Two Surgical Firsts, One Extraordinary Year

Patient James Sadler with surgeon Dr. Ato Sekyi-Otu and anesthesiologist Dr. Andrew Suess moments before Sadler's second same-day discharge knee replacement surgery

On October 22, 2018 James Sadler walked (with a little help) out of Brampton Civic Hospital with a brand new right knee, a mere four and a half hours after being wheeled into the operating room. Sadler was Osler’s first-ever same-day orthopaedic discharge surgery patient and one of 70,098 surgical visits across our three sites in 2018-19. 


His surgery was a great success. How do we know? Six months later, he came back and did it all over again with the left knee. 


Same-day surgery discharge is still a relatively novel approach in Canada, but one that's gaining momentum as hospitals like ours explore innovative ways to provide high-quality, safe, patient-centred care. Under the program, eligible patients who would typically stay in hospital for two to three days go home on the same day of their surgery. The program launched with knees and plans to expand to hips this year.


Sadler’s surgeon, Dr. Ato Sekyi-Otu, said there are significant advantages to this approach from a quality and patient experience perspective. "Patients who recover at home report higher patient satisfaction levels and have a lower risk of hospital-acquired infection,” he said. 


Sadler was the perfect candidate for the program – both times – recovering well in the comfort of his own home with his wife by his side for support. “It was a great experience from the moment I arrived, thanks to everyone at Brampton Civic who took care of me,” said Sadler. With two new knees, Sadler also has a new lease on life. “I couldn’t ride a bike for 10 years. My knees felt like they’d just ‘kick out’ on me. Now I’m going to the gym five to six times a week and I can use an exercise bike.” 


Sadler wasn’t the only surgical first at Osler in 2018-19. On September 24, the inaugural surgical case was performed in our new state-of-the-art Endovascular Therapeutics Suite (ETS), made possible by a major donation by Orlando Corporation.  


Osler’s same-day discharge program and new ETS are both powerful examples of what can happen when innovation, health system leadership and an unwavering commitment to quality excellence – all directions in our new 2019-24 Strategic Plan – converge. 


The patient, Theo Heuthorst, underwent a complex endovascular aortic aneurysm repair – a surgery that, without the technology and expertise now available at Osler, would have required open surgery, a few days in the Intensive Care Unit and up to a week in hospital. Heuthorst’s experience, by contrast, involved just two 2-mm incisions and a single overnight stay. For more on this historic moment and its incredible impact on our patients and community, check out our special video on the opening of the ETS.  

© 2019 William Osler Health System

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