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Day-case stoma surgery: is it feasible?
M Gatt1, B S Reddy, K S Mainprize
1Scarborough Colorectal Team, Department of Surgery, Scarborough General Hospital, Woodlands Drive, Scarborough Y012 6QL, UK.
Summary
Stoma surgery, including fashioning and reversal, can be safely performed as a 23-hour day-case procedure. This approach increases day-surgery rates, but requires careful patient selection for optimal outcomes.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Minimally Invasive Procedures
Background:
- The UK National Health Service (NHS) aims to improve services by increasing day-surgery rates.
- Expanding the range of procedures suitable for short-stay surgery is crucial for achieving this goal.
- This study evaluates the feasibility of performing stoma fashioning or reversal as a short-stay procedure.
Purpose of the Study:
- To determine if fashioning or reversal of loop stomas can be safely offered as a day-case procedure.
- To assess patient acceptance and outcomes of short-stay stoma surgery.
- To contribute to the expansion of day-surgery interventions.
Main Methods:
- Prospective data collection on consecutive patients undergoing stoma fashioning or reversal offered as day-cases.
- Inclusion of pre-operative stoma care education by specialist nurses.
- Utilisation of laparoscopic-assisted techniques, opiate avoidance, and early mobilisation protocols.
Main Results:
- All patients accepted the day-surgery option readily.
- 11 out of 12 patients were discharged within 23 hours.
- No complications or readmissions were observed in patients discharged early.
Conclusions:
- 23-hour stoma surgery is feasible with appropriate supportive measures.
- Day-case procedures for stoma surgery are achievable for selected patients.
- Careful patient selection is essential for successful short-stay stoma surgery.
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