Endoscopic sinus surgery as day-case procedure

• Published in: Journal of laryngology and otology Vol. 123; no. 6; p. 619
• Main Authors: Bajaj, Y, Sethi, N, Carr, S, Knight, L C
• Format: Journal Article
• Language: English
• Published: England 01-06-2009
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Ambulatory Surgical Procedures - methods; Chronic Disease; Endoscopy; Female; Humans; Male; Middle Aged; Nasal Polyps - surgery; Patient Satisfaction; Retrospective Studies; Sinusitis - surgery; Treatment Outcome; Young Adult
• ISSN: 1748-5460
• DOI: 10.1017/S0022215108003332

Functional endoscopic sinus surgery is the mainstay of surgical treatment for chronic sinusitis. Day-case surgery has the advantage over in-patient surgery of being cost-effective and resource sparing. The objectives of this study were to assess our results for day-case functional endoscopic sinus surgery.
This was a retrospective case note review of day-case functional endoscopic sinus surgery procedures performed at Leeds General Infirmary from February 2004 to February 2007. We recorded patients' demographic data, operative details, post-operative course and follow-up results.
A total of 105 day-case functional endoscopic sinus surgery procedures were included in the study. Patients' ages ranged from 16 to 93 years; 44 (41.9 per cent) were female and 61 (58.1 per cent) were male. Of these patients, 39 (37.1 per cent) had chronic sinusitis and the rest (66; 62.8 per cent) had nasal polyposis and sinusitis. Sixty-one patients (58.1 per cent) underwent surgery on the morning operating list, while the rest (44; 41.9 per cent) underwent surgery in the afternoon. Of the 105 patients, 24 (22.8 per cent) had undergone previous nasal surgery. The majority of patients (90/105; 85.7 per cent) were discharged on the same day as surgery. The only complication recorded in this study was bleeding, noted in seven patients (6.7 per cent). At the follow-up appointment, 90/105 (85.7 per cent) patients were satisfied with their post-operative results.
Day-case endoscopic sinus surgery can be performed safely as a day-case procedure. The most important factors for a successful outcome are correct patient selection, in terms of general health and social circumstances, and a dedicated day-case team.