Могућности примене принципа једнодневне хирургије у лечењу болесника с урођеним аномалијама урогениталног тракта

Abstract

Introduction Urogenital congenital anomalies are among the most common congenital anomalies and very frequent pathology in paediatric urology. Health care systems strive to shorten the duration and reduce the costs of hospitalization, while maintaining treatment effectiveness.

Objective To evaluate the duration of hospital stay of surgically treated patients with congenital urogenital anomalies and estimate the possibility of using fast track surgery principles in paediatric urology in the local settings of a developing country.

Methods Retrospective non-randomized study included 552 patients who had been surgically treated at the Urology Department of the University Children’s Hospital, during 2010. In line with their congenital anomalies, all patients were classified in one of four groups: I – upper urinary tract anomalies (252 patients); II – genital anomalies (164 patients); III – testicular anomalies (76 patients) and IV – associated anomalies (60 patients). We analyzed the total duration of stay as well as preand post-operative stay in the hospital.

Results The average duration of hospitalization was 4.7±4.0 days. Patients with testicular anomalies stayed for the shortest period (2.3±1.9 days) (p<0.01) and patients with associated anomalies stayed in the hospital the longest (6.5±4.7 days) (p<0.01).

Conclusion Modern methods of surgical treatment allow reduction of hospitalization, financial savings to the healthcare system and greater comfort for patients. Our results showed that this is also possible to apply in our environment.

Keywords: congenital anomalies; urogenital tract; fast track surgery; children