Review of day care surgery in a rural set up: An observational study
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 3
Abstract
The history of “DAY CARE SURGERY” is as old as medicine itself. This is an era of cost containment. Number of patients discharged on the same day of surgery is increased due to fast tracking anaesthesia techniques and advances in surgical techniques. Aims and objectives: To assess the feasibility of day care surgery in rural area. Materials and methods: In the present study total 200 patients were studied operated for various day care procedures. All the patients were operated on day care basis. Results were compared with in patients with respect to Morbidity, Wound infection, Postoperative pain, Types of anesthesia and related morbidity, Reasons for conversion of day care to indoor. Results: It was observed that majority of the patients (77%) undergone day care surgeries were less than 40 years of age. Majority of the patients were male (64.5%). It was seen that majority of the patients (63%) in the study were operated under local anesthesia followed by were general anesthesia (28.5%). In the present study 18.5% were not discharged where as 6% patients required readmission for various reasons. Nausea and vomiting was the most common reason for inability to discharge patients as day care surgery which was observed in 5% patients of the total patients. 12 patients (6%) needed readmission. Out of these 3 patients had nausea and vomiting. Four patients had pain after discharge and five patients had wound discharge. Conclusion: Day care surgery was well accepted in young patients with ASA grade I and II. Thus Day care surgery when performed with all due precautions and careful selection and meticulous preparation has a wide safety margin and a good success rate.
Authors and Affiliations
Arun V Dawle, Kunal M Veling
Keywords
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