Ambulatory gynaecology and urogynaecology procedures: a viable option?
K Kannan, A Kasper, S Balakrishnan, A Rane
The aim of this study was to audit day surgery procedures completed at the Townsville Day Surgery from January 2004 to October 2006, and review the admission rates to an inpatient service within 72 hours and the reasons for those admissions. There were 742 patients, undergoing a total of 1389 procedures during the time period audited. These patients were admitted for procedures to treat incontinence and pelvic organ prolapse (Group A – 376 patients, 690 procedures) and other minor procedures (Group B – 366 patients and 699 procedures). A total of 12 patients (1.61%) were admitted as inpatients during the three year period, 11 from Group A (2.9% of Group A) and one from Group B (0.2% of Group B). The low inpatient admission rate after day surgery procedures may be attributed to a number of factors, including strict patient selection criteria, preoperative counselling, appropriate postoperative pain relief, and the surgical skills of the performing surgeons. This audit confirmed that minimally invasive gynaecological and urogynaecological procedures can be performed as day surgery. However, the audit was limited to only short term admissions i.e. within 72 hours.