Practice and problem of day surgery in our clinic

Abstract

In a period of two years from April 1997, we performed day surgery for 218 cases and obtained the following results. (1) The percentage of the cases, for which surgery was determined at the clinic was: day surgery 59%, surgery in short-term hospitalization 36%. (2) Postoperative bleeding occurs in rare cases, but this was successfully reduced by careful treatment of wound, change of suture threads, and elaborate efforts on prevention of tension on anus after operation, reduction of sites for ligation and excision to less than 2 sites, and adoption of the secondary operation. (4) For suppository used as postoperative analgesic, patients often exhibit anxiety at the insertion, and oral administration seems to be more adequate. (5) When the cost was compared between day surgery and surgery in 2-week hospitalization in the cases of hemorrhoids, the cost for day surgery was about 25% of that of the operation in hospitalization.