title: Early discharge after gynaecological surgery.
abstract: OBJECTIVE
  To determine the safety and acceptability of early discharge after major gynaecological surgery.
  
  
  METHODS
  Retrospective study of patients discharged home on the third day after surgery. Questionnaire to determine patients' attitudes.
  
  
  METHODS
  District general hospital with an associated 'Hospital at Home Scheme'.
  
  
  METHODS
  102 women listed for major gynaecological surgery living within the catchment area of the Hospital at Home and considered good surgical risks.
  
  
  METHODS
  Safety, re-admission rates, nursing time planned and utilised, patients' attitudes.
  
  
  RESULTS
  There were no serious complications. Only three patients required re-admission. Less nursing time was required than expected: allocated, 24 h; utilised, less than 10 h for 45%; no night cover for 70.5%. Patient aides performed most of the nursing. There was no excess burden for general practice (45.7% required a home visit). The scheme proved popular with patients. Analgesia and catheter care needed to be improved.
  
  
  CONCLUSIONS
  Discharge on the third postoperative day into an augmented domiciliary care service is safe, popular and cost effective.
authors.affiliation: Department of Obstetrics and Gynaecology, Peterborough District Hospital, UK.
authors.forename: B
authors.initials: B
authors.lastname: Hackman
authors.forename: N
authors.initials: N
authors.lastname: Navaneethan
mesh_terms: D000328:Adult; D000368:Aged; D001290:Attitude; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery; D005836:Genitalia, Female / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D010359:Patient Readmission; D010361:Patients; D012189:Retrospective Studies; D011795:Surveys and Questionnaires