Advertisement

Ambulatory Surgery Services: Changing the Paradigm of Surgical Practice

  • Shekhar Gogna
  • Rifat LatifiEmail author

Abstract

Once surgeons felt comfortable bringing patients into hospitals, “kitchen surgery” transitioned into hospital surgery. It was normal to wait weeks or months for an appointment, and patients typically spent several days in the hospital before even relatively minor surgical procedures such as groin hernias. Postsurgically, they would stay in the hospital for days or weeks. Now, those days are gone, and patients arrive on the same day as surgery, even for the most complex surgical procedures such as cardiac, vascular, and transplant. With the creation of surgery centers, advances of laparoscopic and arthroscopic surgery, and advances in anesthesia, this approach has become a reality. Insurance companies will no longer reimburse for lengthy hospital stays unless a patient is critically ill. The new norm can now almost be considered “drive-through” surgery. This chapter explores the current state of ambulatory surgery.

Keywords

Ambulatory surgery Day care surgery Ambulatory surgery centers Multimodal analgesia Paradigm change 

References

  1. 1.
    Healthcare Cost and Utilization Project (HCUP). Statistical Brief #188. 2016. Agency for Healthcare Research and Quality, Rockville. Retrieved from: https://www.hcup-us.ahrq.gov/reports/statbriefs/sb188-Surgeries-Hospital-Outpatient-Facilities-2012.jsp.
  2. 2.
    Suskind AM, Zhang Y, Dunn RL, Hollingsworth JM, Strope SA, Hollenbeck BK. Understanding the diffusion of ambulatory surgery centers. Surg Innov. 2015;22(3):257–65.CrossRefGoogle Scholar
  3. 3.
    Odhiambo MA, Njuguna S, Waireri-Onyango R, Mulimba J, Ngugi PM. Utilization of day surgery services at Upper hill Medical Centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness. Pan Afr Med J. 2015;22:28.CrossRefGoogle Scholar
  4. 4.
    Gangadhar S, Gopal T, Sathyabhama PK. Rapid emergence of day-care anaesthesia: a review. Ind J Anaesth. 2012;56(4):336–41.CrossRefGoogle Scholar
  5. 5.
    Dodaro CA, Grifasi C, Lo Conte D, Romagnuolo R. Advantages and disadvantages of day surgery in a department of general surgery. Ann Ital Chir. 2013;84(4):441–4.PubMedGoogle Scholar
  6. 6.
    Philip BK. Day care surgery: the United States model of health care. Ambul Surg. 2012;17:81–2.Google Scholar
  7. 7.
    Vijayakumar C, Elamurugan T, Sudharsanan S, Jagdish S. Factors hindering practice of day care surgery in a tertiary care centre in southern India: a patient’s perspective. J Clin Diagn Res JCDR. 2017;11(6):05–7.Google Scholar
  8. 8.
    Lemos P. Day surgery. Development and practice. London: International Association for Ambulatory Surgery; 2006.Google Scholar
  9. 9.
    Quemby D, Stocker M. Day surgery development and practice: key factors for a successful pathway. Contin Educ Anaesth Crit Care Pain. 2014;14:256–61.CrossRefGoogle Scholar
  10. 10.
    Mattila K, Lahtela M, Hynynen M. Health-related quality of life following ambulatory surgery procedures: assessment by RAND-36. BMC Anesthesiol. 2012;12:30.CrossRefGoogle Scholar
  11. 11.
    Castoro C, Bertinato L, Baccaglini U, Drace CA, McKee M, with the collaboration of IAAS Executive Committee Members: Policy brief. Day surgery: making it happen. Brussels: WHO European Centre for Health Policy; 2007.Google Scholar
  12. 12.
    Cascardo D. Guidelines for setting up an ambulatory surgery center. Podiatry Manage. 2014;33(8):127–32.Google Scholar
  13. 13.
    State operations manual appendix Ldguidance for surveyors: ambulatory surgical centers. Centers for Medicare & Medicaid Services https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf. Updated April 1, 2015. Accessed 12 May 2018.
  14. 14.
    American Society of Anesthesiologists website. Outcome indicators for office-based and ambulatory surgery. October 16, 2013. Retrieved from: http://www.asahq.org/quality-and-practice-management/standards-guidelines-and-related-resources/outcome-indicators-for-office-based-and-ambulatory-surgery.
  15. 15.
    Schug S, Chong C. Pain management after ambulatory surgery. Curr Opin Anaesthesiol. 2009;22:738–43.CrossRefGoogle Scholar
  16. 16.
    Vadivelu N, Kai AM, Kodumudi V, Berger JM. Challenges of pain control and the role of the ambulatory pain specialist in the outpatient surgery setting. J Pain Res. 2016;9:425–35.CrossRefGoogle Scholar
  17. 17.
    Elvir-Lazo OL, White PF. Postoperative pain management after ambulatory surgery: role of multimodal analgesia. Anesthesiol Clin. 2010;28:217–24.CrossRefGoogle Scholar
  18. 18.
    Griffith JP, Whiteley S, Gough MJ. Prospective randomized study of a new method of providing postoperative pain relief following femoropopliteal bypass. Br J Surg. 1996;83(12):1735–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryWestchester Medical CenterValhallaUSA
  2. 2.New York Medical College, School of Medicine, Department of Surgery and Westchester Medical CenterValhallaUSA

Personalised recommendations