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Can we improve our day-case rate in functional endoscopic sinus surgery?

Published online by Cambridge University Press:  29 November 2021

O Edafe ,
T Sargeant ,
M Morsy ,
M K Oluwole  and
S Mirza
O Edafe*
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
T Sargeant
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
M Morsy
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
M K Oluwole
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
S Mirza
Affiliation:
Department of ENT, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK
*
Author for correspondence: Mr O Edafe, Department of ENT, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK E-mail: [email protected]
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Abstract

Objective

Day-case functional endoscopic sinus surgery is associated with increased patient satisfaction and reduced costs. This study aimed to identify reasons for overnight admission with a view to improving same-day discharge.

Methods

This was a retrospective observation study over a one-year period. All consecutive patients who underwent elective functional endoscopic sinus surgery were included.

Results

A total of 172 patients were included in this study. Functional endoscopic sinus surgery was planned as a day-case procedure in 152 patients (88 per cent), with a planned overnight stay in 20 (12 per cent). The rate of same-day discharge in patients who underwent elective functional endoscopic sinus surgery was 80.2 per cent (n = 138). Reasons for an unplanned overnight admission were: bleeding (n = 8), urinary retention (n = 3), medical co-morbidities (n = 1), post-operative pain (n = 1) and social reasons (n = 1).

Conclusion

There is scope to further improve the functional endoscopic sinus surgery day-case rate by utilising techniques to minimise post-operative bleeding. This has the potential to improve both patient satisfaction and service efficiency.

Keywords

Functional Endoscopic Sinus Surgery
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 8 , August 2022 , pp. 726 - 729
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr O Edafe takes responsibility for the integrity of the content of the paper

References

Oker, N, Dupuch, V, Herman, P, Leclerc, N, Vironneau, P, Dang, H et al. Outcomes of endoscopic ethmoidectomy performed on a day-case basis: a prospective bi-centric study. Eur Arch Otorhinolaryngol 2017;274:305–1010.1007/s00405-016-4263-3CrossRefGoogle ScholarPubMed
Hopkins, C, Browne, J, Slack, R, Brown, P. Variation in day-case nasal surgery - why cannot we improve our day-case rates? Clin Otolaryngol 2007;32:12–1810.1111/j.1365-2273.2007.01368.xCrossRefGoogle ScholarPubMed
Bajaj, Y, Sethi, N, Carr, S, Knight, LC. Endoscopic sinus surgery as day-case procedure. J Laryngol Otol 2009;123:619–22CrossRefGoogle ScholarPubMed
Laporta, ML, O'Brien, EK, Stokken, JK, Choby, G, Sprung, J, Weingarten, TN. Anesthesia management and postanesthetic recovery following endoscopic sinus surgery. Laryngoscope 2020;131:E815–20Google ScholarPubMed
Ansell, GL, Montgomery, JE. Outcome of ASA III patients undergoing day case surgery. Br J Anaesth 2004;92:71–410.1093/bja/aeh012CrossRefGoogle ScholarPubMed
Bailey, CR, Ahuja, M, Bartholomew, K, Bew, S, Forbes, L, Lipp, A et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia 2019;74:778–9210.1111/anae.14639CrossRefGoogle ScholarPubMed
Joshi, GP, Ankichetty, SP, Gan, TJ, Chung, F. Society for Ambulatory Anesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnea scheduled for ambulatory surgery. Anesth Analg 2012;115:1060–810.1213/ANE.0b013e318269cfd7CrossRefGoogle ScholarPubMed
Cassano, M, Cassano, P. Epistaxis after partial middle turbinectomy: the role of sphenopalatine artery ligation. Am J Otolaryngol 2012;33:116–2010.1016/j.amjoto.2011.04.007CrossRefGoogle ScholarPubMed
Baldini, G, Bagry, H, Aprikian, A, Carli, F. Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiology 2009;110:1139–5710.1097/ALN.0b013e31819f7aeaCrossRefGoogle ScholarPubMed
Finkensieper, M, Poller, K, Wittekindt, C, Meissner, W, Guntinas-Lichius, O. Postoperative pain assessment after functional endoscopic sinus surgery (FESS) for chronic pansinusitis. Eur Arch Otorhinolaryngol 2013;270:157–6610.1007/s00405-012-2015-6CrossRefGoogle ScholarPubMed
Kemppainen, TP, Tuomilehto, H, Kokki, H, Seppä, J, Nuutinen, J. Pain treatment and recovery after endoscopic sinus surgery. Laryngoscope 2007;117:1434–810.1097/MLG.0b013e3180600a16CrossRefGoogle ScholarPubMed
Gray, ML, Fan, CJ, Kappauf, C, Kidwai, S, Colley, P, Iloreta, AM et al. Postoperative pain management after sinus surgery: a survey of the American Rhinologic Society. Int Forum Allergy Rhinol 2018;8:1199–20310.1002/alr.22181CrossRefGoogle ScholarPubMed
Wong, A, Kacker, A. Incidence of unplanned admissions after sinonasal surgery: a 6-year review. Int Forum Allergy Rhinol 2014;4:143–610.1002/alr.21250CrossRefGoogle ScholarPubMed