Revista de Ciencias Médicas de Pinar del Río
version ISSN 1561-3194
HERNANDEZ IGLESIAS, Sergio; DELGADO, Juan Carlos; FAJARDO HORTA, Osmín and ACOSTA GONZALEZ, Luís Ramón. Ambulatory surgery in thyroid-nodular conditions. Rev Ciencias Médicas [online]. 2004, vol.8, n.2, pp. 6-15. ISSN 1561-3194.
A comparative, cross-sectional and prospective study was carried out in 104 patients affected by surgical thyroid pathologies from January 2001 to December 2002. 50 patients underwent surgery through non ambulatory major surgery method and other 54 patients through ambulatory major surgery at Abel Santamaría Cuadrado Hospital in Pinar del Rio. In the sample nodose pathologies prevailed as for diffuses. Since the latter were excluded from our work, assisted totally with general anesthesia and endotraqueal intubations. Associated diseases constitute limitations in the chosen sample, as long as hospital stay in patients with nodose benign pathologies was lower than 24 hours post-operatively, whose progress was satisfactory. The study showed that surgeries of thyroid nodes with ambulatory surgery are safe and feasible for the patients because of low amounts of complications, which significantly reduces hospitalary cost, since most patients were discharged 12 and 24 hours later. Evident economical advantages were known as to saving bed resource and hospitalary cost, as well as a high degree of satisfaction by those patients undergoing surgery, which justifies the fact of recommending the increase of the application of this procedure and the spread of it to as many surgical diseases as possible.
Keywords : AMBULATORY SURGERY; DIRECT SERVICE COSTS; GOITER NODULAR; SURGERY; THYROIDECTOMY.