title: [Reduction mammaplasty in ambulatory: A prospective study of feasibility].
abstract: OBJECTIVE
  The French Ministry of Health and its regional agencies decided on December 27th, 2010 to develop the ambulatory surgery in the purpose to eliminate 48,000 beds of surgery in France. This evolution, which results from Anglo-Saxon countries, is inevitable in front of the financial deficit of our health insurance. Like the Canadian plastic surgeons, who were forced to it for 7 years, we wanted to study the feasibility of an ambulatory care of the reduction mammaplasties in a hospitalo-university department.
  
  
  METHODS
  Between January and June, 2012, 25 patients, of less than 65 years old, were operated for a reduction mammaplasty scheduled in ambulatory. None presented particular anesthetic risk. All lived unless 1h of the hospital, went out accompanied, were revised the day after the intervention, then in a usual way. Our criterias of evaluation were the following ones: global satisfaction of the care in ambulatory, weight of glandular resection, postoperative complications, rate of readmission.
  
  
  RESULTS
  The average age of the patients was 32 years (19-56 years). The average weight of resection was 400g by breast (140-1000g). Twenty patients went out on evening (80%). Among them, 19 (95%) expressed their satisfaction and would accept again this intervention in ambulatory. No major complication arose in this series. Five other patients saw their release repelled by the anaesthetists for the following motives: score of Aldrete lower than 9, pain not relieved by the analgesic (I or II), nausea and uncontrollable vomitings.
  
  
  CONCLUSIONS
  This first clinical study realized in France, confirms that when certain conditions are filled, the reduction mammaplasty can be realized in ambulatory with complete safety. The rate of satisfaction shows a very strong support of the patients for the ambulatory care.
authors.affiliation: Service de chirurgie plastique et reconstructrice, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France. marcguibert@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: Guibert
authors.forename: C
authors.initials: C
authors.lastname: Ozil
authors.forename: V
authors.initials: V
authors.lastname: Masson
authors.forename: J
authors.initials: J
authors.lastname: Rausky
authors.forename: M
authors.initials: M
authors.lastname: Revol
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000191:economics / Q000379:methods*; D017046:Cost Savings; D005240:Feasibility Studies; D005260:Female; D005602:France; D006801:Humans; D016462:Mammaplasty / Q000191:economics / Q000379:methods*; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics; D017060:Patient Satisfaction; D011446:Prospective Studies; D055815:Young Adult