Safety of ambulatory surgery

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

“…28 A study undertaken at the Mayo Clinic, in which the outcomes of 38,598 ambulatory surgery procedures were collated, reported that no medically related mortalities were recorded within 1 week postprocedure, and even when adjusting for age and gender, the incidence of myocardial infarction (1 in 3,220) and pulmonary embolism (1 in 9,018) in this patient group was lower than that seen for hospital-based procedures (also compare with Tables 1 and 2) and was actually even lower than that for the nonsurgical population. 27,29 This interesting latter statistic is further supported by other data showing that the incidence of cardiac arrest in the physician's office is lower than that on the golf course or in the gymnasium. 30 Even though there were sensationalized media reports claiming that death and complications were more prevalent in office facilities, the Florida Agency for Health Care Administration, code 15, reporting physician office adverse incidents for 2000, showed that, notwithstanding a higher than national average rate of deaths and complications in office facilities (according to a popular press report 31 ), the mortality incidence in hospitals within the state was even higher than that seen in surgical facilities throughout the state over the first 6 months of 2000.…”

“…24 Studies conducted from the early years of this century until the early 1990s indicate that surgical wound infections, a major complication post-cosmetic surgery, are much more frequently seen in hospital settings than in the office. [25][26][27] A survey study by the American Association for Accreditation of Ambulatory Surgery Facilities, completed by 241 accredited facilities, reported that of 400,675 office-based operative procedures performed over a 5-year period by board-certified plastic surgeons, the mortality rate was as low as 1 in 57,000, with significant complications (hematoma, hypertensive episode, wound infection, sepsis, hypotension) also being infrequent, occurring in 1 in 213 cases. 28 A study undertaken at the Mayo Clinic, in which the outcomes of 38,598 ambulatory surgery procedures were collated, reported that no medically related mortalities were recorded within 1 week postprocedure, and even when adjusting for age and gender, the incidence of myocardial infarction (1 in 3,220) and pulmonary embolism (1 in 9,018) in this patient group was lower than that seen for hospital-based procedures (also compare with Tables 1 and 2) and was actually even lower than that for the nonsurgical population.…”

Ürün Kira Sözleşmesinde Kiracının Kullanma ve İşletme Yükümlülüğü

“…Kiracı ürün kirası ile aktif bir rol üstlendiği için kazanç elde edebilme ya da kazancını arttırmak için işletme yükümlülüğünü şartlarına uygun olarak yerine getirir 126 . Kiralananın işletilme süresi boyunca içindeki araçların, makinaların, teknik cihazların ve donanımların ve hayvan ile bitkilerin korunması, ürün verebilme kabiliyetlerinin sürdürülebilirliği sağlanmalı ve cevherler iyi muhafaza edilmelidir 127 . Bu ekonomik hayatın içinde var olabilmek adına gelişmeler karşısında öngörülebilir riskler ortadan kaldırılmalıdır.…”

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

“…Recent data clearly demonstrate that cosmetic surgery in accredited surgical center office facilities carries much lower rates of complications and mortality than surgeries conducted in hospitals 24 . Studies conducted from the early years of this century until the early 1990s indicate that surgical wound infections, a major complication post–cosmetic surgery, are much more frequently seen in hospital settings than in the office 25–27 . A survey study by the American Association for Accreditation of Ambulatory Surgery Facilities, completed by 241 accredited facilities, reported that of 400,675 office‐based operative procedures performed over a 5‐year period by board‐certified plastic surgeons, the mortality rate was as low as 1 in 57,000, with significant complications (hematoma, hypertensive episode, wound infection, sepsis, hypotension) also being infrequent, occurring in 1 in 213 cases 28 .…”

“…A survey study by the American Association for Accreditation of Ambulatory Surgery Facilities, completed by 241 accredited facilities, reported that of 400,675 office‐based operative procedures performed over a 5‐year period by board‐certified plastic surgeons, the mortality rate was as low as 1 in 57,000, with significant complications (hematoma, hypertensive episode, wound infection, sepsis, hypotension) also being infrequent, occurring in 1 in 213 cases 28 . A study undertaken at the Mayo Clinic, in which the outcomes of 38,598 ambulatory surgery procedures were collated, reported that no medically related mortalities were recorded within 1 week postprocedure, and even when adjusting for age and gender, the incidence of myocardial infarction (1 in 3,220) and pulmonary embolism (1 in 9,018) in this patient group was lower than that seen for hospital‐based procedures (also compare with Tables 1 and 2) and was actually even lower than that for the nonsurgical population 27,29 . This interesting latter statistic is further supported by other data showing that the incidence of cardiac arrest in the physician's office is lower than that on the golf course or in the gymnasium 30…”