Clinics in Colon and Rectal Surgery 2016; 29(01): 007-013
DOI: 10.1055/s-0035-1570023
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Perioperative Management of the Ambulatory Anorectal Surgery Patient

Darcy Shaw
1  Colon and Rectal Surgery Inc., Omaha, Nebraska
,
Charles A. Ternent
2  Department of Surgery, Section of Colon and Rectal Surgery, Creighton University School of Medicine, Omaha, Nebraska
3  Department of Surgery, Department of Surgery, University of Nebraska College of Medicine, Omaha, Nebraska
› Author Affiliations
Further Information

Publication History

Publication Date:
16 February 2016 (online)

Abstract

Ambulatory surgery is appropriate for most anorectal pathology. Ambulatory anorectal surgery can be performed at reduced cost compared with inpatient procedures with excellent safety, improved efficiency, and high levels of patient satisfaction. Several perioperative strategies are employed to control pain and avoid urinary retention, including the use of a multimodal pain regimen and restriction of intravenous fluids. Ambulatory anorectal surgery often utilizes standardized order sets and discharge instructions.