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AUDIT OF THE PRACTICE OF DAY CASE SURGERY IN THE DIVISION OF PAEDIATRIC SURGERY, UNIVERSITY COLLEGE HOSPITAL, IBADAN
D I Olulana1,2, O O Ogundoyin1,2, T A Lawal1,2
1Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan.
Insights
Paediatric day case surgery, primarily for groin hernias, is safe and effective in children. This audit of 1,211 patients over 12 years showed no re-admissions or mortality, indicating good outcomes.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Anesthesia
Background:
- Paediatric day case surgery involves planned procedures with same-day discharge.
- This study audits practice and outcomes at a specific center.
- It addresses the need for efficient and safe surgical care for children.
Purpose of the Study:
- To audit paediatric day case surgery practices.
- To determine the outcomes of paediatric day case surgeries.
- To identify common procedures and patient demographics.
Main Methods:
- Retrospective study of 1,211 patients from 2010-2022.
- Data collected included age, gender, diagnosis, surgery type, anesthesia, and complications.
- Statistical analysis performed using SPSS version 22.0.
Main Results:
- The most common procedure was right groin hernia repair (59%).
- 1,211 patients (M:F 6:1, median age 2 years) were included.
- No re-admissions or mortality were recorded; two cases required repeat surgery for recurrence.
Conclusions:
- Groin hernias are the most frequent day case surgery in this pediatric cohort.
- Paediatric day case surgery is demonstrated as safe and yielding positive outcomes when managed effectively.
Background:
Paediatric day case surgery refers to planned procedures on patients on a non-resident basis but requires some facilities and time for recovery before discharge home on the day of surgery. This study was conducted to audit paediatric day case surgery practice at our centre, and to determine the outcome of day case surgeries.
Patients And Methods:
This is a retrospective study of cases seen over a period of 12 years, 2010 to 2022. These patients' data were assessed from their case notes and information obtained for each of the patients included age, gender, diagnosis, type of operation, type of anesthesia and post operative complications. The data were analyzed using SPSS version 22.0 for windows.
Results:
A total of 1,211 patients were recruited, with a M: F; 6: 1. The age of patients ranged from one week to 15 years with a median age of two years. A higher proportion of case load involved infants and toddlers compared to the other paediatric age groups. In this review, the largest volume of cases was seen in the last five years with the peak in 2018 (202). The right groin for an isolated diagnosis was operated in 381 (59 %) patients compared to the left 265 (41 %). The mean duration of surgery time was 40 minutes. Most of the patients had General Anesthesia (GA) with endotracheal tube, face mask, and laryngeal mask airway (LMA) using isoflurane, halothane and propofol at different times as anesthetic agents. There were no re admissions or mortality, however two of our patients had recurrence necessitating a re-do surgery.
Conclusion:
Groin hernias are the most common day cases in children in our facility. Day case paediatric surgery is safe, and outcome is generally good, when well managed.
