Orthopaedic day case surgery in Nigeria: A single center experience

Malizu EV1, Lasebikan OA2, Omoke NI3

1Rehoboth Specialist hospital, Port Harcourt -Rivers state, Nigeria

2National Orthopaedic Hospital, Enugu- Enugu State

3Department of Surgery, Ebonyi State University/ Federal Teaching Hospital, Abakaliki- Ebonyi State, Nigeria

Correspondence to:

Dr Isaac Omoke, Department of Surgery, Ebonyi State University/ Federal Teaching Hospital, Abakaliki- Ebonyi State, Nigeria

E-mail: zicopino@yahoo.com

Abstract

Background: The concept of day case surgeries is relevant in orthopaedic specialty in developing countries where orthopaedic elective procedures have relatively longer duration of length of surgical waiting time mainly due to lack of in- patient bed space. Objective: To determine the scope, safety and outcome of orthopaedic day case surgeries in a Nigerian setting, and identify potential areas for intervention to improve the practice. Patients and methods: This was a 12 month prospective study of 71 eligible, consenting and consecutive patients who presented in National orthopaedic Hospital Enugu and were carefully selected and prepared for orthopaedic day case surgeries. Results:  Within the period of study 53 of 540 elective orthopaedic procedures were done as day case, giving a day case surgery rate of 9.8%. Of the patients enrolled, the male to female ratio was 1.2:1 and the age range was 8 months to 76 years.    Eighteen (25.4%) of the patients had their day case procedure cancelled on the day of surgery. The commonest procedure was removal of implant. Conversion rate was 32% and mainly due to operation occurring late. Complication (mainly pain) rate was 30%, and correlated with duration of procedure (p< 0.006). The satisfaction rate among patients was 98%; no re-admission or mortality was observed. Conclusion:  In this study, orthopaedic daycase procedures were safe though there was low utilization of day case surgery in scope, complexity and number of procedures. This and the high conversion rate observed

Keywords: Orthopedics, Day case surgery.

Ann Afr Surg. ****; **(*):***

DOI: http://dx.doi.org/10.4314/aas.v*****

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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