BACKGROUND Ambulatory surgical centers (ASCs) provide outpatient surgical services more efficiently than hospital outpatient departments, benefiting patients through lower co-payments and other expenses. We studied the influence of socioeconomic status and race on use of ASCs. METHODS From the 2005 State Ambulatory Surgery Database for Florida, a cohort of discharges for urologic, ophthalmolo...

OBJECTIVES/HYPOTHESIS To test our hypothesis that high-surgeon volume is associated with improved surgical efficiency and 30-day outcomes, and lower hospital utilization. STUDY DESIGN Retrospective observational cohort, 2008-2013. METHODS A total of 3,135 patients with hemithyroidectomy or total thyroidectomy performed by a high-volume surgeon, propensity score-matched to 3,135 patients wit...

OBJECTIVE To evaluate the results of an outpatient program for major dermatological surgery in patients with a range of skin conditions. METHODS We undertook a retrospective, observational study of patients who underwent scheduled dermatological surgery as outpatients in a public hospital between 2004 and 2007. The most common procedures were excision of basal cell or squamous cell carcinoma ...

BACKGROUND Totally implantable venous access devices (TIVADs) represent a convenient way for the administration of medications or nutrients. Traditionally, chest ports have been positioned by surgeons in the operating room, however there has been a transition over the years to port insertion by interventional radiologists in the radiology suite. The optimal method for chest port placement is st...

BACKGROUND Proctological surgery is being carried out increasingly on an outpatient basis. The reasons for this are safe anesthetic procedures, short operation times and low complication rates. This study is a retrospective analysis of complication rates, symptom recurrence and long-term results according to outpatient proctologic surgery practiced in our hospital in the last 10 years. MATERI...

BACKGROUND Best practices for peritoneal dialysis (PD) catheter insertion call for timely placement of catheters to reduce complications and increase the likelihood of a successful initiation of PD. The purpose of our study was to assess if a change in approach to PD catheter insertion, including a switch to radiological insertion of PD catheters and introduction of a dialysis access nurse to c...

PURPOSE We questioned whether it is feasible in the current era of cost consciousness to perform standard open pediatric urological procedures on an outpatient basis while maintaining patient safety and satisfaction. MATERIALS AND METHODS We report on 51 consecutive patients 2 months to 13 years old (mean age 4 years 3 months) who underwent a standard open pediatric urological procedure betwe...

Study Design Retrospective population-based observational study. Objective To assess the growth of cervical spine surgery performed in an outpatient setting. Methods A retrospective study was conducted using the United States Healthcare Cost and Utilization Project's State Inpatient and Ambulatory Surgery Databases for California, New York, Florida, and Maryland from 2005 to 2009. Current Proce...

conclusions intravenous acetaminophen reduced pain following outpatient urological surgery more significantly than meperidine. patients and methods in a prospective, randomized, double-blind clinical trial, 100 outpatients of urological surgery were studied in two groups of acetaminophen (a) and meperidine (m). patients in group a received 1g of acetaminophen in 100 ml saline within 15 minutes ...

a quasi. experimental study was conducted to investigate the antagonistic effect of flumazenil on the   recovery of patients above the age 50 year from anaesthesia receiving benzodiazepine products in one of   iran medical sciences university hospital's operating rooms .   a total of sixty middle aged patients were selected sequentially . thirty of them (12 females and 18 males )   were in...