“Ambulatory surgery” is defined as surgical procedures requiring at least local anesthesia, which are more complex than office-based procedures but less complex than operations requiring at least an overnight stay.
Approximately 90 % of anorectal surgery to treat fissures, condyloma, fistulas, certain early tumors, hemorrhoids, and pilonidal disease may be suitable for the ambulatory setting.
The Standards Committee of the American Society of Colon and Rectal Surgeons (ASCRS) has developed a Clinical Practice Guideline about Ambulatory Anorectal Surgery, for practitioners and health care workers, to provide current information from the literature upon which decisions can be made.
KeywordsSimplify Acute Physiology Score Ambulatory Surgery Prognostic Nutritional Index Mechanical Bowel Preparation Intermittent Pneumatic Compression
- Brownson P, Jenkins SA, Nott D, Ellenbogen S. Mechanical bowel preparation before colorectal surgery: results of a prospective randomized trial. Br J Surg. 1992;79:461–2.Google Scholar
- Fillman EEP, Fillmann HS, Fillmann LS. Elective colorectal surgery without prepare [Cirurgia colorretal eletiva sem prepare]. Revista Brasileira de Coloproctologia. 1995;15:70–1.Google Scholar
- Pena-Soria MJ, Mayol JM, Anula-Fernandez R, Arbeo-Escolar A, Fernandez-Represa JA. Mechanical bowel preparation for elective colorectal surgery with primary intraperitoneal anastomosis by a single surgeon: interim analysis of a prospective single-blinded randomized trial. J Gastrointest Surg. 2007;11:562–7.PubMedCrossRefGoogle Scholar
- Tabusso FY, Zapata JC, Espinoza FB, Meza EP, Figueroa ER. Mechanical preparation in elective colorectal surgery, a useful practice or need? Rev Gastroentero Peru. 2002;22:152–8.Google Scholar