Feasibility and safety of outpatient total laparoscopic hysterectomy

JSLS : Journal of the Society of Laparoendoscopic Surgeons
Sarah Maheux-LacroixPhilippe Y Laberge

Abstract

Ambulatory total laparoscopic hysterectomy (TLH) could lead to significant cost savings, but some fear the effects of what could be premature postsurgical discharge. We sought to estimate the feasibility and safety of TLH as an outpatient procedure for benign gynecologic conditions. We report a prospective, consecutive case series of 128 outpatient TLHs performed for benign gynecologic conditions in a tertiary care center. Of the 295 women scheduled for a TLH, 151 (51%) were attempted as an outpatient procedure. A total of 128 women (85%) were actually discharged home the day of their surgery. The most common reasons for admission the same day were urinary retention (19%) and nausea (15%). Indications for hysterectomy were mainly leiomyomas (62%), menorrhagia (24%), and pelvic pain (9%). Endometriosis and adhesions were found in 23% and 25% of the cases, respectively. Mean estimated blood loss was 56 mL and mean uterus weight was 215 g, with the heaviest uterus weighing 841 g. Unplanned consultation and readmission were infrequent, occurring in 3.1% and 0.8% of cases, respectively, in the first 72 hours. At 3 months, unplanned consultation, complication, and readmission had occurred in a similar proportion of inpatient and outp...Continue Reading

Citations

May 3, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Charlotte CassisNeeraja Kuruba
May 31, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Ulla J ChristiansenAxel Forman
Mar 1, 2018·Female Pelvic Medicine & Reconstructive Surgery·Cassandra K KisbyNazema Y Siddiqui
Oct 13, 2016·World Journal of Hepatology·Memmet MihmanliEmre Bozkurt
Sep 23, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Olga KilpiöPäivi I Pakarinen
Jun 6, 2020·Cirugía española·Jaime López-Torres LópezPilar Argente Navarro
Dec 31, 2017·American Journal of Obstetrics and Gynecology·Daniel M MorganBrahmajee Nallamothu
Apr 21, 2021·Revista colombiana de obstetricia y ginecología·Mónica Guerrero-MachadoHenry Octavio Rodríguez-Daza
Oct 16, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·M PontvianneC Akladios
Sep 13, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·M WehrC Akladios

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Methods Mentioned

BETA
hysterectomy
hysterectomies
dissection

Software Mentioned

SAS

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