A critical pathway for successful outpatient ureteral reimplantation: a nursing perspective

Penelope Hedman1, Jeffrey S Palmer

  • 1Beachwood Ambulatory Surgery Center, Cleveland Clinic, Cleveland, OH, USA.

Insights

Vesicoureteral reflux surgery in children can now be safely performed in an ambulatory setting, reducing hospital stays. This approach emphasizes family-centered care throughout the perianesthesia process.

Area of Science:

  • Pediatric Urology
  • Ambulatory Surgery
  • Anesthesiology

Background:

  • Vesicoureteral reflux is a frequent pediatric urologic diagnosis.
  • Traditional surgical treatments necessitate prolonged hospital stays (1-6 days).

Purpose of the Study:

  • To evaluate the safety and feasibility of ambulatory extravesical ureteral reimplantation for pediatric vesicoureteral reflux.
  • To highlight the role of family-centered care in perianesthesia for pediatric surgical procedures.

Main Methods:

  • Retrospective review of pediatric patients undergoing unilateral or bilateral extravesical ureteral reimplantation.
  • Implementation of a family-centered perianesthesia care pathway.

Main Results:

  • Extravesical ureteral reimplantation was performed safely in the ambulatory surgery setting for both unilateral and bilateral cases.
  • A family-centered approach was integral to the perianesthesia critical pathway.

Conclusions:

  • Ambulatory extravesical ureteral reimplantation is a safe and effective option for pediatric vesicoureteral reflux.
  • Family-centered care enhances the perianesthesia experience and can be adapted for various pediatric procedures.

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