XXXX , @entity390 , @entity391 and ocular complications delay discharge following ambulatory microdiscectomy.

@entity1 @entity227 @entity390 @entity26 @entity391 @entity936 @entity158 @entity1209
OBJECTIVE: Nowadays, microsurgical discectomy is being performed as an outpatient procedure. A retrospective chart review was done to document factors that delayed discharge or led to unanticipated admission. METHODS: After Institutional Review Board approval, the hospital medical records of 106 @entity1 who underwent microsurgical discectomy on an ambulatory basis were reviewed. All @entity1 were operated upon by a single surgeon at the Toronto Western Hospital. Perioperative data were collected on specifically designed data sheets. All anesthetic and surgical factors that affected discharge were noted. RESULTS: Of the 106 @entity1 reviewed, only six required unanticipated admission. Two @entity1 were admitted due to @entity390 and @entity391 , one due to severe @entity158 , one due to urinary retention and two were surgical causes (dural tear). Eight @entity1 had delayed discharge. Anesthesia causes were severe @entity390 , severe @entity158 , low @entity26 saturation, sore throat and @entity936 . Two @entity1 had surgical causes. The incidence of @entity1209 was 9.4%. Eighty @entity1 (75.4%) complained of @entity158 in the postanesthesia care unit. Of these, 33.9% had @entity227 scale scores more than 6. CONCLUSION: Ambulatory lumbar microdiscectomy can be carried out as an ambulatory procedure with an acceptably low unanticipated admission rate (5.7%). The percentage of @entity1 with severe @entity390 (16%) and @entity158 (33.9%) is high. Adequate perioperative @entity158 management and effective control of @entity390 and @entity391 may further improve the @entity1 ' experience after anesthesia for ambulatory microdiscectomy.
