P-538 Minor Surgery In Primary Care

Serra M. (Sant Cugat), Arevalo A. (Sant Cugat), Ortega C. (Sant Cugat), Ripoll A. (Sant Cugat), Gimenez N. (Sant Cugat)
Objective: To describe the minor surgery activity performed by our minor surgery unit during its first five-year period. Design: retrospective descriptive study. Setting: Health Area of Sant Cugat. 2 health centres (Sant Cugat, Valldoreix) that provide attention to 73.000 inhabitants. Participants: Patients who were treated over 5 years (2003–2007).
Main outcome measures: The agreement between clinical and pathological diagnosis. Other measures included were: sex, age, general practitioner, cardiovascular risk factors, number and location of the skin lesions, local anaesthesia used, kind of procedure undertaken, complications, waiting time, written consent and antitetanic vaccination.
Results: 1520 patients were interventioned and 2317 surgical procedures were performed. The average age was 46 (8–94). 51% were women. Main conditions treated were: 22% epidermal cysts (510), 20% naevi (443) and 18% polyps (421). More frequently located on thorax and abdomen 41% (n = 943), 28% on limbs (n = 653), 24% on head (n = 565) and 7% on neck (n = 152). Mepivacain was used as local anaesthesia in the 73% of procedures. The most used surgical techniques were: 50% incisions (829), 33% shave (759) and 28% fusiform excision (648). The agreement between minor surgery unit GP and histological findings was 81%. There were 5% complications (113). Patients were attended with a mean waiting time of 30 days. We found that 42% of patients had not a correct antitetanic vaccination coverage. Written consent was recruited from 89% of patients.
Conclusions: Minor surgical procedures carried out by general practitioners (GP) in GP premises are possible. It has a high agreement between GP diagnosis and histological findings and a low rate of complications. Our population has low rates of antitetanic vaccination.
Minor surgery in primary care