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I Durán Ferreras

Publications and source records attributed to I Durán Ferreras.

8 recordsLinked to original sources
PubMed2004

Laparoscopic cholecystectomy in the treatment of biliary lithiasis: outpatient surgery or short stay unit?

OBJECTIVE: Analysis of clinical and surgical factors in a series of patients subjected to laparoscopic cholecystectomy in an outpatient unit and their relationship with time of discharge and patient acceptance. PATIENTS AND METHOD: Eighty one consecutive patients underwent to elective laparoscopic cholecystectomy during year 2002 within S.A.S. (Andalusian Health Service) from a surgical waiting list. Retrospective and comparative study between two groups: group A includes patients discharged between 24 and 48 hours after intervention; group B includes patients discharged in less than 24 hours. We analyse the clinical and surgical characteristics and post-operative outcome of both groups of patients. RESULTS: Group A was composed of 53 patients and group B of 28 patients. Factors of clinical significance which determined discharge after 24 hours included: early post-surgical incidences or complications (p = 0.017), inability to tolerate oral diet (p = 0.002), and doubts and feelings insecurity of patients regarding discharge by traditional means 62.3% (p = 0.0003). CONCLUSIONS: Outpatient laparoscopic cholecystectomy is a safe and reliable procedure with a high acceptance rate and few complications. Perhaps traditional culture has to be changed to obtain better results.

Ambulatory Surgical Procedures↗
PubMed2003

[Levels of satisfaction and perceived quality in a day surgery unit of a tertiary referral hospital].

INTRODUCTION: Surgical and anesthetic advances have allowed an adequate develop at the day surgery programs, with a rational application and cost-effectiveness of the hospital resorts. The aim of this study, is to know the level of quality perceived in surgical treatment in a program of day surgery. MATERIAL AND METHODS: A randomised selection of 204 patients from a series of 751 operated, between April-May 2001 in a day-surgery institution, was done. Phone questionnaire was done following protocol SERCAL (sociodemographic factors and general satisfaction, accessibility, personal assistance, guarantee and fidelity service) with validation for day surgery programs. Absolute and relatives frequencies were evaluated for dichotomous and categoric variables and medium and standard deviation for numeric variables. Possible differences were evaluated by chi2 test in qualitative variables and Student's t and ANOVA test for quantitative variables. RESULTS: Response index was 70.1%. Satisfaction general index was 9.1%, for 18 numeric items (range 0-10). Social and demographic items show that the best validity of treatment were by elderly, women, retired and low cultural patients. Data reduction by factorial analysis showed 4 factors with incidence (total variance 71.62%): Scientific-technical guarantee service and adequate personal treatment (Cronbach's alpha 0.9060), comfortable and security assistance (Cronbach's alpha 0.8708), accessibility to hospital and professionals (Cronbach's alpha 0.0652), accessibility to surgical service. CONCLUSIONS: General satisfaction of the patients treated in the day-surgery program was high, 9.1 (range 0-10). 88.8% patients would recommend this type of treatment to their parents or friends and in 84.3% would repeat the same experience in the surgery unit. The best appreciate items were the direct treatment and relation, respect, intimacy and information along the assistential circuit by implicated professionals. The worst identified item was the time past in waiting surgical list.

Adult↗