Outpatient Orchiopexy

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Abstract
Outpatient surgery in children was recommended as a means to help contain the increasing cost of health care. The shorter the child''s hospitalization, the less psychologic the trauma. This study examines the feasibility of performing outpatient orchiopexy based on preoperative evaluation, surgical success rate and cost-effectiveness. The records of 459 inpatient and 77 outpatients orchiopexies were reviewed with regard to patient age, medical history (including previous inguinal surgery), preoperative palpability and intraoperative location, anesthetic technique, complications, duration of hospitalization and hospital costs. At least 68% of orchiopexies can be performed as outpatient procedures. Overnight hospital stay from the ambulatory surgery unit was necessary in 5%. Follow-up revealed that, despite same day ambulation and lack of postoperative restrictions, surgical success not compromised by an outpatient procedure.

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