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[Ambulatory surgery interventions in childhood in a surgical clinic]
G Steinau1, A Tittel, V Schumpelick
1Chirurgische Klinik, Medizinischen Fakultät, RWTH, Aachen.
Insights
One-Day Surgery for pediatric patients is a safe and effective procedure, with high satisfaction rates among parents and pediatricians. Careful planning and qualified surgeons are key to successful outcomes.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Ambulatory Surgery
Context:
- 1,688 pediatric patients underwent One-Day Surgery between 1980 and 1990.
- The study focuses on common pediatric surgical procedures like inguinal hernias, phimosis, and umbilical hernias.
Purpose:
- To evaluate the safety, efficacy, and satisfaction rates of One-Day Surgery in pediatric patients.
- To identify factors contributing to successful pediatric ambulatory surgery.
Summary:
- Over 85% of procedures were for inguinal hernias, phimosis, and umbilical hernias in children aged 3 months to 14 years.
- A low complication rate of 1.6% was observed, with two readmissions due to postoperative hemorrhage after circumcision.
- High satisfaction was reported by parents (over 90%) and pediatricians (85%).
Impact:
- Highlights the feasibility and benefits of pediatric One-Day Surgery.
- Emphasizes the importance of qualified surgeons, robust organization, and attention to forensic issues for successful implementation.
Abstract:
Between Jan. 1, 1980 and Dec. 31, 1990 1 688 children underwent One-Day-Surgery at the Surgical Department of the Rhenish-Westfalian Technical University. More than 85% of the operations were inguinal hernias (n = 765), phimoses (n = 324) and umbilical hernias (n = 185). The children's age ranged from 3 months up to 14 years. 27 patients (1.6%) could not be dismissed at the same day because of early complications. Two postoperative hemorrhages after circumcision led to readmissions and reoperation. More than 90% of the parents and 85% of the pediatrists were satisfied with the One-Day-Surgery. A responsible and successful One-Day-Surgery needs qualified surgeons, a well defined organizational structure and the observance of forensic problems.