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Feasibility case-controlled study of day-case haemorrhoidectomy
1Division of Colorectal Surgery, United Christian Hospital Department of Surgery, Hong Kong, China.
ANZ Journal of Surgery
|December 12, 2001
Summary
Day-surgery haemorrhoidectomy is feasible, offering a shorter hospital stay compared to traditional inpatient procedures. This approach demonstrates potential for significant public medical expense savings.
Area of Science:
- Surgical Procedures
- Gastroenterology
- Public Health
Background:
- Haemorrhoidectomy is commonly an inpatient procedure.
- Day-surgery offers potential benefits as an alternative.
- Feasibility and hospital stay duration were explored.
Purpose of the Study:
- To explore the feasibility of day-surgery haemorrhoidectomy.
- To compare hospital days between day-surgery and inpatient haemorrhoidectomy.
- To assess the economic implications of day-surgery procedures.
Main Methods:
- A case-controlled study comparing day-surgery and inpatient haemorrhoidectomy.
- Data collected from a single surgeon's experience between July 1999 and March 2000.
- Statistical analysis was applied to compare patient groups.
Main Results:
- 30 day-surgery and 15 inpatient haemorrhoidectomies were performed.
- Day-surgery patients had a significantly shorter hospital stay (1 day vs. 4 days).
- Readmission rates for secondary bleeding were similar in both groups; all resolved spontaneously.
Conclusions:
- Day-surgery haemorrhoidectomy is a feasible and effective procedure.
- Shorter hospital stays for day-surgery patients suggest potential savings in public medical expenses.
- This approach represents a viable alternative to traditional inpatient care.