Outpatient surgical practices in otorhinolaryngology

Year 2016, Volume: 26 Issue: 2, 123 - 128, 10.05.2016

Gökhan Kurtoğlu Taner Kemal Erdağ

Abstract

Objectives: In this study, we report outpatient surgical procedures in an ear nose and throat ENT clinic of a university hospital for the first time in Turkey. Material and Methods: All patients who were operated between January 2012 and December 2013 by our ENT surgeons either in central operating room or in outpatient surgery unit were retrospectively analyzed. Age of the patients, type of operation, type of anesthesia, and the time of discharge were recorded. Results: The highest number of outpatient surgical procedures was in the 1-18 age group. The most widely used type of anesthesia was general anesthesia, while adeno/tonsillectomy and tympanostomy tube insertion were the most commonly performed operations. The total number of surgeries was 2,714 and 379 13.96% of these patients were discharged on the same day. Conclusion: Outpatient surgery has become widespread in the past three decades, particularly. However, in our study, the ratio of outpatient surgery to all surgical interventions was very low, compared to developed countries.

Keywords

Discharge, ear nose throat, outpatient surgery

Kulak burun boğazda günübirlik cerrahi uygulamaları

Abstract

Amaç: Bu çalışmada Türkiye’de ilk kez bir üniversite hastanesinin kulak burun boğaz KBB kliniğinde uygulanan günübirlik cerrahi işlemler bildirildi.Gereç ve Yöntemler: Ocak 2012 - Aralık 2013 tarihleri arasında KBB cerrahlarımız tarafından merkezi ameliyathane veya günübirlik cerrahi biriminde ameliyat edilen tüm hastalar geriye dönük olarak incelendi. Hastaların yaşı, ameliyat türü, anestezi şekli ve taburculuk süreleri kaydedildi.Bulgular: En fazla günübirlik cerrahi işlem sayısı 1-18 yaş grubundaydı. En sık kullanılan anestezi şekli genel anestezi iken, adeno/tonsillektomi ile timpanostomi tüpü takılması en sık yapılan ameliyatlardı. Toplam ameliyat sayısı 2714 idi ve bu hastaların 379’u %13.96 aynı gün taburcu edildi.Sonuç: Günübirlik cerrahi özellikle son 30 yılda giderek yaygınlaşmıştır. Ancak, çalışmamızda günübirlik cerrahinin tüm cerrahi girişimlere oranı, gelişmiş ülkelere kıyasla, çok düşük bulunmuştur

Keywords

Taburculuk, kulak burun boğaz, günübirlik cerrahi

References

• Çilingir D, Bayraktar N. Information requirements and difficulties experienced after discharge in day surgery patients: a descriptive cross-sectional survey. Turkiye Klinikleri J Med Sci 2011;31:164-75.
• Akçalı DT, Coşkun D, Çelebi H. Günübirlik anestezi prensipleri. Anestezi Dergisi 2009;17:117-132.
• Koenig L, Doherty J, Dreyfus J, Xanthopoulos J. An Analysis of Recent Growth of Ambulatory Surgical Centers. Final Report. Prepared For: ASC Coalition 2009, Jun 5.
• Gül R, Göksu S, Mızrak A, Koruk S, Öner Ü. Günübirlik cerrahi ünitemizde ilk sekiz aylık uygulamalarımız. Gaziantep Tıp Dergisi 2008;14:23-7.
• Urman RD, Desai SP. History of anesthesia for ambu- latory surgery. Curr Opin Anaesthesiol 2012;25:641-7.
• Cullen KA, Hall MJ, Golosinskiy A. Ambulatory sur- gery in the United States, 2006. Natl Health Stat Report 2009;11:1-25.
• Shay S, Shapiro NL, Bhattacharyya N. Revisit rates and diagnoses following pediatric tonsillectomy in a large multistate population. Laryngoscope 2015;125:457-61.
• Morrison MP, O’Rourke A, Dion GR, Eller RL, Weinberger P, Postma GN. Hemodynamic chan- ges during otolaryngological office-based flexible endoscopic procedures. Ann Otol Rhinol Laryngol 2012;121:714-8.
• Kubba H, Spinou E, Brown D. Is same-day discharge suitable following rigid esophagoscopy? Findings in a series of 655 cases. Ear Nose Throat J 2003;82:33-6.
• Hopkins B, Steward D. Outpatient thyroid surgery and the advances making it possible. Curr Opin Otolaryngol Head Neck Surg 2009;17:95-9.
• Wu G, Pai SI, Agrawal N, Richmon J, Dackiw A, Tufano RP. Profile of patients with completion thyro- idectomy and assessment of their suitability for outpatient surgery. Otolaryngol Head Neck Surg 2011;145:727-31.
• Strocker AM, Cohen AN, Wang MB. The safety of outpatient UPPP for obstructive sleep apnea: a retrospective review of 40 cases. Ear Nose Throat J 2008;87:466-8.
• Bhattacharyya N. Ambulatory pediatric otolaryngolo- gic procedures in the United States: characteristics and perioperative safety. Laryngoscope 2010;120:821-5.
• Hollingsworth JM, Birkmeyer JD, Ye Z, Miller DC. Specialty-specific trends in the prevalence and distribution of outpatient surgery: implications for payment and delivery system reforms. Surg Innov 2014;21:560-5.
• Máchalová M, Slapák I. One-day surgery in pediatric otolaryngology--10 years’ experience. Int J Pediatr Otorhinolaryngol 2008;72:1747-50.
• Shah RK, Welborn L, Ashktorab S, Stringer E, Zalzal GH. Safety and outcomes of outpatient pediatric otolaryngology procedures at an ambulatory surgery center. Laryngoscope 2008;118:1937-40.
• Rodman R, Boehnke M, Venkatesan N, Pine H. Discharge after tonsillectomy in pediatric sleep apnea patients. Int J Pediatr Otorhinolaryngol 2013;77:682-5.
• Bhattacharyya N. Unplanned revisits and readmissi- ons after ambulatory sinonasal surgery. Laryngoscope 2014;124:1983-7.
• Fox JP, Vashi AA, Ross JS, Gross CP. Hospital-based, acute care after ambulatory surgery center discharge. Surgery 2014;155:743-53.
• Han MW, Lee BJ, Jang YJ, Chung YS. Clinical value of office-based endoscopic incisional biopsy in diagnosis of nasal cavity masses. Otolaryngol Head Neck Surg 2010;143:341-7.
• Nielsen LB, Harboe KM, Bardram L. Cholecystectomy for the elderly: no hesitation for otherwise healthy patients. Surg Endosc 2014;28:171-7.
• Eckman WW, Hester L, McMillen M. Same-day disc- harge after minimally invasive transforaminal lumbar interbody fusion: a series of 808 cases. Clin Orthop Relat Res 2014;472:1806-12.
• Tewfik MA, Frenkiel S, Gasparrini R, Zeitouni A, Daniel SJ, Dolev Y, et al. Factors affecting unanticipa- ted hospital admission following otolaryngologic day surgery. J Otolaryngol 2006;35:235-41.