To the Editor.—In February, Saltzstein et al (Arch Surg 108:143, 1974) presented the case for doing more surgery on an ambulatory, nonadmission basis, and the editorial by Chester B. Rosoff, MD (Arch Surg 108:141, 1974), urged that further steps be taken in that direction.
Such a further step is possible and practical in those simpler cases not involving general anesthesia; they often can be done in a physician's office with a minimum of personnel, equipment, time, or effort. Where exposure is easy, blood loss negligible, and nothing shocking done, the only possible criticism to simplified office surgery is that one might expect to have a high incidence of infection. Therefore, I reviewed 100 of my office surgery patients, involving 117 procedures, and found only one definite infection, a stitch abscess, and a couple of suspected ones that responded to warm soaks. Procedures included ganglion cysts of the wrist, vasectomies,