AN EXPERIENCE OF DAY CASE HERNIOTOMY AND ORCHIDOPEXY IN A PRIVATE SURGICAL UNIT, DIR TIMERGERA
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AN EXPERIENCE OF DAY CASE HERNIOTOMY AND ORCHIDOPEXY IN A PRIVATE SURGICAL UNIT, DIR TIMERGERA

How to Cite

Rahman, A., Ahmad, K., & Rahman, B. (2014). AN EXPERIENCE OF DAY CASE HERNIOTOMY AND ORCHIDOPEXY IN A PRIVATE SURGICAL UNIT, DIR TIMERGERA. KHYBER MEDICAL UNIVERSITY JOURNAL, 6(1), 22-24. Retrieved from https://www.kmuj.kmu.edu.pk/article/view/12313

Abstract

OBJECTIVE: To study the outcome of day case paediatric herniotomy and orchidopexy in a private surgical unit, in terms of early post-oper­ative complications.

METHODOLOGY: This retrospective study was conducted in a private surgical setup in Dir, Timergera, Pakistan from 01-01-2011 to 30-12- 2012. Male paediatric patients (n=160) who underwent herniotomy and/or orchidopexy were selected from patient information systems through manually maintained patient registers. The data was recorded and analyzed in Microsoft Excel 2007.

RESULTS: The mean age of the patients was 25.35±4.84 months. Out of 160 patients, 116 (72.5%) underwent herniotomy and 44 (27.5%) patients had orchidopexy plus herniotomy. Of the 160 operated, 127 (79.4%) were discharged on the same day whereas 33 (20.6%) patients were discharged the next morning as they were from far-flung area and could not reach their destinations on same day. Out of 166 patients with herniotomy, 96 (82.8%) were discharged the same day whereas 20 (17.2%) were discharged the next day. Out of 44 patients with or­chidopexy, 31 (70.5%) were discharged the same day and 13 (29.5%) were discharged next day. No mortality or major complications were reported in the 3 weeks follow up. None of the patients reported for readmission in those three weeks.

CONCLUSION: Day case herniotomy and orchidopexy in a paediatric population is safe with minimal or no complications in the immediate post-operative period and should be recommended in developing coun­tries on regular basis. 

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References

Boothe P, Finegan BA. Changing the ad¬mission process for elective surgery: An economic analysis. Can J Anaesth1998; 42: 39 1-4.

Bal S, Reddy L G S, Parshad R, Guleria R, Kashyap L. Feasibility and safety of day care laparoscopic cholecystectomy in a developing country. Postgrad Med J 2003; 79: 284-8.

Abusalem T O. Day case versus inpatient surgery in Gaza Jordanian Military Field Hospital. Rawal Med J 2012; 37: 421-4.

Development of Health. The NHS Plan. A Plan for Investment. A Plan for Reform. London: DoH, 2000.

NHS Institute for Innovation and Im¬provement. Better Care, Better Value Indicators. [Cited on September 22, 2013]. Available from URL: http://www. productivity.nhs.uk

Williams N, Bulstrode C, O’Connell P. Bailey & Love’s Short Practice of Surgery. 25th Ed: Edward Arnold; 2008; p.198.

Verma R, Alladi R, Jackson I, Johnston I, Kumar C, Page R, et al. Day case and short stay surgery: 2. Anaesthesia 2011; 66: 417-34.

Ansell G L, Montgomery J E. Outcome of ASA III patients undergoing day case surgery. Br J Anaesth 2004; 92 (1): 71-4.

Ramanujam TM, Uma G, Usha V, Ra¬manathan S, Sujaritha R. Advantages and limitations of day surgery in children in a developing country. Pediatr Surg Int 1998; 12: 512-4.

Mandhan P, Shah A, Khan AW, Hasan N, Muniruddin. Outpatient paediatric surgery in a developing country. J Pak Med Assoc 2000; 50: 220-4.

Pota AQD, Wagho NA, Soomro HA. Day Case Surgery: An experience at General Hospital. Liaquat Univ Med Health Sci J 2013; 12(1): 60-3.

Amjad N, Fazal A. Mini-cholecystectomy – now a day surgery: Anaesthetic man-agement with multi-analgesia. J Pak Med Assoc 2002; 52: 291-6.

Ahmad M1, Zafar A, Griffin S, Ahmad S, Orakzai N, Fayyaz F. An audit of patients’ satisfaction after adult day-case surgery at Ayub Teaching Hospital, Abbottabad. J Ayub Med Coll Abbottabad 2005; 17(1): 22-5.

Jones SEF, Smith 13AC, Anaesthesia for pe¬diatric day surgery. J Paediatr Snip1980;15: 31-3.

Cloud DT, Reed W, Ford JL. The surgicen¬ter. A fresh concept in outpatient surgery. J Paedtr Surg 1972; 7: 206-12.

Ruckley CV. Day care and short stay sur¬gery for hernia. Br J Surg 1978; 65: 1-4.

Steward DJ. Outpatient paediatric anaes¬thesia. Anaesthesiol 1975: 43: 268-76.

Atwell JD, Burn JMB, Dewar AK. Pae¬diatric day-case surgery. Lancet 1973; 2: 85-97.

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