title: [Ambulatory pediatric surgery--limits and risks from the clinical viewpoint].
abstract: Day-care surgery in childhood has to meet the same safety criteria as inpatient care; thus, a knowledge of the risks and limits is mandatory. The kind of operation, its duration, concomitant diseases, the patient's age, previous vaccinations, and social conditions limit the feasibility of day-care surgery. Premature infants under the age of 1 year should not be treated on an outpatient basis because of the higher incidence of early postoperative complications. Above all, anesthesiological problems play an important role in day-care patients; fortunately, most of them are minor complications. During a 14-year period 2179 children were treated in our department on an outpatient basis, resulting in a total complication rate of 1.7% and unexpected inpatient care of 1.1% of the patients in our series. Daycare surgery can be regarded as standard treatment for most of the surgical routine procedures in children.
authors.affiliation: Chirurgische Klinik, RWTH Aachen.
authors.forename: G
authors.initials: G
authors.lastname: Steinau
authors.forename: K P
authors.initials: KP
authors.lastname: Riesener
authors.forename: S
authors.initials: S
authors.lastname: Werkes
authors.forename: G H
authors.initials: GH
authors.lastname: Willital
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
mesh_terms: D000293:Adolescent; D000556:Ambulatory Surgical Procedures / Q000639:trends*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006701:Home Nursing / Q000639:trends; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology / Q000601:surgery; D008297:Male; D010343:Patient Admission / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D011785:Quality Assurance, Health Care / Q000639:trends; D012307:Risk Factors; D016896:Treatment Outcome
vernacular_title: Ambulante Kinderchirurgie--Grenzen und Risiken aus klinischer Sicht.