South African Journal of Surgery
On-line version ISSN 2078-5151
Print version ISSN 0038-2361
CHAMISA, I.. Why is surgery cancelled? A retrospective evaluation. S. Afr. j. surg. [online]. 2008, vol.46, n.3, pp.79-81. ISSN 2078-5151.
INTRODUCTION: The cancellation of surgery wastes theatre time and creates hardship for patients, who often plan their working and family lives around the proposed operation date. METHODS: A retrospective evaluation of cancellations of scheduled elective and urgent operations was done using theatre records from May 2006 to April 2007. The reasons for cancellation were examined. RESULTS: Of a total of 5 786 operations, 5.6% were cancelled or postponed. Lack of medical clearance and patient preparation (65.1%) was the most common reason for cancellation. Lack or failure of instruments and patient cancellation constituted 2.8% and 1.8% of the cancellations respectively. CONCLUSION: Last-minute cancellation of surgery was a significant problem, and appreciation of the usual reasons for cancellations can improve theatre utilisation and avoid inconveniencing patients and their families.