Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot15610.32687/0869-866X-2019-27-si1-587-593Научная статьяSurgical Short Stay Unit at a Metropolitan Children’s HospitalKorochkinM. V.korochkinm@morozdgkb.ruKravchukS. V.-PoddubnyjG. S.-SumarokovaE. V.-TarusinD. I.-Morozov Moscow Children’s Hospital151220192758759306042021Copyright © 2019,2019Currently, the development of day care hospitals is determined by the need to improve medical, social and economic efficiency of medical institutions, and high demand among population for this type of medical service. Our foreign colleagues’ experiance shows that the volume of planned surgical care in such structural units reaches 80%. The article analyzes the results of the Surgical Short Stay Unit at the Moscow Morozov children’s hospital. From February 2017 to December 2018, 5684 surgical interventions were performed in the Department, 1073 of them were performed via the laparoscopic method in patients with inguinal hernias, varicocele, and non-palpable testicular syndrome. The length of patients’ stay at the hospital averaged 6-8 hours. A unique algorithm of anesthetic support using 2-lumen laryngeal masks without muscle relaxants and narcotic anesthetics was performed. Only 1 patient needed to be transferred to a 24-hour hospital from the Unit. There were no surgical complications. The organization of the short stay unit in Morozov Moscow Children’s Hospital allowed to radically improve the availability of minimally invasive modern medical care for children, to free highly specialized round-the-clock surgical beds, and to increase economic benefits for the medical institution.surgical hospital short-term staychildrenlaparoscopylaryngeal maskхирургический стационар кратковременного пребываниядетилапароскопияларингеальная маска1.Воробьев В. В. Стационарзамещающая медицинская помощь в хирургии. Амбулаторная хирургия. Стационарозамещающие технологии. 2009;(3/4):6-8.2.Criss C. N., Brown J., Gish J. S., Gadepalli S. K., Hirschl R. B. Clinic-day surgery for children: a patient and staff perspective. Pediatr. Surg. Int. 2018 Jul;34(7):755-61. doi: 10.1007/s00383-018-4288-3. Epub 2018 May 28.3.De Luca U., Mangia G., Tesoro S., Martino A., Sammartino M., Calisti A. Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI). Ital. J. Pediatr. 2018 Mar 12;44(1):35. doi: 10.1186/s13052-018-0473-14.Гапиенко Н. В. Совершенствование организации оказания стационарозамещающих видов медицинской помощи в условиях крупного города (на примере г. Новосибирска): Автореф. дис. … канд. мед. наук. Новосибирск; 2012 [Электронный ресурс]. Режим доступа: http://www.dissercat.com5.Rod J., Marret J. B., Ravasse P. Outpatient pediatric urology in France: A still under developed practice. Results of a survey of the French Section of pediatric Urology (SFUP). Prog. Urol. 2015 May;25(6):355-60. doi: 10.1016/j.purol.2015.01.020. Epub 2015 Mar 7.6.Градусов Е. Г., Клименченко Л. М. 100 лет прошло: вопрос - кто же такой амбулаторный хирург - остался. Амбулаторная хирургия. Стационарозамещающие технологии. 2009;(3/4):57-9.7.Natalini G., Lanza G., Rosano A., Dell’Agnolo P., Bernardini A. Standard laryngeal mask airwa and lma-proseal during laparoscopic surger. J. Clin. Anesth. 2003;15:428-32.8.Лазарева Л. А. Научное обоснование деятельности отделения «хирургии одного дня» в многопрофильном лечебном учреждении. Автореф. дисс. … канд. мед. наук. Казань; 2010 [Электронный ресурс]. Режим доступа: http://www.dissercat.com9.Upadhyaya M., Lander A. Day-case surgery in children. Surgery. 2013;31(3):140-4.10.Cheng O., Cheng L., Burjonrappa S., eds. FACS Facilitating factors in same-day discharge after pediatric laparoscopic appendectomy. J. Surg. Res. 2018 Sep;229:145-9.11.Minai F., Shafiq F., Rehman A. Audit of postoperative nausea and vomiting in paediatric day case surgery. J. Pak. Med. Assoc. 2011 Mar;61(3):273-6.12.Letts M., Davidson D., Splinter W., Conway P. Analysis of the efficacy of pediatric day surgery. Can. J. Surg. 2001 Jul;44(3):193-8.13.Segerdahl M., Warrén-Stomberg M., Rawal N., Brattwall M., Jakobsson J. Children in day surgery: clinical practice and routines. The results from a nation-wide survey. Acta Anaesthesiol. Scand. 2008 Jul;52(6):821-8. doi: 10.1111/j.1399-6576.2008.01669.x. Epub 2008 May 21.14.Миронов П. И., Естехин А. М., Мирасов А. А. Анестезиологическое обеспечение лапароскопических операций у детей с использованием ларингеальной маски. Анестезиология и реаниматология. 2013;(1):10-14.