“ We Don’t Amputate!” Peripheral Vascular Intervention treatment, Save diabetic infected legs from amputation.
1% diabetic patients will face amputation, and 30 to 50 percent of amputees may have the other leg amputated within 3 to 5 years. Since the establishment of Peripheral Vascular Center in 2012, peripheral arterial vascular interventional technology has been used in this hospital to help diabetic patients with severe obstruction, limb ischemia and foot ulcers. To date more than 1,700 have been performed for 924 patients with peripheral arterial occlusion to keep 1,210 feet from amputation, achieving the limb salvage rate of 93%, the success rate of 96% with followed long-term treatment and tracking. The Center has published dozens of international SCI papers. In 2012, it was awarded the "Lifetime Health Promotion Award" by the Ministry of Health and won the SNQ National Quality Mark in 2015.
Children’s post void residual urine and bladder void volume adopted as New World Standard
Children’s lower urinary tract dysfunciton (bladder and urethra dysfunction) often cause bed-wetting, urine incontinence, overactive bladder, dysuria, bladder outlet obstruction, urinary tract infection, vesicoureteral reflux and hydronephrosis. Our urology department investigated more than a thousand children’s bladder function and established children’s normal reference value of post void residual urine, and the reference value was adoped by International Children’s Continence Society (ICCS) as a new world standard in 2014. Peak uroflowmetry nomogram, the Tzu Chi Nomogram, is a valuable parameter in defining lower urinary dysfunciton.
Through understanding of lower urinary tract function in children, we teach proper voiding posture, adequate liquid intake, early toilet training, and etc to treat baby urine tract infection/ vesicoureteral reflux. The results show a reduction of 95% surgery for vesicoureteral reflux with 9% recurrence rate of infection, which is much better than the world wide 30% recurrence rate. In 2014 and 2015 our team was awarded National SNQ Quality Mark.
Our teams have excellent experiences in transplantation of heart, liver and kidney (including living donor), cornea and bone marrow. In the heart transplantation, the hospital developed a "Skirt-type apical catheter implantation technique". This techniqie allows the tube to be attached firmly with no serious complications and infection, thus prolonging patient’s waiting period from 30 days to 191 days, whereby the transplantation can be completed smoothly. In addition to extending the patient's waiting time for the heart, it also enhances the quality of life. The hospital used ventricular assist device for 12 heart transplants, 7 patients stayed in regular ward while waiting for the heart and rehabilitation.
Corneal transplantation has advanced from full thickness corneal replacement to only transplanting the diseased layers, thereby significantly improving graft survival and visual outcome. Corneal scars in the more superficial or anterior layers of the cornea can be replaced by anterior lamellar keratoplasty ( deep anterior lamellar keratoplasty, DALK). The posterior layer of the cornea with insufficient endothelial cells can be replaced by endothelial transplantations (descemet's membrane automated keratoplasty, DSAEK).
Artificial ascites combined with high frequency ablation for liver cancer.
Artificial ascites combined with high frequency ablation can effectively treat the liver cancer which is difficult or increasingly risky to ablate. Artificial ascites also serves as a protection which separated tumor and adjacent organs, reduce the risk of thermal injury to adjacent organs. At the same time, through the water medium the ultrasound displays tumor location more clearly such as tumor in dome area and guides the probe into the tumor. This technique is useful for patients of liver tumors less than 5 cm and 3 tumors or less. The wound is very small and the rate of complication was less than 1%. Patient can move around 4 hours after treatment and may be discharged from hospital after 3 days observation.
Pulmonary recovery exercise
Patients with chronic obstructive pulmonary disease often breathe heavily after a simple body movement, seriously affecting the quality of daily life. Based on the integrated exercise cardiopulmonary function test, the team of thoracic medicine in the hospital tailor made exercise prescription for the patient. According to the individual cardiopulmonary capacity and physical fitness, experts will arrange suitable exercise plan to allow the chronic obstructive patients to move around without breathe heavily, a substantial improvement of patient’s life quality.
Joint clinic for children 's growth and development
To improve the growth of school children and to correct the parents’ myth regarding children’s growth. The hospital established a joint clinic for children's growth and development in 2014. It is the first hospital to iincorporate pediatric endocrinology, traditional Chinese medicine and dietitian clinics at the same time, in the same clinic area. For children having growth and development issues with various reasons, we tailor make the most needed growth and development advice and treatment.
Knee Health Promotion Center
The Knee Health Promotion Center was established in 2014. Through detailed physical examination and image supports, each patient is carefully evaluated on the severity of knee condition. Then the most appropriate treatment is given according to different stages of osteoarthritis. Other than providing the updated information on the pathomechanism of osteoarthritis and methods of maintaining healthy knee joints, our team also offers respective physical therapy and training education for every single patient.
Following conservative treatment, different surgical methods may be considered according to the specific condition of each patient. In the early stages of osteoarthritis, arthroscopic cartilage regeneration facilitating procedure (ACRFP) may be performed through minimally invasive method, aiming to recuperate from the symptoms and ameliorate the degenerative process. However, if the patient is assessed to have advanced stage of osteoarthritis, our team is able to provide high standard unicondylar arthroplasty (UKA) or total knee arthroplasty (TKA), which solve the chronic painful problem caused by osteoarthritis of knee joints.