Paediatric day-case surgery in a new paediatric surgical unit in Northwestern Nigeria

Abstract

Background: Day-case surgery is defined as when the surgical day-case patient is admitted for investigation or operation on a planned non-resident basis and who nonetheless requires facilities for recovery. A significant number of our patients were treated as day cases. This study was conducted to audit paediatric day-case surgery practice at our centre, to determine the indications as well as morbidity and mortality from day-case surgeries. Patients and Methods: This is a prospective study over a period of 14 months. The patients scheduled for surgeries were assessed in the paediatric surgical outpatient clinic and information obtained for each of the patients included age, sex, diagnosis, type of operation, type of anaesthesia and post-operative complications. The data were analysed using SPSS version 15.0 for windows. Results: A total of 182 patients were operated during the study period. The age range of patients was 0.5–156 months and the mean age was 46.6 months. There were 152 male patients (83.5%) and 30 female patients (16.5%). Most of the patients had intact prepuce for circumcision (34.1%). Two patients who had herniotomy developed superficial surgical site infections which were managed as outpatients. There were no readmissions or mortality. Conclusion: Intact prepuce for circumcision as well as hernias and hydroceles is the most common day cases in our centre and is associated with low morbidity and no mortality.

Paediatric Day Case Surgical Practice at a Tertiary Hospital in Enugu, Nigeria

“…Only one of our patients (1.2%) developed surgical site infection. This finding is consistent with the report of Kache et al [18]. However, Kekre et al reported a surgical site infection incidence of 0.41% [26].…”

“…This finding of male predominance is consistently observed in many other reports too [8,12,15,16]. The mean age and weight of our patients are in line with the findings of similar studies [15,17,18] while it varies with the report of other studies [12,19]. These variations in findings may be explained by differences in the patients recruited by the researchers, geographical location and the period of the study.…”

“…This is similar to the findings of other studies [12,16]. However, some of the studies included other procedures such as circumcisions, rectal biopsies, Sistrunk operations, release of tongue tie and syndactyly which were not included in the current study [18,15].…”

Application of Dexmedetomidine combined with Propofol Intravenous Anesthesia in Laparoscopic Day Surgery in Pediatric Urology

“… 14 Day surgery has stricter requirements for anesthesia, awakening, and analgesic than conventional surgery due to the short hospital stay. 16 Consequently, reasonable selection of anesthesia methods and drugs, accurate control of dosage and depth of anesthesia are important factors to ensure the successful completion of surgery. 16 Propofol, as a new intravenous anesthetic, boasts the advantages of no irritation, quick onset, easy to control the depth of anesthesia, and quick recovery.…”

“…16 Consequently, reasonable selection of anesthesia methods and drugs, accurate control of dosage and depth of anesthesia are important factors to ensure the successful completion of surgery. 16 Propofol, as a new intravenous anesthetic, boasts the advantages of no irritation, quick onset, easy to control the depth of anesthesia, and quick recovery. 17 However, it also has some disadvantages, such as short duration, Xiao-dan Wang et al high restlessness rate in the wake period, and weak pain protection for patients.…”