Luca Bazzurini1, Gianfranco Manfredi2, Eugenia Tomás Roldán3, Michele Peiretti4, Silvia Basso5, Eleonora Preti1, Annalisa Garbi6, Dorella Franchi1, Vanna Zanagnolo6, Lorenzo Ceppi7, Fabio Landoni1. 1. Preventive Gynaecology Unit, European Institute of Oncology, IRCCS, Milan, Italy. 2. Unit of Day and Ambulatory Surgery, European Institute of Oncology, Milan, Italy. 3. Centro di Ricerche e Studi in Management Sanitario, Università Cattolica del Sacro Cuore, Milan, Italy. 4. Department of Obstetrics and Gynecology, University of Cagliari, Cagliari, Italy. 5. Quality and Accreditation Service, European Institute of Oncology, Milan, Italy. 6. Department of Gynaecology - European Institute of Oncology, Milan, Italy. 7. Department of Gynaecology - UNIMIB, Bicocca University, Monza, Italy.
Abstract
OBJECTIVE: Develop a 'same-day discharge' setting for laparoscopic treatment of adnexal disease. SETTING: Preventive Gynecology, European Institute of Oncology, Milan, Italy. POPULATION: Two hundred patients undergoing laparoscopic procedures. MATERIAL AND METHODS: Data were retrospectively collected through clinical, surgical and laboratory reports. After discharge patients were contacted by phone and e-mail. MAIN OUTCOME MEASURES: The rate of discharge, adverse events and readmission was measured. The need for adjunctive care provided by our on-call service or by a primary care physician and the acceptability of the same-day discharge protocol were also investigated. RESULTS: One hundred and sixty-five patients out of 200 were discharged on the same day. Of the 35 patients hospitalized, the most frequent causes for overnight admission were: uncontrolled pain, surgical length or complexity of the procedure in nine patients, nausea/vomit in four patients. One hundred and one out of 200 patients answered the mailed questionnaire. None of the discharged patients were readmitted. Eighty-five percent of the answering patients evaluated the length of their hospital stay as adequate or moderately adequate. Ninety-two percent of the patients would recommend the day surgery to other patients. CONCLUSIONS: our experience demonstrates that the same-day discharge protocol for laparoscopic treatment of adnexal disease is safe and acceptable.
OBJECTIVE: Develop a 'same-day discharge' setting for laparoscopic treatment of adnexal disease. SETTING: Preventive Gynecology, European Institute of Oncology, Milan, Italy. POPULATION: Two hundred patients undergoing laparoscopic procedures. MATERIAL AND METHODS: Data were retrospectively collected through clinical, surgical and laboratory reports. After discharge patients were contacted by phone and e-mail. MAIN OUTCOME MEASURES: The rate of discharge, adverse events and readmission was measured. The need for adjunctive care provided by our on-call service or by a primary care physician and the acceptability of the same-day discharge protocol were also investigated. RESULTS: One hundred and sixty-five patients out of 200 were discharged on the same day. Of the 35 patients hospitalized, the most frequent causes for overnight admission were: uncontrolled pain, surgical length or complexity of the procedure in nine patients, nausea/vomit in four patients. One hundred and one out of 200 patients answered the mailed questionnaire. None of the discharged patients were readmitted. Eighty-five percent of the answering patients evaluated the length of their hospital stay as adequate or moderately adequate. Ninety-two percent of the patients would recommend the day surgery to other patients. CONCLUSIONS: our experience demonstrates that the same-day discharge protocol for laparoscopic treatment of adnexal disease is safe and acceptable.
Entities:
Keywords:
ERAS; Same day discharge; day surgery; fast track; laparoscopy