Short stay laparoscopic hysterectomy: An evaluation of feasibility and patient satisfaction
| Autor: | L, Antoun, P, Smith, Y, Afifi, K, Cullis, T J, Clark |
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| Rok vydání: | 2021 |
| Zdroj: | Facts, Views and Vision in ObGyn. 13:377-385 |
| ISSN: | 2684-4230 2032-0418 |
| Popis: | Background: Short-stay total laparoscopic hysterectomy (TLH) could lead to reduced hospital costs and decrease complications associated with hospitalisation such as hospital acquired-infection and venous thromboembolism. Objective: To evaluate the feasibility, safety and patient satisfaction of a novel short ‘less than 23-hour’ stay TLH protocol. Material and Methods: Prospective cohort study, at Birmingham Women’s Hospital, United Kingdom including eligible women undergoing TLH for benign indications or early stage cervical/endometrial cancer. Main outcome measures: Feasibility of discharge within 23-hours following TLH. Surgical complications and readmission rates were collected within 30-days of hysterectomy and patient’s satisfaction was assessed at 6-weeks. Results: Of the 128 eligible women, 104/128 women (81%) were discharged within 23-hours of admission, of which 62/104 or 60% (48.4% of the whole cohort) were discharged on the same day. Adenomyosis/fibroids, and previous caesarean sections were associated with a greater likelihood of stay beyond 23-hours (P |
| Databáze: | OpenAIRE |
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