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 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%).

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

Advances in general surgery 50 years ago

2021 ◽  
pp. 1-2
Author(s):  
Harold Ellis
Keyword(s):  
General Surgery ◽  
Varicose Veins ◽  
Peptic Ulcers ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
New Treatments

In 1971, some of the new advances that were set to change the field of general surgery included theories about the development of peptic ulcers, new treatments for varicose veins and pioneering work in the introduction of day case surgery.

Following up day case anaesthesia in general practice

1990 ◽  
Vol 28 (21) ◽  
pp. 81-82
Keyword(s):  
General Practice ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
Case Anaesthesia ◽  
Discharge From Hospital

Many patients now have surgery as day cases, being admitted and discharged from hospital on the day of the operation; most have a general anaesthestic (GA). Serious complications are rare if day case surgery is confined to short, minor procedures in fit patients. However, both the patient and the GP need to be aware of the complications of anaesthesia which may arise after discharge from hospital. A future article will discuss other aspects of day case surgery.

Cancellation on the Day of Surgery in an Ambulatory Setting - A Retrospective Analysis

2021 ◽  
Author(s):  
João Manuel Teixeira Oliveira ◽  
Mariana Ginestal ◽  
Catarina Ferreira ◽  
Ana Povo ◽  
Eurico Castro Alves
Keyword(s):  
Inpatient Care ◽  
Ambulatory Surgery ◽  
Healthcare Management ◽  
Ambulatory Setting ◽  
Day Case ◽  
Chi Square ◽  
Day Case Surgery ◽  
Cancellation Rate ◽  
Case Surgery ◽  
Level Of Significance

Abstract Background: Cancellations on the day of surgery represent an important setback for patients and pose considerable drawbacks for healthcare management. Part of these cancellations are due to patients’ factors. Some studies have addressed this issue in inpatient care, but scarce information is found regarding ambulatory setting. This work intended to analyse the parameters that are important in patient cancellation on the day of surgery for ambulatory surgery, with a closer analysis on those that are patient dependent, specifying those that are significant in order to anticipate which patients will be cancelled beforehand.Methods: This work analysed a total of 19781 patients enrolled for elective day-case surgery in 2018, from which 1253 (6.33%) made a cancellation on their day of surgery. Results: Patients residing closer to the hospital (< 10 Km) had statistically more cancellations than those residing > 10 km away (p<0.05). Also, patients with 65 years of age or more had a higher cancellation rate (p<0.05). Finally, patients without a prior pre operative medical appointment might have a higher likelihood of same day cancellation (5.8% vs 14.01%, p<0.05). T-test and Chi-square tests were used with a level of significance of 0.05.Conclusions: We expect this work can contribute to anticipate the cancellation of a given patient, enabling quicker treatment with optimised resources.

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