Abstract

In the past decade there has been a significant increase in the number of patients undergoing ambulatory surgery. In this era of cost containment, it is estimated that up to 70% of all elective procedures may eventually be performed in ambulatory settings. The development of new and sophisticated technology in medicine and surgery permits safer ambulatory surgery for sicker patients. Advances in anesthesia and drug delivery systems have contributed to the positive outcomes and tremendous growth in ambulatory surgery. The recent introduction of anesthetic agents with ephemeral effects and the development of the laryngeal mask airway have specific places in ambulatory anorectal surgery. Patients undergoing most anorectal procedures should now expect to go home on the same day.

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