Mohammad Zarin, Roohul Muqeem, Mahmud Aurangzeb, Omar Zia, Muhammad Aziz Wazir, Zahid Haider.
Experience of day care surgery at Peshawar.
Pak J Surg Jan ;22(3):130-3.

Objective: To evaluate the results of Day Care Surgery in our set-up. Design & Duration: Retrospective study from Jan. 2003 to May 2005. Setting: Surgical `C` Unit of Khyber Teaching Hospital, Peshawar. Patients: A total of 190 patients who underwent Day Care Surgery were included in this study. Methodology: All patients were evaluated and counselled before hand, and asked to come on a given date. On the day of surgery they were shifted to the Operation Theatre, operated, kept under observation and sent home the same day with the advice to contact the concerned surgeon in case of any problem or complication. The patients were followed-up on the 3rd and 7th days, and examined for evidence of any local or distant complication. The patients were once again followed within a months time. Results: Out of 190 patients, there were 131 male and 59 female patients, with an age range of two months to 65 years.All patients went home following surgery the same day except two, who were apprehensive and had to be kept for night. Twelve made telephone calls and were given advice. Five patients were readmitted with vomiting, two with severe pain and two with reactionary hemorrhage, and were discharged home the next day. One patient with hernia repair was readmitted after two days with scrotal oedema and treated. Conclusion: Day Care Surgery in uncomplicated cases is safe and cost effective. Majority of the patients were satisfied with this approach of early discharge.

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