Admission rates, early readmission rates and patient acceptability of 142 cases of day case septoplasty

Abstract

Day case surgery should be confined to those procedures where less than 3% of patients require admission. The aim of this study was to establish the admission rates, early readmission rates and patient acceptability of 142 consecutive cases of day case septoplasty. Data acquisition was by retrospective postal questionnaire. One hundred and fifty-three patients were studied and data was acquired on 142. Ninety per cent (128/142) of patients had operations on afternoon lists. Admissions were 7/142 (5%), the early readmission rate (within 24 h) was 0% and 25/142 (17%) of patients felt they would rather have stayed in hospital for the first night after surgery. The conclusion of this work is that day case septoplasty is an acceptable practice in appropriately selected patients who are operated upon in the morning and when the technique described here is applied. An acceptably small proportion of planned day cases may require admission.

Intranasal lidocaine plus naphazoline nitrate improves surgical conditions and perioperative analgesia in septorhinoplasty surgery

“…7,8 The use of local anesthetics and vasoconstrictors in rhinoseptoplasty surgery is well known. Hogg et al 1 reported the following treatment: First the nose should be prepared with xylometazoline 0.1% spray. Next, the septum should be infiltrated before surgery with 4 ml of 0.2% lidocaine with 1:80,000 epinephrine.…”

“…Résultats L'application de lidocaı¨ne-naphazoline intranasale a diminue´les besoins en isoflurane [valeurs me´dianes : 0,8% (0,7-1,5) vs 1,2% (0, 8) Septorhinoplasty is generally considered to be a traumatic procedure associated with epistaxis, periorbital hematoma, and postoperative pain. 1 The leading causes of hospital readmission and/or overstay after day-care septorhinoplasty surgery are epistaxis and a high level of postoperative pain. 2 A multimodal analgesia regimen can be used, but many patients suffer from adverse events after opioid administration.…”

French otorhinolaryngology society guidelines for day-case nasal surgery

“…On the other hand, there are more studies available than for antrostomy. Several older studies drew conflicting conclusions regarding day-case management of septoplasty, due to readmission rates that varied from 2% to 13.4% [27][28][29][30][31].…”

Recommandations de la SFORL sur la chirurgie ambulatoire en rhinologie

“…Les études sont par contre plus abondantes que pour les méatotomies moyennes. Plusieurs études anciennes ont tiré des conclusions contradictoires concernant la prise en charge des septoplasties en ambulatoire en raison de taux de réadmission variant de 2 à 13,4 % [27][28][29][30][31].…”