title: Safety of paediatric day-stay laryngeal surgery for recurrent respiratory papillomatosis.
abstract: OBJECTIVE
  Safety assessment of day-stay laryngeal surgery in a cohort of children with recurrent respiratory papillomatosis (RRP). Recurrent respiratory papillomatosis is a chronic debilitating disease which usually requires multiple recurrent interventions under general anaesthesia. Day-stay surgery is an attractive option as it allows avoiding the inconvenience and costs of routine overnight admissions while recovering in the safe environment of the family home. This is the first study to assess the safety of day-stay laryngeal surgery in this cohort of patients.
  
  
  METHODS
  Retrospective cohort study of all consecutive RRP procedures performed between December 1998 and May 2015 in a single paediatric tertiary-level hospital.
  
  
  RESULTS
  A total of 465 surgical procedures were performed in 20 patients. Average age on diagnosis was 4.5 years. 415 (89.25%) of the procedures were done as day cases without overnight admission. Average number of procedures per patient was 20 and 25 for Children positive to HPV6 and HPV11, respectively. Only one patient after one single procedure (presenting 0.21% of total procedures, 0.24% of day-stay procedures) represented after discharge.
  
  
  CONCLUSIONS
  Day-stay surgery for children with RRP has a favourable safety profile in selected cases.
authors: Starship Children's Hospital, Auckland, New Zealand. Electronic address: maayan_gr@yahoo.com.
authors: Maayan
authors: M
authors: Gruber
authors: Starship Children's Hospital, Auckland, New Zealand.
authors: Nicola
authors: N
authors: Mills
authors: Starship Children's Hospital, Auckland, New Zealand.
authors: Dora
authors: D
authors: Blair
authors: Starship Children's Hospital, Auckland, New Zealand.
authors: Graeme
authors: G
authors: Van Der Meer
authors: Starship Children's Hospital, Auckland, New Zealand.
authors: Murali
authors: M
authors: Mahadevan
mesh_terms: D000293:Adolescent; D000556:Ambulatory Surgical Procedures / Q000295:instrumentation; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007223:Infant; D007830:Larynx / Q000601:surgery*; D008297:Male; D009520:New Zealand; D030361:Papillomavirus Infections / Q000601:surgery*; D061214:Patient Safety; D012141:Respiratory Tract Infections / Q000601:surgery*; D012189:Retrospective Studies
keywords: Laryngeal papilloma; Papillomavirus infections; Recurrent respiratory papillomatosis