Adenoidectomy as day surgery: feasibility and outcomes

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Giuseppe Musella1, Andrea Luigi Ambrosoli1, Alessia Palluotto2

  • 1ASST Sette Laghi, Department of Anesthesiology Del Ponte, Varese, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|May 12, 2025
PubMed

Insights

Day surgery adenoidectomy in children is safe, with a 2.3% unplanned admission rate. Key factors influencing admission include surgery end time, duration, and surgeon experience.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Health Services Research

Background:

  • Adenoidectomy as day surgery is generally safe and cost-effective.
  • Occasional overnight admissions occur for extended care needs.
  • Investigating unplanned admission rates is crucial for optimizing day surgery protocols.

Purpose of the Study:

  • To determine the unplanned admission rate following day surgery adenoidectomy in children.
  • To identify factors associated with unplanned admissions after pediatric adenoidectomy.

Main Methods:

  • Retrospective analysis of 3,396 pediatric adenoidectomies (2010-2023) in a tertiary center.
  • Inclusion criteria: age > 2 years, ASA score I-II.
  • Evaluation of factors: age, gender, surgery duration, surgeon experience, adverse events, multiple surgeries; univariate, multivariate analysis, ROC curves.

Main Results:

  • The unplanned admission rate was 2.3%.
  • Postoperative nausea/vomiting was the most frequent complication; respiratory issues were low.
  • Multivariate analysis identified surgery end time (p < 0.001), surgical duration (p = 0.001), and surgeon experience (p < 0.001) as significant factors for unplanned admission.

Conclusions:

  • Adenoidectomy as day surgery is safe and feasible in a tertiary setting.
  • The study demonstrates a low rate of unplanned admissions and rare serious complications.
  • Further research is recommended to validate findings across diverse settings and populations.
Abstract

Keywords:
adenoidectomychildrencomplicationday surgeryperioperativeretrospective study

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