Day Hospital Robotic Hip & Knee Arthroplasty

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In recent years, there has been enormous progress in Hip & Knee Arthroplasty with the development of Minimal Invasive Surgery “MIS” techniques, the introduction of MAKO robotic assistance, and Fast Track Recovery Protocols.

The combination of these three things is the most innovative and innovative in arthroplasty today.

With the Minimally Invasive Techniques no muscles or tendons around the hip are cut, the trauma is minimal and the whole procedure is done through a small incision.

With her help MAKO Robotics, after a personalized plan is made for each patient, the robotic arm executes it with absolute millimeter precision, always under the control of the surgeon.

By using the Fast Track Recovery Protocols, no drains, urinary catheters, or tubes are used, pain and bleeding are minimized, and the patient is encouraged to eat and drink freely and return to their normal habits immediately, as if they had not undergone arthroplasty.

The patient is mobilized 2 to 3 hours postoperatively and can safely be discharged a few hours later, even within the same day, performing Day Hospital Arthroplasty.

Same day discharge

Day Hospital Arthroplasty, is Arthroplasty performed using Fast Track or Enhanced Recovery After Surgery (ERAS) Protocols and the patient is safely discharged in less than 24 hours and in many cases the same day, to continue the recovery in the familiar environment of his home, since his body is able to cope quickly and effectively with the surgical stress and the pain is controlled.

It is the result of teamwork of the surgical team and the anesthesia team, with the nursing team of the operating room, but also with the physical therapists and the other specialty teams, such as pathologists, cardiologists, pulmonologists, and is possible thanks to the combination of three things: Minimally Invasive Techniques, Robotics and Rapid Rehabilitation Protocols Fast track.

In addition to being innovative and revolutionary, it is also particularly relevant in our time, where the least possible hospital stay significantly reduces the risks of both hospital infections and the coronavirus.

Less pain and bleeding

During the surgery, the surgeon with Minimally Invasive techniques, respecting and protecting the soft tissues (Superpath technique or mini posterior approach, Hip or knee robotics), combined with soft tissue infiltration techniques, through special drugs (LIA-Local Infiltration ) and of course the assistance of his anesthesia team, significantly reduces bleeding and postoperative pain. Pain is now treated with simple oral painkillers, without the need for strong opiates or morphine.

The combination of the above techniques finally allows the patient to mobilize just 2 hours after the surgery and to walk, with or without the aid of bacteria. At the same time, many of the possible postoperative complications are reduced, such as respiratory infections, thrombosis, etc.

Faster Recovery

The patient’s recovery, recovery and return to daily activities and previous functionality with Day Hospital Arthroplasty is significantly faster, both for Hip and Knee Arthroplasty. A large number of publications and research in reputable scientific journals have clearly confirmed the superior results and advantages of Fast Track & Enhanced Recovery After Surgery (ERAS) Protocols.

That is why the international trend is to adopt these protocols not only in orthopedics but also in more and more surgeries of various specialties.

Written by:
Konstantinos Sarandos, Orthopedic Surgeon
Scientific Associate HEALTH

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