Hello! In this article we will talk about deadlines sick leave after being transferred by a person surgical intervention.

Today you will learn:

1. Which doctors and organizations set the period and for how many days;
2. Types of operations. What deadlines are applicable for different types;
3. Is it possible to extend sick leave after its expiration;
4. How is payment for the period of illness carried out, what factors influence the amount of benefits;
5. What to do if the sick leave is closed.

Who sets the duration of sick leave and how?

When illness occurs, the employee has the right to receive. It has its own terms, according to which the patient is treated at home or in a hospital.

A document defining the disease is issued only by the attending physician, but in no case by an emergency physician or medical professional. blood transfusion station worker.

The maximum time that a doctor can provide for self-treatment, reaches 15 days, and a dentist - 10 days. If a person has undergone surgery, then sick leave has its own terms, which are determined by a special medical commission.

Initially, when a patient arrives for an appointment with a doctor and is diagnosed with a disease that requires surgical treatment, the doctor writes out a document about the illness for 15 days. If there is a need, the doctor prescribes surgery for the patient and postoperative hospital stay for his rehabilitation.

After regaining strength, for independent care, the person being rehabilitated is discharged to his place of registration, that is, he must then return to his clinic to receive a full course of drug treatment.

On the date of admission to the hospital for surgery, the surgeon opens a new sick leave sheet, and closes it only at the time of discharge from the hospital. This is regulated by Federal Law No. 255. This law allows post-operative treatment to be extended for another 10 days.

In case a person needs additional treatment and 10 days were not enough to restore strength after the operation, then the duration of the sheet is extended by the medical commission (MC).

When observing positive dynamics of the patient’s recovery, VC specialists can extend the period of sick leave to 10 months, and if the patient had to be treated after complex operation, then up to 1 year.

Feature postoperative treatment is to visit the hospital once every two weeks, where the operation was performed, so that the surgeon confirms the need to extend the certificate of incapacity for work.

If the patient is sent for rehabilitation to a dispensary or sanatorium, then this fact involves the extension of the medical document for another 24 days, including the day of travel to the place.

If, while on the ballot, a person does not experience any health changes in positive side, then he must pass the ITU - medical and social examination.

This is a council of doctors who, having studied the patient’s condition, put forward a decision to further extend the period of treatment or assign him a degree and group of disability. The patient is sent for MSE after 4 months. from the day of illness onset.

Sick leave periods after various operations

IN medical practice All types of surgical interventions are divided into two groups:

• Lungs;
• Moderate;
• Heavy.

Light operations– these are those after which the sick patient gets up independently the next day and can be discharged from the hospital on the 3rd or 5th day. In some cases, sick leave may be issued for 15 days, and on the 16th day it is necessary to begin performing work duties.

Moderate– these are operations after which the hospital stay can be prolonged, and recovery requires up to 30 days.

Heavy operations– cases when a person after surgery may require long-term assistance from qualified personnel to rise to his feet. In this case, the duration of the illness may drag on for several months.

Such operations include:

• Open fractures or displaced fractures;
• Injuries to the skull of a person with a concussion;
• Deep, severe wounds or abrasions resulting from heavy work;
• Appendicitis with peritonitis;
• Cardiac interventions;
• On the spine.

Let's consider how long it takes to stay in hospital after various operations.

The period of sick leave depends on the type of operation:

• Laparotomy;
• Laparoscopy.

First case abdominal surgery is the most complex and requires long-term inpatient care, so the attending physician himself can issue medical document for a long time.

The second type is less traumatic for humans. Assumes punctures special tools, after which the body is able to quickly recover, so the period of stay in the hospital is 15 days.

The maximum period of illness cannot be determined unambiguously; it all depends on the complexity of the operation itself and the speed of restoration of human health.

All of the above cases of meeting with a surgeon must be paid for by the employer in accordance with the law.

How is it going with plastic surgery? If the patient contacted plastic surgeon for help to improve this or that part of the body, then sick leave is not issued in this case.

But when performing an operation to eliminate difficulties in life, for example, a deviated septum in the nose or oral cavity, the doctor cannot refuse a certificate of incapacity for work. It is issued for the period from admission to hospital until discharge from it.

Is it possible to extend sick leave after expiration?

The laws do not establish strict boundaries for the period of sick leave; they are determined individually in each case. But the last day depends on full recovery patient, which determines his suitability to begin work.

Another outcome of the disease and postoperative treatment is the assignment of a degree or group of disability, which is within the competence of the ITU.

If a disability is established, the certificate of incapacity for work is closed automatically on the day of the examination. And if this option is excluded, then the period of illness is set to the period until complete recovery.

Example: tuberculosis patient T.T. Ivanova underwent resection in 2012, that is, removal of tuberculoma (1/3 upper lobe right lung). This is an abdominal operation. An examination was scheduled 1 month after the operation. To attend the examination from the place of work, it was necessary to provide a description that reflected the nature of the work, position, personal qualities of the employee, etc.

Based on the results of the examination, a council of doctors made a decision to extend the treatment. Since such a disease involves complete cure and deregistration. And after a year and a half outpatient treatment T.T. Ivanova was deregistered from the tuberculosis dispensary.

If the patient has another form of tuberculosis, it can be fibrous, with decay or cavernous, then in such cases treatment can last for years and a cure does not occur. In such cases, ITU specialists assign disability group 3.

The example shows that the extension of deadlines depends on ITU specialists.

How is sick leave paid?

When accepting sick leave from a patient, an accounting employee must pay attention to the correctness of filling out the document confirming the disease.

1. If the illness lasts more than 30 days, then in addition to the signature of the attending physician, there must be a signature of a medical specialist.
2. And when passing medical examination, columns must be filled in indicating the date of conduct, extension of sick leave or its closure with the appointment of something else.
3. Employee personal data.

In case of violations, the employee must contact the place of treatment with a request to correct the errors. If this does not happen, then the certificate of incapacity for work is considered invalid.

In any case, sick leave after surgery or not, if it is concluded with the employee and paid for it insurance premiums to the Foundation Social Insurance(FSS).

When the operation and rehabilitation are within a 15-day period, the employee must submit sick leave to the company, where it will be paid within 10 days.

Payment for any sick leave depends on several factors:

• Duration of illness from the first day of illness until discharge;
• The length of service of the employee during which insurance contributions were made for him;
• Average earnings for two last year, preceding the disease.

If the period of illness is calculated in months, then payment is made in installments, for each extended leave. This is due to the fact that the form contains only a few lines for prolonging the illness.

The patient is required to hand over all the sheets as each one is closed, otherwise the absence of such sheets is defined as absence from work without reason.

The accountant calculates the disability benefit, reimburses the funds from the Social Insurance Fund, and then pays the employee. The amount of payment depends on the number of years of service and is paid in the amount of 60, 80 and 100%.

What to do after your sick leave expires

The employee’s performance will depend on the surgery undergone. Many illnesses require light labor after discharge.

1. If an employee has undergone eye surgery, and his work involves spending a long time in front of a computer, then the employee can count on an extension of sick leave.
2. If an employee has had surgery on their legs, e.g. varicose veins veins, then the period is extended to 30 days, but such a disease requires longer rest, so the employer must provide his employee with light work for another two or three months.
3. If a woman has lost her fallopian tube or uterus during surgery, then she within three months, you cannot lift heavy objects (up to 3 kg), the employer must also take this into account.

Anyway surgical intervention, the patient is contraindicated for the first time after going to work, stress on the body, so in order not to lose good specialist, the employer is obliged to provide him with a gentle working regime.

It is one of the key questions of interest to people who are about to undergo surgery. In most cases, it all depends on the complexity of the operation itself and its consequences. Laparoscopy is rightfully considered minimally dangerous, so after this procedure you can go to work almost immediately. Or not?

Features of sick leave after laparoscopy

Laparoscopy is a minimal surgical procedure abdominal cavity. Small punctures are made to insert instruments, the abdomen is filled with a special gas, for example carbon dioxide (to create space), then the operation itself is carried out. On the one hand, if the injections are small, then recovery will be quick, and sick leave should be issued for a minimum number of days, but not everything is that simple.

The validity of sick leave after laparoscopy depends on many factors:

• general health patient;
• necessary, from the point of view of doctors, rehabilitation period(even taking into account good condition the patient himself);
• possible or already occurred consequences;
• complexity of the operation, etc.

Most people go to work for days after laparoscopy later surgery. This is due to the minimal invasiveness of the procedure and the rapid (compared to other operations) recovery period.

Active movements (but not through pain) are highly recommended by doctors after laparoscopy. This contributes accelerated healing wounds and warns negative consequences in the form postoperative adhesions abdominal cavity. If the work does not involve excessive loads and activity, returning from sick leave will be especially beneficial for the body.

Possible terms of sick leave

Regarding the general time frame, the following terms of sick leave after laparoscopy can be identified:

1. Minimum. In this case, sick leave is issued for 1 day - the day of the operation. This is due to the person’s ability to go to work the next day, the maximum minimum consequences of the operation, the absence of any complications, etc.
2. Average. If desired, the patient can contact the doctor with a request to issue a sick leave certificate for a maximum of 5 days. Overall, this is quite enough to postoperative sutures tightened and did not cause any particular discomfort when physical activity.
3. High. In case of hard work, general poor condition after surgery, etc. The attending physician, by law, can extend sick leave up to 15 days without exceeding this threshold.
4. Maximum. If after the operation there are quite serious consequences, critical deterioration in health, processes hazardous to health, education, injuries internal organs, any other pathologies - sick leave will be issued for the period that will be sufficient to return the person “to normal”, to carry out everything necessary treatment etc.

The above validity periods for sick leave are suitable for all types of operations performed by laparoscopy, including:

• removal of an ovarian cyst;
• operations on thyroid gland;
• abdominal surgery;
• operations to get rid of hemorrhoids;
• operations to remove the uterus.

If these periods exceed certain general limits (15 days of sick leave + one-time 15 days of extension by the medical commission), then the sick leave is issued for a period not exceeding 10 months. This is the maximum possible deadline for sick leave. But such moments are an exception, because laparoscopy is one of the safest types of operations.

The legislation establishes exactly how many days of sick leave are given after surgery, but the period determined by law is sometimes not enough for the operated patient to fully recover. In such a situation, doctors have complete “carte blanche” in their hands.: if they consider it necessary, they will leave the patient on sick leave for an extremely long period, and the employer will not be able to object to this.

What is the deadline set by law?

By law, the period of sick leave after surgery is 10 days. Of course, the entire period while the patient was in the hospital is also taken into account.

If the attending physician of an operated patient believes that 10 days are not enough for the body to recover, he can personally extend the certificate of incapacity for work to 30 days. If the patient needs even more time to recover, the attending physician has the right to submit the issue of extending sick leave to the medical commission for consideration. This is how it is determined how many days of sick leave will be given after an operation that turned out to be complex.

The powers of the collegial body are far greater than those of a single doctor. A medical commission can easily send a citizen who has undergone surgery to a paid leave of 10-12 months - but only if the attending physician can convince the members of the commission that the patient really needs it.

It is clear that the temptation is great, but you should not try to enter into a criminal conspiracy with a doctor. No medical employee will risk their reputation, especially with the current fines - anyone who has tried to “buy” sick leave in the last 3-4 years already knows about this.

The long-term certificate of incapacity for work has a drawback: the operated citizen will not be allowed to forget about the hospital - he will have to come to the medical institution once every 15 days. After each examination, the attending physician must confirm the need to continue the rehabilitation period. If the doctor concludes that the person operated on is already healthy enough to go to work, he will close the certificate of incapacity for work ahead of schedule.

Cunning people who understand this know how to extend sick leave after surgery: they begin to “make a show” in front of their attending physicians, complaining of pain in one place or another. However, such citizens should remember that there is a risk of “playing too hard”: if within 6 months doctors do not notice any progress, they will send the citizen for a medical and social examination.

You can apply for an extension of rest in one more case - if the doctor, after a complex operation, sends the patient to a sanatorium. Then the certificate of incapacity for work is extended for a maximum of 24 days.

Medical practice: duration of rehabilitation after various operations

The fact that the legislation “scrubs” everyone “with the same brush” is at least strange, and at most unreasonable. Establishing the same rehabilitation period for people who have had appendicitis removed and spine surgery - what gate does this go into? You don’t need to have a medical education or even any understanding of healthcare in order to understand: this legal norm needs adjustments.

Fortunately, the law leaves doctors the right to use common sense when prescribing a period of rehabilitation. Within medical practice Some unwritten norms have developed, so the patient can approximately know how many days of paid rest the doctor will provide, based on the type of surgical intervention. Approximate dates are as follows (they were approved by Order of the Ministry of Health N 2510/9362-34 of 08/21/2000).

Removal of the appendix. From 16 to 21 days - this is how long sick leave lasts after surgery for appendicitis. Please note that these terms are relevant only if the patient was operated on by laparotomy - that is, cut soft fabrics over the appendix. After laparoscopy - an operation that involves less trauma - a certificate of incapacity for work is issued for only 5-7 days.

Rest can be extended to 1 month if the patient continues to recover after removal of the appendix. elevated temperature. However, problems after appendicitis surgery most often occur in older people and children - neither of them need sick leave.

Removal of inguinal hernia. That's enough already major surgery. The average length of sick leave after inguinal hernia surgery is 1.5 months. So long term rehabilitation is due to the fact that the patient begins to return to the normal rhythm of life only after a month.

Eye surgery. The nature of the surgical intervention matters. For example, in case of retinal detachment after eye surgery, sick leave is given for up to 2 months. The certificate of incapacity for work can be closed earlier if it is determined that the restoration of health is progressing at an accelerated pace. After cataract removal, the rest is much shorter - its duration is about 14 days.

Please note: The duration of sick leave depends not only on the patient’s health status, but also on the type of work he does. If the patient is a typical office worker who spends the entire working day in front of a computer monitor, he has a chance for a fairly long rest.

Removal of the fallopian tube. The maximum duration of sick leave after surgery to remove the uterus is 40 days. It is useless to ask a doctor for a longer-term vacation: it is only possible in case of complications. If the patient's work involves heavy physical activity, she should discuss with her employer the possibility of switching to lighter work - there is no reason to doubt that the attending physician will issue such a recommendation. For 3 months after removal of the fallopian tube, it is forbidden to lift anything weighing more than 3 kg, otherwise you could easily end up operating table again.

Spine surgery. The maximum duration of sick leave after spinal surgery has not been established - the period of rest depends on how the rehabilitation proceeds. An employer should definitely not wait for an employee to appear at work earlier than 2 months after surgery.

Leg vein surgery. Sick leave after surgery on the leg veins is issued for two weeks. The rest period can be extended to 1 month if the patient’s work is sedentary or involves heavy physical activity.

Please note: After removing varicose veins, you should avoid exertion for 2-3 months. Therefore, it is worth discussing with your employer the possibility of temporarily switching to light work.

But where can you extend your sick leave after surgery if you feel unwell? You need to go to the hospital to see your doctor and talk about your health problems and illness. You should arrive exactly at prescribed by a doctor day is important. If a citizen misses the appointed day without having good reason, a special mark will be placed on the certificate of incapacity for work. If there is such a mark, the amount of temporary disability benefits may be reduced.

If, after surgery, the person operated on is unable to move independently, the doctor must come to his home to extend his sick leave. This obligation is established by Order of the Ministry of Health and Social Development No. 624N dated June 29, 2011.

Payment for sick leave after surgery

The procedure for paying for sick leave after surgery is in no way different from the procedure for paying for sick leave issued, say, due to a cold. The first three days are compensated by the employer, the rest are paid by the Social Insurance Fund. The amount of payment depends on 2 factors: general length of service and average level of labor income for the last 2 years.

The calculation is made like this.

If the employee's work experience is less than 5 years, he is paid 60% of the average salary.

With 5 to 8 years of experience, a citizen receives 80% of the salary.

If the length of service exceeds 8 years, the employee has the right to compensation in full size average salary.

Days for which sick leave was extended are paid as basic days.

The main recommendation for people who have undergone surgery is this: You should not spend the rehabilitation period “on your feet” and rush to get back to work as quickly as possible. This best way to find myself in a hospital bed again. Unfortunately, Russian employers are not inclined to show flexibility when it comes to the health of their subordinates - they strive to make a profit now, without thinking about how the employee will live with poor health later. If a company does not care about the condition and health of an employee, does it deserve to give her the most valuable thing - time of life?

More and more interventions are being performed using laparoscopy various pathologies abdominal cavity and pelvis. Such operations are especially popular in gynecological practice.

This article is about how long sick leave can last after laparoscopy, as well as some of the features of issuing it after operations such as laparoscopy of ovarian cysts, fallopian tubes, hysterectomy and other pelvic interventions. Namely, how many days on average a patient is expected to stay in the hospital, how long after she can be discharged after many types of operations.

Laparoscopy has a number of advantages compared to laparotomy

Legal aspects

Documents regulating the issuance of certificates of incapacity for work in Russia:

• Federal Law No. 323.
• Orders of the Ministry of Health and Social Development of Russia, including order No. 624n “On approval of the procedure for issuing certificates of incapacity for work.”

A sick leave certificate is issued by the attending physician from the day of hospitalization, lasting for the entire duration of the disability. He determines how long the sick leave should last after laparoscopy for this particular patient. Sometimes a certificate of temporary incapacity for work can be issued by a doctor at a clinic who referred the patient to a hospital to continue treatment.

If the patient travels for consultation or provision of medical care(as directed by a medical commission) to a medical organization located in another locality, then she is given sick leave of sufficient duration to include the days it will take to get to the counseling site.

It is very important to appear on the day determined by the doctor for a follow-up examination and closure of the sick leave. Otherwise, medical worker will mark the document as a violation of the regime, and this may enable the employer not to pay monetary compensation for sick days in full.

The sick leave must be submitted to the accounting department, human resources department or to the immediate supervisor, depending on the size of the organization. If the patient has several places of work, then the number of copies should correspond to the number of places of work.

Sick leave certificates can only be issued by licensed medical organizations providing services for examination of temporary disability

Periods of incapacity for work

The length of time for which sick leave is issued after laparoscopy is determined in each specific case by the attending physician.

In general, laparoscopic intervention is less traumatic in comparison with an operation performed through an open approach and requires early activation. The patient does not need to comply bed rest, it can even cause harm. A few hours after the operation, you can usually sit up in bed; from the next day, the woman needs to get out of bed and move. Moderate motor activity(not through pain) will only contribute to a speedy recovery.

There is no clear framework for how many days sick leave is given. Recovery time also depends on what kind of surgery was performed and how hard it is tolerated by the body. Thus, a woman can leave the hospital within a few hours after laparoscopic surgery, if it was not severe, while falling under the supervision of a gynecologist at the clinic. But it is better after any operation (be it resection of an ovarian cyst or removal of the uterus) to remain under the supervision of specialists for the first day. The patient is then discharged from the hospital. If a woman's condition does not allow her to perform labor activity or the work involves physical labor, the attending doctor issues a certificate of temporary incapacity for work.

Recovery time after laparoscopy depends on the extent of the operation and other factors.

The doctor has the right to issue sick leave for a period of no more than 15 days; in order to extend it, a special medical commission will be required. Most often, recovery after laparoscopy of an ovarian cyst, interventions on fallopian tubes takes about 4-5 days, while an operation such as a hysterectomy can require up to 45 days of sick leave.

On average, recovery after laparoscopic interventions takes 15 days. The patient spends the first 5 days in the hospital under the supervision of doctors. She is then discharged and undergoes rehabilitation at home.

The basis for extending sick leave arises when a particular complication occurs or when repeated surgical intervention is necessary (for example, removal of the uterus).

Factors that matter

Thus, there is no clearly established time during which patients should remain on sick leave after laparoscopic operations on the female reproductive system. It's in everyone clinical case determined individually. Much depends on the severity of the operation, for example, removal of the uterus will require more time for rehabilitation than a low-traumatic intervention.

Principles, the observance of which affects recovery after these laparoscopic interventions:

• You will need to eat a lightly digestible diet for the first few days after surgery, but you can return to your normal diet after a week.
• During the first weeks, you need to limit sports activities and not lift heavy objects.
• Sufficient physical activity has a beneficial effect on the recovery of the body.
• After many operations on the female genital organs, it is necessary to limit sex for 1-2 weeks.

If the patient follows the doctor's instructions and listens to her body's signals, her recovery period is likely to go smoothly. If complications occur, you should contact your doctor as soon as possible so that he can quickly correct the condition.