PEDIATRIC DAY-CARE SURGERY - LIMITS AND R ISKS FROM THE CLINICAL POINT-OF-VIEW

Day-care surgery in childhood has to meet the same safety criteria as inpatient care; thus, a knowledge of the risks and limits is mandatory . The kind of operation, its duration, concomitant diseases, the patie nt's age, previous vaccinations, and social conditions limit the feasi bility of day-care surgery. Premature infants under the age of 1 year should not be treated on an outpatient basis because of the higher inc idence of early postoperative complications. Above all, anesthesiologi cal problems play an important role in day-care patients; fortunately, most of them are minor complications. During a 14-year period 2179 ch ildren were treated in our department on an outpatient basis, resultin g in a total complication rate of 1.7 % and unexpected in patient care of 1.1 % of the patients in our series. Daycare surgery can be regard ed as standard treatment for most of the surgical routine procedures i n children.