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Outpatient pediatric surgery in a developing country.

M El-Shafie, R P Shapiro

    Pediatrics
    |October 1, 1977
    PubMed
    Summary
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    Outpatient surgery in Jamaica proved safe and effective for over 5,500 children between 1968-1973. This approach offers a cost-effective solution, especially valuable for developing nations with limited hospital beds.

    Area of Science:

    • Pediatric Surgery
    • Global Health
    • Health Services Research

    Background:

    • Limited inpatient facilities in developing countries pose challenges for pediatric surgical care.
    • Outpatient surgical procedures offer a potential solution to increase access to care.
    • Parental involvement in care can impact surgical outcomes.

    Purpose of the Study:

    • To evaluate the safety and efficacy of outpatient surgical procedures in a pediatric setting.
    • To assess the feasibility of outpatient surgery in a resource-limited environment.
    • To determine the impact of parental participation on surgical outcomes.

    Main Methods:

    • Retrospective review of 5,522 outpatient surgical procedures performed between 1968 and 1973.
    • Analysis included 2,662 general surgical procedures.

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  • Data collection focused on patient outcomes, complications, and mortality.

    • Main Results:

    • No deaths or major complications were recorded among the 5,522 procedures.
    • A significant number of general surgical procedures were successfully performed on an outpatient basis.
    • Active parental participation in preoperative and postoperative care was noted.

    Conclusions:

    • Outpatient surgery is a safe, inexpensive, and effective method for delivering pediatric surgical care.
    • This model is particularly beneficial for developing countries with constraints on inpatient capacity.
    • Successful implementation highlights the potential for broader adoption in similar settings.