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"title": "Leikkaustasojen hankinta Kanta-H\u00e4meen hyvinvointialueelle",
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"LEIKKAUS- JA TOIMENPIDEYKSIKK\u00d6, H\u00e4meenlinna",
"",
"Leikkaus- ja toimenpideyksikk\u00f6 tuottaa hyvinvointialueen leikkaus- ja anestesiapalveluja 12 erikoisalalla moniammatillisissa tiimeiss\u00e4. Lis\u00e4ksi anestesiapalveluja annetaan sairaalan sis\u00e4ll\u00e4 muille yksik\u00f6ille, kuten t\u00e4hystysyksik\u00f6lle, r\u00f6ntgenille, silm\u00e4tautien yksik\u00f6lle ja psykiatrialle.",
"",
"P\u00e4ivystyspotilaita leikataan 24\/7 ja suunnitellut leikkaukset keskittyv\u00e4t arkip\u00e4iviin. Suunniteltuja leikkauksia tehd\u00e4\u00e4n p\u00e4iv\u00e4kirurgisesti sek\u00e4 lyhytj\u00e4lkihoitoisesti (y\u00f6n yli \u2013toiminta) ett\u00e4 vuodeosastoj\u00e4lkihoitoisesti. Leikkaus- ja toimenpideyksik\u00f6ss\u00e4 tehd\u00e4\u00e4n n. 8500 kirurgista toimenpidett\u00e4 vuodessa ja tavoitteena on nostaa suunniteltujen toimenpiteiden m\u00e4\u00e4r\u00e4\u00e4 kohti uutta Assi-sairaalaa. P\u00e4ivystystoimenpiteiden osuus kaikista leikkauksista on n. 30 %.",
"K\u00e4yt\u00f6ss\u00e4mme on arkisin 12 leikkaussalia, joista kahdessa (2) leikataan p\u00e4ivystysleikkauksia ja kymmeness\u00e4 (10) suunniteltuja leikkauksia. Leikkausten j\u00e4lkeinen seuranta tapahtuu her\u00e4\u00e4m\u00f6tiloissa, joissa on 23 potilaspaikkaa.",
"P\u00e4iv\u00e4kirurgisiin toimenpiteisiin tullaan kotoa ja toimenpiteiden j\u00e4lkeen kotiudutaan saman p\u00e4iv\u00e4n aikana. Tarvittaessa asiakas voi y\u00f6py\u00e4 Y\u00f6n yli -yksik\u00f6ss\u00e4.",
"Osastohoitoa vaativat asiakkaat vastaanotetaan (Leiko) -yksik\u00f6ss\u00e4 ja leikkauksen j\u00e4lkeen asiakkaat j\u00e4\u00e4v\u00e4t seurantaan ja j\u00e4lkihoitoon osastolle ja kotiutuvat kuntonsa mukaan.",
"",
"Leikkaustason vaatimukset leikkaus- ja toimenpideyksikk\u00f6, H\u00e4meenlinna:",
"Naistentautien leikkaukset:",
"\u00b7 laparoskooppiset toimenpiteet, gynen trendelenburg-asento, gynen telineet, leikkausten kesto 1 - 3 tuntia",
"\u00b7 alatieleikkaukset, gyn. asento",
"\u00b7 laparotomiat, saattavat kest\u00e4\u00e4 useita tunteja, patjan ominaisuudet",
"Gastrokirurgia:",
"\u00b7 laparoskooppiset sappileikkaukset, gyn. asento, antitrendelenburg-asento, pitkitt\u00e4is-liu\u2019utus C-kaarella kuvaamisen vuoksi",
"\u00b7 laparoskooppinen fundoplikaatio,j",
"jyrkk\u00e4 antitrendelenburg, jalat gynen telineill\u00e4 - potilaan liukumisen esto",
"\u00b7 linkkuveitsi- vatsa-asento, jossa jalkoja tulee saada loitonnettua tason jalkakappaleilla",
"\u00b7 pitk\u00e4kestoiset leikkaukset sek\u00e4 laparotomia ett\u00e4 laparoskopia, patjan ominaisuudet",
"\u00b7 laparoskooppiset tyr\u00e4leikkaukset, trendelenburg- asento",
"\u00b7 laparotomiat\/-skopiat, leikkaushakalaitteiden (ns. Pirttikoski, Omnitrac, Omnilapo) kiinnitysmahdollisuus my\u00f6s p\u00f6yd\u00e4n p\u00e4\u00e4dyss\u00e4 ",
"(potilaan p\u00e4\u00e4puoli)",
"\u00b7 lihavuuskirurgia, jatkopalan asentamismahdollisuus tason perusosan ja jalkapalojen v\u00e4liin",
"\u00b7 laparoskooppiset suoliresektiot, jyrkk\u00e4 trendelenburg+ sivukallistus, jalkojen loitonnus+ neliosaiset jalkaosat",
"Suu- ja leukakirurgia:",
"\u00b7 kaikissa leikkauksissa tarvitaan kaventuva tason p\u00e4\u00e4ty ja \u201dkalotti- mallista\u201d p\u00e4\u00e4nalusta",
"Plastiikkakirurgia:",
"\u00b7 kielekeleikkaukset, revisiot, linkkuveitsiasento, asentojen vaihto kesken leikkauksen",
"\u00b7 LD- leikkaukset,kylkiasento, yl\u00e4k\u00e4den teline, tason taivuttelu istuvaksi",
"\u00b7 p\u00e4\u00e4n alueen leikkaukset, \u201dkalotti-mallinen\u201d p\u00e4\u00e4nalunen",
"\u00b7 k\u00e4sitelineen p\u00e4\u00e4dyst\u00e4 s\u00e4\u00e4dett\u00e4v\u00e4 k\u00e4siteline (pallonivel)",
"Yleiskirurgia:",
"\u00b7 kapeneva p\u00e4\u00e4tyosa",
"\u00b7 k\u00e4sitelineen p\u00e4\u00e4dyst\u00e4 s\u00e4\u00e4dett\u00e4v\u00e4 k\u00e4siteline (pallonivel)",
"Ortopedia:",
"\u00b7 vetop\u00f6yt\u00e4laitteisto",
"\u00b7 olkataso",
"\u00b7 rtg-negatiiviset jalkaosat tai kuitenkin niin, ett\u00e4 tason jalkaosat ovat kuvausteknisesti toimivat",
"",
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"",
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"- vuonna 2025 hankitaan kolme (3) leikkaustasoa ",
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"",
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"- napsusormileikkaus",
"- rannekanavan ahtauman leikkaus",
"- murtumien tukimateriaalien poistoleikkaus",
"- gynekologiset hysteroskooppiset toimenpiteet ",
"- miesten sterilisaatio ja ymp\u00e4rileikkaus",
"- suonikohjujen vaahdotukset ja laserhoito",
"- silm\u00e4luomien leikkaukset",
"- ihomuutosten poistot",
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"\u00b7 tason tulee olla ohjattavissa sek\u00e4 kiinte\u00e4ll\u00e4 ett\u00e4 kaukos\u00e4\u00e4timell\u00e4.",
"\u00b7 tason tulee olla liikuteltava ja paikalleen lukittava (ei kiinte\u00e4\u00e4 pylv\u00e4st\u00e4)",
"\u00b7 tason tulee kantaa v\u00e4hint\u00e4\u00e4n 225 kg painava potilas \u00e4\u00e4riasennoissa",
"\u00b7 tason patjan tulee olla tarvittaessa vaihdettavissa uuteen",
"\u00b7 tason tulee soveltua toimenpiteisiin, joissa k\u00e4ytet\u00e4\u00e4n l\u00e4pivalaisua ja otetaan rtg-kuvia",
"\u00b7 tason korkein ja matalin asento",
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"\u00b7 selk\u00e4- ja jalkaosan s\u00e4\u00e4d\u00f6t, jalkaosien s\u00e4\u00e4dytt\u00e4v\u00e4 moottorilla erikseen eri tasoille, loitonnusmahdollisuus",
"\u00b7 latausmahdollisuus oltava akun tyhjentyess\u00e4 kesken toimenpiteen (latauspistoke ei saa j\u00e4\u00e4d\u00e4 piiloon tasoa k\u00e4ytett\u00e4ess\u00e4)",
"\u00b7 kaventuva tason p\u00e4\u00e4ty ja \u201dkalotti- mallista\u201d p\u00e4\u00e4nalunen..-\u2192t\u00e4st\u00e4 tarjous",
"\u00b7 gynekologiset hysteroskooppiset paikallispuudustustoimenpiteet, gynen jalkatelineet",
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