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Introduction of a hand trauma day surgery operating list
Affiliation:1. Department of Plastic and Reconstructive Surgery, Dalhousie University, IWK Health Centre, 5850/5980 University Avenue, PO Box 9700, Halifax, Nova Scotia B3K6R8, Canada;2. Department of Plastic and Reconstructive Surgery, University of Manitoba, Winnipeg Health Sciences Centre, RR445, 800 Sherbrook Street, Winnipeg, Manitoba R3A1R9, Canada;3. Department of Plastic and Reconstructive Surgery, Dalhousie University, Suite C204, 600 Main Street, Saint John, New Brunswick E2K1J5, Canada;1. Department of Orthopedic Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO;2. School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO;3. Department of Orthopedic Surgery, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO
Abstract:Due to a huge increase in hand trauma referrals to our busy plastic surgical unit, we introduced a dedicated half-day hand trauma day surgery (HTDS) list to try and reduce the pressure on inpatient beds and length of wait for surgery. We reviewed the first 101 cases treated on the HTDS list to determine whether this allowed adequate specialist treatment of these injuries and to assess outcome and complications rates. Only one patient needed admission following surgery and our complication rate compared favourably with that of patients admitted and treated in the standard manner. We conclude that a HTDS list is both an effective and efficient method of treating a wide range of hand injuries.
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