Development and Challenges of Ambulatory Surgery in Centre West of Tunisia: A Study of Hand, Reconstructive and Aesthetic Surgery Practices
Journal Title: Journal of Surgery Research and Practice - Year 2025, Vol 6, Issue 2
Abstract
In Tunisia, ambulatory surgery remains underdeveloped due to the lack of clear legislative texts, dedicated structures, trained personnel and the sociocultural characteristics of the population. Its application in areas such as reconstructive and aesthetic surgery raises concerns about quality and safety, which led to the conduct of this study. In our study involving 250 patients, ambulatory surgery accounted for 15.5% of hospitalizations and 17.6% of surgical procedures. The average age of the patients was 41.7 years, with an Aesthetic Surgery Practices (ASA) score predominantly of 1 or 2. The interventions mainly concerned hand and reconstructive surgery. Patients under 40 years old were more often operated on under general anesthesia and for aesthetic procedures, while patients over 40 years old underwent more hand surgeries under locoregional anesthesia. Women had more hand surgeries under locoregional anesthesia, while men underwent reconstructive procedures under local anesthesia. Patients with medical histories were more at risk of postoperative complications. During follow-up, all cases showed simple postoperative outcomes without mortality, though 8 patients developed late algodystrophies, all managed effectively.
Authors and Affiliations
I Ghorbel1,2,3*, S Moalla1,2,3, W Yangui1,2, Y Guermazi1,2, O Frikha1,2, Kh Ennouri1,2,3
Keywords
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- EP ID EP766877
- DOI https://doi.org/10.46889/JSRP.2025.6201
- Views 6
- Downloads 0
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