Adopting Ambulatory Breast Cancer Surgery as the Standard of Care in an Asian Population

Table 4

Details of 29 patients who required inpatient admission for management of unanticipated perioperative events.

Patient	Age (years)	Preexisting comorbidities	Surgery	Event	Management	LOS (days)
1	59	Hypertension,; hyperlipidaemia, diabetes mellitus	Mastectomy/AC	Wound bleeding	Wound exploration and haemostasis	4
2	62	Hypertension, hyperlipidaemia,; asthma, obstructive sleep apnoea (OSA)	WLE/AC	Desaturation due to OSA and drowsiness postoperatively	CPAP	6
3	66	Hypertension, hyperlipidaemia, diabetes mellitus, previous transient ischaemic attack	WLE	Uncontrolled blood pressure intraoperatively	Expectant	4
4	42	Obesity, obstructive sleep apnoea	Mastectomy/SLNB	New onset of atrial fibrillation	Cardiology consult; beta-blockers	4
5	67	Hypertension, hyperlipidaemia, diabetes mellitus	Mastectomy/SLNB	Wound bleeding	Wound exploration and haemostasis	4
6	62	Hyperlipidaemia	Mastectomy/AC	High drain output	Expectant	2
7	43	Hyperthyroidism	WLE/SLNB	Negative pressure pulmonary edema secondary to laryngospasm after extubation	CPAP and diuretics	5
8	58	Hypertension, hyperlipidaemia	Mastectomy/AC	High drain output	Expectant	2
9	57	NIL	Mastectomy/AC	Wound pain	Expectant	2
10	51	NIL	WLE/AC	Atypical chest pain	Expectant	2
11	82	Hypertension, schizophrenia,; aortic sclerosis	Mastectomy/AC	Premature ventricular contractions and hypotension intraoperatively	Expectant	4
12	61	NIL	Mastectomy/AC	Low oxygen saturation postoperatively	Expectant	4
13	78	Hypertension,; renal stones	Mastectomy/SLNB	Acute urinary retention	Indwelling urinary catheter	5
14	44	NIL	WLE/SLNB	Atypical chest pain	Expectant	1
15	55	NIL	WLE/SLNB	Intraoperative hypotension secondary to blue dye allergy	Expectant	1
16	60	NIL	Mastectomy/AC	Wound bleeding	Wound exploration and haemostasis	2
17	61	History of atypical chest pain	WLE/SLNB	Atypical chest pain	Expectant	2
18	60	Hypertension, hyperlipidaemia,; asthma	Mastectomy/SLNB	High drain output	Expectant	4
19	42	Mitral valve prolapse	Mastectomy/SLNB and laparoscopic myomectomy	Wound (abdominal) pain	Expectant	2
20	65	Hypertension, hyperlipidaemia	Mastectomy/SLNB	High drain output	Expectant	4
21	83	Hypertension, hyperlipidaemia	Mastectomy/AC	Wound pain	Expectant	2
22	67	NIL	WLE/SLNB	Intraoperative hypotension secondary to blue dye allergy	Expectant	1
23	49	Asthma	Mastectomy/AC	Wound bleeding	Expectant	1
24	60	NIL	Mastectomy/SLNB	Coffee ground aspirate intraoperatively	Proton pump inhibitors	4
25	81	Hypertension, hyperlipidaemia, diabetes mellitus	Mastectomy/SLNB	Acute urinary retention	Indwelling urinary catheter	7
26	65	Hepatitis B carrier	Mastectomy/AC	High drain output	Expectant	2
27	79	Diabetes mellitus, ischaemic heart disease	Mastectomy/AC	Mild congestive cardiac failure	Diuretics	6
28	62	Hypertension	Mastectomy/SLNB and implant insertion	Cerebrovascular event	Antiplatelet therapy, neurorehabilitation	22
29	43	NIL	Mastectomy/AC	Wound bleeding	Wound exploration and haemostasis	3

AC: axillary clearance; SLNB: sentinel lymph node biopsy; WLE: wide local excision; CPAP: continuous positive airway pressure.