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Day-case adenoidectomy: how popular and safe in a rural environment?

Published online by Cambridge University Press:  29 June 2007

N. Siddiqui
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, Ipswich, Suffolk, UK.
M. W. Yung*
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, Ipswich, Suffolk, UK.
*
Address for correspondence: M. W. Yung, Ph.D., F.R.C.S., D.L.O., Department of Otolaryngology, The Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk 1P5 4PD.

Abstract

In spite of previously favourable reports on day-case adenoidectomy, thereare still worries amongst otolaryngologists that such practice is unsafe, especially in arural environment. A national survey was therefore carried out which shows that only 41 per cent of respondents perform adenoidectomy routinely as day-case, and even fewer in rural areas. A regional audit on day-case adenoidectomy, covering five hospitals, was conducted in East Anglia. Between 1994 to 1995, 73 day-case adenoidectomies were performed and the outcome was compared to those of 183 in-patient adenoidectomies during the same period. The children in the day-case group recovered post-operatively even better than the in-patient group. None of them stayed overnight or required re-admission. There was no increased in post-operative consultation to the general practitioner. The parents in the day-case group were mostly in favour of the day-case arrangement (88 per cent). The results suggest that day-case adenoidectomy is safe and popular with parents even in a rural environment.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

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References

Ahmed, K., McCormick, M. S., Baruah, A. K. (1993) Day-case adenoidectomy—is it safe? Clinical Otolaryngology 18:406409.CrossRefGoogle ScholarPubMed
Audit Commission. (1990) A short cut to better services. Day surgery in England and Wales. London: Her Majesty's Stationery Office.Google Scholar
Lannigan, F. J., Martin-Hirsch, D. P., Basey, E. (1993) Clinical audit: is day-case adenotonsillectomy safe? British Journal of Clinical Practice 47: 254255.Google ScholarPubMed
Leighton, S. E. J., Rowe-Jones, J. M., Knight, J. R., MooreGillon, V. L. (1993) Day case adenoidectomy. Clinical Otolaryngology 18: 215219.CrossRefGoogle ScholarPubMed
OPCS. (1994) Mortality statistics: Area 1992. London: Her Majesty's Stationery Office. Series DH5(19).Google Scholar
Royal College of Surgeons of England. (1992) Guidelines for day-case surgery. Rev. edn., Royal College of Surgeons of England, London.Google Scholar
Stott, N. C. H. (1992) Day-case surgery generates no increased workload for community based staff. True or false? British Medical Journal 304: 825826.CrossRefGoogle ScholarPubMed
Yardley, M. P. J. (1992) Tonsillectomy, adenoidectomy and adenotonsillectomy: are they safe day case procedures? Journal of Laryngology and Otology 106: 299300.CrossRefGoogle ScholarPubMed