[Ambulatory surgery of the hand]

After performing ambulatory surgery in hospital, then in a private clinic, without specifically distinguishing this activity, we have created an independent Hand Surgery Center in 1980. This unit was recognized by the Social Security, with whom we have signed an agreement. This 20-year experience of ambulatory surgery has enabled us to outline its advantages and disadvantages, both for the patient and for the medical staff and the health care system. Savings on medical costs cannot be the aim of this practice, which is justified only if the patient's comfort is improved while at the same time guaranteeing the quality of care. It will only be developed harmoniously if precise "specifications" are drawn up to avoid errors and mistakes that may lead to an unjustified summary "execution". We have continued the figure-based study of which we had presented the preliminary results to the Academy of Surgery as early as 1984.