Gupta Nursing Home, Nagpur, India.
J Gastrointestin Liver Dis. 2006 Dec;15(4):359-62.
Proctological surgery is being carried out increasingly on an outpatient basis. The reasons for this are safe anesthetic procedures, short operation times and low complication rates. This study is a retrospective analysis of complication rates, symptom recurrence and long-term results according to outpatient proctologic surgery practiced in our hospital in the last 10 years.
A total of 2840 patients were operated and followed up. The procedures included hemorrhoidectomy, anal fistulotomy, sphincterotomy, and removal of rectal polyps, pilonidal sinotomy and anal stricturotomy. Procedures were performed either under short-term general anesthesia or regional block.
Mean hospital stay was 7.3 hours (range 4-21 hours). The overall complication rate was 2.5%, which included bleeding, urinary retention, infection, continence disturbance and recurrence.
Outpatient proctological surgery can be safely performed with a low recurrence and complication rate while offering a high level of patient acceptance and satisfaction. However, an appropriate diagnosis of the disease, proper selection of the patients with respect to their suitability for surgery and a round-the-clock availability of patient communication with the nursing staff are a must for the successful outcome of the procedure.
肛肠外科手术越来越多地在门诊进行。其原因在于安全的麻醉程序、较短的手术时间和较低的并发症发生率。本研究回顾性分析了我院近 10 年来行门诊肛肠外科手术后的并发症发生率、症状复发和长期疗效。
共对 2840 例患者进行了手术和随访。手术包括痔切除术、肛瘘切开术、括约肌切开术、直肠息肉切除术、藏毛窦切开术和肛门狭窄切开术。手术在短期全身麻醉或区域阻滞下进行。
平均住院时间为 7.3 小时（4-21 小时）。总体并发症发生率为 2.5%，包括出血、尿潴留、感染、控便障碍和复发。
门诊肛肠外科手术可安全进行，并发症发生率和复发率低，同时患者接受度和满意度高。然而，适当的疾病诊断、根据手术适应证对患者进行适当选择，以及 24 小时与护理人员保持患者沟通，是手术成功的必要条件。
