Complications associated with ambulatory surgery

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Abstract
The interest in ambulatory surgery grew substantially during the past 10 yr. To evaluate the medical aspects of ambulatory care objectively, there must be accurate, reliable and pertinent complication data. A prospective study of 13,433 patients at a free-standing ambulatory surgical center was performed; 99.8% of the patients were followed up through the first 2 postoperative weeks. Medical, surgical or anesthetic complications (106) were identified in the patient population. No deaths occurred in the center and there was no instance of cardiovascular collapse. Sixteen patients were transferred to a general hospital. Surgery and anesthesia performed in the inpatient or outpatient setting may be associated with serious complications. Many surgical procedures can be performed as safely in the outpatient setting as in the hospital inpatient setting.

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