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Day case superficial parotidectomy—does it work?

PURPOSE: To establish if day case superficial parotidectomy is feasible, safe and does not result in excess readmissions. METHOD: A retrospective review was carried out of all patients listed for superficial parotidectomy with day case intent by a single surgeon between January 2016 and December 201...

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Autores principales: Edmond, Mark, Campbell, Elaine, Reddy, Venkat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7868304/
https://www.ncbi.nlm.nih.gov/pubmed/33555439
http://dx.doi.org/10.1007/s00405-021-06642-7
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author Edmond, Mark
Campbell, Elaine
Reddy, Venkat
author_facet Edmond, Mark
Campbell, Elaine
Reddy, Venkat
author_sort Edmond, Mark
collection PubMed
description PURPOSE: To establish if day case superficial parotidectomy is feasible, safe and does not result in excess readmissions. METHOD: A retrospective review was carried out of all patients listed for superficial parotidectomy with day case intent by a single surgeon between January 2016 and December 2019 inclusively. The reasons for failure of same day discharge were established. Postoperative complications and readmissions were recorded. Our approach for a superficial parotidectomy typically includes the use of a 10Fr suction drain which is removed at 4 h postoperatively if the output is less than 30 ml. RESULTS: Ninety-one consecutive superficial parotidectomies listed for day case surgery were eligible for inclusion. Seventeen patients failed to be discharged on the same day and were admitted giving a day case success rate of 81%. Most of these (n = 9) occurred in the first year of adopting day case surgery. The most common reason to admit patients was a late finish (n = 8, 47%). Six patients (25%) were admitted due to anaesthetic complications. One patient had a surgical complication requiring admission. CONCLUSION: Our series demonstrates that day case superficial parotidectomy using a surgical drain is feasible, safe and does not result in an unacceptable readmission rate. In our experience, surgical complications are an uncommon cause for day case failure. The most common cause for day case failure was a late finish. Postoperative complications including bleeding, seroma/salivary collection and facial nerve palsy were in keeping with or better than those quoted in the literature.
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spelling pubmed-78683042021-02-09 Day case superficial parotidectomy—does it work? Edmond, Mark Campbell, Elaine Reddy, Venkat Eur Arch Otorhinolaryngol Short Communication PURPOSE: To establish if day case superficial parotidectomy is feasible, safe and does not result in excess readmissions. METHOD: A retrospective review was carried out of all patients listed for superficial parotidectomy with day case intent by a single surgeon between January 2016 and December 2019 inclusively. The reasons for failure of same day discharge were established. Postoperative complications and readmissions were recorded. Our approach for a superficial parotidectomy typically includes the use of a 10Fr suction drain which is removed at 4 h postoperatively if the output is less than 30 ml. RESULTS: Ninety-one consecutive superficial parotidectomies listed for day case surgery were eligible for inclusion. Seventeen patients failed to be discharged on the same day and were admitted giving a day case success rate of 81%. Most of these (n = 9) occurred in the first year of adopting day case surgery. The most common reason to admit patients was a late finish (n = 8, 47%). Six patients (25%) were admitted due to anaesthetic complications. One patient had a surgical complication requiring admission. CONCLUSION: Our series demonstrates that day case superficial parotidectomy using a surgical drain is feasible, safe and does not result in an unacceptable readmission rate. In our experience, surgical complications are an uncommon cause for day case failure. The most common cause for day case failure was a late finish. Postoperative complications including bleeding, seroma/salivary collection and facial nerve palsy were in keeping with or better than those quoted in the literature. Springer Berlin Heidelberg 2021-02-08 2021 /pmc/articles/PMC7868304/ /pubmed/33555439 http://dx.doi.org/10.1007/s00405-021-06642-7 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Short Communication
Edmond, Mark
Campbell, Elaine
Reddy, Venkat
Day case superficial parotidectomy—does it work?
title Day case superficial parotidectomy—does it work?
title_full Day case superficial parotidectomy—does it work?
title_fullStr Day case superficial parotidectomy—does it work?
title_full_unstemmed Day case superficial parotidectomy—does it work?
title_short Day case superficial parotidectomy—does it work?
title_sort day case superficial parotidectomy—does it work?
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7868304/
https://www.ncbi.nlm.nih.gov/pubmed/33555439
http://dx.doi.org/10.1007/s00405-021-06642-7
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