A prospective observational study of the safety and acceptability of vaginal hysterectomy performed in a 24-hour day case surgery setting
| Autor: | R Penketh, S. Chawathe, A Griffiths |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Intraoperative Complication Adolescent medicine.medical_treatment Ovariectomy Dysfunctional uterine bleeding Endometriosis Premenstrual Syndrome Patient satisfaction Ambulatory care Obstetrics and gynaecology medicine Hysterectomy Vaginal Humans Prospective Studies Laparoscopy Prospective cohort study Early discharge Menorrhagia Hysterectomy medicine.diagnostic_test Salpingoophorectomy Leiomyoma Obstetrics business.industry General surgery Incidence (epidemiology) Oophorectomy Obstetrics and Gynecology General Medicine medicine.disease Surgery Ambulatory Surgical Procedures Patient Satisfaction Female Uterine Hemorrhage medicine.symptom Safety business |
| Zdroj: | BJOG : an international journal of obstetrics and gynaecology. 114(4) |
| ISSN: | 1470-0328 |
| Popis: | Objective To assess the safety and acceptability of vaginal hysterectomy with and without simultaneous oophorectomy in a 24-hour day case surgery setting for women with nonprolapse indications for surgery. Design Prospective observational study. Setting A busy teaching hospital and tertiary referral centre for Obstetrics and Gynaecology. Population Seventy-one women from one consultant’s practice underwent a vaginal hysterectomy with a planned discharge within 24 hours after the procedure. All women had a body mass index less than 40 and a suitable home environment for routine day case surgery, other than that the women were from an unselected population. Method Prospective observational study. Main outcome measures The duration of the operation and mean blood loss were recorded. Any intraoperative complications were noted. In addition, the proportion of women discharged home within 24 hours of the operation was recorded together with any readmissions to hospital. Returns to theatres and any postoperative complications were also recorded. Postoperative pain scores were assessed 6 and 24 hours after procedure in selected women. Results Seventy-one vaginal hysterectomies were performed as 24-hour day case procedures. The intraoperative complication rate was 1.4%. Sixty-five women were discharged home within 24 hours (91.5%). The readmission rate within this group was 6.2%. The duration of the procedure, mean blood loss, return to theatre rate and incidence of febrile illness were comparable with rates recorded in inpatient studies. Conclusions Vaginal hysterectomy performed as a 24-hour day case procedure appears to be as safe as traditional inpatient management, with a high rate of early discharge and a low rate of readmission. This may have additional advantages for the woman and healthcare provider alike. |
| Databáze: | OpenAIRE |
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