OBJECTIVE Ambulatory surgery, where the processes of admission, surgery and discharge are completed within 24h, is an increasingly important part of many surgical specialties. The aim of this study was to evaluate suitability of ambulatory approach for low-risk open-heart procedures. METHODS A retrospective analysis of 48 patients who had undergone atrial septal defect (ASD) closure at our ce...

Background: Day-case surgery (DCS) and laparoscopic liver (LLS) are booming. The aim of this study was to confirm the feasibility LLS as DCS evaluate its implementation. Methods: This a prospective descriptive monocentric non-randomized including all patients undergoing (minor resection (LLR), cyst fenestration, radio-frequency ablation (RFA)), between July 2015 December 2018. Exclusion criteri...

Day surgery has began in Portugal around the 90 decade of last century. Although publishing some documents and guidelines [1], the Portuguese Government had never define clear health policies in order to develop day surgery programmes. On the contrary, all the legislation and financing regulations published were restrictive and non-competitive from the ambulatory surgery point of view. In fact,...

Objective Morbidly obese patients are traditionally hospitalised following bariatric surgery. However, laparoscopic-adjustable gastric banding (LAGB) is amenable for ambulatory care. We hypothesised that the majority of patients can receive an ambulatory LAGB and that both surgical and anaesthetic perioperative factors will significantly affect non-ambulatory LAGB outcomes. Methods Medical re...

Currently, an estimated 65% of surgical procedures in North America are completed in ambulatory settings. In this review, we summarize the outcome measures that can be used in the assessment of the safety of ambulatory surgery and anesthesia. © 2000 Elsevier Science B.V. All rights reserved.

PURPOSE OF REVIEW Patients with diabetes frequently present for ambulatory surgery concomitant with the rise in incidence of the disease. This review will examine recent evidence on glucose control, the harmful effects of hyperglycemia, fluctuations of blood glucose, and hypoglycemia, as well as treatments and medications utilized for type 1 and type 2 diabetes mellitus. Based on this evidence,...

BACKGROUND The office-based surgery setting potentially offers advantages to both the patient and the plastic surgeon, but some patients may not be considered good candidates for abdominoplasty or combined abdominoplasty/lipoplasty performed in the ambulatory setting. OBJECTIVE We conducted a retrospective case review of 22 patients who underwent ambulatory abdominoplasty to correct diastasis...

Effective pain therapy after shoulder surgery is the main prerequisite for safe management in an ambulatory setting. We evaluated adverse events and hospital re-admission using a database of 509 interscalene catheters inserted during ambulatory shoulder surgery. Adverse events were recorded for 34 (6.7%) patients (9 (1.8%) catheter dislocations diagnosed in the recovery room, 9 (1.8%) catheter ...

OBJECTIVES To determine the incidence of outcomes, unanticipated admissions and cancellations in patients operated in an Ambulatory surgery unit, and to establish the relationships with their body mass index (BMI). SUBJECTS AND METHODS An observational descriptive prospective study was conducted in the Ambulatory surgery unit of the University Hospital Virgen del Rocío of Seville, on ASA I or...

OBJECTIVES The purpose of this study was to estimate the value of preoperative electrocardiographic (ECG) monitoring in predicting postoperative cardiac events in patients undergoing abdominal aortic surgery. DESIGN A prospective open study. SETTING University Hospital. MATERIALS One hundred consecutive patients were studied before aortic or aortofemoral surgery by ambulatory ECG monitori...