Outpatient Total Laparoscopic Hysterectomy

J Am Assoc Gynecol Laparosc. 2003 Nov;10(4):481-3. doi: 10.1016/s1074-3804(05)60149-1.

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.

MeSH terms

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