Protocol of major outpatient surgery in open cholecystectomy programmed in the service of general surgery of the Central Hospital of Maracay

Abstract

Major Outpatient Surgery (MAS) is a set of surgical, therapeutic, diagnostic procedures, as well as anesthetic techniques (local, locoregional, with or without sedation) that requires shorter postoperative care, which represents one of the most timely, economical and satisfactory changes for surgery. The objective: was to evaluate a major outpatient surgery protocol in patients with scheduled open cholecystectomies in the general surgery service of the Central Hospital of Maracay in the period from January to August 2024. Materials and methods: were a descriptive, observational, prospective, and longitudinal clinical-epidemiological study. The population consisted of 65 patients diagnosed with gallstones, with a sample of 37 selected. Statistical descriptions were performed, constructing 95% confidence intervals for the variables. Results: The average age was 47.78 years. The majority of patients were women. The absence of underlying medical history was evident. Of the 37 patients, 30 had satisfactory resolution of the pathology, without requiring readmissions, reoperations, or complications. Only 7 of the individuals presented minor complications, with effective resolution. The quality indicators for major outpatient surgery confirmed the effectiveness that the protocol can provide. Conclusion: Major outpatient surgery is an innovative alternative that optimizes surgical care by allowing patients to return home the same day of the intervention, in addition to demonstrating a low rate of postoperative complications, giving satisfactory results in a short period of time, which is why its implementation is recommended.