title: Day care surgery in a metropolitan government hospital setting--Indian scenario.
abstract: Day care surgery has generated a lot of interest, among both surgeons and the common people. This study aims to explore the management and advantages, including the cost benefits and cost effectiveness, of day care surgery in a government hospital setting. A prospective, single-center, single-unit study was carried out over 1 year from August 2006 to January 2008. The total number of patients studied was 327. Surgeries for hernia, hydrocele, fibroadenoma, fissure in ano, and phimosis were included. Patients were admitted on the day of surgery and were discharged the same day or evening. Patients were analyzed with respect to failure to discharge, wound infection, duration of stay in the ward, cost benefits, cost effectiveness, and postoperative pain. A total of 157 patients were treated for hernia, 61 for hydrocele, 52 for fibroadenoma, 34 for fissure in ano, and 23 for phimosis. Day care surgery is a fast growing and well accepted way of providing care to patients. Most of the patients studied had a favorable impression of the day care surgical procedure compared with inpatient care. In a country like India, in spite of problems of financial constraints and insufficient grants for health care, we are able to enjoy all the advantages of day care surgery, even in a government hospital setting.
authors.affiliation: Department of General Surgery, Madras Medical College and Government General Hospital, Chennai, 600003 Tamilnadu, India. docndr@gmail.com
authors.forename: Natarajan
authors.initials: N
authors.lastname: Dorairajan
authors.forename: Anandi
authors.initials: A
authors.lastname: Andappan
authors.forename: B
authors.initials: B
authors.lastname: Arun
authors.forename: Dorairajan
authors.initials: D
authors.lastname: Siddharth
authors.forename: M
authors.initials: M
authors.lastname: Meena
mesh_terms: D000293:Adolescent; D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000191:economics; D003362:Cost-Benefit Analysis; D005260:Female; D018226:Fibroadenoma / Q000601:surgery; D005401:Fissure in Ano / Q000601:surgery; D006779:Hospitals, Public / Q000191:economics / Q000458:organization & administration; D006786:Hospitals, Urban / Q000191:economics / Q000458:organization & administration; D006801:Humans; D007194:India; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010688:Phimosis / Q000601:surgery; D006848:Testicular Hydrocele / Q000601:surgery; D055815:Young Adult