HEFT Repository

Building a model for day case hiatal surgery - Lessons learnt over a 10 year period in a high volume unit: A case series.

Mistry, Pritesh and Zaman, Shafquat and Shapey, Iestyn and Daskalakis, Markos and Nijjar, Rajwinder and Richardson, Martin and Super, Paul and Singhal, Rishi (2018) Building a model for day case hiatal surgery - Lessons learnt over a 10 year period in a high volume unit: A case series. International journal of surgery (London, England). ISSN 1743-9159. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

Full text not available from this repository.
Official URL: https://www.journal-surgery.net/article/S1743-9191...

Abstract

BACKGROUND

Laparoscopic anti-reflux surgery has become the standard treatment for symptomatic gastro-oesophageal reflux disease refractory to medical therapy. Successful anti-reflux surgery involves safe, minimally invasive surgery, resulting in symptom resolution with minimal side effects. This study aims to assess the feasibility and safety of day case anti-reflux surgery focussing on peri- and post-operative outcomes as a measure of success.

METHODS

Data was collected from the hospital database from 2003 to 2012. Data collection included demographics, surgeon, mode of admission, length of stay and complications. Electronic records were independently scrutinised for all patients with a length of stay of more than two nights.

RESULTS

723 patients underwent laparoscopic fundoplication ± small hiatus hernia repair (<5 cm) with a day case rate of 67.1%. The 30 day readmission rate in these patients was 2.9% (21/723 patients). Nine patients had a failure of their initial laparoscopic fundoplication (defined as recurrence of symptoms). Three patients required a re-operation within 12 months of their initial procedure (re-operation rate = 0.41% (3/723 patients)).

CONCLUSION

Laparoscopic hiatal surgery can be performed safely as a day case in high volume specialist centres with good outcomes. Raising the national standard for day case fundoplication promotes good practice and should be the model for future commissioning.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WI Digestive system. Gastroenterology
Divisions: Planned IP Care > Gastroentrology
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 04 May 2018 13:37
Last Modified: 04 May 2018 13:37
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1642

Actions (login required)

View Item View Item