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PRACTICE AND ACCEPTANCE OF DAY-CARE SURGERY IN A SEMI-URBAN NIGERIAN HOSPITAL
Abstract
Objective: To determine the acceptability and practicability of day-care surgery in a semiurban
area of Nigeria.
Design: A twelve- month prospective study.
Setting: Wesley Guild Hospital, Ilesa, Nigeria.
Patients: Sixty seven consecutive patients with ASA I - I1 status and aged three months to 97
years were studied.
Intervention: Patients were operated as day-cases using general or local anaesthesia.
Main outcome measures: Practicability, post-operative problems and acceptability.
Results: The mean age of patients studied was 27.26 years (SD 23.89), with males accounting
for 61% of the 67 cases. Fifty eight per cent and 42% had general and local anaesthesia
respectively. While all patients had post-operative support from family members, less than
seven per cent had access to telephone or family doctor services. About 80% of the patients
lived within l0km from the hospital. Intermediate operations accounted for 60% of the cases,
while minor ones accounted for 40%. The mean operating time was 30 minutes. Postoperative
pain was the only significant problem encountered. This, however, decreased in the
patients with time. Complication rate was 10.5%.
Conclusion: A significant number of patients accepted and approved of the day stay surgery.
Medical and surgical practitioners in semi-urban regions are encouraged and charged to
accept the practice of short \tay surgery.
area of Nigeria.
Design: A twelve- month prospective study.
Setting: Wesley Guild Hospital, Ilesa, Nigeria.
Patients: Sixty seven consecutive patients with ASA I - I1 status and aged three months to 97
years were studied.
Intervention: Patients were operated as day-cases using general or local anaesthesia.
Main outcome measures: Practicability, post-operative problems and acceptability.
Results: The mean age of patients studied was 27.26 years (SD 23.89), with males accounting
for 61% of the 67 cases. Fifty eight per cent and 42% had general and local anaesthesia
respectively. While all patients had post-operative support from family members, less than
seven per cent had access to telephone or family doctor services. About 80% of the patients
lived within l0km from the hospital. Intermediate operations accounted for 60% of the cases,
while minor ones accounted for 40%. The mean operating time was 30 minutes. Postoperative
pain was the only significant problem encountered. This, however, decreased in the
patients with time. Complication rate was 10.5%.
Conclusion: A significant number of patients accepted and approved of the day stay surgery.
Medical and surgical practitioners in semi-urban regions are encouraged and charged to
accept the practice of short \tay surgery.
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