What is special about pain relief after surgery at Vinmec?

This is an automatically translated article.

The article was professionally consulted by Dr. Bui Hanh Tam - Department of Anesthesiology - Vinmec Times City International Hospital.
If you have ever undergone "major surgery" such as a cesarean section, open heart surgery, or cancer surgery, you will fully absorb the feeling of "silent pain" after surgery. However, patients at Vinmec will not face such pain. So what is special about pain relief after surgery in Vinmec?

1. Breakthrough pain relief method in open heart surgery

Open heart surgery is an interventional surgery to solve problems related to the heart, such as mitral valve repair, heart valve replacement, heart valve dilation, biological valve placement, congenital heart surgery...
When During open-heart surgery, the patient is thoracotomy with a longitudinal incision of the sternum or a parathoracic opening along the space between the ribs. To relieve pain after surgery, the usual way is to use high doses of morphine in combination with pain relievers. However, most patients will not be able to get rid of pain completely because these drugs do not block pain transmission from the damaged area through the spinal cord to the pain receptors in the brain. They must continue to endure intense pain from the heart incision, sternotomy, drainage site and high back area. Therefore, choosing a method of pain relief after surgery is extremely important, helping to reduce pain and recover quickly, and at the same time reduce postoperative complications.
At Vinmec Central Park Hospital, a special pain-relieving technique is applied in open heart surgery, which is anesthesia of the spinal erector plane (ESP) under ultrasound guidance. With this technique, the doctor will insert a catheter under the erector muscle next to the spine from the back to inhibit pain signals before it is transmitted to the spine. ESP is a modern, uncomplicated way to relieve pain after surgery, can shorten the time of intensive care, eliminate the risk of postoperative pain and chronic pain for 96% of open heart surgery patients.

2. Say goodbye to pain after caesarean section thanks to special anesthetic technique

The pain after a cesarean delivery is certainly an extremely haunting experience for every pregnant mother. At Vinmec, after the cesarean section, women will be numbed with an ultrasound machine to numb the pain. As a result, all pregnant women who apply this method of postoperative pain relief do not have to use morphine to relieve pain even when exercising and performing tasks such as taking care of the baby, nursing the baby, and cleaning muscles. body.
In fact, when the effect of the anesthetic during surgery diminishes, the doctor will continue to anesthetize the lumbar squamous muscles on both sides. This is a method of regional anesthesia and analgesia, performed by Vinmec Hospital to block the path of pain signals before reaching the spinal cord and brain, thereby avoiding postoperative pain for pregnant women.
In addition, in the field of obstetrics, Vinmec also implements the method of nerve anesthesia after birth with epidural anesthesia.
These methods help women experience the feeling of "painless delivery" especially at Vinmec, whether it's a natural birth or a cesarean section.
Thanks to these pain relief measures after cesarean section, women giving birth at Vinmec can be completely assured of giving birth. Women recover quickly after surgery, bowel movements soon return to work, there is no risk of chronic pain.

3. Quick and painless recovery after cancer surgery

Surgery is the classic treatment for cancer, which aims to remove all abnormal cells. The traditional surgical method to remove the tumor is open surgery, with many disadvantages, including: The patient's condition is not too debilitating, the patient has to endure many invasive surgical movements, and the recovery time prolonged postoperative period. Accompanied by a high likelihood of complications, a certain risk of death on an existing cancer background.
Along with the development of medicine, surgical methods have made many outstanding advances, of which the most advanced today is robotic laparoscopic surgery. Compared with traditional methods, robotic surgery offers many outstanding advantages. In particular, this type of surgery causes less pain due to limited trauma, high aesthetics and reduces the need for pain medication after surgery, while minimizing the length of hospital stay, bringing satisfaction to the patient. sick.
Thanks to the application of robotic surgery technique, combined with the Program to enhance recovery after surgery (ERAS) is a miracle at Vinmec Times City International General Hospital for a colon cancer surgery: People patients after surgery can eat right on the first day after surgery, patients do not need intravenous drugs, do not need fluids, can exercise normally; On the third day after surgery, the patient was discharged home in stable health.
See more: New method "reduces" hospital stay after cancer surgery from 10 to 3 days

4. Program to enhance recovery after surgery

The Enhanced Recovery After Surgery (ERAS) program is a collection of perioperative multimodal care protocols (before, during, and after surgery) to help patients recover quickly and soon after surgery. Patients are consulted specifically about ERAS before surgery, so that they can safely participate in the treatment process and post-operative care with medical staff. Patients are optimized nutrition, are applied anesthetic regimen - analgesia, fast recovery and early mobilization.
To perform ERAS , it is necessary to have the coordination of at least 5 Departments/Departments: Anesthesiology and Resuscitation, Nutrition, Rehabilitation, Surgery and Nursing Care, with the participation of staff abundance of experience. Compared to traditional care, ERAS is unbelievable!
For cancer surgery, patients do not need to fast, do not need to perform enema. During surgery, there is no need for drainage, no need to use morphine to relieve pain. For antibiotics, only a single dose is used, called prophylactic antibiotics. In addition, the doctor will calculate to optimize the infusion to avoid water-electrolyte disturbances.
With "major surgery" such as colectomy, if the patient previously performed the traditional method, he would have to stay in the hospital for at least 7-10 days and the patient must continue to receive daily antibiotic infusions, The drainage system is very complex. With ERAS, it only takes 3 days for the patient to be discharged from the hospital, in good health.

Thus, thanks to the application of the most advanced surgical technique today: Robotic surgery combined with a program to enhance recovery after surgery, Vinmec Times City International Hospital has created a turning point in the surgical industry. surgery department, helping patients with early surgery can be discharged from the hospital and return to a normal life rhythm.

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