An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India

Autor: Ravikesh Kumar, Subhasis Roy Choudhury, Pratap Singh Yadav, Raksha Kundal, Amit Gupta, Nitin Hayaran, Rajiv Chadha
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Indian Association of Pediatric Surgeons, Vol 26, Iss 3, Pp 148-152 (2021)
Druh dokumentu: article
ISSN: 0971-9261
1998-3891
DOI: 10.4103/jiaps.JIAPS_52_20
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.
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