Ambulatory Surgery

Full Author:

Bruce D Schirmer, Stephen H. Watts Professor of Surgery, Department of Surgery, University of Virginia Medical Center, Charlottesville, VA and David Rattner, Director, Center for Innovative Minimally Invasive Surgery, Massachusetts General Hospital, Boston, MA.

Description:

This unique new book provides state-of-the-art, current guidance for every aspect of ambulatory surgery - from how to establish an ambulatory surgical unit to how to deliver anesthetic and surgical care for common outpatient procedures. Featuring authoritative contributions from leading experts in the field its user-friendly, "how to do it" approach focuses on the needs of the practicing general surgeon and presents all of the information necessary to offer outstanding care in the ambulatory setting.

Features:

* Addresses basic anaesthesia principles and specific anesthetic techniques, enabling readers to better understand the capabilities and limitations of ambulatory surgery. * Includes coverage of the administrative, operational, and financial aspects of an ambulatory surgery center. * Provides illustrated, detailed descriptions for all of the procedures including: indications, differential diagnosis, special equipment, preoperative preparation, postoperative follow-up, evaluation and more. * Extensive coverage of laparoscopic and endoscopic surgery, devoting entire chapters to specific outpatient procedures. * Offers a selected reading list for every chapter for additional research and study. * Multiple procedure for hernias, cholecystectomy, etc... * Wound healing and other skin problems covered in detail. * Discusses new technology such as lasers and Transanal Excision.

Contents:

• Section I: History of Ambulatory Surgery.
• Section II: Economics of Ambulatory Surgery: Economic Incentives and Cost Effectiveness. Determining Need for Ambulatory Facility. Reimbursement Issues. Integration of the Ambulatory Surgery Center to a Health Care System.
• Section III: Standards for the Ambulatory Surgery Center: Quality Issue in Ambulatory Care. Credentialing Issues. Outcome Studies. Preoperative Assessment and Discharge Assessment Criteria. Universal Precautions.
• Section IV: Components of the Ambulatory Surgery Center: Role of the Medical Director in the Ambulatory Surgery Center. Modern Technology in the Ambulatory Surgery Center. Administration of the Ambulatory Surgical Unit.
• Section V: Anesthesia for Ambulatory Surgery: Agents for General Anesthesia. Conscious Sedation. Local and Regional Anesthesia. Managing the Pediatric Patient. Managing the Laparoscopic Patient. Postoperative Monitoring and Evaluation.
• Section VI: Procedures and Techniques for Ambulatory Surgery: Basic General Surgery: Head and Neck Problems. Lymph Node Biopsy. Breast. Hernias: Traditional Approach. Hernias: Prosthetic Material Repair. Cholecystectomy: Mini-Laparotomy. Laparoscopic Surgery: Special Considerations for Performing Laparoscopic Surgery: Personnel, Equipment and Costs. Laparoscopic Cholecystectomy. Laparoscopy for Acute Abdominal Pain and the Acute Abdomen. Laparoscopy for Chronic Abdominal Pain. Laparoscopic Treatment of Gynecologic Emergencies. Vascular Surgery: Venous Access Procedures. Venous Diseases. Plastic Surgery: Surgical Management of Difficult Wounds. Excisional Biopsy of Skin Tumors. Subcutaneous Nodules. Colorectal Surgery: Perianal Disease. Hemorrhoids. Pilonidal Cysts and Sinuses. Transanal Excision: Traditional Approach. Endoscopic Surgery: Transanal Excision: Endoscopic Microsurgical Technique. Special Considerations for Therapeutic Upper Endoscopy. Special Considerations for Bronchoscopy. Special Considerations for Pediatric Endoscopy. The Use of Lasers in Endoscopic Surgery. Pediatric Surgery: Pediatric Hernias and Hydroceles. Special Considerations for Outpatient Surgery.