| ORIGINAL ARTICLE
|Year : 2021 | Volume
| Issue : 3 | Page : 148-152
An analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India
Ravikesh Kumar1, Subhasis Roy Choudhury1, Pratap Singh Yadav1, Raksha Kundal2, Amit Gupta1, Nitin Hayaran2, Rajiv Chadha1
1 Department of Paediatric Surgery, Lady Hardinge Medical College, Kalawati Saran Children’s Hospital, New Delhi, India
2 Department of Anaesthesia, Lady Hardinge Medical College, Kalawati Saran Children’s Hospital, New Delhi, 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 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.
Dr. Raksha Kundal
Department of Anaesthesia, Lady Hardinge Medical College, New Delhi
Source of Support: None, Conflict of Interest: None
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