How many days does sick leave last after abdominal surgery? Time after brain shunt surgery. When are sutures usually removed?

Recovery from an injury inevitably takes certain period time. If a similar situation occurs with an employee who is officially employed, then sick leave will be paid. In this case, the sheet for recovery after surgical care paid for by the employer and the social insurance fund. The first three days of being at home due to disability are paid from the organization’s money, and the next - from the Social Insurance Fund.

Registration of sick leave after surgery

Any surgical intervention undergone involves a recovery period. Its duration depends on the complexity of the operation and the characteristics of the worker’s body. Accordingly, the period during which the employee will be on sick leave does not directly depend on him. The employee is obliged to draw up the appropriate sheet of hospital stay and present it to the employer. These documents are prepared by a doctor. Then they are issued to the employee for transfer to the employer. The paperwork is completed without the participation of the employee and is regulated by the norms of departmental orders of the Ministry of Health.

How to get sick leave after surgery

The time it takes to recover can be divided into two different periods:

• Being treated in a hospital setting. The duration is determined by the doctor, based on the complexity of the employee’s condition. He will remain in hospital for as long as necessary for recovery;
• Ambulatory treatment. The duration of this form of treatment also depends on the doctor. However, the duration of outpatient treatment is limited by the standards of the Ministry of Health and cannot be extended indefinitely.

The times shown may vary greatly. In this case, the operation and the period of time for recovery are included in the general sick leave and are subject to payment. Get required document You can see a doctor. Moreover, issuing a sheet after surgical intervention- not a right, but a duty of a physician. Therefore, the document is drawn up and issued in all cases of operations. The patient just has to receive it.

How many days of sick leave are given after surgery?

• Hospital treatment. It may take the time necessary for the patient to recover relatively. The number of days is not limited. The duration of recovery may take several weeks or several months - it does not matter. All this will be paid for by the Social Insurance Fund, no matter what the duration;
• Home treatment takes no more than 10 days. The indicated length of days can be increased by a doctor for another month. This is possible at the sole discretion of the doctor. If this period turns out to be insufficient, the sheet can be extended for another 10 days. But this requires a decision from the medical commission.

The employer is obliged to pay for the employee's incapacity for work.

How is sick leave paid after surgery?

Temporary disability certificate after medical intervention is paid for standard conditions. Employees receive compensation based on length of service. If the duration of the insurance period does not exceed 6 years, then no more than 60% of average earnings are reimbursed. When an employee has worked for more than 5 years, but less than 8, such duration is paid at the rate of 80% of average income. But if the experience is more than 8 years, then treatment is paid at the maximum rate. Sick leave will be reimbursed 100%.

How many days does sick leave last after appendicitis surgery?

Since appendectomy is one of the most simple operations, then the recovery period takes only 3 days. If the intervention caused a prolonged increase in temperature or other consequences, then the time of incapacity may be increased.

Sick leave after abdominal surgery - how many days

Duration is calculated according to standard rule. The hospital stay can take an unlimited amount of time, and the duration of outpatient treatment is 10 days, with the possibility of extension by the doctor and then by the medical commission. It is necessary to understand that abdominal intervention can give rise to a number of complications. And they, in turn, can lead to a long recovery period. Moreover, some professions require good condition workers' health. If the duration of the certificate of incapacity for work exceeds six months, the employer has the right to terminate the contract with payment of compensation.

Law Russian Federation provides provisions that can control the timing of sick leave after surgery. Some regulations are not true. That is, the patient may not fully recover within the time provided by law. In this situation, only doctors will decide whether to extend the patient’s temporary disability document or close it. The employer cannot legally object.

How many days of sick leave are given after surgery?

The law under law number 255 states that the patient is provided with a document of incapacity for work during his stay in the hospital. Only the attending doctor has the right to open it. When a patient is registered at the hospital, a temporary disability document is opened. After discharge it is immediately closed. In the future, the official paper must be sent to the medical institution at the place of residence. They are the ones who are authorized to monitor the patient until complete recovery.

According to the law, after complete discharge from the hospital, the patient can undergo outpatient recovery for 10 days. Thus, the duration of the temporary disability document is 10 days from the date of discharge from medical institution.

For how long is sick leave issued after surgery?

The patient may not have enough time to full recovery. What to do if you want to extend your temporary disability document? Convene a medical commission. It is she who is authorized to resolve such issues. In agreement with other doctors, sick leave can be extended up to 300 days (depending on the patient’s condition). But only if a positive outcome of recovery is predicted.

Has a major surgical operation been performed and the patient needs a long and high-quality recovery? The temporary disability document can be extended for up to 12 months.

How long is sick leave given after surgery?

In any case, only the attending physician is able to determine the period of the official document, which must subsequently be provided to the employer for payment. The doctor can issue a sick leave certificate for up to 30 days. But what to do if there are no complications or any contraindications? In this case, a temporary disability document is provided for one and a half weeks. However, having sent it for consideration by a medical commission, it can be extended, taking into account slow recovery sick.

How many days do you have to stay on sick leave after inguinal hernia surgery?

For an inguinal hernia, such leave can last up to 45 days. However, the patient must comply with all the doctor’s requirements during the discharge period or in the hospital. For example, smoking is contraindicated. As a result, a characteristic and at the same time chronic cough. After the operation, it is this fact that can cause increased internal pressure, as a result of which the sutures rupture. In a month you can return to past life. That is: work, play sports, relax or ride a bike. However, the walls will finally recover only 6 months after the operation.

Please comply with such requirements. Then the recovery period will pass without any complications. Don't think that inguinal hernia may appear again. Does the patient need secondary surgical intervention? The procedure should be carried out no earlier than six months.

After heart surgery

Such an operation is considered a serious intervention in the body of each individual. The patient needs additional care and medical supervision. The recovery process, as a rule, can drag on indefinitely.

It happens that for a patient to recover completely, one surgical intervention on the heart is not enough. However, there may be several of them. It all depends on the skill of the surgeon and a favorable result. It is impossible to say exactly how long you will be on sick leave after heart surgery. IN similar cases the sick leave is drawn up for the time until the patient finally restores his normal life activities.

The timing can be determined by the attending physician himself. He can also ask his colleagues in the departments for advice. But often such a decision on extension is made by a medical commission. This happens after a few months, when the patient does not show any progress in recovery. The patient will be examined by different highly specialized specialists, each of whom will announce such a decision.

The duration of sick leave varies. Often people take such a vacation for only 3 days - this is enough time to cure a cold or food poisoning. But if the illness is really serious, then the period increases. Maximum period if not emergency situations– 15 days, including the day of going to the doctor.

In situations with dangerous viral diseases, as well as with operations after which a long recovery is required, sick leave can be issued for a longer period of time.

The interval is set by the attending physician after examining the patient. But in normal situations (for example, acute respiratory viral infections), you can’t count on more than 15 days. It is clear that in case of complications, sick leave is extended.

How to register at the clinic?

The procedure for renewing a certificate is as follows:

1. When the sick leave ends, we go to the doctor who issued it. It is advisable to do this on the last day of the sick leave, and not when the period has already expired.
2. The doctor conducts an examination and makes a decision based on its results. There can be 2 solutions - either close the sick leave or extend it.
3. If a decision is made to extend, the doctor enters the date until which the sheet is extended in the free field on this form.
4. We inform the employer about the extension of sick leave, if necessary. This is worth doing, because the employer is probably familiar with the deadlines for issuing certificates of incapacity for work, and he will be at a loss if the employee does not show up after a long time.
5. On the day indicated by the doctor as the final day for extending sick leave, we come back to the clinic for another examination. This must be done even if the person is already healthy. In this case, the sheet will be closed, and in case of illness, it will be extended for a short time.

Important! You cannot ignore the extension of sick leave. If a person does not show up for work for 2 weeks, and he only has sick leave for 7 days, then he will be given benefits in 7 days. Moreover, he will get into trouble for not showing up in the second week.

For how long?

At the clinic, sick leave is extended for no more than 3 days. When this period passes, you need to appear at the clinic again and meet with the doctor.

How does the procedure occur after inpatient treatment?

Extending a certificate of incapacity for work after hospital treatment is a common practice.

Before starting hospital treatment, it is difficult to predict how long it will take for rehabilitation. Therefore, the period indicated on the sick leave certificate is often not enough. Then the extension occurs.

Who makes the decision?

At a hospital, compared to a clinic, everything is much more serious. Here Sick leave can be extended only with the permission of the medical commission– the only authorized body in this situation.

The commission reviews the situation and makes a final decision. If a person has not yet recovered, then his sick leave will certainly be extended. But if the dynamics of the disease are frankly bad, then there may be other solutions - for example, assigning a disability group.

How does this work and the procedure for passing a medical commission?

The procedure for extending sick leave is quite simple, because most of the actions are performed by doctors instead of the patient:

1. We receive a certificate of incapacity for work from the hospital. This should be done after the main phase of treatment has been completed and discharge is being considered.
2. We contact the appropriate doctor. It is best if it is the same doctor who issued the sick leave. If he is on a day off or on vacation, we go to someone else. The disease must be within his area of ​​expertise. For example, if you have eye surgery, you need to contact an ophthalmologist. We show this doctor our previous sick leave and talk about the need for rehabilitation.
3. The doctor conducts an examination. If he sees that rehabilitation is really necessary, he appoints a medical commission. Failures occur very rarely and only in exceptional situations.
4. We go through a medical examination. Doctors comprehensively assess a person’s health and see how favorable the prognosis is. Based on the results of the commission, an extension of the previous sheet or a new copy may be issued.
5. We see the doctor once every 14-15 days. This necessary condition when extending sick leave.

Important! If the commission concludes that a person’s health is very bad, then he will be sent for a medical and social examination. This examination considers the issue of assigning a disability group.

Where can a decision be made about longer rehabilitation after hospitalization?

If after treatment in a hospital there is a need for long-term rehabilitation, then the decision to extend the sick leave is made there, at the medical institution. But there are other cases:

For how long is it possible?

The length of sick leave after hospitalization depends on how complex the treatment was. The Ministry of Health does not establish clear periods, but There are approximate frameworks depending on the specific situation:

1. If the disease did not require surgical intervention, then sick leave for rehabilitation is extended for up to 3 months. At serious illnesses the extension period may extend beyond these limits.
2. After surgery, if there is a need for long-term rehabilitation, sick leave can be extended for up to 10 months.
3. After complex operations, the maximum period is 1 year.

Important! This does not mean that a person always receives an extension for such a long period. If there is a positive trend in his illness, and he is already recovering, then the sick leave may well be extended by 1-2 weeks.

Is it possible to ask a therapist to extend the worksheet if you are not sick?

After recovery, many people want to stay at home a little longer. Therefore, they resort to cunning, pretending to be sick. In most cases experienced doctors They immediately see the catch, and the situation takes an unpleasant turn. Oddly enough, this issue is solved much easier.

What should you tell your doctor?

You should not feign illness - it is useless. It is enough just to tell the doctor that you feel a fever in the mornings or evenings.

Even if the doctor does not believe you, he will not be able to refuse to extend the sick leave - this is the recommendation of the Ministry of Health. At the slightest increase in temperature, the Ministry of Health advises taking sick leave so as not to encounter complications and not infect colleagues.

When talking to your therapist, it's worth remembering the following:

Maximum possible period

Citing a “jumping” temperature, a person can count on an extension of sick leave for 3 days. It won’t happen again, and the second time the same request is unlikely to be successful.

Therefore, without having good relations with a therapist healthy man can extend sick leave by only 3 days. This is quite enough to enjoy your vacation or solve problems without being distracted by work.

Conclusion

Extending sick leave is a simple procedure. But it has its own characteristics in the clinic and on inpatient treatment. To achieve an extension of sick leave, you need to remember the circumstances under which the treatment took place and act in accordance with them.

If the symptoms of the disease have already subsided, then the certificate of incapacity for work can still be extended for several days. It would be a trick, but who would refuse it? An additional 3 days of rest is a worthy reward after a successful fight against the disease.

The human body is a perfect thing, similar to a well-functioning, highly intelligent computer mechanism, only better. But its components sometimes “break” and fail. And then the person goes to the doctor. In the most extreme cases, when nothing else (neither pills, nor ointments, nor injections, nor drips) can help, the patient is prescribed surgery. Fortunately, now there is a choice - to do abdominal surgery, with full incisions in the abdominal wall, or minimally invasive - laparoscopy. Moreover, now in most cases both medical specialists and patients themselves make a choice in favor of minimally invasive, endoscopic operations.

Many patients have questions about whether they should be given sick leave after laparoscopy

Although laparoscopy is a minimally invasive (low-traumatic) intervention, it remains an operation, after which it also needs to be treated and recovered, so the patient is also entitled to a certificate of incapacity for work. And laparoscopy gallbladder- not an exception. When the gallbladder is removed, even with the help of a minimally invasive intervention, the patient has every right to receive sick leave. However, many patients still have questions about whether they should be given sick leave after laparoscopy: how long it lasts, how to open and extend it. During laparoscopy of the gallbladder, is sick leave ordinary or some kind of special one? Is this even a reason for not going to work? Which specialists and where will the sick leave be registered and issued to you?

Is it necessary to remove it?

Although laparoscopy is a minimally invasive (low-traumatic) intervention, it remains an operation, after which you also need to undergo treatment and recovery

For many years, the gallbladder was removed in a very traumatic way, after which the peritoneum, organs and tissues next to the removed bladder took a long time to heal. In some cases, both the stitched areas and everything nearby became inflamed - and this meant pain and discomfort. They say that people recovered after removal for three or even four months. And if the patient is already old and things are healing much worse for him than in his youth, of course, this leads to additional problems and increases recovery time significantly.

Perhaps this is why people are still afraid of such an operation on some intuitive level. Even when hearing the words “bile removal,” many of us have unpleasant and even frightening associations. Such as pain, discomfort, a “bloody”, complex operation, large incisions, many stitches, and after all this nothing at all can be done for a long time.

When it comes to removing this organ, many patients try to find out from doctors whether something can be done to leave the bubble, not cut it out, or be cured in other ways, not surgical. Some experts (and there are a lot of such opinions on the Internet; if you enter the corresponding query into a search engine, a million links will pop up for you) say that you can do without surgery and not cut out the bubble. For example, to undergo treatment with some miracle drugs or magic pills. However, other surgeons (and most of them) object: it is very, very risky.

For example, you can “break” the stones or take medications so that they begin to come out. But in this case, no one can predict what size these stones will be or how they will move. And this is pain, to say the least. And at the most, it can lead to completely unpredictable consequences. How many such cases are known when a stone moves and then gets stuck, causing unbearable pain to a person? Such therapy in any case leads to surgery. Only in front of her does the patient still have time to suffer.

Nowadays, the gallbladder is removed using a full-fledged operation only in very difficult cases when minimally invasive endoscopic intervention does not help, or for some reason it is impossible to carry out.

Laparoscopy is mandatory in a hospital setting with all necessary steps, as in abdominal surgery

However, even laparoscopy must be done in a hospital setting with all the necessary steps, as in abdominal surgery. A person enters (goes to bed) in a medical institution, there they take tests from him, thoroughly examine him, and do them again ultrasound diagnostics to make sure that deletion is still necessary. And a person’s sick leave should be opened on the same date when he was admitted to the hospital.

General characteristics of the disease: as a rule, it occurs in older people who have other concomitant diagnoses. The patient begins to experience discomfort, and then unbearable pain in the right side of the abdomen, which then spreads further. It is clear that all this negatively affects the quality of life. This type of intervention must be carried out in the first day after an attack, otherwise everything can develop into something more serious and lead to irreversible consequences.

Removal of the gallbladder using a minimally invasive method (laparoscopy) is done using small punctures on the surface of the abdomen. When removing the gallbladder, surgeons make four (and, if necessary, when the area where the liver was greatly enlarged, five) such punctures - this will be decided by the attending physician based on the general clinical picture. A microvideo camera is inserted into these punctures on the electrode. And through it, a 3D image of what is happening in the room is displayed on the monitor. abdominal cavity patient.

The doctor studies the picture, looks at the degree of damage to the gallbladder, looks at what kind of neoplasms are inside it, and only then finally makes a decision: to remove the bladder or not.

But a sick leave after surgery to remove the gallbladder is given to the patient as if he had undergone a full-fledged surgery.

How long does sick leave last after laparoscopy?

Of course, patients are interested in how long sick leave lasts after gallbladder removal. How many days of sick leave is given after removal of the gallbladder in a particular case is impossible to answer this question unequivocally; everything is decided individually. The length of time you are on sick leave, the length of your sick leave, and the length of your stay in the hospital are determined by more than one circumstance. First of all, of course, how many days of sick leave you will have after the operation depends on how the cut and stitches (internal and external) heal and are restored.

The removal of the gallbladder itself - cholecystectomy - will only take about an hour (sometimes a little more, but two hours, they say, is the maximum). In the average case, several more days after such interventions are spent recovering in the hospital. Leading doctors will watch how the incisions are healing and internal seams. Although already on this day the patient is allowed to get up, and the next day after the operation the person will feel much better.

A sick leave will be issued for the period while a person is in the hospital - undergoing tests before the procedure, preparing for it, and recovering after the operation in a hospital setting.

In total, you will have to stay in the hospital for about seven days, although the period in the hospital can last longer or shorter - everything will depend on the condition of the body after the removal of the organ. Advice: do not rush to run home from the hospital, even if, as they say, you feel better. How long does your sick leave last after gallstone laparoscopy? All these days will only be beneficial. After removal of the gallbladder, they are kept on sick leave no more than required.

• Firstly, the body, even after minimally invasive intervention, can behave completely unpredictably. And at this time it is very important to be under the supervision of experienced and qualified doctors who can help in an emergency.
• Secondly, it is worth understanding that the main thing in this period is diet.

So, immediately after the operation you can’t do anything at all. Then you can start drinking - water, juices, broths, fruit drinks. When the time comes to be discharged, you can switch to normal food. But you need to strictly monitor how it is prepared. Nothing fried. Only boiled and steamed. Approximately the same diet should be followed after the hospital. This may seem unusual to some. On the other hand, this is proper nutrition, which will help not only restore the body, but also reset accumulated overweight, If there are any.

You will be kept on sick leave for about 10 more days after you are discharged from the hospital.

In total, you will have to remain on sick leave for about two weeks after removing the gallbladder using endoscopic technologies. And on average, the length of sick leave after such interventions is 19 days.

As a rule, it is during this time that the patient recovers and can go to work with some dietary restrictions and physical activity. Then the laparoscopy of the gallbladder will be forgotten like a bad dream, and you will calmly take the closed sick leave to your employer, without fear that you will have to take it again.

How to open a sick leave during laparoscopy

Of course, this is not the heart or the lungs; a person can easily live without biliousness. Of course, observing certain rules. The gallstone formation has been removed, sick leave will be given upon admission to the hospital for laparoscopy. Sick leave is issued as follows: when the patient is discharged from the hospital, he is given a sick leave certificate. After this, the patient is placed under outpatient observation in a clinic where he is enrolled under a compulsory health insurance policy, or in a clinic that he has chosen himself. Certificates of incapacity for work, which were issued at the institution where laparoscopy was performed, will be extended and will be issued at the outpatient clinic.

How to extend sick leave when removing the gallbladder

After laparoscopy, complications are sometimes recorded in the form of poor restoration of tissues injured as a result of and after the intervention. And then it is simply necessary to extend the sick leave after removal of the gallbladder.

What problems and troubles may arise after biliary laparoscopy? For example, leakage of bile into the peritoneum. This happens if doctors did something wrong during the intervention, and the section of the bile duct was poorly sutured by the surgeon. This occurs if the patient’s condition after surgery is poor.

In this case, most likely, you will have to do another laparoscopy and sew up the bile duct. Otherwise, everything can develop into a more complex deviation, such as peritonitis. Therefore, it will be necessary to have a cholecystectomy again; it is difficult to say for how many days sick leave is given in this case. They will give you new leaf, preliminary, for the same number of days as before, you will have to stay in the hospital for about a week. And then the doctors will look at the facts and decide whether to keep you in the hospital or discharge you home for further treatment. That is, patients must remain on sick leave until complete recovery, and this usually takes a couple of weeks after laparoscopy.

Be that as it may, it all depends on the complexity of the case, and the supervising physician will make the conclusions regarding the need for extension and the extension period.

From all of the above I would like to draw a conclusion. If the doctor says that you need to have your gallbladder removed, you shouldn’t look for any other ways to get rid of the problem, it’s better to listen to the doctor and undergo laparoscopy. And for how many days sick leave is given or should be given after laparoscopy of the gallbladder, this question in this case should worry you least of all.

Video

Peculiarities recovery period after cholecystectomy.

A sick leave after surgery is a document that can confirm temporary disability to the employer.

Sometimes situations arise in life when some kind of surgical intervention becomes necessary, after which a long recovery period is often required. During this time, people cannot go to work, occupy their positions and fully perform their duties. So that a person does not lose his job and retains his workplace, he is issued a sick leave certificate, which confirms that the patient is in hospital or outpatient treatment. Depending on the severity of the consequences of the surgical intervention, the sheet is issued for different periods. What period of time can a patient expect?

What is an official document

A sick leave certificate, or temporary disability certificate, is an official document issued by a medical institution for a period complete rehabilitation and gives the right not to go to work until full recovery.

Highlight the following types certificate of temporary incapacity for work:

• due to illness or injury;
• after surgery;
• during pregnancy or during childbirth;
• for caring for children;
• caring for relatives who are sick;
• installation of a prosthesis in a hospital setting.

As follows from the order of the Ministry of Health and Social Development of Russia “On the procedure for issuing medical organizations certificates of incapacity for work", the following persons have the right to issue such a document: the attending physicians of a given medical institution who have permission to legally medical practice, paramedics and dentists medical organizations, doctors who are engaged in private practice and are licensed to medical activities, as well as specialized doctors of sanitary and resort institutions.

Ambulance medical staff, blood transfusion institutions, as well as doctors in the emergency department do not have the right to issue an official document on temporary disability.

The duration of sick leave is determined by the patient’s attending physician. As a rule, the period is about 10 days plus the period for which time will be spent traveling home if the hospital is located in another administrative center. You can extend your sick leave after a decision by a medical commission, which is specially selected by a doctor from a medical institution. The medical commission should be composed of doctors who have been trained in the examination of temporary disability.

Sick leave after surgery

After the operation, the patient is in hospital treatment. In such a situation, in accordance with Law No. 252-F3, the sick leave opens on the day of admission and closes on the day of discharge. After the patient is discharged and goes home, he must bring the sick leave certificate to the hospital at his place of residence, where he is observed for some more time. The law allows the extension of hospital stay for another 10 days from the date of discharge from the hospital. It follows from this that the duration of rest after a course of treatment is 10 days.

If the patient suddenly did not have enough time to fully recuperate after undergoing surgery, the law provides for an official extension of the rehabilitation period, but only after the decision of the medical commission.

Such a commission can extend the temporary disability certificate for more than 10 months, but on the condition that there will be positive dynamics in the treatment of the disease.

If a patient has undergone a complex operation in a hospital, the sick leave certificate is extended for one year from the date of discharge from the hospital. In this case, the patient is obliged to visit medical institution, where he underwent surgery, every 15 days for examination by the attending physician of the hospital. In this case, the attending physician is obliged to confirm the need for such a long rehabilitation period.

After complex operations, the patient is often sent to a dispensary for further treatment. In this case, sick leave is given for another 24 days.

There are situations when patients do not experience positive dynamics after a surgical procedure. Then a meeting is possible medical and social examination and assigning a disability group to such a person. This can only happen after 6 months without any positive progress.

All the time that the employee will be undergoing treatment must be paid in accordance with the law. Payments depend on length of service and average earnings of this employee and must be done within 10 days after presentation of the official document.

Thus, we see that all citizens are protected from any unforeseen diseases that may result from the operation. All patients can receive a document that will confirm their legal incapacity for work.