Total laparoscopic hysterectomy and same-day discharge: Satisfaction evaluation and feasibility study

Journal de gynécologie, obstétrique et biologie de la reproduction
L BruneauF-X Laurent

Abstract

To evaluate the safety and patients' satisfaction after outpatient laparoscopic hysterectomy (LH). A retrospective case series of 47 patients discharged home the same day after total LH. Outcomes include the same-day discharge rate, complication and readmission rates, patients' short-term satisfaction and an evaluation of patients' opinion several months later. Among the 47 patients, 42 (89%) were discharged the same day. Five patients remained hospitalized due to postoperative complications (4 patients) and the patient's decision (1 patient). No patient required emergency consultation, readmission or reoperation in the first 72hours after discharge. Six patients (13%) had postoperative complications within the first 3 months after the surgery. Four patients (8%) were readmitted, three of them (6%) had to undergo a second surgery. In the short-term assessment, patients were satisfied with the management in 93% of cases and would recommend it to others, with a median satisfaction rate of 3.8 out of 4. Ambulatory laparoscopic hysterectomy is feasible in a well-selected population, with a high level of patients' satisfaction. This management could be an alternative to traditional long hospital stays proposed in France.

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Citations

May 31, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Ulla J ChristiansenAxel Forman
Jul 17, 2019·Surgical Endoscopy·Eric LambaudieGilles Houvenaeghel
Jul 28, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Enora DolivetRaffaèle Fauvet
Jan 19, 2020·Gynécologie, Obstétrique, Fertilité & Sénologie·A FoulonR Fauvet
Oct 16, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·M PontvianneC Akladios
Jul 9, 2021·Journal of Robotic Surgery·Naixin ZhangTodd Tillmanns
Sep 13, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·M WehrC Akladios
Oct 22, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Abdelrahman AlAshqarMostafa A Borahay

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