USAGE OF DIFFERENT TYPES OF ANESTHESIA IN ORTHOPEDIC PATIENTS TREATED WITH DAY CASE SURGERY

Abstract

Introduction: Orthopedic patients treated with day case surgery expect rapid recovery, high postoperative satisfaction and low postoperative pain and complications. Aim: The aim of our study is to report the annual frequency of the day case surgeries in our clinic, as well as to point out the types of orthopedics surgical procedures used. Material and methods: Between 2013 and 2015, at the University clinic for orthopedic surgery, patients were selected for day case surgery on hands and feet. Local anesthesia, intravenous regional anesthesia or peripheral nerve blocks were used for different types of operations. Results: In 3 years period, we operated 5124 patients, 1143 of them were treated as day case surgery. We found that our day case surgery rate was 22%. Out of 1143 patients, 657 (57%) were operated under local anesthesia, 237 (21%) with intravenous regional anesthesia and 249 (22%) with peripheral nerve blocks. 645 were females and 498 were males with average age of 47 ± 15 years. The procedures performed under local anesthesia were; 399 (35%) release of carpal tunnel, 171 (15%) release of trigger finger, 84 (7%) release of de Quervain’s and 3 (0.3%) minimal invasive suture of Achilles tendon rupture. Procedures performed with intravenous regional anesthesia were; 156 (14%) excision of fascia palmaris in Dupuytren contracture and 81 (7%) excision of ganglion of the wrist. Operations performed with peripheral nerve blocks were; 171 (15%) correction of hallux valgus deformities and 78 (7%) bunion deformities. Conclusion: The rate of day case surgery in our clinic is low. We use local anesthesia, intravenous regional anesthesia and peripheral nerve blocks for hand and foot operations. Day case surgery can offer a number of advantages for patients; it can minimize the costs, reduces the surgery waiting time and lowers the postoperative complications.