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The need for regulation of office-based procedures

F A Hugh Bartholomeusz
Med J Aust 2012; 196 (8): . || doi: 10.5694/mja12.10410
Published online: 7 May 2012

Closing a regulatory gap to ensure patient safety in all surgical procedures

Health services are delivered in a variety of settings, including public and private hospitals, day surgeries and practitioner offices. Office-based surgery has been practised safely in the United States for many years,1 and has been embraced by surgical specialties such as otolaryngology,2 vascular surgery,3 general surgery including endoscopy, and plastic and reconstructive surgery including cosmetic procedures. However, unlike hospitals and day surgeries, office-based settings do not have regulations and quality controls in place to ensure that acceptable levels of care are implemented and monitored.


  • Tri Rhosen Cosmetic Centre, Brisbane, QLD.


Correspondence: hughb@bigpond.com.au

Competing interests:

I am an elected councillor of the Australian Society of Plastic Surgeons.

  • 1. Hancox JG, Venkat AP, Coldiron B, et al. The safety of office-based surgery: review of recent literature from several disciplines. Arch Dermatol 2004; 140: 1379-1382.
  • 2. Koufman JA. Introduction to office-based surgery in laryngology. Curr Opin Otolaryngol Head Neck Surg 2007; 15: 383-386.
  • 3. Patel N, Hingorani A, Ascher E. Office-based surgery for vascular surgeons. Perspect Vasc Surg Endovasc Ther 2008; 20: 326-330.
  • 4. Coldiron B, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg 2005; 31: 1079-1093.
  • 5. Hancox JG, Venkat AP, Hill A, et al. Why are there differences in the perceived safety of office-based surgery? Dermatol Surg 2004; 30: 1377-1379.
  • 6. Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. Arch Facial Plast Surg 2006; 8: 47-53.
  • 7. Yung KC, Courey MS. The effect of office-based flexible endoscopic surgery on hemodynamic stability. Laryngoscope 2010; 120: 2231-2236.
  • 8. Alghamdi KM, Alkhodair RA. Practical techniques to enhance the safety of health care workers in office-based surgery. J Cutan Med Surg 2011; 15: 48-54.
  • 9. Inter-jurisdictional Cosmetic Surgery Working Group of the Clinical, Technical and Ethical Principal Committee. Cosmetic medical and surgical procedures: a national framework. Final report. Sydney: Australian Health Ministers’ Advisory Council, 2011. http://www.health.nsw.gov.au/pubs/2012/cosmetic_surgery.html (accessed Feb 2012).
  • 10. American Association for Accreditation of Ambulatory Surgery Facilities International. International accreditation standards and checklist. http://www.ironworks.us.com/SFRWEB/PDFs%20Common/AAAASFI%20 Surgical%20Standards%20Manual.pdf (accessed Apr 2012).

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