Various day care surgical procedures and their outcomes: A prospective study

Author(s): Dr. Pallav Chowlu1, Dr. Manab Jyoti Gohain2, Dr. Narendra Nath Ganguly3
1Postgraduate trainee, Department of General Surgery, Jorhat Medical College and Hospital, India.
2Associate Professor, Department of General Surgery, Jorhat Medical College and Hospital, India.
3Professor, Department of General Surgery, Jorhat Medical College and Hospital, India.
Copyright © Dr. Pallav Chowlu, Dr. Manab Jyoti Gohain, Dr. Narendra Nath Ganguly. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: To study the outcome and safety of various day care surgeries in a tertiary care hospital, Jorhat.
Method: A prospective study was conducted on patients who underwent various day care surgeries at Jorhat Medical College & Hospital from August 2021 to July 2021. Patients between 18 to 65 years of age were included in the study. Patients underwent various surgeries and were discharged within 24 hours after surgery as day care surgery. Patients were followed on day 3, day 7 and day 30 for complication/ readmission.
Results: 51 patients underwent day care surgeries. Among the 51 patients, 14 (27%) were males and 37 (73%) were females. Patients were between the age of 18- 65 years with a mean age of 36.75 years. All patients were discharged between 7 – 23 hours after surgery. Most patients (n=20, 39.2%) were discharged at 22 hours after surgery. Procedures done during the study period includes Laparoscopic Cholecystectomy (n=34, 66.6%), Excision (n=14, 27.4%), Circumcision (n=1, 1.9%), Hernioplasty (n=1, 1.9%) and diagnostic laparoscopy (n=1, 1.9%). During follow up at 3rd day, 7th day and 30th day, 3 presented with complications and 1 patient needed readmission. There was no mortality during the study period.
Conclusion: Day care surgery in a tertiary care hospital of Jorhat is safe with low complications and zero mortality rate in well selected patients.

Keywords: Laparoscopic; Surgical procedure; Hospital.