Admission-discharge policies for hysteroscopic surgery: a randomised comparison of day case with in-patient admission

Eur J Obstet Gynecol Reprod Biol. 1998 Jan;76(1):81-4. doi: 10.1016/s0301-2115(97)00140-1.


Objective: To study the effectiveness and acceptability of day case hysteroscopic surgery.

Design: Prospective randomised controlled trial.

Setting: Aberdeen Royal Infirmary.

Subjects: One hundred and ninety four consecutive women who underwent hysteroscopic endometrial ablation.

Intervention: Seventy three women were allocated to day case surgery and 37 to inpatient admission; 84 women though otherwise fit for day case surgery were scheduled for in-patient admission as they lived more than 20 miles away. All women completed a questionnaire 24 h after their operations. Readmission rates were obtained from case notes. Satisfaction rates 12 months after the operation were recorded by means of a follow-up questionnaire.

Results: Post-operative pain was absent or slight in 48 (75%) of the women in the day case group 27 (84%) of women in the in-patient group, and 55 (82%) in the non-randomised in-patient group. Post-operative analgesia was necessary in 34 (52%) women in the day case group, 24 (75%) women in the in-patient group and 36 (53%) women in the non-randomised in-patient group. Hospital costs were significantly less in the day case group. Satisfaction with stay 92% in the day case group, and 100% in the other two groups.

Conclusion: In this setting, day care is a safe acceptable and less expensive alternative to in-patient care for hysteroscopic endometrial ablation.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Ambulatory Surgical Procedures* / economics
  • Endometrium / surgery*
  • Female
  • Health Care Costs
  • Humans
  • Hysteroscopy*
  • Middle Aged
  • Patient Admission*
  • Patient Discharge*
  • Prospective Studies