<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992016000200067</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Egreso seguro en cirugía mayor ambulatoria: 2,886 pacientes]]></article-title>
<article-title xml:lang="en"><![CDATA[Safe discharge in an ambulatory surgery unit: 2886 patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paipilla Monroy]]></surname>
<given-names><![CDATA[Omar Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Green Solís]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero Mejía]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad de Especialidades Médicas de Baja California  ]]></institution>
<addr-line><![CDATA[Tijuana ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<fpage>67</fpage>
<lpage>71</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000200067&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: En las últimas décadas, han ocurrido cambios en los servicios de salud, destacando la inclusión de la cirugía mayor ambulatoria. Esta modalidad de atención se acompaña de varios beneficios: altera en grado mínimo el modo de vida del paciente y sus familiares, el enfermo recibe atención más personal, su ansiedad se atenúa, los costos se reducen, entre otros.  Objetivo: Valorar un instrumento (hoja de control) que permita el egreso seguro del paciente o que señale si debe ser trasladado a otra unidad.  Material y métodos: Estudio prospectivo en la Unidad de Especialidades Médicas de Tijuana, Baja California, del 1o de agosto de 2007 al 31 de diciembre de 2009. Se consideraron las personas que aceptaron la cirugía mayor ambulatoria y que cumplieron los criterios que señala la Norma Oficial Mexicana NOM-205-SSA1-2002. Se usó una hoja de valoración, diseñada para calificar el egreso seguro del paciente.  Resultados: Fueron incluidos 2,886 pacientes, 1,908 mujeres y 978 hombres. En los procedimientos quirúrgicos predominaron la colecistectomía laparoscópica (754 casos) y las resecciones/biopsias de tumores de tejidos blandos (505 casos). El 11.6% de los pacientes presentó enfermedad concomitante, siendo la hipertensión arterial y la diabetes mellitus las de mayor frecuencia. El 44% de los pacientes egresó entre la primera y la cuarta hora de su ingreso al área de recuperación, el 36% egresó entre la cuarta y la octava hora, y sólo el 20% requirió más de ocho horas para egresar. No hubo defunciones. Veintinueve pacientes requirieron traslado al hospital.  Conclusión: Los resultados son satisfactorios. Con el empleo de una hoja de control de datos en el postoperatorio inmediato se pudo calificar de manera segura a los pacientes que pueden ser egresados pocas horas después de la cirugía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  In the last decades, there have been changes in health services, standing out the inclusion of ambulatory major surgery. This mode of care is accompanied by several benefits: it minimally alters the way of life of the patient and his relatives, the patient receives more personal attention, his anxiety is attenuated, costs are reduced, among others.  Objective:  To evaluate an instrument (control sheet) that allows the safe discharge of the patient or to indicate if it should be transferred to another unit.  Material and methods:  Prospective study at the Medical Specialties Unit of Tijuana, Baja California, from August 1, 2007 to December 31, 2009. The individuals who accepted the ambulatory major surgery and who met the criteria set forth in Official Mexican Standard NOM-205- SSA1-2002 were considered. A score sheet, designed to rate the patient&#8217;s safe discharge, was used.  Results: 2,886 patients, 1,908 women and 978 men were included. In the surgical procedures, predominated laparoscopic cholecystectomy (754 cases) and resections/biopsies of soft tissue tumors (505 cases). 11.6% of the patients presented concomitant disease, with hypertension and diabetes mellitus being the most frequent. 34% of the patients were released between the first and fourth hours of admission to the recovery area, 36% were released between the fourth and eighth hours, and only 20% required more than eight hours to be released. There were no deaths. Twenty-nine patients required transfer to the hospital.  Conclusion:  The results are satisfactory. With the use of a data control sheet in the immediate postoperative period, it was possible to safely rate patients who may be discharged within a few hours after surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía mayor ambulatoria]]></kwd>
<kwd lng="es"><![CDATA[egreso seguro]]></kwd>
<kwd lng="es"><![CDATA[evaluación postoperatoria]]></kwd>
<kwd lng="en"><![CDATA[Major ambulatory surgery]]></kwd>
<kwd lng="en"><![CDATA[secure discharge]]></kwd>
<kwd lng="en"><![CDATA[postoperative evaluation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarado]]></surname>
<given-names><![CDATA[GFJ]]></given-names>
</name>
<name>
<surname><![CDATA[Vega]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
</person-group>
<source><![CDATA[La cirugía ambulatoria, una opción para mejorar la calidad de la atención. Experiencia de 15 años. Revista de Especialidades Médico-Quirúrgicas]]></source>
<year>2006</year>
<volume>11</volume>
<page-range>34-7</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Instituto de Seguridad Social y Servicios Sociales de los Trabajadores del Estado]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>Comité de elaboración de Guías de Práctica Clínica</collab>
<source><![CDATA[Guía de Práctica Clínica. Cirugía mayor ambulatoria]]></source>
<year>2014</year>
<publisher-loc><![CDATA[México, DF ]]></publisher-loc>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía AC]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<source><![CDATA[Decreto del Ejecutivo por el cual se aprueba la Creación de la Unidad de Especialidades Médicas de Baja California]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Mexicali, Baja California ]]></publisher-loc>
<publisher-name><![CDATA[Periódico Oficial del Estado de Baja California, Tomo CXII]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<collab>American Society of Anesthesiologists</collab>
<article-title xml:lang=""><![CDATA[Practice guidelines for postanesthetic care. A report by the American Society of Anesthesiologists Task Force on postanesthetic care]]></article-title>
<source><![CDATA[Anesthesiology]]></source>
<year>2002</year>
<volume>96</volume>
<page-range>742-52</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kehlet]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fast track surgery: realidades y dificultades]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2006</year>
<volume>80</volume>
<page-range>187-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guzmán]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
</person-group>
<source><![CDATA[Unidades de Cirugía Ambulatoria. Curso de postgrado 1. 38.o Congreso Internacional de Cirugía General]]></source>
<year>2014</year>
<page-range>44</page-range><publisher-loc><![CDATA[León, Gto., Mex ]]></publisher-loc>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Norma Oficial Mexicana NOM-205-SSA 1-2002. Para la práctica de la cirugía ambulatoria mayor]]></article-title>
<source><![CDATA[Diario Oficial de la Federación]]></source>
<year>2004</year>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schaefer]]></surname>
<given-names><![CDATA[MK1]]></given-names>
</name>
<name>
<surname><![CDATA[Jhung]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dahl]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Schillie]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Simpson]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Llata]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infection control assessment of ambulatory surgical centers]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2010</year>
<volume>303</volume>
<page-range>2273-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acevedo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[León]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ambulatory hernia surgery under local anesthesia is feasible and safe in obese patients]]></article-title>
<source><![CDATA[Hernia]]></source>
<year>2010</year>
<volume>14</volume>
<page-range>57-62</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chung]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Assmann]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Car accidents after ambulatory surgery in patients without an escort]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2008</year>
<volume>106</volume>
<page-range>817-20</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bueno]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Granero]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Gomez]]></surname>
<given-names><![CDATA[IG]]></given-names>
</name>
<name>
<surname><![CDATA[Ibañez]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Twenty-five years of ambulatory laparoscopic cholecystectomy]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2016</year>
<volume>94</volume>
<page-range>429-41</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Al-Omani]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Almodhaiberi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Ali]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Alballa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alsowaina]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Alhasan]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feasibility and safety of day-surgery laparoscopic cholecystectomy: a single-institution 5-year experience of 1140 cases]]></article-title>
<source><![CDATA[Korean J Hepatobiliary Pancreat Surg]]></source>
<year>2015</year>
<volume>19</volume>
<page-range>109-12</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[EY]]></given-names>
</name>
<name>
<surname><![CDATA[Cifuentes]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tiroidectomía ambulatoria: análisis de minimización de costos en Colombia]]></article-title>
<source><![CDATA[Rev Colomb Cir]]></source>
<year>2014</year>
<volume>29</volume>
<page-range>319-26</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
