Prise en charge ambulatoire de l’hystérectomie laparoscopique : évaluation de la faisabilité et de la satisfaction des patientes

Abstract

To evaluate the safety and patients' satisfaction after outpatient laparoscopic hysterectomy (LH). A retrospective case series of 47patients 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. Among the 47patients, 42 (89%) were discharged the same day. Five patients remained hospitalized due to postoperative complications (4patients) and the patient's decision (1patient). No patient required emergency consultation, readmission or reoperation in the first 72hours after discharge. Six patients (13%) had postoperative complications within the first 3months 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 3.8out of 4. 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.