No difference in length of hospital stay between laparoscopic and abdominal supravaginal hysterectomy--a preliminary study.
BACKGROUND
Although a number of well-designed studies have concluded that laparoscopic hysterectomy is associated with less postoperative pain, reduced hospital stay, and shorter periods of sick leave, thus far, studies on the perioperative and postoperative outcomes of laparoscopic supravaginal hysterectomy (LSH) versus abdominal supravaginal hysterectomy (ASH) are lacking. By applying multimodal intervention program for the postoperative care of patients, the primary aim of the current study was to compare length of hospital stay, time to convalescence, and long-term patient satisfaction between LSH and ASH.


METHODS
The study was conducted at the departments of Obstetrics and Gynecology, Skellefteå Hospital and Lycksele Hospital. Forty-seven consecutive women scheduled for supravaginal hysterectomy were randomly assigned to LSH or ASH. Perioperative and postoperative parameters were compared between the two groups.


RESULTS
The length of the postoperative hospital stay did not differ between patients undergoing LSH and ASH, but the number of disability days was greater in the ASH group. The operating time was significantly longer in the LSH group compared with the ASH group, whereas the estimated perioperative bleeding was greater in the ASH group. At the 6-month follow-up, 87.0% of patients in the ASH group and 91.3% in the LSH group were satisfied or very satisfied with the overall result of the surgical procedure.


CONCLUSIONS
The present study has indicated that by applying a multimodal intervention program for the postoperative care of patients undergoing supravaginal hysterectomy, the surgical procedure per se is of less importance than generally considered for the length of postoperative hospital stay and long-term patient satisfaction.
Oscarsson
Ulf
U
Department of Obstetrics and Gynecology, Skellefteå lasarett, Sweden. ulf.oscarsson@vll.se
Poromaa
Inger Sundström
IS
Nüssler
Emil
E
Löfgren
Mats
M
D003289:Convalescence; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods* / Q000534:rehabilitation; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy; D007902:Length of Stay; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010149:Postoperative Pain; D017060:Patient Satisfaction; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000453:epidemiology*; D018582:Sick Leave; D011795:Surveys and Questionnaires; D016896:Treatment Outcome