Ambulatory surgery in urogynaecology

Ambulatory surgery offers advantages to both patients and providers. It is imperative to ensure appropriate case selection, pre-operative counseling, a suitable environment, trained staff, adequate analgesia and post-operative care both in the hospital and the community. Many well-established urogyn...

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Bibliographic Details
Published in:Best practice & research. Clinical obstetrics & gynaecology 2005-08, Vol.19 (5), p.769-777
Main Authors: Ghoshal, Suranjan, Smith, Anthony R.B.
Format: Article
Language:English
Subjects:
ambulatory surgery
Ambulatory Surgical Procedures - education
Ambulatory Surgical Procedures - methods
Anesthesia - methods
Community Health Services - methods
Education, Medical, Graduate
Female
Female Urogenital Diseases - surgery
Gynecologic Surgical Procedures - education
Gynecologic Surgical Procedures - methods
Humans
local anaesthesia
Patient Selection
Postoperative Care - methods
prolapse
urinary incontinence
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Summary:Ambulatory surgery offers advantages to both patients and providers. It is imperative to ensure appropriate case selection, pre-operative counseling, a suitable environment, trained staff, adequate analgesia and post-operative care both in the hospital and the community. Many well-established urogynaecological procedures such as cystoscopy and vaginal repair may be performed in an ambulatory setting. Newer procedures such as injection of botulinum toxin or peri-urethral bulking agents and tension-free tapes for stress incontinence may also be performed in this way. To date, the literature is deficient in robust studies comparing outcomes and patient satisfaction between conventional and ambulatory surgical procedures, and randomized controlled trials are required.
ISSN:1521-6934
1532-1932
DOI:10.1016/j.bpobgyn.2005.06.002