Department of Surgery

Diagnostics

The Department of Surgery provides comprehensive clinical diagnostics for diseases of the abdominal organs, thyroid gland, and mammary gland – including core-cut biopsy and preoperative identification of non-palpable breast lesions. Endoscopic diagnostics for acute upper gastrointestinal bleeding, as well as benign and malignant diseases of the digestive tract. Ultrasonographic diagnostics for diseases of the abdominal organs and thyroid gland. Laparoscopic diagnostics for acute abdominal conditions. Diagnostics of congenital developmental defects in children. The Department of Surgery works in close cooperation with the Gastroenterology Department of the Nitra University Hospital.

Advanced Diagnostics

Instrumental examinations: endoanal transrectal ultrasonography, pudendal nerve terminal motor latency (PNTML), concentric needle electromyography, colonic transit time, electrostimulation of the sphincters and puborectalis loop, implantation of ports for locoregional application of cytostatics, rectal electrosensitivity testing, evacuation defecography, anal and rectal manometry.

Scope of Treatment Options

In addition to the scope of general surgery, we provide care and a spectrum of surgical procedures within specialized sub-disciplines of surgery.

Surgical treatment of acute abdominal conditions. Comprehensive treatment of malignant and benign diseases of the stomach, pancreas, gallbladder, bile ducts, liver, intestines, rectum, thyroid gland, and parathyroid glands. Surgical treatment of malignant and benign tumors of the mammary gland, including non-palpable breast lesions. Minimally invasive laparoscopic surgeries for gallbladder diseases, hernias, achalasia, large hiatal hernias, GERD, laparoscopic distal pancreatic resections, laparoscopic splenectomies, laparoscopic liver resections, laparoscopic resections of gastric GIST tumors, laparoscopic surgeries for distal esophageal diverticula, laparoscopic adrenal surgeries, colon tumors, thoracoscopic sympathectomies, and treatment of pneumothorax. Selected surgical procedures are also performed as part of day surgery.

Outpatient Section

The outpatient section is located on the ground floor of the surgical pavilion. It consists of a general/admission surgical clinic and specialized clinics: a chronic wound clinic, a breast disease clinic, and colorectal, hepatobiliary, pediatric surgical, endocrine surgical, and stoma counseling clinics. The outpatient section is equipped with modern diagnostic devices that allow for abdominal, endoanal, and transrectal ultrasonography, as well as sonographic examination of the mammary gland and thyroid gland. In the day surgery outpatient section, we perform the removal of skin lesions, atheromas, and fatty tumors. A detailed schedule of individual clinics with office hours can be found in the clinics section.

Inpatient Section

Located on the 3rd floor of the surgical pavilion. It is divided into 2 sections – men and women, with a separate children’s room. There are 50 standard beds available in 16 triple rooms with private sanitary facilities and one double room with private sanitary facilities. The inpatient section of the surgical department has 5 single premium rooms with private sanitary facilities. This type of premium room is provided for a surcharge of €30 per night. In addition, the surgical department has 2 double premium rooms with private sanitary facilities, where the charge is €20 per night. Due to the occupancy of these rooms, it is necessary to request a bed when booking the surgical procedure. Please address your request to the booking physician or contact the inpatient departments directly at the following phone numbers: surgery men 037/6545601, surgery women 037/6545605. The surgical department also includes an ICU (intensive care unit), which provides care for patients across 9 beds. It is located on the 1st floor of the surgical disciplines pavilion and is equipped with comprehensive modern monitoring and bedside technology.

Dear patients:

we have prepared a simple guide with the information necessary for your preparation and stay in our hospital. It contains all the information you need to know before and during hospitalization in our hospital. It also includes several basic recommendations to facilitate your discharge to home care. We believe that through good cooperation, we will improve the healthcare outcomes you expect from us.

Why do we do this?

We do it for your safety, the success of the surgery, and faster recovery. We have prepared a simple list of activities that will need to be performed before the surgery.

Questionnaire:

We would be grateful if you could express your satisfaction or dissatisfaction through an anonymous questionnaire. Rate what you liked or disliked, or suggest what you expect from us and how we can improve. The survey form will be given to you by a nurse, and upon departure, you can drop it into a visibly marked box.

Premium Rooms:

If you are interested in hospitalization in a premium room, please arrange the details during your visit to our clinic or by telephone at the inpatient departments:

Surgery Men: 037/6545601

Surgery Women: 037/6545605

Planned Hospitalization:

Dear patients, thank you for placing your trust in us and choosing to undergo hospitalization and surgery at our department. Our goal is to provide you with high-quality specialized healthcare and ensure the successful course of your surgical procedure and hospitalization.

During the examination at the clinic and when booking your admission, please provide the nurse with the correct telephone number where we can inform you at any time about a change in the date of the planned procedure, which is closely related to the capacity of our facility. Through correct and reliable communication, we can prevent problems and misunderstandings.

Dear patients, please read the following instructions carefully and completely:

Report on the designated day and hour to the surgical admission clinic, room no. 170.

1. On the morning of the procedure, do not take medications that affect blood clotting!
2. If you take Anopyrin, Acylpyrin, Clopidogrel, Plavix, Ticlid, Ipaton, or Trombex, do not take them on the morning before the procedure!
3. If you apply Fraxiparine, Fragmin, or Clexane, do not administer the dose on the day of the procedure!
4. Bring your insurance card and the outpatient report with the booking date with you!

In the event that you cannot attend the procedure on the agreed date, please announce this as soon as possible at tel. no. 037/6545301.

Dear patients,thank you for placing your trust in us and choosing our healthcare facility.

We look forward to seeing you

Before starting a planned procedure under general anesthesia, you must undergo the required preoperative examinations, about which the doctor at the clinic will inform you.

1. Internal preoperative examination –clinic on the ground floor of the Medical Pavilion ((037/6545 922). Please book an appointment immediately after being assigned a date for the surgical procedure.

As part of the internal preoperative examination, a blood sample will be taken:

1. Hematological examinations: FW, CBC + diff., Quick, INR, APTT, Blood group + Rh factor,

2. Biochemical examinations: glucose, urea, creatinine, minerals (K, Na, Cl), total bilirubin, AST, ALT, GMT, cholesterol, triglycerides, urine biochem. + sediment, serological examinations: BWR, HIV, HbsAg, anti-HCV

3. Chest X-ray, ECG recording

2. Anesthesiological examination –clinic on the ground floor of the GUP ((037/6545 309); bring the report and results of the internal preoperative examination to the appointment. All examinations are considered valid for 14 days. BWR, HIV, HbsAg, and anti-HCV examinations are valid for 2 months.

3. On the morning of the procedure, do not take medications that affect blood clotting!The date for discontinuing blood-thinning treatment depends on its type. In certain situations, the following recommendation may not apply. If you are taking antiplatelet therapy (e.g., Anopyrin, Plavix, Trombex, Zyllt, Ticlopidin, Brilique, Vessel due, Clopidogrel), discontinue it 7 days before surgery. If you take Warfarin, discontinue it 5 days before surgery. If you take Pradaxa, Xarelto, or Eliquis, discontinue them 5-6 days before surgery. As a replacement for the discontinued medications, you will apply low-molecular-weight heparin (e.g., Fraxiparine, Clexane, Fragmin) in the form of “subcutaneous” injections. The dose and timing of the first injection will be determined by the physician (GP, internist, cardiologist, or surgeon) who will also prescribe them for you.

4. If you take Anopyrin, Acylpyrin, Clopidogrel, Plavix, Ticlid, Ipaton, or Trombex, do not take them on the morning before the procedure!

5. If you apply Fraxiparine, Fragmin, or Clexane, do not administer the dose on the day of the procedure!

6. Bring your insurance card and the outpatient report with the booking date with you!

7. No later than 2 days before admission for the planned surgical procedure, confirm by telephone at the number:(037/ 6545 301 Monday-Friday from 7:00-15:00)

On the day of admissionfor the planned surgical procedure, report to the surgical clinic, door number 175, by 7:30 AM. The booking form and results of all preoperative examinations should be handed over to the nurse in the surgical clinic upon admission for hospitalization.

In case of objective reasons that prevent you from attending the planned procedure, please announce this at the telephone number 037/6545 301. This will allow other patients to undergo treatment at our department. Thank you for your understanding.

What to bring with me for hospitalization:

1. Health insurance card
2. ID card
3. Extract from medical records (or copies of examinations necessary for your hospitalization)
4. Results of imaging and other examinations related to your disease (CT, MRI, ultrasound, GFS, colonoscopy, histological, endocrinological, diabetological examinations, CD carrier), or examinations requested during your visit to the clinic.
5. Results of internal and anesthesiological examinations
6. Certificate of temporary incapacity for work (if you need an Electronic Incapacity for Work – “ePN” issued during hospitalization, notify your attending physician upon admission to the department).
7. Bring medications you take regularly in their original packaging, not in a dispenser. If there are several, prepare a written list and dosage.
8. Compression stockings or elastic bandages (the doctor in the surgical admission clinic will prescribe them for you when booking the surgical procedure)
9. Hygiene supplies: towel, soap, toothbrush, toothpaste, comb, shampoo, shaving supplies.
10. Valuables, jewelry, and cigarettes are not suitable for the department; please, if possible, do not bring large amounts of cash for hospitalization. If you are paying for a premium room, it is possible to pay by credit card or cash at the cash desk in the Nitra University Hospital management building.
11. We recommend that you arrange transport to and from the hospital; if this is not possible for objective reasons, we will arrange a transport service for your journey home.
12. A strict ban on smoking and the consumption of alcoholic beverages applies during your stay at the surgical department.

Before starting a planned procedure under general anesthesia, you must undergo the required preoperative examinations, about which the doctor at the clinic will inform you.

1. Pediatric preoperative examination – performed by the district pediatrician or a pediatrician at the Nitra University Hospital pediatric clinic.

As part of the preoperative examination, they will perform:

• Hemocoagulation examinations: FW, CBC + diff., Quick, INR, APTT,
• biochemical examinations: glucose, urea, creatinine, minerals /Na, K, Cl/, AST, ALT, GMT, urine biochem. + sediment, anti-HCV
• Chest X-ray

2.Anesthesiological examination– clinic on the ground floor of the Gynecology-Urology Pavilion – GUP (037/6545 309); bring the report and results of the pediatric preoperative examination to the appointment.

3. You will fill out a pediatric anesthesiological questionnaire

All examinations are considered valid for 14 days.

On the day of admission for the planned surgical procedure, report to the surgical clinic, door no. 175, by 7:30 AM. The booking form, results of all preoperative examinations, and the pediatric anesthesiological questionnaireshould be handed over to the nurse in the surgical clinic upon admission for hospitalization. No later than 2 days before admission, confirm the hospitalization by telephone at the number: (037/ 6545 301), otherwise we cannot guarantee that you will be admitted to the department. Call Monday-Friday 7:00-15:00.

Bring the child’s insurance card and the outpatient report with the booking date with you!

In case of objective reasons that prevent you from attending the planned procedure, please announce this at the telephone number 037/6545 301. This will allow other patients to undergo treatment at our department. Thank you for your understanding.

What to bring with me for hospitalization:

1. Health insurance card
2. ID card
3. Extract from medical records (or copies of examinations necessary for your hospitalization)
4. Results of imaging and other examinations related to your disease (CT, MRI, ultrasound, GFS, colonoscopy, histological, endocrinological, diabetological examinations, CD carrier), or examinations requested during your visit to the clinic.
5. Results of pediatric preoperative and anesthesiological examinations
6. The child’s favorite toy
7. For the parent:Certificate of temporary incapacity for work (if you need an Electronic Incapacity for Work – “ePN” issued during hospitalization, notify your attending physician upon admission to the department).
8. Bring medications the child takes regularly in their original packaging, not in a dispenser. If there are several, prepare a written list and dosage.
9. Compression stockings or elastic bandages (the doctor in the surgical admission clinic will prescribe them for you when booking the surgical procedure)
10. Hygiene supplies: towel, soap, toothbrush, toothpaste, comb, shampoo, shaving supplies.
11. Valuables, jewelry, and cigarettes are not suitable for the department; please, if possible, do not bring large amounts of cash for hospitalization. If you are paying for a premium room, it is possible to pay by credit card or cash at the cash desk in the Nitra University Hospital management building.
12. We recommend that you arrange transport to and from the hospital; if this is not possible for objective reasons, we will arrange an ambulance for your journey home.

13. A strict ban on smoking and the consumption of alcoholic beverages applies during your stay at the surgical department.

Before a planned surgical procedure, home shaving at the site of the expected surgical wound is prohibited!!

Sipping:

For some oncological diseases, sipping will be recommended – nutritional support to improve physical condition in the form of so-called “drinks”. A prescription can be issued by a GP, oncologist, surgeon, gastroenterologist, or diabetologist.

Diet:

If your admission is scheduled before 9:00 AM, we will prepare lunch as your first meal; if after 9:00 AM, we will provide dinner as your first meal. Hospital food is part of the treatment process. Depending on the type of your disease, one of 40 diets will be prescribed. It is tailored for you and may differ from your eating habits. You will also find two buffets in our hospital, but it is important that you follow your dietary restrictions if they are specified for you.

End of Hospitalization:

Your attending physician will inform you about the end of hospitalization one day in advance. It is necessary for you to arrange transport home in time. If this is not possible for objective reasons, we will arrange transport via a transport service. Upon discharge from the hospital, you will receive a medical and nursing discharge report and other documents you brought with you. The attending physician will provide you with information on the subsequent procedure for providing healthcare.

You will undergo the first postoperative check-up with the doctor who operated on you. Any doubts regarding the course of treatment during hospitalization at the surgical department can be consulted with the Head of the Department or the Chief Physician of the Department of Surgery at the Nitra University Hospital.

Before a planned surgical procedure, home shaving at the site of the expected surgical wound is prohibited!!

Diet:

If your admission with the child is scheduled before 9:00 AM, we will prepare lunch as the first meal; if after 9:00 AM, we will provide dinner as the first meal. Hospital food is part of the treatment process. Depending on the type of the child’s disease, one of 40 diets will be prescribed. It is tailored for them and may differ from their eating habits. As a parent, you have the option to use meals from our hospital kitchen; if you use this option, you will be charged a fee according to the current Nitra University Hospital price list. You will also find two buffets in our hospital, but it is important that the child follows dietary restrictions if they are specified for them.

End of Hospitalization:

Your attending physician will inform you about the end of hospitalization one day in advance. It is necessary for you to arrange transport home in time. If this is not possible for objective reasons, we will arrange transport via a transport service. Upon discharge from the hospital, you will receive a medical and nursing discharge report and other documents you brought with you. The attending physician will provide you with information on the subsequent procedure for providing healthcare.

You will undergo the first postoperative check-up with the child with the doctor who operated on you. Any doubts regarding the course of treatment during hospitalization at the surgical department can be consulted with the Head of the Department or the Chief Physician of the Department of Surgery at the Nitra University Hospital.

Please do not enter the inpatient department arbitrarily. Before entering the department, report to the staff on duty. Please observe visiting hours and respect the instructions of the staff. Consider visiting your loved one in the hospital if you are not healthy.

You can visit your loved ones during:

Department of Surgery standard wards men + women:

Monday – Friday from 3:00 PM – 5:00 PM

Saturday – Sunday from 2:00 PM – 4:00 PM

Department of Surgery ICU:

Monday – Sunday from 3:30 PM – 4:30 PM

Individual visits outside visiting hours are possible after consultation with the Head of the Department, the Chief Physician, or the attending physician.

Providing Information

Although your being informed is important to us, the primary concern is the patient’s health care; therefore, we would like to provide you with several recommendations:

• Information about the patient’s health status will be provided by the attending physician at a time that please arrange in advance.
• If there are several relatives, please choose one responsible person to communicate about the patient’s health status.
• Information about the diagnostic and therapeutic course of the patient’s treatment can be obtained from the attending physician.
• Information about the nursing care provided can be obtained from the nurse on duty.

• Data on the patient’s health status and personal data are not provided by telephone in accordance with valid legislation.

Surgery Guide

The area code before the extension is 037 / 6545 + extension