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.