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Day-case bilateral sagittal split osteotomy
L A Davies1, E M S Crawford1, J L Jones1
1Oral and Maxillofacial Surgery Department, Royal Gwent Hospital, Cardiff Road, Newport, NP20 2UB, United Kingdom.
Bilateral sagittal split osteotomy (BSSO) can be safely performed as a day-case procedure, improving patient satisfaction. Early morning surgeries are recommended to minimize unplanned admissions for BSSO patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Day Care
Background:
- Traditionally, bilateral sagittal split osteotomy (BSSO) necessitated inpatient admission in the UK.
- National standards for day surgery, introduced in 2011, prompted a shift in practice at Royal Gwent Hospital.
Purpose of the Study:
- To evaluate the safety and success of BSSO as a day-case procedure.
- To demonstrate adherence to current UK national standards for day surgery.
Main Methods:
- Retrospective review of patients undergoing isolated BSSO planned as day cases.
- Data collected from March 2015 to February 2017.
Main Results:
- Out of 34 eligible patients, 32 were discharged on the same day.
- Two patients required postoperative admission due to nausea/vomiting and bleeding, respectively.
- No patients were readmitted within 48 hours of the procedure.
Conclusions:
- Bilateral sagittal split osteotomy is a viable and safe day-case procedure.
- Scheduling surgeries for early in the morning can help reduce unplanned admissions.
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