AB108. SOH21AS192. Maximising day case surgery in the coronavirus disease (COVID) era: a case in point
General Session II

AB108. SOH21AS192. Maximising day case surgery in the coronavirus disease (COVID) era: a case in point

Michael Joseph Harold MacLean, Claire Donohoe, John Reynolds, Narayanasamy Ravi, Noel Donlon, Hugo Temperley, Brendan Moran

Department of Surgery, St James Hospital, Dublin, Ireland

Background: The coronavirus disease (COVID) era has brought with it economic, social and substantial healthcare challenges, none more so than maximising the efficient utilisation of capacity and limit resources and is the premise of this study. St. James’s Hospital is a tertiary referral centre for Barrett’s endotherapy, but does not have dedicated day case surgery access. Current practice is to book time sensitive cancer operations [such as endoscopic mucosal resections (EMR)] into the earliest available slot.

Methods: Data was obtained for every recorded EMR under general anaesthetic over a 5-year period (Jan 2015 to July 2020), EMRs performed in both dayward, and theatre, were recorded along with indication, length of stay, number of repeat sessions and basic demographics.

Results: A mean of 40 EMRs (range, 31–45) are performed under general anaesthesia (GA) annually, equating to 3.1 (range, 1–10) monthly. During the COVID era this reduced significantly, with progressively worsening waiting lists. It is postulated that a monthly afternoon would accommodate average EMR burden, with day surgery the ideal place for these types of cases decreasing the financial burden associated inpatient stays and ensuring minimal time spent in the hospital setting for the patient. Similarly, if this session was not to be used it could be reallocated for other elective day case surgery.

Conclusions: The use of unstructured main theatre in patient slots is not effective utilisation of limited hospital resources nor is it cost effective. The solution to this is dedicated slots in dayward and is a safe, feasible and financially sensible alternative.

Keywords: Endoscopic mucosal resections (EMR); coronavirus disease (COVID); cost; Barrett’s; general anaesthesia (GA)


Funding: None.


Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-21-ab108
Cite this abstract as: MacLean MJH, Donohoe C, Reynolds J, Ravi N, Donlon N, Temperley H, Moran B. SOH21AS192. Maximising day case surgery in the coronavirus disease (COVID) era: a case in point. Mesentery Peritoneum 2021;5:AB108.

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