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Introduction of a hand trauma day surgery operating list.
F Schonauer1, J P. Garner, J A. Pereira
1Department of Plastic Surgery, Queen Victoria Hospital, Holtye Road, RH19 3DZ, West Sussex, UK
Ambulatory Surgery
|July 17, 2001
Summary
A dedicated hand trauma day surgery (HTDS) list effectively treats many hand injuries, reducing hospital bed pressure and wait times. This efficient approach shows favorable outcomes and low complication rates compared to traditional inpatient methods.
Area of Science:
- Plastic Surgery
- Trauma Surgery
- Orthopedic Surgery
Background:
- Increasing referrals for hand trauma placed significant pressure on inpatient beds and surgical waitlists.
- The need for efficient management of hand injuries became apparent.
Purpose of the Study:
- To evaluate the effectiveness and efficiency of a dedicated hand trauma day surgery (HTDS) list.
- To assess treatment adequacy, outcomes, and complication rates for hand injuries managed via HTDS.
Main Methods:
- Retrospective review of the first 101 cases treated on the HTDS list.
- Analysis of patient admissions post-surgery and complication rates.
Main Results:
- Only one patient (less than 1%) required inpatient admission following HTDS.
- The complication rate for HTDS was comparable to traditional inpatient management.
- A wide range of hand injuries were adequately treated.
Conclusions:
- A dedicated HTDS list is an effective and efficient strategy for managing diverse hand injuries.
- HTDS can successfully reduce inpatient bed occupancy and surgical waiting times.
- This model of care provides adequate specialist treatment with favorable outcomes.