Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-28T18:28:04.826Z Has data issue: false hasContentIssue false

Day-case adenoidectomy, parental opinions and concerns

Published online by Cambridge University Press:  29 June 2007

Vincent Callanan*
Affiliation:
Department of ENT Surgery, Southmead Hospital, Bristol BS10 5NB.
Ruth Capper
Affiliation:
Department of ENT Surgery, Southmead Hospital, Bristol BS10 5NB.
Paul Gurr
Affiliation:
Department of ENT Surgery, Southmead Hospital, Bristol BS10 5NB.
David L. Baldwin
Affiliation:
Department of ENT Surgery, Southmead Hospital, Bristol BS10 5NB.
*
Mr Vincent Callanan, F.R.C.S.I., Registrar, Department of ENT Surgery, 2nd Floor, Lambeth Wing, St Thomas's Hospital, London SE1 7EH. Fax: 071 922 8088

Abstract

Day-case surgery has been urged on the National Health Service by the Audit Commission in the last decade despite concerns about safety. A questionnaire was posted to the parents of 109 children who had recently undergone day-case adenoidectomy, addressing parental concerns and opinions. Eighty per cent of the questionnaires were returned. A high level of satisfaction with day-case adenoidectomy was expressed by the parents. All the children were observed for six hours after surgery prior to discharge. One child was visited at home by his general practitioner in the first 24 hours of discharge but there were no serious post-operative complications and none of the children required re-admission to hospital. Day-case adenoidectomy is safe, very acceptable to parents and does not result in a greatly increased workload for general practitioners.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Audit Commission (1990) A short cut to better services. In Day Surgery in England and Wales, HMSO, London pp 1517.Google Scholar
Audit Commission (1991) Measuring quality: the patient's view of day surgery, NHS Occasional Papers, HMSO, London, pp 1116.Google Scholar
Boyce, J., Ralphs, D., Devlin, B. (1992) Day case surgery and workload. British Medical Journal 304: 1174.CrossRefGoogle ScholarPubMed
Burn, J. M. (1992) Costs of day case surgery. British Medical Journal 304: 1118.CrossRefGoogle ScholarPubMed
Campbell, I. R., Scaife, J. M., Johnstone, J. M. (1988) Psychological effects of day case surgery compared with inpatient surgery. Archives of the Diseases of Childhood 63: 415417.CrossRefGoogle ScholarPubMed
Capper, J. W. R., Randall, C. (1984) Post-operative haemorrhage in tonsillectomy and adenoidectomy in children. Journal of Laryngology and Otology 98: 363365.CrossRefGoogle ScholarPubMed
Davies, B., Tyers, A. G. (1992) Do patients like day case cataract surgery? British Journal of Ophthalmology 76: 262263.CrossRefGoogle ScholarPubMed
Day-case surgery (1991) Drugs and Therapeutic Bulletin 29: 2324.CrossRefGoogle Scholar
Guida, R. A., Mattucci, K. F. (1990) Tonsillectomy and adenoidectomy: an inpatient or outpatient procedure? Laryngoscope 100: 491493.CrossRefGoogle ScholarPubMed
Helmus, C., Grin, M., Westfall, R. N. (1990) Same-day-stay adenotonsillectomy. Laryngoscope 100: 593596.CrossRefGoogle ScholarPubMed
Kendrick, D., Gibbin, K. (1993) An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy. Clinical Otolaryngology 18: 115117.CrossRefGoogle ScholarPubMed
Kirby, R. M., Skilton, J. S. (1991) day-case surgery. Lancet 338: 1529.CrossRefGoogle ScholarPubMed
Leighton, S. E. J., Rowe-Jones, J. M., Knight, R., Moore-Gillon, V. L. (1993) Day case adenoidectomy. Clinical Otolaryngology 18: 215219.CrossRefGoogle ScholarPubMed
Michaels, J. A., Reece-Smith, H., Faber, R. G. (1992) Case-control study of patient satisfaction with day-case and inpatient inguinal hernia repair. Journal of the Royal College of Surgeons of Edinburgh 37: 99100.Google ScholarPubMed
Morris, P. (1992) Paediatric day-case surgery. British Journal of Anaesthesia 68: 34.CrossRefGoogle ScholarPubMed
Parker, C. A., Colledge, L. (1921). The Nose and Throat and their Treatment, 2nd Edition. Edward Arnold, London, p. 346.Google Scholar
Robin, I. G. (1950) Adenoids. In The British Encyclopaedia of Medical Practice. 2nd Edition. (Horner, L., ed.), Butterworth and Co., Ltd., Temple Bar, London, pp 167–82.Google Scholar
Sadler, G. P., Richards, H., Watkins, G., Foster, M. E. (1992) Daycase paediatric surgery: the only choice. Annals of the Royal College of Surgeons of England 74: 130133.Google ScholarPubMed
Senapati, A., Young, A. E. (1989) Acceptability of day care surgery. Journal of the Royal Society of Medicine 82: 735736.CrossRefGoogle ScholarPubMed
Siodlak, M. Z., Gleeson, M. J., Wengraf, C. L. (1985) Post-tonsillectomy secondary haemorrhage. Annals of the Royal College of Surgeons of England 67: 167168.Google ScholarPubMed
Stott, N. C. (1992) Day case surgery generates no increased workload for community based staff. True or false? British Medical Journal 304: 825826.CrossRefGoogle ScholarPubMed