Objective: To identify predictors of same-day discharge after benign minimally invasive hysterectomy. Methods:In this retrospective cohort study, we identified women (n = 1084) undergoing benign minimally invasive hysterectomy from 2009 to 2016. Multivariate logistic regression was used to examine demographic, operative, and surgeon factors associated with discharge on postoperative day 0.Results: In our study population, 238 women (22%) were discharged on the same day.Robotic hysterectomy (risk ratio [RR] 2.24; 95% confidence interval [CI] 1.13-4.44), shorter operative time (lowest quartile; RR 5.28; 95% CI 2.66-10.46), and minimal blood loss (lowest quartile; RR 3.01; 95% CI 1.68-6.23) were associated with higher same-day discharge likelihood whereas later procedure start time (2-5 pm; RR 0.38; 95% CI 0.17-0.85) and postoperative complications (RR 0.19; 95% CI 0.06-0.55) significantly decreased its likelihood. The strongest predictor was surgeon's number of years in practice, with recently graduated surgeons more likely to discharge their patients on the same day (RR 3.15; 95% CI 2.09-4.77). Conclusion:Same-day discharge after minimally invasive hysterectomy is determined by several patient, operative, and surgeon factors that can be incorporated into an implementation plan to promote earlier discharge. Most especially, scheduling patients based on perceived case complexity and targeted surgeon education can qualify a larger cohort for same-day discharge.

In this select population, we found a high frequency of in vitro fluconazole resistance in vaginal Candida albicans. Resistance did not reliably predict future susceptibility.

As the US population of older adults increases, the number of older hysterectomy patients will increase. 1 Evidence demonstrates a wide range of postoperative outcomes in older adults of the same chronologic age. Consequently, frailty has been examined as a way to better predict which older patients have higher risk for poor surgical outcomes. 2 Frailty has been conceptualized as an "age-related, multidimensional state of decreased physiologic reserves that results in diminished resiliency, loss of adaptive capacity, and increased vulnerability to stressors". 3 From a practical perspective, frailty has

One third of women receive opioids after hysteroscopy; opioid-dispensing practices varied significantly by facility type and region.