[Promote ambulatory surgery in France in 2013: a cohort analysis].
OBJECTIVE
Study feasibility of outpatient management for gynaecologic surgery.


METHODS
Monocentric cohort analysis to study outpatient management in a gynaecologic department from January 2010 to December 2011. Number of second hospitalization in the month following ambulatory care was collected.


RESULTS
Two thousand eight hundred and three interventions were performed including 1425 (51%) in outpatient management. Four women had a second hospitalization in the month following ambulatory care and none of them had a second surgery. For gynaecologic "tracer act", that required an 80% rate of outpatient management in France (operative hysteroscopy, conisation and breast tumorectomy), the rate of outpatient management was 86%.


CONCLUSIONS
Outpatient care is feasible in gynaecologic surgery and objective of an 80% rate of ambulatory care for some specific gynaecologic interventions is reasonable without additional risk. A large outpatient management is feasible keeping in mind that it is women that are concern with ambulatory care and not interventions. Choosing an outpatient care is based on the risk-benefit balance.
Service de gynécologie obstétrique, hôpital Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France; Inserm, CESP, U1018, 94276 Le Kremlin-Bicêtre, France; Université Paris-Sud, 94275 Le Kremlin-Bicêtre cedex, France. Electronic address: perrine.capmas@bct.aphp.fr.
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P
Capmas
Service de gynécologie obstétrique, hôpital Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France; CNRS UMR 7647, École polytechnique, 91120 Palaiseau, France.
A
A
Nazac
Service de gynécologie obstétrique, hôpital Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.
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C
Jennequin
Service de gynécologie obstétrique, hôpital Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France; Inserm, CESP, U1018, 94276 Le Kremlin-Bicêtre, France; Université Paris-Sud, 94275 Le Kremlin-Bicêtre cedex, France.
H
H
Fernandez
D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data; D001943:Breast Neoplasms / Q000601:surgery; D015331:Cohort Studies; D019092:Conization; D005260:Female; D005602:France; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D015907:Hysteroscopy; D012086:Reoperation; D018570:Risk Assessment
Acte traceur; Ambulatory surgery; Chirurgie ambulatoire; Chirurgie gynécologique; Cohort; Cohorte; Gynecologic surgery; Traceur act