Abstract
Since January 1989 a policy of day-case surgery has been adopted for suitable paediatric procedures by one firm (MEF) at East Glamorgan Hospital. There have been 184 children treated to date, with an age range of 4 weeks to 13 years. There were 58 circumcisions, 48 hernias, 35 orchidopexies, 18 hydrocoeles and 25 miscellaneous procedures performed with no significant complications. All children were given a general anaesthetic, 42 procedures (22%) were performed using endotracheal intubation, the remainder with a facemask. Postoperative analgesia was provided in most cases by local wound infiltration with bupivacaine 0.25%. The average length of stay before January 1989 was 3 days and 2 nights for similar cases. Cost analysis shows significant potential financial savings of 105 pounds per patient treated. The implications for future planning are discussed.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Atwell J. D., Burn J. M., Dewar A. K., Freeman N. V. Paediatric day-case surgery. Lancet. 1973 Oct 20;2(7834):895–896. doi: 10.1016/s0140-6736(73)92020-5. [DOI] [PubMed] [Google Scholar]
- Atwell J. D., Gow M. A. Paediatric trained district nurse in the community: expensive luxury or economic necessity? Br Med J (Clin Res Ed) 1985 Jul 20;291(6489):227–229. doi: 10.1136/bmj.291.6489.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Caldamone A. A., Rabinowitz R. Outpatient orchiopexy. J Urol. 1982 Feb;127(2):286–288. doi: 10.1016/s0022-5347(17)53746-5. [DOI] [PubMed] [Google Scholar]
- Jaffray B., Scobie W. G. Management of some common surgical conditions in children: a comparison of practice between surgical units in Edinburgh. J R Coll Surg Edinb. 1989 Oct;34(5):264–266. [PubMed] [Google Scholar]
- Jones S. E., Smith B. A. Anesthesia for pediatric day-surgery. J Pediatr Surg. 1980 Feb;15(1):31–33. doi: 10.1016/s0022-3468(80)80398-8. [DOI] [PubMed] [Google Scholar]
- LAWRIE R. OPERATING ON CHILDREN AS DAY-CASES. Lancet. 1964 Dec 12;2(7372):1289–1291. doi: 10.1016/s0140-6736(64)92756-4. [DOI] [PubMed] [Google Scholar]
- Mejdahl S., Gyrtrup H. J., Kvist E. Out-patient operation of inguinal hernia in children. Br J Surg. 1989 Apr;76(4):406–407. doi: 10.1002/bjs.1800760431. [DOI] [PubMed] [Google Scholar]
- PRUGH D. G., STAUB E. M., SANDS H. H., KIRSCHBAUM R. M., LENIHAN E. A. A study of the emotional reactions of children and families to hospitalization and illness. Am J Orthopsychiatry. 1953 Jan;23(1):70–106. doi: 10.1111/j.1939-0025.1953.tb00040.x. [DOI] [PubMed] [Google Scholar]
- VAUGHAN G. F. Children in hospital. Lancet. 1957 Jun 1;272(6979):1117–1120. doi: 10.1016/s0140-6736(57)91683-5. [DOI] [PubMed] [Google Scholar]
- Vernon D. T., Schulman J. L., Foley J. M. Changes in children's behavior after hospitalization. Some dimensions of response and their correlates. Am J Dis Child. 1966 Jun;111(6):581–593. doi: 10.1001/archpedi.1966.02090090053003. [DOI] [PubMed] [Google Scholar]