Saad Slaiki*, Amine Hamdane, AArab Samia, Hicham El Bouhaddouti, Ouadii Mouaqit, Abdelmalek Ousadden, Khalid Ait Taleb and El Bachir Benjelloun
Introduction: Reducing hospital stays lengths and adoptions of outpatient surgery are the results of a policy of controlled hospital costs, improving quality of care and greater patient comfort.
Materials and Methods: We conducted a retrospective study of the files of the patients operated at surgery department of Hassan II university hospital of Fès. This study concerned patients having hernial, gallbladder stone and proctologic pathologies (Hémorroïds, Anal Fistula, Anal Fissure and Pilonidal Sinus) over 6 years from June 2009 to June 2015.
Discussion: Over 6 years, 4342 patients were operated at the central operating unit, 1073 among them were ambulatory cases. The hospital stay of the gallbladder stone, hernia and proctological surgery is respectively 7.3, 5.1 and 1 day, wish remains far from figures marked in Western countries where these pathologies were practiced in ambulatory in more than 60% of the cases. This difference is explained by the lack of real health economics policy, but also of this type of surgery which requires very good organization and a lot of motivation. The contribution of the various stakeholders (government, health professionals and patients) with the establishment of a circuit ambulatory surgery (pre-anesthetic assessments, admissions office and billing consultation, hospital and operating room) in our context is synonymous with a new management culture in health spending.
Conclusion: This work allowed revealing the feasibility of the ambulatory surgery in our practice while concealing the incessant need and the perfect admissibility of our infrastructure to such a process.