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Septoplasty as a day-case procedure – a two centre study

  • R. Benson-Mitchell (a1) (a2), G. Kenyon (a1) and D. Gatland (a2)

Abstract

Day-stay surgery is an integral part of Otolaryngology. Many procedures which have traditionally been thought to require overnight stay can be carried out on a day care basis. We report our experience of treating 163 patients admitted for septal surgery as a day-case procedure. The paper summarizes the experience of two centres. One of these is a London Teaching Hospital, where surgery was performed through a dedicated day-case unit, and the other is a District General Hospital where patients were admitted to a day-case unit but had their surgery on a routine in-patient list.

As the result of this study we conclude that day-stay septoplasty is associated with a low complication rate and is a safe and acceptable procedure provided that strict selection criteria are followed. The cost implications are discussed.

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Corresponding author

Address for correspondence: R. Benson-Mitchell, F.R.C.S., Otolaryngology Consultants of Memphis, PC 777 Washington Avenue, P240 Memphis, Tennessee 38105, USA.

References

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Audit Commission (1990) A Short Cut to Better Services. Day Surgery in England and Wales. HMSO, London.
Audit Commission (1991) Measuring Quality: the Patients View of Day Surgery. HMSO, London.
Buckley, J. G., Mitchell, D. B., Hickey, S. A., Fitzgerald, , O'Connor, A. F. (1991) Submucous resection of the nasal septum as an outpatient procedure. Journal of Laryngology and Otology 105: 544546.
Fenton, J. E., O'Dwyer, T. P. (1994) Adult day case tonsillectomy: a safe and viable option. Clinical Otolaryngology 19: 470472.
Kaddour, H. S. (1992) Myringoplasty under local anaesthesia: day case surgery. Clinical Otolaryngology 17: 567568.
Kendrick, D., Gibbins, K. (1993) An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy. Clinical Otolaryngology 18: 115117.
Leighton, S. E. J., Rowe-Jones, J. M., Knight, J. R., MooreGillon, V. L. (1993) Day case adenoidectomy. Clinical Otolaryngology 18: 215219.
Maniglia, A. J., Kushner, H., Cozzi, L. (1989) Adenotonsillectomy – a safe outpatient procedure. Archives of Otolaryngology – Head and Neck Surgery 115: 9294.

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Septoplasty as a day-case procedure – a two centre study

  • R. Benson-Mitchell (a1) (a2), G. Kenyon (a1) and D. Gatland (a2)

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