Same Day Surgery

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Day Case Surgery

What is Same Day Surgery?

Same-day surgery is a procedure that does not require an overnight stay in the hospital. This is made possible with recent advances in technology that has allowed this procedure to be performed in a minimally invasive manner on an outpatient basis allowing patients to go home the same day of the surgery(opens in a new tab). The procedure involves repairing a diseased, damaged, or degenerated shoulder joint arthroscopically. Shoulder or Elbow arthroscopy is a minimally invasive surgical procedure in which an arthroscope, a small flexible tube with a light and video camera at the end, is inserted into the shoulder / elbow joint to evaluate and treat a variety of conditions affecting the joint.

Traditionally, shoulder / elbow surgery has been an inpatient surgical procedure. With the introduction of improved anesthetic techniques, modern pain protocols, minimally invasive methods, and rapid rehabilitation protocols surgeons have been able to perform these surgeries on an outpatient basis.

Benefits of Same-Day Surgery

Some of the benefits of same-day shoulder /elbow surgery include:

  • Minimal surgical dissection
  • Shorter recovery period
  • Shorter hospital stay
  • Reduced postoperative pain
  • Minimal blood loss
  • Minimal muscle trauma
  • Improved pain management protocols
  • Early mobilization
  • Fewer complications
  • Decreases infection risk
  • Improved patient satisfaction

Indications for Same Day Surgery

This type of shoulder / elbow surgery is indicated when non-surgical treatment such as medications, injections, physical therapy, closed reduction and manipulation has failed to provide desired results in treating conditions such as:

  • Arthritis (Shoulder and Elbow)
  • Fracture/trauma (Shoulder and Elbow)
  • Bursitis/tendinitis (Shoulder and Elbow)
  • SLAP Tear (Shoulder)
  • Rotator cuff tears (Shoulder)
  • Dislocation/instability (Shoulder and Elbow)
  • Distal Biceps Repair (Elbow)
  • Tennis Elbow Release / Repair
  • Impingement (Shoulder and Elbow)
  • Frozen shoulder
  • Loose Body Removal (Elbow and Shoulder)
  • Shoulder Replacement
  • Elbow Replacement
  • Ulna Nerve Decompression (Elbow)

Preparation for this Same Day Surgery

Preoperative preparation for same-day shoulder / elbow surgery may involve the following steps:

  • A thorough examination is performed by your doctor to check for any medical issues that need to be addressed prior to surgery.
  • Depending on your medical history, social history, and age, you may need to undergo tests such as bloodwork and imaging to screen for any abnormalities that could threaten the safety of the procedure.
  • You will be asked if you have allergies to medications, anesthesia, or latex.
  • You should inform your doctor of any medications, vitamins, or supplements that you are taking.
  • You may need to refrain from supplements or medications such as blood thinners or anti-inflammatories for a week or two prior to surgery.
  • You should refrain from alcohol or tobacco at least a few days prior to surgery.
  • You should not consume solids or liquids at least 8 hours prior to surgery.
  • Arrange for someone to drive you home after surgery.
  • A written consent will be obtained from you after the surgical procedure has been explained in detail.

Postoperative Care and Instructions

In general, postoperative care instructions and recovery after shoulder surgery may involve the following steps:

  • You will be transferred to the recovery area where your nurse will closely observe you for any allergic/anesthetic reactions and monitor your vital signs as you recover.
  • Once you are deemed to be stable, you will be discharged home on the same day of the surgery with instructions on home care and rehabilitation protocols.
  • You may notice some pain, swelling, and discomfort in the shoulder area. Pain and anti-inflammatory medications, as well as application of ice packs, are recommended as needed.
  • Your arm may be secured with assistive devices such as a sling or a cast for the first few weeks to facilitate healing with instructions on restricted weight-bearing.
  • Keep the surgical site clean and dry. Instructions on surgical site care and bathing will be provided.
  • Refrain from smoking as it can negatively affect the healing process.
  • Refrain from strenuous activities and lifting heavy weights for the first few months. Gradual increase in activities over a period of time is recommended.
  • An individualized physical therapy protocol will be designed to help strengthen shoulder muscles and optimize shoulder function.
  • You will be able to resume your normal activities in a month or two after surgery; however, return to sports may take at least 6 months or longer.
  • Refrain from driving until you are fully fit and receive your doctor’s consent.
  • A periodic follow-up appointment will be scheduled to monitor your progress.

Risks and Complications

Shoulder surgery is a relatively safe procedure; however, as with any surgery, some risks and complications may occur, such as the following:  

  • Infection
  • Bleeding
  • Postoperative pain
  • Damage to nerves and vessels
  • Stiffness or restricted motion
  • Thromboembolism or blood clots
  • Anesthetic/allergic reactions