Ambulatory Surgery

Section I: History of Ambulatory Surgery. Section II: Economics of Ambulatory Surgery: Economic Incentives and Cost Effectiveness. Determining Need for Ambulatory Facility. Reimbursement Issues. Integration of the Ambulatory Surgery Center to a Health Care System. Section III: Standards for the Ambulatory Surgery Center: Quality Issue in Ambulatory Care. Credentialing Issues. Outcome Studies. Preoperative Assessment and Discharge Assessment Criteria. Universal Precautions. Section IV: Components of the Ambulatory Surgery Center: Role of the Medical Director in the Ambulatory Surgery Center. Modern Technology in the Ambulatory Surgery Center. Administration of the Ambulatory Surgical Unit. Section V: Anesthesia for Ambulatory Surgery: Agents for General Anesthesia. Conscious Sedation. Local and Regional Anesthesia. Managing the Pediatric Patient. Managing the Laparoscopic Patient. Postoperative Monitoring and Evaluation. Section VI: Procedures and Techniques for Ambulatory Surgery: Basic General Surgery: Head and Neck Problems. Lymph Node Biopsy. Breast. Hernias: Traditional Approach. Hernias: Prosthetic Material Repair. Cholecystectomy: Mini-Laparotomy. Laparoscopic Surgery: Special Considerations for Performing Laparoscopic Surgery: Personnel, Equipment and Costs. Laparoscopic Cholecystectomy. Laparoscopy for Acute Abdominal Pain and the Acute Abdomen. Laparoscopyfor Chronic Abdominal Pain. Laparoscopic Treatment of Gynecologic Emergencies. Vascular Surgery: Venous Access Procedures. Venous Diseases. Plastic Surgery: Surgical Management of Difficult Wounds. Excisional Biopsy of Skin Tumors. Subcutaneous Nodules. Colorectal Surgery: Perianal Disease. Hemorrhoids. Pilonidal Cysts and Sinuses. Transanal Excision: Traditional Approach. Endoscopic Surgery: Transanal Excision: Endoscopic Microsurgical Technique. Special Considerations for Therapeutic Upper Endoscopy. Special Considerations for Bronchoscopy. Special Considerations for Pediatric Endoscopy. The Use of Lasers in Endoscopic Surgery. Pediatric Surgery: Pediatric Hernias and Hydroceles. Special Considerations for Outpatient Surgery.