Author: Kr. Kalinova, K. Kostov, E. Lefterov, A. Atanasov
Title: Short-term surgery of routen operations - alternative method of one-day surgery - 4, 2004, ¹ 2, 48-49.
Key Words (author's):
Key Words (MEDLINE): Ambulatory surgical procedures – statistics and numerical data; Ambulatory surgical procedures - economics; Ambulatory surgical procedures - utilization; Time factors; Treatment outcome.
Topic: Clinical Management
Abstract
In the light of the health and the tendency of volume increasing and the use of one-day surgery in 420 patients the principal of „short-term surgery" is presented in many routine operations for the period 1998-2003 years. The patients are dehospitalized significantly earlier than the accepted terms till that moment and they are left to cares of their relatives and the inspection by General Practitioner doctor with out any danger of health complication. Clinical material includes: herniothomy - 291 patients, hospitalized on 2nd -3rd postoperative day; herniothomy in children (222) dehospitalized on 2nd day; appendectomy (in adult without peritonitis) - 615 and 143 children - dehospitalized on 3rd day; resection of stomach - 37 patients dehospitalized on 7th day; cholecystectomy (103)-on 5th day; after-operation for hemorrhoides (67) dehospitalized on the next day; and for liver hydatidosis (17patients)- on 7th postoperative day. Neither complications nor rehospitalization of patients in case of early postoperative period are observed. The observation by GP-doctor is obligatory from the dehospitalization's day till the complete recreation.
