[Possibilities and limits of ambulatory operations in vascular surgery: demands and reality].
The requirements for day-case a-v fistula surgery are an effective out-patient clinic, adequate surgical and anaesthesiological equipment and a thorough patient selection for the planned operation. For surgical reasons, only 87 cases (8.1%) out of the 1068 a-v fistula operations carried out had to be admitted to a ward. Nevertheless 35% of the patients were on a ward at the time of the operation for medical reasons. In case of an ideal co laboration between nephrologists and surgeons there should not be more than 10-25% of the dialysis patients in hospital at the time of a-v fistula surgery depending on the severity of their disease and the planned operation.
Zanea-Wangler
E
E
Gefässchirurgische Klinik, St. Johannes-Hospital, An der Abtei 7-11, 47166 Duisburg.
Müller-Wiefel
H
H
D000556:Ambulatory Surgical Procedures / Q000639:trends*; D001164:Arteriovenous Fistula; D005544:Forecasting; D005858:Germany; D010043:Outcome and Process Assessment, Health Care; D018579:Patient Selection; D006435:Renal Dialysis; D014656:Vascular Surgical Procedures / Q000639:trends*