Main Article Content
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.
Work published in KMUJ is licensed under a
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
2. 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.
3. Abusalem T O. Day case versus inpatient surgery in Gaza Jordanian Military Field Hospital. Rawal Med J 2012; 37: 421-4.
4. Development of Health. The NHS Plan. A Plan for Investment. A Plan for Reform. London: DoH, 2000.
5. 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
6. Williams N, Bulstrode C, O’Connell P. Bailey & Love’s Short Practice of Surgery. 25th Ed: Edward Arnold; 2008; p.198.
7. 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.
8. Ansell G L, Montgomery J E. Outcome of ASA III patients undergoing day case surgery. Br J Anaesth 2004; 92 (1): 71-4.
9. 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.
10. Mandhan P, Shah A, Khan AW, Hasan N, Muniruddin. Outpatient paediatric surgery in a developing country. J Pak Med Assoc 2000; 50: 220-4.
11. 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.
12. Amjad N, Fazal A. Mini-cholecystectomy – now a day surgery: Anaesthetic man-agement with multi-analgesia. J Pak Med Assoc 2002; 52: 291-6.
13. 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.
14. Jones SEF, Smith 13AC, Anaesthesia for pe¬diatric day surgery. J Paediatr Snip1980;15: 31-3.
15. Cloud DT, Reed W, Ford JL. The surgicen¬ter. A fresh concept in outpatient surgery. J Paedtr Surg 1972; 7: 206-12.
16. Ruckley CV. Day care and short stay sur¬gery for hernia. Br J Surg 1978; 65: 1-4.
17. Steward DJ. Outpatient paediatric anaes¬thesia. Anaesthesiol 1975: 43: 268-76.
18. Atwell JD, Burn JMB, Dewar AK. Pae¬diatric day-case surgery. Lancet 1973; 2: 85-97.