Hospital admission after day-case gynaecological laparoscopy

Abstract

We have examined aspects of the anaesthetic technique that may influence the likelihood of unplanned overnight hospital admission after ambulatory gynaecological laparoscopy and have determined if any anaesthetically controllable factors were involved. The retrospective audit involved 300 patients. All patients attended the day-case unit at the Liverpool Women's Hospital between September 1996 and May 1997. One hundred ASA I-II patients who had unplanned overnight admissions during this time were evaluated. For every admitted patient, two similar patients who did not require admission were studied. Variables such as patient age and anaesthetic technique were evaluated by logistic regression. Our results indicated that postoperative emesis was the commonest cause for admission. Significant factors increasing the likelihood of unplanned admission included returning from the recovery unit after 15:00, use of a laryngeal mask airway and undergoing diagnostic laparoscopy. Significant factors reducing the likelihood of admission were the use of fentanyl and rectally administered diclofenac.

Ambulatory laparoscopic fundoplication for gastroesophageal reflux disease: a systematic review

“…The laparoscopic ambulatory surgery setting allows for a variety of surgical procedures, including incisional [23,24] and inguinal [25][26][27] hernia repair, cholecystectomy [28], tubal ligation [29], diagnostic exploration, and biopsies, with no difference in morbidity, number of readmissions, or quality of life between inpatient and outpatient procedures. In Europe, day-case surgery is defined as discharge on the same day after a planned surgical procedure, leading to a length of hospital stay of less than 12 h [9-11, 14, 16, 17].…”

A comparison of cyclizine and granisetron alone and in combination for the prevention of postoperative nausea and vomiting

“…This is understandably of major concern to patients [1,2]. Some patients report that it is of greater concern to them than postoperative pain [3][4][5].…”

Comparaison de deux protocoles antalgiques utilisés au cours de la ponction folliculaire sur les taux de réussite en fécondation in vitro

“…Les AINS ont une action analgésique, périphérique et centrale, efficace sur la prise en charge de la douleur en per-et postopéra-toire. Le kétoprofène (Profénid ® ) réduit également la durée d'hospitalisation des patientes des suites d'une chirurgie mineure [5]. Les effets du néfopam, antalgique d'action centrale, sur la fertilité sont très peu documentés.…”