Oncological diseases are treated before reaching a positive result, but most often they take up to six months.
- Tuberculosis patients may be hospitalized for up to a year.
The recovery period for surgical interventions is determined by the disease that caused the operation and the degree of complications after it was performed.
As can be seen from these figures, the maximum duration of incapacity for work can be considered a period of one year.
If the medical commission determines that the patient does not recover, and his body does not recover, then it is about recognizing his partial or total disability and assigning him a group disability.
Term of hospital for operation
How many days the hospital is given after surgery is determined by the condition of the operation.
The duration of the bulletin during surgery depends on other categories.
If a citizen appeals to the hospital himself with complaints about poor health, the doctor must give him a disability sheet for a maximum of 15 days.
During this period the patient passes the tests and is examined. If the diagnosis is confirmed, he is sent to surgery for surgery.
Finding a person in a hospital can be different in duration. The most common surgical interventions require such a time:
- From 10 to 15 days with the removal of appendicitis.
- When the uterus is removed, the recovery period ranges from 65 to 100 days.
- Up to 55 days is given to those who have a gallbladder.
- 20-28 days are allocated to the cyst.
- The operation to remove the teeth can free from work for a period of three to ten days.
- On abortion is given three, five days.
- Inguinal hernia will require up to six months of rehabilitation.
- Eye operations free a person from labor for up to two months.
- Removal of the fallopian tubes and recovery is given up to 40 days.
- Varicose operative treatment prolongs the sick-list for a month.
- On the spine, the intervention will require at least two months.
- Surgery for the heart and recovery lasts up to 70 days.
The period of recovery directly depends on the type of surgical intervention. They are divided into two types:
- Laparotomy, in which external and internal cavities undergo cuts. This type of surgery is extremely difficult and requires more time to heal the incisions and restore the body.
- Laparoscopy is less traumatic, it does not require incisions, but is produced with the help of small punctures of external and internal tissues. This method of surgery allows less damage to the body and healing wounds much faster.
The final duration of the sick leave sheet after the operation is determined by the attending physician and, if necessary, by the medical commission.
Possibility of extension
For how many days are given the sick leave depends on the individual indications of the organism and the complexity of the operation performed. Is it possible to extend it after discharge from a hospital? Let's see what the law says about this.
As a rule, the operated patient is kept in a hospital bed strictly time, then he is discharged home for healing and recovery.
After the patient is released home with the condition of further treatment at home after him an observation is established, that is, the operated person is obliged to visit the doctor on specified days for examination, bandages, etc.
With the continuation of treatment issued in surgery, it closes, and a new form is opened in the clinic.
But it can also happen that a person was discharged without the need for healing and rehabilitation, and he does not feel very well and wants to extend the sick leave. In both cases, an extension is possible.
To increase the duration of the sick leave after the operation, the patient will need to consult a medical commission.
Commission structure without the presence of the patient, guided by his medical history and results postoperative examination, decide on the need to increase the duration of the standard term hospital.
For the entire period of the extension, the attendance of the attending physician is fixed at intervals of at least 1 time every 15 days.
If the patient's condition is recognized as chronic, and full recovery is not possible, he is referred to the Ministry of Health, where it is about recognizing a disability.
The amount of payment for sick leave
Regardless of the length of the disability sheet, the employer must pay it. The sick leave sheet must be properly issued, and in case of prolongation, have the signatures of the representatives of the medical commission about the legality of the increase in duration.
The sick leave is paid for during surgery as follows:
- The first three days of the open form are paid off at the expense of the employer's own funds.
- The next days are compensated from the social protection fund of the population.
Despite the division of the payment of the receipt of the document and the full accrual on it, it is the employer who produces it.
The amount of compensation for sick days depends on three indicators:
- Duration of the sick-list.
- Average daily income of the employee.
- Duration of individual insurance experience.
The percentage of compensation depends on the number of accumulated years of service, during which insurance contributions were paid.
Three percent payment levels are accepted:
- 60% if accumulated less than five years of insurance experience.
- 80% if you have an experience of five to eight years.
- 100% if worked for more than eight years.
Calculation of the average daily income indicator of the operated is carried out for the last 24 months.
For this purpose, salaries are paid for two years and are divided by the average number of calendar days for this period.
To get the total amount, the average salary figure for a day is multiplied by the number of sick days and by the assigned percentage. 13% of personal income tax is deducted from the accrued compensation. The net amount is transferred to the employee on the settlement account.
A source: http://ZnatokTruda.ru/bolnichnyj-list/srok-posle-operacii/