Jelena Kisic-Trope1, Erik Qvigstad, Karen Ballard. 1. Gynaecology and Endoscopy Unit, Department of Obstetrics and Gynaecology, Oslo University Hospital Ulleval, Oslo, Norway. jeki@uus.no
Abstract
OBJECTIVE: To determine whether women having day-caselaparoscopic 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.
RCT Entities:
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.
Authors: Elizabeth H Robison; Pamela E Smith; Lopa K Pandya; Silpa Nekkanti; Andrew F Hundley; Catherine O Hudson Journal: Int Urogynecol J Date: 2021-04-21 Impact factor: 1.932