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Cardiac Catheterization

What is cardiac catheterization?

In cardiac catheterization (often called cardiac cath), your doctor puts a very small, flexible, hollow tube (called a catheter) into a blood vessel in the groin, arm, or neck. Then he or she threads it through the blood vessel into the aorta and into the heart. Once the catheter is in place, several tests may be done. Your doctor can place the tip of the catheter into various parts of the heart to measure the pressures within the heart chambers or take blood samples to measure oxygen levels.

Your doctor can guide the catheter into the coronary arteries and inject contrast dye to check blood flow through them. (The coronary arteries are the vessels that carry blood to the heart muscle.) This is called coronary angiography.

These are some of the other procedures that may be done during or after a cardiac cath:

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  • Angioplasty. In this procedure, your doctor can inflate a tiny balloon at the tip of the catheter. This presses any plaque buildup against the artery wall and improves blood flow through the artery.
  • Stent placement. In this procedure, your doctor expands a tiny metal mesh coil or tube at the end of the catheter inside an artery to keep it open.
  • Fractional flow reserve. This is a pressure management technique that’s used in catheterization to see how much blockage is in an artery
  • Intravascular ultrasound (IVUS). This test uses a computer and a transducer to send out ultrasonic sound waves to create images of the blood vessels. By using IVUS, the doctor can see and measure the inside of the blood vessels.
  • A small sample of heart tissue (called a biopsy). Your doctor may take out a small tissue sample and examine it under the microscope for abnormalities.

During the test, you will be awake, but a small amount of sedating medicine will be given before starting to help you be comfortable during the procedure.

Why might I need cardiac catheterization?

Your doctor may use cardiac cath to help diagnosis these heart conditions:

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  • Atherosclerosis. This is a gradual clogging of the arteries by fatty materials and other substances in the blood stream.
  • Cardiomyopathy. This is an enlargement of the heart due to thickening or weakening of the heart muscle
  • Congenital heart disease. Defects in one or more heart structures that occur during fetal development, such as a ventricular septal defect (hole in the wall between the two lower chambers of the heart) are called congenital heart defects. This may lead to abnormal blood flow within the heart.
  • Heart failure. This condition, in which the heart muscle has become too weak to pump blood well, causes fluid buildup (congestion) in the blood vessels and lungs, and edema (swelling) in the feet, ankles, and other parts of the body.
  • Heart valve disease. Malfunction of one or more of the heart valves that can affect blood flow within the heart.

You may have a cardiac cath if you have recently had one or more of these symptoms:

  • Chest pain (angina)
  • Shortness of breath
  • Dizziness
  • Extreme tiredness

If a screening exam, such as an electrocardiogram (ECG) or stress test suggests there may be a heart condition that needs to be explored further, your doctor may order a cardiac cath.

Another reason for a cath procedure is to evaluate blood flow to the heart muscle if chest pain occurs after the following:

  • Heart attack
  • Coronary artery bypass surgery
  • Coronary angioplasty (the opening of a coronary artery using a balloon or other method) or placement of a stent (a tiny metal coil or tube placed inside an artery to keep the artery open)

There may be other reasons for your doctor to recommend a cardiac cath.

What are the risks of cardiac catheterization?

Possible risks associated with cardiac cath include:

  • Bleeding or bruising where the catheter is put into the body (the groin, arm, neck, or wrist)
  • Pain where the catheter is put into the body
  • Blood clot or damage to the blood vessel that the catheter is put into
  • Infection where the catheter is put into the body
  • Problems with heart rhythm (usually temporary)

More serious, but rare complications include:

  • Ischemia (decreased blood flow to the heart tissue), chest pain, or heart attack
  • Sudden blockage of a coronary artery
  • A tear in the lining of an artery
  • Kidney damage from the dye used
  • Stroke

If you are pregnant or think you could be, tell your doctor due to risk of injury to the fetus from a cardiac cath. Radiation exposure during pregnancy may lead to birth defects. Also be sure to tell your doctor if you are lactating, or breastfeeding.

There is a risk for allergic reaction to the dye used during the cardiac cath. If you are allergic to or sensitive to medicines, contrast dye, iodine, or latex, tell your doctor. Also, tell your doctor if you have kidney failure or other kidney problems.

For some people, having to lie still on the cardiac cath table for the length of the procedure may cause some discomfort or pain.

There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor before the procedure.

How do I prepare for cardiac catheterization?

  • Your doctor will explain the procedure to you and give you a chance to ask any questions.
  • You will be asked to sign a consent form that gives your permission to do the test. Read the form carefully and ask questions if anything is unclear.
  • Tell your doctor if you have ever had a reaction to any contrast dye; if you are allergic to iodine; or if you are sensitive to or are allergic to any medicines, latex, tape, and anesthetic agents (local and general).
  • You will need to fast (not eat or drink) for a certain period before the procedure. Your doctor will tell you how long to fast, usually overnight.
  • If you are pregnant or think you could be, tell your doctor.
  • Tell your doctor if you have any body piercings on your chest or abdomen (belly).
  • Tell your doctor of all medicines (prescription and over-the-counter), vitamins, herbs, and supplements that you are taking.
  • You may be asked to stop certain medicines before the procedure. Your doctor will give you detailed instructions.
  • Let your doctor know if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medicines, aspirin, or other medicines that affect blood clotting. You may need to stop some of these medicines before the procedure.
  • Let you doctor know if you have any kidney problems. The contrast dye used during the cardiac cath can cause kidney damage in people who have poor kidney function. In some cases, blood tests may be done before and after the test to be sure that your kidneys are working properly.
  • Your doctor may request a blood test before the procedure to see how long it takes your blood to clot. Other blood tests may be done as well.
  • Tell your doctor if you have heart valve disease.
  • Tell your doctor if you have a pacemaker or any other implanted cardiac devices.
  • You may get a sedative before the procedure to help you relax. If a sedative is used, you will need someone to drive you home afterward.
  • Based on your medical condition, your doctor may request other specific preparations.

What happens during a cardiac catheterization?

A cardiac cath can be done on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on your condition and your doctor's practices.

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Generally, a cardiac cath follows this process:

  • You'll remove any jewelry or other objects that may interfere with the procedure. You may wear your dentures or hearing aids if you use either of these.
  • Before the procedure, you should empty your bladder then change into a hospital gown.
  • A healthcare professional may shave the area where the catheter will be put in. The catheter is most often put in at the groin area, but other places used are the wrist, inside the elbow, or the neck.
  • A healthcare professional will start an intravenous (IV) line in your hand or arm before the procedure to inject the dye and to give you IV fluids, if needed.
  • You will lie on your back on the procedure table.
  • You will be connected to an ECG monitor that records the electrical activity of your heart and monitors your heart during the procedure using small electrodes that stick to your skin. Your vital signs (heart rate, blood pressure, breathing rate, and oxygen level) will be monitored during the procedure.
  • Several monitor screens in the room will show your vital signs, the images of the catheter being moved through your body into your heart, and the structures of your heart as the dye is injected.
  • You will get a sedative in your IV before the procedure to help you relax. But you will likely be awake during the procedure.
  • Your pulses below the catheter insertion site will be checked and marked so that the circulation to the limb can be checked after the procedure.
  • Your doctor will inject a local anesthetic (numbing medicine) into the skin where the catheter will be put in. You may feel some stinging at the site for a few seconds after the local anesthetic is injected.
  • Once the local anesthetic has taken effect, your doctor inserts a sheath, or introducer into the blood vessel. This is a plastic tube through which the catheter is thread into the blood vessel and advanced into the heart. If the arm is used, your doctor may make a small incision (cut) to expose the blood vessel and put in the sheath.
  • Your doctor will advance the catheter through the aorta to the left side of the heart. He or she may ask you to hold your breath, cough, or move your head a bit to get clear views and advance the catheter. You may be able to watch this process on a computer screen.
  • Once the catheter is in place, your doctor will inject contrast dye to visualize the heart and the coronary arteries. You may feel some effects when the contrast dye is injected into the catheter. These effects may include a flushing sensation, a salty or metallic taste in the mouth, nausea, or a brief headache. These effects usually last for only a few moments.
  • Tell the doctor if you feel any breathing difficulties, sweating, numbness, nausea or vomiting, chills, itching, or heart palpitations.
  • After the contrast dye is injected, a series of rapid X-ray images of the heart and coronary arteries will be made. You may be asked to take a deep breath and hold it for a few seconds during this time. It’s important to be very still as the X-rays are taken.
  • Once the procedure is done, your doctor will remove the catheter and close the insertion site. He or she may close it using either collagen to seal the opening in the artery, sutures, a clip to bind the artery together, or by holding pressure over the area to keep the blood vessel from bleeding. Your doctor will decide which method is best for you.
  • If a closure device is used, a sterile dressing will be out over the site. If manual pressure is used, the doctor (or an assistant) will hold pressure on the site so that a clot will form. Once the bleeding has stopped, a very tight bandage will be placed on the site.
  • The staff will help you slide from the table onto a stretcher so that you can be taken to the recovery area. NOTE: If the catheter was placed in your groin, you will not be allowed to bend your leg for several hours. If the insertion site was in your arm, your arm will be elevated on pillows and kept straight by placing it in an arm guard (a plastic arm board designed to immobilize the elbow joint). In addition, a tight plastic band may be put around your arm near the insertion site. The band will be loosened over time and removed before you go home.

What happens after cardiac catheterization?

In the hospital

After the cardiac cath, you may be taken to a recovery room or returned to your hospital room. You will stay flat in bed for several hours. A nurse will monitor your vital signs, the insertion site, and circulation/sensation in the affected leg or arm.

Let your nurse know right away if you feel any chest pain or tightness, or any other pain, as well as any feelings of warmth, bleeding, or pain at the insertion site.

Bedrest may vary from 4 to 12 hours. If your doctor placed a closure device, your bedrest may be shorter.

In some cases, the sheath or introducer may be left in the insertion site. If so, you will be on bedrest until your doctor removes the sheath. After the sheath is removed, you may be given a light meal.

You may feel the urge to urinate often because of the effects of the contrast dye and increased fluids. You will need to use a bedpan or urinal while on bedrest so you don't bend the affected leg or arm.

After the period of bed rest, you may get out of bed. The nurse will help you the first time you get up, and may check your blood pressure while you are lying in bed, sitting, and standing. You should move slowly when getting up from the bed to avoid any dizziness from the long period of bedrest.

You may be given pain medicine for pain or discomfort related to the insertion site or having to lie flat and still for a prolonged period.

Drink plenty of water and other fluids to help flush the contrast dye from your body.

You may go back to your usual diet after the procedure, unless your doctor tells you otherwise.

After the recovery period, you may be discharged home unless your doctor decides otherwise. In many cases, you may spend the night in the hospital for careful observation. If the cardiac cath was done on an outpatient basis and a sedative was used, you must have another person drive you home.

At home

Once at home, you should check the insertion site for bleeding, unusual pain, swelling, and abnormal discoloration or temperature change. A small bruise is normal. If you notice a constant or large amount of blood at the site that cannot be contained with a small dressing, contact your doctor.

If your doctor used a closure device at your insertion site, you will be given instructions on how to take care of the site. There may be a small knot, or lump, under the skin at the site. This is normal. The knot should go away over a few weeks.

It will be important to keep the insertion site clean and dry. Your doctor will give you specific bathing instructions.

Your doctor may advise you not to participate in any strenuous activities for a few days after the procedure. He or she will tell you when it's OK to return to work and resume normal activities.

Contact your doctor if you have any of the following:

  • Fever or chills
  • Increased pain, redness, swelling, or bleeding or other drainage from the insertion site
  • Coolness, numbness or tingling, or other changes in the affected arm or leg
  • Chest pain or pressure, nausea or vomiting, profuse sweating, dizziness, or fainting

Your doctor may give you other instructions after the procedure, depending on your particular situation.

Download: Informed consent For cardiac catheterization and percutaneous coronary intervention.pdf

[Update:2019-06-15]

Intra Oral Welding

Intra Oral Welding

1.Introduction
Intraoral welding technique is a time-efficient method to connect titanium implants and components, creating a metal reinforced framework immediately without the need for lengthy laboratory procedures. The two electrodes of the welding pincers are placed on either side of the wire and the abutment with firm pressure. When the procedure starts, electrical current instantly raises the temperature of the two titanium components to fusion point, joining the components together without the use of filler metal. The process takes only 2 milliseconds to 5 milliseconds to carry out and bring the core of the titanium parts to a temperature of nearly 1660°C. Due to the different thermal conductivity of the titanium parts (19) and copper electrodes (386), the copper electrodes dissipate all the heat that is generated, without damage to the surround tissue . Degidi et al. showed the intra-oral welded, screw-retained metal frameworks on Xive (Dentsply) implants at abutment level. The internal hexagonal connection of the implant was replaced by an abutment with an external circular and conic connection (MP; DENTSPLY-Friadent) to compensate for any possible lack of parallelism between the implants. The prefabricated dentures were relined intraorally with cold-cured acrylic and then removed from oral cavity and completely filled with heated pressure-processed acrylic. After the finishing process, the screw-retained restorations were delivered the same day. The long-term survival rate makes intraoral welding a predictable, reliable method to fabricate immediate temporary or permanent restorations. There are several published articles, but patients are mostly European, and there are no Taiwanbased studies. The purpose of this article is to report the results of full-arch immediate restorations fabricated with intraoral welding technique in Taiwan patients with intact opposite dentition.

.........................................................................................................................

2.Procedure
Before surgery, all patients were checked by panoramic and CBCT image including both dental arches. Impressions of both arches were taken by alginate, and the occlusal relationship recorded by silicone material. Patients received oral antibiotics (500 mg of amoxicillin) every 8 hours for 5 days, starting 1 hour before surgery. Under aseptic conditions, local anaesthesia was administered, and the hopeless teeth were extracted followed by atraumatic procedures. If the implant needed to be placed in the fresh socket, the extraction socket was debrided until no soft tissue remained on the alveolar bone. The implant was placed 1 mm below mesial bone crest, and each patient accepted five to six implants in the arch with minimum flap elevation. The main wire was welded by Weld One (DENTSPLY) machine about 3mm above the gum tissue and accessory wire was added between abutments to provide retention for restoration.

After completing the welding process, the framework was placed onto the implants, leaving the framework setting on the implants.  Complete dentures were relined intraorally by dual-cured pink composite resin with the titanium framework, light cured and then trimmed, adjusted, and polished by an in-house lab technician.

The panoramic radiograph was taken after the delivery process to check the fitness between implants and abutments. All patients had full-arch fixed restorations in the same operation day.  Patients were instructed to have a soft diet in the first month. Patients recalled the next day for occlusion check, and 7 days, one month, 3 months and 6 months after surgery.

  • procedures
Download: Kaohsiung Armed Forces General Hospital Surgery Consent Form of Implantation and Intraoral Welding.pdf

[Update:2019-06-03]

Stereotactic body radiotherapy

Stereotactic body radiotherapy (SBRT) is a radiation technique for the body using special image-guided system for the exact localization of the tumors in the body. Compared with the conventional fractionated radiotherapy, SBRT delivers fewer radiation treatments (usually less than 5 treatments) with higher single dose delivery, breath control system and precise image-guided technique.  With SBRT, a high potent biologic radiation dose could be delivered to the tumor precisely, improving the tumor cure rates. Besides, SBRT also creates a very sharp radiation dose gradient with very high dose in the tumor and very low dose in the surrounding tissues, which makes the patients experienced fewer side effect, such as radiation pneumonitis. SBRT is a radiotherapy technique using high technology, providing the patients with SHORTER, SAFER and EFFECTIVE radiotherapy experience.

 

Table 1、SBRT vs Conventional Radiotherapy

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Indication:

  1. Primary early stage lung cancer, tumor size less then 5 cm, ECOG status≦2 (or Karnofsky Performance Scale/KPS≧70)
  2. Primary hepatocellular carcinoma, Child A-B, tumor size less then 5 cm, ECOG status≦2(or Karnofsky Performance Scale/KPS≧70), poor candidate for surgical resection, TACE, RFA

Fig 1. Flow chart of radiotherapy

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[Update:2019-04-18]

Joint replacement surgery

Joint replacement surgery is an orthopedic surgery in which artificial joints are used to replace damaged and functional joint surfaces to restore joint function. In recent decades, it has been possible to stably maintain the function and develop mature artificial joint replacement surgery with artificial hip joint replacement surgery and artificial knee joint replacement surgery.

There are many diseases that can cause joint damage and loss of function, such as severe degenerative arthritis, avascular necrosis of the femoral head, acetabular dysplasia, congenital hip dislocation and degenerative arthritis caused by trauma. When these diseases cause severe cartilage wear, the joint surface loses its original shock absorption and lubrication function, and the joint activities and functions are limited and discomfort. For severe cartilage wear, joint replacement surgery is a treatment option if the function and discomfort cannot be improved by means of drugs, rehabilitation and injection of artificial joint fluid.

The hospital is the National Armed General Hospital of Kaohsiung, South Taiwan. The Department of Orthopaedics has been continuously developing and progressing since the founding of the hospital, benefiting many patients in southern Taiwan. Our surgeons are well-trained and experienced orthopedic surgeons, and there are hundreds of artificial joints in our hospital.

Download: Kaohsiung Armed Forces General Hospital Surgery Consent Form.pdf

[Update:2019-03-09]

Division of Gynecological Specialties

Division of Gynecological Specialties

  • Laparoscope center
  • Gynecological oncology
  • General gynecological disease – endometriosis, myomas, pelvic inflammatory disease, ovarian cyst

Division of Urogynecology Specialties

  • Pelvic organ prolapse - Pelvic floor reconstruction
  • Low urinary tract symptoms – frequency and incontinence

Congenital urogenital abnormality – vagina septum, vaginal agenesia

Download: Kaohsiung Armed Forces General Hospital Surgery Consent Form.pdf

[Update:2019-02-07]

Hemodialysis

Hemodialysis

Healthy kidneys clean your blood and remove extra fluid in the form of urine. They also make substances that keep your body healthy. Dialysis replaces some of these functions when your kidneys no longer work. There are two different types of dialysis - hemodialysis and peritoneal dialysis. The following is about hemodialysis. For more information on peritoneal dialysis.

When is dialysis needed?

You need dialysis if your kidneys no longer remove enough wastes and fluid from your blood to keep you healthy. This usually happens when you have only 10 to 15 percent of your kidney function left. You may have symptoms such as nausea, vomiting, swelling and fatigue. However, even if you don't have these symptoms yet, you can still have a high level of wastes in your blood that may be toxic to your body. Your doctor is the best person to tell you when you should start dialysis.

How does hemodialysis work?

In hemodialysis, a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood. To get your blood into the dialyzer, the doctor needs to make an access, or entrance, into your blood vessels. This is done with minor surgery, usually to your arm. For more information on hemodialysis access.

How does the dialyzer clean my blood?

The dialyzer, or filter, has two parts, one for your blood and one for a washing fluid called dialysate. A thin membrane separates these two parts. Blood cells, protein and other important things remain in your blood because they are too big to pass through the membrane. Smaller waste products in the blood, such as urea, creatinine, potassium and extra fluid pass through the membrane and are washed away.

Where is hemodialysis done?

Hemodialysis can be done in a hospital, in a dialysis center that is not part of a hospital or at home. You and your doctor will decide which place is best, based on your medical condition, and your wishes.

How long will each hemodialysis treatment last?

In a dialysis center, hemodialysis is usually done 3 times per week for about 4 hours at a time. People who choose to do hemodialysis at home may do dialysis treatment more frequently, 4-7 times per week for shorter hours each time.

Your doctor will give you a prescription that tells you how much treatment you need. Studies have shown that getting the right amount of dialysis improves your overall health, keeps you out of the hospital and enables you to live longer. Your dialysis care team will monitor your treatment with monthly lab tests to ensure you are getting the right amount of dialysis. One of the measures your dialysis care team may use is called urea reduction ratio (URR). Another measure is called Kt/V (pronounced kay tee over vee). Ask your dialysis care team what measure they use and what your number is. To ensure that you are getting enough dialysis:

  • *your Kt/V should be at least 1.2 or
  • *your URR should be at least 65 percent.

Can I have hemodialysis at home?

Possibly. Many patients have their hemodialysis treatments at home. To learn more about home hemodialysis.

Do I need to eat a special diet?

Yes. Generally speaking, patients on dialysis are advised to increase their protein intake and limit the amount of potassium, phosphorus, sodium, and fluid in their diet. Patients with diabetes or other health conditions may have additional diet restrictions. It's important to talk with you dietitian about your individual diet needs.

Your dialysis care team will monitor your treatment with monthly lab tests to ensure you get the right amount of dialysis and that you are meeting your dietary goals. For more information on nutrition and hemodialysis, . For more information on understanding your lab values.

Can dialysis cure my kidney disease?

In some cases of sudden or acute kidney failure, dialysis may only be needed for a short time until the kidneys get better. However, when chronic kidney disease progresses to kidney failure over time, your kidneys do not get better and you will need dialysis for the rest of your life unless you are able to receive a kidney transplant.

Will I be uncomfortable on hemodialysis?

When you begin hemodialysis, the needles put in your fistula or graft may be uncomfortable. Most patients get used to this in time. Your dialysis care team will make sure you are as comfortable as possible during your treatment. Symptoms like cramps, headaches, nausea or dizziness are not common, but if you do have any of them, ask your dialysis care team if any of the following steps could help you:

  • *Slow down your fluid removal, which could increase your dialysis time.
  • *Increase the amount of sodium in your dialysate.
  • *Check your high blood pressure medications.
  • *Adjust your dry weight, or target weight.
  • *Cool the dialysate a little.
  • *Use a special medication to help prevent low blood pressure during dialysis.

You can help yourself by following your diet and fluid allowances. The need to remove too much fluid during dialysis is one of the things that may make you feel uncomfortable during your treatment.

How will I pay for my dialysis?

Dialysis is expensive. However, the federal government's Medicare program pays 80 percent of all dialysis costs for most patients. Private health insurance or state medical aid may also help with the costs. For more information on insurance.

I have heard I might have to reuse my dialyzer each treatment. Is this safe?

Before you reuse your dialyzer, your dialysis center cleans it according to careful guidelines. If done properly, reuse is generally safe. Before each treatment, your dialyzer must be tested to make sure it is still working well. If your dialyzer no longer works well, it should be discarded and you should be given a new one. Ask your dialysis care team if they have tested your dialyzer and if it still works well.

If you do not wish to reuse your dialyzer, your center may be willing to provide you with a new dialyzer for each treatment. Ask about the center's policy on reuse.

Can dialysis patients travel?

Yes. Dialysis centers are located in every part of the United States and in many foreign countries.

Before you travel, you must make an appointment for dialysis treatments at another center. The staff at your center may be able to help you arrange this appointment. For more information on traveling on dialysis.

Can dialysis patients continue to work?

Yes. Many dialysis patients continue to work or return to work after they have gotten used to dialysis. If your job has a lot of physical labor (heavy lifting, digging, etc.), you may need to change your duties. For more information on working with kidney disease.

[Update:2019-01-26]

Medical Aesthetic Center

Our medical aesthetic center locates at a quiet and private corner inside the hospital. The cosmetic team constituted by professional plastic surgeons, dermatologist and gynecologists, leading by the Chief Shih, Shan-Chin , provides full spectrum of cosmetic surgeries, rhytides and pigmented lesions management , skin rejuvenation, and hair removal. All therapeutic machines are FDA approved, including 755nm Picosure laser, Fotona QX max laser(C12), Fraxel restore laser with vaginal laser rejuvenation…ect. Furthermore, our center owns two qualified individual (monoplace) hyperbaric oxygen units, operated by specially-trained medical and technical staffs. Hyperbaric oxygen treatment(HBOT) has multiple effects on the body, including angiogenesis, enhancing connective tissue regeneration , increasing collagen formation and promoting wound healing.

項目名稱
1. 淨膚雷射laser toning
2. 皮秒雷射picosecond laser with focus lens array
3. 雷射除刺青laser tattoo removal
4. 除毛雷射laser hair removal
5. 極線音波ulthera(high-intensity focused ultrasound)
6. Co2飛梭雷射fraxel restore laser
7. 陰道緊實雷射laser vaginal rejuvenation
8. 肉毒桿菌注射botox injection
9. 瑞斯朗玻尿酸(1cc)hyaluronic acid injection
10. Scalptra(poly-L-lactic acid)
11. 高壓氧治療hyperbaric oxygen therapy
12. 內視鏡前額拉皮手術forehead lift endoscope
13. 中、下臉部拉皮手術face lift
14. 隆鼻手術rhinoplasty
15. 雙眼皮upper blepharoplasty
16. 下眼袋手術lower blepharoplasty
17. 酒窩(單側)dimple surgery
18. 墊下巴chin augmentation
19. 自體脂肪移植(兩側一區)autologous fat graft
20. 果凍隆乳手術breast augmentation
21. 乳頭整形(單側)nipple plasty(each side)
22. 乳暈整形(單側)areola plasty(each side)
23. 乳房重建(自體組織) autograft breast reconstruction
24. 抽脂liposuction
Download: Kaohsiung Armed Forces General Hospital Surgery Consent Form.pdf

[Update:2018-12-19]

Advanced health examination

A. planning phase

WHO recommends that the principles of the health examination program are:
  1. The local incidence of this disease is high.
  2. The disease to be screened is meaningful.
  3. There are effective treatments for this disease.
  4. Screening and treatment of this disease can reduce mortality.
  5. Screening for this disease is sensitive, accurate and cost effective.
  • According to this principle, our hospital health checks standard package for screening out the 90% or so of the common diseases, projects include inspection of blood fluid, urine, feces, kidney inspection, cancer screening, screening for hepatitis, liver function examination, check check blood sugar, blood fat, lungs, heart function examination, combined with X-ray, ultrasound, nuclear magnetic resonance examination of department of gynaecology, breast photography, bone scan, women, male prostatic check... After the health examination, the specialist doctors will provide the report interpretation, and transfer the registration or nutrition consultation according to the situation, so as to improve the service after the health examination. The advanced health examination package provided by the hospital is as follows:

    Elite series

    Free-of-Cancer series

    Cardiovascular series

    • ■ Painless endoscopy package(gastroscopy+ Colonoscopy)
    • ■ Head magnetic resonance imaging(No developer)
    • ■ Low-dose computed tomography(above 64 cuts)
    • ■ Coronary photography (with calcification index)
    • ■ Total abdominal computerized tomography
    • ■ 2D cardiac ultrasound scan
    • ■ Painless endoscopy package(gastroscopy+ Colonoscopy)
    • ■ Head magnetic resonance imaging(No developer)
    • ■ Low-dose computed tomography(above 64 cuts)
    • ■ Total abdominal computerized tomography
    • ■ Head magnetic resonance imaging(No developer)
    • ■ Coronary photography (with calcification index)
    • ■ 2D cardiac ultrasound scan
    • ■ 24-hour blood pressure monitoring
    • ■ 24-hour EKG monitoring

    B. Reception stage

    Our hospital adheres to the principle of "providing high-quality medical services, maintaining the health of the military and the people", implements the concept of "preventive medicine", and plans the high-level health examination center on the first floor of the military array building with the support of our medical resources. In the comfortable and elegant health examination environment, in addition to providing free health consultation services before the examination by senior health management teachers, health and health teachers also provide referral and care services after the examination to check the people's health.

    C.Pre-hospital operation period
    (a) fasting time
    1. According to the inspection, after 10:00 PM the day before (including water and chewing gum). 2. For colonoscopy, please follow the instructions and medication instructions for intestinal cleansing.

    ※ asthma sprays should be used as usual, and other medicines for chronic diseases should be carried by yourself. They can be taken after fasting examination. For colonoscopy, please follow the instructions and instructions for colonic cleaning
    (b) carry items

    1. Have a certificate (health care card is preferred, or id card, passport, residence permit or other personal documents)
    2. Health questionnaire
    3. Check box
    4. Review relevant forms
    (c) preparation before inspection
    1. For examination by ophthalmologists, use dilated eye drops. Avoid wearing contact lenses or driving or cycling by yourself.
    2. The cervical smear, the day before, please avoid sexual behavior, vaginal lavage and vaginal agent.
    3. For pregnant, suspected pregnant or about to become pregnant, it is recommended to suspend cervical smear and X-ray examination and inform in advance.
    4. Please do not take valuables, in case of loss (the clothes cabinet is only for storage, not responsible for storage).
    5. Please wear plain panties without any decoration, so as not to affect the interpretation of X-ray images.
    6. If you have glaucoma, heart disease, anticoagulant or drug allergy experience, please inform the medical staff on the same day.

    ※ the examination may be delayed due to personal examination items or results during the examination. Please be patient and be patient.

     (d) payment shall be made at the counter on the day of health inspection, including cash (or transfer and remittance), credit card and chip financial card.
    1. D. Service mode of postoperative care after discharge.
    2. After the physical examination, specialist doctors will provide reports and explanations, and transfer the medical registration or nutrition consultation according to the situation, so as to improve the service after the physical examination.
    3. Complete the examination report within one week (including paper, cd-rom, pictures and notes), and attach the registration time of our hospital to facilitate the patient to track the abnormal parts in the clinic.
    4. The health manager will contact the patient by telephone or E-mail (with the consent of the patient) on a regular basis to care for the physical and mental state of the patient after leaving the hospital; Work with physicians, dietitians and physical therapists to achieve optimal health balance.
    [Update:2019-08-13]