Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
권호 표지

The Experience of One Day Surgery in Pediatric Patients

소아 환자의 당일 수술 경험

  • Nam, So-Hyun (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Dae-Yeon (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Seong-Chul (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Gwak, Mi-Jeung (Department of Anesthesiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Dong-Myung (Department of Anesthesiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, In-Koo (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 남소현 (울산대학교 의과대학 서울아산병원 외과학교실) ;
  • 김대연 (울산대학교 의과대학 서울아산병원 외과학교실) ;
  • 김성철 (울산대학교 의과대학 서울아산병원 외과학교실) ;
  • 곽미정 (울산대학교 의과대학 서울아산병원 마취통증의학과교실) ;
  • 이동명 (울산대학교 의과대학 서울아산병원 마취통증의학과교실) ;
  • 김인구 (울산대학교 의과대학 서울아산병원 외과학교실)
  • Received : 2006.08.01
  • Accepted : 2006.10.31
  • Published : 2006.12.31
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Abstract

One day surgery in children has been practiced for last 10 years in this institution. This study is to examine its safety and effectiveness for patients younger than 15 years old treated at the Department of Pediatric Surgery, Asan Medical Center, from September. 1996 to December, 2005. A total of 3,709 patients, 37 % of the total pediatric operations, are included in this retrospective study. The most prevalent ages were between 1 and 3 years olds (1,199 patients). Twenty patients were younger than 6 months, and they all had one day surgery safely. Operations were herniorrhaphy in 3,126 patients,followed by excisional biopsy, chemoport removal, and OK 432 injection. There were 12 cases (0.32 %) of unplanned admissions, 7 occurred within 6 months of one day surgery. Perioperative fever was the most common cause of admission in 4 cases. The related conditions of unplanned admission were bleeding in 2 cases and radical surgery in 2. One day surgery in this institution was easily accessible and safe. This is to the result of appropriate selection of patients, cooperation with anesthesiologists, adequate control of postoperative pain, and home care programs.

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