How to carry out day care surgery inproctology: P166

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Aim:Proctological surgery is being carried out increasingly on an outpatient basis. Reasons for this are safe anaestheticprocedures, short operation times and low complication rates. We performed a retrospective analysis of complication rates, symptom recurrence and long-term results after outpatientproctologic surgery in our hospital in the last 10 years.Method:In all, 2840 patients were operated and followed up. Theprocedures included haemorrhoidectomy, anal fistulotomy, sphincterotomy, removal of rectal polyps, pilonidal sinotomy and anal stricturotomy. Procedures were performed under general anaesthesia or a regional block.Results:Mean hospital stay was 7.3 hours (range 4-21). The overall complication rate was 2.5%, and included bleeding, urinary retention, infection, continence disturbance and recurrence.Conclusion:Outpatientproctological surgery can be safely performed with a low recurrence and complication rate whilst offering a high level of patient acceptance and satisfaction. However, appropriate disease diagnosis,proper patient selection and a round-the-clock availability nursing staff for advice are essential for successful outcome of theprocedure.

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