Evaluating the Safety and Feasibility of Same-Day Posterior Lumbar Decompression and Discectomy in a Standalone Day-Surgery Unit

Abstract

Aim
The aim of this study was to evaluate the safety and feasibility of performing same day posterior lumbar decompression and discectomy (PLDD) for lumbar degeneration in a standalone surgical day-hub.

Methods
We conducted a prospective observational analysis of 20 consecutive patients who underwent same day PLDD in a standalone day surgical hub. Patients were carefully selected based on pre-defined medical, surgical, and social criteria. All procedure were carried out under general anaesthesia using a microsurgical technique.

Results
All patients were discharged home on the same day. 1/20 (5%) of patients had an intra-operative durotomy which underwent primary surgical repair and had no long-term sequelae. There were no unplanned admissions, readmissions, or reoperations in the 30-day follow up period.

Discussion
Same-day lumbar discectomy in a standalone surgical day-hub is a safe option for carefully selected patients. The model has the potential to improve delivery of services to the patients by reducing cancellations secondary to bed shortages.