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[One-day surgery: results of 3,000 surgical procedures]
A Carditello1, V Mulè, A Milone
1Dipartimento di Discipline Chirurgiche Generalie e Speciall Clinica Chirurgica I, Università degli Studi di Messina.
Aims:
To evaluate the advantages and limits of one day surgery operations performed between January 1990 and December 2000.
Methods:
Pre-operative study of out patients with indications to surgical treatment with short-stay hospitalisation and research of criteria of feasibility of day-surgical program: a) morning hospitalisation; b) surgical intervention; c) post-operative control; d) night control; e) careful evaluation of admission 24 hour after operation and instruction for house-therapy; f) program of follow-up (7 and 14 days after operation).
Results:
Mortality 0%; immediate post-operative complications 1.8%; post-operative sequelae (one year after surgery): 0.5%; high satisfaction gradient of patients one year after treatment: 89%.
Discussion:
The Day-Surgery seems to be, after ten years of experience, available in high number of patients, with progressive extension of indications to ever more surgical fields and results very satisfactory, in term of cost-effectiveness too, with an high compliance of the patients to surgical program.