Dr. Ameen, ENT Specialist in Kuala Lumpur

Abstract

Purpose

Parotidectomies are rarely performed on an outpatient basis. The specific perioperative outcomes and their management remains insufficiently described to change daily practice. The objectives were to study the outcomes, the complications and the patient satisfaction rate in parotidectomy performed on an outpatient basis.

Materials and methods

We conducted a retrospective monocentric database study on 85 patients who underwent parotidectomy as a first and sole procedure from 2015 to 2020. We analyzed perioperative outcomes between outpatients and inpatients.

Results

Among 28 outpatients and 57 inpatients, no significant differences in total perioperative complications (p = .66; OR = 1.25; 95 % confidence interval (CI) [0.47; 3.36]), reoperations (p = .55), readmissions (p = 1), or unplanned visits (p = .52) were shown in multivariate analysis. The conversion rate for surgical reasons was 8.6 %, and the satisfaction rate was high.

Conclusion

Although outpatient parotidectomies should be as safe as for inpatients, the high rate of minor complications requires specific perioperative management, such as a systematic early postoperative visit and optimized preoperative information in order to be carried out with minimal issues.

KOMEN SAYA:

Wow, satu surgeri yang agak panjang…3-6hours, dibuat sebagai out-patient.. memang tak terfikir dek akal buat masa sekarang di Malaysia hahaha..sebab komplikasi yang mungkin dihadapi agak besar dan senang untuk dihadapi kalau patient di dalam ward.

Tapi paper ini menunjukkan yang ia BOLEH DIBUAT sebagai out-patient TETAPI doktor yang merawat perlu memeriksa pesakit lebih awal di klinik selepas operation, dan perlukan rawatan/informasi peri-operatif yang lebih teliti dan selektif untuk mengurangkan komplikasi, terutamanya komplikasi kecil 🙂

Sila tonton video surgeri di laman youtube ya 🙂