Same-day surgery for pelvic organ prolapse and urinary incontinence: Assessing satisfaction and morbidity

Autor: Alexandriah Alas, Luis Espaillat, G. Willy Davila, Leon N. Plowright, Vivian C. Aguilar
Rok vydání: 2016
Předmět:
Zdroj: Perioperative Care and Operating Room Management. 5:20-26
ISSN: 2405-6030
DOI: 10.1016/j.pcorm.2016.12.003
Popis: Introduction With vaginal hysterectomies and pelvic organ prolapse (POP) surgeries reclassified as outpatient surgeries in 2014, protocols had to be developed to minimize complications. Material and methods This was a prospective cohort of women undergoing same-day vaginal POP and urinary incontinence (UI) surgery. Primary aim was to assess patient satisfaction using a 10-point Likert scale (1=not satisfied, 10=very satisfied). Subjects completed the Quality of Recovery-15 (QoR-15) questionnaire prior to surgery, 48 hours postoperatively, and at 6-weeks. Results Sixty-one women were enrolled. Average operating time was 88.7±41.3 minutes. Almost all patients (95.1%) were discharged the same day. Three patients (4.9%) stayed overnight for conversion to a laparotomy, pain control, and leg neuropathy. Patient satisfaction was 9.3±1.6 and 9.4±1 at 48 hours and at 6-weeks, respectively. There was a difference in the postoperative QoR-15 score from baseline to 48 hours 137.2±12.4 vs. 127.1±22.1 (p=0042), but no difference at 6-weeks compared to baseline (p=0.3578). Complications up to 6-weeks postoperatively included emergency room presentation (4.9%), hematoma (3.3%), re-admission (3.3%), and urinary tract infection (1.6%). Conclusion Same-day vaginal surgeries are well tolerated with minimal complications and high satisfaction. Our outpatient surgery protocol can be used as a management option for outpatient gynecologic surgeries.
Databáze: OpenAIRE
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