An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India
| Autor: | Pratap S. Yadav, Amit Gupta, Ravikesh Kumar, Nitin Hayaran, Raksha Kundal, Subhasis Roy Choudhury, Rajiv Chadha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Day care surgery
medicine.medical_specialty RD1-811 business.industry Convalescence media_common.quotation_subject General surgery Pediatric Surgeon unplanned admission Tertiary care hospital Inguinal herniotomy Pediatrics RJ1-570 day-care surgery parental satisfaction children Pediatrics Perinatology and Child Health Medicine Original Article Observational study Surgery Major complication business Elective Surgical Procedure media_common |
| Zdroj: | Journal of Indian Association of Pediatric Surgeons, Vol 26, Iss 3, Pp 148-152 (2021) Journal of Indian Association of Pediatric Surgeons |
| ISSN: | 1998-3891 0971-9261 |
| Popis: | Background: Advances in surgery and anesthesia have paved the way for the establishment of day-care surgery (DCS). Observations that children achieve better convalescence in the home environment along with significant economic advantages have led to this paradigm shift in clinical practice. Aims and Objectives: This study is aimed to evaluate the feasibility of performing various surgical procedures on day-care basis and assess parental satisfaction with DCS in children. Materials and Methods: In this prospective observational study, all children >3 months of age undergoing various elective surgical procedures as day-care cases in our institution were enrolled. Types of operations, complications, including any unplanned admissions and parental satisfaction, were recorded. Results: Between December 2015 and December 2018, a total of 654 day-care surgeries were performed in our institution by pediatric surgeons. The mean age was 5.5 years with M: F 5.5:1. Thirty different surgical procedures were successfully performed as DCS, the common procedures being inguinal herniotomy (31.5%), and orchidopexy (14.3%). Unplanned admissions were recorded in 2.29% (15/654) patients (scrotal edema-5, postoperative pain-8, and a long recovery from anesthesia-2). No major complications occurred; two minor complications during follow-up were superficial wound infection and drug reaction. Overall parental satisfaction was very high (100%)-preoperative prolonged fasting period and long waiting time in the preoperative room of afternoon shift patients (7.95% and 8.3%) were the reasons for their discontent. Conclusions: DCS in children is safe and effective with high parental satisfaction. It can substantially reduce the waiting list for several surgical procedures in children. |
| Databáze: | OpenAIRE |
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