Source
Department of Gynecology and Obstetrics, Endoscopic Unit, Ullevaal University Hospital, Oslo, Norway. m.lieng@frisurf.no
Abstract
STUDY OBJECTIVE:
To elucidate the safety and patient satisfaction with laparoscopic supracervical hysterectomy (LSH) performed in an outpatient setting.
DESIGN:
Prospective case study (Canadian Task Force classification II-2).
SETTING:
Public hospital.
PATIENTS:
Forty-three women.
INTERVENTION:
Outpatient LSH performed by lap-loop.
MEASUREMENTS AND MAIN RESULTS:
The procedure was recommened by 41 out of 43 patients. Three patients (7%) were admitted to the hospital due to complications after the surgery. One patient was admitted because of a vasovagal reaction after anesthesia; she recovered quickly and was discharged after a few hours of observation. One patient was admitted because of postoperative pain and discharged the next day; she had a prolonged postoperative recovery with pain and subfebrile temperature. One patient underwent laparotomy due to major intraabdominal bleeding. Postoperative complications occurred in another five patients (12%) without need for hospitalization (infected intra-abdominal hematoma, urine retention, cystitis, cystitis combined with wound infection, and pneumonia).
CONCLUSION:
Laparoscopic supracervical hysterectomy as an outpatient procedure is a safe and highly acceptable treatment.