A randomized trial of day-case vs inpatient laparoscopic supracervical hysterectomy

Jelena Kisic-Trope; Erik Qvigstad; Karen Ballard

doi:10.1016/j.ajog.2010.11.014

A randomized trial of day-case vs inpatient laparoscopic supracervical hysterectomy

Jelena Kisic-Trope, Erik Qvigstad, Karen Ballard

American journal of obstetrics and gynecology · 2011 · vol. 204(4) , pp. 307.e1–307.e8 · doi:10.1016/j.ajog.2010.11.014 · PMID:21272844 · W1964697405

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Day-case laparoscopic supracervical hysterectomy patients were similarly satisfied with hospitalization length as overnight patients, but experienced lower quality of life.

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Abstract

OBJECTIVE: To determine whether women having day-case laparoscopic supracervical hysterectomy are more or less satisfied with the length of hospital stay compared with women who stayed overnight after the procedure. STUDY DESIGN: An randomized control trial of 49 women randomized to day-case or overnight hospital stay after laparoscopic supracervical hysterectomy. Satisfaction with length of hospitalization and quality of life were compared using the Mann-Whitney U test. RESULTS: No group differences were found in satisfaction with length of hospital stay (P = .13). There was a nonsignificant trend toward greater anxiety in the day-case group (P = .06 on day 1 postoperative). Quality of life was lower in the day-case group on days 2 (P = .02) and 4 (P = .03), postoperatively. CONCLUSION: Women having a day-case hysterectomy were discharged after median of 5 hours postoperative and were similarly satisfied as women hospitalized overnight. Quality of life, however, does appear to be compromised by day-case surgery.

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MeSH descriptors

Ambulatory Surgical Procedures Hospitalization Hysterectomy Laparoscopy Patient Satisfaction Adult Anxiety Anxiety Female Humans Length of Stay Middle Aged Norway Quality of Life

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