Fast track hysterectomy.
OBJECTIVE
To identify factors limiting early discharge after laparoscopically assisted vaginal hysterectomy (LAVH) and abdominal hysterectomy, in a fast track setting with emphasis on information, treatment of pain, early mobilization, and early food intake.


METHODS
A prospective, descriptive study of 32 unselected women allocated to either abdominal hysterectomy (n=16) or LAVH (n=16). The patients received the same information, care, and advice for the perioperative period except for an assumed 1-day hospital stay in the LAVH-group and 2 days in the abdominal group.


RESULTS
Patients were discharged median 1 day (1-3) after LAVH and 2 days (2-4) after abdominal hysterectomy. Work was resumed median 23 days after abdominal hysterectomy and 28 days after LAVH (P > 0.05).


CONCLUSIONS
The study questions the previously proposed advantages of shortened hospitalization and convalescence after LAVH compared with abdominal hysterectomy. Further studies with active rehabilitation are needed to demonstrate real differences between laparoscopic and open hysterectomy.
Møller
C
C
Department of Obstetrics and Gynecology, HS-Hvidovre University Hospital, Kettegaard Alle 30, DK-2650, Hvidovre, Denmark. charlotte.moeller@hh.hosp.dk
Kehlet
H
H
Friland
S G
SG
Schouenborg
L O
LO
Lund
C
C
Ottesen
B
B
D000328:Adult; D000698:Analgesia; D004435:Eating; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods* / Q000534:rehabilitation; D007045:Hysterectomy, Vaginal / Q000379:methods / Q000534:rehabilitation; D010535:Laparoscopy; D007902:Length of Stay; D008875:Middle Aged; D010353:Patient Education as Topic; D011182:Postoperative Care; D013997:Time Factors