160 Outpatient Surgery for Herniated Cervical Disc and Fusion Is Feasible and Safe: A Consecutive Single-Center Series of 759 Patients.

160 Outpatient Surgery for Herniated Cervical Disc and Fusion Is Feasible and Safe: A Consecutive Single-Center Series of 759 Patients.

Neurosurgery. 2016 Aug;63 Suppl 1, CLINICAL NEUROSURGERY:164

Authors: Lied B, Helseth O, Ekseth K, Heskestad B, Helseth E

Abstract
INTRODUCTION: There is an increasing demand for surgery of degenerative spinal disease. Limited health care resources draw attention to the need for cost-effective treatments. Outpatient surgery, when safe and feasible, is more cost-effective than inpatient surgery. The aim of this study is to study types and rates of complications following surgery for herniated cervical disc and fusion.
METHODS: Complications were recorded prospectively in 759 outpatients undergoing outpatient cervical surgery at the private Oslofjord Clinic in the time period 2008 to 2015.
RESULTS: Surgical mortality was 0%. A total of 13 (1.7%) minor and major complications were recorded in 13 individual patients. Two (0.2%) patients had to be admitted to a hospital the day of surgery. The encountered complications were postoperative hematoma (0.3%), neurological deterioration (0.4%), deep wound infection (0.3%), dural lesions with cerebrospinal fluid leakage (0.1%), persistent dysphagia (0.4%), and persistent hoarseness (0.3%). All the life-threatening hematomas were detected within 3 hours after surgery.
CONCLUSION: This series of 759 consecutive outpatient cervical spine decompressions adds to the growing literature in favor of outpatient spinal surgery in properly selected patients. Of the patients, 99.8% were successfully discharged either to their homes or to a hotel on the day of surgery. The surgical mortality was 0%; the overall complication rate was 1.7%.

PMID: 27399439 [PubMed - as supplied by publisher]

from #ENT via xlomafota13 on Inoreader http://ift.tt/29B5bT9
via IFTTT