Although ambulatory mastectomies are by no means for every patient, experience has shown that some patients and physicians, properly educated, are comfortable with them. We know of no studies that show how lengthy stays improve healthy outcomes of mastectomies, or how short stays worsen them. In uncomplicated cases, hospitals offer no advantage over ambulatory support. Ahead of time, the procedure must be carefully discussed, questions answered, and concerns addressed. It is important to evaluate cases individually and train the patient in advance for specific postsurgery home care.
Some women are particularly concerned about infection.
In our experience, physicians deal well with that prior to surgery. But if a woman remains uncomfortable with the idea of self-care, a home nursing visit should be scheduled. A stay in the hospital does not necessarily mean better support. A woman at home is in more familiar surroundings, with family or friends who can help and support her. Although large, detailed outcome studies don't exist for ambulatory mastectomies, health plans and physician groups show no increase in readmission rates from complications.