•   ACTIVITIES AND SERVICES OF THE DIVISION OF GENERAL SURGERY   •

SEAT

Boscotrecase Hospital. Via Lenze - 80042 Boscotrecase (Naples) - Italy.
Ward and Operating Block: 3° floor.
Centralized Outpatient Clinic: ground floor.

CONTACTS

CHIEF: +390815352963
Medical staff room: +390815352935
Medication room: +390815352934
Outpatient clinic: +390815352869
FAX: +390815352936
Switchboard: +390815352111
Web Site: www.chirurgiaboscotrecase.it
E-Mail: info@chirurgiaboscotrecase.it  -  fiore@chirurgiaboscotrecase.it

*   *   *   *   *   *   *   *   *   *

MEDICAL STAFF

Dr. LORENZO FIORE
Specialist in General Surgery - Specialist in Thoracic Surgery
Chief of the ”Division of General and Emergency Surgery”
Director of the “Oncological” and “Thyroid Surgery Centre”

Dr. LUIGI FORMISANO
Specialist in General Surgery
“Surgical Reception Ward” referent.

Dr. PIERPAOLO PICARELLI
Specialist in General Surgery
“Videolaparoscopic Surgery” referent.

Dr. ADELINA PATRIZIA LAPROVITERA
Specialist in General Surgery
“Senology” referent.

Dr. ROSALIA ANELLO
Specialist in General Surgery
“Endocrine Surgery” referent

Dr. PAOLO D'AURIA
Specialist in General Surgery
“Outpatient Surgery” referent

*   *   *   *   *   *   *   *   *   *

STAFF

Professional Nursing Service:
Raimondo CHIACCHIERA (coordinator)
Anna BALZANO
Pasquale BIANCO
Gerarda BOVE
Principia CATANZARO
Adriano DE SIMONE
Pasquale ESPOSITO
Rosa GRAZIOSO
Rosa MARASSAI
Antonietta PETOLICCHIO
Mario SKRZYDLEWSKI
Annunziata TROIANO

Social-Health Operators:
Felice GARA
Luigi SANNINO

*   *   *   *   *   *   *   *   *   *

CHARACTERISTICS

Currently, with the hospital not yet completed, there are 12 beds available (2 for Day Surgery and One Day Surgery), di-stributed in rooms with two beds with bathroom.
Visit to patients: ore 1,00-3,00 and 6,00-8,00 p.m. - Medical bullettin: ore 1,00-3,00 p.m.

SCHEDULED HOSPITALIZATIONS
From 8,00 to 9,30 a.m. of all working days, upon outpatient visit, reservation and scheduling from the corresponding list (average waiting time of 7 days).

EMERGENCY HOSPITALIZATIONS
Arranged by the Acceptance Service of the Emergency – H24.

GENERAL OUTPATIENT CLINIC
As programmed by C.U.P. (single reservation centre), visits and medications are performed on Tuesdays and Fridays from 11,00 a.m. to 1,00 p.m. at the centralized rooms at the ground floor, with an average waiting time of 5 days; small surgery interventions on Wednesdays from 11,00 a.m. to 1,00 p.m. at ward of the third floor, upon outpatient visit, with an average waiting time of 5 days.

SPECIALIST OUTPATIENT CLINIC, “ONE DAY-SURGERY“ and “DAY SURGERY“
During the working days upon C.U.P. scheduling and indications of the physicians of the different outpatient clinics. The visits are performed at the centralized outpatient clinic at the ground floor and at ward of the third floor of the hospital.

*   *   *   *   *   *   *   *   *   *


QUALI-QUANTITATIVE TYPOLOGY OF THE SURGICAL ACTIVITY

The General Surgery Division of Boscotrecase Hospital is operative and opened since October 2nd 2006, replacing the Division located in the old hospital of Torre Annunziata, definitively no longer used on October 1st 2006.

The slight awarding of no. 12 beds, determined by the structure incompleteness of the new hospital, has been counterbalanced by the activation of alternate therapeutic-diagnostic routes, such as pre-hospitalization and secure discharge which, according to the current regional law, granted a deep reduction of the hospitalization of the diagnostic type and of hospitalization time with a marked reduction of the costs of management and maintenance of qualitative standards of thr services supplied.

Only adopting these measures, considering also the few number of nursing and medical staff, it was possible to overcome all the insurmountable obstacles coming from structural and organizational inappropriateness and to reach the prefixed objectives:

  quantitative and in particular qualittive increasing of the surgical activity and
  reducing of the mobility trend of the patients through other local health companies (ASL) or Regions.

The undoubted improvement of the productivity reached the first year of activity in the Surgery ward was particularly characterized by a remarkable increasing of patients requests concerning "emergency" and "oncology" services and a significant presence of patients coming from other ASLs and even from other Regions.

Furthermore, this confirmed the validity of developed project objectives (Oncological Surgery, Endocrine, Videolaparoscopy, Senology and Phlebology), leading to optimize these sectors with the empowering of "Emergency Surgery" and the activation of the "Oncological Surgery Centre" and of the "Thyroid Surgery Centre", besides carrying out all the common specialist performance of the General Surgery.

The comparing analysis of the surgical activity of the first year highlights a remarkable increase compared to the activity of 2004, 2005 and of the first 9 months of 2006 at Torre Annunziata hospital:

Percentage Increase:
( total of interventions )
( in  admission )
( in  emergency )
•  compared to 2004
+      9,13 %
+    21,86 %
+    50,84 %
•  compared to 2005
+  128,67 %
+    51,11 %
+    39,06 %
•  compared to 2006
+  303,31 %
+  136,11 %
+    78,00 %

Interventions performed from 05/10/2006 to 05/10/2007 in admission regime involved General Surgery, as well as other sectors concerning the presented project objectives:

          •  Emergency Surgery
          •  Oncological Surgery  
(for neoplasia of PANCREAS, THYROID, KIDNEY, BREAST, STOMACH, JEJUNUM, ILEUM, COLON, RECTUM,
             SPLEEN and RETROPERITONEUM)
          •  Endocrine Surgery
          •  Video-Laparoscopic Surgery
          •  Senology
          •  Phlebology

For all interventions performed:
          •  Surgical complications     0,58 %
             
(n° 2 reinterventions)
          •  Death     0,00 %

In conclusion, the capacity of optimizing competence and professionalism of the limited human resources aided in reaching important goals, such as:

•  the remarkable increase of the surgical activity in the first year compared to the three-year period 2004-2006;
•  the empowering of Emergency Surgery and the activation of the centres of Oncological Surgery and Thyroid Surgery;
•  the flexion and, sometimes, the inversion of the mobility trend of the patients through other ASLs, in particular for endocrine and oncologic pathologies;
•  the significant widening of the audience;
•  the more and more systematic use of pre-hospitalization which, according to the regional law and through the use of alternate routes, allowed a remarkable reduction of diagnostic hospitalizations and a reduction of hospitalization time with the cutting of the expenses
;
•  the operational efficiency of the ward thanks to the reduction of the costs of management and maintenance of qualitative standards of the services supplied
.



*   *   *   *   *   *   *   *   *   *



www.chirurgiaboscotrecase.it