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At least 19 recordsLinked to original sources
PubMed1987

Laparoscopy in a small community free-standing surgicenter.

Two thousand nine hundred twenty-four laparoscopies for both sterilization and diagnosis were performed between 1972 and 1984 in a free-standing surgicenter in a community of 40,000 people. All procedures were performed by seven board-certified obstetrician-gynecologists, and all anesthesia was administered by a partnership of board-certified anesthesiologists. The gynecologic and anesthesia techniques used in these procedures are reviewed, as well as the results and complications that resulted. The excellent outcome and low complication rate suggest that in many small communities gynecologic laparoscopy can be safe and efficient when performed in a free-standing, ambulatory, surgical facility.

Adolescent↗
PubMed2000

Outpatient laparoscopic cholecystectomy: experience of a nonovernight surgicenter.

From April 1994 to September 1998, a total of 66 laparoscopic cholecystectomies were performed at the same-day freestanding Surgicenter of the Yankton Medical Clinic. All patients (ages 15 to 62 years; 91% women) were discharged the same day, and no patient required hospitalization despite two conversions to open cholecystectomy. Cholangiofluoroscopies were completed in 70% of the patients. Pathologic evaluation showed chronic cholecystitis in all patients except one, who also had acute disease. No patient was lost to follow-up, and 98% responded that they "would do it again." These results confirm the safety of laparoscopic cholecystectomy in selected patients in a low- and controlled-cost environment of a freestanding surgical facility. Interestingly, Medicare does not allow facility reimbursement for cholecystectomy in any nonovernight outpatient surgery center in South Dakota.

Adolescent↗
PubMed2005

Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter.

We recently encountered 5 patients with Mycobacterium abscessus infection following cosmetic procedures performed at a surgicenter located off the United States coastline which, by report, actively recruits domestic patients. Additional patients with similar clinical histories and presentation have been identified at other practices along the Eastern seaboard as well. A recent Centers for Disease Control and Prevention investigation has confirmed a common link. All procedures were performed in Santo Domingo, Dominican Republic, between 2003 and 2004. More than half were performed at the same facility. We report herein a series of patients presenting with M. abscessus infections who underwent cosmetic surgery offshore. The goal of this manuscript is to heighten awareness among physicians who may encounter such patients in their practices. The indolent clinical presentation, laboratory studies utilizing acid-fast stains and cultures, and treatment including surgical debridement and pharmacologic regimens in the ultimate diagnosis and therapy for M. abscessus infections are discussed.

Disease Outbreaks↗
PubMedDate not supplied

Remote surgicenter experience with hernia repair.

A remote outpatient surgicenter was planned and constructed with three partner groups-76 physicians and two competing hospitals. The CFS was opened in July 1994 and has since performed a large volume of procedures: >124,800 total and, in 2003, 14,900 cases. This multispecialty center during that same period of time (1994 to date) has performed 2659 hernia operations. Patients were discharged home in 1-2 hours after surgery to be followed as outpatients in the physician's office. Only six patients were admitted to the hospital. This efficient and economic model is well suited for hernia repair in the selected adult and pediatric patient population without a significant number of adverse events. The community has readily accepted this program for adult and pediatric hernia repair. Patients, family members, referring physicians, and participating physicians have endorsed and recommended the program.

Adolescent↗
PubMed1998

Outpatient oral and maxillofacial surgery: transition to a Surgicenter setting and outcome of the first 200 cases.

Advances in techniques for perioperative management have reduced the morbidity associated with major oral and maxillofacial surgery. Simultaneously, pressures for cost control have affected patient access to surgical services. This report details the steps undertaken to effect a transition of major maxillofacial surgical procedures to an outpatient setting. Protocols for surgical, anesthetic, and postoperative management are described. Treatment outcomes for the first 200 cases are reported. Only 1% of cases required subsequent inpatient care and a less than 1% major revision rate was experienced.

Ambulatory Surgical Procedures↗
PubMedDate not supplied

The effect of physician-owned surgicenters on hospital outpatient surgery.

Hospitals increasingly find themselves subject to competition from freestanding outpatient treatment facilities such as diagnostic imaging centers and ambulatory surgery centers. That competition causes hospitals particularly intense concern when the freestanding facility is owned by physicians who are on the hospital's medical staff. We find some basis for that concern. Further, this particular form of rivalry raises competitive complications that differentiate it from the standard antitrust analysis of new competitive entry.

Economic Competition↗