A policy of day-case sinonasal surgery is safe, well tolerated and cost-effective.

OBJECTIVE: Practices vary regarding the timing of discharge after sinonasal surgery. This study aimed to examine the cost-effectiveness of same-day discharge compared to next-day discharge after sinonasal surgery. METHODS: A retrospective single-surgeon audit of sinonasal surgery over a 12-month period was performed. Demographic and clinical details, including distance travelled home, timing of discharge, hospital re-presentation, and complications, were collected and compared between the same-day discharge and next-day discharge groups. A cost-effectiveness analysis was performed. RESULTS: A total of 181 patients were identified; 117 underwent day-case surgery, of which 6 re-presented to the emergency department. Sixty-four patients stayed overnight after surgery, and six of those patients re-presented to the emergency department. The per patient cost was $3262 for day-case sinonasal surgery and $5050 for those admitted overnight after surgery (p < 0.001). CONCLUSION: Routine same-day discharge after sinonasal surgery is achievable, safe and cost-effective.

Stimulated Brillouin scattering and phase conjugation of hydrogen fluoride laser radiation.

Stimulated Brillouin scattering (SBS) of hydrogen fluoride laser radiation has been demonstrated for the first reported time. A flash-lamp-pumped pulsed chemical laser, operating single-line at 2.91 microm, was used to generate backward-stimulated Brillouin scattering in high-pressure xenon gas with power reflectivities of ~50%. Intentional aberration and subsequent restoration of a high-spatial-quality beam provided evidence of phase conjugation by the SBS process.