Practice and acceptance of day-care surgery in A semi-Urban Nigerian hospital

• Published in: East African medical journal Vol. 78; no. 4; pp. 170 - 173
• Main Authors: AGBAKWURU, E. A, FAPONLE, A. F, ADESUNKANMI, A. R. K, OGUNDOYIN, O. O
• Format: Journal Article
• Language: English
• Published: Nairobi Kenya Medical Association 01-04-2001
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Ambulatory Surgical Procedures - standards; Ambulatory Surgical Procedures - utilization; Biological and medical sciences; Child; Child, Preschool; Developing Countries; Feasibility Studies; Female; Health Services Accessibility; Home Nursing; Humans; Infant; Male; Medical sciences; Middle Aged; Miscellaneous; Nigeria; Patient Acceptance of Health Care; Postoperative Care - nursing; Prospective Studies; Suburban Population; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tropical medicine; Nigeria; Africa; Human; Acceptance; Treatment; Suburban environment; Indication; Surgery; Developing countries; Ambulatory; Epidemiology; Public health
• ISSN: 0012-835X; 0012-835X
• DOI: 10.4314/eamj.v78i4.9057

To determine the acceptability and practicability of day-care surgery in a semi-urban area of Nigeria.
A twelve- month prospective study.
Wesley Guild Hospital, Ilesa, Nigeria.
Sixty seven consecutive patients with ASA I-II status and aged three months to 97 years were studied.
Patients were operated as day-cases using general or local anaesthesia.
Practicability, post-operative problems and acceptability.
The mean age of patients studied was 27.26 years (SD 23.89), with males accounting for 61% of the 67 cases. Fifty eight per cent and 42% had general and local anaesthesia respectively. While all patients had post-operative support from family members, less than seven per cent had access to telephone or family doctor services. About 80% of the patients lived within 10 km from the hospital. Intermediate operations accounted for 60% of the cases, while minor ones accounted for 40%. The mean operating time was 30 minutes. Postoperative pain was the only significant problem encountered. This, however, decreased in the patients with time. Complication rate was 10.5%.
A significant number of patients accepted and approved of the day stay surgery. Medical and surgical practitioners in semi-urban regions are encouraged and charged to accept the practice of short stay surgery.