OUTPATIENT SURGERY AT THE PEDIATRIC UNIVERSITY: DEVELOPMENT PROSPECTS

Outpatient surgery is an addition to planned inpatient care, which has certain advantages for both patient and hospital, insurance companies and other healthcare providers. Back to 2018, the chief surgeon of the Ministry of Health of Russia, director of the MSRC after A.V. Vishnevsky, Academician of the Russian Academy of Sciences A.Sh. Revishvili noted that, taking into account the experience of surgeons since the beginning of the 20th century, part of the surgical care ought to be altered to the outpatient format. The development of outpatient ENT surgery, as well as general surgery in the outpatient healthcare sector, is a promising direction for the future. Since 2020, St. Petersburg State Pediatric Medical University has been performing planned surgical interventions according to the ENT profile in the CDC. The volume of surgical treatment includes adenotomy, adenotonzillotomy, adenovasotomy under general anesthesia. In total, from September 2020 to June 2022, 120 children aged 3 to 15 years were operated in outpatient department as part of one-day surgery. All children underwent a complete laboratory and instrumental preoperative examination, medical preparation. After observation for 4-6 hours, patients were discharged from the outpatient department for a course of outpatient aftercare with recommendations. A follow-up examination was also performed 7 days later. The development of this direction will intencify the work of an inpatient bed, reduce the waiting time for planned hospitalization of patients with more severe ENT pathology. Planned outpatient surgical care in other cases of ENT pathology is also sure to develop.