Implementation of ambulatory surgery in a university hospital: an audit comprising 873 general surgery cases |
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| Institution: | 1. Swiss Tropical and Public Health Institute, Socinstrasse 57, P.O. Box, CH-4002 Basel, Switzerland;2. University of Basel, Petersplatz 1, P.O. Box, CH-4001 Basel, Switzerland;1. Breast Unit, Champalimaud Clinical Centre/ Champalimaud Foundation, Lisbon, Portugal;2. Royal Marsden Hospital London, Division of Breast Surgery (UEMS), UK;3. Jean Perrin Comprehensive Cancer Center, Research Unit INSERM, Clermont-Ferrand, 1240, France;4. Cancer Institute Ion Chiricuta, Department of Breast Tumors, Day Hospital Unit, Cluj-Napoca, Romania;5. Hopital Riviera-Chablais, Switzerland;6. Università Degli Studi di Milano, Department of Biomedical Sciences for Health, Milan, Italy;7. IRCCS Policlinico San Donato, Department of Radiology, San Donato Milanese, Milan, Italy;8. Swedish Breast Cancer Association, Europa Donna, Sweden;9. Iridium Kankernetwerk and University of Antwerp, Wilrijk, Antwerp, Belgium;1. Parkland Hospital and the University of Texas Southwestern Department of Surgery, Dallas, TX, USA;2. The University of Texas Medical Branch, Galveston, TX, USA;1. Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;2. Division of Surgical Oncology, Department of Oncology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;3. Division of Critical Care, Department of Clinical Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;4. Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;5. Division of Critical Care, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;6. Division of General Surgery, Department of Surgery, Wilfrid Laurier University, Waterloo, Ontario, Canada |
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| Abstract: | The Ambulatory Surgery Centre of the Lausanne University Hospital was established in 1995 as a multispeciality unit comprising general surgery, plastic surgery, otorhinolaryngology, orthopaedics and urology. In its first 3 years of activity 873 general surgery procedures were performed, including biopsies, laparoscopies, inguinal hernia repair and vein stripping. An audit of these cases revealed an overall morbidity of 1%, a rate of non-planned admissions of 0.6%, no re-admissions within 30 days, and that 95% of patients were satisfied with their care. These results demonstrate the feasibility of implementing ambulatory surgery in a teaching hospital and encourage the expansion of this practice. |
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