431 results match your criteria Outpatient Surgical Suite


Office Hysteroscopy: Setting up Your Practice for Success.

Obstet Gynecol Clin North Am 2022 Jun;49(2):315-327

Women's and Infants' Services, Minimally Invasive Gynecologic Surgery, MedStar Washington Hospital Center, 106 Irving Street, Northwest Suite 405 South, Washington, DC 20010, USA. Electronic address:

Office hysteroscopy is a highly effective procedure for the evaluation and treatment of intrauterine pathology. The "see and treat" approach allows for patient treatment with the fewest amount of patient visits. The development of smaller cameras and instruments, as well as the employment of a vaginoscopy technique, has led to greater tolerability of office hysteroscopy and significant success of the "see and treat" approach. Read More

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Surgical treatment of thyroid cancer: Established and novel approaches.

Best Pract Res Clin Endocrinol Metab 2022 Apr 29:101664. Epub 2022 Apr 29.

Sarasota Memorial Health Care System Multidisciplinary Thyroid and Parathyroid Center, 1901 Floyd St., Ste.304, Sarasota, 34239, Florida, USA. Electronic address:

Thyroid surgery is one of the most common head and neck procedures. The thyroid can be accessed through an anterior cervical incision, or by remote access techniques such as the transoral endoscopic thyroidectomy vestibular approach (TOETVA) which is favored for its ease, safety and direct plane to the thyroid gland. Other novel approaches for targeting small-localized well-differentiated thyroid cancer are by thermal ablation, namely ultrasound guided radiofrequency ablation. Read More

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Use of a larger surface area tip on bipolar radiofrequency wands in hip arthroscopy is associated with significantly lower traction and total surgery times.

J Hip Preserv Surg 2021 Aug 3;8(3):270-273. Epub 2021 Nov 3.

Houston Methodist Orthopedics and Sports Medicine, Outpatient Center, 6445 Main Street, Suite 2500, Houston, TX 77030, USA.

Clinical outcomes in arthroscopic hip preservation surgery have improved over the past two decades due to many factors, including advancements in technique and instrumentation. Complications following hip arthroscopy are associated with increased traction and overall surgical times. The purpose of this study was to compare traction and surgical times during hip arthroscopy using two different radiofrequency ablation wands produced by the same manufacturer. Read More

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Impact of COVID-19 on common non-elective general surgery diagnoses.

Surg Endosc 2022 Mar 17. Epub 2022 Mar 17.

Department of Surgery, Carolinas Medical Center, Atrium Health, 1025 Morehead Medical Plaza, Suite 300, Charlotte, NC, 28205, USA.

Background: During the COVID-19 pandemic, public health and hospital policies were enacted to decrease virus transmission and increase hospital capacity. Our aim was to understand the association between COVID-19 positivity rates and patient presentation with EGS diagnoses during the COVID pandemic compared to historical controls.

Methods: In this cohort study, we identified patients ≥ 18 years who presented to an urgent care, freestanding ED, or acute care hospital in a regional health system with selected EGS diagnoses during the pandemic (March 17, 2020 to February 17, 2021) and compared them to a pre-pandemic cohort (March 17, 2019 to February 17, 2020). Read More

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Fine-Needle Aspiration Biopsy of Pediatric Salivary Gland Tumors: Analysis of Patient Tolerability, Sedation Requirement, and Procedural Complication.

Acta Cytol 2022 28;66(3):179-186. Epub 2022 Feb 28.

Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Objective: Fine-needle aspiration (FNA) biopsy is the standard diagnostic tool recommended by consensus management guidelines for preoperative evaluation of salivary gland tumors in adults. However, its utility in the pediatric population remains debated due to a paucity of data and inherited challenges of pediatric management (patient cooperation, the need for sedation, and procedural complications).

Methods: Consecutive series of 92 FNA biopsies of pediatric salivary gland lesions with available procedural data were included for retrospective analysis. Read More

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Shone's complex and aortic dissection: case report and review of a rare, underdiagnosed congenital heart disease.

J Cardiothorac Surg 2022 Feb 23;17(1):21. Epub 2022 Feb 23.

Memorial Care Heart and Vascular Institute, MemorialCare Long Beach Medical Center, Long Beach, USA.

Background: Shone's complex is a rare congenital heart disease consisting of a variety of left ventricular inflow and outflow tract lesions. Patients typically present in childhood requiring early surgical intervention; however, with improved surgical techniques, these patients are surviving later into adulthood. This increased survival comes with a new set of medical complications that providers need to be aware of. Read More

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February 2022

Comparison of health-care utilization and expenditures for minimally invasive vs. open colectomy for benign disease.

Surg Endosc 2022 Feb 22. Epub 2022 Feb 22.

Department of Surgery, St Joseph Mercy Hospital Ann Arbor, 5325 Elliott Dr. Suite 104, Ann Arbor, MI, 48106, USA.

Background: Adoption of minimally invasive approaches continues to increase, and there is a need to reassess outcomes and cost. We aimed to compare open versus minimally invasive colectomy short- and long-term health-care utilization and payer/patient expenditures for benign disease.

Methods: This is a retrospective analysis of IBM MarketScan Database patients who underwent left or right colectomy for benign disease between 2013 and 2018. Read More

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February 2022

Managing prior approval for site-of-service referrals: an algorithmic approach.

BMC Health Serv Res 2022 Feb 14;22(1):201. Epub 2022 Feb 14.

Johns Hopkins Carey Business School, 100 International Drive, Baltimore, MD, 21202, USA.

Objectives: Many payers and health care providers are either currently using or considering use of prior authorization schemes to redirect patient care away from hospital outpatient departments toward free-standing ambulatory surgical centers owing to the payment differential between these facilities. In this work we work with a medium size payer to develop and lay out a process for analysis of claims data that allows payers to conservatively estimate potential savings from such policies based on their specific case mix and provider network.

Study Design: We analyzed payment information for a medium-sized managed care organization to identify movable cases that can reduce costs, estimate potential savings, and recommend implementation policy alternatives. Read More

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February 2022

Redefining the Topography of the Tibial Nerve: Updated Treatment Guide for Tibial Nerve Entrapments: An Addendum to Surgical Treatment Protocol for Peripheral Nerve Dysfunction of the Lower Extremity: A Systematic Approach.

Clin Podiatr Med Surg 2021 Jan 18;38(1S):e7-e23. Epub 2021 Nov 18.

Chicago Peripheral Nerve Center, Chicago, IL, USA; Laboure Outpatient Clinic, 2913 North Commonwealth Avenue, Chicago, IL 60657, USA.

Dysfunction of the tibial nerve can progress to painful and potentially disabling conditions. There are multiple sites of entrapment along the course of the tibial nerve. Detailed knowledge of the anatomy and anatomic variations is critical for a surgeon to be able to properly diagnose and treat patients with tibial nerve injuries. Read More

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January 2021

Implantable Neuromodulation Device in the Lower Limb: An Adjunctive Procedure in Patients with Continued Chronic Pain After Failed Revisional Microneurosurgical Procedure in a Nonreconstructable Zone of Injury.

Clin Podiatr Med Surg 2021 Jan 24;38(1S):e31-e43. Epub 2021 Nov 24.

CPME Postdoctoral Fellowship, Complex Deformity Correction & Limb Reconstruction, Adults & Pediatric Ilizarov Limb Deformity Correction; Peripheral Nerve Reconstructive Microsurgery; American Microsurgical Orthoplastic Society; Department of Surgery, AMITA Health - Saint Joseph Hospital Chicago, Laboure Outpatient Clinic, 2913 North Commonwealth Avenue, Chicago, IL 60657, USA.

Implantable peripheral nerve stimulators are used with the goal to decrease the neuropathic pain level and possibly the need for opioid analgesics. Peripheral nerve injuries and pathology must be thoroughly evaluated before implantation of neuromodulation devices. Ultrasound-guided nerve blocks and a peripheral nerve stimulator trial is performed before surgical implantation. Read More

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January 2021

An Updated Nerve Sparing Surgical Technique for Addressing Morton's Neuroma.

Clin Podiatr Med Surg 2021 Jan 18;38(1S):e24-e30. Epub 2021 Nov 18.

Peripheral Nerve Reconstructive Microsurgery, American Microsurgical Orthoplastic Society, Department of Surgery, Amita Saint Joseph Hospital, Laboure Outpatient Clinic, 2913 North Commonwealth Avenue, Chicago, IL 60657, USA.

Morton's neuroma is a common painful pathology that occurs in the plantar forefoot. Many treatment options exist and surgical management is used after conservative treatment options fail. While within the literature, there is a high success rate with primary neurectomy procedures, the risk of recurrence of symptoms or "stump neuromas" remains difficult to treat and can lead to debilitating pain. Read More

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January 2021

Utilization of Intraoperative Biphasic Waveform Nerve Stimulator for Performing Nerve Transfer for the Treatment of Drop Foot: Addendum to Evaluation and Treatment of Foot Drop Using Nerve Transfer Techniques.

Clin Podiatr Med Surg 2021 Jan 16;38(1S):e1-e6. Epub 2021 Jun 16.

Adults & Pediatric Ilizarov Limb Deformity Correction, Peripheral Nerve Reconstructive Microsurgery, American Microsurgical Orthoplastic Society, Department of Surgery, Amita Saint Joseph Hospital, Laboure Outpatient Clinic, 2913 North Commonwealth Avenue, Chicago, IL 60567, USA.

This article provides the surgeon with a detailed technique guide using an alternating current biphasic waveform intraoperative nerve stimulator, such as the Checkpoint surgical nerve stimulator. The Checkpoint surgical nerve stimulator is an intraoperative hand-held biphasic device that is essential when performing nerve transfer techniques for the treatment of drop foot. This specific device provides the surgeon safe, accurate, reproducible, and continuous stimulation without fatigue or a decreased response to the nerve. Read More

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January 2021

Review of Early Signs of Breast Implant Infection.

Aesthetic Plast Surg 2022 Jan 29. Epub 2022 Jan 29.

Plastic Surgery Division, Department of Surgery, John A. Burns School of Medicine, University of Hawaii, 1329 Lusitana Street, Suite 807, Honolulu, Hawaii, 96813, USA.

Background: Breast implant infection remains a problem despite various prevention methods. Common pathogens such as staphylococcus aureus typically present acutely with fever, erythema, swelling, and pain. However, with the increasing occurrence of mycobacterial infections, associated early signs and symptoms are typically absent, making early detection difficult. Read More

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January 2022

Risk Factors for Readmission After Same-Day Discharge Sleeve Gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database Analysis.

Obes Surg 2022 04 20;32(4):962-969. Epub 2022 Jan 20.

Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, Clinical Sciences Building, University of Illinois at Chicago, 840 S Wood Street, Suite 435 E, Chicago, IL, 60612, USA.

Background: Same-day discharge after sleeve gastrectomy (SG) is gaining popularity. We aimed to determine risk factors associated with readmission in patients who underwent same-day discharge SG.

Methods: We performed a retrospective analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database for the period 2015-2018. Read More

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A Blueprint for Success: A Multidisciplinary Approach to Clinical Operations Within a Bronchoscopy Suite.

Chest 2022 04 12;161(4):1112-1121. Epub 2021 Nov 12.

Respiratory Institute, Cleveland Clinic, Cleveland, OH.

Building an efficient facility for advanced bronchoscopic procedures involves many considerations. This review places particular emphasis on anesthesiology services, based on experience at a tertiary/quaternary care referral academic medical center. Topics include equipment requirements, applicable clinical standards, and multidisciplinary collaboration. Read More

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Therapeutic Endoscopy and the Esophagus: State of the Art and Future Directions.

Gastroenterol Clin North Am 2021 12 6;50(4):935-958. Epub 2021 Oct 6.

Division of Gastroenterology & Hepatology, Johns Hopkins Medicine, 4940 Eastern Avenue, A Building, 5th Floor, A-501, Baltimore, MD 21224, USA. Electronic address:

Therapeutic gastrointestinal endoscopy is rapidly evolving, and this evolution is quite apparent for esophageal diseases. Minimally invasive endoluminal therapy now allows outpatient treatment of many esophageal diseases that were traditionally managed surgically. In this review article, we explore the most exciting new developments. Read More

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December 2021

Outpatient labour induction.

Authors:
Chris Wilkinson

Best Pract Res Clin Obstet Gynaecol 2021 Nov 25;77:15-26. Epub 2021 Aug 25.

Women's and Children's Hospital, North Adelaide, 5006, South Australia, Australia; Robinson Institute, University of Adelaide, Adelaide, 5000, South Australia, Australia. Electronic address:

The inexorable rise in induction rates over the past two decades, in parallel with increasing medical costs and pressure to reduce length of stay, has led to marked logistic difficulties for health care workers, managers and planners. Maternity services are being overwhelmed by the need to allocate staff and delivery suite space for the scheduling and undertaking of induction processes, rather than focussing care for women in spontaneous labour. Induction of labour according to the majority of current protocols and guidelines necessitates increased length of stay and relatively aggressive use of oxytocin (to reduce the time expended in the labour ward from artificial rupture of membranes (AROM) to establishment of labour). Read More

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November 2021

Current State and Future of Infection Prevention in Endoscopy.

Authors:
Bret T Petersen

Gastrointest Endosc Clin N Am 2021 Oct 20;31(4):625-640. Epub 2021 Jul 20.

Division of Gastroenterology and Hepatology, Mayo Clinic, 201 1st Street Southwest, Rochester, MN 55905, USA. Electronic address:

Gastrointestinal (GI) endoscopy units tend to be busy environments in which numerous categories of staff provide moderately complex procedural care to high volumes of patients. The prevention of infections of both patients and staff is a never-ending endeavor for both inpatient and outpatient environments. Necessary considerations must address patient-to-staff, staff-to-patient, environmental, and device-related transmission of infection. Read More

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October 2021

Association of perioperative hypotension with subsequent greater healthcare resource utilization.

J Clin Anesth 2021 12 15;75:110516. Epub 2021 Sep 15.

Mayo Clinic, Department of Anesthesiology & Critical Care Medicine, 200 1st Street SW, Rochester, MN 55905, USA.

Study Objective: Determine if perioperative hypotension, a modifiable risk factor, is associated with increased postoperative healthcare resource utilization (HRU).

Design: Retrospective cohort study.

Setting: Multicenter using the Optum® electronic health record database. Read More

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December 2021

Regional anesthesia for nonunion surgery with iliac crest bone grafting results in an increase in same day discharge.

Eur J Orthop Surg Traumatol 2021 Aug 19. Epub 2021 Aug 19.

Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 E 17th St, Suite 1402, New York, NY, 10003, USA.

Introduction: The purpose of this study was to evaluate the outcomes of fracture nonunion repair with autogenous iliac crest bone graft (ICBG) under regional anesthesia alone or in combination with other techniques compared to other anesthesia techniques.

Materials And Methods: Overall, 137 patients were identified who underwent ICBG as part of a repair of a long bone fracture nonunion between January 1, 2013 and October 1, 2020. Surgical and anesthetic records were reviewed to classify patients by anesthesia type. Read More

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Perspective on morbidity and mortality of cervical surgery performed in outpatient/same day/ambulatory surgicenters versus inpatient facilities.

Authors:
Nancy Epstein

Surg Neurol Int 2021 12;12:349. Epub 2021 Jul 12.

Clinical Prof. of Neurosurgery, School of Medicine, State University of New York at Stony Brook, NY, and c/o Dr. Marc Aglulnick, 1122 Franklin Avenue Suite 106, Garden City, NY, USA.

Background: This is an updated analysis of the morbidity and mortality of cervical surgery performed in outpatient/same day (OSD) (Postoperative care unit [PACU] observation 4-6 h), and ambulatory surgicenters (ASC: PACU 23 h) versus inpatient facilities (IF).

Methods: We analyzed 19 predominantly level III (retrospective) and IV (case series) studies regarding the morbidity/mortality of cervical surgery performed in OSC/ASC versus IF.

Results: A "selection bias" clearly favored operating on younger/healthier patients to undergo cervical surgery in OSD/ASC centers resulting in better outcomes. Read More

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Most surgeons' daily elective lists in Florida comprise only 1 or 2 elective cases, making percent utilization unreliable for planning individual surgeons' block time.

J Clin Anesth 2021 12 16;75:110432. Epub 2021 Jul 16.

Perioperative Medicine & Pain Management, University of Miami, Miller School of Medicine, 1611 NW 12(th) Avenue, Central Building, Suite C300, Miami, Florida 33136, United States of America. Electronic address:

Study Objective: Operating room (OR) utilization has been shown in multiple studies to be an inappropriate metric for planning OR time for individual surgeons. Among surgeons with low daily caseloads, percentage utilization cannot be measured accurately because confidence limits are extremely wide. In Iowa, a largely rural state, most surgeons performed only 1 or 2 elective cases on their OR days. Read More

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December 2021

Establishing women's cancer care services in a fragile, conflict and violence affected ecosystem in Africa.

Ecancermedicalscience 2021 13;15:1231. Epub 2021 May 13.

Dikembe Mutombo Foundation, 400 Interstate N Pkwy, Suite 1040, Atlanta, GA 30339, USA.

Background: The majority of the world's poorest women (income < $1.90/day) reside in fragile, conflict and violence (FCV)-affected countries, like the Democratic Republic of the Congo. Health services in these settings have traditionally focused on immediate relief efforts, communicable diseases and malnutrition. Read More

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Low Risk of COVID-19 Infection Among Bronchoscopy Suite Personnel in a Hospital Without Preprocedural Outpatient Testing Mandate.

Chest 2021 10 8;160(4):1565-1567. Epub 2021 May 8.

Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL; Department of Medicine, University of Florida, Gainesville, FL. Electronic address:

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October 2021

A direct transcutaneous approach to infraorbital nerve biopsy.

Orbit 2022 Feb 6;41(1):130-137. Epub 2021 May 6.

Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa, USA.

Purpose: To describe a novel transcutaneous infraorbital nerve biopsy technique which can be performed to aid in the diagnosis of perineural invasion (PNI) of facial cutaneous squamous cell carcinoma (SCC).

Methods: A single-center retrospective chart review was performed. Patients diagnosed with SCC with PNI via an infraorbital nerve biopsy between February 2019 and February 2020 were included. Read More

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February 2022

Small Bowel Video Capsule Endoscope Retention Requiring Surgical Treatment: Detailed Analysis of Etiology and Outcomes in a Large Outpatient Cohort.

J Gastrointest Surg 2022 01 4;26(1):206-208. Epub 2021 May 4.

Gastrointestinal Associates, PC, 1311 Dowell Springs Blvd, Suite 300, Knoxville, TN, 37909, USA.

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January 2022

Safe Handling of Hazardous Drugs in Home Infusion.

J Infus Nurs 2021 May-Jun 01;44(3):137-146

Infusion Services, Seattle Cancer Care Alliance, Seattle, Washington (Mr Eisenberg); Cancer Treatment Centers of America, Philadelphia, and Community College of Philadelphia, Philadelphia, Pennsylvania (Ms Klein).

Chemotherapy agents used for cancer treatment are considered hazardous drugs (HDs). Guidelines and standards for handling HDs have been in place for several decades to protect oncology nurses working in hospitals and outpatient infusion areas. However, chemotherapy is frequently being administered in home settings, often by infusion nurses who do not necessarily have the requisite knowledge and training. Read More

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October 2021

Severity of sialorrhea and tracheal secretions in infants and toddlers with a tracheostomy with a focus on quality of life.

Am J Otolaryngol 2021 Nov-Dec;42(6):103074. Epub 2021 Apr 22.

Texas Children's Hospital, Department of Pediatric Otolaryngology, 6701 Fannin St, Suite 640, Houston, TX 77030, USA; Baylor College of Medicine, Department of Otolaryngology - Head and Neck Surgery, One Baylor Plaza Suite NA-102, Houston, TX 77030, USA. Electronic address:

Objective: Sialorrhea and tracheal secretions can be present in patients with a tracheostomy. The current study seeks to survey the severity of sialorrhea and tracheal secretions in infants and toddlers with a tracheostomy, and to correlate this severity with quality of life.

Methods: Prospective cross-sectional survey pilot study: 26 patients (ages 0. Read More

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January 2022

Risk of early complication following anterior vertebral body tethering for idiopathic scoliosis.

Spine Deform 2021 09 9;9(5):1419-1431. Epub 2021 Apr 9.

Division of Orthopaedic Surgery, Department of Surgery, IWK Health Center, 5850 University Avenue, PO Box 9700, Halifax, NS, B3K-6R8, Canada.

Purpose: The purpose of this study was to determine peri-operative morbidity associated with anterior vertebral body tethering (aVBT) for idiopathic scoliosis.

Method: Of 175 patients treated with aVBT, 120 patients had 2 year follow up and were included in this study. Prospectively collected clinical and radiographic data was analyzed retrospectively. Read More

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September 2021

Outpatient parathyroidectomy in the pediatric population: An 18-year experience.

J Pediatr Surg 2022 Mar 25;57(3):410-413. Epub 2021 Feb 25.

Department of Surgery, Division of Endocrine Surgery, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226 USA.

Background: Parathyroidectomy for primary hyperparathyroidism (pHPT) is safely performed in the outpatient setting in the adult population. However, concern that children and adolescents have higher complication rates and are unable to recognize and communicate symptoms of hypocalcemia has limited same-day discharges in the pediatric population.

Methods: Nineteen patients aged 8-18 years (14. Read More

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