Ambulatory Surgery最新文献

{"title":"Ambulatory Surgery Calender","authors":"","doi":"10.1016/S0966-6532(06)00036-9","DOIUrl":"https://doi.org/10.1016/S0966-6532(06)00036-9","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 4","pages":"Page I"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0966-6532(06)00036-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of inguinal hernia in ambulatory surgery: A prospective monocentric study on 1009 inguinal hernia","authors":"E. Jacquet ,&nbsp;P. Puche ,&nbsp;J. Alahyane ,&nbsp;S. Jaber ,&nbsp;J.P. Carabalona ,&nbsp;D. Bessaou ,&nbsp;J. Domergue ,&nbsp;J.J. Eledjam ,&nbsp;F. Navarro ,&nbsp;J. Giordan","doi":"10.1016/j.ambsur.2005.11.002","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.11.002","url":null,"abstract":"<div><p>Ambulatory surgery<span> for inguinal hernia has not been really developed in our country.</span></p></div><div><h3>Aim</h3><p>We evaluated the feasibility of inguinal hernia surgery on ambulatory.</p></div><div><h3>Patients and methods</h3><p>From January 1995 to June 2004, we performed 1009 inguinal hernia. There were 934 men (92.8%) and 75 women (7.2%). Middle age was 58.36 years (range: 7–95 years). All the patients were examined by their primary doctor on the first and the third day and by the surgeon on the tenth day after discharge. Telephone follow-up on the patient's condition was performed by a registered nurse on postoperative days 1 and 3.</p></div><div><h3>Results</h3><p>Eight hundred and thirty three patients were operated on by ambulatory surgery (82.5%). Overall morbidity was 8.5% (<em>n</em> <!-->=<!--> <!-->86). Satisfaction index was excellent for 93.8% (<em>n</em> <!-->=<!--> <span>948). Locoregional anesthesia alone or associated with general anesthesia<span> was used for 900 patients (98.1%). Only 466 patients (46.2%) were painful, 258 (25.55%) had a discomfort, and 285 (28.24%) had no symptomatology.</span></span></p></div><div><h3>Conclusion</h3><p>Tension-free technique under locoregional anesthesia for inguinal hernia allows ambulatory surgery with a low rate of morbidity and high satisfaction index.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 4","pages":"Pages 167-171"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing knowledge and the expansion of day surgery in the United Kingdom","authors":"Mark Mitchell","doi":"10.1016/j.ambsur.2005.09.003","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.09.003","url":null,"abstract":"<div><h3>Background</h3><p>The amount of surgery undertaken within United Kingdom Day Surgery<span> Units has risen considerably over the past 15–20 years. Throughout this pioneering era, nursing roles and responsibilities within the modern surgical environment have developed although have largely shadowed medical advances. Evidence based nursing knowledge appears to have contributed very little to the recent success of day surgery. This may be due, in part, to the lack of attention given to modern surgical practices within current pre-registration nurse education programmes of study.</span></p></div><div><h3>Aim</h3><p>The aim of this educational audit was to evaluate the consideration given to modern surgical practices in the programmes of study of recently qualified staff nurses employed within Day Surgery Units in the United Kingdom in order to gauge the extent of the challenge.</p></div><div><h3>Method</h3><p>A postal audit was designed and sent to <em>n</em> <!-->=<!--> <!-->247 Day Surgery Units. The audit was intended to elicit information from the staff nurses regarding their experiences of modern, elective day surgery during their nurse education programmes of study.</p></div><div><h3>Results</h3><p>Two hundred and seventy seven staff nurses responded revealing that the level of attention to day surgery practices within pre-registration programmes was extremely low. The professions’ actual and potential theoretical contribution to modern surgical practices was virtually nil. Their experience of pre-operative nursing intervention appeared mainly to involve the teaching of traditional surgical in-patients nursing skills. The inclusion of modern surgical practices into the theoretical assignments within the programmes of study was very limited. Once qualified, the vast majority of staff nurses experienced no additional formal education for their new role.</p></div><div><h3>Conclusions</h3><p>The results are discussed in relation to the re-focusing of pre-registration nurse education, changing clinical roles and the future of nursing within the modern surgical arena.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Pages 131-138"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137391643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Day surgery—National and international","authors":"Lindsay Roberts","doi":"10.1016/j.ambsur.2005.02.002","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.02.002","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Pages 143-145"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137392482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancellations in ambulatory day surgery: Ten years observational study","authors":"A. Jiménez,&nbsp;C. Artigas,&nbsp;M. Elia,&nbsp;C. Casamayor,&nbsp;J.A. Gracia,&nbsp;M. Martínez","doi":"10.1016/j.ambsur.2005.09.002","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.09.002","url":null,"abstract":"<div><h3>Background</h3><p>Reasons for cancellation of booked procedures in ambulatory surgery need a detailed analysis in order to introduce corrective measures to lessen them.</p></div><div><h3>Methods</h3><p>Cancellations occurring the day before operation without patient replacement and procedures cancelled on the day of operation in 10<!--> <!-->500 patients scheduled to be operated on in a multidisciplinary ambulatory surgery unit were analysed. Data were obtained from the incident register sheets and the database of the unit.</p></div><div><h3>Results</h3><p>A total of 424 patients were cancelled (4%). Reasons for cancellation were: acute medical conditions in 23.3% of cases, personal decision of the patient to refuse programming in 22.2%, non-attendance in 2.1%, failure to follow pre-operative guidance in 23.3% and unavailability of resources in 29%. These causes were preventable or possibly preventable in 57.1% of cases, difficult to prevent in 29% and not preventable in 13.9%.</p></div><div><h3>Conclusion</h3><p>More than half the cases of cancellation could be prevented. A rapid response of surgical departments to substitute patients, campaigns to increase the awareness of the population about the cost of health services and the implementation of pre-operative assessment guidelines must be considered.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Pages 119-123"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137392481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AAACN Event Details","authors":"","doi":"10.1016/S0966-6532(06)00022-9","DOIUrl":"https://doi.org/10.1016/S0966-6532(06)00022-9","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Pages II-III"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0966-6532(06)00022-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137392483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Direct Booking Hernia Service – A shorter wait and a satisfied patient","authors":"K. Sri-Ram,&nbsp;T. Irvine,&nbsp;C.L. Ingham Clark","doi":"10.1016/j.ambsur.2005.09.001","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Patients requiring routine operations often have lengthy waits for outpatient appointments and surgery. Our aim was to reduce this wait by offering patients a Direct Booking Hernia Service and to assess its efficacy and its acceptability to patients.</p></div><div><h3>Methods</h3><p><span>Two groups of patients referred for treatment of an inguinal hernia were compared. Group 1 were those referred to a single named consultant and all those referred without specifying a consultant's name during the same period. Group 2 were those referred to any other named consultant at the same hospital during the same period. For those in Group 1, the referral letter was triaged by a single surgeon and sent directly to the </span>Day Surgery Unit (DSU). The patient's first appointment was for nurse led pre-assessment in the DSU. At the same visit the duty DSU surgeon checked the hernia to confirm the diagnosis. If medically fit, patients were offered a date for operation within 4 weeks of their pre-assessment. If unfit for DSU, the nurses would discuss the patient with the DSU lead anaesthetist and could book them directly onto an inpatient list or refer them to the outpatient clinic. Group 2 patients followed the traditional pathway of outpatient clinic, then booking for surgery. Group 1 patients were invited to complete a patient satisfaction questionnaire following their treatment.</p></div><div><h3>Results</h3><p>There were 74 patients in Group 1 and 147 in Group 2 during the study period. In Group 1 3/74 (4.1%) did not have hernias at pre-assessment. The mean total waiting time from referral to surgery was 70 days. In Group 2 the mean wait for an out-patient appointment was 77 days, and the wait from outpatient appointment to surgery was 84 days, giving a total average waiting time of 161 days. The proportion of patients treated as day cases was 88.7% in Group 1 and 70% in Group 2. 43% of Group 1 patients responded to the questionnaire. 94% of these would recommend the service to a friend.</p></div><div><h3>Conclusion</h3><p>The Direct Booking Hernia Service provides an efficient way of treating patients requiring inguinal hernia repair that is acceptable to patients. It significantly reduces waiting times and reduces the load on outpatient appointments.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Pages 113-117"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137392485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postdischarge unplanned admission in ambulatory surgery—a prospective study","authors":"Walther R. Minatti ,&nbsp;Benavides Flavio ,&nbsp;Capelino Pablo ,&nbsp;Ramos Raúl ,&nbsp;Premoli Guillermo ,&nbsp;Statti Miguel","doi":"10.1016/j.ambsur.2005.06.002","DOIUrl":"https://doi.org/10.1016/j.ambsur.2005.06.002","url":null,"abstract":"<div><h3>Background</h3><p>Postdischarge recovery continues at home and some patients will need admission if complications occur.</p></div><div><h3>Objective</h3><p>To analyze the postdischarge unplanned admission rate in a hospital-based ambulatory surgery unit.</p></div><div><h3>Method</h3><p>Prospective non-comparative study. Patients admitted in the first 30 days postdischarge were included.</p><p><span>Univariate analysis was performed to identify independent </span>predictive factors for these admissions.</p></div><div><h3>Results</h3><p>The postdischarge unplanned admission rate was 1%. Urology, gynaecology and general surgery, patients 90 years or older and epidural anaesthesia were significant risk factors for postdischarge unplanned admission.</p></div><div><h3>Conclusion</h3><p>The postdischarge unplanned admission rate was very low.</p></div>","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Pages 107-112"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ambsur.2005.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137392486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulatory Surgery Calender","authors":"","doi":"10.1016/S0966-6532(06)00019-9","DOIUrl":"https://doi.org/10.1016/S0966-6532(06)00019-9","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Page I"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0966-6532(06)00019-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137392484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IFC - Editorial Board/Aims & Scope","authors":"","doi":"10.1016/S0966-6532(06)00012-6","DOIUrl":"https://doi.org/10.1016/S0966-6532(06)00012-6","url":null,"abstract":"","PeriodicalId":38794,"journal":{"name":"Ambulatory Surgery","volume":"12 3","pages":"Page CO2"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0966-6532(06)00012-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137391639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}