Outpatient total laparoscopic hysterectomy.

Abstract

STUDY OBJECTIVE:

To assess the safety of and patient satisfaction with total laparoscopic hysterectomy as an outpatient procedure.

DESIGN:

Retrospective case study (Canadian Task Force classification III).

SETTING:

Tertiary care hospital.

PATIENTS:

Sixty-six consecutive women.

INTERVENTION:

Outpatient total laparoscopic hysterectomy.

MEASUREMENTS AND MAIN RESULTS:

Of 66 procedures completed, 6 patients (7.5%) required overnight hospitalization, with 4 of them discharged the next day. Seven (11%) minor postoperative complications occurred. One patient required hospitalization to receive intravenous antibiotics and one for drainage of a cuff hematoma. There were three (4.5%) minor intraoperative complications. One woman developed Clostridium difficile diarrhea as well as deep vein thrombosis and pulmonary embolus. Sixty-three women (95%) were satisfied with the procedure and would recommend it to others.

CONCLUSION:

Outpatient total laparoscopic hysterectomy is well tolerated, safe, and cost effective.

• Authors: John Thiel, Adrian Gamelin
• Journal: The Journal of the American Association of Gynecologic Laparoscopists (J Am Assoc Gynecol Laparosc) Vol. 10 Issue 4 Pg. 481-3 (Nov 2003) ISSN: 1074-3804 [Print] United States
• PMID: 14738633 (Publication Type: Journal Article)

Topics

• Adult
• Ambulatory Surgical Procedures (psychology)
• Cost-Benefit Analysis
• Female
• Humans
• Hysterectomy (economics, methods)
• Laparoscopy (economics, methods)
• Middle Aged
• Patient Satisfaction
• Retrospective Studies
• Treatment Outcome