An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India
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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Indian Association of Pediatric Surgeons |
| Subjects: | |
| Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=3;spage=148;epage=152;aulast=Kumar |
| _version_ | 1819101822555521024 |
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| author | Ravikesh Kumar Subhasis Roy Choudhury Pratap Singh Yadav Raksha Kundal Amit Gupta Nitin Hayaran Rajiv Chadha |
| author_facet | Ravikesh Kumar Subhasis Roy Choudhury Pratap Singh Yadav Raksha Kundal Amit Gupta Nitin Hayaran Rajiv Chadha |
| author_sort | Ravikesh Kumar |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T01:24:47Z |
| format | Article |
| id | doaj.art-632cb55822ee4e07b0b36f428c326d44 |
| institution | Directory Open Access Journal |
| issn | 0971-9261 1998-3891 |
| language | English |
| last_indexed | 2024-12-22T01:24:47Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj.art-632cb55822ee4e07b0b36f428c326d442022-12-21T18:43:38ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912021-01-0126314815210.4103/jiaps.JIAPS_52_20An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in IndiaRavikesh KumarSubhasis Roy ChoudhuryPratap Singh YadavRaksha KundalAmit GuptaNitin HayaranRajiv ChadhaBackground: 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.http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=3;spage=148;epage=152;aulast=Kumarchildrenday-care surgeryparental satisfactionunplanned admission |
| spellingShingle | Ravikesh Kumar Subhasis Roy Choudhury Pratap Singh Yadav Raksha Kundal Amit Gupta Nitin Hayaran Rajiv Chadha An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India Journal of Indian Association of Pediatric Surgeons children day-care surgery parental satisfaction unplanned admission |
| title | An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India |
| title_full | An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India |
| title_fullStr | An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India |
| title_full_unstemmed | An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India |
| title_short | An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India |
| title_sort | analysis of safety and efficacy of day care surgery in children in a tertiary care hospital in india |
| topic | children day-care surgery parental satisfaction unplanned admission |
| url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=3;spage=148;epage=152;aulast=Kumar |
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