Impact of major outpatient surgery at Comprehensive Diagnostic Center in Sucre, Venezuela
Keywords:
AMBULATORY SURGICAL PROCEDURES, HEALTH EVALUATION, AMBULATORY CARE, OUTPATIENTS, PATIENTS, VENEZUELA.Abstract
Introduction: ambulatory surgery is an alternative to hospitalization that allows the patient to return home the same day of admission after undergoing a surgery, its favorable impact deserves to be shared.
Objective: to describe the impact of major outpatient surgery at Simón Bolívar Comprehensive Diagnostic Center in Sucre, Venezuela.
Methods: an observational, descriptive and cross-sectional research was conducted at Simón Bolívar Comprehensive Diagnostic Center in Sucre, Venezuela during the period April-July 2018. The target group included all the patients attending consultations (1 274); the sample was intentional and was comprised of those operated on during the analyzed stage (n=279 patients). The research data were obtained through the individual clinical histories of the patients and the surgery record book of the institution. Descriptive statistical methods were applied for qualitative and quantitative variables in frequency measurements.
Results: 364 surgical procedures were performed; 147 patients were classified as ASA II and 132 as ASA I. Regional or local anesthesia was applied with sedation in all cases, bilateral salpingectomy (38,5 %), exceresis of any location (18,1 %) and hernia repair in any of its variants hernioplasty or herniorrhaphy (23,1 %) were the most surgical procedures performed. Surgical wound infection and seroma were frequent complications.
Conclusions: it is demonstrated that major ambulatory surgery is an efficient procedure to face the main health problems of the population and represents a satisfactory impact for patients and the health system.
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