Management of Superficial Abscesses: Scope for Day Case Surgery
Open Access
- 26 May 2014
- journal article
- research article
- Published by Hindawi Limited in Surgery Research and Practice
- Vol. 2014, 1-4
- https://doi.org/10.1155/2014/308270
Abstract
Background. Patients presenting with superficial abscesses are often regarded as low priority and given a less efficient service. Aim. The aim of this study was to investigate the efficiency of emergency treatment of superficial abscesses and to identify areas for service improvement. Method. A retrospective case review of patients admitted to Derriford Hospital, Plymouth, over a four-month period. Results. Ninety-seven patients were included in the study. Seventy two (74%) arrived between 08.00 and 16.00 hours. Overall, 75 patients (77%) were referred on weekdays with 22 patients (23%) during weekends. Seventy-two patients (74%) had treatment under a general anaesthetic. Sixty-three percent of operations occurred within the working day. The time interval between admission and surgery ranged from 52 minutes to 38 hours (mean ± SD 16 ± 9.15). The length of admission ranged from 5.3 hours to 11 days (mean 36 hours). Of the one hundred overnight beds used by the 97 patients, 30 nights were spent awaiting surgery and 70 following surgery and awaiting discharge. Conclusion. Eighty-nine percent of the patients would have been suitable for treatment as day cases. This review shows that a simple service redesign has the potential of reducing inpatient bed occupancy and improving the patients journey.Keywords
This publication has 18 references indexed in Scilit:
- The Treatment of Cutaneous Abscesses: Comparison of Emergency Medicine Providers' Practice PatternsWestern Journal of Emergency Medicine, 2013
- Ambulatory laparoscopic cholecystectomy: An audit of day case vs overnight surgery at a community hospital in JapanWorld Journal of Gastrointestinal Surgery, 2012
- Primary closure of cutaneous abscesses: a systematic reviewThe American Journal of Emergency Medicine, 2011
- Ambulatory groin and ventral hernia repairJournal of Visceral Surgery, 2010
- Current indications for laparoscopy in day-case surgeryInternational Journal of Surgery, 2008
- Day-case versus overnight stay in laparoscopic cholecystectomyPublished by Wiley ,2008
- Perianal Abscess: A Pilot Study Comparing Packing With Nonpacking of the Abscess CavityDiseases of the Colon & Rectum, 2004
- Randomized clinical trial of the effectiveness of emergency day surgery against standard inpatient treatmentBritish Journal of Surgery, 2002
- Outpatient treatment of non-lactational breast abscessesBritish Journal of Surgery, 1992
- Repeated aspiration of breast abscesses in lactating women.BMJ, 1988