Five year retrospective study of unanticipated admission after ambulatory surgery

Barros, Ariana; Duque, Mélanie; Nunes, Fernando Furlan; Ribeiro, S.; Ventura, C.; Assunção, José Pedro

doi:10.1097/00003643-201406001-00075

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To improve results and decrease the rates of UA and UR, several series have studied the predictive factors of failure of the ambulatory procedure [10,33,34,[43][44][45]. Drissi et al [10] analysed these factors through a multivariate statistical study and concluded that an ASA Grade ≥ III, bilateral and/or strangulated hernias and spinal anaesthesia were predictive factors for failure.…”

Section: Groin Hernia Repairmentioning

confidence: 99%

Ambulatory Hernia Repair: A Study of 1294 Patients in a Single Institution

Hajri¹,

Haddad²,

Cherif³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Ambulatory surgery is defined as surgery without an overnight hospital stay, which allows the patient to return home on the same day of admission after the surgical procedure. It is increasing countinuously in the world because of its several advantages. This study aimed to describe the experience of our department in outpatient hernia surgery, evaluate its feasibility and safety, and determine the predictive factors for failure of this surgery. Results: We collected 1294 patients. One thousand twenty patients underwent groin hernia repair (GHR). The failure rate of ambulatory management of GHR was 3.7%: 31 patients (3%) had an unplanned admission (UA) and 7 patients (0.7%) had an unplanned rehospitalisation (UR). Morbidity rate was 2.4% (24 patients) and mortality rate was zero. In multivariate analysis, we did not identify any variable predicting discharge failure in the GHR group. Two hundred and seventy-four patients underwent ventral hernia repair (VHR). The failure rate of ambulatory management of VHR was 5.5%: 11 patients (4%) had a UA and 4 patients (1.5%) had an UR. Morbidity rate was 3.6% (10 patients) and the mortality rate was zero. In multivariate analysis, we did not identify any variable predicting discharge failure in the VHR group. Conclusions: Our study data suggest that ambulatory hernia surgery is feasible and safe in well-selected patients. The development of this practice would allow for better management of eligible patients and would offer many economic and organisational advantages to healthcare structures.

show abstract