Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 85 Listed as: • QUIROforma: four weeks of induction program, prior to effective incorporation to the post. • QUIROmentor: to learn in depth into the different surgical specialities during the two years after joining: 1.Anesthesia, 2.Laparoscopy, 3.Trauma_Prothesis, 4.Otorhinolaryngology 5.Arthroscopy. Results: Programs accredited by the Health Professions Continuing Education Commission. Recognition, the effort to teach and learn, through merits in the professional career to: authors, online tutors, presential mentors and students, with remuneration at four levels. Lower level of professional burnout is shown by the participants in the construction of the programs, perceiving a higher level of perioperative competence in the new staff who increased by 61 points the Perioperative Competence Perception Scale. Satisfaction surveys are in the 8-10 out of 10 range. Conclusion: These results highlight the impact of training the new nurses in the Surgical Unit and encourage us to continue the dynamics of teaching with the aid of new training programs in the future. 457 Rapid recovery protocol in total knee prosthesis Gemma Clotet Argemir1, Eva Morgado Asso1, Noemí Muniente Mañé1 1 The main objective of this work is to present the protocol that we apply in our center that ensures the highest quality in the provision of care to the patient who must undergo the total knee prosthesis intervention. The knee is made up of three bones (femur, tibia and patella) which are covered at their ends with articular cartilage for friction during movement, allowing us to move and walk with ease. A knee prosthesis is the replacement of the joint with synthetic parts through a surgical intervention. They are implants that are placed in the damaged structure and replace its function, allowing the patient to move the joint again, eliminating any pain they may have. Rapid recovery surgery, or fast-track, has appeared in recent decades as a combination of optimizing surgical results, increasing patient satisfaction and reducing costs. In this sense, it seeks immediate post-surgical mobilization, relying on a multidisciplinary approach, multimodal intervention and analgesia, a limitation in the use of opiates and active participation of the patient in their own recovery. These programs are designed in a multidisciplinary way by the different professionals who interact at some point with the person who will be operated on. The working groups include surgeons, anesthesiologists, nurses, rehabilitators and physiotherapists. This work has been carried out following the structure of the manuals and procedures that exist in our hospital. 460 Management of Gigantomastia in Adolescence - Effective Utilization of Modified Pitanguy Reduction Mammoplasty in a Complex Case of a 12-Year-Old Andriana Stefaniotou1, Ioannis Koutelekos1, Stavroula Katsira1, Dimitra Giannaki1, Spiridoula Maimani2, Miquel Villanueva Moreno1, Loupatatzi Anastasia1, Poniros Nikolaos1 1Children’s Hospital Agia Sophia, Athina, Greece, 2Sotiria Thoracic Diseases Hospital of Athens, Athina, Greece Background: Juvenile gigantomastia, an uncommon condition of significant breast enlargement in adolescence, poses challenges for diagnosis and treatment. The cause of this disorder is not well understood, and different surgical methods create debates on the best way to manage it. In this case, a 12-year-old girl from the Philippines, weighing 45 kilos, presented with progressive bilateral and symmetric gigantomastia over ten months. Otherwise healthy, she had no familial history of gigantomastia, showed normal blood count and hormonal tests, and tested negative for pregnancy. Due to the profound physical and psychological effects, the patient underwent a modified Pitanguy reduction mammoplasty. Objectives: This study explores the effectiveness of modified Pitanguy reduction mammoplasty in addressing juvenile gigantomastia. The method, tailored to individual cases, ensures the preservation of the nipple-areolar complex and breast tissue, promoting postoperative sensibility and facilitating potential future breastfeeding.
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