Surgery volume in ambulatory surgery centers (ASCs) has increased markedly in recent decades, especially for plastic and reconstructive surgical procedures. Cosmetic procedure complication rates range from 0.33% to 1.9% at ASCs.1 State regulatory bodies have sought to limit procedure length at ASCs, citing the rationale that longer procedure duration may be associated with increased complication rates. In the United States, there are state-specific regulatory policies for ASCs. Pennsylvania limits surgery length to 4 hours, and Connecticut limits surgery length to 1.5 hours with a 4-hour recovery time. In 2009, an evidence-based safety advisory on patient selection and ambulatory surgery from the American Society of Plastic Surgery recommended a 6-hour maximum surgery length at ASCs.2
Loyo M, Butts SC, Khan S, et al. Assessment of Duration of Facial Plastic Ambulatory Surgery and Risk of Complications: A Systematic Review. JAMA Facial Plast Surg. Published online November 21, 201821(2):167–168. doi:10.1001/jamafacial.2018.1636
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