Please use this identifier to cite or link to this item: 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
Appears in Collections:Aurora harvest 7
Surgery publications

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