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[One stop surgery in pediatric surgery. Preliminary report].

G Sanges1, M Astuto, P Sentina

  • 1Università degli Studi di Catania, Azienda Policlinico, U.O. di Chirurgia Pediatrica, Via S. Sofia 86, 95125 Catania. giuseppe.sanges1@virgilio.it

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|August 29, 2002
PubMed
Summary

One-Stop Surgery (OSS) streamlines pediatric day surgery by combining evaluation and operation in one visit. While effective for select procedures, large-scale adoption requires significant pediatric day surgery experience.

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Area of Science:

  • Pediatric Surgery
  • Ambulatory Surgery
  • Healthcare Management

Context:

  • The One-Stop Surgery (OSS) model integrates preoperative assessment and surgical procedures into a single hospital visit.
  • This approach aims to improve efficiency and patient experience in day surgery settings.

Purpose:

  • To evaluate the initial experience and feasibility of the One-Stop Surgery (OSS) method in pediatric day surgery.
  • To assess the outcomes, advantages, and potential disadvantages of the OSS model.

Summary:

  • The study involved 43 pediatric patients (ages 2-7) undergoing procedures like central venous catheter removal, hernia repair, and prepuce dorsal slit using the OSS method.
  • All patients experienced uneventful recoveries, with no postoperative calls, indicating successful implementation for selected cases.

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  • Key benefits included reduced costs and increased patient/parent satisfaction, though potential drawbacks like inappropriate indications or anesthesiologic contraindications were noted.

    • Impact:

    • The OSS model demonstrates potential for cost savings and enhanced patient satisfaction in pediatric day surgery.
    • Careful patient selection and experienced surgical teams are crucial for successful OSS implementation.
    • Further experience is recommended before widespread adoption of the OSS approach in pediatric day surgery.