Hand and wrist surgery: study of efficacy about a new way for one-day low-complexity surgery.

BACKGROUND In our Hand Micro-surgery Department surgery procedures identified by some regional legislation as "low-complexity care interventions" (BOCA) are carry out. For this reason, as pilot experience, it has been decided to apply Diagnostic Therapeutic Path (DTP) to this type of surgeries in order to improve the offered service. METHODS From 2011 to 2012 we collected data about 410 BOCA procedures and we monitored a series of indicators. RESULTS The patients were classified as ASA score 1-2 (99%) and they had a postoperative observation time less than 24h (95%). They reported a constant reduction of pain in the days after surgery (VAS ≤ 4). In 27 cases were found post-surgical complications. All patients evaluated positively this DTP. CONCLUSIONS The obtained results were used to improve the activity in others Departments of our Institute.