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Biomedical subjects

M Grin

Publications and source records attributed to M Grin.

3 recordsLinked to original sources

Same-day-stay head and neck surgery.

The purpose of this study was to determine if selective head and neck surgical procedures on a same-day basis are justifiable. Two hundred consecutive head and neck same-day procedures were reviewed, including 84 parotidectomies and 116 other procedures previously managed as inpatients. Of the 200 patients, 36 (18%) were admitted, 33 for overnight observation, and 164 (82%) were discharged the same day. There were no complications reported in the discharged patients and a later questionnaire showed that 97% of the patients were satisfied. The advantages of selective same-day procedures outweigh the disadvantages for otolaryngologist and patient. The study shows that same-day-stay head and neck surgery for selective procedures is safe, reasonable, and cost-effective, but the combined efforts of the otolaryngologists, nurses, and administrators are required. Because of rising healthcare costs, experts are predicting a significant increase in the next few years of outpatient surgery, including surgery of the head and neck.

Adult↗

Ocular melanoma.

Ocular melanomas are the most common intraocular malignancy in adults. The majority of ocular melanomas are choroidal melanomas. These tumors can be difficult to diagnose, especially when they are small. Documented growth of a lesion on serial examinations is the most important clinical feature favoring the diagnosis of a choroidal melanoma. Diagnostic studies including ultrasonography and angiography may be helpful in the diagnosis of these tumors. A number of treatment options are available for choroidal melanomas. These include photocoagulation, radiation therapy, local tumor resection, and enucleation.

Choroid Neoplasms↗

Same-day-stay adenotonsillectomy.

The records of 1088 consecutive adenotonsillectomy patients at Butterworth Hospital's Same Day Stay Department were reviewed. Of 1088 patients, 1082 were discharged the same day. Only one of the 1082 discharged patients had a significant bleeding complication during the first postoperative night, and no patient had vomiting or dehydration problems. With the special combined efforts of the otolaryngologist, the anesthesiologist, the nurses, and the hospital administration, same-day-stay adenotonsillectomy is a justifiable and cost-effective procedure.

Adenoidectomy↗