Paediatric day case tonsillectomy: a safe, feasible and an economical way to treat patients - Yorkhill experience

被引:4
作者
Elsobky, S. [1 ,2 ]
Ahmad, N. [1 ,2 ]
Qureshi, M. [1 ,2 ]
Izzath, W. [1 ]
Sadiq, H. [1 ]
机构
[1] Royal Hosp Sick Children, Edinburgh, Midlothian, Scotland
[2] Univ Glasgow, Coll Med, Glasgow G12 8QQ, Lanark, Scotland
关键词
Tonsillectomy; paediatric; day case; HARMONIC SCALPEL TONSILLECTOMY; AUDIT;
D O I
10.1177/0036933013518140
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Day case surgery is widely encouraged as it has many benefits. In this study, we evaluate the feasibility of paediatric tonsillectomies as day case surgery procedures in a tertiary paediatric centre. Methods: The outcome of paediatric tonsillectomy performed as day case procedures was studied for four months. We recorded complication rates in comparison to the standard in-patient practice. Results: 23 paediatric patients were included in this study. The age of the patients ranged from four to 11 years, with mean age of 6.5. No patients suffered post-operative complications within the first 24 h. Two patients were re-admitted due to a post-operative complication (8.6%) and one patient for a non-operative cause (4.3%) beyond the initial 24 h. Conclusion: Paediatric Day Case Paediatric Tonsillectomy is a safe, feasible and an economical way to manage patients. It should be practised as a day case where appropriate and when criteria are met.
引用
收藏
页码:5 / 8
页数:4
相关论文
共 10 条
[1]   Paediatric day-case tonsillectomy: a three-year prospective audit spiral in a district hospital [J].
Bajaj, Y. ;
Atkinson, H. ;
Sagoo, R. ;
Bhatti, I. ;
Newbegin, C. .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2012, 126 (02) :159-162
[2]   Day case paediatric tonsillectomy: a review of three years experience in a dedicated day case unit [J].
Hellier, WPL ;
Knight, J ;
Hern, J ;
Waddell, T .
CLINICAL OTOLARYNGOLOGY, 1999, 24 (03) :208-212
[3]   AN AUDIT OF THE COMPLICATIONS OF PEDIATRIC TONSILLECTOMY, ADENOIDECTOMY AND ADENOTONSILLECTOMY [J].
KENDRICK, D ;
GIBBIN, K .
CLINICAL OTOLARYNGOLOGY, 1993, 18 (02) :115-117
[4]  
McNeill R A, 1960, Ulster Med J, V29, P59
[5]  
NHSGGC/DOG Digital, NHS GREAT GLASG CLYD
[6]  
Price T, 2003, AUDIT 25 BASKET PROC
[7]  
*ROYAL COLL SURG E, 2005, NAT PROSP TONS AUD
[8]   Pediatric total tonsillectomy using Coblation compared to conventional electrosurgery: A prospective, controlled single-blind study [J].
Stoker, KE ;
Don, DM ;
Kang, DR ;
Haupert, MS ;
Magit, A ;
Madgy, DN .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2004, 130 (06) :666-675
[9]   Harmonic scalpel tonsillectomy versus electrocautery tonsillectomy: A comparative pilot study [J].
Walker, RA ;
Syed, ZA .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2001, 125 (05) :449-455
[10]   Harmonic scalpel tonsillectomy in children: A randomized prospective study [J].
Willging, JP ;
Wiatrak, BJ .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2003, 128 (03) :318-325