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Day case surgery in otolaryngology: The setting up and first year of a freestanding unit

  • T. H. J. Lesser (a1) and A. H. H. Al-Jassim (a1)

Abstract

A freestanding day case surgery unit for ENT cases is described and the first year 's experience reviewed. Special attention is paid to the variety, and complications, of surgery as the freestanding unit is 17 miles from the main ENT centre. The difficulties of running the unit are reviewed. The problems encountered include arranging training for the staff and maintaining optimum throughput of cases. Consideration is also given to the setting up and running costs of the unit.

Four hundred and seventy-seven patients were treated from 46 lists. This accounted for 64 per cent of the total number of patients having ENT surgery in 1992 from our area.

Copyright

Corresponding author

Mr T. H. J. Lesser, ENT Department, Southport and Formby NHS Trust, General Infirmary, Scarisbrick New Road, Southport, Merseyside PR8 6PH

References

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Audit Commission for local authorities and the NHS in England and Wales (1990). A Short Cut to Better Services – Day Surgery in England and Wales, HMSO.
Buckley, J. G., Mitchell, D. B., Hickey, S. A., O'Connor, A. F. (1991) Submucous resection of the nasal septum as an outpatient procedure. Journal of Laryngology and Otology 105: 544546.
Kaddour, H. S. (1992) Rapid communication myringoplasty under local anaesthesia: day case surgery. Clinical Otolaryngology 17: 567568.
Lesser, T. H. J., Clayton, M. I., Carlin, V. W. (1986) Day case surgery in otolaryngology: a 10-year analysis. Clinical Otolaryngology 11: 239246.
Royal College of Surgeons of England (1985). Commission on the Provision of Surgical Services – Guidelines for Day Case Surgery, RCSE, London.
Strong, N., Wigmore, W., Rhodes, S., Smithson, B., Woodruff, G., Rosenthal, R. (1992) Ophthalmic day case surgery, the role of a dedicated day case unit. Health Trends 24: 148150.
Yardley, M. P. J. (1992) Tonsillectomy, adenoidectomy and adenotonsillectomy: are they safe day case procedures? Journal of Laryngology and Otology 106: 299300.

Keywords

Day case surgery in otolaryngology: The setting up and first year of a freestanding unit

  • T. H. J. Lesser (a1) and A. H. H. Al-Jassim (a1)

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