Editorial:

In keeping with the trend of giving our readers an insight into situations, history and modern innovations in One Day Surgery, we bring you another issue of the Day Surgery Journal of India.

Dr. Beverly Philip, the Founder Director of Day Surgery Unit and Prof. of Anaesthesia at Harvard Medical School, has sent an article, which contains old data, and it is worth noting the changing trend and ready acceptance of ambulatory surgery in the US. A dynamic lady, enthusiastic and has much to share from her vast experiences in One Day Surgery.

Dr. Luc Van Outryve from Belgium, had the opportunity of being in the centre of all the activity in day surgery, which became the International organisation, the head office continues to be in Belgium. Though, language being a barrier, you can read the thrill and the reverence with which he writes about his predecessors. I have tried not to change much.

Dr. Andre Van Zundert, from the Netherlands, has written about the changes day surgery anaesthesia has seen over the years. It is inevitable that, more and more surgeries will be performed under regional anaesthesia and will continue to become more and more acceptable and popular. The details of the procedures and the anatomical description is like a hand book on regional anaesthesia, made easy even for a surgeon to follow!

The last article written by me is a presentation of possibilities of One Day Surgery and the far reaching consequences it will have. Diabetic foot as a Day Case, has been presented as a talk in ADSCON 2008, a poster to this effect was presented at the 8th International Congress on Ambulatory Surgery at Brisbane, Australia, on 3rd to 6th July, 2009, evoking wide interest. I have tried to put it in the form of an essay, so as to stimulate enthusiasm for the subject.

This issue of the journal has been delayed, purposefully, to include some highlights from the recently concluded 8th International Congress on Ambulatory Surgery, organised by the International Association of Ambulatory Surgery, in July 2009, at Brisbane, Australia.

Once again, we represented India by presenting several posters. Dr. Reena Wani and myself, were invited speakers at the Congress.

I was also invited to participate in an Open forum discussion which focused on the World wide expansion of Ambulatory surgery and problems faced in Day Surgery. Emphasis was on the safety of the patient, and training of our staff to be more receptive towards One Day Surgery. We were made to realise again and again the importance on One Day Surgery and the need to expand and popularise it for the benefit of our patients.

With a population of over a billion and growing, increasing cost of healthcare, especially in times of resession, it is but logical to think One Day Surgery. Hope, soon, we will see many more dedicated surgeons and centres.

Dr. T. Naresh Row

The Great thing a little lamp can do which the big sun cannot is to give light at night. No one is superior by size, but by purpose."