Department of Urogynecology, TriHealth, Cincinnati, OH, USA.
Int Urogynecol J. 2023 Dec;34(12):3005-3011. doi: 10.1007/s00192-023-05649-4. Epub 2023 Sep 25.
Previous research has not evaluated patient experiences following vaginal reconstructive surgery using a same-day discharge model. The objective of this study was to describe patient experiences following major vaginal reconstructive surgery and same-day discharge.
In this descriptive study, patients undergoing vaginal hysterectomy with pelvic reconstruction were preoperatively enrolled. Questionnaires detailing experience with same-day discharge, surgical recovery, and advice for prospective patients were completed. Our primary outcome was question 7 of the Surgical Satisfaction Questionnaire: Looking back, if you "had to do it all over again" would you have the surgery again? Descriptive statistics were performed, and correlations were performed with Spearman's rank test.
Sixty patients were enrolled; 54 underwent surgery. Eighty-seven percent of patients completed the 12-week questionnaire. At 12 weeks, 96% of patients (n = 45) would have the surgery again, and 91% (n = 42) were satisfied with the results of surgery. Twelve weeks postoperatively, the most common patient-reported complications were urinary tract infection (n = 8, 17%), catheter concerns (n = 5, 11%), and constipation (n = 5, 11%). When asked to list the best parts of their surgical experience, half of patients felt that this was the office staff or physician themselves (n = 24, 51%). When asked what advice they would provide to future patients, the most common responses included having a support person at home and taking time for recovery.
In this sample of women receiving same-day discharge following vaginal hysterectomy with pelvic reconstruction, we present a unique insight into the most common patient concerns postoperatively. Rates of satisfaction and comfort were high.
之前的研究尚未评估采用当日出院模式的阴道重建手术后患者的体验。本研究的目的是描述行大阴道重建术和当日出院患者的术后体验。
在这项描述性研究中，对行阴道子宫切除术加盆腔重建的患者进行了术前入组。患者完成了详细描述当日出院体验、手术恢复情况以及为潜在患者提供建议的问卷。我们的主要结局是手术满意度问卷的第 7 个问题：如果“一切都要重来”，您还会再次接受手术吗？进行了描述性统计分析，并使用 Spearman 秩检验进行了相关性分析。
共入组 60 例患者，其中 54 例行手术。87%的患者完成了 12 周的问卷。12 周时，96%（n=45）的患者会再次接受手术，91%（n=42）对手术结果满意。术后 12 周，最常见的患者报告的并发症是尿路感染（n=8，17%）、导尿管相关问题（n=5，11%）和便秘（n=5，11%）。当被要求列出手术体验中最好的部分时，一半的患者认为是办公室工作人员或医生本人（n=24，51%）。当被问及他们会给未来的患者提供什么建议时，最常见的回答包括家中有一个照顾者和为恢复留出时间。
在本研究中，我们对接受阴道子宫切除术加盆腔重建后当日出院的女性患者进行了研究，提供了对术后最常见患者关注点的独特见解。满意度和舒适度均较高。
