Safety of a freestanding surgical unit for the assisted reproductive technologies
| Autor: | Irwin E. Thompson, Michael M. Alper, Merle J. Berger, Selwyn P. Oskowitz, Linda Mullen, Michael Smalky |
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| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
Assisted reproductive technology medicine.diagnostic_test business.industry Hospitalized patients medicine.medical_treatment General surgery Outcome measures Obstetrics and Gynecology Reproductive technology Surgical procedures Surgery Reproductive Medicine Medicine Gamete intrafallopian transfer business Laparoscopy Prospective cohort study |
| Zdroj: | Fertility and Sterility. 63:874-879 |
| ISSN: | 0015-0282 |
| DOI: | 10.1016/s0015-0282(16)57496-2 |
| Popis: | Objective To determine the safety of a freestanding surgical unit for assisted reproductive technology (ART), using the rate of unplanned admissions to a hospital within 24 hours of surgery. Design Prospective. Setting A freestanding surgical unit within a medical office building. Patients A mixture of private and university-referred patients undergoing 6,776 ART surgical procedures. Main Outcome Measures Patients admitted during the first 24 hours of surgery were recorded and hospital progress was monitored for invasive procedures, treatments, time of discharge, and residual complications. Variables tabulated included age, fertility diagnosis, ART procedure, E 2 level, number of follicles by ultrasound, previous surgery, and type of anesthesia. Results There were 11 hospital admissions (0.16%). Four patients required surgery: one laparoscopy and three laparotomies. Admissions after vaginal oocyte retrieval were no different from those after GIFT via laparoscopy, 0.16% versus 0.18%, respectively. The number of admissions after monitored anesthesia care was higher than expected compared with general anesthesia. Profiles of hospitalized patients showed no apparent differences from the nonhospitalized patients. Conclusions Surgical procedures for ART performed in a freestanding surgical unit can be performed safely with a low hospitalization rate and minimal morbidity |
| Databáze: | OpenAIRE |
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