Same-day surgery includes interventions that represent a lower burden for the patient. However, with the approval of medical associations every country shall determine separately which tests and treatments may be performed within the framework of same-day interventions.
Same-day surgery was started at the Kenézy Gyula Teaching Hospital on 1 September 2007 with the help of a grant. At that time same-day surgery already operated separately from inpatient care provided at the hospital. The interventions were started with a relatively low number of physicians in a small office and in a single operating room within the Obstetrics and Gynecology Division. At this time, we had financial support to meet only 40 homogeneous disease group points a year. At this time only 8% of the surgical interventions, including general surgery, otorhinolaryngologic, orthopedic, ophthalmological and urological care, were performed in Hungary within the framework of same-day surgery. In Canada or the United Kingdom, more than 80% of the surgeries were performed within such a framework.
In the following years, thanks to continuous development, the unit was moved to the first floor of Kenézy Hospital and as a result of a larger investment, a separate division was established for this purpose in 2011. Currently, the administrative work related to same-day surgical care at the entire hospital (general surgery, traumatology and urology) and the healing of patients is facilitated by a state-of-the-art room with six beds that may be separated from one another.
By definition, same-day surgical care requires shorter care time than 24 hours, but actually it mostly means 12-hour care, as the Same-day Surgery Division is open from 7 am to 7 pm. All activities are performed during this 12-hour period: patient admission, operation, observation, and discharge. Generally speaking, the possibility for performing the procedure within same-day surgical care depends on the patient’s underlying diseases.
However, the patients’ overall condition, secondary diseases often have an impact on whether the procedure can or cannot be performed under same-day surgical care, whether they can be discharged no later than 7 pm or in justified cases before 7 am the next day.
On the basis of our experience, it can be stated that patients have a growing need to spend as little time as possible at the hospital. Consequently, they do not object to same-day surgeries. However, for us the patients’ sense of security has the highest priority.
On the basis of the 10,000 procedures performed during the past 10 years, the division has extraordinary experience in this field and this has even shaped the basic principles of hospital care in many cases.
Due to financing changes that took place almost a year ago, according to which same-day surgery would not be subject to performance limitations anymore and has a 10% higher financing than inpatient surgery, more attention has been paid to same-day surgery at our hospital as well.
Plans for the future include the establishment of a same-day surgery center, the extension of the current infrastructure to 20 beds, the establishment of two new operating rooms and the acquisition of state-of-the-art equipment to perform this type of care. As a first step, this September, the joint Same-day Surgery Division of the Clinical Center of the University of Debrecen and the University of Debrecen Kenézy Gyula Teaching
Hospital was founded. Dr. Dezső TÓTH, PhD. head physician, Same-day Surgery Division