Impact of Ambulatory Surgery for Hemorrhoidal Disease on Clinical Outcomes and Institutional Costs
| Autor: | Simona Ascanelli, Michele Rubbini, Maria Elena Forini, Paolo Carcoforo, Stefano Solari, Filippo Aisoni |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Activities of daily living Visual analogue scale dearterialização hemorroidária transanal NO 03 medical and health sciences Indirect costs 0302 clinical medicine Patient satisfaction Hemorrhoids anopexia medicine Local anesthesia ambulatory surgery Early discharge LS7_4 ligation anopexy business.industry hemorrhoidectomy Gastroenterology cirurgia ambulatória medicine.disease hemorroidas hemorrhoidectomia Surgery hemorrhoids local anesthesia transanal hemorrhoroidal dearterialization anestesia local 030220 oncology & carcinogenesis Ambulatory 030211 gastroenterology & hepatology business |
| Zdroj: | Journal of Coloproctology (Rio de Janeiro) v.41 n.1 2021 Journal of Coloproctology (Rio de Janeiro. Online) Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP Journal of Coloproctology (Rio de Janeiro), Volume: 41, Issue: 1, Pages: 14-22, Published: 16 JUL 2021 |
| Popis: | Objective Transanal hemorrhoidal artery ligation with mucopexy (ligation anopexy [LA]) and open hemorrhoidectomy (OH) can both be performed under local anesthesia. The aim of the present study was to analyze the impact and the cost-effectiveness of performing these techniques in an ambulatory setting of an Italian academic center on the postoperative outcome. Methods A series of 122 consecutive patients with grades II and III hemorrhoidal disease undergoing ambulatory surgical treatment of hemorrhoids in 2015 to 2018 (group A) was comparedwith 122 patients operated at the same institution in the same period (group H) in a hospital setting. The primary outcome was the number of days required to return to work/daily activities. Secondary outcomes included postoperative pain and complications, costeffectiveness, patient satisfaction, and recurrence at 12 months. In group A, all the procedures were performed under local anesthesia with early discharge. In group H, the procedureswere performed under general or loco-regional anesthesia with hospital admission. Results The mean number of days required to return to work/daily activities was 8.4 ± 4.8 days in group A, compared with 12.5 ± 3 days in group H (p |
| Databáze: | OpenAIRE |
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