Come to us in the Morning, leave for home in the afternoon

Our priority is the least possible burden to, and fear
experienced by, our pediatric patients

Operations are conducted by a team of experienced pediatric surgeons at University Hospital Motol led Doc. MUDr. Vladimir Mixou, Ph.D.

How to setup an appointment?
You can set up an appointment via phone or email +420 725 077 172
Before the surgery, you must visit our clinic for a check-up, where we will assess the problem and suggest therapy and if indicated, plan an operation.
Where do we operate?
Rehabilitační klinika Malvazinky – Operating theatre, go left after entering the building, the operating theatre is at the end of the corridor.
U Malvazinky 5, 150 00 Praha 5

Directions for Public Transport:  Anděl metro station– exit „Na Knížecí“ [Nah Knee-zhet-see], BUS 137 - bus stop „Václavka“ [Waats-love-kah]

It is possible to be operated in the Hořovice hospital
NH Hospital a.s. Nemocnice Hořovice
K Nemocnici 1106, 268 01 Hořovice
When to arrive for the procedure?
On the day of the procedure at 7.45, or 12.30 (according to appointment). The release of the patient after the procedure is planned for 3-6 hours after surgery, this is calculated with an optimal procedure time.
What pre-surgical examinations are needed?
For paediatric patients meeting ASA 1 and 2 criteria (normal healthy subjects and patients with mild disease or chronic disease that does not limit its overall performance) only a basic paediatric examination is compulsory. The following composition is recommended: Family history, personal history, Allergological and gynaecological history, present illness, complicating illnesses and possibly long-term medication. Laboratory tests are performed only if the need emerges from a paediatric examination. The bill of health from the paediatrician is valid for one week. Please bring it with you to the operation. At the time of the procedure, there cannot be an acute infection present!!!
What is the patient allowed to eat and drink?
The last meal is recommended to be no less than 6 hours before procedure (light non-dairy breakfast / snack), it is possible to drink three hours before exercise- bland fluids 2dcl (mineral water, weak tea, juice, water ...). It is absolutely essential to meet these requirements!!

Admission at 7.45 am - last snack at 1.00 pm, last liquid at 6.00 am.
Admission at 12.30 - last meal at 6.00 am, last liquid at 9.00 am.
Admission at 14.00 - last snack at 8.00 pm, last liquid at 11.00.
What should we bring with us?
Documentation: Pre-surgery examination bill of health, signed by a Paediatrician. Anamnestic questionnaire, agreements with the procedure signed by you.

Medication normally taken by the patient

Toiletries: soap + washcloth, comb, towel. Handkerchiefs, slippers. Slippers for the parents too. Infants and young children: baby-milk bottles, diapers. Food and drink only after consultation with the doctor and nurse (according to the dietary regime) - the day of surgery only liquids. The child may have with them on their own responsibility: a book, a magazine, a favourite toy, cell phone, CD, MP3 player, PC - notebook.
What anaesthesia is used?
The anaesthetic procedures used by us conform to current world trends in day surgery – so called „Office based “anaesthesia. Before each surgery, it is required to read and sign the informed consent. An anaesthesiologist will be present to provide personal consultation. We use general anaesthesia with use of modern inhalation aesthetic Sevorane Abbvie. The intravenous cannulisation, which can be uncomfortable for small children, is performed after induction of anaesthesia, so that the children feel nothing. For larger children, introduction into anaesthesia is done intravenously. The management of anaesthesia is usually done via a facemask. Intravenous analgesics completely cover any postoperative pain. It is also possible to induce epidural anaesthesia in addition to general anaesthesia.
What happens after the procedure?
Company of the parents/adults by the child is always possible. After the surgery, the still sleeping patient is relocated to a post-op room, where the anaesthesia wears off in about 2 hours. Here it is necessary to arrange transport home. Transport is ideally carried out by two persons. For 24 hours after surgery, non-stop service and consultation with the operating surgeon is available to you. It is recommended for the patient to stay calm for 36 hours after the operation – no activities requiring concentration, eat only light meals, take plenty of fluids – it is important, especially with teenage patients, for the parents to oversee the compliance with these principles. A check-up following 7-10 days after surgery, via an appointment is required. Here, sutures may be taken out. The patient should not partake in physical activities, sports, heavy work, and bike riding etc., for at least a month after surgery. Always consult your operating surgeon, if in doubt.

Prováděné zákroky

Phimosis is a condition where the foreskin is constricted and can’t be freely pulled over the glans penis. After birth, phimosis is to some extent natural and is present in nearly all boys under 2 years of age.

Procedure: Under general anesthesia, a cut shortens the foreskin, the bleeding is stopped and the resulting wound is sutured with several absorbable sutures.

Alternative therapy: The alternative is greasing of the foreskin with ointments containing corticosteroids (Triamcinolone), this treatment is not always successful. Failure to operate, should the conservative therapy be unsuccessful, is associated with higher risk of urinary tract infections and kidney damage.
One of the most common hernia localization is the area of ​​the navel - umbilical hernia. Hernias can be congenital or acquired. The creation of a Hernia involves the weakening of the abdominal wall and increased intra-abdominal pressure (constipation, frequently crying child, strenuous pushing whilst pooping, etc.). The hernia may not cause any problems, a common symptom is arching out of the skin, sometimes intermittent pain.

Under general anesthesia an incision is performed below the navel. A hole over the hernia is dissected in the abdominal wall and surgically closed. The aim of the procedure is to remove the hernia and strengthen the abdominal wall, in order to prevent possible future complications.
A hernia is a bulging out of the peritoneum wall (the membrane covering the inside of the abdominal cavity) through a weak spot in the abdominal wall. One of the most common sites of hernia is the groin area - inguinal hernia above the inguinal ligament. Hernias can be congenital or acquired, the creation involves the weakening of the abdominal wall and increased intra-abdominal pressure (constipation, frequent crying child, strenuous pushing during pooping, etc.). The hernia may not cause any problems, a common symptom is a bulge, sometimes intermittent pain.

Under general anesthesia an incision in the groin is performed and the hernia sac dissected. The sack of the hernia is then closed in the groin area. The aim is to remove the hernia and to strengthen the abdominal wall at the site of the inguinal canal, which removes and prevents problems resulting in possible complications.

Failure to operate is associated with high risk of entrapment hernia and subsequent damage to the intestines. Another risk is the enlargement of the hernia in adulthood, especially during physical exercise, and pregnancy.
An undescended testicle is a condition in which the testis are retained at some point in their descent from the area of ​​the abdominal cavity. Under general anaesthesia an incision is performed in the groin, the testicle and seminal rope is found. The Testis is pulled through the inguinal canal into the scrotum and is fixated in place with multiple sutures through an incision in the scrotum. Bleeding is stopped and the resulting wound is sutured with several absorbable stitches.