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https://hdl.handle.net/2440/10098
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Type: | Journal article |
Title: | Day-case haemorrhoidectomy |
Author: | Hunt, L. Luck, A. Rudkin, G. Hewett, P. |
Citation: | British Journal of Surgery, 1999; 86(2):255-258 |
Publisher: | BLACKWELL SCIENCE LTD |
Issue Date: | 1999 |
ISSN: | 0007-1323 1365-2168 |
Statement of Responsibility: | Hunt; Luck; Rudkin; Hewett |
Abstract: | <h4>Background</h4>Ligation excision haemorrhoidectomy is usually performed on an inpatient basis. This study was designed to assess the feasibility of day-case haemorrhoidectomy.<h4>Methods</h4>Patients fulfilling criteria for day surgery underwent ligation excision haemorrhoidectomy with the intention of a same-day discharge from hospital. A standardized protocol for anaesthesia, perioperative analgesia and antiemesis was followed. Patients received daily home nursing visits until they felt both comfortable and confident. Staff recorded pain and nausea scores on a visual analogue scale (range 1-10) until the first bowel action. Patient satisfaction was assessed independently after operation.<h4>Results</h4>Fifty-one patients underwent planned day-case haemorrhoidectomy. Forty-two (82 per cent) were discharged on the day of surgery. All patients were discharged within 26 h of surgery. Four patients required readmission, two with reactive bleeding, one with urinary retention and one for pain control. Pain and nausea were well controlled. Forty-four patients (86 per cent) were totally or very satisfied with their overall care.<h4>Conclusion</h4>Ligation excision haemorrhoidectomy can be performed successfully as a day-case procedure. |
Keywords: | Humans Hemorrhoids Pain, Postoperative Nausea Analgesics Pain Measurement Length of Stay Postoperative Care Ambulatory Surgical Procedures Ligation Adult Aged Middle Aged Patient Satisfaction Female Male |
DOI: | 10.1046/j.1365-2168.1999.01024.x |
Published version: | http://dx.doi.org/10.1046/j.1365-2168.1999.01024.x |
Appears in Collections: | Aurora harvest 7 Surgery publications |
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