Same-Day Discharge After Robotic-Assisted Sacrocolpopexy

Female Pelvic Medicine & Reconstructive Surgery
Cassandra K KisbyNazema Y Siddiqui

Abstract

The aim of the study was to compare unplanned postoperative encounters in women discharged same day versus later after robotic-assisted sacrocolpopexy (RA-SCP). This is a retrospective cohort study of women who underwent RA-SCP at a tertiary care center January 2013 to September 2015. Women were divided into 2 cohorts based on their day of discharge: (1) same day or (2) postoperative day 1 (POD ≥ 1) or later. Our primary outcome was unplanned provider visits (clinic, urgent care, emergency department, or hospital readmission) during the 6 weeks after surgery. Secondary outcomes included unplanned postdischarge nurse or physician phone calls. Logistic regression models were created to control for potential confounders. Two hundred seventy-two women were included; 80 underwent same-day discharge versus 192 discharged POD 1 or later (187 on POD 1, 5 on POD 2). Women discharged same day were older (61.3 vs 58.5 years, P < 0.05), more likely to have a start time before noon (85% vs 67.6%, P < 0.01), received less intraoperative intravenous fluids (1153 mL vs 1536 mL, P < 0.01), had shorter procedures (237 vs 256 minutes, P < 0.01), and spent more time in the postanesthesia care unit (213 vs 158 minutes, P < 0.01). There were no diff...Continue Reading

References

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Citations

May 28, 2019·International Urogynecology Journal·Jessica C SassaniMegan S Bradley
May 30, 2020·Neurourology and Urodynamics·Amy NemirovskyRena D Malik
Jul 25, 2019·Journal of Robotic Surgery·John N Nguyen, Su-Jau T Yang
Apr 22, 2021·International Urogynecology Journal·Elizabeth H RobisonCatherine O Hudson
Dec 15, 2020·Journal of Minimally Invasive Gynecology·Mobolaji O AjaoJon I Einarsson
Jan 8, 2021·Female Pelvic Medicine & Reconstructive Surgery·Lisa C HickmanCecile A Ferrando
Aug 22, 2021·Obstetrics and Gynecology Clinics of North America·Alexis Anne Dieter
Jul 6, 2021·Neurourology and Urodynamics·Jacqueline ZilliouxHoward B Goldman
Mar 3, 2021·Female Pelvic Medicine & Reconstructive Surgery·Alexander A BergerShawn A Menefee
Jul 15, 2021·Female Pelvic Medicine & Reconstructive Surgery·Sarah EvansErinn M Myers

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