[Promote ambulatory surgery in France in 2013: a cohort analysis]

Abstract

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.

Keywords: Acte traceur; Ambulatory surgery; Chirurgie ambulatoire; Chirurgie gynécologique; Cohort; Cohorte; Gynecologic surgery; Traceur act.