Author/Editor		Košorok, Pavle; Pokrajac, Tatjana
Title		Ambulatory surgery - what we can be done on a one day surgery basis in proctology?
Type		članek
Source		Proktologia
Vol. and No.		Letnik 3, št. 2
Publication year		2002
Volume		str. 143-7
Language		eng
Abstract		Introduction: In our institution we've had a lot of experience in proctology. Seven years ago we introduced one day surgery in our practice and had really good results in treating practically all patients who needed proctologic surgery. Materials, methods and results: During this period of time 6,126 out of 41,913 outpatient cases were chosen for surgery. Among them, 23.1% were patients with operations of perianal haematomas. We had some experiences with minor anal surgery (excisions of skin tags in 17.0% patients, excisions of papillas in 5.3% patients); patients with haemorrhoids, operated classically on Milligan-Morgan procedure (10.46%) or by the new PPH- Longo procedure (1.9%). We also treated 11.7% patients with fistulas - either with fistulotomy or escision of fistulae - and 10.9% patients with minor surgery (operations of fibromas, atheromas, verrucas, ganglions, lipomas, etc.). We made excisions of anorectal polyps in 7.6% patients, excisions of pilonidal cysts in 6.1% patients and treated 1.3% patients wilh anal abscesses. We made tension free operations of groin hernias in 4.5% patients and corrections of stomas in 0.14% patients. Conclusions: We have experienced ambulatory surgery (i.e. day surgery hospital) as an appropriate choice for treating the patients with proctologic pathotology. However, it used to be the practice to treat all these patients in hospitals, where they occupied bed facilities that could be intended for other patients. To conclude, our present results have confirmed the decision for ambulatoy surgey to be correct in the field of proctology.
Descriptors		COLON AND RECTAL SURGERY (SPECIALTY) AMBULATORY SURGERY POSTOPERATIVE COMPLICATIONS HEMORRHOIDS HEMATOMA ABSCESS RECTAL FISTULA PILONIDAL SINUS