Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-19T22:42:12.762Z Has data issue: false hasContentIssue false

Day-case adenoidectomy: how popular and safe in a rural environment?

Published online by Cambridge University Press:  29 June 2007

N. Siddiqui
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, Ipswich, Suffolk, UK.
M. W. Yung*
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, Ipswich, Suffolk, UK.
*
Address for correspondence: M. W. Yung, Ph.D., F.R.C.S., D.L.O., Department of Otolaryngology, The Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk 1P5 4PD.

Abstract

In spite of previously favourable reports on day-case adenoidectomy, thereare still worries amongst otolaryngologists that such practice is unsafe, especially in arural environment. A national survey was therefore carried out which shows that only 41 per cent of respondents perform adenoidectomy routinely as day-case, and even fewer in rural areas. A regional audit on day-case adenoidectomy, covering five hospitals, was conducted in East Anglia. Between 1994 to 1995, 73 day-case adenoidectomies were performed and the outcome was compared to those of 183 in-patient adenoidectomies during the same period. The children in the day-case group recovered post-operatively even better than the in-patient group. None of them stayed overnight or required re-admission. There was no increased in post-operative consultation to the general practitioner. The parents in the day-case group were mostly in favour of the day-case arrangement (88 per cent). The results suggest that day-case adenoidectomy is safe and popular with parents even in a rural environment.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahmed, K., McCormick, M. S., Baruah, A. K. (1993) Day-case adenoidectomy—is it safe? Clinical Otolaryngology 18:406409.CrossRefGoogle ScholarPubMed
Audit Commission. (1990) A short cut to better services. Day surgery in England and Wales. London: Her Majesty's Stationery Office.Google Scholar
Lannigan, F. J., Martin-Hirsch, D. P., Basey, E. (1993) Clinical audit: is day-case adenotonsillectomy safe? British Journal of Clinical Practice 47: 254255.Google ScholarPubMed
Leighton, S. E. J., Rowe-Jones, J. M., Knight, J. R., MooreGillon, V. L. (1993) Day case adenoidectomy. Clinical Otolaryngology 18: 215219.CrossRefGoogle ScholarPubMed
OPCS. (1994) Mortality statistics: Area 1992. London: Her Majesty's Stationery Office. Series DH5(19).Google Scholar
Royal College of Surgeons of England. (1992) Guidelines for day-case surgery. Rev. edn., Royal College of Surgeons of England, London.Google Scholar
Stott, N. C. H. (1992) Day-case surgery generates no increased workload for community based staff. True or false? British Medical Journal 304: 825826.CrossRefGoogle ScholarPubMed
Yardley, M. P. J. (1992) Tonsillectomy, adenoidectomy and adenotonsillectomy: are they safe day case procedures? Journal of Laryngology and Otology 106: 299300.CrossRefGoogle ScholarPubMed