Outpatient total laparoscopic hysterectomy.
OBJECTIVE
To assess the safety of and patient satisfaction with total laparoscopic hysterectomy as an outpatient procedure.


METHODS
Retrospective case study (Canadian Task Force classification III).


METHODS
Tertiary care hospital.


METHODS
Sixty-six consecutive women.


METHODS
Outpatient total laparoscopic hysterectomy.


RESULTS
Of 66 procedures completed, 6 patients (7.5%) required overnight hospitalization, with 4 of them discharged the next day. Seven (11%) minor postoperative complications occurred. One patient required hospitalization to receive intravenous antibiotics and one for drainage of a cuff hematoma. There were three (4.5%) minor intraoperative complications. One woman developed Clostridium difficile diarrhea as well as deep vein thrombosis and pulmonary embolus. Sixty-three women (95%) were satisfied with the procedure and would recommend it to others.


CONCLUSIONS
Outpatient total laparoscopic hysterectomy is well tolerated, safe, and cost effective.
Thiel
John
J
Department of Obstetrics and Gynecology, Regina, Saskatchewan, Canada.
Gamelin
Adrian
A
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000523:psychology; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000191:economics / Q000379:methods*; D010535:Laparoscopy / Q000191:economics / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome