Paediatric Inguinal Herniotomy and Open Orchidopexy as a Day Care Surgery in a Tertiary Care Institute

2016 ◽  
Vol 7 (3) ◽  
pp. 293-295
Author(s):  
Roshan Chanchlani ◽  
Keyword(s):  
Day Care ◽  
Tertiary Care ◽  
Day Care Surgery ◽  
Care Institute ◽  
Care Surgery ◽  
Inguinal Herniotomy

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

2021 ◽  
Vol 26 (3) ◽  
pp. 148
Author(s):  
Raksha Kundal ◽  
Ravikesh Kumar ◽  
SubhasisRoy Choudhury ◽  
PratapSingh Yadav ◽  
Amit Gupta ◽  
...  
Keyword(s):  
Day Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Safety And Efficacy ◽  
Day Care Surgery ◽  
Care Surgery

TO ASSESS THE EPIDEMIOLOGY OF DAY CARE SURGERY IN A TERTIARY CARE CENTER

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Sandeep Sarawagi ◽  
Pramod Kumar ◽  
Devi Singh Kachhawa
Keyword(s):  
Day Care ◽  
Single Unit ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Day Care Surgery ◽  
Selection For ◽  
Care Surgery ◽  
Surgery Department ◽  
Age And Sex

Background: The aim of the present study is to retrospectively analyze the epidemiology of patients admitted in the day care unit of the surgery department. Methods: This study has been done in a single unit of the Department of General surgery at S K Hospital, Sikar on patients attending the OPD as well as admitted for surgery Results: Out of 100 patient  29 were staying in an area which was within 00 to 05 km from hospital,28 were in an area within 06 to 10 km, 24 were staying within 11 to 15 km, 9 were staying within 16 to 20 km and 10 were staying in an area more than 20 km away from hospital. Conclusion: Age and sex was not any criteria for patient selection for day care surgery. Keywords: Day care, Area, Age, Sex, Distance.

scholarly journals TO ASSESS THE EPIDEMIOLOGY OF DAY CARE SURGERY IN A TERTIARY CARE CENTER

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Sadat Ullah Khan ◽  
Fauzia Arif
Keyword(s):  
Day Care ◽  
Care Delivery ◽  
Care Center ◽  
Tertiary Care ◽  
Health Care Delivery System ◽  
Age Group ◽  
Medical College ◽  
Day Care Surgery ◽  
Selection For ◽  
Care Surgery

Background: Day care surgery offers advantages for health care delivery system around the world and so rates have steadily increased in both developed and developing countries. Methods: This study has been done in a single unit of the Department of General surgery at S M S Medical college, Jaipur on patients attending the OPD as well as admitted for surgery Results: There was no age limit in our study. Out of 100 patients 11 were of age group 0-20 years, 55 were of age group 21-40 years, 25 were of age group 41-60 years, 9 were of age group >60 years. Conclusion: Age and sex was not any criteria for patient selection for day care surgery. Keywords: Age, Sex, Distance.

scholarly journals A Comparative Study between Day Care and Routine Care Inguinal Hernia Mesh Repair

2021 ◽  
Vol 8 (6) ◽  
pp. 140-147
Author(s):  
Ashwani Kumar ◽  
Devadatta Poddar ◽  
C Raja Bhanu Kiran
Keyword(s):  
Patient Satisfaction ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Day Care ◽  
Tertiary Care ◽  
Routine Care ◽  
Care Group ◽  
Hernia Surgery ◽  
Day Care Surgery ◽  
Care Surgery

Inguinal hernia is one of the oldest diseases known to mankind. If not treated on time, patient may land up with complications. The basic principle of hernia surgery is tension free repair. There are no guidelines regarding an ideal surgery or anaesthesia to be used for inguinal hernia repair. Around 10-12% patient visiting outpatient clinic suffer from inguinal hernia and occupy a significant space in the operative list. Day care surgery in which the patient is discharged within 24 hours of surgery is gradually becoming the norm. A lot of centres are performing exclusive day care surgery with a good patient acceptance, thus reducing the burden on the hospital. In this study conducted on 68 patients in a public tertiary care centre, we have compared day care versus routine care inguinal hernia surgery with 34 patients in each group. Lichtenstein hernia repair was done for all patients. The procedure was done under local anaesthesia for the day care surgery group whereas local/spinal/general anaesthesia was used for routine care group. Patients were admitted and discharged on the same day in day care group while patients in routine care group were admitted and discharged as per and norms of in-patient care. The feasibility of the procedure, recovery time, readmission for surgery related complications, and patient satisfaction was compared among the two groups. We concluded that day care surgery is a feasible option, with early recovery, short stay, early ambulation, minimal complications, and significant patient satisfaction. Day care procedures have an edge over routine care public tertiary care hospitals. Keywords: Inguinal hernia, day care surgery, Lichtenstein repair.

scholarly journals Day-Care Surgery for Pilonidal Sinus

2006 ◽  
Vol 88 (7) ◽  
pp. 656-658 ◽  
Author(s):  
AKM Abdul-Ghani ◽  
AN Abdul-Ghani ◽  
CL Ingham Clark
Keyword(s):  
Pilonidal Sinus ◽  
Day Care ◽  
Day Surgery ◽  
Complete Healing ◽  
Sinus Surgery ◽  
Potential Cost ◽  
Day Care Surgery ◽  
Ambulatory Treatment ◽  
Wound Breakdown ◽  
Care Surgery

INTRODUCTION The surgical approach to symptomatic pilonidal sinus is open to debate. Many techniques have been described and no single technique fulfils all the requirements of an ideal treatment. Ambulatory treatment with minimal morbidity and rapid return to activity is desirable. The aim of this work was to study the feasibility of day-care surgery for excision and primary asymmetric closure of symptomatic pilonidal sinus. PATIENTS AND METHODS All patients referred electively over 2 years were assessed in a single-consultant, colorectal clinic and booked for day-care surgery. All patients had excision and primary asymmetric closure under general anaesthesia in the left lateral position. Whenever possible, they were discharged on the same day according to the day-surgery protocol. Patients were subsequently seen in the out-patient clinic for removal of stitches and were followed up further if there was any wound breakdown. RESULTS Fifty-one patients were operated on electively for pilonidal sinus over the 2 years. Two patients were excluded as the final diagnosis was not pilonidal sinus. At 4 weeks following operation, 43 (88%) had complete healing and 6 (12%) had dehiscence of the wound. Recurrence rate was 8% (4 patients) for follow-up of 12–38 months. There was no admission from the day-surgery unit and no unplanned re-admissions. The cost for day-care pilonidal sinus surgery was estimated to be £672.00 per patient compared with in-patient cost of £2405.00. CONCLUSIONS Excision and primary asymmetric closure for pilonidal sinus is safe and feasible as day-care surgery and is associated with potential cost saving.

scholarly journals Adult tonsillectomy and day care surgery

2007 ◽  
Vol 59 (4) ◽  
pp. 341-345 ◽  
Author(s):  
Ashok Verma ◽  
Sharifa Al Nabhani ◽  
Mazin Al-Khabori
Keyword(s):  
Day Care ◽  
Day Care Surgery ◽  
Care Surgery ◽  
Adult Tonsillectomy

scholarly journals SPECTRAL ENTROPY FOR ASSESSING THE PATIENT RESPONSIVENESS DURING PROPOFOL/FENTANYL SEDATION IN DAY CARE SURGERIES

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr Shalendra Singh ◽  
Dr Priya Taank
Keyword(s):  
Day Care ◽  
Objective Assessment ◽  
Primary Objective ◽  
Sedation Scale ◽  
Depth Of Anaesthesia ◽  
Anesthetic Care ◽  
Mean Values ◽  
Day Care Surgery ◽  
Monitoring Of Sedation ◽  
Care Surgery

Background: For day care surgery under monitored anesthetic care, precise monitoring of sedation depth facilitates optimization of dosage and prevents adverse complications from over sedation. Conventionally subjective sedation scales, such as the Modified observer’s assessment of alertness/ sedation scale (MOAA/S) have been widely utilized for sedation monitoring. The newer monitoring called entropy is considered to be beneficial for objective assessment with combined use of opioids and hypnotics if applied. The primary objective is to determine measurement of entropy as a marker for measuring depth of anaesthesia. Methods: Two groups P and PF ( with 25 patients each) received either propofol 1mg/kg followed by maintenance infusion of 250 mic/ kg/hr whereas “PF”group received additional single dose of fentanyl 2 mic/kg respectively. The values of response entropy (RE) and state entropy (SE) corresponding to each MOAA/S (5 to 0) were determined. Results: The patient’s demographic profile and clinical characteristics were comparable in both the groups. No difference observed in duration of anaesthesia and surgery in both groups. No difference observed in MOAA/S in both groups.  The results shows a highly significant differences in the observed means of SE, RE, MAP and HR with considerably higher mean values in group P (p<0.0001). However other parameter such as SPO2, ETCO2 and RR were almost comparable in both groups. Conclusion: The mean value of SE and RE in group P and PF indicates that deeper plane of anaesthesia is observed in PF group. It is concluded that in assessing the level of hypnosis during intra-operative sedation in MAC, entropy corresponds to MOAA/S and increases or decreases proportionately depending upon increase or decrease level of sedation. Hence from these results it is proposed that entropy monitoring is a reliable monitoring index of anaesthesia depth in MAC. Keywords: Entropy, Propofol, Sedation, Day care surgery, Observer’s assessment of alertness/ sedation scale, Monitored anaesthesia Care

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