DAY CASE SURGERY

1. It is the admission and discharge

of the patient for specific
procedure within 12 hour
2. When the patient requires
overnight admission so it is full
time surgery
3. D.C S extends from the patient
• Contact to final discharge
• The surgery is usually elective
• The home care after discharge must be
enough for the patient
• Usually the procedure is under local
anesthesia or limited general anesthesia
• The D.C.S unit have their own reception.
Ward.theatre.recovery room. But the facilities
of the main hospital must be available and the
overnight beds must be available
• Selection criteria
• Age :-there is no upper age limit but the physiological
health is the important
• Cardiovascular diseases
• Respiratory diseases
• Diabetes mellitus diseases :-HBA1c below8.5% is good
• Dm with complications are contraindicated
• Epilepsy:-is not contraindicated if patient on
treatment
• Obesity :-this must be evaluated
• Anticoagulants:- this must be discussed with the
medical doctor and mostly discontinued
• Social criteria
•
•
• Preoperative assessment
• BP . PR . RR.medication.complet blood
picture.
• Perioperative assessment
• Major procedure should be done early
• Inhalational anesthesia is used more than
intravenous one
• Post operative assessment
• Analgesia
• Complications
• Reactionary haemorrhage in tonsillectomy.
Anal and laparoscopic surgery
• Nausea and vomiting
• Types of operations
• 1.abdominal:- anal lesions. Hernia laparoscopy
• Pilonidal sinus
• 2.breast:- biopsies and benign lesion
• 3:-genitourinary :- orchidctomy.prostatectomy
circumcision.hydrocoele.varicocoele
• 4:-orthopedic :- fasciatomy.carpel.tunnel
release. Orthoscopy.metal removal
• 5:- vascular:- varicose vein .thoracoscopic
sympathectomy
• 6:-emergency surgery:- absceses
• Discharge
• no pain
Orientation
No bleeding
Medication
Oral fluid