Resumen

PEREZ LOPEZ, Gladys et al. Major ambulatory surgery in otorhinolaryngology: a six-year experience. Rev Cubana Cir [online]. 2008, vol.47, n.3, pp. 0-0. ISSN 1561-2945.

INTRODUCTION. Evidences show that major ambulatory surgery is very safe and that due to its benefits, it is accepted and requested by the population. The objective of this paper is to know the behavior of the results obtained on applying this surgery. METHODS. A descriptive and prospective study was conducted. The sample was composed of 482 cases of major ambulatory scheduled surgery that were operated on between January 2001 and December 2006 at the Otorhinolaryngology Service of «Manuel Fajardo» University Hospital. Patients were selected after assessing the assimilation of the procedure, age, socioeconomic factors, own means of transportation, and distance from home to hospital. RESULTS. Major ambulatory elective surgery accounted for 72.9 %. Males prevailed (54.9 %) and the highest incidence was registered in the age group 15-46. The most used anesthetic technique was the local, topical and infiltrative, with sedation (81.7 %). The surgical procedures used in a decreasing order were: direct laryngoscopy (26.9 %), tonsillectomy (19.7 %) and septoplasty (17.8 %). There were only 2.07 % of complications (1.65 % during surgery). No nosocomial infections were reported. CONCLUSIONS. Major ambulatory elective surgery in otorhinolaryngology proved to be safe and efficient and allowed the relative and the patient to enjoy home comfort, without infections. In addition to its economic advantages, it makes surgery possible, in spite of the dificulties existing in the hospitals as a result of the reconstruction work.

Palabras clave : Major ambulatory surgery; otorhinolaryngology.

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