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Previous Volume 339:413-414 August 6, 1998 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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By Bruce David Schirmer and David William Rattner. 545 pp., illustrated. Philadelphia, W.B. Saunders, 1998. $95. ISBN 0-7216-5889-X.

In the past decade there has been explosive growth in the use of ambulatory surgery, stimulated by the development of noninvasive surgical techniques, such as endoscopy and laser surgery, and short-acting anesthetic agents with few side effects, such as propofol, and by the emphasis on cost containment. Currently, more than 50 percent of surgical procedures are performed on an ambulatory basis. This trend has resulted in the movement of surgery out of the hospital to free-standing ambulatory surgery units or medical offices, where the participation of physicians in planning, staffing, and equipment decisions and in the development of practice standards . . . [Full Text of this Article]

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