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[Ambulatory pediatric surgery--possibilities and limits]
1Arzt für Chirurgie-Kinderchirurgie, München, Bundesrepublik, Deutschland.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1991
Summary
Ambulatory pediatric surgery in Germany is uncommon but safe and effective. This study found low complication rates in 869 children undergoing same-day surgical procedures.
Area of Science:
- Pediatric Surgery
- Ambulatory Care
Background:
- Ambulatory pediatric surgery is not yet widespread in Germany.
- Understanding its prerequisites, indications, and limitations is crucial.
Purpose of the Study:
- To present the prerequisites, indications, possibilities, and limitations of ambulatory pediatric surgery.
- To evaluate the outcomes of pediatric surgical operations performed on an ambulatory basis.
Main Methods:
- Retrospective analysis of 869 pediatric surgical operations performed under general anesthesia over 21 months.
- Postoperative evaluation using questionnaires for 352 children.
Main Results:
- 70% of the pediatric patients were under 5 years of age.
- Low complication rates: 1.4% early complications and 0.3% late complications (hernia recurrence).
Conclusions:
- Ambulatory pediatric surgery can be performed safely and effectively, considering the specific needs of children.
- The practice demonstrates good outcomes within its defined possibilities and limitations.