Elective ambulatory surgery in proctological pathology. 14 years of prospective experience in a public teaching hospital

Abstract

Introduction: We present our prospective experience in ambulatory anorectal surgery between August 2003 and December 2017.

Materials and Method: The series corresponds to the analysis of 1399 patients treated between August 2003 and December 2017 prospectively.

Results: The etiology of the surgerys were anal fistula (20%), hemorrhoidal disease (19%), sacrococcygeal pilonidal disease (15%), anal fissure (13%), rectal surgical biopsy or local resection (12%), condylomata (10%) and others (10%). The immediate morbidity was seen one case, a hematoma after an EPSC surgery that required hemostasis and primary closure. The immediate hospitalization rate was 0.3% and corresponds to 5 cases of acute urinary retention. The late hospitalization was 1.6% and corresponds to 22 patients, due to late bleeding (9), severe pain (9) and fever (4). All were treated conservatively with resolution between 2 and 5 days. No major morbidity is recorded in this series.

Conlusion: We concluded that outpatient surgery in proctologic pathology is feasible and safe.