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<p>The particular challenge for anesthesia in outpatient proctological procedures is the generally short duration of the procedure combined with the need for profound anesthesia due to the highly sensitive innervation of the surgical field. These requirements must be taken into account when selecting the procedure for anesthesia and the medications used for this purpose. The increasing trend toward outpatient care in the age of German hybrid diagnosis-related groups (DRG) encompasses almost the entire portfolio of proctological procedures, although the majority of these procedures were already performed on an outpatient basis. The potential of outpatient treatment was already postulated in 1986 [<CitationRef CitationID="CR24">24</CitationRef>].</p><p>A standardization of clinical treatment pathways is essential, particularly in the outpatient setting in order to enable optimal patient care in terms of a&#xa0;safe anesthesia procedure with as few side effects as possible, sufficient perioperative analgesia and a&#xa0;short length of stay as well as the optimization of perioperative process times. The combination of these requirements and the goal of fulfilling them is the key to the economic success of outpatient surgery for proctological procedures.</p>

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Besonderheiten der Anästhesie in der Proktologie

  • 期刊论文

  • 发表日期：

    2025年12月3日

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  • Volker Gebhardt,
  • Marc D. Schmittner

摘要

The particular challenge for anesthesia in outpatient proctological procedures is the generally short duration of the procedure combined with the need for profound anesthesia due to the highly sensitive innervation of the surgical field. These requirements must be taken into account when selecting the procedure for anesthesia and the medications used for this purpose. The increasing trend toward outpatient care in the age of German hybrid diagnosis-related groups (DRG) encompasses almost the entire portfolio of proctological procedures, although the majority of these procedures were already performed on an outpatient basis. The potential of outpatient treatment was already postulated in 1986 [24].

A standardization of clinical treatment pathways is essential, particularly in the outpatient setting in order to enable optimal patient care in terms of a safe anesthesia procedure with as few side effects as possible, sufficient perioperative analgesia and a short length of stay as well as the optimization of perioperative process times. The combination of these requirements and the goal of fulfilling them is the key to the economic success of outpatient surgery for proctological procedures.