Outpatient total laparoscopic hysterectomy.

STUDY OBJECTIVE

To assess the safety of and patient satisfaction with total laparoscopic hysterectomy as an outpatient procedure.

DESIGN

Retrospective case study (Canadian Task Force classification III).

SETTING

Tertiary care hospital.

PATIENTS

Sixty-six consecutive women.

INTERVENTION

Outpatient total laparoscopic hysterectomy.

MEASUREMENTS AND MAIN RESULTS

Of 66 procedures completed, 6 patients (7.5%) required overnight hospitalization, with 4 of them discharged the next day. Seven (11%) minor postoperative complications occurred. One patient required hospitalization to receive intravenous antibiotics and one for drainage of a cuff hematoma. There were three (4.5%) minor intraoperative complications. One woman developed Clostridium difficile diarrhea as well as deep vein thrombosis and pulmonary embolus. Sixty-three women (95%) were satisfied with the procedure and would recommend it to others.

CONCLUSION

Outpatient total laparoscopic hysterectomy is well tolerated, safe, and cost effective.