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Endoscopic sinus surgery as day-case procedure

Published online by Cambridge University Press:  02 September 2008

Y Bajaj ,
N Sethi ,
S Carr  and
L C Knight
Y Bajaj*
Affiliation:
Department of ENT, Leeds General Infirmary, UK
N Sethi
Affiliation:
Department of ENT, Leeds General Infirmary, UK
S Carr
Affiliation:
Department of ENT, Leeds General Infirmary, UK
L C Knight
Affiliation:
Department of ENT, Leeds General Infirmary, UK
*
Address for correspondence: Mr Y Bajaj, 2 Tall Trees, Leeds LS17 7WA Fax: 01132663305 E-mail: [email protected]
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Abstract

Objective:

Functional endoscopic sinus surgery is the mainstay of surgical treatment for chronic sinusitis. Day-case surgery has the advantage over in-patient surgery of being cost-effective and resource sparing. The objectives of this study were to assess our results for day-case functional endoscopic sinus surgery.

Methods:

This was a retrospective case note review of day-case functional endoscopic sinus surgery procedures performed at Leeds General Infirmary from February 2004 to February 2007. We recorded patients' demographic data, operative details, post-operative course and follow-up results.

Results:

A total of 105 day-case functional endoscopic sinus surgery procedures were included in the study. Patients' ages ranged from 16 to 93 years; 44 (41.9 per cent) were female and 61 (58.1 per cent) were male. Of these patients, 39 (37.1 per cent) had chronic sinusitis and the rest (66; 62.8 per cent) had nasal polyposis and sinusitis. Sixty-one patients (58.1 per cent) underwent surgery on the morning operating list, while the rest (44; 41.9 per cent) underwent surgery in the afternoon. Of the 105 patients, 24 (22.8 per cent) had undergone previous nasal surgery. The majority of patients (90/105; 85.7 per cent) were discharged on the same day as surgery. The only complication recorded in this study was bleeding, noted in seven patients (6.7 per cent). At the follow-up appointment, 90/105 (85.7 per cent) patients were satisfied with their post-operative results.

Conclusions:

Day-case endoscopic sinus surgery can be performed safely as a day-case procedure. The most important factors for a successful outcome are correct patient selection, in terms of general health and social circumstances, and a dedicated day-case team.

Keywords

Paranasal SinusesOtorhinolaryngologic Surgical ProceduresEndoscopyAmbulatory Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 6 , June 2009 , pp. 619 - 622
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Benninger, MS, Ferguson, BJ, Hadley, JA. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology and pathophysiology. Otolaryngol Head Neck Surg 2003;129:S1–32CrossRefGoogle ScholarPubMed
2 Ragab, SM, Lund, VJ, Scadding, G. Evaluation of the medical and surgical treatment of chronic sinusitis: a prospective, randomized, controlled trial. Laryngoscope 2004;114:1541–4CrossRefGoogle Scholar
3 Lund, VJ. Evidence based surgery in chronic rhinosinusitis. Acta Otolaryngol (Stockh) 2001;121:5–9CrossRefGoogle ScholarPubMed
4 NHS Plan. The NHS Plan – a plan for investment, a plan for reform. Norwich: HSMO, 2000Google Scholar
5 Black, N, Petticrew, M, Hunter, D. Day care surgery: development of a national comparative audit service. Qual Health Care 1993;2:162–6CrossRefGoogle ScholarPubMed
6 Ruckley, CV, Cuthbertson, C, Fenwick, N, Prescott, RJ, Garraway, WM. Dat case after operations for hernia or varicose veins@a controlled trial. Br J Surg 1978;65(7):456–9Google Scholar
7 Department of Health. Day surgery, making it happen. London: Department of Health, 1991Google Scholar
8 Audit Commission. All in a day's work: an audit of day surgery in England and Wales. London: HMSO, 1992Google Scholar
9 Haworth, EA, Balarajan, R. Day case surgery: does it add or replace inpatient surgery. BMJ 1989;294:133–135Google Scholar
10 Senapati, A, Young, AE. Acceptability of day care surgery. J R Soc Med 1989;82:735–6CrossRefGoogle ScholarPubMed
11 Hopkins, C, Browne, JP, Slack, R, Lund, V, Topham, J, Reeves, B et al. The national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Clin Otolaryngol 2006;31:390–8CrossRefGoogle ScholarPubMed
12 Goulbourne, IA, Ruckley, CV. Operations for hernia and varicose veins in a day bed unit. BMJ 1979;2:712–714Google Scholar
13 Cooper, JM. Day case cataract surgery in UK and USA: a comparative study. Br J Nurs 1997;6:39–43CrossRefGoogle ScholarPubMed
14 Audit Commission. Measuring quality: the patient's view of day surgery. London: HMSO, 1991Google Scholar
15 The Audit Commission for England and Wales. A short cut to better services: day surgery in England and Wales. London: HMSO, 1990Google Scholar
16 Dean, M. London perspective. An audit route to more treatment (News and Comment). Lancet 1990;336:1118–19CrossRefGoogle Scholar
17 Delvin, HB. The scope of day-case surgery. Br J Hosp Med 1995;54:244–5Google Scholar
18 Buckley, JG, Mitchell, DB, Hickey, SA, Fitzgerald O'Connor, AF. Submucous resection of the nasal septum as an out-patient procedure. J Laryngol Otol 1991;105:544–6Google Scholar
19 Johnson, CD, Jarrett, PEM. Admission to hospital after day case surgery. Ann R Coll Surg Engl 1990;72:225–8Google Scholar
20 Dalziel, K, Stein, K, Round, A, Garside, R, Royle, P. Systematic review of endoscopic sinus surgery for nasal polyps. Health Technol Assess 2003;7:1–159CrossRefGoogle ScholarPubMed
21 Pineault, R, Constandriopoulos, AP, Valios, M, Bastion, ML, Lance, JM. Randomized clinical trial of one day surgery: patient satisfaction, clinical outcome and costs. Med Care 1985;23:171–82Google Scholar