ABSTRACT
In a retrospective survey of 10,632 children (ASA class 1-2, age over 3 months, weight over 5 kg) it was investigated how many children were admitted to the hospital either immediately or within a week after day-care surgery under general anaesthesia and what the indication for admission was. 9,479 children were between 1 and 9 years old. The most prevalent procedures were adeno(tonsillec)tomy, tympanotomy, circumcision and herniorrhaphy. 103 children (0.97%) were admitted, 67 of them straight from the day-care ward. The most prevalent indication was haemorrhage after adeno(tonsillec)tomy or circumcision. From the admitted children 17 needed a reintervention under anaesthesia. Differences with data from the literature are discussed. The authors see no reason to reassess the indications for day-care surgery in children.
Subject(s)
Ambulatory Surgical Procedures , Hemorrhage/etiology , Hospitalization , Postoperative Complications/etiology , Adenoidectomy , Adolescent , Child , Child, Preschool , Circumcision, Male , Female , Humans , Infant , Male , Reoperation , TonsillectomySubject(s)
Cystic Fibrosis/drug therapy , Piperidines/therapeutic use , Adolescent , Child , Child, Preschool , Cisapride , Clinical Trials as Topic , Double-Blind Method , Female , Humans , Infant, Newborn , MaleABSTRACT
The follow-up of 75 patients over a period of 1-12 yr demonstrates that at least 70% of these--if infants--may be permanently free of symptoms, when placed on medical therapy. If an infant becomes free of symptoms under 14 days, it may be expected that medical therapy will be definitely successful. Therefore, it seems to us that every infant ought to be given medical therapy for a period of at least 14 days. Medical therapy does not give rise to stenosis of the esophagus. Hiatus hernia is a diagnosis which should be made at the earlies possible moment. Only on this basis can medical therapy be successful and stenosis of the esophagus may be prevented.
