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Paper Id: IJCIRAS1688
Title: FEASIBILITY OF AMBULATORY SURGERY: A RETROSPECTIVE STUDY
Published in: International Journal Of Creative and Innovative Research In All Studies
Publisher: IJCIRAS
ISSN: 2581-5334
Volume / Issue: Volume 3 Issue 6
Pages: 6
Published On: 11/11/2020 9:16:01 PM      (MM/dd/yyyy)
Main Author Details
Name: Bensetti Houari Karima Amina
Institute: Surgical clinic “A” CHU Oran Algeria
Co - Author Details
Author Name Author Institute
Abstract
Research Area: Surgery & related medical specialties
KeyWord: Ambulatory surgery-proctology-inguinal hernia-laparoscopic cholecystectomy
Abstract: Introduction: Ambulatory surgery is a form of surgical management. The patient stays in the hospital for the strict minimum of time. He will arrive in the morning, and must be back at home in the same day in evening. This practice is generalized now. It became possible by the progress of laparoscopy and anesthesia. Multimodal taking care of pain and nausea vomiting earlier manage the postoperative risks. The Patients are rehabilitated by advancement of knowledge. Ambulatory surgery has demonstrated its benefits for the patient in terms of quality, safety, less exposure of nosocomial infections, the thromboembolic risk and less cost. Goal of the study: Demonstrate the feasibility and reproducibility of laparoscopic cholecystectomy, proctologic surgery and inguinal hernia treatment on an outpatient basis under optimal safety conditions, also to guarantee results that approach those of the literature and to determine the causes of failure of the ambulatory procedure. Materials and methods: Descriptive study, observational, prospective and mono-centric study conducted in the CHU Oran from 04/2016 to 05/2018. With the ambulatory method, patients were admitted for surgical treatment. In order to describe the organizational aspects and risk factors for failure of the ambulatory management to judge the feasibility of this method. All patient characteristics, description of the surgical procedure, type of anesthesia, ambulatory rate, hospitalization, admissions, readmissions and unscheduled consultations are described. The level of satisfaction and intensity of postoperative complain were collected. Results: Our series included 240 patients. The average age was 43 years with extremes ranging from (18-80). There is a slight female predominance 57.9%. The sexratio was 1.37. The majority of patients were ASAI. We performed spinal anesthesia for proctological surgery and hernia cure. The average operating time was 44.87 min. The rates of intraoperative and postoperative complications were 7.08%. The causes of failure were surgical and medical. The medical complications: drowsiness type, headache, pain alone or associated with vomiting, acute retention of urine and organizational causes such as late exit from the block and (stress). The procedure failure rate was (5.8%); readmission rate was (0.41%). The rate of unscheduled consultations was (3.3%). The patient satisfaction rate was 95%. Conclusion: Our study supports the feasibility of ambulatory surgery under optimal safety conditions. It is part of an approach to improve care. It shows a low morbidity rate, good tolerance of postoperative follow-up. That was possible after a good selection of patients, by adopting anesthesia to the patient and to the intervention, by optimizing the taking in charge perioperative, which is specific by risk management within an organized structure. These conclusions encourage us to propose the establishment of an ambulatory surgery unit. Keywords:Ambulatory surgery-proctology-inguinal hernia-laparoscopic cholecystectomy
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IEEE
Bensetti Houari Karima Amina, "Feasibility of ambulatory surgery: a retrospective study", International Journal Of Creative and Innovative Research In All Studies, vol. 3, no. 6, pp. 1-6, 2020.
MLA Bensetti Houari Karima Amina "Feasibility of ambulatory surgery: a retrospective study." International Journal Of Creative and Innovative Research In All Studies, vol 3, no. 6, 2020, pp. 1-6.
APA Bensetti Houari Karima Amina (2020). Feasibility of ambulatory surgery: a retrospective study. International Journal Of Creative and Innovative Research In All Studies, 3(6), 1-6.
Feasibility of ambulatory surgery: a retrospective study
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