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[Promote ambulatory surgery in France in 2013: a cohort analysis]
P Capmas1, A Nazac2, C Jennequin3
1Service de gynécologie obstétrique, hôpital Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France; Inserm, CESP, U1018, 94276 Le Kremlin-Bicêtre, France; Université Paris-Sud, 94275 Le Kremlin-Bicêtre cedex, France.
Objective:
Study feasibility of outpatient management for gynaecologic surgery.
Materials And Methods:
Monocentric cohort analysis to study outpatient management in a gynaecologic department from January 2010 to December 2011. Number of second hospitalization in the month following ambulatory care was collected.
Results:
Two thousand eight hundred and three interventions were performed including 1425 (51%) in outpatient management. Four women had a second hospitalization in the month following ambulatory care and none of them had a second surgery. For gynaecologic "tracer act", that required an 80% rate of outpatient management in France (operative hysteroscopy, conisation and breast tumorectomy), the rate of outpatient management was 86%.
Conclusion:
Outpatient care is feasible in gynaecologic surgery and objective of an 80% rate of ambulatory care for some specific gynaecologic interventions is reasonable without additional risk. A large outpatient management is feasible keeping in mind that it is women that are concern with ambulatory care and not interventions. Choosing an outpatient care is based on the risk-benefit balance.
