scholarly journals Lateral Internal Sphincterotomy for Chronic Anal Fissure under local anesthesia as a Day Case Surgery

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Tariq Siddique ◽  
Sadaqat Ali Khan ◽  
Madeha Rehman ◽  
Haroon Rafiul Islam ◽  
Waseem Ahmad
Keyword(s):  
Anal Fissure ◽  
Local Anaesthesia ◽  
Patient Acceptance ◽  
Outpatient Basis ◽  
Day Case ◽  
Female Ratio ◽  
Day Case Surgery ◽  
Bowel Movements ◽  
Case Surgery ◽  
Male To Female

This prospective study was carried out in East Surgical unit, Mayo Hospital, Lahore for the period of two years from July 2001 to July 2002 on outpatient basis. Total of 50 patients aged between 20-50 years fulfilled the criteria of day case surgery i.e., health and social criteria (ASAI&II), only those were included in the study. The objectives were to evaluate the role of lateral sphicnterotomy under local anaesthesia as a day case surgery, considerable cost to patient and hospital, less morbidity and high patient acceptance. Thirty three patients (66%) were male and 17(34%) were female. Male to female ratio was about 2:1. Thirty nine patients (78%) presented with posterior anal fissure and 11 patients (12%) with anterior anal fissure. All patients operated under local anaesthesia as day case. Immediate relief from pain and painless first bowel movements was accomplished in 49(98%) of patients. No morbidity was observed. Postoperative complications were observed in 4 patients (8%) that resolved with conservative management. The patient acceptance was high (94%).

The power of words ‐ patients' experiences of urology day case surgery in local anaesthesia

2021 ◽  
Vol 15 (3) ◽  
pp. 146-147
Author(s):  
Louise Faurholt Obro ◽  
Gitte E. Kissow ◽  
Palle Jörn Sloth Osther
Keyword(s):  
Local Anaesthesia ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
Power Of Words

scholarly journals CORESS: raising the profile

2011 ◽  
Vol 93 (3) ◽  
pp. 84-85
Author(s):  
Elaine Towell
Keyword(s):  
Elderly Patient ◽  
Local Anaesthesia ◽  
Day Case ◽  
Wound Edge ◽  
Skin Preparation ◽  
Day Case Surgery ◽  
Bleeding Point ◽  
Nasal Cannulae ◽  
Case Surgery ◽  
Disinfectant Solution

An elderly patient was admitted for day-case surgery to excise a lipoma from the back of her neck under local anaesthesia. The patient was placed prone; the operation site was cleaned with an alcohol-based skin preparation and draped. The patient was given mild sedation and oxygen through nasal cannulae. It appears that the disinfectant solution had pooled in the patient's hair because when diathermy was applied to cauterise a small wound-edge bleeding point, the patient's head was suddenly engulfed in flames. The fire was rapidly extinguished but left small burns to one ear and loss of a large portion of hair.

scholarly journals Orthopedic Day-case Surgery in Nigeria: A Single-center Experience

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Echezona Valentine Malizu ◽  
Omolade Ayoola Lasebikan ◽  
Njoku Isaac Omoke
Keyword(s):  
Conversion Rate ◽  
Late Complication ◽  
Orthopedic Procedures ◽  
Day Case ◽  
Female Ratio ◽  
Day Case Surgery ◽  
Single Center Experience ◽  
Case Surgery ◽  
High Conversion Rate ◽  
Age Range

Background: The concept of day-case surgeries is relevant in orthopedic specialty in developing countries, where orthopedic elective procedures have relatively longer duration of surgical waiting time, mainly due to lack of inpatient bed space. We aimed to determine the scope, safety and outcome of orthopedic day-case surgeries in a Nigerian setting, and identify potential areas for intervention to improve the practice. Methods: This was a 12-month prospective study of 71 eligible, consenting and consecutive patients who presented at the National Orthopedic Hospital Enugu and were carefully selected and prepared for orthopedic day-case surgeries. Results: Within the period of study, 53 of 540 elective orthopedic procedures were carried out as daycase, giving a day-case surgery rate of 9.8%. Of the patients enrolled, male to female ratio was 1.2:1 and age range was 8 months to 76 years. Eighteen (25.4%) patients had their day-case  procedure cancelled on the day of surgery. The commonest procedure was removal of implant. Conversion rate was 32% mainly due to operation occurring late. Complication (mainly pain) rate was 30%, and correlated with duration of procedure (p<0.006). The satisfaction rate among patients was 98%; no re-admission or mortality was observed. Conclusion: In this study, orthopedic day-case procedures were safe, though there was low use of daycase surgery in scope, complexity and  number of procedures. This and the high conversion rate observed call for a dedicated day-case unit and measures to facilitate timelines of the procedures. Keywords: Orthopedics, Day-case surgery

scholarly journals Comparison of Propofol and Thiopentone Anaesthesia (with Special Reference to Recovery Characteristics)

1987 ◽  
Vol 15 (4) ◽  
pp. 389-393 ◽  
Author(s):  
W. M. Weightman ◽  
M. Zacharias
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Day Case ◽  
Early Recovery ◽  
Day Case Surgery ◽  
Pain On Injection ◽  
High Incidence ◽  
Case Surgery ◽  
Repeated Doses ◽  
The Mean

Thiopentone and propofol were used for the induction and maintenance of anaesthesia in unpremedicated patients undergoing minor gynaecological procedures. There were no significant differences in the induction and maintenance characteristics except for a high incidence of pain on injection and a greater fall in the mean systolic blood pressure associated with propofol in comparison with thiopentone. Propofol was associated with a quicker early recovery as well as a faster psychomotor recovery, as tested by a peg-board. However, complete psychomotor recovery was not achieved for up to three hours in some patients receiving propofol and so caution is advised regarding the early street fitness of patients receiving repeated doses of the drug for day case surgery.

scholarly journals Overnight in-hospital observation following tonsillectomy: retrospective study of post-operative intervention

2017 ◽  
Vol 132 (1) ◽  
pp. 46-52 ◽  
Author(s):  
S Morris ◽  
E Hassin ◽  
M Borschmann
Keyword(s):  
Patient Characteristics ◽  
University Hospital ◽  
Evidence Based ◽  
Airway Compromise ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
American Society ◽  
Evidence Based Guidelines ◽  
Critical Intervention

AbstractObjective:The safety of day-case tonsillectomy is widely documented in the literature; however, there are no evidence-based guidelines recommending patient characteristics that are incompatible with day-case tonsillectomy. This study aimed to identify which patients should be considered unsafe for day-case tonsillectomy based on the likelihood of needing critical intervention.Method:Retrospective review of 2863 tonsillectomy procedures performed at University Hospital Geelong from 1998 to 2014.Results:Of the patients, 7.81 per cent suffered a post-tonsillectomy complication and 4.15 per cent required intervention. The most serious complications, haemorrhage requiring a return to the operating theatre and airway compromise, occurred in 0.56 per cent and 0.11 per cent of patients respectively. The following patient characteristics were significantly associated with poorer outcomes: age of two years or less (p < 0.01), tonsillectomy indicated for neoplasm (p < 0.01) and quinsy (p < 0.05).Conclusion:The authors believe that all elective tonsillectomy patients should be considered for day-case surgery, with the following criteria necessitating overnight observation: age of two years or less; an indication for tonsillectomy of neoplasm or quinsy; and an American Society of Anesthesia score of more than 2.

scholarly journals COMPARISON BETWEEN MIDAZOLAM AND THIOPENTONE-BASED BALANCED ANAESTHESIA FOR DAY-CASE SURGERY

1984 ◽  
Vol 56 (2) ◽  
pp. 165-169 ◽  
Author(s):  
M.E. CRAWFORD ◽  
P. CARL ◽  
R.S. ANDERSEN ◽  
B.O. MIKKELSEN
Keyword(s):  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
Balanced Anaesthesia
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