title: [Total laparoscopic hysterectomy and same-day discharge: Satisfaction evaluation and feasibility study].
abstract: OBJECTIVE
  To evaluate the safety and patients' satisfaction after outpatient laparoscopic hysterectomy (LH).
  
  
  METHODS
  A retrospective case series of 47 patients discharged home the same day after total LH. Outcomes include the same-day discharge rate, complication and readmission rates, patients' short-term satisfaction and an evaluation of patients' opinion several months later.
  
  
  RESULTS
  Among the 47 patients, 42 (89%) were discharged the same day. Five patients remained hospitalized due to postoperative complications (4 patients) and the patient's decision (1 patient). No patient required emergency consultation, readmission or reoperation in the first 72hours after discharge. Six patients (13%) had postoperative complications within the first 3 months after the surgery. Four patients (8%) were readmitted, three of them (6%) had to undergo a second surgery. In the short-term assessment, patients were satisfied with the management in 93% of cases and would recommend it to others, with a median satisfaction rate of 3.8 out of 4.
  
  
  CONCLUSIONS
  Ambulatory laparoscopic hysterectomy is feasible in a well-selected population, with a high level of patients' satisfaction. This management could be an alternative to traditional long hospital stays proposed in France.
authors.affiliation: Service de gynécologie-obstétrique, centre hospitalier de Saint-Nazaire, cité sanitaire, 11, boulevard Georges-Charpak, 44600 Saint-Nazaire, France. Electronic address: ljacopin@yahoo.fr.
authors.forename: L
authors.initials: L
authors.lastname: Bruneau
authors.affiliation: Service de gynécologie-obstétrique, centre hospitalier de Saint-Nazaire, cité sanitaire, 11, boulevard Georges-Charpak, 44600 Saint-Nazaire, France.
authors.forename: M
authors.initials: M
authors.lastname: Randet
authors.affiliation: Service de gynécologie-obstétrique, centre hospitalier de Saint-Nazaire, cité sanitaire, 11, boulevard Georges-Charpak, 44600 Saint-Nazaire, France.
authors.forename: S
authors.initials: S
authors.lastname: Evrard
authors.affiliation: Service d'anesthésie-réanimation, centre hospitalier de Saint-Nazaire, cité sanitaire, 11, boulevard Georges-Charpak, 44600 Saint-Nazaire, France.
authors.forename: A
authors.initials: A
authors.lastname: Damon
authors.affiliation: Service de gynécologie-obstétrique, centre hospitalier de Saint-Nazaire, cité sanitaire, 11, boulevard Georges-Charpak, 44600 Saint-Nazaire, France.
authors.forename: F-X
authors.initials: FX
authors.lastname: Laurent
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D008875:Middle Aged; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies
keywords: Ambulatoire; Hysterectomy; Hystérectomie; Laparoscopie; Laparoscopy; Outpatient; Satisfaction