M a y 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 3 9
cites his own facility's track record: a single ACL infection in more
than a decade of operation.
Assuming an outpatient facility practices careful patient selection,
has the right staffing and equipment, and can effectively manage the
patient's post-operative pain and prevent nausea and vomiting, there's
almost no end to the kinds of procedures that can — and will — be
done in an outpatient setting. On the following pages, we explore 5
procedures that continue to gain steam in outpatient settings:
bariatric surgery, hysterectomy, robotic prostatectomy, spinal surgery
and total joint replacement.
a
study published in
the December
2015 issue of the
Journal of Minimally
Invasive Gynecology
(osmag.net/s7VdUE)
changed the game for sur-
geons like Hugo D. Ribot
Jr., MD, FACOG, ACGE.
The study, authored by
Barbara S. Levy, MD,
FACOG, essentially
showed Dr. Ribot how to
address "the factors that would conspire to keep people in the hospi-
tal" — namely, pain control, nausea control and bladder management
— as prelude to safely and reliably performing a vaginal hysterectomy
in an outpatient setting.
HYSTERECTOMY
• UNCOMPLICATED Since opening in 2010, the Georgia Advanced Surgery
Center for Women in Cartersville, Ga., has performed more than 800 consecu-
tive hysterectomies without significant complications.
Georgia
Advanced
Surgery
Center
For
Women