Outpatient laparoscopic supracervical hysterectomy with assistance of the lap loop.

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.