Advantages and limitations of day surgery in children in a developing country.
Day surgery (DS) especially in children, has been widely accepted by surgeons, and the benefits to the patients, parents, and hospital have been well-established. It has become particularly popular among working parents and is accepted by hospital administrators. Proper case selection, preoperative assessment, and proper parent counselling, choice of anaesthesia, postoperative analgesia, and follow-up advice are essential for a successful outcome. This paper records our experience with 465 infants and children who underwent DS at Government Stanley Hospital and two semi-charitable trust hospitals in Madras during the years 1985-1986. The overall acceptance of the programme was excellent, with minimal complications and a fallout rate of 9.6%. The advantages of DS in our environment are discussed.
Ramanujam
T M
TM
Department of Paediatric Surgery, Government Stanley Hospital and Stanley Medical College, Madras, India.
Uma
G
G
Usha
V
V
Ramanathan
S
S
Sujaritha
R
R
D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries / Q000706:statistics & numerical data; D006801:Humans; D007194:India; D007223:Infant; D007231:Infant, Newborn; D018579:Patient Selection; D013514:Surgical Procedures, Operative / Q000379:methods / Q000706:statistics & numerical data*