Day Care Surgery in Otolaryngology : a three year Prospective Study

Singh, V. K.; Kalra, Sheetal

doi:10.1016/s0377-1237(04)80154-0

Cited by 7 publications

(6 citation statements)

References 8 publications

(6 reference statements)

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“…The number of patients operated on day care basis has gradually increased from 80 in 2005 to 161 in 2008 showing the increasing acceptance of the day care ear surgery in the local population. This high level of patient satisfaction is similar to study by Singh and Kalra of 93.5% [9].…”

Section: Discussionsupporting

confidence: 90%

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Day Care Ear Surgery: Our Experience of 4 Years

Khan

Parab

2011

Indian J Otolaryngol Head Neck Surg

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Day care surgery is gaining wide popularity not only in the West, but also in our country. We present our experience of 4 years of day care surgery in otological practice. To identify the scope of day care ear surgery in our rural setup and to determine the rate of complications, if any, of day care ear surgery. A prospective study of major ear cases operated in M.I.M.E.R. Medical College and Sushrut ENT Hospital was carried out from January 2005 to December 2008 with a minimum follow up of 2 years. In the period from 2005 to 2008, a total of 527 major ear cases were operated. There was re-admission of 5 operated patients (0.94%). The acceptance of day care ear surgery is enormous in our rural setup due to its obvious advantages.

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Section: Discussionsupporting

confidence: 90%

“…Col. Singh and Kalra [9] have listed certain selection and exclusion criteria for patient selection for day care surgery.…”

Section: Discussionmentioning

confidence: 99%

Day Care Ear Surgery: Our Experience of 4 Years

Khan

Parab

2011

Indian J Otolaryngol Head Neck Surg

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“…Myringoplasty was almost constantly performed whereas mastoid surgery had shown the decreasing trend. Myringoplasty/Tympanoplasty was the most common surgery performed in a study performed by Singh et al 14 They had performed surgery in 306 (40.7%) ear cases, 297 (39.5%) nasal cases and 149 (19.8%) throat cases as day care basis in a period of three years.In a study performed by Eskander et al, 15 in Canada, the numbers of myringoplasty (Tympanoplasty) and mastoidectomy were found to be uncommon in comparison to other surgeries. Similarly, in the United States, there was an overall downward trend in otitis media related health care use including use of ventilation tube insertion from 2001 to 2011.…”

Section: Discussionmentioning

confidence: 99%

Analysis of otorhinolaryngology related surgeries performed in a tertiary care center over four years’ period

Koirala¹

2020

Asian J Med Sci

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Background: The trend of ENT related surgeries worldwide have changed over the years due to better understanding of the disease process, patient awareness, surgical workshops, conferences, etc. Many ENT related hospitals and subspecialty centers of surgical excellence have been established in different parts of our country in recent years. There have been substantial patient preferences to specialty than general hospitals. Aims and Objectives: The current study was designed to compare different surgeries performed during the four years period from 2015 to 2018 and observe the changing trends in common surgeries during these years. Materials and Methods: This is a prospective study carried out in the Department of ENT- HNS, Manipal Teaching Hospital, Pokhara, Nepal from 1st Jan 2015 to 31st Dec 2018. Patients of all age and both sex operated under the department of ENT were included in the study. Data wereanalysed and results were published to look for the changing trends of different types of surgeries. Results: Out of 945 surgeries performed during these 4 years, major surgeries were rigid esophagoscopy, septoplasty, myringoplasty, mastoid exploration,tonsillectomy and endoscopic sinus surgery. Commonly performed intermediate and minor surgery was excision of minor and intermediate head and neck lesions. Excision was in the rise, esophagoscopy and myringoplasty were almost constant and septoplasty and modified radical mastoidectomy were in the decreasing trend (p<0.05). Conclusion: In our study, the trend of performing major otolaryngology and head and neck surgeries in our institution is in the descending trends in the recent years after 2015.Common ENT related surgeries shallbe in the descending trend while specialty services will be ever progressing in the future.

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“…This high satisfaction rate was confirmed in a study by Singh and Kalra. 5 Implication for Practice EMES can be safely performed as day surgery for tympanoplasty and tympanomastoidectomy. Stapes surgery as an outpatient procedure is associated with a readmission rate of 5.1% for dizziness/ nausea.…”

Section: Discussionmentioning

confidence: 99%

Is Hospitalization Necessary after Ear Surgery? A National Survey and Retrospective Review of Postoperative Events

Jelicic

Savage

Aron

2017

Otolaryngol.--head neck surg.

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Objective First, to survey our national otolaryngology colleagues on their postoperative care habits (hospitalization vs day surgery) after elective middle ear surgery. Second, to evaluate the necessity of hospitalization and safety of day surgery after these procedures. Methods A national survey regarding postoperative habits after elective middle ear surgery was launched. Then, the cases of all patients having undergone these surgical procedures at our center between 2010 and 2016 were reviewed. They were divided into 2 groups: hospitalization and day surgery. Postoperative events during hospitalization and rate of consultation/readmission for day surgery were recorded. Results Heterogeneity in postoperative habits for most elective otologic surgery exists among otolaryngologists. For tympanoplasty, however, day surgery was uniformly favored. At our institution, 88.6% of hospitalization patients had no complications during their stay. Complications noted for others were nausea (7.2%), bleeding (3.1%), hematoma (0.5%), and sensorineural hearing loss (0.5%). In the day surgery group, 3.0% consulted within 48 hours following their procedure, and the readmission rate was 1.3%. Nausea was the only cause for readmission, and stapes surgery accounted for 100% of readmissions. Discussion Most elective middle ear surgery can be safely performed as day care. Hospitalization does not provide care that could not have been provided at home in the majority of cases. Overnight hospital stay may be considered for stapes surgery. Implications for Practice Day surgery for elective middle ear surgery is sufficient for most cases. Transferring these cases to day care should lower costs to our health care system and increase bed availability.

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Day Care Surgery in Otolaryngology : a three year Prospective Study

Cited by 7 publications

References 8 publications

Day Care Ear Surgery: Our Experience of 4 Years

Day Care Ear Surgery: Our Experience of 4 Years

Analysis of otorhinolaryngology related surgeries performed in a tertiary care center over four years’ period

Is Hospitalization Necessary after Ear Surgery? A National Survey and Retrospective Review of Postoperative Events

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