MOS (Major Outpatient Surgery)

It's a kind of surgery with no admission that allows practice some surgical operations fully guaranteed but without the inconveniences of hospital admission.

This kind of assistance is highly positive for the patient, as it means a minor emotional impact of the operation in diminishing the time of separation from relatives and normal life, as well as stress and alterations a hospital admission provokes.

Another factor to take into account is decreasing of nosocomial infections not being obliged to be in contact with the hospital.

The surgical intervention may be carried out under local, regional or general surgery in a comfortable environment and with highly-qualified staff who will execute all necessary control and attention for the good evolution of treatment.

At the time of leaving the hospital the patient and his relatives are explained what recommendations are needed for immediate postoperation and until then next visit with the doctor.

This information is gathered by means of an information sheet handed over with a phone number to call in case of any questions. The following day, a control call is made to the patient.

Structural Model of the surgical area

It is a compact and functional area, with good access both for user and relatives and also for health staff working there. Having a semicircular structure, it saves on time in travels and shifts.

It is formed by:

  • Two 30m2 operation rooms, each fully equipped to do outpatient major surgery.
  •  A recovery anesthesia area with four beds.
  • Four boxes of postoperation recovery, where the user may be accompanied by a relative until the moment of discharge.
  • A central of sterilization, which manages tools both from the surgical block and the rest of the center. In This central area a clear distinction is made between the dirty area or where materials are cleaned and the clean area or sterilization and keeping of sterile stuff.
  • An area destined for warehouse of all the stuff to clean surgical areas, with one void, for evacuation of organic liquids.
  • A vestroom for staff male and female.

Activity of MOS

The activity is aimed basically at processes that require not intensive short postoperation attention, so that it is not necessary hospital admission and patients may discharge in a few hours after surgery and go home. As services we count on the following specialties and main procedures:

Digestive and General Surgery

  • Mammary biopsies
  • Excision- biopsy of adenopathies
  • Procedures of proctology (hemorrhoids)
  • Pilonidal Sinus 
  • Ruptures (ingunal, crural, umbilical, epigastric)
  • Eventrations
  • Diagnostic laparoscopy
  • Maxillofacial surgery
  • Cordal included
  • Implantology

Aesthetic, Plastic, Repairing Surgery

  • Blefaroplastic 
  • Otoplastic
  • Liposuctions 
  • Dermolipectomies 
  • Laser treatments 
  • Cantorraphies

Vascular Surgery 

  • Varicose veins 
  • Chiva technique

Dermatology

  • Nevus
  • Stains on skin
  • Little cysts or tumorations 

Ginecology 

  • Legrats
  • Diagnostic and Surgical Hysteroscopies
  • Tube sterilization
  • Urinary incontinence surgery
  • Benign nodules and biopsies
  • Perineal cysts and nodules (bartholines, folliculitis)
  • Cervical conization

Ophthalmology 

  • Cataracts 
  • Retina surgery 
  • Eyelid surgery

Otorhinolaryngology

  • Adenodectomy
  • Septoplastics 
  • Microsurgery of Laringe
  • Nasal polyps 
  • Outer and middle ear surgery

Pediatrics surgery

  • Hernias 
  • Fimosis
  • Excisions in skin injuries 
  •  Fraenum

Traumatology and Orthopedics

  • Withdrawal of ostheosynthesis material
  • Knee artroscopy
  • Pathology of wrist
  • Epicondilitis
  • Clustered fingers
  • Wrist node
  • Quervain sinovitis
  • Dupuytren
  • Carpian's channel
  • Finger wrench
  • Calcaneal spurs
  • Neuroma of Morton
  • Plantar Fasciectomy

Urology

  • Circumcision
  • Vasectomy
  • Condilome excisions.
  • Diagnostic cystoscopy.
  • Penis diagnostic excisions.
  • Varicocele 
  • Fraenum surgery.

Pain Clinics

  • Paravertebral Blockage
  • Peridural Blockage

Patient selection

It is carried out according to these criteria:

a) Surgical. Defined by surgeon.

  • Interventions with no need of complex preoperatory. 
  • No need of postoperatory intravenous therapy.
  • Processes that imply no big loss of anatomic, blood volume or too long (no more than 90 mins)

b) Anaesthetic. Defined by anaesthesiologist. 

  • Classification of physical condition according to ASA (accepted patients within ASA I and II. ASA III is cautiously valued). 
  • Technique and time of foreseen anaesthesia (procedures lasting less than 90 minutes, with a postanaesthesia recovery not longer than 5 hours)
  • Associated pathologies 

c) Characteristics of patient. Defined by own patient in the interview with surgical team.

  • Voluntary participation in MOS program. 
  • Cooperating and able to understand oral and written orders. 
  • Capacity to assume operation inconveniences at home. 
  • Age. (More important biological than cronological).

d) Social condition

  • It is essential that a responsible adult may take care of the patient at least the first 24 hours.
  • Home must be well communicated with the center or hospital. 
  • Availability of own transportation.
  • Suitable lodging. (Access, phone, basic conditions of hygiene and capability)

Major Oupatient Surgery (MOS) require, at any case, equipment and technology most modern resources that have been well defined and consented in all aspect and regulated by a rule our center utterly fulfills.