Ambulatory Surgery

In the context of surgery, the term "ambulatory" refers to the fact that patients can leave the hospital the same day as the procedure.

What Is An Ambulatory Surgery ?

Ambulatory surgery is a mode of care that allows you to shorten your hospitalization to a single day for a surgical procedure. You come back in the morning to be operated on the same day and leave in the evening. This type of surgery is performed with the patient's agreement and under certain conditions, taking into account the type of surgery performed, the patient's living conditions (presence of a companion) and the organization of the surgical services.

Interventions Concerned

These are interventions with low risks of complications:

  • Cataract surgery
  • Dental extraction(s)
  • Varicose vein surgery
  • Arthroscopies
  • Hernia surgery
  • Gallbladder removal
  • Certain gynecological interventions
  • Knee ligament treatment
  • etc.

Patients Concerned

Ambulatory surgery concerns all patients, except the most fragile ones like:

  • Patient less than 1 year old
  • Patient with several diseases, especially if they are not well stabilized (complicated and very poorly balanced diabetes, severe heart failure, severe renal failure or dialysis... )
  • Patient who does not understand the French language or who has cognitive problems that make it difficult to follow prescriptions at home
  • Patient with very precarious housing conditions (not compatible with good hygiene for care)
  • Patient who has no family or friends who can help him/her (accompany him/her home, stay with him/her the first night, etc.)
  • Patient who has no means of communication to contact the hospital in case of a problem.

Day of Surgery: What to Expect

Outpatient surgery is as safe as, or even safer than, conventional inpatient surgery. This is due to the fact that it involves an impeccable organization of the care team, based on risk management, control of the postoperative period and patient information. During the pre-operative consultation, you will be informed of the surgical follow-up and of any complications that may arise.

During your day of hospitalization, you will go through an "ambulatory course" that health professionals accompany step by step:

  1. Reception
  2. Pre-operative consultation
  3. Passage to the operating room for the operation
  4. Passage to the recovery room for monitoring
  5. Return to the hospitalization unit for rehabilitation (getting back on your feet to be able to go home)
  6. Information and handing over of documents for the town medicine (general practitioner and specialist, liberal nurses)

When you leave in the evening, you will be able to walk, you will not have nausea and your pain will be controlled. Only 2% of patients are hospitalized for the night in case of unforeseen events (bleeding, incomplete recovery from anesthesia...).

Benefits

Many evaluations show the benefits of ambulatory surgery, including a high satisfaction rate (often over 90%) of the patient and his family, as well as health professionals. In addition:

  • Ambulatory surgery reduces the risk of healthcare-associated infections and phlebitis, as these increase with the length of hospitalization
  • Efficiency gains in the organization of surgical services
  • Convenience: Recovering at home generally facilitates convalescence compared to a hospital stay

Less stress: In most cases, ambulatory surgery is less stressful than hospital-based surgery. This is especially true for children who are afraid to be away from home. Most people prefer to recover at home rather than in the hospital.

Bénéfices


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More than 1 in 3 surgical patients has complications


About 38% of adult patients suffer an adverse event during or following their surgery, researchers reported Wednesday in the BMJ.

Nearly half of these complications result in serious, life-threatening or fatal harm, results showed.

60% of the complications were potentially preventable and 21% were definitely or probably preventable, researchers report.

"More than 1 in 3 surgical patients has complications

study finds, and many are the result of medical errors.
—CNN Health


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"About 38% of adult patients suffer an adverse event

About 38% of adult patients suffer an adverse event during or following their surgery, researchers reported in the BMJ.

Link →

"2 in 100 people who have surgery develop a surgical site infection

The U.S. CDC estimates 1 to 3 in 100 people who have surgery develop a surgical site infection.


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"More than half of open-heart-surgery patients receive blood transfusions

But two new studies suggest that many of the transfusions provide little benefit.


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"Preoperative evaluation visit is associated with decreased risk of postoperative mortality

Anesthesiologists are well equipped to design and oversee the preoperative patient preparation process.

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Information

Frequently Asked Questions

1. Who's behind Hoopcare?
Hoopcare is a telehealth service dedicated to preparing patients for surgery. Our team consists of world-class clinicians, including Richard Boyer, MD, PhD, who serves as our Chief Medical Officer and is affiliated with Weill Cornell Medicine. Our team has trained and supervised over 100 licensed clinicians to ensure you receive first-class preparation and optimization for your surgery. You can also find us on Zocdoc.
2. I need a physical examination, how does it work?
If you require a physical examination, Hoopcare will send you a telehealth pack. After scheduling your surgery, complete our online pre-surgery assessment to determine if you can receive your surgical clearance or if you need further preparation.
3. Can you tell me more about the Health Monitoring Surgery Box?
Certainly! Our innovative Health Monitoring Surgery Box is a comprehensive health management solution. It's designed to provide you with the tools needed to monitor your health accurately. This kit is not just a product but a commitment to your optimal evaluation and monitoring. Please note that all medical equipment is loaned, and we provide a free return shipping label.
4. Is Hoopcare legitimate? Will the letter will be accepted?
Absolutely! Hoopcare is a trusted telehealth service with a primary focus on pre-surgery checkups and clearances. Our Chief Medical Officer, Richard Boyer, MD, PhD, is affiliated with Weill Cornell Medicine. Additionally, we have received over 123 Google reviews with an average rating of 4.8, showcasing our commitment to excellence and patient satisfaction.
5. Are there any limitations for outpatient surgery?
While the website doesn't specify all the limitations, it's common for outpatient surgeries to have certain restrictions, such as high BMI or the complexity of the surgery. It's always best to consult with our expert clinicians to determine if you're a suitable candidate for outpatient surgery.
6. My surgeon requested an EKG, how do I proceed?
If your surgeon has requested an EKG or any other tests, Hoopcare can assist. We provide at-home EKG services, among other tests, to ensure you're fully prepared for your surgery.
7. I need to send documents, how do I do that?
You can send your documents to docsend@hoopcare.com or upload them directly in the Hoopcare application for a seamless experience.
8. Are the costs of labs and other paraclinical examinations included?
No, the costs for labs and other ancillary services, such as medical equipment, are not included in our pricing. However, these costs are usually covered by most healthcare plans.
9. How do you determine if I can have a fast track clearance in less than 48 hours?
Fast track clearance in less than 48 hours is determined based on your health assessment and risk factors. If you don't require a physical examination and are deemed a low-risk patient, you might be eligible for this expedited service.