Perioperative medicine & outcomes

Establishing a day case lumbar microdiscectomy service at a University Hospital in Dublin, Ireland

Perioper Med (Lond)Published Observational study

Authors' conclusion

The study concludes that DLM is a viable, safe, and cost-effective option for selected patients, with potential savings of €1660 per patient compared to traditional inpatient procedures.

Study context

Population
Patients undergoing day case lumbar microdiscectomy at an Irish university hospital
Participants
26 patients
Outcome
Feasibility and safety: same-day discharge rates, readmission rates and patient satisfaction vs international data
Methodological detailssingle-centre, Standardised intraoperative protocols, multimodal analgesia and strict patient selection were key success factors; take-home analgesia protocol adherence was challenging
  • Single-centre
  • Standardised intraoperative protocols, multimodal analgesia and strict patient selection were key success factors; take-home analgesia protocol adherence was challenging

Main finding

As reported in the abstract

Same-day discharge

Successfully discharged on the same day, of 26 patients who underwent surgery

24

92.3%

Observational data: associations, not effects.

Further findings

Patient satisfaction

High patient satisfaction; outcomes similar to those reported internationally

Cost

Potential savings per patient vs traditional inpatient procedures
€1660

Safety

Patients requiring readmission within six weeks postoperatively
0

Original publication

Establishing a day case lumbar microdiscectomy service at a University Hospital in Dublin, Ireland. Perioper Med (Lond). Published 23 January 2026. doi:10.1186/s13741-026-00648-7

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